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https://www.readbyqxmd.com/read/29925085/the-conduct-of-australian-indigenous-primary-health-care-research-focusing-on-social-and-emotional-wellbeing-a-systematic-review
#1
Sara Farnbach, Anne-Maree Eades, Josephine D Gwynn, Nick Glozier, Maree L Hackett
Objectives and importance of study: Values and ethics: guidelines for ethical conduct in Aboriginal and Torres Strait Islander health research (Values and ethics) describes key values that should underpin Aboriginal and Torres Strait Islander (Indigenous)-focused health research. It is unclear how research teams address this document in primary health care research. We systematically review the primary health care literature focusing on Indigenous social and emotional wellbeing (SEWB) to identify how Values and ethics and community preferences for standards of behaviour (local protocols) are addressed during research...
June 14, 2018: Public Health Research & Practice
https://www.readbyqxmd.com/read/29924649/deep-learning-method-for-denial-of-service-attack-detection-based-on-restricted-boltzmann-machine
#2
Yadigar Imamverdiyev, Fargana Abdullayeva
In this article, the application of the deep learning method based on Gaussian-Bernoulli type restricted Boltzmann machine (RBM) to the detection of denial of service (DoS) attacks is considered. To increase the DoS attack detection accuracy, seven additional layers are added between the visible and the hidden layers of the RBM. Accurate results in DoS attack detection are obtained by optimization of the hyperparameters of the proposed deep RBM model. The form of the RBM that allows application of the continuous data is used...
June 2018: Big Data
https://www.readbyqxmd.com/read/29923540/india-epidemic-intelligence-service-advocating-for-a-unique-mentor-based-epidemiology-training-program
#3
Jai Prakash Narain
To strengthen epidemiological capacity in the country, the Government of India in 2012 initiated a unique, competency-based training in epidemiology. Modeled along the United States Epidemic Intelligence Service (EIS), this 2-year mentor-driven and practical-oriented program, based on "learning by doing," is being implemented by the National Centre for Disease Control in Delhi, in close collaboration with the US Centers for Disease Control and Prevention, Atlanta. In its 4th year now, many lessons learned so far are being used to expand the program, without compromising on the technical quality...
April 2018: Indian Journal of Public Health
https://www.readbyqxmd.com/read/29922696/a-comparative-study-on-the-function-and-structure-of-medical-development-education-office-in-world-s-top-universities
#4
Soleiman Ahmady, Shahram Yazdani, Fakhrolsadat Hosseini, Mohammad Mehdi Forouzanfar, Ali Tabibi, Fatemeh Ahmadinia, Hoda Ahmari Tehran, Noushin Kohan, Heidar Mohammadi
PURPOSE: It is essential to adjust the responsibilities and function of medical education offices (MEOs) in regard to the current societal requirements. Therefore, it is a good idea to learn lessons from the experiences about the establishment and function of these offices around the world. The aim of the present study was to carry out a comparative study to investigate the function and structure of MEOs at some of the medical universities from America, Europe, and Asia. SUBJECTS AND METHODS: This is a comparative, descriptive study that was conducted in 2015...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29922198/the-importance-of-culture-in-addressing-domestic-violence-for-first-nation-s-women
#5
Donna M Klingspohn
Indigenous women in Canada face a range of health and social issues including domestic violence. Indigenous women (First Nations, Inuit and Métis) are six times more likely to be killed than non-Aboriginal women (Homicide in Canada, 2014; Miladinovic and Mulligan, 2015). Aboriginal women are 2.5 times more likely to be victims of violence than non-Aboriginal women (Robertson, 2010). These and other statistics highlight a significant difference in the level of violence experienced by Indigenous women to that experienced by women in the mainstream population in Canada...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29921689/does-perceived-organisational-support-influence-career-intentions-the-qualitative-stories-shared-by-uk-early-career-doctors
#6
Gillian Marion Scanlan, Jennifer Cleland, Kim Walker, Peter Johnston
INTRODUCTION: The wish to quit or take time out of medical training appears to be related, at least in part, to a strong desire for supportive working and learning environments. However, we do not have a good understanding of what a supportive culture means to early career doctors, and how perceptions of support may influence career decision making. Our aim was to explore this in UK Foundation doctors. METHODS: This was a qualitative study using semistructured interviews incorporating a narrative inquiry approach for data collection...
June 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/29921342/decentralised-clinical-training-in-optometry-a-developmental-strategy-for-eye-health-in-kwazulu-natal
#7
Diane van Staden
BACKGROUND: Decentralised clinical training (DCT) in optometry is an emerging concept in South Africa. In 2016, the University of KwaZulu Natal (UKZN) implemented this adaptive model of clinical training for undergraduate health professions. The initiative, which emanated through an agreement between UKZN's College of Health Sciences and the KwaZulu Natal Department of Health, centres on the placement of undergraduate optometry students within public health facilities for clinical training purposes...
June 20, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29921277/being-pragmatic-about-healthcare-complexity-our-experiences-applying-complexity-theory-and-pragmatism-to-health-services-research
#8
Katrina M Long, Fiona McDermott, Graham N Meadows
BACKGROUND: The healthcare system has proved a challenging environment for innovation, especially in the area of health services management and research. This is often attributed to the complexity of the healthcare sector, characterized by intersecting biological, social and political systems spread across geographically disparate areas. To help make sense of this complexity, researchers are turning towards new methods and frameworks, including simulation modeling and complexity theory...
June 20, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29921272/studying-complexity-in-health-services-research-desperately-seeking-an-overdue-paradigm-shift
#9
EDITORIAL
Trisha Greenhalgh, Chrysanthi Papoutsi
Complexity is much talked about but sub-optimally studied in health services research. Although the significance of the complex system as an analytic lens is increasingly recognised, many researchers are still using methods that assume a closed system in which predictive studies in general, and controlled experiments in particular, are possible and preferred. We argue that in open systems characterised by dynamically changing inter-relationships and tensions, conventional research designs predicated on linearity and predictability must be augmented by the study of how we can best deal with uncertainty, unpredictability and emergent causality...
June 20, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29921230/implementing-new-care-models-learning-from-the-greater-manchester-demonstrator-pilot-experience
#10
Rebecca Elvey, Simon Bailey, Kath Checkland, Anne McBride, Stephen Parkin, Katy Rothwell, Damian Hodgson
BACKGROUND: Current health policy focuses on improving accessibility, increasing integration and shifting resources from hospitals to community and primary care. Initiatives aimed at achieving these policy aims have supported the implementation of various 'new models of care', including general practice offering 'additional availability' appointments during evenings and at weekends. In Greater Manchester, six 'demonstrator sites' were funded: four sites delivered additional availability appointments, other services included case management and rapid response...
June 19, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29920908/mental-health-service-users-experiences-of-an-education-intervention-based-on-a-european-union-project-a-comparison-between-nine-european-countries
#11
Irja Nieminen, Marja Kaunonen
Mental health service users (MHSUs) often face difficulties in achieving successful participation in education; however, the tools that could help them succeed are rarely investigated. This study aimed to illuminate the experiences of MHSUs in an education intervention based on a European Union (EU) project. Their experiences are compared across nine EU countries. The data were collected through individual interviews with MHSUs (n = 47) at day activity centres that provide mental health services. An inductive content analysis was used as the method of analysis...
June 19, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29914127/cloud-based-behavioral-monitoring-in-smart-homes
#12
Niccolò Mora, Guido Matrella, Paolo Ciampolini
Environmental sensors are exploited in smart homes for many purposes. Sensor data inherently carries behavioral information, possibly useful to infer wellness and health-related insights in an indirect fashion. In order to exploit such features, however, powerful analytics are needed to convert raw sensor output into meaningful and accessible knowledge. In this paper, a complete monitoring architecture is presented, including home sensors and cloud-based back-end services. Unsupervised techniques for behavioral data analysis are presented, including: (i) regression and outlier detection models (also used as feature extractors for more complex models); (ii) statistical hypothesis testing frameworks for detecting changes in sensor-detected activities; and (iii) a clustering process, leveraging deep learning techniques, for extracting complex, multivariate patterns from daily sensor data...
June 15, 2018: Sensors
https://www.readbyqxmd.com/read/29914119/the-impact-of-road-construction-on-subjective-well-being-in-communities-in-madre-de-dios-peru
#13
Amy R Riley-Powell, Gwenyth O Lee, Nehal S Naik, Kelly E Jensen, Christina O'Neal, Gabriela Salmón-Mulanovich, Stella M Hartinger, Daniel G Bausch, Valerie A Paz-Soldan
The interoceanic highway (IOH) in Madre de Dios, Peru has driven dramatic change in the Peruvian Amazon basin. We conducted a mixed methods study to examine the impact of these changes on the subjective well-being (SWB) of four communities on the IOH. Themes that emerged qualitatively included changing health threats, environmental degradation, and the impact of increased migration. To achieve a higher level of SWB, respondents emphasized the need for higher incomes, opportunities to learn new skills, and a better education for their children...
June 15, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29913072/postgraduate-clinical-physiotherapy-education-in-acute-hospitals-a-cohort-study
#14
Emma K Bastick, David D O'Keeffe, Melanie K Farlie, Danielle T Ryan, Terry P Haines, Nikki Katz, Jessica L Knight, Laura K Keely, Kelly J Saber, Tamica R Sturgess, Elizabeth H Skinner
BACKGROUND: Junior physiotherapists require satisfactory clinical skills to work effectively within the acute hospital setting for service quality and consistency. OBJECTIVE: To investigate the effects of stream-specific clinical training on junior physiotherapist self-efficacy, self-rated confidence, and self-rated ability to work independently during weekend shifts. DESIGN: Prospective cohort study. PARTICIPANTS: Eighteen junior physiotherapists...
June 18, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29912031/canine-outreach-promoting-engagement-the-effect-of-meaningful-activities-on-students-attitudes-toward-cognitively-impaired-older-adults
#15
B Morgan Yordy, W Stuart Pope, Chih-Hsuan Wang
Animal-assisted activities (AAAs) show promise in providing emotional and social benefits to older adults and may be used as a tool to promote therapeutic communication between students and cognitively impaired older adults. The purpose was to develop a program incorporating AAAs to enhance social engagement of cognitively impaired older adults in a community respite program and in turn enhance student comfort when caring for this vulnerable population. The Dementia Attitudes Scale, a validated tool, was used to measure students' attitudes before and after AAA intervention...
June 14, 2018: Nurse Educator
https://www.readbyqxmd.com/read/29911446/views-of-healthcare-professionals-on-training-for-and-delivery-of-a-fatigue-self-management-program-for-persons-with-multiple-sclerosis
#16
Stefan Peters, Amanda Wilkinson, Hilda Mulligan
PURPOSE: To explore the experiences and perspectives of the healthcare professionals who were trained to and delivered "Minimise Fatigue, Maximise Life" (MFML), a patient-centered group-based fatigue self-management program for persons with multiple sclerosis. METHODS: A qualitative descriptive study with semi-structured individual interviews at two time points. Data were analyzed for themes. Six healthcare professional facilitators who were trained to and delivered "Minimise Fatigue, Maximise Life" participated in a first interview, and five in a second...
June 17, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29908477/recreational-use-in-dispersed-public-lands-measured-using-social-media-data-and-on-site-counts
#17
David M Fisher, Spencer A Wood, Eric M White, Dale J Blahna, Sarah Lange, Alex Weinberg, Michael Tomco, Emilia Lia
Outdoor recreation is one of many important benefits provided by public lands. Data on recreational use are critical for informing management of recreation resources, however, managers often lack actionable information on visitor use for large protected areas that lack controlled access points. The purpose of this study is to explore the potential for social media data (e.g., geotagged images shared on Flickr and trip reports shared on a hiking forum) to provide land managers with useful measures of recreational use to dispersed areas, and to provide lessons learned from comparing several more traditional counting methods...
June 13, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29905879/health-care-utilization-for-chronic-pain-in-low-income-settings
#18
Andrea K Newman, Shweta Kapoor, Beverly E Thorn
Background: Chronic pain is a serious health problem with high rates of health care utilization (HCU). Many patients become stymied in a perpetual cycle of unsuccessful attempts to find relief from suffering through frequent health care visits. Especially within low-income populations, the burdens of health care services are especially unpleasant due to significant financial costs, barriers to transportation, and high levels of stress. This study aimed to examine factors associated with HCU for chronic pain in low-income settings...
June 13, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29903036/migrants-access-to-healthcare-services-within-the-european-union-a-content-analysis-of-policy-documents-in-ireland-portugal-and-spain
#19
REVIEW
Céline Ledoux, Eva Pilot, Esperanza Diaz, Thomas Krafft
BACKGROUND: The current migration flow into Europe is leading to a growing ethnically diverse population in many European countries. Now more than ever, those populations have different healthcare needs, languages, traditions, and previous level of care. This higher level of diversity is likely to increase health inequalities that might challenge healthcare systems if not addressed. In this context, this study aims at reviewing the policy framework for migrants' access to healthcare in Spain, Portugal and Ireland, countries with a long history of immigration, to identify lessons to be learned for policies on migrants' health...
June 15, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29903016/development-of-the-kisiizi-hospital-health-insurance-scheme-lessons-learned-and-implications-for-universal-health-coverage
#20
Sebastian Olikira Baine, Alex Kakama, Moses Mugume
BACKGROUND: Kisiizi Hospital Health Insurance scheme started in 1996 to; improve access to health services, and provide a stable source of funding and reduce bad debts to Kisiizi hospital. Objectives of this study were; to describe Kisiizi Hospital Health Insurance scheme and to document lessons learned and implications for universal health coverage. METHODS: This was a descriptive cross-sectional study. Data from different sources were triangulated and thematically analysed...
June 15, 2018: BMC Health Services Research
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