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https://www.readbyqxmd.com/read/29670916/readiness-of-sub-saharan-africa-healthcare-systems-for-the-new-pandemic-diabetes-a-systematic-review
#1
REVIEW
Bernardo Nuche-Berenguer, Linda E Kupfer
Background: Effective health systems are needed to care for the coming surge of diabetics in sub-Saharan Africa (SSA). Objective: We conducted a systematic review of literature to determine the capacity of SSA health systems to manage diabetes. Methodology: We used three different databases (Embase, Scopus, and PubMed) to search for studies, published from 2004 to 2017, on diabetes care in SSA. Results: Fifty-five articles met the inclusion criteria, covering the different aspects related to diabetes care such as availability of drugs and diagnostic tools, the capacity of healthcare workers, and the integration of diabetes care into HIV and TB platforms...
2018: Journal of Diabetes Research
https://www.readbyqxmd.com/read/29623242/the-impact-of-a-case-of-ebola-virus-disease-on-emergency-department-visits-in-metropolitan-dallas-fort-worth-tx-july-2013-july-2015-an-interrupted-time-series-analysis
#2
Noelle-Angelique M Molinari, Tanya Telfair LeBlanc, William Stephens
Background: The first Ebola virus disease (EVD) case in the United States (US) was confirmed September 30, 2014 in a man 45 years old. This event created considerable media attention and there was fear of an EVD outbreak in the US. Methods: This study examined whether emergency department (ED) visits changed in metropolitan Dallas-Fort Worth--, Texas (DFW) after this EVD case was confirmed. Using Texas Health Services Region 2/3 syndromic surveillance data and focusing on DFW, interrupted time series analyses were conducted using segmented regression models with autoregressive errors for overall ED visits and rates of several chief complaints, including fever with gastrointestinal distress (FGI)...
March 20, 2018: PLoS Currents
https://www.readbyqxmd.com/read/29569197/catalytic-decomposition-of-pcdd-fs-on-a-v-2-o-5-wo-3-nano-tio-2-catalyst-effect-of-nacl
#3
Cuicui Du, Longjie Ji, Yaqi Peng, Minghui Tang, Xuan Cao, Shengyong Lu
The effect of NaCl addition on the properties, activity, and deactivation of a V2 O5 -WO3 /nano-TiO2 catalyst was investigated during catalytic decomposition of gas-phase polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs). The extent of deactivation relates directly to the NaCl loading of the catalyst. Poisoning by sodium neutralizes acid sites, interacts strongly with active VOx species, and reduces the redox capacity of catalysts. In addition, NaCl is also a chlorine source and may actually accelerate the synthesis of new PCDD/Fs...
March 22, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29553040/strategies-for-improved-hospital-response-to-mass-casualty-incidents
#4
Mersedeh TariVerdi, Elise Miller-Hooks, Thomas Kirsch
Mass casualty incidents are a concern in many urban areas. A community's ability to cope with such events depends on the capacities and capabilities of its hospitals for handling a sudden surge in demand of patients with resource-intensive and specialized medical needs. This paper uses a whole-hospital simulation model to replicate medical staff, resources, and space for the purpose of investigating hospital responsiveness to mass casualty incidents. It provides details of probable demand patterns of different mass casualty incident types in terms of patient categories and arrival patterns, and accounts for related transient system behavior over the response period...
March 19, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29509947/medical-management-of-acute-radiation-syndrome-and-associated-infections-in-a-high-casualty-incident
#5
Nicholas Dainiak
A high-casualty incident may result in a significant human toll due to the inability of a community to meet the health care demands of the population. A successful medical response requires health care facilities to not only communicate and integrate medical services, meet surge capacity, protect health care workers and implement triage and treatment protocols, but also to provide the venue for clinical management of acute radiation injuries and their associated infections. Today, clinical management is primarily guided by the recommendations of a Consultancy that were made at the World Health Organization (WHO)...
April 1, 2018: Journal of Radiation Research
https://www.readbyqxmd.com/read/29479528/vascular-calcification-is-it-rather-a-stem-progenitor-cells-driven-phenomenon
#6
REVIEW
Aleksandra Leszczynska, J Mary Murphy
Vascular calcification (VC) has witnessed a surge of interest. Vasculature is virtually an omnipresent organ and has a notably high capacity for repair throughout embryonic and adult life. Of the vascular diseases, atherosclerosis is a leading cause of morbidity and mortality on account of ectopic cartilage and bone formation. Despite the identification of a number of risk factors, all the current theories explaining pathogenesis of VC in atherosclerosis are far from complete. The most widely accepted response to injury theory and smooth muscle transdifferentiation to explain the VC observed in atherosclerosis is being challenged...
2018: Frontiers in Bioengineering and Biotechnology
https://www.readbyqxmd.com/read/29467051/primary-care-medical-practices-are-community-health-care-providers-ready-for-disasters
#7
Rachel M Peters, Thomas J Hipper, Esther D Chernak
OBJECTIVE: This study seeks to determine the capacity of community primary care practices to meet the needs of patients during public health emergencies and to identify the barriers and resources necessary to participate in a coordinated response with public safety agencies. METHODS: The self-administered web-based survey was distributed in January 2014 via e-mail to primary care providers in Pennsylvania using the listservs of several professional societies. RESULTS: A total of 179 primary care providers participated in the survey...
February 22, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29427813/life-after-the-neurosurgical-ward-in-sub-saharan-africa-neurosurgical-treatment-and-outpatient-outcomes-in-uganda
#8
Linda W Xu, Silvia D Vaca, Juliet Nalwanga, Christine Muhumuza, Daniel Vail, Benjamin J Lerman, Joel Kiryabwire, Hussein Ssenyonjo, John Mukasa, Michael Muhumuza, Michael M Haglund, Gerald Grant
BACKGROUND: In the past decade, neurosurgery in Uganda experienced increasing surgical volume and a new residency training program. Although research has examined surgical capacity, minimal data exist on the patient population treated by neurosurgery and their eventual outcomes in sub-Saharan Africa. METHODS: Patients admitted to Mulago National Referral Hospital neurosurgical ward over 2 years (2014 and 2015) were documented in a prospective database. In total, 1167 were discharged with documented phone numbers and thus eligible for follow-up...
May 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29380730/hurry-up-it-s-quiet-in-the-emergency-department
#9
E Ter Avest, B T Onnes, T van der Vaart, M J Land
INTRODUCTION: Emergency department (ED) crowding is a contemporary problem. Solutions are multiple, but often involve a lengthy implementation process and/or substantial funding. Therefore, it is important that in the meanwhile, we aim to identify simple strategies, focussing on optimising efficiency of the available resources, which can be adopted in the ED here and now. METHODS: We made a careful analysis of inflow, throughput and outflow data of all 24,823 patients visiting the ED of a large teaching hospital in the year 2015, and looked in more detail at the 10 days with the longest average throughput times...
January 2018: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/29280904/rapid-patient-discharge-contribution-to-bed-surge-capacity-during-a-mass-casualty-incident-findings-from-an-exercise-with-new-york-city-hospitals
#10
Jasmine L Jacobs-Wingo, Heather A Cook, William H Lang
BACKGROUND: Mass casualty incidents may increase patient volume suddenly and dramatically, requiring hospitals to expeditiously manage bed inventories to release acute care beds for disaster victims. Electronic patient tracking systems combined with unit walk-throughs can identify patients for rapid discharge. The New York City (NYC) Department of Health and Mental Hygiene's 2013 Rapid Patient Discharge Assessment (RPDA) aimed to determine the maximum number of beds NYC hospitals could make available through rapid patient discharge and to characterize discharge barriers...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29276613/vita-activa-in-biotechnology-what-we-do-with-fungi-and-what-fungi-do-with-us
#11
EDITORIAL
Martin Weinhold, Edeltraud Mast-Gerlach, Vera Meyer
Filamentous fungi are fascinating microorganisms. One of the reasons why it is so worthwhile to take a closer look at them is their capacity to produce secondary metabolites. Some of these substances have the potential to be of great use for mankind, such as it was the case with penicillin and its discovery in 1928. Almost a century later, the situation in healthcare could possibly turn back to the state before the development of the first antibiotics. Due to an overuse of antibiotics we are facing a surge of multiresistant bacteria that are not inhibited by any of the currently known drugs...
2017: Fungal Biology and Biotechnology
https://www.readbyqxmd.com/read/29243248/uptake-kinetics-and-storage-capacity-of-dissolved-inorganic-phosphorus-and-corresponding-n-p-dynamics-in-ulva-lactuca-chlorophyta
#12
Alexander Lubsch, Klaas Timmermans
Dissolved inorganic phosphorus (DIP) is an essential macronutrient for maintaining metabolism and growth in autotrophs. Little is known about DIP uptake kinetics and internal P-storage capacity in seaweeds, such as Ulva lactuca (Chlorophyta). Ulva lactuca is a promising candidate for biofiltration purposes and mass commercial cultivation. We exposed U. lactuca to a wide range of DIP concentrations (1-50 μmol · L-1 ) and a nonlimiting concentration of dissolved inorganic nitrogen (DIN; 5,000 μmol · L-1 ) under fully controlled laboratory conditions in a "pulse-and-chase" assay over 10 d...
December 14, 2017: Journal of Phycology
https://www.readbyqxmd.com/read/29208254/assessing-mobile-health-capacity-and-task-shifting-strategies-to-improve-hypertension-among-ghanaian-stroke-survivors
#13
Michelle Nichols, Fred Stephen Sarfo, Arti Singh, Suparna Qanungo, Frank Treiber, Bruce Ovbiagele, Raelle Saulson, Sachin Patel, Carolyn Jenkins
BACKGROUND: There has been a tremendous surge in stroke prevalence in sub-Saharan Africa. Hypertension (HTN), the most potent, modifiable risk factor for stroke, is a particular challenge in sub-Saharan Africa. Culturally sensitive, efficacious HTN control programs that are timely and sustainable are needed, especially among stroke survivors. Mobile health (mHealth) technology and task-shifting offer promising approaches to address this need. METHODS: Using a concurrent triangulation design, we collected data from stroke survivors, caregivers, community leaders, clinicians and hospital personnel to explore the barriers, facilitators and perceptions toward mHealth related to HTN management among poststroke survivors in Ghana...
December 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/29197316/developing-a-mass-casualty-surge-capacity-protocol-for-emergency-medical-services-to-use-for-patient-distribution
#14
Samuel E Shartar, Brooks L Moore, Lori M Wood
OBJECTIVES: Metropolitan areas must be prepared to manage large numbers of casualties related to a major incident. Most US cities do not have adequate trauma center capacity to manage large-scale mass casualty incidents (MCIs). Creating surge capacity requires the distribution of casualties to hospitals that are not designated as trauma centers. Our objectives were to extrapolate MCI response research into operational objectives for MCI distribution plan development; formulate a patient distribution model based on research, hospital capacities, and resource availability; and design and disseminate a casualty distribution tool for use by emergency medical services (EMS) personnel to distribute patients to the appropriate level of care...
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29196175/anti-tubercular-and-probiotic-properties-of-coagulase-negative-staphylococci-isolated-from-koozh-a-traditional-fermented-food-of-south-india
#15
Ameer Khusro, Chirom Aarti, Azger Dusthackeer, Paul Agastian
In the last few years, the demand for the tremendous therapeutic applications of indigenous probiotic bacteria from diversified fermented food products has surged. In view of this, the present study was documented to evaluate the anti-tubercular and probiotic properties of coagulase-negative staphylococci (CNS) indigenous to Koozh, a traditional fermented food product of South India. A total of 18 isolates were purified from Koozh, and tested for anti-tubercular activity against Mycobacterium tuberculosis H37Rv using luciferase reporter phage (LRP) assay...
January 2018: Microbial Pathogenesis
https://www.readbyqxmd.com/read/29175310/no-more-code-black-intervention-to-improve-inpatient-flow-at-a-large-public-hospital
#16
Charles E Coffey, Valda Carter, Eric Wei, Douglass Hutcheon, John P Gruen, Annie Anonas-Ternate, Rebecca Sandoval, Annie Marquez, Laura Sarff, Brad Spellberg
No abstract text is available yet for this article.
November 22, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/29160983/eds-report-strong-surges-in-flu-related-volume-straining-capacity-in-some-regions
#17
David Burmeister, Mohamud Daya, Christopher Sampson
With influenza season intensifying, many EDs report strong surges in flu related volume. Although illness severity does not appear to be atypical, hospitals that see high numbers of older patients and the chronically ill face extra challenges meeting the needs of patients who have added susceptibility to flu-related complications. Experts note that all flu strains circulating this year appear to be sensitive to antiviral medications. In mid-February, the CDC reported the number of flu cases was still on the increase in most regions of the country, with 28 states reporting a high incidence of influenza-like illness...
April 2017: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/29155672/establishment-of-cdc-global-rapid-response-team-to-ensure-global-health-security
#18
Tasha Stehling-Ariza, Adrienne Lefevre, Dinorah Calles, Kpandja Djawe, Richard Garfield, Michael Gerber, Margherita Ghiselli, Coralie Giese, Ashley L Greiner, Adela Hoffman, Leigh Ann Miller, Lisa Moorhouse, Carlos Navarro-Colorado, James Walsh, Dante Bugli, Cyrus Shahpar
The 2014-2016 Ebola virus disease epidemic in West Africa highlighted challenges faced by the global response to a large public health emergency. Consequently, the US Centers for Disease Control and Prevention established the Global Rapid Response Team (GRRT) to strengthen emergency response capacity to global health threats, thereby ensuring global health security. Dedicated GRRT staff can be rapidly mobilized for extended missions, improving partner coordination and the continuity of response operations. A large, agencywide roster of surge staff enables rapid mobilization of qualified responders with wide-ranging experience and expertise...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29096130/impaired-self-agency-inferences-in-schizophrenia-the-role-of-cognitive-capacity-and-causal-reasoning-style
#19
M Prikken, A van der Weiden, R S Kahn, H Aarts, N E M van Haren
BACKGROUND: The sense of self-agency, i.e., experiencing oneself as the cause of one's own actions, is impaired in patients with schizophrenia. Normally, inferences of self-agency are enhanced when actual outcomes match with pre-activated outcome information, where this pre-activation can result from explicitly set goals (i.e., goal-based route) or implicitly primed outcome information (i.e., prime-based route). Previous research suggests that patients show specific impairments in the prime-based route, implicating that they do not rely on matches between implicitly available outcome information and actual action-outcomes when inferring self-agency...
January 2018: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/29076236/choosing-public-or-private-emergency-departments-in-australia
#20
COMMENT
Katherine Walker, Michael Ben-Meir
Emergency medicine was once exclusively provided in public hospitals in Australia, but now over half a million consultations per annum are in private (7% total emergency consultations). Private EDs have excess capacity and are staffed by senior doctors (majority FACEM) with open access to investigations and broad specialist inpatient services. Public EDs struggle with rising attendances and overcapacity. Private hospitals have high levels of patient satisfaction and aim to optimise service provision. A major barrier to private ED attendances is out-of-pocket costs...
February 2018: Emergency Medicine Australasia: EMA
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