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https://www.readbyqxmd.com/read/28716130/psychometric-properties-and-relations-with-coping-and-family-strain-of-the-health-services-and-caregiver-experience-questionnaire-hsce-an-outcome-measure-of-informal-caregivers-experience-for-inpatient-care-in-italy
#1
Anna Coluccia, Fabio Ferretti, Andrea Fagiolini, Andrea Pozza
BACKGROUND: In the last decade, the number of patients supported by informal caregivers has substantially increased. In the Italian healthcare context, informal caregivers' experience of care is a new under-recognized construct, and no assessment tool is available. Measuring caregivers' experience is important since in Italy the relationship between doctors and patients/relatives is still considered asymmetrical. The current study presented development and initial psychometric properties of the Health Services and Caregiver Experience questionnaire (HSCE), a self-report tool of caregivers' global experience for inpatient clinical care, including factor structure, reliability and its relations with measures of coping strategies and family strain...
July 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28711122/the-establishment-and-management-of-an-observation-unit
#2
REVIEW
Jared Conley, J Stephen Bohan, Christopher W Baugh
The current health care landscape and evidence support the establishment of observation units (OUs) for safe and efficient care for observation patients. Careful attention is required in the design of OU process, location, and layout to enable optimal care and finances. Developing and maintaining protocols to guide patient selection and clinical care are critical. OU management requires a strong, collaborative leadership model, appropriate staffing, and a robust monitoring system for quality, safety, and finances...
August 2017: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/28708831/biochem4j-integrated-and-extensible-biochemical-knowledge-through-graph-databases
#3
Neil Swainston, Riza Batista-Navarro, Pablo Carbonell, Paul D Dobson, Mark Dunstan, Adrian J Jervis, Maria Vinaixa, Alan R Williams, Sophia Ananiadou, Jean-Loup Faulon, Pedro Mendes, Douglas B Kell, Nigel S Scrutton, Rainer Breitling
Biologists and biochemists have at their disposal a number of excellent, publicly available data resources such as UniProt, KEGG, and NCBI Taxonomy, which catalogue biological entities. Despite the usefulness of these resources, they remain fundamentally unconnected. While links may appear between entries across these databases, users are typically only able to follow such links by manual browsing or through specialised workflows. Although many of the resources provide web-service interfaces for computational access, performing federated queries across databases remains a non-trivial but essential activity in interdisciplinary systems and synthetic biology programmes...
2017: PloS One
https://www.readbyqxmd.com/read/28707137/surface-modification-of-esophageal-stent-materials-by-a-polyethylenimine-layer-aiming-at-anti-cancer-function
#4
Kun Zhang, Yuxin Bai, Xiaofeng Wang, Qian Li, Fangxia Guan, Jingan Li
Esophageal cancer is difficult to cure globally and possesses high mortality rate, and it is generally accepted that palliative care such as stent implantation is the main therapy method for esophageal cancer in later period. However, the restenosis caused by tumor cells and inflammatory cells seriously interferes the stent clinical application and limits its long-term services. To solve this problem, series of drug delivery stents were developed and proven rather effective in the early stage of implantation, but more serious restenosis occurred after the drug delivery was over, which endangered the patients' life...
August 2017: Journal of Materials Science. Materials in Medicine
https://www.readbyqxmd.com/read/28705374/-relevance-of-the-socioeconomic-and-health-context-in-patient-satisfaction
#5
Shirley Pérez-Romero, Juan J Gascón-Cánovas, Diego Salmerón-Martínez, Pedro Parra-Hidalgo, Olga Monteagudo-Piqueras
OBJECTIVE: To determine which factors of the socioeconomic and health contexts influence the perception of the satisfaction of the population with the health services. METHODS: The data come from the European Health Survey of 2009. In the 22,188 subjects surveyed, the relationship between the perception of satisfaction with the health services received and the individual and contextual variables was studied, applying a multilevel analysis. RESULTS: The factors of the socioeconomic and health contexts that influence satisfaction are: higher rates of low level of studies where the perception of excellence is less likely (odds ratio [OR]: 0...
July 11, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/28700022/permanent-education-in-healthcare-services-educational-activities-developed-in-the-state-of-minas-gerais-brazil
#6
Roseni Rosângela de Sena, Maria José Cabral Grillo, Lizziane d'Ávila Pereira, Stephanie Marques Moura Franco Belga, Bruna Dias França, Camila Poliana de Freitas
Objective: To analyse educational activities carried out in the state of Minas Gerais, Brazil, considered permanent education in healthcare. Method: This is a mixed methods study with a qualitative approach and the participation of 492 municipal health departments. Data were collected in March and October 2014 through interviews available online. The data were tabulated using Excel software. The data were subjected to thematic content analysis and statistic descriptive analysis...
July 6, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28699274/transplant-center-support-for-infectious-diseases
#7
Joanna M Schaenman, Deepali Kumar, Camille N Kotton, Lara Danziger-Isakov, Michele I Morris
BACKGROUND: Transplant Infectious Diseases (TID) is a rapidly growing subspecialty, which has contributed significantly to improving patient outcomes after transplantation. Obtaining institutional support to implement programs that promote excellence in patient care remains a challenge for many non-surgical transplant-related specialties. METHOD: We surveyed the membership of the American Society of Transplantation Infectious Diseases Community of Practice to assess characteristics of individual transplant programs and delineate current patterns of institutional support of TID, with a goal of facilitating the exchange of innovative funding ideas between transplant programs...
July 12, 2017: Transplant Infectious Disease: An Official Journal of the Transplantation Society
https://www.readbyqxmd.com/read/28692624/improving-trauma-care-in-africa
#8
Deborah Tuggle, Niki Rasnake, Theresa Day
Bringing the first Advanced Trauma Care for Nurses (ATCN) provider and instructor courses to Zimbabwe was the initial step in an educational partnership spanning more than 8,000 miles. Zimbabwe is a South African country with limited health care services, severe financial restraints, and a shortage of health care professionals. All of these barriers made our goal of bringing an organized and systematic approach to trauma care even more important. The nurses of Zimbabwe were aware that their patients were not receiving "best practice" care, which made them passionate for education, with strict enforcement of standardized delivery of care...
July 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/28689874/shortening-the-incubation-time-for-the-combination-disk-diffusion-esbl-confirmation-test-how-far-can-we-go
#9
Wouter van den Bijllaardt, Patricia C M Voermans, Anton G Buiting, Johan W Mouton, Anouk E Muller
The combination disk-diffusion ESBL confirmation test (CDT) is used for the confirmation of ESBL production in Enterobacteriaceae and usually takes 16-20 hours to results. We searched for the shortest possible incubation time without reduction in reliability. A total of 125 ESBL screening positive isolates were subjected to CDT and molecularly characterized by microarray. Inhibition zones were read every hour over 6-18 hours of incubation. Concordance between earlier and 18 hour reading was calculated for each hour...
July 6, 2017: International Journal of Antimicrobial Agents
https://www.readbyqxmd.com/read/28688500/the-effects-of-korean-medical-service-quality-and-satisfaction-on-revisit-intention-of-the-united-arab-emirates-government-sponsored-patients
#10
Seoyoung Lee, Eun-Kyung Kim
PURPOSE: The purpose of this study was to investigate medical service quality, satisfaction and to examine factors influencing hospital revisit intention of the United Arab Emirates government sponsored patients in Korea. METHODS: A total of 152 UAE government sponsored patients who visited Korean hospitals participated in the questionnaire survey from August to November 2016. Stepwise multiple regression was used to identify the factors that affected the revisit intention of the participants...
June 2017: Asian Nursing Research
https://www.readbyqxmd.com/read/28686129/centres-for-leadership-a-strategy-for-academic-integration
#11
Gillian King, Kathryn Parker, Sean Peacocke, C J Curran, Amy C McPherson, Tom Chau, Elaine Widgett, Darcy Fehlings, Golda Milo-Manson
Purpose The purpose of this paper is to describe how an Academic Health Science Centre, providing pediatric rehabilitation services, research, and education, developed a Centres for Leadership (CfL) initiative to integrate its academic functions and embrace the goal of being a learning organization. Design/methodology/approach Historical documents, tracked output information, and staff members' insights were used to describe the ten-year evolution of the initiative, its benefits, and transformational learnings for the organization...
May 15, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28685497/linear-combinations-come-alive-in-crossover-designs
#12
Jonathan J Shuster
Before learning anything about statistical inference in beginning service courses in biostatistics, students learn how to calculate the mean and variance of linear combinations of random variables. Practical precalculus examples of the importance of these exercises can be helpful for instructors, the target audience of this paper. We shall present applications to the "1-sample" and "2-sample" methods for randomized short-term 2-treatment crossover studies, where patients experience both treatments in random order with a "washout" between the active treatment periods...
July 6, 2017: Statistics in Medicine
https://www.readbyqxmd.com/read/28683824/level-of-health-literacy-and-factors-associated-with-it-among-school-teachers-in-an-education-zone-in-colombo-sri-lanka
#13
H M B H Denuwara, Nalika Sepali Gunawardena
BACKGROUND: Health literacy refers to people's competencies to access, understand, judge and apply health information in healthcare, disease prevention and health promotion. This study aimed to describe the level of health literacy and the factors associated with it among school teachers in an Education Zone in Colombo, Sri Lanka. METHODS: A cross-sectional study among 520 teachers measured health literacy using the selfadministered, culturally adapted Sinhalese translation of Health Literacy Survey-European Union (HLS-EU)...
July 6, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28682969/early-colonoscopy-improves-the-outcome-of-patients-with-symptomatic-colorectal-cancer
#14
Inmaculada Alonso-Abreu, Onofre Alarcón-Fernández, Antonio Z Gimeno-García, Rafael Romero-García, Marta Carrillo-Palau, David Nicolás-Pérez, Alejandro Jiménez, Enrique Quintero
BACKGROUND: Long waiting times from early symptoms to diagnosis and treatment may influence the staging and prognosis of patients with colorectal cancer. We analyzed the effect of colonoscopy timing on the outcome of these patients. OBJECTIVE: This study aimed to compare the outcome (tumoral staging and long-term survival) of patients with suspected colorectal cancer according to diagnostic colonoscopy timing. DESIGN: This study is an analysis of a prospectively maintained database...
August 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28682090/emotional-benefits-and-barriers-of-psychological-services-scale-initial-construction-and-validation-among-african-american-women
#15
Natalie N Watson-Singleton, Oladoyin Okunoren, Devon LoParo, Carla D Hunter
The current study used the Health Belief Model to develop a measure that assessed the emotional benefits and barriers of professional psychological services in an African American women sample. Data from 251 African American women recruited from online organizations from across the United States (n = 164) and a Midwestern university psychology subject pool (n = 87) were used for exploratory factor analysis. Results revealed a 2-factor structure of the Emotional Benefits and Barriers of Psychological Services (EBBPS) Scale: Life Enhancement and Concerns about Distress, respectively...
July 6, 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28681717/clinical-effectiveness-cost-effectiveness-and-acceptability-of-low-intensity-interventions-in-the-management-of-obsessive-compulsive-disorder-the-obsessive-compulsive-treatment-efficacy-randomised-controlled-trial-octet
#16
Karina Lovell, Peter Bower, Judith Gellatly, Sarah Byford, Penny Bee, Dean McMillan, Catherine Arundel, Simon Gilbody, Lina Gega, Gillian Hardy, Shirley Reynolds, Michael Barkham, Patricia Mottram, Nicola Lidbetter, Rebecca Pedley, Jo Molle, Emily Peckham, Jasmin Knopp-Hoffer, Owen Price, Janice Connell, Margaret Heslin, Christopher Foley, Faye Plummer, Christopher Roberts
BACKGROUND: The Obsessive-Compulsive Treatment Efficacy randomised controlled Trial emerged from a research recommendation in National Institute for Health and Care Excellence obsessive-compulsive disorder (OCD) guidelines, which specified the need to evaluate cognitive-behavioural therapy (CBT) treatment intensity formats. OBJECTIVES: To determine the clinical effectiveness and cost-effectiveness of two low-intensity CBT interventions [supported computerised cognitive-behavioural therapy (cCBT) and guided self-help]: (1) compared with waiting list for high-intensity CBT in adults with OCD at 3 months; and (2) plus high-intensity CBT compared with waiting list plus high-intensity CBT in adults with OCD at 12 months...
June 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28669121/development-of-national-system-performance-metrics-for-tissue-donation-production-and-distribution-activity
#17
Brenda Weiss, Mazen Dakkak, Gary Rockl, Balram Sukhu, Jim Mohr, Kyle Maru
Canada's federal, provincial, and territorial governments gave Canadian Blood Services a mandate for organ and tissue donation and transplantation, including system performance, data and analytics. In 2012 Canadian Blood Services facilitated an eye and tissue banking workshop focused on standardized specifications and practices. At the workshop, the Canadian tissue community directed Canadian Blood Services to facilitate the development and implementation of a national data stream and analytics. Prior to this no national data was prospectively collected or collated on tissue donation, production or distribution activity...
July 1, 2017: Cell and Tissue Banking
https://www.readbyqxmd.com/read/28666480/trend-and-causes-of-adult-mortality-in-kersa-health-and-demographic-surveillance-system-kersa-hdss-eastern-ethiopia-verbal-autopsy-method
#18
Wondimye Ashenafi, Frehywot Eshetu, Nega Assefa, Lemessa Oljira, Melkamu Dedefo, Desalew Zelalem, Negga Baraki, Melake Demena
BACKGROUND: The health problems of adults have been neglected in many developing countries, yet many studies in these countries show high rates of premature mortality in adults. Measuring adult mortality and its cause through verbal autopsy (VA) methods is becoming an important process for mortality estimates and is a good indicator of the overall mortality rates in resource-limited settings. The objective of this analysis is to describe the levels, distribution, and trends of adult mortality over time (2008-2013) and causes of adult deaths using VA in Kersa Health and Demographic Surveillance System (Kersa HDSS)...
July 1, 2017: Population Health Metrics
https://www.readbyqxmd.com/read/28665965/the-internal-structure-of-foster-parent-completed-sdq-for-school-aged-children
#19
Stine Lehmann, Tormod Bøe, Kyrre Breivik
Mental health problems are common in foster-children, and tools to measure the mental health of these children are needed. One candidate instrument is the Strengths and Difficulties Questionnaire (SDQ), a measure of child psychological adjustment that is increasingly being employed by Child Protection services. The aim of the current study was to examine the structural validity of the foster parent completed SDQ in a sample of 237 school aged foster children. Confirmatory factor analysis demonstrated an excellent fit of the foster parent completed SDQ data to a five-factor model (CFI = 0...
2017: PloS One
https://www.readbyqxmd.com/read/28664996/gaps-and-opportunities-for-the-world-heritage-convention-to-contribute-to-global-wilderness-conservation
#20
James R Allan, Cyril Kormos, Tilman Jaeger, Oscar Venter, Bastian Bertzky, Yichuan Shi, Brendan Mackey, Remco van Merm, Elena Osipova, James E M Watson
Wilderness areas are ecologically intact landscapes predominantly free of human uses, especially industrial scale activities, which result in significant biophysical disturbance. This definition does not exclude indigenous peoples and local communities who live in wilderness areas, depending on them for subsistence, and who have developed deep bio-cultural connections. Wilderness areas are important for biodiversity conservation, along with sustaining key ecological processes, and ecosystem services that underpin planetary life-support systems...
June 30, 2017: Conservation Biology: the Journal of the Society for Conservation Biology
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