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https://www.readbyqxmd.com/read/28944730/optimization-of-medication-use-at-accountable-care-organizations
#1
Chrisanne Wilks, Erik Krisle, Kimberly Westrich, Kristina Lunner, David Muhlestein, Robert Dubois
BACKGROUND: Optimized medication use involves the effective use of medications for better outcomes, improved patient experience, and lower costs. Few studies systematically gather data on the actions accountable care organizations (ACOs) have taken to optimize medication use. OBJECTIVES: To (a) assess how ACOs optimize medication use; (b) establish an association between efforts to optimize medication use and achievement on financial and quality metrics; (c) identify organizational factors that correlate with optimized medication use; and (d) identify barriers to optimized medication use...
October 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28944601/an-advanced-multifunctional-hydrogel-based-dressing-for-wound-monitoring-and-drug-delivery
#2
Bahram Mirani, Erik Pagan, Barbara Currie, Mohammad Ali Siddiqui, Reihaneh Hosseinzadeh, Pooria Mostafalu, Yu Shrike Zhang, Aziz Ghahary, Mohsen Akbari
Wound management is a major global challenge and poses a significant financial burden to the healthcare system due to the rapid growth of chronic diseases such as diabetes, obesity, and aging population. The ability to detect pathogenic infections and release drug at the wound site is of the utmost importance to expedient patient care. Herein, this study presents an advanced multifunctional dressing (GelDerm) capable of colorimetric measurement of pH, an indicator of bacterial infection, and release of antibiotic agents at the wound site...
September 25, 2017: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/28943171/challenges-and-perspectives-of-compliance-with-pediatric-antiretroviral-therapy-in-sub-saharan-africa
#3
D L Dahourou, V Leroy
More than 3 million children aged less than 15years are infected with HIV worldwide, mainly in Sub-Saharan Africa. The survival of HIV-infected children depends on their access to antiretroviral therapy whose success mainly depends on a good life-long compliance with antiretroviral therapy. Given its complexity and specificity, assessment and monitoring of pediatric compliance with antiretroviral therapy is a major challenge. There is no consensus on a gold standard for monitoring compliance with antiretroviral therapy...
September 21, 2017: Médecine et Maladies Infectieuses
https://www.readbyqxmd.com/read/28943021/leadership-for-addressing-aging-in-america-the-health-and-aging-policy-fellowship
#4
Pamela Z Cacchione, Gary Epstein-Lubow, Amanda Borer, Peter Curran, Annette DeVito Dabbs, Julia Dreissen, Brian Kaskie, Fazal Khan, Madeline Naegle, Anne Ordway, Lynn F Reinke, Gary Stein, Turner West, Katie Wright, Sharon K Inouye
The Health and Aging Policy Fellows Program funded by The John A. Hartford Foundation and Atlantic Philanthropies trains future leaders to influence healthcare policy, systems, and program development in aging. Following a rigorous residential training in Washington, DC, Fellows establish placements of up to 1 year in the executive, legislative, or judicial branch of government, at a federal agency, state or community agency or committee, or with a nongovernmental organization. The 2016-2017 Fellows' activities represent a broad scope of work, including contributions to national and local policy priorities expected to build over time far beyond the core fellowship year...
October 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28942693/training-to-reduce-behavioral-health-disparities-how-do-we-optimally-prepare-family-medicine-residents-for-practice-in-rural-communities
#5
Jennifer S Robohm
Family physicians are a critical part of the healthcare system in rural areas, but little is known about the training they need to more effectively address behavioral health disparities. Practicing family physicians in Montana were surveyed about the behavioral health needs of their patients, the behavioral resources at their disposal, their prioritization of a number of behavioral skills and interventions in the training of family physicians, factors that limit their own use of behavioral skills, and the extent of their behavioral science training...
January 1, 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28942431/uveitis-a-sight-threatening-disease-which-can-impact-all-systems
#6
REVIEW
Unnat Krishna, Deji Ajanaku, Alastair K Denniston, Theodora Gkika
Uveitis describes a group of conditions characterised by intraocular inflammation. The term uveitis technically describes inflammation of the uvea which comprises the iris, ciliary body and choroid, however now encompasses inflammation of adjacent intraocular structures such as the retina, vitreous and optic nerve. Uveitis is a significant cause of blindness worldwide, but its impact is generally underappreciated due to a lack of awareness and understanding of the condition among the public and most non-ophthalmic healthcare professionals...
September 23, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28942210/high-sensitivity-cardiac-troponin-i-detection-in-physiological-environment-using-algan-gan-high-electron-mobility-transistor-hemt-biosensors
#7
Indu Sarangadharan, Abiral Regmi, Yen-Wen Chen, Chen-Pin Hsu, Pei-Chi Chen, Wen-Hsin Chang, Geng-Yen Lee, Jen-Inn Chyi, Shu-Chu Shiesh, Gwo-Bin Lee, Yu-Lin Wang
In this study, we report the development of a high sensitivity assay for the detection of cardiac troponin I using electrical double layer gated high field AlGaN/GaN HEMT biosensor. The unique gating mechanism overcomes the drawback of charge screening seen in traditional FET based biosensors, allowing detection of target proteins in physiological solutions without sample processing steps. Troponin I specific antibody and aptamer are used as receptors. The tests carried out using purified protein solution and clinical serum samples depict high sensitivity, specificity and wide dynamic range (0...
September 14, 2017: Biosensors & Bioelectronics
https://www.readbyqxmd.com/read/28941978/barriers-to-accessing-abortion-services-and-perspectives-on-using-mifepristone-and-misoprostol-at-home-in-great-britain
#8
Abigail R A Aiken, Katherine A Guthrie, Marlies Schellekens, James Trussell, Rebecca Gomperts
OBJECTIVE: To examine reasons for seeking abortion services outside the formal healthcare system in Great Britain, where abortion is legally available. STUDY DESIGN: We conducted a mixed-methods study among women resident in England, Scotland, and Wales who requested at-home medication abortion through online telemedicine initiative Women on Web (WoW) between November 22nd 2016 and March 22nd 2017. We examined the demographics and circumstances of all women requesting early medication abortion and conducted a content analysis of a sample of their anonymized emails to the service to explore their reasons for seeking help...
September 18, 2017: Contraception
https://www.readbyqxmd.com/read/28941915/natural-history-of-complex-renal-cysts-clinical-evidence-supporting-active-surveillance
#9
Thenappan Chandrasekar, Ardalan E Ahmad, Kamel Fadaak, Kartik Jhaveri, Jaimin R Bhatt, Michael A S Jewett, Antonio Finelli
PURPOSE: To evaluate intervention rates, progression and cancer-specific survival outcomes of patients with complex renal cysts in a single center experience. MATERIALS AND METHODS: A radiology data-mining system (Montage; Montage Healthcare Systems, Philadelphia, PA, USA) was used to retrospectively identify all reported cases of "complex renal cyst" in our institution (2001-2013). Primary end points were overall (OS) and cancer specific survival (CSS). Secondary endpoints included radiographic progression and upgrading, clinical progression, and final histology on surgical pathology...
September 20, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28941741/comparative-clinical-physiological-and-inflammatory-characteristics-of-elderly-subjects-with-or-without-asthma-and-young-asthmatics
#10
Louis-Philippe Boulet, Catherine Robitaille, Francine Deschesnes, Hélène Villeneuve, Marie-Ève Boulay
BACKGROUND: Asthma seems to present in the elderly as a specific phenotype that remains to be further described. AIM: In this prospective observational study, we aimed to assess the multidimensional aspects of asthma in the elderly. METHODS: In young (18 to 35 years old) mildly to moderately asthmatic subjects and elderly subjects (aged ≥60 years) either with or without mild to moderate asthma, we compared asthma control, healthcare and medication use, lung function, markers of airway and systemic inflammation, and adherence to therapy...
September 20, 2017: Chest
https://www.readbyqxmd.com/read/28941351/autovalidation-and-automation-of-the-postanalytical-phase-of-routine-hematology-and-coagulation-analyses-in-a-university-hospital-laboratory
#11
Ana Mlinaric, Marija Milos, Désirée Coen Herak, Mirjana Fucek, Vladimira Rimac, Renata Zadro, Dunja Rogic
BACKGROUND: The need to satisfy high-throughput demands for laboratory tests continues to be a challenge. Therefore, we aimed to automate postanalytical phase in hematology and coagulation laboratory by autovalidation of complete blood count (CBC) and routine coagulation test results (prothrombin time [PT], international normalized ratio [PT-INR], activated partial thromboplastin time [APTT], fibrinogen, antithrombin activity [AT] and thrombin time [TT]). Work efficacy and turnaround time (TAT) before and after implementation of automated solutions will be compared...
September 23, 2017: Clinical Chemistry and Laboratory Medicine: CCLM
https://www.readbyqxmd.com/read/28940960/the-meaning-of-patient-nurse-interaction-for-older-women-in-healthcare-settings-a-qualitative-descriptive-study
#12
Darcy Mize
AIMS AND OBJECTIVES: The purpose of this study was to explore the meaning of patient-nurse interaction for older women receiving care in healthcare settings. BACKGROUND: Older women are often overlooked or misunderstood by the nurses caring for them. Some research exists on nurses' perception of their interaction with patients, yet few studies have described the meaning of such interaction from the patients' perspective. METHODS: This was a pilot study using qualitative description as a methodology...
September 20, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28940942/is-lower-symptom-recognition-associated-with-socioeconomic-inequalities-in-help-seeking-for-potential-breast-cancer-symptoms
#13
Hilary Davies, Afrodita Marcu, Peter Vedsted, Katriina L Whitaker
OBJECTIVE: Socioeconomic inequalities in recognising signs and symptoms of cancer may result in inequalities in timely help-seeking and subsequent prognosis of breast cancer. We explored the mediating role of symptom attribution and concern on the relationship between level of education and help-seeking for potential breast cancer symptoms. METHODS: Women aged ≥47 years (n=961) were purposively recruited (by education) to complete an online vignette-based survey that included nipple rash and axillary lump (in separate vignettes) as potential symptoms of breast cancer...
September 20, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28940931/measuring-recall-of-medical-information-in-non-english-speaking-people-with-cancer-a-methodology
#14
Ruby Lipson-Smith, Amelia Hyatt, Alexandra Murray, Phyllis Butow, Thomas F Hack, Michael Jefford, Uldis Ozolins, Sandra Hale, Penelope Schofield
BACKGROUND: Many patients who require an interpreter have difficulty remembering information from their medical consultations. Memory aids such as consultation audio-recordings may be of benefit to these patients. However, there is no established means of measuring patients' memory of medical information. OBJECTIVES: This study aimed to develop a method for eliciting and coding recall of medical information in non-English-speaking patients. DESIGN: This method, called Patient-Interpreter-Clinician coding (PICcode), was developed in the context of a phase II trial conducted in two outpatient oncology clinics in Melbourne, Australia, and was refined iteratively through consultation with an expert panel and piloting...
September 22, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28940575/urban-and-rural-differences-in-outcomes-of-head-and-neck-cancer
#15
Jason D Kim, Aryan Firouzbakht, Jenny Y Ruan, Emily Kornelsen, Ali Moghaddamjou, Khodadad R Javaheri, Robert A Olson, Winson Y Cheung
OBJECTIVES/HYPOTHESIS: To assess for potential urban and rural disparities in head and neck cancer (HNC) outcomes within a single-payer healthcare system. STUDY DESIGN: A large retrospective population-based cohort analysis of consecutive HNC patients treated in British Columbia, Canada between 2001 and 2010 was conducted. METHODS: All patients diagnosed with HNC from 2001 to 2010 and referred to any one of five British Columbia Cancer Agency centers for management were reviewed...
September 20, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28940229/patient-participation-in-mental-health-care-perspectives-of-healthcare-professionals-an-integrative-review
#16
REVIEW
Kim Jørgensen, Jacob Dahl Rendtorff
BACKGROUND: In contemporary Western liberal society, patient participation has become a key goal in psychiatric healthcare treatment. Health professionals must encourage patients to play an active and involved part in their treatment. According to Danish health law, patients have the right to participate in their treatment, and the mental health system therefore needs to be reformed in order to ensure that treatment is based on individual, liberal, values. However, patient participation is not clearly defined, and it is therefore a challenge to transfer it to clinical practice...
September 22, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28939955/differences-in-clinical-characteristics-in-patients-with-first-st-segment-elevation-myocardial-infarction-and-ventricular-fibrillation-according-to-sex
#17
Reza Jabbari, Charlotte Glinge, Bjarke Risgaard, Thomas Hadberg Lynge, Bo Gregers Winkel, Stig Haunsø, Christine M Albert, Thomas Engstrøm, Jacob Tfelt-Hansen
PURPOSE: We aimed to assess sex differences in clinical characteristics, circumstances of arrest, and procedural characteristics in ST-elevation myocardial infarction (STEMI) patients with ventricular fibrillation (VF) prior to angioplasty. METHODS: Cases of VF with first STEMI (n = 329; 276 men and 53 women) were identified from the GEVAMI study, which is prospectively assembled case-control study among first STEMI patients in Denmark. RESULTS: Compared to men, women experienced symptoms for a longer time interval prior to angioplasty (140 vs...
September 22, 2017: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/28939702/self-rated-health-status-and-risk-of-ischemic-heart-disease-in-the-china-kadoorie-biobank-study-a-population-based-cohort-study
#18
Wenhong Dong, Xiong-Fei Pan, Canqing Yu, Jun Lv, Yu Guo, Zheng Bian, Ling Yang, Yiping Chen, Tangchun Wu, Zhengming Chen, An Pan, Liming Li
BACKGROUND: Self-rated health (SRH) is a strong predictor of mortality in different populations. However, the associations between SRH measures and risk of ischemic heart disease (IHD) have not been extensively explored, especially in a Chinese population. METHODS AND RESULTS: More than 500 000 adults from 10 cities in China were followed from baseline (2004-2008) through December 31, 2013. Global and age-comparative SRH were reported from baseline questionnaires...
September 22, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28939017/the-rise-of-biosimilars-how-they-got-here-and-where-they-are-going
#19
REVIEW
Dhiren Patel, Colin Gillis, Joseph Naggar, Amee Mistry, Christos S Mantzoros
Biosimilars have become a subject of great interest in the past few years. The European Union and the United States are seeing an increasing number of biosimilar applications and approvals. The development of a biosimilar is significantly more complex and costly than a small molecule generic product. In the European Union, there has been a wider use of these medications compared to the United States. More biosimilars are gaining approval in the United States, and these products will likely alter the healthcare system in highly impactful ways...
August 7, 2017: Metabolism: Clinical and Experimental
https://www.readbyqxmd.com/read/28938892/allocation-of-home-care-services-by-municipalities-in-norway-a-document-analysis
#20
Solrun G Holm, Terje A Mathisen, Torill M Sæterstrand, Berit S Brinchmann
BACKGROUND: In Norway, elder care is primarily a municipal responsibility. Municipal health services strive to offer the 'lowest level of effective care,' and home healthcare services are defined as the lowest level of care in Norway. Municipalities determine the type(s) of service and the amount of care applicants require. The services granted are outlined in an individual decision letter, which serves as a contract between the municipality and the home healthcare recipient. The purpose of this study was to gain insight into the scope and duration of home healthcare services allocated by municipalities and to determine where home care recipients live in relation to home healthcare service offices...
September 22, 2017: BMC Health Services Research
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