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https://www.readbyqxmd.com/read/27921251/skin-manifestations-of-insulin-resistance-from-a-biochemical-stance-to-a-clinical-diagnosis-and-management
#1
REVIEW
Gloria González-Saldivar, René Rodríguez-Gutiérrez, Jorge Ocampo-Candiani, José Gerardo González-González, Minerva Gómez-Flores
Worldwide, more than 1.9 billion adults are overweight, and around 600 million people suffer from obesity. Similarly, ~382 million individuals live with diabetes, and 40-50% of the global population is labeled at "high risk" (i.e., prediabetes). The impact of these two chronic conditions relies not only on the burden of illnesses per se (i.e., associated increased morbidity and mortality), but also on their increased cost, burden of treatment, and decreased health-related quality of life. For this review a comprehensive search in several databases including PubMed (MEDLINE), Ovid EMBASE, Web of Science, and Scopus was conducted...
December 5, 2016: Dermatology and Therapy
https://www.readbyqxmd.com/read/27891470/determinants-of-smokeless-tobacco-consumption-and-its-cessation-among-its-current-users-in-india
#2
Almas Binnal, G Rajesh, Junaid Ahmed, Ceena Denny
INTRODUCTION: Global Smokeless Tobacco (SLT) consumption is on the rise and constitutes a major Public Health problem. Controlling SLT intake is central to containing the increasing tobacco menace. AIM: The present study was undertaken to comprehensively explore various factors involved in SLT consumption and its cessation among current SLT users. MATERIALS AND METHODS: Present study was conducted among current SLT users visiting Department of Oral Medicine and Radiology, Manipal College of Dental Sciences (MCODS), Manipal University, Mangalore, Karnataka, India...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27884311/understanding-kidney-care-needs-and-implementation-strategies-in-low-and-middle-income-countries-conclusions-from-a-kidney-disease-improving-global-outcomes-kdigo-controversies-conference
#3
Vivekanand Jha, Mustafa Arici, Allan J Collins, Guillermo Garcia-Garcia, Brenda R Hemmelgarn, Tazeen H Jafar, Roberto Pecoits-Filho, Laura Sola, Charles R Swanepoel, Irma Tchokhonelidze, Angela Yee Moon Wang, Bertram L Kasiske, David C Wheeler, Goce Spasovski
Evidence-based cinical practice guidelines improve delivery of uniform care to patients with and at risk of developing kidney disease, thereby reducing disease burden and improving outcomes. These guidelines are not well-integrated into care delivery systems in most low- and middle-income countries (LMICs). The KDIGO Controversies Conference on Implementation Strategies in LMIC reviewed the current state of knowledge in order to define a road map to improve the implementation of guideline-based kidney care in LMICs...
December 2016: Kidney International
https://www.readbyqxmd.com/read/27872016/tuberculosis-eradication-versus-control
#4
Marco Schito, Debra Hanna, Alimuddin Zumla
According to the World Health Organization (WHO), 10.4 million people succumbed to tuberculosis (TB) in 2015 and is now the number one cause of death world-wide from a preventable infectious disease. Bold vision is needed from global leaders and plans have been proposed to end the TB epidemic. However enthusiasm must be matched by tangible and achievable goals based on the science and available funding. In order to reach the target and goals set by the WHO's End-TB Strategy, the challenges for TB eradication need to be addressed...
November 18, 2016: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/27846928/the-role-of-implementation-science-training-in-global-health-from-the-perspective-of-graduates-of-the-field-s-first-dedicated-doctoral-program
#5
Arianna R Means, David E Phillips, Grégoire Lurton, Anne Njoroge, Sabine M Furere, Rong Liu, Wisal M Hassan, Xiaochen Dai, Orvalho Augusto, Peter Cherutich, Gloria Ikilezi, Caroline Soi, Dong Xu, Christopher G Kemp
Bridging the 'know-do gap' is an enormous challenge for global health practitioners. They must be able to understand local health dynamics within the operational and social contexts that engender them, test and adjust approaches to implementation in collaboration with communities and stakeholders, interpret data to inform policy decisions, and design adaptive and resilient health systems at scale. These skills and methods have been formalized within the nascent field of Implementation Science (IS). As graduates of the world's first PhD program dedicated explicitly to IS, we have a unique perspective on the value of IS and the training, knowledge, and skills essential to bridging the 'know-do gap'...
2016: Global Health Action
https://www.readbyqxmd.com/read/27810313/the-economic-promise-of-developing-and-implementing-dengue-vaccines-evidence-from-a-systematic-review
#6
REVIEW
Iara C Endo, Patricia K Ziegelmann, Anita Patel
BACKGROUND: Dengue fever is one of the most rapidly advancing viral vector-borne diseases worldwide and vaccine candidates are in the final stages of clinical trials, representing a decisive opportunity to control the disease. To decide whether and where to support the introduction of new vaccines it is crucial to assess costs imposed by the disease and cost-effectiveness of vaccine programmes. OBJECTIVE: To identify economic evidence about dengue fever immunization, by systematic review, to assist future policy decisions and investment...
December 7, 2016: Vaccine
https://www.readbyqxmd.com/read/27793836/educating-professionals-to-support-self-management-in-people-with-asthma-or-diabetes-protocol-for-a-systematic-review-and-scoping-exercise
#7
Nicola McCleary, Amanda Andrews, Susan Morrow, Sharon Wiener-Ogilvie, Monica Fletcher, Liz Steed, Stephanie J C Taylor, Hilary Pinnock
INTRODUCTION: Supported self-management for asthma helps people adjust their treatment in response to symptom changes. This improves day-to-day control and reduces the risk of asthma attacks and the need for emergency healthcare. However, implementation remains poor in routine clinical practice. This systematic review is part of a programme of work developing an intervention to help primary care practice teams embed self-management support into routine asthma care. The aim of the review is to synthesise the evidence regarding the effectiveness of educational interventions for professionals supporting self-management in people with asthma or diabetes (type 1 and type 2)...
October 28, 2016: BMJ Open
https://www.readbyqxmd.com/read/27760683/the-future-of-prep-among-transgender-women-the-critical-role-of-gender-affirmation-in-research-and-clinical-practices
#8
Jae M Sevelius, Madeline B Deutsch, Robert Grant
INTRODUCTION: Globally, transgender ("trans") women are one of the key populations most disproportionately impacted by HIV. Pre-exposure prophylaxis (PrEP) is the newest and most promising biomedical HIV prevention intervention to date. This paper reviews relevant literature to describe the current state of the science and describes the potential role of PrEP among trans women, including a discussion of unique considerations for maximizing the impact of PrEP for this vulnerable population...
2016: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/27753983/sy-09-1-lowering-salt-intake-and-cardiovascular-risk-reduction-what-is-the-evidence
#9
Francesco Cappuccio
The evidence. Salt (i.e. sodium chloride) is causally related to blood pressure (BP). The higher the salt intake, the higher the BP, an effect seen since birth. A small and sustained reduction in salt intake causes a fall in BP. The evidence from controlled studies, small and large, short and long, all agree on the following: (1) salt intake is one of the major determinants of BP in populations and individuals; (2) a reduction in salt intake causes a dose-dependent reduction in BP - the lower the salt the lower the BP; (3) the effect is seen in both sexes, in people of all ages and ethnic groups, and with all starting BPs...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27735828/implementation-science-a-neglected-opportunity-to-accelerate-improvements-in-the-safety-and-quality-of-surgical-care
#10
Louise Hull, Thanos Athanasiou, Stephanie Russ
OBJECTIVE: The aim of this review was to emphasize the importance of implementation science in understanding why efforts to integrate evidence-based interventions into surgical practice frequently fail to replicate the improvements reported in early research studies. SUMMARY OF BACKGROUND DATA: Over the past 2 decades, numerous patient safety initiatives have been developed to improve the quality and safety of surgical care. The surgical community is now faced with translating "promising" initiatives from the research environment into clinical practice-the World Health Organization (WHO) has described this task as one of the greatest challenges facing the global health community and has identified the importance of implementation science in scaling up evidence-based interventions...
October 4, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27661797/the-department-of-defense-at-the-forefront-of-a-global-health-emergency-response-lessons-learned-from-the-ebola-outbreak
#11
Glendon Diehl, Nicole Bradstreet, Felicia Monahan
Tasked with analyzing the effectiveness of the Department of Defense's (DoD's) global health engagements, the Uniformed Services University of the Health Sciences (USU) used the Measures Of Effectiveness in Defense Engagement and Learning (MODEL) study to conduct a qualitative analysis of the DoD's response efforts to the Ebola pandemic in West Africa. The research aims to summarize the findings of studies that monitor and evaluate the DoD's response to the Ebola pandemic or compare the effectiveness of different DoD response activities; it further aims to identify common themes around positive and negative lessons learned and recommendations that can be applied to future DoD humanitarian assistance and disaster response efforts...
September 2016: Health Security
https://www.readbyqxmd.com/read/27658876/paediatric-hiv-testing-beyond-the-context-of-prevention-of-mother-to-child-transmission-a-systematic-review-and-meta-analysis
#12
Jennifer Cohn, Katherine Whitehouse, Julia Tuttle, Kristin Lueck, Trang Tran
BACKGROUND: Many HIV-positive children in low-income and middle-income countries remain undiagnosed. Although HIV testing in children at health facilities is recommended by WHO, it is not well implemented. This systematic review and meta-analysis examines the case-finding benefit of HIV screening in children aged 0-5 years in low-income and middle-income countries. METHODS: We did this systematic review and meta-analysis in accordance with an a-priori protocol. We searched PubMed, MEDLINE, WHO Global Index Medicus, Web of Science, Médecins Sans Frontières, Cochrane, Embase, CABS Abstracts, and LILACS databases for articles published between Jan 1, 2004, and April 30, 2016, that reported the quantitative prevalence of HIV detected through screening in four key contexts (paediatric inpatient settings, paediatric outpatient settings, nutrition centres, and expanded programme on immunisation centres) in paediatric populations in low-income and middle-income countries...
October 2016: Lancet HIV
https://www.readbyqxmd.com/read/27642894/sy-09-1-lowering-salt-intake-and-cardiovascular-risk-reduction-what-is-the-evidence
#13
Francesco Cappuccio
The evidence. Salt (i.e. sodium chloride) is causally related to blood pressure (BP). The higher the salt intake, the higher the BP, an effect seen since birth. A small and sustained reduction in salt intake causes a fall in BP. The evidence from controlled studies, small and large, short and long, all agree on the following: (1) salt intake is one of the major determinants of BP in populations and individuals; (2) a reduction in salt intake causes a dose-dependent reduction in BP - the lower the salt the lower the BP; (3) the effect is seen in both sexes, in people of all ages and ethnic groups, and with all starting BPs...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27551420/understanding-factors-that-facilitate-the-inclusion-of-pain-education-in-undergraduate-curricula-perspectives-from-a-uk-survey
#14
Eloise Cj Carr, Emma V Briggs, Michelle Briggs, Nick Allcock, Pauline Black, Derek Jones
BACKGROUND: Studies in Europe, North America and Australasia suggest that one in five adults suffer from pain. There is increasing recognition that pain, particularly chronic pain, represents a global health burden. Many studies, including two national surveys exploring the content of undergraduate curricula for pain education, identify that documented pain education in curricula was limited and fragmentary. METHODS: The study design used a questionnaire which included an open text comment box for respondents to add 'further comments' as part of larger study previously published...
May 2016: British Journal of Pain
https://www.readbyqxmd.com/read/27543425/government-policies-and-initiatives-for-development-of-ayurveda
#15
Dinesh Katoch, Jitendra S Sharma, Subhadip Banerjee, Rajarshi Biswas, Bhaskar Das, Debayan Goswami, Ranjit K Harwansh, C K Katiyar, Pulok K Mukherjee
ETHNOPHARMACOLOGICAL RELEVANCE: Ayurveda (Sanskrit: Ayus - life +Veda - knowledge) means the "True knowledge of life". Ayurveda deals with a complete self-sustainable system of medicine. The Government of India through its Ministry of AYUSH is responsible for policy formulation, development and implementation of programs for the growth, development and propagation of Ayurveda. AIM OF THE STUDY: This review aimed to highlight the various aspects of government policies and initiatives for development of Ayurveda...
August 16, 2016: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/27542103/health-care-reform-and-diagnosis-related-groups-in-germany-the-mediating-role-of-hospital-liaison-committees-for-jehovah-s-witnesses
#16
Małgorzata Rajtar
Resulting from health care reform in Germany that was implemented in 2003-2004, a new medical classification system called the "Diagnosis Related Groups" (DRGs) was introduced in hospitals. According to the media, social scientists, and a few physicians interviewed in this study the policy negatively transformed the German health care system by allowing the privatization of the hospital sector consistent with the neoliberal health care model. Allegedly, this privileged economic values over the quality of health care and introduced competition between hospitals...
October 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27528431/interventions-for-preventing-abuse-in-the-elderly
#17
REVIEW
Philip R A Baker, Daniel P Francis, Noran N Hairi, Sajaratulnisah Othman, Wan Yuen Choo
BACKGROUND: Maltreatment of older people (elder abuse) includes psychological, physical, sexual abuse, neglect and financial exploitation. Evidence suggests that 10% of older adults experience some form of abuse, and only a fraction of cases are actually reported or referred to social services agencies. Elder abuse is associated with significant morbidity and premature mortality. Numerous interventions have been implemented to address the issue of elder maltreatment. It is, however, unclear which interventions best serve to prevent or reduce elder abuse...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27510030/public-stewardship-of-private-for-profit-healthcare-providers-in-low-and-middle-income-countries
#18
REVIEW
Charles S Wiysonge, Leila H Abdullahi, Valantine N Ndze, Gregory D Hussey
BACKGROUND: Governments use different approaches to ensure that private for-profit healthcare services meet certain quality standards. Such government guidance, referred to as public stewardship, encompasses government policies, regulatory mechanisms, and implementation strategies for ensuring accountability in the delivery of services. However, the effectiveness of these strategies in low- and middle-income countries (LMICs) have not been the subject of a systematic review. OBJECTIVES: To assess the effects of public sector regulation, training, or co-ordination of the private for-profit health sector in low- and middle-income countries...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27462185/applicability-of-the-5s-management-method-for-quality-improvement-in-health-care-facilities-a-review
#19
REVIEW
Shogo Kanamori, Akira Shibanuma, Masamine Jimba
BACKGROUND: The 5S management method (where 5S stands for sort, set in order, shine, standardize, and sustain) was originally implemented by manufacturing enterprises in Japan. It was then introduced to the manufacturing sector in the West and eventually applied to the health sector for organizing and standardizing the workplace. 5S has recently received attention as a potential solution for improving government health-care services in low- and middle-income countries. We conducted a narrative literature review to explore its applicability to health-care facilities globally, with a focus on three aspects: (a) the context of its application, (b) its impacts, and (c) its adoption as part of government initiatives...
2016: Tropical Medicine and Health
https://www.readbyqxmd.com/read/27461105/an-assessment-of-health-research-impact-in-iran
#20
Bahareh Yazdizadeh, Reza Majdzadeh, Leila Janani, Farideh Mohtasham, Sima Nikooee, Abdmohammad Mousavi, Farid Najafi, Maryam Atabakzadeh, Azam Bazrafshan, Morteza Zare, Manoochehr Karami
BACKGROUND: In recent years, Iran has made significant developments in the field of health sciences. However, the question is whether this considerable increase has affected public health. The research budget has always been negligible and unsustainable in developing countries. Hence, using the Payback Framework, we conducted this study to evaluate the impact of health research in Iran. METHODS: By using a cross-sectional method and two-stage stratified cluster sampling, the projects were randomly selected from six medical universities...
2016: Health Research Policy and Systems
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