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https://www.readbyqxmd.com/read/28814351/hospital-based-health-technology-assessment-in-iran
#1
Farideh Mohtasham, Reza Majdzadeh, Ensiyeh Jamshidi
BACKGROUND: Hospitals with health technology assessment (HTA) programs have reported its positive effects on the management of resources and costs. This study aimed to identify the barriers faced by hospital-based HTA (HBHTA) in Iran by inductive content analysis of stakeholders' and decision-makers' points of view. METHODS: The key individuals and organizations that could provide rich, relevant, and diverse data in response to the research question were purposively selected for the interviews and focus group discussion...
August 17, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28810993/prevalence-and-trends-of-cigarette-smoking-among-military-personnel-in-taiwan-results-of-10-year-anti-smoking-health-promotion-programs-in-military
#2
Nain-Feng Chu, Fu-Huang Lin, Yi-Chang Wu
OBJECTIVES: The purpose of this study is to evaluate the prevalence and trends of cigarette smoking among young military conscripts, military officers, and military university students during recently 10 years in Taiwan. METHODS: Repeated cross-sectional surveys were conducted annually among young military conscripts and military university students from 2006 to 2014. All the young conscripts were reviewed within 1 month at the military training center and before retiring after 1 year of military services...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28810967/improving-awareness-of-behavioral-health-readiness
#3
Justin M Curley, Christopher H Warner
INTRODUCTION: Readiness for worldwide deployments as force structure decreases is of vital importance to our military. Advances in access and efforts to decrease stigma for behavioral health (BH) treatment has impacted unit readiness levels. However, concern exists that there are still a significant number of service members with behavioral health conditions who are unable to deploy. This article outlines the current state of behavioral health readiness in one U.S. Army Division and provides a programmatic review of a systems based initiative, the Behavioral Health Readiness Tool (BHRT), designed to enhance awareness of current levels...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28806436/effectiveness-of-a-timing-and-coordination-group-exercise-program-to-improve-mobility-in-community-dwelling-older-adults-a-randomized-clinical-trial
#4
Jennifer S Brach, Subashan Perera, Sandra Gilmore, Jessie M VanSwearingen, Deborah Brodine, Neelesh K Nadkarni, Edmund Ricci
Importance: Timing and coordination exercises may be an important addition to community-based health promotion exercise programs to improve walking in older adults. Objective: To compare the effectiveness of the On the Move group exercise program, which focuses on the timing and coordination of movement, with a seated strength, endurance, and flexibility program (usual care) at improving function, disability, and walking ability of older adults. Design, Setting, and Participants: Cluster-randomized, single-blind intervention trial...
August 14, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28792568/-co-construction-of-a-program-to-promote-community-participation-among-seniors-living-with-psychosocial-issues-with-or-without-mental-health-problems
#5
Manon Parisien, Kareen Nour, Anne-Marie Belley, Ginette Aubin, Véronique Billette, Bernadette Dallaire
Objectives A significant proportion of Quebec seniors are living with mental health problems or psychosocial issues such as isolation, bereavement, and psychological distress. These people face many forms of exclusion and are likely to have limited social participation. This paper describes the co-construction steps of a program aimed at promoting community participation among this population.Methods A method for the co-construction of innovative practices in health promotion was used to develop a program that is relevant, rigorous and feasible in diverse settings...
2017: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/28789638/gender-differences-in-functional-disability-and-self-care-among-seniors-in-bangladesh
#6
Md Ismail Tareque, Andrew D Tiedt, Towfiqua Mahfuza Islam, Sharifa Begum, Yasuhiko Saito
BACKGROUND: Disability among older adults is a public health concern. To date there are no in-depth and comprehensive analyses on older adults' disabilities in Bangladesh. This study investigated gender differences in the prevalence of disability and the socio-demographic factors associated with disability among older adults in Bangladesh. METHODS: This research used a sample of 4176 elderly males and females aged 60 years and over from a nationally representative data set- Bangladesh's 2010 Household Income and Expenditure Survey...
August 8, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28765456/trends-in-basic-sciences-education-in-dental-schools-1999-2016
#7
Marilyn S Lantz, Charles F Shuler
The purpose of this study was to examine data published over the past two decades to identify trends in the basic sciences curriculum in dental education, provide an analysis of those trends, and compare them with trends in the basic sciences curriculum in medical education. Data published from the American Dental Association (ADA) Surveys of Dental Education, American Dental Education Association (ADEA) Surveys of Dental School Seniors, and two additional surveys were examined. In large part, survey data collected focused on the structure, content, and instructional strategies used in dental education: what was taught and how...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28764720/setting-performance-based-financing-in-the-health-sector-agenda-a-case-study-in-cameroon
#8
Isidore Sieleunou, Anne-Marie Turcotte-Tremblay, Jean-Claude Taptué Fotso, Denise Magne Tamga, Habakkuk Azinyui Yumo, Estelle Kouokam, Valery Ridde
BACKGROUND: More than 30 countries in sub-Saharan Africa have introduced performance-based financing (PBF) in their healthcare systems. Yet, there has been little research on the process by which PBF was put on the national policy agenda in Africa. This study examines the policy process behind the introduction of PBF program in Cameroon. METHODS: The research is an explanatory case study using the Kingdon multiple streams framework. We conducted a document review and 25 interviews with various types of actors involved in the policy process...
August 1, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28750083/health-care-workers-perceptions-of-point-of-care-testing-in-a-low-income-country-a-qualitative-study-in-southwestern-uganda
#9
Reza Rasti, Deborah Nanjebe, Jonas Karlström, Charles Muchunguzi, Juliet Mwanga-Amumpaire, Jesper Gantelius, Andreas Mårtensson, Lourdes Rivas, Francesc Galban, Philippa Reuterswärd, Helene Andersson Svahn, Helle M Alvesson, Yap Boum, Tobias Alfvén
BACKGROUND: Point-of-care (POC) tests have become increasingly available and more widely used in recent years. They have been of particular importance to low-income settings, enabling them with clinical capacities that had previously been limited. POC testing programs hold a great potential for significant improvement in low-income health systems. However, as most POC tests are developed in high-income countries, disengagement between developers and end-users inhibit their full potential...
2017: PloS One
https://www.readbyqxmd.com/read/28748738/barriers-and-facilitators-to-healthy-eating-and-disease-self-management-among-older-adults-residing-in-subsidized-housing
#10
Katherine Petroka, Rania Campbell-Bussiere, Dan K Dychtwald, Brandy-Joe Milliron
BACKGROUND: As adults transition into older ages, meeting age-specific dietary recommendations can become increasingly challenging, especially for low-income seniors who reside in publicly subsidized rental housing. AIM: The primary objectives of this study were to: 1) identify barriers and facilitators to healthy eating and self-management of nutrition-related chronic illnesses experienced by low-income seniors residing in a subsidized housing setting; and 2) assess the interest in community nutrition programming among low-income seniors residing in a subsidized housing setting...
January 1, 2017: Nutrition and Health
https://www.readbyqxmd.com/read/28734046/effect-of-a-community-based-service-learning-experience-in-geriatrics-on-internal-medicine-residents-and-community-participants
#11
Rachel K Miller, Jennifer Michener, Phyllis Yang, Karen Goldstein, Jennine Groce-Martin, Gala True, Jerry Johnson
Community-based service learning (CBSL) provides an opportunity to teach internal medicine residents the social context of aging and clinical concepts. The objectives of the current study were to demonstrate the feasibility of a CBSL program targeting internal medicine residents and to assess its effect on medical residents and community participants. internal medicine residents participated in a CBSL experience for half a day during ambulatory blocks from 2011 to 2014. Residents attended a senior housing unit or center, delivered a presentation about a geriatric health topic, toured the facility, and received information about local older adult resources...
July 22, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28726034/mentally-stimulating-activities-associate-with-better-cognitive-performance-in-parkinson-disease
#12
Jeffrey L B Bohnen, Martijn L T M Müller, Jacob Haugen, Nicolaas I Bohnen
Subjects at risk of dementia benefit from participation in mentally stimulating activities, but no prior studies have investigated similar associations in Parkinson disease (PD). The aim of this study was to investigate the relationship between times spent engaging in mentally stimulating activities and cognitive functions in PD while accounting for the degree of primary neurodegenerations. PD patients (N = 41, 33 males; age 68.5 ± 7.2; Hoehn and Yahr stage 2.6 ± 0.6) completed the Community Health Activities Model Program for Seniors questionnaire, mini-mental state examination (MMSE), and [(11)C]dihydrotetrabenazine dopaminergic and [(11)C]piperidinyl propionate acetylcholinesterase PET imaging...
July 19, 2017: Journal of Neural Transmission
https://www.readbyqxmd.com/read/28721119/educational-challenges-faced-by-international-medical-graduates-in-the-uk
#13
Ahmed Hashim
INTRODUCTION: International medical graduates (IMGs) in the UK constitute approximately one-quarter of the total number of doctors registered in the General Medical Council (GMC). The transition of IMGs into the health care system in the UK is accompanied by significant sociocultural and educational challenges. This study aims to explore the views of IMGs in medical training on the educational challenges they face. METHODS: This study was conducted in the Kent, Surrey and Sussex region in 2015...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28720079/implementation-effectiveness-trial-of-an-ecological-intervention-for-physical-activity-in-ethnically-diverse-low-income-senior-centers
#14
Porchia Rich, Gregory A Aarons, Michelle Takemoto, Veronica Cardenas, Katie Crist, Khalisa Bolling, Brittany Lewars, Cynthia Castro Sweet, Loki Natarajan, Yuyan Shi, Kelsie M Full, Eileen Johnson, Dori E Rosenberg, Melicia Whitt-Glover, Bess Marcus, Jacqueline Kerr
BACKGROUND: As the US population ages, there is an increasing need for evidence based, peer-led physical activity programs, particularly in ethnically diverse, low income senior centers where access is limited. METHODS/DESIGN: The Peer Empowerment Program 4 Physical Activity' (PEP4PA) is a hybrid Type II implementation-effectiveness trial that is a peer-led physical activity (PA) intervention based on the ecological model of behavior change. The initial phase is a cluster randomized control trial randomized to either a peer-led PA intervention or usual center programming...
July 18, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28715407/building-the-biomedical-data-science-workforce
#15
Michelle C Dunn, Philip E Bourne
This article describes efforts at the National Institutes of Health (NIH) from 2013 to 2016 to train a national workforce in biomedical data science. We provide an analysis of the Big Data to Knowledge (BD2K) training program strengths and weaknesses with an eye toward future directions aimed at any funder and potential funding recipient worldwide. The focus is on extramurally funded programs that have a national or international impact rather than the training of NIH staff, which was addressed by the NIH's internal Data Science Workforce Development Center...
July 2017: PLoS Biology
https://www.readbyqxmd.com/read/28709464/developing-mentorship-in-a-resource-limited-context-a-qualitative-research-study-of-the-experiences-and-perceptions-of-the-makerere-university-student-and-faculty-mentorship-programme
#16
Andrew S Ssemata, Sophia Gladding, Chandy C John, Sarah Kiguli
BACKGROUND: The aim of mentorship is to build the mentees capacity, enhance their skills and improve their ability to produce desired outcomes. However, the mentoring relationship is vulnerable to a number of challenges that may undermine its effectiveness and sustainability. We aimed to explore the experiences and perceptions of student and junior faculty mentees and senior faculty mentors at the Makerere University College of Health Sciences and identify the key factors defined by mentees and mentors as necessary for a successful mentorship program...
July 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28708414/feasibility-and-acceptability-of-qigong-exercise-in-community-dwelling-older-adults-in-the-united-states
#17
Pei-Shiun Chang, M Tish Knobf, Marjorie Funk, Byeongsang Oh
OBJECTIVES: Qigong exercise has been shown to improve physical and psychological well-being in adults with chronic conditions, but little is known about the feasibility and acceptability of engaging in a qigong exercise program in community-dwelling older adults in the United States. The purpose of this study was to explore the feasibility, acceptance, and adherence to an 8-week qigong exercise intervention in community-dwelling American older adults. DESIGN: An exploratory study design...
July 14, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28705161/entrustment-of-the-on-call-senior-medical-resident-role-implications-for-patient-safety-and-collective-care
#18
Noureen Huda, Lisa Faden, Mark Goldszmidt
BACKGROUND: The on-call responsibilities of a senior medicine resident (SMR) may include the admission transition of patient care on medical teaching teams (MTT), supervision of junior trainees, and ensuring patient safety. In many institutions, there is no standardised assessment of SMR competency prior to granting these on-call responsibilities in internal medicine. In order to fulfill competency based medical education requirements, training programs need to develop assessment approaches to make and defend such entrustment decisions...
July 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28701232/the-three-paradoxes-of-patient-flow-an-explanatory-case-study
#19
Sara A Kreindler
BACKGROUND: Health systems in many jurisdictions struggle to reduce Emergency Department congestion and improve patient flow across the continuum of care. Flow is often described as a systemic issue requiring a "system approach"; however, the implications of this idea remain poorly understood. Focusing on a Canadian regional health system whose flow problems have been particularly intractable, this study sought to determine what system-level flaws impede healthcare organizations from improving flow...
July 12, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28685046/comprehensive-review-of-the-evidence-regarding-the-effectiveness-of-community-based-primary-health-care-in-improving-maternal-neonatal-and-child-health-8-summary-and-recommendations-of-the-expert-panel
#20
Robert E Black, Carl E Taylor, Shobha Arole, Abhay Bang, Zulfiqar A Bhutta, A Mushtaque R Chowdhury, Betty R Kirkwood, Nazo Kureshy, Claudio F Lanata, James F Phillips, Mary Taylor, Cesar G Victora, Zonghan Zhu, Henry B Perry
BACKGROUND: The contributions that community-based primary health care (CBPHC) and engaging with communities as valued partners can make to the improvement of maternal, neonatal and child health (MNCH) is not widely appreciated. This unfortunate reality is one of the reasons why so few priority countries failed to achieve the health-related Millennium Development Goals by 2015. This article provides a summary of a series of articles about the effectiveness of CBPHC in improving MNCH and offers recommendations from an Expert Panel for strengthening CBPHC that were formulated in 2008 and have been updated on the basis of more recent evidence...
June 2017: Journal of Global Health
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