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Qualitative secondary analysis

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https://www.readbyqxmd.com/read/27902559/using-an-implementation-research-framework-to-identify-potential-facilitators-and-barriers-of-an-intervention-to-increase-hpv-vaccine-uptake
#1
Rebecca Selove, Maya Foster, Raquel Mack, Maureen Sanderson, Pamela C Hull
BACKGROUND: Although the incidence of cervical cancer has been decreasing in the United States over the last decade, Hispanic and African American women have substantially higher rates than Caucasian women. The human papillomavirus (HPV) is a necessary, although insufficient, cause of cervical cancer. In the United States in 2013, only 37.6% of girls 13 to 17 years of age received the recommended 3 doses of a vaccine that is almost 100% efficacious for preventing infection with viruses that are responsible for 70% of cervical cancers...
November 28, 2016: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27895779/potential-impact-of-mtor-inhibitors-on-cervical-squamous-cell-carcinoma-a-systematic-review
#2
Daniele Xavier Assad, Silvia Taveira Elias, Andréia Cristina Melo, Carlos Gil Ferreira, Graziela De Luca Canto, Eliete Neves Silva Guerra
The aim of the present systematic review was to analyze the potential impact of mammalian target of rapamycin (mTOR) inhibitors on the treatment of cervical squamous cell carcinoma (CSCC). A systematic literature search was conducted in PubMed, PMC, Scopus, Cochrane Library, LILACS, Web of Science, Google Scholar and ScienceDirect on January 19, 2015, without time and language restrictions. Studies that evaluated women of any age with CSCC and who received mTOR inhibitors alone or in association with other treatments were considered...
November 2016: Oncology Letters
https://www.readbyqxmd.com/read/27888427/taiwanese-medical-students-narratives-of-intercultural-professionalism-dilemmas-exploring-tensions-between-western-medicine-and-taiwanese-culture
#3
Ming-Jung Ho, Katherine Gosselin, Madawa Chandratilake, Lynn V Monrouxe, Charlotte E Rees
In an era of globalization, cultural competence is necessary for the provision of quality healthcare. Although this topic has been well explored in non-Western cultures within Western contexts, the authors explore how Taiwanese medical students trained in Western medicine address intercultural professionalism dilemmas related to tensions between Western medicine and Taiwanese culture. A narrative interview method was employed with 64 Taiwanese medical students to collect narratives of professionalism dilemmas...
November 26, 2016: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/27885821/exploring-simulation-in-the-internal-medicine-clerkship
#4
Brian Kwan, Glory Bui, Paul Jain, Nilesh Shah, Derek Juang
BACKGROUND: Simulation-based medical education has been shown to produce substantial educational benefits; however, the integration and effectiveness of high-fidelity simulation within the internal medicine (IM) clerkship remains largely unexplored. Investigators sought to determine the effectiveness of simulation in improving student confidence in acute coronary syndrome (ACS) and the Advanced Cardiac Life Support (ACLS) curriculum. Secondary goals included examining student perceptions of the role of simulation in medical education...
November 25, 2016: Clinical Teacher
https://www.readbyqxmd.com/read/27884193/reorganising-specialist-cancer-surgery-for-the-twenty-first-century-a-mixed-methods-evaluation-respect-21
#5
Naomi J Fulop, Angus I G Ramsay, Cecilia Vindrola-Padros, Michael Aitchison, Ruth J Boaden, Veronica Brinton, Caroline S Clarke, John Hines, Rachael M Hunter, Claire Levermore, Satish B Maddineni, Mariya Melnychuk, Caroline M Moore, Muntzer M Mughal, Catherine Perry, Kathy Pritchard-Jones, David C Shackley, Jonathan Vickers, Stephen Morris
BACKGROUND: There are longstanding recommendations to centralise specialist healthcare services, citing the potential to reduce variations in care and improve patient outcomes. Current activity to centralise specialist cancer surgical services in two areas of England provides an opportunity to study the planning, implementation and outcomes of such changes. London Cancer and Manchester Cancer are centralising specialist surgical pathways for prostate, bladder, renal, and oesophago-gastric cancers, so that these services are provided in fewer hospitals...
November 25, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27881479/barriers-and-facilitators-to-deaf-trauma-survivors-help-seeking-behavior-lessons-for-behavioral-clinical-trials-research
#6
Melissa L Anderson, Kelly S Wolf Craig, Douglas M Ziedonis
Deaf individuals experience significant obstacles to participating in behavioral health research when careful consideration is not given to accessibility during the design of study methodology. To inform such considerations, we conducted an exploratory secondary analysis of a mixed-methods study that originally explored 16 Deaf trauma survivors' help-seeking experiences. Our objective was to identify key findings and qualitative themes from consumers' own words that could be applied to the design of behavioral clinical trials methodology...
November 23, 2016: Journal of Deaf Studies and Deaf Education
https://www.readbyqxmd.com/read/27881248/communication-about-hiv-and-death-maternal-reports-of-primary-school-aged-children-s-questions-after-maternal-hiv-disclosure-in-rural-south-africa
#7
Tamsen J Rochat, Joanie Mitchell, Anina M Lubbe, Alan Stein, Mark Tomlinson, Ruth M Bland
INTRODUCTION: Children's understanding of HIV and death in epidemic regions is under-researched. We investigated children's death-related questions post maternal HIV-disclosure. Secondary aims examined characteristics associated with death-related questions and consequences for children's mental health. METHODS: HIV-infected mothers (N = 281) were supported to disclose their HIV status to their children (6-10 years) in an uncontrolled pre-post intervention evaluation...
November 17, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27881123/reflective-practice-and-its-role-in-facilitating-creative-responses-to-dilemmas-within-clinical-communication-a-qualitative-analysis
#8
Gabriele Lutz, Gudrun Roling, Bettina Berger, Friedrich Edelhäuser, Christian Scheffer
BACKGROUND: Good communication is a major factor in delivering high quality in care. Research indicates that current communication skills training alone might not sufficiently enable students to find context-specific creative solutions to individual complex personal and interpersonal challenges in the clinical context. This study explores medical students' experiences with real communication dilemmas in a facilitated group setting. The aims were to gain a better understanding of whether and, if so, how reflective practice can enhance students' ability to find creative individual solutions in difficult communication situations and to identify factors within the reflective setting that foster their creative competency...
November 24, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27861436/the-association-between-cyanosis-and-thromboelastometry-rotem-in-children-with-congenital-heart-defects-a-retrospective-cohort-study
#9
Marie-Laure Laskine-Holland, Walter H A Kahr, Lynn Crawford-Lean, Tilman Humpl, Osami Honjo, Celeste Foreman, Mehr Jain, James D O'Leary
BACKGROUND: Children with congenital heart defects (CHD) have quantitative and qualitative differences in coagulation compared with healthy children. Secondary to polycythemia and increased deformability of red blood cells, cyanosis may be an important confounding factor for altered whole-blood coagulation in this population with potential implications for interpreting intraoperative thromboelastometry (TEM) for children with CHD undergoing major surgery. The primary aim of the study was to evaluate the association between cyanosis in children with CHD and measures of whole-blood coagulation determined using TEM (ROTEM [Tem International, GmbH, Munich, Germany])...
November 17, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27856478/prognostic-factors-of-idiopathic-inflammatory-myopathies-complicated-with-interstitial-lung-disease-protocol-for-a-systematic-review-and-meta-analysis
#10
Hiroyuki Kamiya, Ogee Mer Panlaqui, Shinyu Izumi, Takashi Sozu
INTRODUCTION: Idiopathic inflammatory myopathies may be an overlapping disease complex. Although interstitial lung disease affects the mortality and the morbidity of the disease, a clinical course and the prognosis of the disease complicated with interstitial lung disease are diverse among individuals and prognostic factors have yet to be clarified. This article aims to report the rationale and the methodology of a future intended systematic review and meta-analysis of prognostic factors of idiopathic inflammatory myopathies complicated with interstitial lung disease...
November 17, 2016: BMJ Open
https://www.readbyqxmd.com/read/27852703/investigating-the-impact-of-headaches-on-the-quality-of-life-of-patients-with-glioblastoma-multiforme-a-qualitative-study
#11
Samuel Robert Bennett, Garth Cruickshank, Antje Lindenmeyer, Simon Rhys Morris
OBJECTIVES: Headaches and facial pain have been identified as the most prevalent form of pain among patients with glioblastoma multiforme, the most common malignant primary brain tumour. Despite this, minimal research has been undertaken investigating the direct and indirect impact these headaches have on their quality of life. Therefore, in this study, we aimed at gaining a personal insight into the importance and impact that these headaches have on the quality of life of patients with glioblastoma multiforme...
November 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27852339/relocation-experiences-with-unplanned-admission-to-a-nursing-home-a-qualitative-study
#12
Andrea Luise Koppitz, Jutta Dreizler, Jeanine Altherr, Georg Bosshard, Rahel Naef, Lorenz Imhof
BACKGROUND: In many countries, people over 85 years of age are relocated involuntarily or unplanned to a nursing home. In Switzerland, 43% of elderly over 85 years are admitted to nursing homes after hospital discharge. This percentage is higher than in the USA with 32.5% or in Germany with only 19%. Despite those more frequent Swiss admissions, no research has been conducted exploring how unplanned admissions to nursing homes affect the adaptation. Therefore, the aim of this study was to gain an in-depth understanding into unplanned admissions to nursing homes and to explore its impact on adaptation...
November 17, 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27849348/reconsidering-the-economic-value-of-multiple-sclerosis-therapies
#13
Tiffany Shih, Craig Wakeford, Dennis Meletiche, Jesse Sussell, Adrienne Chung, Yanmei Liu, Jin Joo Shim, Darius Lakdawalla
OBJECTIVES: To illustrate a more comprehensive view of value associated with medicines treating a highly severe illness and to apply these insights to estimate the costs and benefits of 3 treatments for multiple sclerosis (MS): Avonex, Tysabri, and Tecfidera. STUDY DESIGN: Retrospective study spanning 2002 to 2013. We used economic theory to derive the value of therapy to patients with MS and to individuals who face the risk of contracting MS in the future, under the alternative assumptions that therapies were fully insured or paid for out of pocket...
November 1, 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/27847213/in-vitro-study-of-trematodicidal-action-of-dicranopteris-linearis-burm-f-underw-extracts-against-gastrothylax-crumenifer
#14
Kalpana Devi Rajesh, Vasantha Subramani, Panneerselvam Annamalai, Rajesh Nakulan V, Jeyathilakan Narayanaperumal, Jeeva Solomon
The anthelmintic activity of column fractioned Dicranopteris linearis (Burm.f.) Underw. extracts was used for in vitro incubation study against adult Gastrothylax crumenifer. The qualitative analysis showed ethanol extract performed well to express 12 secondary metabolites studied except anthocyanin. Quantitative phytochemical analysis of terpenoids, phenols, flavonoids and tannins showed predominant amount of terpenoids (97.0±1.15)mg/g and tannins (30.8±0.44)mg tannic acid equivalents/gram. GC-MS analysis of fraction separated under column (Fraction V-79...
November 12, 2016: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/27843423/exploring-health-information-exchange-implementation-using-qualitative-assessments-of-nursing-home-leaders
#15
Gregory L Alexander, Lori Popejoy, Vanessa Lyons, Sue Shumate, Jessica Mueller, Colleen Galambos, Amy Vogelsmeier, Marilyn Rantz, Marcia Flesner
OBJECTIVES: Limited research exists on nursing home information technologies, such as health information exchange (HIE) systems. Capturing the experiences of early HIE adopters provides vital information about how these systems are used. In this study, we conduct a secondary analysis of qualitative data captured during interviews with 15 nursing home leaders representing 14 nursing homes in the midwestern United States that are part of the Missouri Quality Improvement Initiative (MOQI) national demonstration project...
2016: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/27842539/a-randomized-wait-list-control-trial-to-evaluate-the-impact-of-a-mobile-application-to-improve-self-management-of-individuals-with-type-2-diabetes-a-study-protocol
#16
Laura Desveaux, Payal Agarwal, Jay Shaw, Jennifer M Hensel, Geetha Mukerji, Nike Onabajo, Husayn Marani, Trevor Jamieson, Onil Bhattacharyya, Danielle Martin, Muhammad Mamdani, Lianne Jeffs, Walter P Wodchis, Noah M Ivers, R Sacha Bhatia
BACKGROUND: Management of diabetes through improved glycemic control and risk factor modification can help prevent long-term complications. Much diabetes management is self-management, in which healthcare providers play a supporting role. Well-designed e-Health solutions targeting behavior change can improve a range of measures, including glycemic control, perceived health, and a reduction in hospitalizations. METHODS: The primary objective of this study is to evaluate if a mobile application designed to improve self-management among patients with type 2 diabetes (T2DM) improves glycemic control compared to usual care...
November 15, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27836873/feasibility-study-and-pilot-cluster-randomised-controlled-trial-of-the-goactive-intervention-aiming-to-promote-physical-activity-among-adolescents-outcomes-and-lessons-learnt
#17
Kirsten Corder, Helen E Brown, Annie Schiff, Esther M F van Sluijs
OBJECTIVES: Assess the feasibility of implementing the GoActive intervention in secondary schools, to identify improvements, test study procedures, determine preliminary effectiveness to increase moderate-to-vigorous physical activity (MVPA), and inform power calculations to establish programme effectiveness. SETTING: Feasibility study (1 school) and pilot cluster-randomised controlled trial (CRCT; 2 intervention; 1 control school(s)). PARTICIPANTS: 460 participants (46...
November 11, 2016: BMJ Open
https://www.readbyqxmd.com/read/27836135/microplastics-in-personal-care-products-exploring-perceptions-of-environmentalists-beauticians-and-students
#18
A G Anderson, J Grose, S Pahl, R C Thompson, K J Wyles
Microplastics enter the environment as a result of larger plastic items breaking down ('secondary') and from particles originally manufactured at that size ('primary'). Personal care products are an important contributor of secondary microplastics (typically referred to as 'microbeads'), for example in toothpaste, facial scrubs and soaps. Consumers play an important role in influencing the demand for these products and therefore any associated environmental consequences. Hence we need to understand public perceptions in order to help reduce emissions of microplastics...
November 8, 2016: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/27835799/a-nursing-perspective-of-interprofessional-work-in-critical-care-findings-from-a-secondary-analysis
#19
Deborah Kendall-Gallagher, Scott Reeves, Janet A Alexanian, Simon Kitto
PURPOSE: This article presents a secondary analysis of nurse interviews from a 2-year comparative ethnographic study exploring cultures of collaboration across intensive care units (ICU). Critically ill patients rely on their interprofessional health care team to communicate and problem-solve quickly to give patients the best outcome available. Critical care nurses function at the hub of patient care giving them a distinct perspective of how interprofessional interactions impact collaborative practice...
October 19, 2016: Journal of Critical Care
https://www.readbyqxmd.com/read/27834502/support-received-during-the-transition-to-practice-for-the-secondary-school-graduate-assistant-athletic-trainer
#20
Stephanie M Mazerolle, Stacy E Walker, Jessica L Kirby
CONTEXT:  Transitioning into clinical practice can be stressful for the newly credentialed athletic trainer (AT). The support provided by mentors, peers, and athletic training faculty can increase confidence and enhance the transition. To create specific initiatives for a smoother transition, the perspectives of those in the secondary school setting are needed. OBJECTIVE:  To examine the transition to practice and mentorship of newly credentialed ATs providing medical care in the secondary school setting...
November 11, 2016: Journal of Athletic Training
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