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https://www.readbyqxmd.com/read/29227054/auditing-surgical-service-provision-at-a-south-african-tertiary-institution-implications-for-the-development-of-district-services
#1
G L Laing, D L Skinner, J L Bruce, C Aldous, V Govindasamy, S R Thomson, D L Clarke
BACKGROUND: The optimal management of resources within South African state hospitals has been hampered by a paucity of data due to a lack of robust auditing information systems. This study reviews the use of a Hybrid Electronic Medical Record (HEMR) system to capture and aggregate data pertaining to the inpatient service demands on a South African tertiary surgical service. This dataset was used to analyse the appropriateness of tertiary surgical resource utilisation. METHOD: The HEMR system was implemented at Greys Hospital, in the city of Pietermaritzburg, Kwa-Zulu Natal, South Africa on 1 January 2013...
November 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/29226229/subspecialisation-in-emergency-radiology-proposal-for-a-harmonised-european-curriculum
#2
M G Wagner, M R Fischer, M Scaglione, U Linsenmaier, G Schueller, F H Berger, E Dick, R Basilico, M Stajgis, C Calli, S Vaidya, Stefan Wirth
Introduction: Radiology plays a crucial role in the emergency care setting by delivering early and precise diagnoses under pressure of time, right at the beginning of patient treatment. Although there is a need for postgraduate education in emergency radiology, most of the national bodies responsible do not offer it in a uniform fashion and a general proof of qualification is missing in Europe. Therefore, the European Society of Radiology (ESR) has founded the (Sub-)Society of Emergency Radiology (ESER), prompting them to develop a European curriculum...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29226197/osteoporosis-and-the-management-of-spinal-degenerative-disease-i
#3
REVIEW
Félix Tomé-Bermejo, Angel R Piñera, Luis Alvarez-Galovich
Osteoporosis has become a major medical problem as the aged population of the world rapidly grows. Osteoporosis predisposes patients to fracture, progressive spinal deformities, and stenosis, and is subject to be a major concern before performing spine surgery, especially with bone fusions and instrumentation. Osteoporosis has often been considered a contraindication for spinal surgery, while in some instances patients have undergone limited and inadequate procedures in order to avoid concomitant instrumentation...
September 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29225127/case-report-simultaneous-endovascular-repair-of-a-thoracic-aortic-injury-during-posterior-pedicle-screw-removal
#4
Serena Martin, Richard Lindsay, Robin C Baker
INTRODUCTION: Posterior spinal stabilisation is a technically demanding procedure which is increasing in popularity. Since this increase in popularity, complications, including screws misplacement, are being highlighted. Accuracy rates are higher when imaging modalities are used intra-operatively. Vascular injuries following posterior spinal stabilisation are rare and are usually discovered late on subsequent imaging. Immediate peri-operative compromise is rare, but nonetheless, resultant vascular injuries can be life threatening...
December 7, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29224590/comparative-emergency-department-resource-utilisation-across-age-groups
#5
Ellen Burkett, Melinda G Martin-Khan, Leonard C Gray
Objectives The aim of the present study was to assess comparative emergency department (ED) resource utilisation across age groups.Methods A retrospective analysis of data collected in the National Non-admitted Patient Emergency Department Care Database was undertaken to assess comparative ED resource utilisation across six age groups (0-14, 15-35, 36-64, 65-74, 75-84 and ≥85 years) with previously used surrogate markers of ED resource utilisation.Results Older people had significantly higher resource utilisation for their individual ED episodes of care than younger people, with the effect increasing with advancing age...
December 11, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29223896/environmental-status-of-livestock-and-poultry-sectors-in-china-under-current-transformation-stage
#6
Yi Qian, Kaihui Song, Tao Hu, Tianyu Ying
Intensive animal husbandry had aroused great environmental concerns in many developed countries. However, some developing countries are still undergoing the environmental pollution from livestock and poultry sectors. Driven by the large demand, China has experienced a remarkable increase in dairy and meat production, especially in the transformation stage from conventional household breeding to large-scale industrial breeding. At the same time, a large amount of manure from the livestock and poultry sector is released into waterbodies and soil, causing eutrophication and soil degradation...
December 7, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29223696/key-players-in-key-roles-the-baystate-patient-progress-initiative-to-improve-emergency-department-efficiency-and-productivity
#7
Niels K Rathlev, Jacqualyn Anderson, Joseph Schmidt, Joeli Hettler, Lynn Garreffi, Molly Gray, Douglas Neal, Paul Visintainer
BACKGROUND: The percentage of patients who leave the emergency department without being seen by a provider is a measure of efficiency and presents risk-management concerns. The number of patients actually "seen" by a provider is a measure of productivity. The opening of our new emergency department in December 2012, resulted in increases in both demand and the percentage of patients who left without being seen. Operational nursing leadership managed ED patient flow, but the structure was loosely organized on an ad hoc basis...
December 6, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29223660/developing-nursing-and-midwifery-students-capacity-for-coping-with-bullying-and-aggression-in-clinical-settings-students-evaluation-of-a-learning-resource
#8
Rosemarie Hogan, Fiona Orr, Deborah Fox, Allison Cummins, Maralyn Foureur
An innovative blended learning resource for undergraduate nursing and midwifery students was developed in a large urban Australian university, following a number of concerning reports by students on their experiences of bullying and aggression in clinical settings. The blended learning resource included interactive online learning modules, comprising film clips of realistic clinical scenarios, related readings, and reflective questions, followed by in-class role-play practice of effective responses to bullying and aggression...
December 6, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/29223192/training-needs-for-dementia-care-in-china-from-the-perspectives-of-mental-health-providers-who-what-and-how
#9
Ling Xu, Hsin-Yi Hsiao, Wenchen Denq, Iris Chi
BACKGROUND: Acknowledging increasing demand of dementia care for patients in China, this paper aims to understand the training needs of dementia care from the perspectives of mental health providers by examining who should be the trainees, what should be the contents of training, and how to deliver the training in China. METHODS: Using purposive sampling, data were gathered via four focus group discussions with 40 mental health providers in Beijing, China, in 2011...
December 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29223108/impacts-of-sugarcane-agriculture-expansion-over-low-intensity-cattle-ranch-pasture-in-brazil-on-greenhouse-gases
#10
Camila Bolfarini Bento, Solange Filoso, Leonardo Machado Pitombo, Heitor Cantarella, Raffaella Rossetto, Luiz Antonio Martinelli, Janaina Braga do Carmo
Sugarcane is a widespread bioenergy crop in tropical regions, and the growing global demand for renewable energy in recent years has led to a dramatic expansion and intensification of sugarcane agriculture in Brazil. Currently, extensive areas of low-intensity pasture are being converted to sugarcane, while management in the remaining pasture is becoming more intensive, i.e., includes tilling and fertilizer use. In this study, we assessed how such changes in land use and management practices alter emissions of greenhouse gases (GHG) such as CO2, N2O and CH4 by measuring in situ fluxes for one year after conversion from low-intensity pasture to conventional sugarcane agriculture and management-intensive pasture...
December 6, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/29222612/how-do-parents-manage-irritability-challenging-behaviour-non-compliance-and-anxiety-in-children-with-autism-spectrum-disorders-a-meta-synthesis
#11
Elizabeth O'Nions, Francesca Happé, Kris Evers, Hannah Boonen, Ilse Noens
Although there is increasing research interest in the parenting of children with ASD, at present, little is known about everyday strategies used to manage problem behaviour. We conducted a meta-synthesis to explore what strategies parents use to manage irritability, non-compliance, challenging behaviour and anxiety in their children with ASD. Approaches included: (1) accommodating the child; (2) modifying the environment; (3) providing structure, routine and occupation; (4) supervision and monitoring; (5) managing non-compliance with everyday tasks; (6) responding to problem behaviour; (7) managing distress; (8) maintaining safety and (9) analysing and planning...
December 8, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29220762/foundations-of-the-participatory-approach-in-the-mekong-river-basin-management
#12
Paulina Budryte, Sonja Heldt, Martin Denecke
Integrated Water Resource Management (IWRM) was acknowledged as a leading concept in the water management for the last two decades by academia, political decision-makers and experts. It strongly promotes holistic management and participatory approaches. The flexibility and adaptability of IWRM concept are especially important for large, transboundary river basins - e.g. the Mekong river basin - where natural processes and hazards, as well as, human-made "disasters" are demanding for a comprehensive approach...
December 5, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29220412/do-managed-bees-have-negative-effects-on-wild-bees-a-systematic-review-of-the-literature
#13
Rachel E Mallinger, Hannah R Gaines-Day, Claudio Gratton
Managed bees are critical for crop pollination worldwide. As the demand for pollinator-dependent crops increases, so does the use of managed bees. Concern has arisen that managed bees may have unintended negative impacts on native wild bees, which are important pollinators in both agricultural and natural ecosystems. The goal of this study was to synthesize the literature documenting the effects of managed honey bees and bumble bees on wild bees in three areas: (1) competition for floral and nesting resources, (2) indirect effects via changes in plant communities, including the spread of exotic plants and decline of native plants, and (3) transmission of pathogens...
2017: PloS One
https://www.readbyqxmd.com/read/29219875/ehealth-interventions-for-parents-in-neonatal-intensive-care-units-a-systematic-review
#14
Justine Dol, Alannah Delahunty-Pike, Sheren Anwar Siani, Marsha Campbell-Yeo
BACKGROUND: As technology becomes increasingly more advanced, particularly video technology and interactive learning platforms, some neonatal intensive care units are embracing electronic health (eHealth) technologies to enhance and expand their family-centered care environments. Despite the emergence of eHealth, there has been a lack of systematic evaluation of its effectiveness thus far. OBJECTIVES: To examine the effect of eHealth interventions used in neonatal intensive care units on parent-related and infant outcomes...
December 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29217502/the-impact-of-a-mobile-diabetes-health-intervention-on-diabetes-distress-and-depression-among-adults-secondary-analysis-of-a-cluster-randomized-controlled-trial
#15
Charlene C Quinn, Krystal K Swasey, J Christopher F Crabbe, Michelle D Shardell, Michael L Terrin, Erik A Barr, Ann L Gruber-Baldini
BACKGROUND: Diabetes is a complex, demanding disease that requires the constant attention of patients. The burden of self-management, including different medication regimens, routine self-care activities, and provider visits, has an impact on patients' emotional well-being. Diabetes distress and depression are two important components of emotional well-being that may negatively affect diabetes outcomes. OBJECTIVE: The aim was to determine the impact of the 1-year Mobile Diabetes Intervention Study cluster randomized clinical trial on emotional well-being measured by diabetes distress and depression among adults with type 2 diabetes (T2D)...
December 7, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29216292/water-consumption-grain-yield-and-water-productivity-in-response-to-field-water-management-in-double-rice-systems-in-china
#16
Xiao Hong Wu, Wei Wang, Chun Mei Yin, Hai Jun Hou, Ke Jun Xie, Xiao Li Xie
Rice cultivation has been challenged by increasing food demand and water scarcity. We examined the responses of water use, grain yield, and water productivity to various modes of field water managements in Chinese double rice systems. Four treatments were studied in a long-term field experiment (1998-2015): continuous flooding (CF), flooding-midseason drying-flooding (F-D-F), flooding-midseason drying-intermittent irrigation without obvious standing water (F-D-S), and flooding-rain-fed (F-RF). The average precipitation was 483 mm in early-rice season and 397 mm in late-rice season...
2017: PloS One
https://www.readbyqxmd.com/read/29215964/real-world-fuel-use-and-gaseous-emission-rates-for-flex-fuel-vehicles-operated-on-e85-versus-gasoline
#17
Maryam Delavarrafiee, H Christopher Frey
Flex Fuel Vehicles (FFVs) typically operate on gasoline or E85, an 85%/15% volume blend of ethanol and gasoline, E85. Differences in FFV fuel use and tailpipe emission rates are quantified for E85 versus gasoline based on real-world measurements of five FFVs with a portable emissions measurement system (PEMS), supplemented chassis dynamometer data and estimates from the MOtor Vehicle Emission Simulator (MOVES) model. Because of inter-vehicle variability, an individual FFV may have higher nitrogen oxides (NOx) or carbon monoxide (CO) emission rates on E85 versus gasoline, even though average rates are lower...
December 7, 2017: Journal of the Air & Waste Management Association
https://www.readbyqxmd.com/read/29215912/an-australian-biobank-certification-scheme-a-study-of-economic-costs-to-participating-biobanks
#18
Rod Ling, Amanda Rush, Candace Carter, Jane Carpenter, Peter H Watson, Jennifer A Byrne, Andrew Searles
Biobanks face increasing demands for research materials of consistent quality, which can be used in collaborative studies. Several countries and some international agencies have made formal efforts to standardize biobank operations and outputs. These include the establishment of best practice guidelines for collection management, and certification programs. Such guidelines and programs increase biobanks' opportunities for participation in high impact research and funding. However, they also impose economic and time costs, which may burden biobanks...
December 7, 2017: Biopreservation and Biobanking
https://www.readbyqxmd.com/read/29215695/identifying-depression-in-parents-of-children-with-autism-spectrum-disorder-recommendations-for-professional-practice
#19
Brenda Marshall, Betty Kollia, Victoria Wagner, David Yablonsky
Parents of children with autism spectrum disorder (ASD) face many challenges, not the least of which can be dealing with their own depression. Depression decreases an individual's capacity for self-care and is often overlooked in this population striving to manage the demands of parenting their child with ASD. This article examines current literature related to prevalence, diagnosis, and interventions for depression in parents of children with ASD. The review indicates that depression is more common in parents of children with ASD than in the general public...
December 6, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29211237/embracement-as-an-analyzer-of-the-relationships-between-professionals-managers-and-users
#20
Cinira Magali Fortuna, Karemme Ferreira de Oliveira, Adriana Barbieri Feliciano, Mônica Vilchez da Silva, Flávio Adriano Borges, Gabriela Alvarez Camacho, Priscila Norié de Araujo, Márcia Niituma Ogata
OBJECTIVE Analyzing the relationships among professionals and between professionals with managers and users based on the user embracement analyzer. METHOD A qualitative study incorporating the theoretical-methodological reference of institutional analysis. The data were produced through focus groups and organized from transcription, transposition and reconstitution. Seventeen (17) focus group sessions were conducted involving six municipalities and health professionals from various backgrounds. RESULTS 137 professionals participated in this study...
2017: Revista da Escola de Enfermagem da U S P
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