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https://www.readbyqxmd.com/read/29149317/decision-space-for-health-workforce-management-in-decentralized-settings-a-case-study-in-uganda
#1
Alvaro Alonso-Garbayo, Joanna Raven, Sally Theobald, Freddie Ssengooba, Milly Nattimba, Tim Martineau
The aim of this paper is to improve understanding about how district health managers perceive and use their decision space for human resource management (HRM) and how this compares with national policies and regulatory frameworks governing HRM. The study builds upon work undertaken by PERFORM Research Consortium in Uganda using action-research to strengthen human resources management in the health sector. To assess the decision space that managers have in six areas of HRM (e.g. policy, planning, remuneration and incentives, performance management, education and information) the study compares the roles allocated by Uganda's policy and regulatory frameworks with the actual room for decision-making that district health managers perceive that they have...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29149310/counting-indirect-crisis-related-deaths-in-the-context-of-a-low-resilience-health-system-the-case-of-maternal-and-neonatal-health-during-the-ebola-epidemic-in-sierra-leone
#2
Laura Sochas, Andrew Amos Channon, Sara Nam
Although the number of direct Ebola-related deaths from the 2013 to 2016 West African Ebola outbreak has been quantified, the number of indirect deaths, resulting from decreased utilization of routine health services, remains unknown. Such information is a key ingredient of health system resilience, essential for adequate allocation of resources to both 'crisis response activities' and 'core functions'. Taking stock of indirect deaths may also help the concept of health system resilience achieve political traction over the traditional approach of disease-specific surveillance...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29148354/case-managers-for-high-risk-high-cost-patients-as-agents-and-street-level-bureaucrats
#3
Jeffrey Swanson, William G Weissert
Case management programs often designate a nurse or social worker to take responsibility for guiding care when patients are expected to be expensive or risk a major decline. We hypothesized that though an intuitively appealing idea, careful program design and faithful implementation are essential if case management programs are to succeed. We employed two theory perspectives, principal-agent framework and street-level bureaucratic theory to describe the relationship between program designers (principals) and case managers (agents/street-level bureaucrats) to review 65 case management studies...
August 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29148074/salutogenic-healthy-aging-programme-embracement-shape-for-senior-only-households-a-study-protocol
#4
Betsy Seah, Yanika Kowitlawakul, Srinivasan Chokkanathan, Jeane Jin Yi Fong, Geir Arild Espnes, Emily Ang, Wenru Wang
AIMS: To evaluate the effectiveness of a multi-dimensional community-based health promotion and risk prevention program, named Salutogenic Healthy Aging Program Embracement (SHAPE) for senior-only households in Singapore. BACKGROUND: In view of aging population and its significant impacts on economy, societal structure and policy-making, healthy aging emerges as an important concept in maintaining health through the engagement of health-promoting behaviour and risk-prevention actions in older people...
November 17, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29147043/postpartum-depression-in-india-a-systematic-review-and-meta-analysis
#5
REVIEW
Ravi Prakash Upadhyay, Ranadip Chowdhury, Aslyeh Salehi, Kaushik Sarkar, Sunil Kumar Singh, Bireshwar Sinha, Aditya Pawar, Aarya Krishnan Rajalakshmi, Amardeep Kumar
Objective: To provide an estimate of the burden of postpartum depression in Indian mothers and investigate some risk factors for the condition. Methods: We searched PubMed®, Google Scholar and Embase® databases for articles published from year 2000 up to 31 March 2016 on the prevalence of postpartum depression in Indian mothers. The search used subject headings and keywords with no language restrictions. Quality was assessed via the Newcastle-Ottawa quality assessment scale...
October 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/29146926/correlations-and-forecast-of-death-tolls-in-the-syrian-conflict
#6
Kazuki Fujita, Shigeru Shinomoto, Luis E C Rocha
The Syrian armed conflict has been ongoing since 2011 and has already caused thousands of deaths. The analysis of death tolls helps to understand the dynamics of the conflict and to better allocate resources and aid to the affected areas. In this article, we use information on the daily number of deaths to study temporal and spatial correlations in the data, and exploit this information to forecast events of deaths. We found that the number of violent deaths per day in Syria varies more widely than that in England in which non-violent deaths dominate...
November 16, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29145021/production-of-chemicals-using-dynamic-control-of-metabolic-fluxes
#7
REVIEW
Peng Xu
Engineered microbial cell factories are constantly experiencing metabolic imbalance due to nutrients depletion, metabolites buildup, evolutionary pressure or genetic instability. It is important to equip the engineered cell factory with sensor-regulator system to enable cell adjust metabolism and respond to the changing environment. Dynamically allocating cellular resources and optimally controlling pathway expression have proved as promising strategies to manage the tradeoff between cell growth and product formation as well as improve the cost-competitiveness of industrial fermentation...
November 13, 2017: Current Opinion in Biotechnology
https://www.readbyqxmd.com/read/29143799/effect-of-a-partially-hydrolysed-whey-infant-formula-supplemented-with-starch-and-lactobacillus-reuteri-dsm-17938-on-regurgitation-and-gastric-motility
#8
Flavia Indrio, Giuseppe Riezzo, Paola Giordano, Maria Ficarella, Maria Paola Miolla, Silvia Martini, Luigi Corvaglia, Ruggiero Francavilla
Functional regurgitation (FR) is common in early infancy and represents a major drain on healthcare resources. This double-blind, randomized controlled trial investigated the effects of a formula containing partially hydrolysed, 100% whey protein, starch and Lactobacillus reuteri (DSM 17938) on gastric emptying rate (GErate) and regurgitation frequency in infants with FR. Enrolled infants were randomly allocated to receive either the test formula or a standard starter formula for four weeks. Ultrasound GErate assessment was performed at baseline (week 0) and at week 4; the number of regurgitations, feed volumes and potential adverse events were recorded in a daily diary...
October 28, 2017: Nutrients
https://www.readbyqxmd.com/read/29143767/distributed-channel-allocation-and-time-slot-optimization-for-green-internet-of-things
#9
Kaiqi Ding, Haitao Zhao, Xiping Hu, Jibo Wei
In sustainable smart cities, power saving is a severe challenge in the energy-constrained Internet of Things (IoT). Efficient utilization of limited multiple non-overlap channels and time resources is a promising solution to reduce the network interference and save energy consumption. In this paper, we propose a joint channel allocation and time slot optimization solution for IoT. First, we propose a channel ranking algorithm which enables each node to rank its available channels based on the channel properties...
October 28, 2017: Sensors
https://www.readbyqxmd.com/read/29143622/lives-saved-tool-list-costing-a-module-to-examine-costs-and-prioritize-interventions
#10
Lori A Bollinger, Rachel Sanders, William Winfrey, Adebiyi Adesina
BACKGROUND: Achieving the Sustainable Development Goals will require careful allocation of resources in order to achieve the highest impact. The Lives Saved Tool (LiST) has been used widely to calculate the impact of maternal, neonatal and child health (MNCH) interventions for program planning and multi-country estimation in several Lancet Series commissions. As use of the LiST model increases, many have expressed a desire to cost interventions within the model, in order to support budgeting and prioritization of interventions by countries...
November 7, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29142513/sedation-for-routine-gastrointestinal-endoscopic-procedures-a-review-on-efficacy-safety-efficiency-cost-and-satisfaction
#11
REVIEW
Otto S Lin
Most gastrointestinal endoscopic procedures are now performed with sedation. Moderate sedation using benzodiazepines and opioids continue to be widely used, but propofol sedation is becoming more popular because its unique pharmacokinetic properties make endoscopy almost painless, with a very predictable and rapid recovery process. There is controversy as to whether propofol should be administered only by anesthesia professionals (monitored anesthesia care) or whether properly trained non-anesthesia personnel can use propofol safely via the modalities of nurse-administered propofol sedation, computer-assisted propofol sedation or nurse-administered continuous propofol sedation...
October 2017: Intestinal Research
https://www.readbyqxmd.com/read/29141498/incidence-and-natural-progression-of-neurogenic-shock-following-traumatic-spinal-cord-injury
#12
Ian A Ruiz, Jordan W Squair, Aaron A Phillips, Christine D Lukac, Dayan Huang, Patrick Oxciano, Dong Yan, Andrei V Krassioukov
Neurogenic shock, a distributive type of circulatory shock following spinal cord injury (SCI), results in profound hypotension. The consequent hemodynamic instability complicates clinical management, delays surgical intervention, and impacts neurological outcome. Moreover, the reported incidence of this condition varies significantly. Here, we establish the true incidence of neurogenic shock by comparing the most common clinical definitions used to diagnose the condition. Further, we characterize the acute progression and recovery of neurogenic shock...
November 15, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29141383/-critical-elements-of-cataract-prevention-work-in-china
#13
P Liu, H D Zou, A L Hu, M G He
Surgical treatment of cataract is the emphasis of prevention of blindness in China. In the past ten years, cataract prevention work has made great strides. However, the cataract surgery rate (CSR) in one million people is still far away from the developed countries, and not enough to eliminate the blindness of cataract in our country. The CSR is related to many factors. In this article, the issue of the CSR increase is commented from four aspects, including improving the quantity and quality of cataract surgery, increasing the allocation of ophthalmic resources to primary hospitals, strengthening the cooperation between the urban and backward areas in ophthalmology, and the economic factors...
November 11, 2017: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29141338/-spatial-and-temporal-clustering-characteristics-of-typhoid-and-paratyphoid-fever-and-its-change-pattern-in-3-provinces-in-southwestern-china-2001-2012
#14
L X Wang, B Yang, M Y Yan, Y Q Tang, Z C Liu, R Q Wang, S Li, L Ma, B Kan
Objective: To analyze the spatial and temporal clustering characteristics of typhoid and paratyphoid fever and its change pattern in Yunnan, Guizhou and Guangxi provinces in southwestern China in recent years. Methods: The incidence data of typhoid and paratyphoid fever cases at county level in 3 provinces during 2001-2012 were collected from China Information System for Diseases Control and Prevention and analyzed by the methods of descriptive epidemiology and geographic informatics. And the map showing the spatial and temporal clustering characters of typhoid and paratyphoid fever cases in three provinces was drawn...
November 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/29140266/forecasting-the-water-demand-in-chongqing-china-using-a-grey-prediction-model-and-recommendations-for-the-sustainable-development-of-urban-water-consumption
#15
Hua'an Wu, Bo Zeng, Meng Zhou
High accuracy in water demand predictions is an important basis for the rational allocation of city water resources and forms the basis for sustainable urban development. The shortage of water resources in Chongqing, the youngest central municipality in Southwest China, has significantly increased with the population growth and rapid economic development. In this paper, a new grey water-forecasting model (GWFM) was built based on the data characteristics of water consumption. The parameter estimation and error checking methods of the GWFM model were investigated...
November 15, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29139572/exposing-ecological-and-economic-costs-of-the-research-implementation-gap-and-compromises-in-decision-making
#16
Santtu Kareksela, Atte Moilanen, Olli Ristaniemi, Reima Välivaara, Janne S Kotiaho
The frequently discussed gap between conservation science and practice is manifest in the gap between spatial conservation prioritization plans and their implementation. We analyzed the research-implementation gap of 1 zoning case by comparing results of a spatial prioritization analysis aimed at avoiding ecological impact of peat mining in a regional zoning process with the final zoning plan. We examined the relatively complex planning process to determine the gaps among research, zoning, and decision making...
November 15, 2017: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/29139069/piloting-the-effectiveness-of-pig-health-education-in-combination-with-oxfendazole-treatment-on-prevention-and-or-control-of-porcine-cysticercosis-gastrointestinal-parasites-african-swine-fever-and-ectoparasites-in-ang%C3%A3-nia-district-mozambique
#17
A G Chilundo, M V Johansen, A Pondja, R Miambo, S Afonso, S Mukaratirwa
A community-based intervention combining health education (HE) and treatment of pigs for control of porcine cysticercosis (PC), gastrointestinal (GI) helminths, African swine fever (ASF) and external parasites was tested involving six villages of resource-poor smallholder pig farmers. Farmers and pigs of six rural villages were randomly allocated into group 1 (HE), which served as controls, and group 2 (HE + OFZ) pigs received a single oral dose of 30 mg/kg OFZ. Farmers were trained in pig health, housing and feeding...
November 14, 2017: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/29138568/epidemiology-and-costs-of-multiple-sclerosis-in-switzerland-an-analysis-of-health-care-claims-data-2011-2015
#18
Eva Blozik, Roland Rapold, Klaus Eichler, Oliver Reich
Background: Medical therapy for multiple sclerosis (MS) is expensive. Quantifying the burden of MS is fundamental for health-care planning and the allocation of resources for the management of MS. This study provides current national estimates of prevalence, incidence, mortality, and costs of MS in Switzerland using claims data between 2011 and 2015. Methods: We analyzed health insurance claims of adult persons enrolled with a large health insurance group covering about 13% of the Swiss population between 2011 and 2015...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/29135754/implementation-of-a-pediatric-behavioral-staffing-algorithm-in-an-acute-hospital-a-best-practice-implementation-project
#19
Tamara O'Connor
BACKGROUND: A progressive decline in acute psychiatric facility beds has led to a steadily increasing number of pediatric psychiatric patients hospitalized on acute care medical-surgical units. Clinical nurses in this environment feel ill-equipped to provide quality behavioral health care. AIMS/OBJECTIVES: This project aimed to improve continuity of care as well as staff and patient safety in pediatric acute and transitional care units. The specific objectives related to implementation of a resource allocation algorithm for staffing behavioral health admissions and consistent use of an interdisciplinary psychiatric huddle...
November 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29135364/mothers-neural-and-behavioral-responses-to-their-infants-distress-cues-the-role-of-secure-base-script-knowledge
#20
Ashley M Groh, Katherine C Haydon
This research examined mothers' secure base script knowledge-reflected in the ability to generate narratives in which attachment-relevant problems are recognized, competent help is offered, and problems are resolved-and its significance for early-stage processing of infants' distress cues, using event-related potentials in an emotion oddball task. Mothers with lower secure base script knowledge exhibited (a) a heightened P3b response-reflective of greater allocation of cognitive resources-to their infants' distressed (but not happy) target facial expressions; (b) a larger P3b response to their infants' distressed (compared with happy) target facial expressions, which is indicative of allocating disproportional attentional resources to processing their infants' distress; and (c) poorer accuracy in identifying their infants' distressed target facial expressions...
November 1, 2017: Psychological Science
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