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https://www.readbyqxmd.com/read/28345977/spinal-cord-injuries-overcoming-barriers-to-seamless-care-for-patients
#1
Lorraine Donovan, Lee Francis, Paula Muter, Sheila Nevin, Rebecca Warren
Patients with spinal cord injuries (SCIs) often have complex needs that require multidisciplinary support in specialist centres. Optimal management depends on seamless transitions between service providers. Delays at any point potentially compromise clinical outcomes and efficient resource utilisation. The Spinal Advisory Working Group aims to develop and implement practical initiatives to improve SCI care, initially focusing on admission and discharge. A literature review identified few relevant papers. In addition, the generalisability of the findings of these papers to SCI centres in the UK is unclear...
March 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28345473/exploring-end-of-life-care-for-south-asian-kidney-patients-interviewer-reflections
#2
Emma Wilkinson, Muhammad Waqar, Balbir Gill, Pina Hoque, Champa Jetha, Kulwinder Kaur Bola, Riffat Mahmood, Sultan Mahmood, Rita Saujani, Gurch Randhawa
The reduction of inequalities in access to quality care has been a central tenet of UK health policy. Ethnic minorities may experience additional inequalities because of language and other cultural barriers. This article reports interviewer reflections of conducting interviews with South Asian kidney patients about their experiences of end-of-life care. It explores themes which emerged from the analysis of a focus group held with eight bilingual research interviewers. The relevance of these themes to understanding inequalities and access to end-of-life care is discussed; together with the potential for the research process to contribute to service improvement...
March 16, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/28345016/-by-slapping-their-laps-the-patient-will-know-that-you-truly-care-for-her-a-qualitative-study-on-social-norms-and-acceptability-of-the-mistreatment-of-women-during-childbirth-in-abuja-nigeria
#3
Meghan A Bohren, Joshua P Vogel, Özge Tunçalp, Bukola Fawole, Musibau A Titiloye, Akinpelu Olanrewaju Olutayo, Agnes A Oyeniran, Modupe Ogunlade, Loveth Metiboba, Olubunmi R Osunsan, Hadiza A Idris, Francis E Alu, Olufemi T Oladapo, A Metin Gülmezoglu, Michelle J Hindin
BACKGROUND: Many women experience mistreatment during childbirth in health facilities across the world. However, limited evidence exists on how social norms and attitudes of both women and providers influence mistreatment during childbirth. Contextually-specific evidence is needed to understand how normative factors affect how women are treated. This paper explores the acceptability of four scenarios of mistreatment during childbirth. METHODS: Two facilities were identified in Abuja, Nigeria...
December 2016: SSM—Population Health
https://www.readbyqxmd.com/read/28344427/partial-reciprocal-sums-of-the-mathieu-series
#4
Xin Lin
It is well known that the Mathieu series has a wide application in mathematics science. In this paper, we use the elementary method and construct some new inequalities to study the computational problem of the partial reciprocal sums related to the Mathieu series and obtain an interesting inequality and a related identity.
2017: J Inequal Appl
https://www.readbyqxmd.com/read/28344142/viewpoint-stroke-prevention-in-recent-guidelines-for-the-management-of-patients-with-atrial-fibrillation-an-appraisal
#5
REVIEW
Tatjana S Potpara, Gregory Y H Lip, Carina Blomström Lundqvist, Chern-En Chiang, A John Camm
Formal guidelines play an important role in disseminating the best available evidence knowledge and are expected to provide simple and practical recommendations for the most optimal management of patients with various conditions. Such guidelines have important implications for many disease states, which thereby could be more professionally managed in everyday clinical practice by clinicians with divergent educational backgrounds, and also more easily implemented in wards or outpatient clinics eliminating inequalities in health care management...
March 23, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28343810/policy-objective-of-generic-medicines-from-the-investment-perspective-the-case-of-clopidogrel
#6
Péter Elek, András Harsányi, Tamás Zelei, Kata Csetneki, Zoltán Kaló
The objective of generic drug policies in most countries is defined from a disinvestment perspective: reduction in expenditures without compromising health outcomes. However, in countries with restricted access of patients to original patented drugs, the objective of generic drug policies can also be defined from an investment perspective: health gain by improved patient access without need for additional health budget. This study examines the investment aspect of generic medicines by analyzing clopidogrel utilization in European countries between 2004 and 2014 using multilevel panel data models...
March 7, 2017: Health Policy
https://www.readbyqxmd.com/read/28343775/lower-vaccine-uptake-amongst-older-individuals-living-alone-a-systematic-review-and-meta-analysis-of-social-determinants-of-vaccine-uptake
#7
REVIEW
Anu Jain, A J van Hoek, Delia Boccia, Sara L Thomas
INTRODUCTION: Vaccination is a key intervention to reduce infectious disease mortality and morbidity amongst older individuals. Identifying social factors for vaccine uptake enables targeted interventions to reduce health inequalities. OBJECTIVE: To systematically appraise and quantify social factors associated with vaccine uptake amongst individuals aged ≥60years from Europe. METHODS: We searched Medline and Embase from inception to 24/02/2016...
March 23, 2017: Vaccine
https://www.readbyqxmd.com/read/28343571/a-method-to-transform-a-variable-thermal-regime-to-a-physiologically-equivalent-effective-temperature
#8
Charles Mitz, Christopher Thome, Jeroen Thompson, Richard G Manzon, Joanna Y Wilson, Douglas R Boreham
We present a method to characterize variable thermal regimes in terms of an equivalent or effective temperature. Our method is based on a first order exponential transformation of a time series of temperatures to yield an exponentially-weighted mean temperature characteristic of the regime and independent of any particular species or end point. The resulting effective temperature or exponential mean, Te¯, offers an improved method for summarizing mean temperature where biological response scales exponentially to temperature...
April 2017: Journal of Thermal Biology
https://www.readbyqxmd.com/read/28342562/tackling-racism-as-a-wicked-public-health-problem-enabling-allies-in-anti-racism-praxis
#9
Heather Came, Derek Griffith
Racism is a "wicked" public health problem that fuels systemic health inequities between population groups in New Zealand, the United States and elsewhere. While literature has examined racism and its effects on health, the work describing how to intervene to address racism in public health is less developed. While the notion of raising awareness of racism through socio-political education is not new, given the way racism has morphed into new narratives in health institutional settings, it has become critical to support allies to make informing efforts to address racism as a fundamental cause of health inequities...
March 16, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28342425/how-neighborhoods-influence-health-lessons-to-be-learned-from-the-application-of-political-ecology
#10
Tendai Chitewere, Janet K Shim, Judith C Barker, Irene H Yen
This paper articulates how political ecology can be a useful tool for asking fundamental questions and applying relevant methods to investigate structures that impact relationship between neighborhood and health. Through a narrative analysis, we identify how political ecology can develop our future agendas for neighborhood-health research as it relates to social, political, environmental, and economic structures. Political ecology makes clear the connection between political economy and neighborhood by highlighting the historical and structural processes that produce and maintain social inequality, which affect health and well-being...
March 22, 2017: Health & Place
https://www.readbyqxmd.com/read/28341800/variability-in-very-preterm-stillbirth-and-in-hospital-mortality-across-europe
#11
Elizabeth S Draper, Bradley N Manktelow, Marina Cuttini, Rolf F Maier, Alan C Fenton, Patrick Van Reempts, Anna-Karin Bonamy, Jan Mazela, Klaus Bᴓrch, Corinne Koopman-Esseboom, Heili Varendi, Henrique Barros, Jennifer J Zeitlin
BACKGROUND AND OBJECTIVE: Stillbirth and in-hospital mortality rates associated with very preterm births (VPT) vary widely across Europe. International comparisons are complicated by a lack of standardized data collection and differences in definitions, registration, and reporting. This study aims to determine what proportion of the variation in stillbirth and in-hospital VPT mortality rates persists after adjusting for population demographics, case-mix, and timing of death. METHODS: Standardized data collection for a geographically defined prospective cohort of VPTs (22(+0)-31(+6) weeks gestation) across 16 regions in Europe...
March 24, 2017: Pediatrics
https://www.readbyqxmd.com/read/28341334/h-%C3%A2-output-feedback-fuzzy-proportional-integral-control-of-fully-delayed-input-output-systems
#12
Chian-Song Chiu, Tung-Sheng Chiang
This paper presents the output-feedback fuzzy proportional-integral (PI) controller design for uncertain nonlinear systems with both fully delayed input and output. Based on the Takagi-Sugeno (T-S) fuzzy model representation, the output-feedback PI control is realized via parallel distributed PI compensation and novel LMI gain design. Although the T-S fuzzy PI controller is simple, asymptotic output regulation is assured to overcome the effect of uncertainty, state delay, and full input/output delays. When considering disturbance and measurement noise, the control performance is achieved by robust gain design...
January 2017: ISA Transactions
https://www.readbyqxmd.com/read/28341282/the-state-of-the-surgical-workforce-in-brazil
#13
Mário C Scheffer, Aline G A Guilloux, Alicia Matijasevich, Benjamin B Massenburg, Saurabh Saluja, Nivaldo Alonso
BACKGROUND: A critical insufficiency of surgeons, anesthesiologists, and obstetricians exists around the world, leaving billions of people without access to safe operative care. The distribution of the surgical workforce in Brazil, however, is poorly described and rarely assessed. Though the surgical workforce is only one element in the surgical system, this study aimed to map and characterize the distribution of the surgical workforce in Brazil in order to stimulate discussion on future surgical policy reforms...
February 2017: Surgery
https://www.readbyqxmd.com/read/28340857/reducing-socioeconomic-inequalities-in-copd-care-in-the-hospital-outpatient-setting-a-nationwide-initiative
#14
Sandra S Tøttenborg, Peter Lange, Reimar W Thomsen, Henrik Nielsen, Søren P Johnsen
OBJECTIVE: Socioeconomic differences in quality of care have been suggested to contribute to inequality in clinical prognosis of COPD. We examined socioeconomic differences in the quality of COPD outpatient care and the potential of a systematic quality improvement initiative in reducing potential socioeconomic differences. METHODS: A mandatory national quality improvement initiative has since 2008 monitored the quality of COPD care at all national pulmonary specialized outpatient clinics in Denmark using six evidence-based process performance measures...
April 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/28340589/critical-race-theory-as-a-tool-for-understanding-poor-engagement-along-the-hiv-care-continuum-among-african-american-black-and-hispanic-persons-living-with-hiv-in-the-united-states-a-qualitative-exploration
#15
Robert Freeman, Marya Viorst Gwadz, Elizabeth Silverman, Alexandra Kutnick, Noelle R Leonard, Amanda S Ritchie, Jennifer Reed, Belkis Y Martinez
BACKGROUND: African American/Black and Hispanic persons living with HIV (AABH-PLWH) in the U.S. evidence insufficient engagement in HIV care and low uptake of HIV antiretroviral therapy, leading to suboptimal clinical outcomes. The present qualitative study used critical race theory, and incorporated intersectionality theory, to understand AABH-PLWH's perspectives on the mechanisms by which structural racism; that is, the macro-level systems that reinforce inequities among racial/ethnic groups, influence health decisions and behaviors...
March 24, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28340553/promoting-independence-health-and-well-being-for-older-people-a-feasibility-study-of-computer-aided-health-and-social-risk-appraisal-system-in-primary-care
#16
Kate Walters, Kalpa Kharicha, Claire Goodman, Melanie Handley, Jill Manthorpe, Mima Cattan, Steve Morris, Caroline S Clarke, Jeff Round, Steve Iliffe
BACKGROUND: With population ageing, research is needed into new low-cost, scalable methods of effective promotion of health and wellbeing for older people. We aimed to assess feasibility, reach and costs of implementing a new tailored computer-aided health and social risk appraisal system in primary care. METHODS: Design: Feasibility study. SETTING: Five General Practices in London (Ealing) and Hertfordshire, United Kingdom (UK) Participants: Random sample of patients aged 65 + years...
March 24, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28340488/national-and-sub-national-age-sex-specific-and-cause-specific-mortality-and-disability-adjusted-life-years-dalys-attributable-to-household-air-pollution-from-solid-cookfuel-use-hap-in-iran-1990-2013
#17
Mehrnoosh Abtahi, Ali Koolivand, Sina Dobaradaran, Kamyar Yaghmaeian, Anoushiravan Mohseni-Bandpei, Shokooh Sadat Khaloo, Sahand Jorfi, Reza Saeedi
National and sub-national mortality, years of life lost due to premature mortality (YLLs), years lived with disability (YLDs) and disability-adjusted life years (DALYs) for household air pollution from solid cookfuel use (HAP) in Iran, 1990-2013 were estimated based on the Global Burden of Disease Study 2013 (GBD 2013). The burden of disease attributable to HAP was quantified by the comparative risk assessment method using four inputs: (1) exposure to HAP, (2) the theoretical minimum risk exposure level (TMREL), (3) exposure-response relationships of related causes (4) disease burden of related causes...
March 21, 2017: Environmental Research
https://www.readbyqxmd.com/read/28340208/health-care-on-equal-terms-assessing-horizontal-equity-in-health-care-use-in-northern-sweden
#18
Miguel San Sebastián, Paola A Mosquera, Nawi Ng, Per E Gustafsson
The Swedish health care system has successively moved toward increased market-orientation, which has raised concerns as to whether Sweden still offers health on equal terms. To explore this issue, this study aimed (i) to assess if the principles of horizontal equity (equal access for equal need regardless of socio-economic factors) are met in Northern Sweden 2006-14; and (ii) to explore the contribution of different factors to the inequalities in access along the same period. Data came from cross sectional surveys known in 2006, 2010 and 2014 targeting 16-84-year-old residents in the four northern-most counties in Sweden...
March 18, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28339514/social-inequalities-in-self-rated-health-in-ukraine-in-2007-the-role-of-psychosocial-material-and-behavioural-factors
#19
Loretta G Platts, Christopher J Gerry
Despite Ukraine's large population, few studies have examined social inequalities in health. This study describes Ukrainian educational inequalities in self-rated health and assesses how far psychosocial, material and behavioural factors account for the education gradient in health. Data were analyzed from the 2007 wave of the Ukrainian Longitudinal Monitoring Survey. Education was categorized as: lower secondary or less, upper secondary and tertiary. In logistic regressions of 5451 complete cases, stratified by gender, declaring less than average health was regressed on education, before and after adjusting for psychosocial, material and behavioural factors...
October 20, 2016: European Journal of Public Health
https://www.readbyqxmd.com/read/28339353/relationships-between-ambivalent-sexism-and-the-five-moral-foundations-in-domestic-violence-is-it-a-matter-of-fairness-and-authority
#20
Maria L Vecina, Raul Piñuela
Ambivalent sexism has served to justify and maintain patriarchy and traditional gender roles characterized by inequality and male domination in the intimate partner violence (IPV) literature; according to the Moral Foundation Theory (MFT) there are two specific moral foundations related to inequality and domination: fairness and authority. We connect these separate fields arguing that sexist attitudes can be related to specific patterns of endorsement of the five moral foundations. Our hypothesis is that ambivalent sexism in men convicted of violence against the partner may be rooted in at least these two moral foundations, and that at least these two moral foundations may also serve to predict intention to change the violent behavior against the partner...
April 3, 2017: Journal of Psychology
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