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https://www.readbyqxmd.com/read/28526306/reliability-of-n95-respirators-for-respiratory-protection-before-during-and-after-nursing-procedures
#1
Lorna K P Suen, Lin Yang, Suki S K Ho, Keith H K Fung, Maureen V Boost, Cynthia S T Wu, Cypher H Au-Yeung, Margaret O'Donoghue
BACKGROUND: The adequate fit of an N95 respirator is important for health care workers to reduce the transmission of airborne infectious diseases in the clinical setting. This study aimed to evaluate whether adequately sealed N95 respirators may provide consistent protection for the wearer while performing nursing procedures. METHODS: Participants were a group of nursing students (N = 120). The best fitting respirator for these participants was identified from the 3 common models, 1860, 1860S, and 1870+ (3M), using the quantitative fit test (QNFT) method...
May 16, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28526190/disseminating-effective-clinician-communication-techniques-engaging-clinicians-to-want-to-learn-how-to-engage-patients
#2
Kathryn I Pollak, Anthony L Back, James A Tulsky
Patient-clinician communication that promotes patient engagement enhances health care quality. Yet, disseminating effective communication interventions to practicing clinicians remains challenging. Current methods do not have large and sustainable effects. In this paper, we argue that both top-down approaches (mandated by institutions) should be coupled with bottom-up approaches that address clinician motivation, confidence, and barriers. We need to engage clinicians in the same way we ask them to engage patients - strategically and with empathy...
May 9, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28526147/pharmacologic-considerations-of-anesthetic-agents-in-geriatric-patients
#3
REVIEW
Maunak V Rana, Lara K Bonasera, Gregory J Bordelon
Aging is a natural process of declining organ function and reserve. Census data show that the geriatric population is expected to grow to nearly 30%. More than half of geriatric patients have 1 or more surgical procedures in their lifetimes. Moreover, this is the population at greatest risk of morbidity and mortality with any given complication. There is remarkable variability in health across the age spectrum, from fit to frail and compromised. This variability requires a unique approach to anesthetic delivery and drug dosing on an individual basis to avoid complications such as postoperative cognitive dysfunction and delirium...
June 2017: Anesthesiology Clinics
https://www.readbyqxmd.com/read/28526051/functional-evaluation-for-patients-with-lower-extremity-sarcoma-application-of-the-chinese-version-of-musculoskeletal-tumor-society-scoring-system
#4
Leilei Xu, Xinhua Li, Zhou Wang, Jin Xiong, Shoufeng Wang
BACKGROUND: The Musculoskeletal Tumor Society (MSTS) scoring system is a disease-specific instrument to determine the physical and mental health for patients with extremity sarcoma. This study aims to investigate the reliability and validity of the Chinese version of the MSTS, and to evaluate functional outcomes of the surgical treatment of lower extremity sarcoma using the Chinese MSTS. METHODS: A cohort of 98 patients who had undergone surgery for lower extremity sarcoma were included...
May 19, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28526048/men-s-and-women-s-response-to-treatment-and-perceptions-of-outcomes-in-a-randomized-controlled-trial-of-injectable-opioid-assisted-treatment-for-severe-opioid-use-disorder
#5
Heather Palis, Kirsten Marchand, Daphne Guh, Suzanne Brissette, Kurt Lock, Scott MacDonald, Scott Harrison, Aslam H Anis, Michael Krausz, David C Marsh, Martin T Schechter, Eugenia Oviedo-Joekes
BACKGROUND: To test whether there are gender differences in treatment outcomes among patients receiving injectable opioids for the treatment of long-term opioid-dependence. The study additionally explores whether men and women have different perceptions of treatment effectiveness. METHODS: This study is a secondary analysis from SALOME, a double-blind, phase III, randomized controlled trial testing the non-inferiorirty of injectable hydromorphone to injectable diacetylmorphine among 202 long-term street opioid injectors in Vancouver (Canada)...
May 19, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28525511/factors-affecting-acoustics-and-speech-intelligibility-in-the-operating-room-size-matters
#6
Richard R McNeer, Christopher L Bennett, Danielle Bodzin Horn, Roman Dudaryk
INTRODUCTION: Noise in health care settings has increased since 1960 and represents a significant source of dissatisfaction among staff and patients and risk to patient safety. Operating rooms (ORs) in which effective communication is crucial are particularly noisy. Speech intelligibility is impacted by noise, room architecture, and acoustics. For example, sound reverberation time (RT60) increases with room size, which can negatively impact intelligibility, while room objects are hypothesized to have the opposite effect...
June 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28525464/the-cardiac-rehabilitation-model-improves-fitness-quality-of-life-and-depression-in-breast-cancer-survivors
#7
Lianne B Dolan, Danielle Barry, Teresa Petrella, Lindsay Davey, Ann Minnes, Allison Yantzi, Susan Marzolini, Paul Oh
PURPOSE: Exercise is a demonstrated, therapeutic strategy for cancer survivors to minimize many treatment-induced side effects and may decrease risk of recurrence. Nonetheless, structured programs that combine exercise and education are not yet standardized within cancer care. The Health, Exercise, Active Living, Therapeutic lifestyle (HEALTh) program is a clinical exercise program based on the established cardiac rehabilitation model, but customized for female breast cancer survivors...
May 18, 2017: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/28525437/feasibility-and-parental-acceptability-of-an-8-week-slow-speed-high-intensity-community-based-resistance-training-program-for-preadolescent-children
#8
Sarah L Mullane, Vincent B Bocchicchio, Noe C Crespo
High-intensity resistance training (RT) shows promise for improved cardiometabolic health in children. Achieving high-intensity RT safely is a challenge for community-based programs because of parental concerns and group engagement. Twenty preadolescent children completed an 8-week, twice per week program using slow speed to achieve high-intensity RT. Parent and child surveys were conducted to measure acceptability and effectiveness. Child fitness levels were assessed, and fasting blood draws and dual-energy x-ray absorptiometry were performed on a subset population...
July 2017: Family & Community Health
https://www.readbyqxmd.com/read/28524725/a-sport-education-fitness-season-s-impact-on-students-fitness-levels-knowledge-and-in-class-physical-activity
#9
Jeffery Kurt Ward, Peter A Hastie, Danielle D Wadsworth, Shelby Foote, Sheri J Brock, Nikki Hollett
PURPOSE: The purpose of this study was to determine the extent to which a sport education season of fitness could provide students with recommended levels of in-class moderate-to-vigorous physical activity (MVPA) while also increasing students' fitness knowledge and fitness achievement. METHOD: One hundred and sixty-six 5th-grade students (76 boys, 90 girls) participated in a 20-lesson season called "CrossFit Challenge" during a 4-week period. The Progressive Aerobic Cardiovascular Endurance Run, push-ups, and curl-ups tests of the FITNESSGRAM® were used to assess fitness at pretest and posttest, while fitness knowledge was assessed through a validated, grade-appropriate test of health-related fitness knowledge (HRF)...
May 19, 2017: Research Quarterly for Exercise and Sport
https://www.readbyqxmd.com/read/28524378/psychometric-characteristics-of-the-mental-health-crisis-assessment-scale-in-youth-with-autism-spectrum-disorder
#10
Luther G Kalb, Louis P Hagopian, Alden L Gross, Roma A Vasa
BACKGROUND: Youth with autism spectrum disorder (ASD) exhibit high rates of psychopathology. These symptoms can pose a risk of injury to self or others when the child is in crisis. Despite this danger, there are no instruments available to identify those with ASD who are at risk or actively in crisis. This study examined the psychometric properties of the Mental Health Crisis Assessment Scale (MCAS), a 28 item parent report measure. METHODS: The MCAS was administered to the parents of 606 children and young adults (aged 3-25 years, M age = 13 years, SD = 5 years) enrolled in the Interactive Autism Network, an online registry of families raising a child with ASD...
May 19, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/28523990/why-do-patients-decline-participation-in-offered-pulmonary-rehabilitation-a-qualitative-study
#11
Helle Mathar, Pernille Fastholm, Peter Lange, Niels Sandholm Larsen
OBJECTIVE: The purpose of this study is to produce insight in the explanations for declining pulmonary rehabilitation given by patients with chronic obstructive pulmonary disease. SETTING: The participants were recruited from a hospital in Denmark, among patients hospitalized due to an exacerbation of chronic obstructive pulmonary disease and among stable patients attending an outpatient clinic. PARTICIPANTS: Patients who decline participation in offered pulmonary rehabilitation, who speak Danish, who are able to give informed consent and to participate in a 1-hour interview...
May 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28523517/body-size-of-male-youth-soccer-players-1978-2015
#12
REVIEW
Robert M Malina, António J Figueiredo, Manuel J Coelho-E-Silva
BACKGROUND: Studies of the body size and proportions of athletes have a long history. Comparisons of athletes within specific sports across time, though not extensive, indicate both positive and negative trends. OBJECTIVE: To evaluate secular variation in heights and weights of male youth soccer players reported in studies between 1978 and 2015. METHODS: Reported mean ages, heights, and weights of male soccer players 9-18 years of age were extracted from the literature and grouped into two intervals: 1978-99 and 2000-15...
May 18, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28522893/hearcare-hearing-and-communication-assistance-for-resident-engagement
#13
REVIEW
Catherine V Palmer, Reem Mulla, Elizabeth Dervin, Kathleen Costigan Coyan
Impaired hearing is related to poor health outcomes, including compromised cognitive function, in aging individuals. Hearing loss is the third most common chronic health condition after arthritis and heart disease in older adults and the fourth most detrimental condition related to quality of life in older adults. Only 18% of aging adults who have impactful hearing loss actually use custom-fit amplification. Therefore, the majority of aging individuals entering senior living facilities will have untreated hearing loss...
May 2017: Seminars in Hearing
https://www.readbyqxmd.com/read/28521801/why-are-some-people-more-fit-than-others-correlates-and-determinants-of-cardiorespiratory-fitness-in-adults-protocol-for-a-systematic-review
#14
Nita Perumal, Gert B M Mensink, Thomas Keil, Jonas David Finger
BACKGROUND: Cardiorespiratory fitness (CRF) is a physical condition that is now well established as a predictor of numerous adverse health outcomes, independent of physical activity levels. In order to be able to improve CRF at the population level and to develop effective interventions and public health programmes, it is important to understand why some people are more fit than others. Therefore, the primary aim of the systematic review described in this protocol is to examine individual and interpersonal factors that are correlated with or determine CRF among adults...
May 18, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28521738/multidimensional-daily-diary-of-fatigue-fibromyalgia-17-items-mdf-fibro-17-part-2-psychometric-evaluation-in-fibromyalgia-patients
#15
Y Li, S Morris, J Cole, S Dube', J A M Smith, C Burbridge, T Symonds, S Hudgens, W Wang
BACKGROUND: The Multidimensional Daily Diary of Fatigue-Fibromyalgia-17 instrument (MDF-Fibro-17) has been developed for use in fibromyalgia (FM) clinical studies and includes 5 domains: Global Fatigue Experience, Cognitive Fatigue, Physical Fatigue, Motivation, and Impact on Function. Psychometric properties of the MDF-Fibro-17 needed to demonstrate the appropriateness of using this instrument in clinical studies are presented. METHODS: Psychometric analyses were conducted to evaluate the factor structure, reliability, validity, and responsiveness of the MDF-Fibro-17 using data from a Phase 2 clinical study of FM patients (N = 381)...
May 18, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28521547/exploring-the-mechanism-of-the-clinical-encounter-on-depressive-symptoms-in-young-adults-a-path-analysis
#16
Melissa D Pinto, Amy M Greenblatt, Bryan L Williams, Adam I Kaplin
Elucidating mechanisms of how high quality clinical encounters with providers may alleviate depressive symptoms in young adults are critical to reduce psychological morbidity and disability. Guided by Street's Model of Health Communication (SMHC), this study explores the predictive relationships of the clinical encounter, which includes communication functions (patient-provider communication and patient self-appraisal of communication skills with provider) and proximal outcomes (patient activation; PA) to improve health outcomes (depressive symptoms) in young adults...
May 19, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28520802/aquatic-cycling-what-do-we-know-a-scoping-review-on-head-out-aquatic-cycling
#17
Stefanie Rewald, Ilse Mesters, Antoine F Lenssen, Jens Bansi, Johan Lambeck, Rob A de Bie, Benjamin Waller
Over the past few years, aquatic cycling has become a trending fitness activity. However, the literature has not been reviewed exhaustively. Therefore, using scoping review methodology, the aim of this review was to explore the current state of the literature concerning aquatic cycling. This study specifically focused on study designs, populations and outcomes. A comprehensive search of seven databases (PubMed, MEDLINE, Cinahl, Embase, PEDro,Web of Science, WorldCat) was conducted up to 30th September 2016...
2017: PloS One
https://www.readbyqxmd.com/read/28516245/municipal-solid-waste-derived-biochar-for-the-removal-of-benzene-from-landfill-leachate
#18
Yohan Jayawardhana, S S Mayakaduwa, Prasanna Kumarathilaka, Sewwandi Gamage, Meththika Vithanage
The potential of biochar, produced from fibrous organic fractions of municipal solid waste (MSW), for remediation of benzene, one of the frequently found toxic volatile organic compounds in landfill leachate, was investigated in this study based on various environmental conditions such as varying pH, benzene concentration, temperature and time. At the same time, landfill leachate quality parameters were assessed at two different dump sites in Sri Lanka: Gohagoda and Kurunegala. MSW biochar (MSW-BC) was produced by slow temperature pyrolysis at 450 °C, and the physiochemical characteristics of the MSW-BC were characterized...
May 17, 2017: Environmental Geochemistry and Health
https://www.readbyqxmd.com/read/28515885/evaluating-morphometric-and-metabolic-markers-of-body-condition-in-a-small-cetacean-the-harbor-porpoise-phocoena-phocoena
#19
Joanna L Kershaw, Meredith Sherrill, Nicholas J Davison, Andrew Brownlow, Ailsa J Hall
Mammalian body condition is an important individual fitness metric as it affects both survival and reproductive success. The ability to accurately measure condition has key implications for predicting individual and population health, and therefore monitoring the population-level effects of changing environments. No consensus currently exists on the best measure to quantitatively estimate body condition in many species, including cetaceans. Here, two measures of body condition were investigated in the harbor porpoise (Phocoena phocoena)...
May 2017: Ecology and Evolution
https://www.readbyqxmd.com/read/28515834/better-health-related-fitness-in-youth-implications-for-public-health-guidelines
#20
Mitch Barton, Allen W Jackson, Scott B Martin, James R Morrow, Trent A Petrie, Christy A Greenleaf
Public health guidelines for physical activity (PA) behaviors are being updated with 2018 as a proposed release date. Currently, ≥60 minutes of daily PA are recommended for youth. Thus, the purpose of this study was to investigate the association between reported days of aerobic PA and health-related fitness (HRF). Participants included 4448 students in grades 6-8. Self-reported days of ≥60 minutes of aerobic PA was obtained. HRF was assessed with FitnessGram. Discriminant analysis indicated that weekly days of aerobic PA related to HRF...
2017: International Journal of Exercise Science
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