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https://www.readbyqxmd.com/read/28934096/children-s-lead-exposure-a-multimedia-modeling-analysis-to-guide-public-health-decision-making
#1
Valerie Zartarian, Jianping Xue, Rogelio Tornero-Velez, James Brown
BACKGROUND: Drinking water and other sources for lead are the subject of public health concerns around the Flint, Michigan, drinking water and East Chicago, Indiana, lead in soil crises. In 2015, the U.S. Environmental Protection Agency (EPA)'s National Drinking Water Advisory Council (NDWAC) recommended establishment of a "health-based, household action level" for lead in drinking water based on children's exposure. OBJECTIVES: The primary objective was to develop a coupled exposure-dose modeling approach that can be used to determine what drinking water lead concentrations keep children's blood lead levels (BLLs) below specified values, considering exposures from water, soil, dust, food, and air...
September 12, 2017: Environmental Health Perspectives
https://www.readbyqxmd.com/read/28930046/canadian-benchmarks-for-acute-injury-care
#2
Lynne Moore, David Evans, Natalie L Yanchar, Jaimini Thakore, Henry Thomas Stelfox, Sayed Morad Hameed, Richard Simons, John Kortbeek, Julien Clément, François Lauzier, Alexis F Turgeon
BACKGROUND: Acute care injury outcomes vary substantially across Canadian provinces and trauma centres. Our aim was to develop Canadian benchmarks to monitor mortality and hospital length of stay (LOS) for injury admissions. METHODS: Benchmarks were derived using data from the Canadian National Trauma Registry on patients with major trauma admitted to any level I or II trauma centre in Canada and from the following patient subgroups: isolated traumatic brain injury (TBI), isolated thoracoabdominal injury, multisystem blunt injury, age 65 years or older...
October 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28929609/benchmarking-against-the-national-emergency-laparotomy-audit-recommendations
#3
Yiu Ming Ho, Julie Cappello, Ramin Kousary, Brian McGowan, Arkadiusz P Wysocki
BACKGROUND: The Royal College of Anaesthetists published the National Emergency Laparotomy Audit (NELA) to describe and compare inpatient care and outcomes of major emergency abdominal surgery in England and Wales in 2015 and 2016. The purpose of this article is to compare emergency abdominal surgical care and mortality in a regional hospital (Logan Hospital, Queensland, Australia) with NELA results. METHODS: Data were extracted from two databases. All deaths from May 2010 to April 2015 were reviewed and patients who had an emergency abdominal operation within 30 days of death were identified...
September 19, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28922206/hidden-costs-of-hospitalization-after-firearm-injury-national-analysis-of-different-hospital-readmission
#4
Rishi Rattan, Joshua Parreco, Nicholas Namias, Gerd D Pust, D Dante Yeh, Tanya L Zakrison
OBJECTIVE: To compare the risk factors and costs associated with readmission after firearm injury nationally, including different hospitals. BACKGROUND: No national studies capture readmission to different hospitals after firearm injury. METHODS: The 2013 to 2014 Nationwide Readmissions Database was queried for patients admitted after firearm injury. Logistic regression identified risk factors for 30-day same and different hospital readmission...
September 15, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28919118/global-regional-and-national-disability-adjusted-life-years-dalys-for-333-diseases-and-injuries-and-healthy-life-expectancy-hale-for-195-countries-and-territories-1990-2016-a-systematic-analysis-for-the-global-burden-of-disease-study-2016
#5
(no author information available yet)
BACKGROUND: Measurement of changes in health across locations is useful to compare and contrast changing epidemiological patterns against health system performance and identify specific needs for resource allocation in research, policy development, and programme decision making. Using the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we drew from two widely used summary measures to monitor such changes in population health: disability-adjusted life-years (DALYs) and healthy life expectancy (HALE)...
September 16, 2017: Lancet
https://www.readbyqxmd.com/read/28914116/defining-a-core-outcome-set-for-adolescent-and-young-adult-patients-with-a-spinal-deformity
#6
Marinus de Kleuver, Sayf S A Faraj, Roderick M Holewijn, Niccole M Germscheid, Raphael D Adobor, Mikkel Andersen, Hans Tropp, Benny Dahl, Heli Keskinen, Anders Olai, David W Polly, Miranda L van Hooff, Tsjitske M Haanstra
Background and purpose - Routine outcome measurement has been shown to improve performance in several fields of healthcare. National spine surgery registries have been initiated in 5 Nordic countries. However, there is no agreement on which outcomes are essential to measure for adolescent and young adult patients with a spinal deformity. The aim of this study was to develop a core outcome set (COS) that will facilitate benchmarking within and between the 5 countries of the Nordic Spinal Deformity Society (NSDS) and other registries worldwide...
September 15, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28891353/development-of-an-inhalation-unit-risk-factor-for-ethylene-dibromide
#7
Heather R Schaefer, Jessica L Myers
The Texas Commission on Environmental Quality (TCEQ) follows standard scientific methods to develop up-to-date toxicity factors for chemicals emitted in the state of Texas. An inhalation unit risk factor (URF) was developed for ethylene dibromide (EDB, CAS 106-93-4) based on an increased incidence of nasal cavity adenocarcinomas observed in female rats in a 2-year inhalation cancer bioassay conducted by the National Toxicology Program (NTP). The NTP study provided evidence of several EDB-induced tumors in male and female rats and in female mice...
September 11, 2017: Inhalation Toxicology
https://www.readbyqxmd.com/read/28886754/on-farm-biosecurity-practices-and-causes-of-preweaning-mortality-in-canadian-commercial-mink-kits
#8
Nicole Compo, David L Pearl, Brian Tapscott, Amanda Storer, Jutta Hammermueller, Marina Brash, Patricia V Turner
BACKGROUND: Mink are an important animal commodity group in Canada and excessive kit mortality represents a significant loss to production. National biosecurity standards have been developed for Canadian mink farms, but it is unclear how well these standards have been implemented as there are no studies correlating management practices of mink producers with causes of death in mink kits. To that end, we surveyed Ontario mink producers on their biosecurity and management practices and conducted almost 5660 post mortem examinations on found-dead, preweaned kits to characterize mink farm biosecurity practices and causes of death in preweaned kits...
September 8, 2017: Acta Veterinaria Scandinavica
https://www.readbyqxmd.com/read/28885409/a-plea-for-mersqi-the-medical-education-research-study-quality-instrument
#9
Roger P Smith, Lee A Learman
OBJECTIVE: To describe the quality of educational scholarship presented at a large national conference of obstetrics and gynecology educators. METHODS: We reviewed Council on Resident Education in Obstetrics and Gynecology-Association of Professors of Gynecology and Obstetrics annual meeting abstracts from 2015 and 2016, published as supplements to Obstetrics & Gynecology. For this uncontrolled observational study, abstracts were reviewed and scored using the Medical Education Research Study Quality Instrument (MERSQI)...
September 5, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28884462/benchmarking-adult-ct-dose-levels-to-regional-and-national-references-using-a-dose-tracking-software-a-multicentre-experience
#10
Lotte Pyfferoen, Tom H Mulkens, Federica Zanca, Timo De Bondt, Paul M Parizel, Jan W Casselman
OBJECTIVES: To benchmark CT-dose data for standard adult CT studies to regional and national reference levels using a dose-tracking system. METHODS: Data from five CT systems from three hospitals were collected over a 1- to 2.5-year period (2012-2014), using the same type of dose management system. Inclusion criteria were adult patients and standard CT-head, CT-abdomen-pelvis, CT-thorax, CT-lumbar spine, CT-pulmonary embolism, CT-cervical spine and CT-thorax-abdomen studies, with one helical scan...
September 7, 2017: Insights Into Imaging
https://www.readbyqxmd.com/read/28879162/mozambique-s-journey-toward-accreditation-of-the-national-tuberculosis-reference-laboratory
#11
Sofia O Viegas, Khalide Azam, Carla Madeira, Carmen Aguiar, Carolina Dolores, Ana P Mandlaze, Patrina Chongo, Jessina Masamha, Daniela M Cirillo, Ilesh V Jani, Eduardo S Gudo
BACKGROUND: Internationally-accredited laboratories are recognised for their superior test reliability, operational performance, quality management and competence. In a bid to meet international quality standards, the Mozambique National Institute of Health enrolled the National Tuberculosis Reference Laboratory (NTRL) in a continuous quality improvement process towards ISO 15189 accreditation. Here, we describe the road map taken by the NTRL to achieve international accreditation. METHODS: The NTRL adopted the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme as a strategy to implement a quality management system...
2017: African Journal of Laboratory Medicine
https://www.readbyqxmd.com/read/28878427/mortality-and-disability-adjusted-life-years-dalys-for-common-neglected-tropical-diseases-in-ethiopia-1990-2015-evidence-from-the-global-burden-of-disease-study-2015
#12
A Deribew, B Kebede, G A Tessema, Y A Adama, A Misganaw, T Gebre, A Hailu, S Biadgilign, A Amberbir, B Desalegn, A A Abajobir, O Shafi, S F Abera, N Negussu, B Mengistu, A T Amare, A Mulugeta, Z Kebede, B Mengistu, Z Tadesse, M Sileshi, M Tamiru, E A Chromwel, S D Glenn, J D Stanaway, K Deribe
INTRODUCTION: Neglected tropical diseases (NTDs) are important public health problems in Ethiopia. In 2013, the Federal Ministry of Health (FMOH) has launched a national NTD master plan to eliminate major NTDs of public health importance by 2020. Benchmarking the current status of NTDs in the country is important to monitor and evaluate the progress in the implementation of interventions and their impacts. Therefore, this study aims to assess the trends of mortality and Disability-adjusted Life-Years (DALY) for the priority NTDs over the last 25 years...
2017: Ethiopian Medical Journal
https://www.readbyqxmd.com/read/28876437/predictors-of-persistence-and-success-in-an-accelerated-online-rn-to-bsn-program
#13
Daisha Jane Cipher, Mary E Mancini, Sachin Shrestha
BACKGROUND: To meet the increasing demand for RNs to further their education, many colleges of nursing have developed RN-to-baccalaureate nursing (BSN) programs, many of which are delivered online. A better understanding of the demographic and academic characteristics and outcomes of individuals enrolled in online RN-to-BSN programs is needed. METHOD: This article reports a retrospective predictive analysis of 9,567 students enrolled in an online RN-to-BSN program...
September 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28855530/measuring-proteins-with-greater-speed-and-resolution-while-reducing-sample-size
#14
Vincent H Hsieh, Philip J Wyatt
A multi-angle light scattering (MALS) system, combined with chromatographic separation, directly measures the absolute molar mass, size and concentration of the eluate species. The measurement of these crucial properties in solution is essential in basic macromolecular characterization and all research and production stages of bio-therapeutic products. We developed a new MALS methodology that has overcome the long-standing, stubborn barrier to microliter-scale peak volumes and achieved the highest resolution and signal-to-noise performance of any MALS measurement...
August 30, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28853306/aftermarket-performance-of-health-care-and-biopharmaceutical-ipos-evidence-from-asean-countries
#15
Kulabutr Komenkul, Santi Kiranand
We examine the evidence from the long-run abnormal returns using data for 76 health care and biopharmaceutical initial public offerings (IPOs) listed in a 29-year period between 1986 and 2014 in the Association of Southeast Asian Nations (ASEAN) countries such as Indonesia, Malaysia, Singapore, Thailand, the Philippines, Vietnam, Myanmar, and Laos. Based on the event-time approach, the 3-year stock returns of the IPOs are investigated using cumulative abnormal return (CAR) and buy-and-hold abnormal return (BHAR)...
January 1, 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/28851772/determining-the-sample-size-required-to-establish-whether-a-medical-device-is-non-inferior-to-an-external-benchmark
#16
Adrian Sayers, Michael J Crowther, Andrew Judge, Michael R Whitehouse, Ashley W Blom
OBJECTIVES: The use of benchmarks to assess the performance of implants such as those used in arthroplasty surgery is a widespread practice. It provides surgeons, patients and regulatory authorities with the reassurance that implants used are safe and effective. However, it is not currently clear how or how many implants should be statistically compared with a benchmark to assess whether or not that implant is superior, equivalent, non-inferior or inferior to the performance benchmark of interest...
August 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28851388/promoting-equitable-global-health-research-a-policy-analysis-of-the-canadian-funding-landscape
#17
Katrina Plamondon, Dylan Walters, Sandy Campbell, Jennifer Hatfield
BACKGROUND: Recognising radical shifts in the global health research (GHR) environment, participants in a 2013 deliberative dialogue called for careful consideration of equity-centred principles that should inform Canadian funding polices. This study examined the existing funding structures and policies of Canadian and international funders to inform the future design of a responsive GHR funding landscape. METHODS: We used a three-pronged analytical framework to review the ideas, interests and institutions implicated in publically accessible documents relevant to GHR funding...
August 29, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28846618/the-collaborative-payer-provider-model-enhances-primary-care-producing-triple-aim-plus-one-outcomes-a-cohort-study
#18
Thomas Doerr, Lisa Olsen, Deborah Zimmerman
Rising health care costs are threatening the fiscal solvency of patients, employers, payers, and governments. The Collaborative Payer Provider Model (CPPM) addresses this challenge by reinventing the role of the payer into a full-service collaborative ally of the physician. From 2010 through 2014, a Medicare Advantage plan prospectively deployed the CPPM, averaging 30,561 members with costs that were 73.6% of fee-for-service (FFS) Medicare (p < 0.001). The health plan was not part of an integrated delivery system...
August 27, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28844891/implementing-the-academy-of-nutrition-and-dietetics-benchmarks-for-nutrition-education-for-children-child-care-providers-perspectives
#19
Dipti A Dev, Virginia Carraway-Stage, Daniel J Schober, Brent A McBride, Car Mun Kok, Samantha Ramsay
BACKGROUND: National childhood obesity prevention policies recommend that child-care providers educate young children about nutrition to improve their nutrition knowledge and eating habits. Yet, the provision of nutrition education (NE) to children in child-care settings is limited. OBJECTIVE: Using the 2011 Academy of Nutrition and Dietetics benchmarks for NE in child care as a guiding framework, researchers assessed child-care providers' perspectives regarding delivery of NE through books, posters, mealtime conversations, hands-on learning, and sensory exploration of foods to young children (aged 2 to 5 years)...
August 24, 2017: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/28840966/the-diy-digital-medical-centre
#20
James Kenneth Timmis, Kenneth Timmis
Healthcare systems worldwide are confronted with major economic, organizational and logistical challenges. Historic evolution of health care has led to significant healthcare sector fragmentation, resulting in systemic inefficiencies and suboptimal resource exploitation. To attain a sustainable healthcare model, fundamental, system-wide improvements that effectively network, and ensure fulfilment of potential synergies between sectors, and include and facilitate coherent strategic planning and organisation of healthcare infrastructure are needed...
August 25, 2017: Microbial Biotechnology
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