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https://www.readbyqxmd.com/read/27754135/os-26-04-targeting-care-gaps-in-patients-with-hypertension-a-quality-improvement-project-utilizing-emr-hypertension-dashboards-and-a-chronic-disease-coordinator
#1
Daniel Ngui, Michael J H Qiu, Michael Mann
OBJECTIVE: In order to address the systematic and practice management issues associated with managing hypertension, we undertook a quality improvement project at a multi-physician clinic in Vancouver, British Columbia, Canada. We piloted an evidence-based electronic medical record (EMR) hypertension management dashboard based on the 2014 Canadian Hypertension Education Program (CHEP) guideline recommendations. Since June 1, 2015, our chronic disease coordinator utilized our EMR HTN Dashboard to generate patient recalls, create physician reminders and to enhance internal clinic referrals to provide 1:1 patient hypertension self-management education by physicians and our clinical pharmacist team...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27722978/an-improvement-to-a-multi-client-searchable-encryption-scheme-for-boolean-queries
#2
Han Jiang, Xue Li, Qiuliang Xu
The migration of e-health systems to the cloud computing brings huge benefits, as same as some security risks. Searchable Encryption(SE) is a cryptography encryption scheme that can protect the confidentiality of data and utilize the encrypted data at the same time. The SE scheme proposed by Cash et al. in Crypto2013 and its follow-up work in CCS2013 are most practical SE Scheme that support Boolean queries at present. In their scheme, the data user has to generate the search tokens by the counter number one by one and interact with server repeatedly, until he meets the correct one, or goes through plenty of tokens to illustrate that there is no search result...
December 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27643062/os-26-04-targeting-care-gaps-in-patients-with-hypertension-a-quality-improvement-project-utilizing-emr-hypertension-dashboards-and-a-chronic-disease-coordinator
#3
Daniel Ngui, Michael J H Qiu, Michael Mann
OBJECTIVE: In order to address the systematic and practice management issues associated with managing hypertension, we undertook a quality improvement project at a multi-physician clinic in Vancouver, British Columbia, Canada. We piloted an evidence-based electronic medical record (EMR) hypertension management dashboard based on the 2014 Canadian Hypertension Education Program (CHEP) guideline recommendations. Since June 1, 2015, our chronic disease coordinator utilized our EMR HTN Dashboard to generate patient recalls, create physician reminders and to enhance internal clinic referrals to provide 1:1 patient hypertension self-management education by physicians and our clinical pharmacist team...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27234985/examination-of-teacher-knowledge-dissemination-preferences-and-classroom-management-of-student-concussions-implications-for-return-to-learn-protocols
#4
Laura E Dreer, Maria T Crowley, Augusta Cash, Jilian A O'Neill, Molly K Cox
Objectives To determine teacher knowledge of (1) concussion symptomatology, (2) dissemination preferences, and (3) classroom management practices of student concussions. Study Design A cross-sectional survey assessing concussion-related information was completed by teachers/instructors in the state of Alabama. Results One-hundred and thirty participants completed the survey. Only a quarter perceived they were "very" or "extremely" confident enough to recognize signs related to a concussion (22.3%), and only 12...
May 26, 2016: Health Promotion Practice
https://www.readbyqxmd.com/read/27193837/the-availability-of-emergency-obstetric-care-in-the-context-of-the-jsy-cash-transfer-programme-in-madhya-pradesh-india
#5
Yogesh Sabde, Vishal Diwan, Bharat Randive, Sarika Chaturvedi, Kristi Sidney, Mariano Salazar, Ayesha De Costa
BACKGROUND: Since 2005, India has implemented a national cash transfer programme, the Janani Suraksha Yojana (JSY), which provides women a cash transfer upon giving birth in an existing public facility. This has resulted in a steep rise in facility births across the country. The early years of the programme saw efforts being made to strengthen the ability of facilities to provide obstetric care. Given that the JSY has been able to draw millions of women into facilities to give birth (there have been more than 50 million beneficiaries thus far), it is important to study the ability of these facilities to provide emergency obstetric care (EmOC), as the functionality of these facilities is critical to improved maternal and neonatal outcomes...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27131914/medication-prescribing-and-patient-reported-outcome-measures-in-people-with-epilepsy-in-bhutan
#6
Erica D McKenzie, Damber K Nirola, Sonam Deki, Lhab Tshering, Bryan Patenaude, Sarah J Clark, Sydney S Cash, Ronald Thibert, Rodrigo Zepeda, Edward C W Leung, Alice D Lam, Andrew S P Lim, Jo Mantia, Joseph Cohen, Andrew J Cole, Farrah J Mateen
OBJECTIVE: The aim of this study was to assess medication prescribing and patient-reported outcomes among people with epilepsy (PWE) in Bhutan and introduce criteria for evaluating unmet epilepsy care needs, particularly in resource-limited settings. METHODS: People with epilepsy in Bhutan (National Referral Hospital, 2014-2015) completed a questionnaire, the Quality of Life in Epilepsy Inventory (QOLIE-31), and an electroencephalogram (EEG). Management gap was the proportion of participants meeting any of six prespecified criteria based on best practices and the National Institute for Health and Care Excellence (NICE) guidelines...
June 2016: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/26561408/a-food-transfer-program-without-a-formal-education-component-modifies-complementary-feeding-practices-in-poor-rural-mexican-communities
#7
RANDOMIZED CONTROLLED TRIAL
María J Ramírez-Luzuriaga, Mishel Unar-Munguía, Sonia Rodríguez-Ramírez, Juan A Rivera, Teresa González de Cosío
BACKGROUND: Inadequate complementary feeding partially explains micronutrient deficiencies in the first 2 y of life. To prevent malnutrition, the Mexican government implemented the Programa de Apoyo Alimentario (PAL), which transferred either food baskets containing micronutrient-fortified milk and animal food products or cash to beneficiary families along with educational sessions. OBJECTIVE: This study evaluated the impact of PAL on 2 indicators of complementary feeding: minimum dietary diversity and consumption of iron-rich or iron-fortified foods in children aged 6-23 mo...
January 2016: Journal of Nutrition
https://www.readbyqxmd.com/read/26551655/assessing-the-patient-care-implications-of-concierge-and-other-direct-patient-contracting-practices-a-policy-position-paper-from-the-american-college-of-physicians
#8
Robert Doherty
As physicians seek innovative practice models, one that is gaining ground is for practices to contract with patients to pay directly for some or all services-often called cash-only, retainer, boutique, concierge, or direct primary care or specialty care practices. Such descriptions do not reflect the variability found in practices. For the purposes of this paper, the American College of Physicians (ACP) defines a direct patient contracting practice (DPCP) as any practice that directly contracts with patients to pay out-of-pocket for some or all of the services provided by the practice, in lieu of or in addition to traditional insurance arrangements, and/or charges an administrative fee to patients, sometimes called a retainer or concierge fee, often in return for a promise of more personalized and accessible care...
December 15, 2015: Annals of Internal Medicine
https://www.readbyqxmd.com/read/26538287/reliability-and-criterion-validity-of-an-observation-protocol-for-working-technique-assessments-in-cash-register-work
#9
Peter Palm, Malin Josephson, Svend Erik Mathiassen, Katarina Kjellberg
We evaluated the intra- and inter-observer reliability and criterion validity of an observation protocol, developed in an iterative process involving practicing ergonomists, for assessment of working technique during cash register work for the purpose of preventing upper extremity symptoms. Two ergonomists independently assessed 17 15-min videos of cash register work on two occasions each, as a basis for examining reliability. Criterion validity was assessed by comparing these assessments with meticulous video-based analyses by researchers...
June 2016: Ergonomics
https://www.readbyqxmd.com/read/26459336/the-refani-pakistan-study-a-cluster-randomised-controlled-trial-of-the-effectiveness-and-cost-effectiveness-of-cash-based-transfer-programmes-on-child-nutrition-status-study-protocol
#10
RANDOMIZED CONTROLLED TRIAL
Bridget Fenn, Ghulam Murtaza Sangrasi, Chloe Puett, Lani Trenouth, Silke Pietzsch
BACKGROUND: Cash-based transfer programmes are an emerging strategy in the prevention of wasting in children, especially targeted at vulnerable households during periods of food insecurity or during emergencies. However, the evidence surrounding the use of either cash or voucher transfer programmes in the humanitarian context and on nutritional outcomes is elusive. More evidence is needed not only to inform the global community of practice on best practices in humanitarian settings, but also to help strengthen national mitigation responses...
2015: BMC Public Health
https://www.readbyqxmd.com/read/26297572/emoticon-use-increases-plain-milk-and-vegetable-purchase-in-a-school-cafeteria-without-adversely-affecting-total-milk-purchase
#11
Robert M Siegel, Amy Anneken, Christopher Duffy, Kenya Simmons, Michelle Hudgens, Mary Kate Lockhart, Jessica Shelly
PURPOSE: Choosing poor-quality foods in school cafeterias is a risk factor for childhood obesity. Given the option, children often select chocolate milk over plain white milk. Efforts to increase plain white milk selection, such as banning chocolate milk in school cafeterias, increases plain white fat-free milk (PWFFM) purchase but decreases the overall milk purchase. The purpose of this study was to determine whether emoticon placement next to healthful foods would increase healthful purchases, particularly PWFFM...
September 1, 2015: Clinical Therapeutics
https://www.readbyqxmd.com/read/26218946/the-tragedy-of-the-implementation-of-icd-10-cm-as-icd-10-is-the-cart-before-the-horse-or-is-there-a-tragic-paradox-of-misinformation-and-ignorance
#12
Laxmaiah Manchikanti, Alan D Kaye, Vijay Singh, Mark V Boswell
The forced implementation of ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) codes that are specific to the United States, scheduled for implementation October 1, 2015, which is vastly different from ICD-10 (International Classification of Diseases, Tenth Revision), implemented worldwide, which has 14,400 codes, compared to ICD-10-CM with 144,000 codes to be implemented in the United States is a major concern to practicing U.S. physicians and a bonanza for health IT and hospital industry...
July 2015: Pain Physician
https://www.readbyqxmd.com/read/26160769/does-the-janani-suraksha-yojana-cash-transfer-programme-to-promote-facility-births-in-india-ensure-skilled-birth-attendance-a-qualitative-study-of-intrapartum-care-in-madhya-pradesh
#13
Sarika Chaturvedi, Ayesha De Costa, Joanna Raven
BACKGROUND: Access to facility delivery in India has significantly increased with the Janani Suraksha Yojana (JSY) cash transfer programme to promote facility births. However, a decline in maternal mortality has only followed secular trends as seen from the beginning of the decade well before the programme began. We, therefore, examined the quality of intrapartum care provided in facilities under the JSY programme to study whether it ensures skilled attendance at birth. DESIGN: 1) Non-participant observations (n=18) of intrapartum care during vaginal deliveries at a representative sample of 11 facilities in Madhya Pradesh to document what happens during intrapartum care...
2015: Global Health Action
https://www.readbyqxmd.com/read/26095131/incentives-to-participate-in-clinical-trials-practical-and-ethical-considerations
#14
Steven L Bernstein, James Feldman
BACKGROUND: Clinical trials often offer incentives to encourage individuals to enroll and to enhance follow-up. The scope and nature of incentives used in emergency department (ED)-based trials are unknown. OBJECTIVES: The objective of this study is to characterize the quantity and quality of incentives and other forms of compensation used in clinical trials of human subjects recruited in US EDs. A secondary goal is to provide an historical and ethical analysis of the use of incentives in clinical trials...
September 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26001577/cross-national-and-multilevel-correlates-of-partner-violence-an-analysis-of-data-from-population-based-surveys
#15
Lori L Heise, Andreas Kotsadam
BACKGROUND: On average, intimate partner violence affects nearly one in three women worldwide within their lifetime. But the distribution of partner violence is highly uneven, with a prevalence of less than 4% in the past 12 months in many high-income countries compared with at least 40% in some low-income settings. Little is known about the factors that drive the geographical distribution of partner violence or how macro-level factors might combine with individual-level factors to affect individual women's risk of intimate partner violence...
June 2015: Lancet Global Health
https://www.readbyqxmd.com/read/26000669/do-the-gaps-in-the-ligamentum-flavum-in-the-cervical-spine-translate-into-dural-punctures-an-analysis-of-4-396-fluoroscopic-interlaminar-epidural-injections
#16
Laxmaiah Manchikanti, Yogesh Malla, Kimberly A Cash, Vidyasagar Pampati
BACKGROUND: Cervical interlaminar epidural injections are performed frequently in managing chronic neck and upper extremity pain, although less commonly than lumbar interlaminar epidural injections. Recently, the US Food and Drug Administration warnings and safeguards to prevent neurologic complications. These were developed by the Multi-Society Pain Workgroup have taken center stage for all types of epidural injections, including cervical interlaminar epidural injections. The recommendations of safeguards to prevent neurologic complications after epidural steroid injections include that cervical interlaminar epidural injections must be performed utilizing fluoroscopy with anteroposterior, lateral, or oblique views with injection of contrast medium and that entry be limited to the C7-T1 epidural space or occasionally the C6-C7 with requirements for magnetic resonance imaging assessment of the epidural space...
May 2015: Pain Physician
https://www.readbyqxmd.com/read/25922094/implementation-of-the-partograph-in-india-s-jsy-cash-transfer-programme-for-facility-births-a-mixed-methods-study-in-madhya-pradesh-province
#17
Sarika Chaturvedi, Sourabh Upadhyay, Ayesha De Costa, Joanna Raven
OBJECTIVES: To study implementation of partograph use to monitor labour in facilities providing the JSY (Janani Suraksha Yojana) cash transfer programme for facility births in India by determining (1) adherence to partograph use, (2) staff abilities at partograph use and (3) staff responsiveness to the policy on partograph use. DESIGN: A mixed methods study using Carroll's framework for implementation fidelity. Methods include (1) obstetric case record review, (2) a vignette-based survey among nurse midwives and (3) interviews with staff...
2015: BMJ Open
https://www.readbyqxmd.com/read/25763194/financial-management-reforms-in-the-health-sector-a-comparative-study-between-cash-based-and-accrual-based-accounting-systems
#18
Masoud Abolhallaje, Mehdi Jafari, Hesam Seyedin, Masoud Salehi
BACKGROUND: Financial management and accounting reform in the public sectors was started in 2000. Moving from cash-based to accrual-based is considered as the key component of these reforms and adjustments in the public sector. Performing this reform in the health system is a part of a bigger reform under the new public management. OBJECTIVES: The current study aimed to analyze the movement from cash-based to accrual-based accounting in the health sector in Iran...
October 2014: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/25461017/cost-of-areal-reduction-of-gulf-hypoxia-through-agricultural-practice
#19
Gerald Whittaker, Bradley L Barnhart, Raghavan Srinivasan, Jeffrey G Arnold
A major share of the area of hypoxic growth in the Northern Gulf of Mexico has been attributed to nutrient run-off from agricultural fields, but no estimate is available for the cost of reducing Gulf hypoxic area using agricultural conservation practices. We apply the Soil and Water Assessment Tool using observed daily weather to simulate the reduction in nitrogen loading in the Upper Mississippi River Basin (UMRB) that would result from enrolling all row crop acreage in the Conservation Reserve Program (CRP)...
February 1, 2015: Science of the Total Environment
https://www.readbyqxmd.com/read/25332879/chat-catha-edulis-a-socio-economic-crop-in-harar-region-eastern-ethiopia
#20
Laxman S Kandari, Hiranmai R Yadav, Ashok K Thakur, Tripti Kandari
Chat (Catha edulis) is an important perennial crop and its leaves are chewed for a stimulating effect. It is widely cultivated in the Ethiopian highlands of Oromia region and is figured as Ethiopia's second largest foreign exchange earner. Its cultivation accounts for about 70% of farmer's income in the study area. The common effect of its consumption leads to insomnia, a condition that the users sometimes try to overcome with sedatives or alcohol. The present study is an attempt to survey and assess the impact of crop on the community...
2014: SpringerPlus
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