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https://www.readbyqxmd.com/read/29678131/secimtools-a-suite-of-metabolomics-data-analysis-tools
#1
Alexander S Kirpich, Miguel Ibarra, Oleksandr Moskalenko, Justin M Fear, Joseph Gerken, Xinlei Mi, Ali Ashrafi, Alison M Morse, Lauren M McIntyre
BACKGROUND: Metabolomics has the promise to transform the area of personalized medicine with the rapid development of high throughput technology for untargeted analysis of metabolites. Open access, easy to use, analytic tools that are broadly accessible to the biological community need to be developed. While technology used in metabolomics varies, most metabolomics studies have a set of features identified. Galaxy is an open access platform that enables scientists at all levels to interact with big data...
April 20, 2018: BMC Bioinformatics
https://www.readbyqxmd.com/read/29673333/protocol-for-the-chord-project-community-health-outreach-to-reduce-diabetes-a-cluster-randomized-community-health-worker-trial-to-prevent-diabetes
#2
Nadia Islam, Thomas Gepts, Isaac Lief, Radhika Gore, Natalie Levy, Michael Tanner, Yixin Fang, Scott E Sherman, Mark D Schwartz
BACKGROUND: Type 2 diabetes mellitus (DM) affects 9.4% of US adults and children, while another 33.9% of Americans are at risk of DM. Health care institutions face many barriers to systematically delivering the preventive care needed to decrease DM incidence. Community health workers (CHWs) may, as frontline public health workers bridging clinic and community, help overcome these challenges. This paper presents the protocol for a pragmatic, cluster-randomized trial integrating CHWs into two primary care clinics to support DM prevention for at-risk patients...
April 19, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29663183/three-visions-of-doctoring-a-gadamerian-dialogue
#3
Benjamin Chin-Yee, Atara Messinger, L Trevor Young
Medicine in the twenty-first century faces an 'identity crisis,' as it grapples with the emergence of various 'ways of knowing,' from evidence-based and translational medicine, to narrative-based and personalized medicine. While each of these approaches has uniquely contributed to the advancement of patient care, this pluralism is not without tension. Evidence-based medicine is not necessary individualized; personalized medicine may be individualized but is not necessarily person-centered. As novel technologies and big data continue to proliferate today, the focus of medical practice is shifting away from the dialogic encounter between doctor and patient, threatening the loss of humanism that many view as integral to medicine's identity...
April 16, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29656726/the-mental-health-consumer-movement-and-peer-providers-in-israel
#4
G S Moran
Self-help peer-support groups in Israel emerged in the 1980s and, over time, dynamically interacted and co-developed with the statutory mental health (MH) system. In this editorial, I outline historical milestones of how the evolution of the Israeli mental health system was influenced by the consumer movement. A brief depiction of the consumer movement history. At first, consumers operated outside of the mainstream MH system. Gradually, consumer groups and institutional personnel joined efforts towards community integration and enhancement of quality of life, pushing forward a person-centered recovery orientation...
April 16, 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29643739/experiences-expectations-and-challenges-of-an-interactive-mobile-phone-based-system-to-support-self-management-of-hypertension-patients-and-professionals-perspectives
#5
Inger Hallberg, Agneta Ranerup, Ulrika Bengtsson, Karin Kjellgren
Background: A well-controlled blood pressure (BP) reduces cardiovascular complications. Patient participation in care using technology may improve the current situation of only 13.8% of adults diagnosed with hypertension worldwide having their BP under control. Objective: The objective of this study was to explore patients' and professionals' experiences of and expectations for an interactive mobile phone-based system to support self-management of hypertension. Methods: The self-management system consists of: 1) a mobile phone platform for self-reports, motivational messages and reminders; 2) a device for measuring BP and 3) graphical feedback of self-reports...
2018: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29621944/elections-have-consequences-for-student-mental-health-an-accidental-daily-diary-study
#6
Michael J Roche, Nicholas C Jacobson
Polling suggested that the 2016 United States presidential election affected citizens' mood and stress levels. Yet, polling often fails to employ repeated measurement designs that can capture pre- and post-levels of change within the same person. In this study, undergraduate students ( N = 85) completed a 14-day daily diary where mood, stress, and mental health outcomes were assessed before and after the election. Multilevel modeling revealed an immediate upsurge in anxiety, stress, and poor sleep quality the day after the election, followed by a recovery period indicating these effects were short-lived...
January 1, 2018: Psychological Reports
https://www.readbyqxmd.com/read/29620393/veteran-participation-in-the-integrative-health-and-wellness-program-impact-on-self-reported-mental-and-physical-health-outcomes
#7
Amanda Hull, Stephanie Brooks Holliday, Christine Eickhoff, Patrick Sullivan, Rena Courtney, Kayla Sossin, Alyssa Adams, Matthew Reinhard
Complementary and integrative health (CIH) services are being used more widely across the nation, including in both military and veteran hospital settings. Literature suggests that a variety of CIH services show promise in treating a wide range of physical and mental health disorders. Notably, the Department of Veterans Affairs is implementing CIH services within the context of a health care transformation, changing from disease based health care to a personalized, proactive, patient-centered approach where the veteran, not the disease, is at the center of care...
April 5, 2018: Psychological Services
https://www.readbyqxmd.com/read/29606656/engaging-oral-health-students-in-learning-basic-science-through-assessment-that-weaves-in-personal-experience
#8
Delyse Leadbeatter, Jinlong Gao
Learning basic science forms an essential foundation for oral health therapy and dentistry, but frequently students perceive it as difficult, dry, and disconnected from clinical practice. This perception is encouraged by assessment methods that reward fact memorization, such as objective examinations. This study evaluated use of a learner-centered assessment portfolio designed to increase student engagement with basic science in an oral health therapy program at the University of Sydney, Australia. The aim of this qualitative study based on focus groups was to investigate students' engagement with basic science courses following introduction of the portfolio...
April 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/29606118/theoretical-impact-of-simulated-workplace-based-primary-prevention-of-carpal-tunnel-syndrome-in-a-french-region
#9
Yves Roquelaure, Natacha Fouquet, Emilie Chazelle, Alexis Descatha, Bradley Evanoff, Julie Bodin, Audrey Petit
BACKGROUND: Carpal tunnel syndrome (CTS) is the most common nerve entrapment neuropathy in the working-age population. The reduction of CTS incidence in the workforce is a priority for policy makers due to the human, social and economic costs. To assess the theoretical impact of workplace-based primary interventions designed to reduce exposure to personal and/or work-related risk factors for CTS. METHODS: Surgical CTS were assessed using regional hospital discharge records for persons aged 20-59 in 2009...
April 2, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29595580/the-use-of-vibrotactile-feedback-during-dual-task-standing-balance-conditions-in-people-with-unilateral-vestibular-hypofunction
#10
Chia-Cheng Lin, Susan L Whitney, Patrick J Loughlin, Joseph M Furman, Mark S Redfern, Kathleen H Sienko, Patrick J Sparto
HYPOTHESIS: People with unilateral vestibular hypofunction (UVH) would have increased postural sway and slower reaction times while using vibrotactile feedback (VTF) during dual-task conditions compared with age-matched controls. BACKGROUND: VTF has been shown to improve real-time balance performance in persons with vestibular disorders. Future use of this technology outside of the laboratory environment as a real-time balance aid requires that using VTF during dual-tasking scenarios be studied...
March 27, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29590366/-drug-adherence-levels-are-falling-down-again-health-worker-perceptions-of-women-s-service-utilization-before-and-after-integration-of-hiv-aids-services-into-general-care-in-india
#11
Shrivridhi Shukla, Felix M Muchomba, Judith L M McCoyd
Integrated models of HIV/AIDS service delivery are believed to have advantages over stand-alone models of care from health planners' and providers' perspectives. Integration models differ, yet there is little information about the influence of differing models on workers' beliefs about models' efficacy. Here, we examine the effect of integration of HIV care into the general health system in India. In 2014, India replaced its stand-alone model of HIV service delivery-Community Care Centers (CCCs)-with a purported integrated model that delivers HIV medical services at general hospitals and HIV psychosocial services at nearby Care and Support Centers (CSCs)...
March 26, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29588641/cancer-survivorship-care-person-centered-care-in-a-multidisciplinary-shared-care-model
#12
Jacqueline J Loonen, Nicole Ma Blijlevens, Judith Prins, Desiree Js Dona, Jaap Den Hartogh, Theo Senden, Eline van Dulmen-Den Broeder, Koos van der Velden, Rosella Pmg Hermens
Survivors of childhood and adult-onset cancer are at lifelong risk for the development of late effects of treatment that can lead to serious morbidity and premature mortality. Regular long-term follow-up aiming for prevention, early detection and intervention of late effects can preserve or improve health. The heterogeneous and often serious character of late effects emphasizes the need for specialized cancer survivorship care clinics. Multidisciplinary cancer survivorship care requires a coordinated and well integrated health care environment for risk based screening and intervention...
January 16, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29588629/digital-technologies-supporting-person-centered-integrated-care-a-perspective
#13
John Øvretveit
Shared electronic health and social care records in some service systems are already showing some of the benefits of digital technology and digital data for integrating health and social care. These records are one example of the beginning "digitalisation" of services that gives a glimpse of the potential of digital technology and systems for building coordinated and individualized integrated care. Yet the promise has been greater than the benefits, and progress has been slow compared to other industries...
September 25, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29573398/integrated-and-person-centered-care-for-community-living-older-adults-a-cost-effectiveness-study
#14
Ronald J Uittenbroek, Antoinette D I van Asselt, Sophie L W Spoorenberg, Hubertus P H Kremer, Klaske Wynia, Sijmen A Reijneveld
OBJECTIVES: To assess the cost-effectiveness of Embrace, an integrated primary care service for older adults. DATA SOURCES: Care and support claims from health care insurers, long-term care administration, and municipalities for enrolled older adults between 2011 and 2013. STUDY DESIGN: A total of 1,456 older adults, listed with 15 general practitioners practices in the Netherlands, were stratified into risk profiles ("Robust," "Frail," and "Complex care needs") and randomized to Embrace or care-as-usual groups...
March 24, 2018: Health Services Research
https://www.readbyqxmd.com/read/29544663/an-update-on-telepsychiatry-and-how-it-can-leverage-collaborative-stepped-and-integrated-services-to-primary-care
#15
Donald M Hilty, Terry Rabinowitz, Robert M McCarron, David J Katzelnick, Trina Chang, Amy M Bauer, John Fortney
INTRODUCTION: In this era of patient-centered care, telepsychiatry (TP; video or synchronous) provides quality care with outcomes as good as in-person care, facilitates access to care, and leverages a wide range of treatments at a distance. METHOD: This conceptual review article explores TP as applied to newer models of care (e.g., collaborative, stepped, and integrated care). RESULTS: The field of psychosomatic medicine (PSM) has developed clinical care models, educates interdisciplinary team members, and provides leadership to clinical teams...
December 26, 2017: Psychosomatics
https://www.readbyqxmd.com/read/29522607/-embodied-narratives-of-overcoming-a-pathway-towards-recovery
#16
Catarina Magalhães Dahl, Flávia Mitkiewicz de Souza, Giovanni Marcos Lovisi, Ezra Susser, Maria Tavares Cavalcanti
Narratives play a fundamental role in the recovery of persons with schizophrenia, mainly from the paradigmatic change engendered by the recovery movement. Rather than a methodological tool or a byproduct of recovery, narratives are integral components of this process. This article aims to analyze overcoming narratives, in the light of the corporeality paradigm, based on an emblematic case of a peer support worker. This is a qualitative study carried out in the context of a randomized clinical trial, and it is based on one in-depth interview and focus groups for the construction of the narrative...
November 2017: Vertex: Revista Argentina de Psiquiatriá
https://www.readbyqxmd.com/read/29519965/-social-systems-and-resources-for-people-with-dementia
#17
Yukihiko Washimi
In the Clinical Guidelines for Dementia 2017, the strategies to support persons with dementia and their families have increased significantly. This article provides a comprehensive and concise explanation of the importance of the newly launched systems and social resources. A new Five-Year Plan for promotion of Dementia Measures ("New Orange Plan") supports the realization of a society where persons with dementia are able to live with dignity as long as possible. New Medical Centers for Dementia provide specialized medical services and integrate community resources for building a comprehensive support network for persons with dementia...
March 2018: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/29516852/relational-use-of-an-electronic-quality-of-life-and-practice-support-system-in-hospital-palliative-consult-care-a-pilot-study
#18
Marian Krawczyk, Richard Sawatzky
OBJECTIVES: This study is part of an overarching research initiative on the development and integration of an electronic Quality of Life and Practice Support System (QPSS) that uses patient-reported outcome and experience measures in clinical practice. The current study focused on palliative nurse consultants trialing the QPSS with older hospitalized adults receiving acute care. The primary aim of the study was to better understand consultants' and patients' experiences and perspectives of use...
March 8, 2018: Palliative & Supportive Care
https://www.readbyqxmd.com/read/29510971/oncologic-therapy-support-via-means-of-a-dedicated-mobile-app-optimise-1-protocol-for-a-prospective-pilot-trial
#19
Rami A El Shafie, Nina Bougatf, Tanja Sprave, Dorothea Weber, Dieter Oetzel, Timo Machmer, Peter E Huber, Jürgen Debus, Nils H Nicolay
BACKGROUND: The increasing role of consumer electronics and Web-enabled mobile devices in the medical sector opens up promising possibilities for integrating novel technical solutions into therapy and patient support for oncologic illnesses. A recent survey carried out at Heidelberg University Hospital suggested a high acceptance among patients for an additional approach to patient care during radiotherapy based on patient-reported outcomes by a dedicated mobile app. OBJECTIVE: The aim of this trial (OPTIMISE-1: Oncologic Therapy Support Via Means of a Dedicated Mobile App - A Prospective Feasibility Evaluation) is to prospectively evaluate the feasibility of employing a mobile app for the systematic support of radiooncological patients throughout the course of their radiotherapy by monitoring symptoms and patient performance, and facilitating the background-exchange of relevant information between patient and physician...
March 6, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29509910/recommendations-from-the-salzburg-global-seminar-on-rethinking-care-toward-the-end-of-life
#20
Lauren R Bangerter, Joan M Griffin, Arielle Eagan, Manish Mishra, Angela Lunde, Véronique Roger, Albert Mulley, Jon Lotherington
Objective: In December 2016, 66 health leaders from 14 countries convened at the Salzburg Global Seminar (SGS) to engage in cross-cultural and collaborative discussions centered on 'Rethinking Care Toward the End of Life'. Conversations focused on global perspectives on death and dying, challenges experienced by researchers, physicians, patients and family caregivers. This paper summarizes key findings and recommendations from SGS. Design: Featured sessions focused on critical issues of end of life care led by key stakeholders, physicians, researchers, and other global leaders in palliative care...
March 2, 2018: International Journal for Quality in Health Care
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