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https://www.readbyqxmd.com/read/29039216/breast-cancer-screening-and-migrants-exploring-targeted-messages-for-moroccan-migrant-women-in-brussels
#1
Wanda Monika Johanna Van Hemelrijck, L Suzanne Suggs, Alessandra Agnese Grossi, Peter Schröder-Bäck, Katarzyna Czabanowska
OBJECTIVES: This study explored views of Moroccan migrant women on barriers and facilitators to the organized breast cancer screening program in Brussels (Belgium), and the potential of targeted printed invitations to increase this population's attendance to the program. METHODS: We conducted one expert interview with the breast cancer screening program coordinator on current practices and challenges with regards to inviting Moroccan migrant women in Brussels for screening...
October 17, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28993112/hospitalization-due-to-acute-exacerbation-of-chronic-pain-an-intervention-study-in-a-university-hospital
#2
Daniel W Wheeler, Sara Kinna, Andrew Bell, Peter J Featherstone, David J Sapsford, Sam P Bass
BACKGROUND AND AIMS: Hospitalization as a result of acute exacerbation of complex chronic pain is a largely hidden problem, as patients are often admitted to hospital under a variety of specialities, and there is frequently no overarching inpatient chronic pain service dedicated to their management. Our institution had established an inpatient acute pain service overseen by pain physicians and staffed by specialist nurses that was intended to focus on the management of perioperative pain...
October 6, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/28959780/restructuring-hospitalist-work-schedules-to-improve-care-timeliness-and-efficiency
#3
Monika Wells, Evan Coates, Barbara Williams, Craig Blackmore
Background In 2014, we recognised that the pace of admissions frequently exceeded our ability to assign a hospitalist. Long patient wait times occurred at admission, especially for patients arriving in the late afternoon when hospitalist day shifts were ending. Our purpose was to redesign hospitalist schedules, duties and method of distributing admissions to match demand. Design We used administrative data to tabulate Hospital Medicine admission requests by time of day and identified mismatch between volume and capacity with the current staffing model...
2017: BMJ Open Qual
https://www.readbyqxmd.com/read/28954492/impact-of-selected-environmental-factors-on-attendance-in-the-breast-and-cervical-cancer-early-detection-programme-in-the-wielkopolska-province-of-poland-during-2007-2012
#4
Witold Kycler, Anna Kubiak, Paweł Rzymski, Maciej Wilczak, Maciej Trojanowski, Magdalena Roszak, Anna Włoszczak-Szubzda, Izabela Rzymska
Breast and cervical cancer represent a significant health and economic issue for Polish society, although if detected early, both can be cured successfully. For this reason, since 2006, according to the National Cancer Combat Programme, population-based screening programmes have been implemented, aimed at reducing the mortality and morbidity for breast and cervical cancer. The aim of this study is to determine which of the selected four environmental factors affect attendance for screening mammography and cytology...
September 21, 2017: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/28952369/current-caregiver-perspectives-and-effects-of-demographics-on-family-centered-rounds
#5
Ayesha Ahmed, Dorothy Chu, Susan Wang
The 2010 Pediatric Research in Inpatient Settings survey stated that 44% of pediatric hospitals practiced family-centered rounds (FCRs). We aimed to study caregivers' opinions of FCRs and determine if there are demographic associations with these opinions. A cross-sectional survey of caregivers who attended FCRs was conducted at a tertiary-care general pediatrics unit. The survey contained Likert-type scale and qualitative questions. Fisher's exact test was used to test demographic associations. Only English proficient caregivers were included...
September 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28941721/experience-with-integrating-pharmacist-documenters-on-cardiac-arrest-teams-to-improve-quality
#6
Mojdeh S Heavner, Ginger E Rouse, Steven M Lemieux, Kent A Owusu, David Pritchard, Marina Yazdi, Lorraine A Lee
OBJECTIVES: To determine if adding a clinical pharmacist to the cardiac arrest team in a documenter role improves completeness of documentation and quality of advanced cardiovascular life support (ACLS). SETTING: A 1541-bed, tertiary care, academic medical center with an integrated clinical pharmacy practice model. PRACTICE DESCRIPTION: In 2012, we identified documentation of resuscitation activities during cardiac arrest events and compliance with published ACLS guidelines as opportunities for systematic quality improvement at our tertiary care academic medical center...
September 20, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28910341/individual-household-and-contextual-factors-associated-with-skilled-delivery-care-in-ethiopia-evidence-from-ethiopian-demographic-and-health-surveys
#7
Markos Mezmur, Kannan Navaneetham, Gobopamang Letamo, Hadgu Bariagaber
Despite evidence that social contexts are key determinants of health, research into factors associated with maternal health service utilization in Ethiopia has often focused on individual and household factors. The downside is that this underestimates the importance of taking contextual factors into account when planning appropriate interventions in promoting safe motherhood in the country. The purpose of this study is to fill this knowledge gap drawing attention to the largely unexplored contextual factors affecting the uptake of skilled attendance at delivery in a nationally representative sample...
2017: PloS One
https://www.readbyqxmd.com/read/28870279/graph-based-impact-analysis-as-a-framework-for-incorporating-practitioner-knowledge-in-dairy-herd-health-management
#8
M Krieger, E-M Schwabenbauer, S Hoischen-Taubner, U Emanuelson, A Sundrum
Production diseases in dairy cows are multifactorial, which means they emerge from complex interactions between many different farm variables. Variables with a large impact on production diseases can be identified for groups of farms using statistical models, but these methods cannot be used to identify highly influential variables in individual farms. This, however, is necessary for herd health planning, because farm conditions and associated health problems vary largely between farms. The aim of this study was to rank variables according to their anticipated effect on production diseases on the farm level by applying a graph-based impact analysis on 192 European organic dairy farms...
September 5, 2017: Animal: An International Journal of Animal Bioscience
https://www.readbyqxmd.com/read/28859007/developing-professional-practice-and-ethics-engagement-a-leadership-model
#9
Karen M Reilly, Martha Jurchak
Nurse leaders are responsible for a practice environment that fosters safe, quality patient outcomes through excellence in nursing practice. This article describes a reflective practice intervention in the Cardiac Intensive Care Unit of an urban academic medical center led by the unit nursing director and the hospital's nurse ethicist. The twice monthly case-based discussions, called "Nursing Practice and Ethics Rounds," were attended by staff and unit managers (nurse director, assistant nurse director, and clinical educator) and were facilitated by the nurse ethicist...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28842085/what-is-the-current-role-and-factors-for-success-of-the-journal-club-in-podiatric-foot-and-ankle-surgery-residency-training-programs
#10
Eric So, Christopher F Hyer, Marcus P Richardson, Randall C Thomas
The journal club (JC) is a traditional part of postgraduate medical education, although little has been written on its current role in podiatric surgical training programs. The goal of the present study was to determine how JCs are conducted and the factors associated with their success. Anonymous electronic surveys were distributed to all podiatric foot and ankle surgical training program directors in the United States with a valid e-mail address. A total of 202 surveys were initially e-mailed to training program directors, with a second and third round sent to those who did not respond...
September 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28841252/prioritizing-novel-and-existing-ambulance-performance-measures-through-expert-and-lay-consensus-a-three-stage-multimethod-consensus-study
#11
Joanne E Coster, Andy D Irving, Janette K Turner, Viet-Hai Phung, Aloysius N Siriwardena
BACKGROUND: Current ambulance quality and performance measures, such as response times, do not reflect the wider scope of care that services now provide. Using a three-stage consensus process, we aimed to identify new ways of measuring ambulance service quality and performance that represent service provider and public perspectives. DESIGN: A multistakeholder consensus event, modified Delphi study, and patient and public consensus workshop. SETTING AND PARTICIPANTS: Representatives from ambulance services, patient and public involvement (PPI) groups, emergency care clinical academics, commissioners and policymakers...
August 25, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28839441/transition-clinic-attendance-is-associated-with-improved-beliefs-and-attitudes-toward-medicine-in-patients-with-inflammatory-bowel-disease
#12
Nancy Fu, Kevan Jacobson, Andrew Round, Kathi Evans, Hong Qian, Brian Bressler
AIM: To evaluated the differences in knowledge, adherence, attitudes, and beliefs about medicine in adolescents with inflammatory bowel disease (IBD) attending transition clinics. METHODS: We prospectively enrolled patients from July 2012 to June 2013. All adolescents who attended a tertiary-centre-based dedicated IBD transition clinic were invited to participate. Adolescent controls were recruited from university-affiliated gastroenterology offices. Participants completed questionnaires about their disease and reported adherence to prescribed therapy...
August 7, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28834903/the-cost-saving-effect-and-prevention-of-medication-errors-by-clinical-pharmacist-intervention-in-a-nephrology-unit
#13
Chia-Chi Chen, Fei-Yuan Hsiao, Li-Jiuan Shen, Chien-Chih Wu
Medication errors may lead to adverse drug events (ADEs), which endangers patient safety and increases healthcare-related costs. The on-ward deployment of clinical pharmacists has been shown to reduce preventable ADEs, and save costs. The purpose of this study was to evaluate the ADEs prevention and cost-saving effects by clinical pharmacist deployment in a nephrology ward.This was a retrospective study, which compared the number of pharmacist interventions 1 year before and after a clinical pharmacist was deployed in a nephrology ward...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28831539/effect-of-screening-for-type-2-diabetes-on-risk-of-cardiovascular-disease-and-mortality-a-controlled-trial-among-139-075-individuals-diagnosed-with-diabetes-in-denmark-between-2001-and-2009
#14
Rebecca K Simmons, Simon J Griffin, Torsten Lauritzen, Annelli Sandbæk
AIMS/HYPOTHESIS: There is continuing debate about the net benefits of population screening for type 2 diabetes. We compared the risk of cardiovascular disease (CVD) and mortality among incident cases of type 2 diabetes in a screened group with those in an unscreened group. METHODS: In this register-based non-randomised controlled trial, eligible individuals were all men and women aged 40-69 years without known diabetes, registered with a general practice in Denmark (n = 1,912,392)...
August 23, 2017: Diabetologia
https://www.readbyqxmd.com/read/28802756/feasibility-of-using-global-system-for-mobile-communication-gsm-based-tracking-for-vaccinators-to-improve-oral-poliomyelitis-vaccine-campaign-coverage-in-rural-pakistan
#15
Subhash Chandir, Vijay Kumar Dharma, Danya Arif Siddiqi, Aamir Javed Khan
Despite multiple rounds of immunization campaigns, it has not been possible to achieve optimum immunization coverage for poliovirus in Pakistan. Supplementary activities to improve coverage of immunization, such as door-to-door campaigns are constrained by several factors including inaccurate hand-drawn maps and a lack of means to objectively monitor field teams in real time, resulting in suboptimal vaccine coverage during campaigns. Global System for Mobile Communications (GSM) - based tracking of mobile subscriber identity modules (SIMs) of vaccinators provides a low-cost solution to identify missed areas and ensure effective immunization coverage...
August 9, 2017: Vaccine
https://www.readbyqxmd.com/read/28799475/can-staff-be-supported-to-deliver-compassionate-care-through-implementing-schwartz-rounds-in-community-and-mental-health-services
#16
Michelle Farr, Rhiannon Barker
Schwartz Rounds are evidence-based interdisciplinary discussions where health care staff can share experiences of the emotional and social aspects of care, to support improvements in patient care. Developed in acute services, they are now being implemented in various settings including U.K. community and mental health services where their implementation has not been researched. Realist evaluation was used to analyze three community and mental health case studies of Round implementation, involving Round observations ( n = 5), staff interviews ( n = 22), and post-Round evaluation sheets ( n = 206)...
September 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28771651/bedside-rounds-valued-but-not-preferred-perceptions-of-internal-medicine-residents-and-attending-physicians-in-a-diverse-academic-training-program
#17
Naseema B Merchant, Daniel G Federman
OBJECTIVES: Bedside rounds/rounding (BDR) is an important tool for patient-centered care and trainee education. This study aimed at understanding the attitudes toward BDR among residents and attending physicians. METHODS: A survey was conducted using the Qualtrics survey tool. Responses were measured using a five-point Likert scale. RESULTS: The survey was sent to 301 attending physicians and 195 residents. Attending physicians conducted BDR 19% of the time...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28768680/improving-specialist-palliative-care-in-residential-care-for-older-people-a-checklist-to-guide-practice
#18
Liz Forbat, Michael Chapman, Clare Lovell, Wai-Man Liu, Nikki Johnston
OBJECTIVES: Palliative care needs rounds are triage meetings that have been introduced in residential care for older adults to help identify and prioritise care for people most at risk for unplanned dying with inadequately controlled symptoms. This study sought to generate an evidence-based checklist in order to support specialist palliative care clinicians integrate care in residential nursing homes for older people. METHODS: A grounded theory ethnographic study, involving non-participant observation and qualitative interviews...
August 2, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28764734/development-of-a-core-outcome-set-for-clinical-trials-in-facial-aging-study-protocol-for-a-systematic-review-of-the-literature-and-identification-of-a-core-outcome-set-using-a-delphi-survey
#19
Daniel I Schlessinger, Sanjana Iyengar, Arianna F Yanes, Jill K Henley, Hovik J Ashchyan, Anastasia O Kurta, Payal M Patel, Umar A Sheikh, Matthew J Franklin, Courtney C Hanna, Brian R Chen, Sarah G Chiren, Jochen Schmitt, Stefanie Deckert, Karina C Furlan, Emily Poon, Ian A Maher, Todd V Cartee, Joseph F Sobanko, Murad Alam
BACKGROUND: Facial aging is a concern for many patients. Wrinkles, loss of volume, and discoloration are common physical manifestations of aging skin. Genetic heritage, prior ultraviolet light exposure, and Fitzpatrick skin type may be associated with the rate and type of facial aging. Although many clinical trials assess the correlates of skin aging, there is heterogeneity in the outcomes assessed, which limits the quality of evaluation and comparison of treatment modalities. To address the inconsistency in outcomes, in this project we will develop a core set of outcomes that are to be evaluated in all clinical trials relevant to facial aging...
August 1, 2017: Trials
https://www.readbyqxmd.com/read/28757830/a-feasibility-study-to-assess-vallecula-and-pyriform-sinus-using-protocol-based-ultrasonic-evaluation-of-floor-of-mouth-and-upper-airway
#20
Kulvinder Singh, Saru Singh, Ruchi Gupta, Chiranjeev Gathwal, Pranav Bansal, Manjeet Singh
PURPOSE: The current study aimed to systematically evaluate the sonoanatomy of floor of the mouth and upper airway using protocol-based ultrasonography (USG); and to assess the feasibility of imaging the valleculae and pyriform fossae. MATERIALS AND METHODS: An institutional prospective observational study was planned on fifty volunteers of all ages and both sexes, attending outpatient department for nonairway-related diseases. Protocol for ultrasonographic systemic evaluation was designed before starting the trial...
July 2017: Saudi Journal of Anaesthesia
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