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https://www.readbyqxmd.com/read/29047384/enhancing-evidence-based-diabetes-and-chronic-disease-control-among-local-health-departments-a-multi-phase-dissemination-study-with-a-stepped-wedge-cluster-randomized-trial-component
#1
Renee G Parks, Rachel G Tabak, Peg Allen, Elizabeth A Baker, Katherine A Stamatakis, Allison R Poehler, Yan Yan, Marshall H Chin, Jenine K Harris, Maureen Dobbins, Ross C Brownson
BACKGROUND: The rates of diabetes and prediabetes in the USA are growing, significantly impacting the quality and length of life of those diagnosed and financially burdening society. Premature death and disability can be prevented through implementation of evidence-based programs and policies (EBPPs). Local health departments (LHDs) are uniquely positioned to implement diabetes control EBPPs because of their knowledge of, and focus on, community-level needs, contexts, and resources. There is a significant gap, however, between known diabetes control EBPPs and actual diabetes control activities conducted by LHDs...
October 18, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29030326/consumer-health-related-activities-on-social-media-exploratory-study
#2
Arcelio Benetoli, Timothy F Chen, Parisa Aslani
BACKGROUND: Although a number of studies have investigated how consumers use social media for health-related purposes, there is a paucity of studies in the Australian context. OBJECTIVE: This study aimed to explore how Australian consumers used social media for health-related purposes, specifically how they identified social media platforms, which were used, and which health-related activities commonly took place. METHODS: A total of 5 focus groups (n=36 participants), each lasting 60 to 90 minutes, were conducted in the Sydney metropolitan area...
October 13, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29029689/implementation-of-a-cloud-based-electronic-medical-record-exchange-system-in-compliance-with-the-integrating-healthcare-enterprise-s-cross-enterprise-document-sharing-integration-profile
#3
Chien Hua Wu, Ruey Kei Chiu, Hong Mo Yeh, Da Wei Wang
In 2011, the Ministry of Health and Welfare of Taiwan established the National Electronic Medical Record Exchange Center (EEC) to permit the sharing of medical resources among hospitals. This system can presently exchange electronic medical records (EMRs) among hospitals, in the form of medical imaging reports, laboratory test reports, discharge summaries, outpatient records, and outpatient medication records. Hospitals can send or retrieve EMRs over the virtual private network by connecting to the EEC through a gateway...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29026452/leveraging-public-health-s-participation-in-a-health-information-exchange-to-improve-communicable-disease-reporting
#4
Ian Painter, Debra Revere, P Joseph Gibson, Janet Baseman
BACKGROUND: Infectious diseases can appear and spread rapidly. Timely information about disease patterns and trends allows public health agencies to quickly investigate and efficiently contain those diseases. But disease case reporting to public health has traditionally been paper-based, resulting in somewhat slow, burdensome processes. Fortunately, the expanding use of electronic health records and health information exchanges has created opportunities for more rapid, complete, and easily managed case reporting and investigation...
2017: Online Journal of Public Health Informatics
https://www.readbyqxmd.com/read/29025144/synthea-an-approach-method-and-software-mechanism-for-generating-synthetic-patients-and-the-synthetic-electronic-health-care-record
#5
Jason Walonoski, Mark Kramer, Joseph Nichols, Andre Quina, Chris Moesel, Dylan Hall, Carlton Duffett, Kudakwashe Dube, Thomas Gallagher, Scott McLachlan
Objective: Our objective is to create a source of synthetic electronic health records that is readily available; suited to industrial, innovation, research, and educational uses; and free of legal, privacy, security, and intellectual property restrictions. Materials and Methods: We developed Synthea, an open-source software package that simulates the lifespans of synthetic patients, modeling the 10 most frequent reasons for primary care encounters and the 10 chronic conditions with the highest morbidity in the United States...
August 30, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29019898/an-observational-study-of-the-relationship-between-meaningful-use-based-electronic-health-information-exchange-interoperability-and-medication-reconciliation-capabilities
#6
Gerald Elysee, Jeph Herrin, Leora I Horwitz
Stagnation in hospitals' adoption of data integration functionalities coupled with reduction in the number of operational health information exchanges could become a significant impediment to hospitals' adoption of 3 critical capabilities: electronic health information exchange, interoperability, and medication reconciliation, in which electronic systems are used to assist with resolving medication discrepancies and improving patient safety. Against this backdrop, we assessed the relationships between the 3 capabilities...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29018285/the-ultrastructure-of-spinal-cord-perivascular-spaces-implications-for-the-circulation-of-cerebrospinal-fluid
#7
Magdalena A Lam, Sarah J Hemley, Elmira Najafi, Nicole G F Vella, Lynne E Bilston, Marcus A Stoodley
Perivascular spaces play a pivotal role in the exchange between cerebrospinal and interstitial fluids, and in the clearance of waste in the CNS, yet their precise anatomical components are not well described. The aim of this study was to characterise the ultrastructure of perivascular spaces and their role in the transport of fluid, in the spinal cord of healthy rats, using transmission electron microscopy. The distribution of cerebrospinal fluid tracers injected into the subarachnoid space was studied using light, confocal and electron microscopy...
October 10, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28993926/effects-of-dust-on-forest-tree-health-in-zagros-oak-forests
#8
A Moradi, K Taheri Abkenar, M Afshar Mohammadian, N Shabanian
Dust is one of the most devastating factors for the environment threatening all animal and plant species. In many regions, the ecological and economic impact of microdust on scarce species is critical. In the western region of Iran, the Zagros forests have been exposed to dust storms for many years. In this study, the effect of dust on oak trees, the most important trees of Zagros forests, is investigated. For this purpose, 3-year-old seedlings of three species of oak trees under natural conditions were exposed to dust during spring and summer months...
October 10, 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/28992744/physician-communication-via-internet-enabled-technology-a-systematic-review
#9
Neil G Barr, Glen E Randall, Norman P Archer, David M Musson
The use of Internet-enabled technology (information and communication technology such as smartphone applications) may enrich information exchange among providers and, consequently, improve health care delivery. The purpose of this systematic review was to gain a greater understanding of the role that Internet-enabled technology plays in enhancing communication among physicians. Studies were identified through a search in three electronic platforms: the Association for Computing Machinery Digital Library, ProQuest, and Web of Science...
October 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28988306/nanoscale-wide-band-semiconductors-for-photocatalytic-remediation-of-aquatic-pollution
#10
Biplab Sarkar, Akshay Vishnu Daware, Priya Gupta, Kishore Kumar Krishnani, Sunandan Baruah, Surajit Bhattacharjee
Water pollution is a serious challenge to the public health. Among different forms of aquatic pollutants, chemical and biological agents create paramount threat to water quality when the safety standards are surpassed. There are many conventional remediatory strategies that are practiced such as resin-based exchanger and activated charcoal/carbon andreverse osmosis. Newer technologies using plants, microorganisms, genetic engineering, and enzyme-based approaches are also proposed for aquatic pollution management...
October 7, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28968194/enabling-the-next-generation-radiology-report-description-of-two-new-system-standards
#11
James Y Chen, Teri M Sippel Schmidt, Christopher D Carr, Charles E Kahn
Currently, most radiology reports are highly variable and consist of unconstrained narrative text. This variability limits the ability to extract information from the report to guide clinical care, populate a data registry, or support quality improvement. This article introduces two newly available standards that pertain to radiology reports. Management of Radiology Reporting Templates (MRRT) is an integration profile that defines the format and exchange mechanisms for radiology report templates. Digital Imaging and Communications in Medicine Part 20 defines how reports built using MRRT-based templates can be transmitted into an electronic health record (EHR)...
October 6, 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/28954166/care-coordination-in-pmaq-ab-an-item-response-theory-based-analysis
#12
Miriam Francisco de Souza, Alaneir de Fatima Dos Santos, Ilka Afonso Reis, Marcos Antônio da Cunha Santos, Alzira de Oliveira Jorge, Antônio Tomaz Gonzaga da Matta Machado, Eli Iola Gurgel Andrade, Mariangela Leal Cherchiglia
OBJECTIVE: Analyze the quality of the National Program for Primary Care Access and Quality Improvement variables to evaluate the coordination of primary care. METHODS: A cross-sectional study based on data from 17,202 primary care teams that participated in the National Program for Primary Care Access and Quality Improvement in 2012. Based on the Item Response Theory, Samejima's Gradual Response Model was used to estimate the score related to the level of coordination...
2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28937829/nonlinearity-coherence-and-complexity-biophysical-aspects-related-to-health-and-disease
#13
Alberto Foletti, Larissa Brizhik
Biological organisms are complex open dissipative systems whose dynamical stability is sustained due to the exchange of matter, energy and information. Dynamical stability occurs through a number of mechanisms that sustain efficient adaptive dynamics. Such properties of living matter can be the consequence of a self-consistent state of matter and electromagnetic field (EMF). Based on the soliton model of charge transport in redox processes, we describe a possible mechanism of the origin of endogenous EMF and coherence...
September 22, 2017: Electromagnetic Biology and Medicine
https://www.readbyqxmd.com/read/28925728/impact-of-consumption-of-repeatedly-heated-cooking-oils-on-the-incidence-of-various-cancers-a-critical-review
#14
Kumar Ganesan, Kumeshini Sukalingam, Baojun Xu
Repeated heating of vegetable oils at high temperatures during cooking is a very common cooking practice. Repeatedly heated cooking oils (RCO) can generate varieties of compounds, including polycyclic aromatic hydrocarbons (PAH), some of which have been reported as carcinogenic. RCO is one of the commonly consumed cooking and frying medium. These RCO consumption and inhalation of cooking fumes can pose a serious health hazard. Taking into account exploratory study, the present review aims to provide the consumption of RCO and its fumes cause the high incidence of genotoxic, mutagenic, tumorogenic and various cancers...
September 19, 2017: Critical Reviews in Food Science and Nutrition
https://www.readbyqxmd.com/read/28923810/an-innovative-community-based-model-for-improving-preventive-care-in-rural-counties
#15
Zsolt J Nagykaldi, Dewey Scheid, Daniel Zhao, Bhawani Mishra, Tracy Greever-Rice
OBJECTIVE: This quasi-experimental pilot study aimed to implement and evaluate a sustainable, rural community-based patient outreach model for preventive care provided through primary care practices (PCPs) located in a rural county in Oklahoma. A Wellness Coordinator (WC) working with PCPs, the county health department, the county hospital, and a health information exchange (HIE) organization helped county residents receive evidence-based preventive services. METHODS: The WC used a community wellness registry connected to electronic medical records via HIE and called patients at the county level based on PCP-prioritized and tailored protocols...
September 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28875054/current-status-of-electronic-medical-record-systems-in-hospitals-and-clinics-in-korea
#16
Young-Taek Park, Dongwoon Han
OBJECTIVES: Many healthcare organizations and professionals have had interests in healthcare information and communication technology (ICT). The objective of this study was to investigate the current status of overall healthcare ICT, especially focusing on Electronic Medical Record (EMR) systems in Korea. METHODS: This study used a part of the nationwide survey collected for the OECD benchmarking ICT study. The Health Insurance Review and Assessment Service conducted the survey from November 19, 2013 to January 10, 2014...
July 2017: Healthcare Informatics Research
https://www.readbyqxmd.com/read/28874160/preterm-birth-the-role-of-knowledge-transfer-and-exchange
#17
Hacsi Horvath, Claire D Brindis, E Michael Reyes, Gavin Yamey, Linda Franck
BACKGROUND: Preterm birth (PTB) is the leading cause of death in children under age five. Healthcare policy and other decision-making relevant to PTB may rely on obsolete, incomplete or inapplicable research evidence, leading to worsened outcomes. Appropriate knowledge transfer and exchange (KTE) strategies are an important component of efforts to reduce the global PTB burden. We sought to develop a 'landscape' analysis of KTE strategies currently used in PTB and related contexts, and to make recommendations for optimising programmatic implementation and for future research...
September 6, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28855008/pharmacy-and-ehr-information-exchange-a-national-summit
#18
Joanne Kaldy
Pharmacists and other practitioners increasingly must focus on data collection, analysis, and communication to maximize quality and reduce adverse events that lead to readmissions. As a result, they are seeking systems and software that provide them with real-time access to the information they need and enable them to communicate with other stakeholders. To date, there have been barriers, including lack of system/software interoperability and electronic health records that make it difficult for practitioners to access and/or input data...
September 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/28851681/is-there-evidence-of-cost-benefits-of-electronic-medical-records-standards-or-interoperability-in-hospital-information-systems-overview-of-systematic-reviews
#19
Zilma Silveira Nogueira Reis, Thais Abreu Maia, Milena Soriano Marcolino, Francisco Becerra-Posada, David Novillo-Ortiz, Antonio Luiz Pinho Ribeiro
BACKGROUND: Electronic health (eHealth) interventions may improve the quality of care by providing timely, accessible information about one patient or an entire population. Electronic patient care information forms the nucleus of computerized health information systems. However, interoperability among systems depends on the adoption of information standards. Additionally, investing in technology systems requires cost-effectiveness studies to ensure the sustainability of processes for stakeholders...
August 29, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/28807973/prevention-of-delayed-referrals-through-the-champlain-base-econsult-service
#20
Clare Liddy, Paul Drosinis, Adam Fogel, Erin Keely
OBJECTIVE: To identify the proportion and evaluate the content of eConsults (electronic consultations) in which the Champlain BASE (Building Access to Specialists through eConsultation) eConsult process prompted a referral to a specialist that was not originally contemplated by the primary care provider (PCP). DESIGN: Cross-sectional study of all eConsults submitted between April 15, 2011, and January 31, 2015. SETTING: Champlain Local Health Integration Network, a large health region in eastern Ontario...
August 2017: Canadian Family Physician Médecin de Famille Canadien
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