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https://www.readbyqxmd.com/read/28079673/differences-in-use-of-high-quality-and-low-quality-hospitals-among-working-age-individuals-by-insurance-type
#1
Ioana Popescu, Kevin C Heslin, Rosanna M Coffey, Raynard E Washington, Marguerite L Barrett, Lucy H Karnell, José J Escarce
BACKGROUND: Research suggests that individuals with Medicaid or no insurance receive fewer evidence-based treatments and have worse outcomes than those with private insurance for a broad range of conditions. These differences may be due to patients' receiving care in hospitals of different quality. RESEARCH DESIGN: We used the Healthcare Cost and Utilization Project State Inpatient Databases 2009-2010 data to identify patients aged 18-64 years with private insurance, Medicaid, or no insurance who were hospitalized with acute myocardial infarction, heart failure, pneumonia, stroke, or gastrointestinal hemorrhage...
February 2017: Medical Care
https://www.readbyqxmd.com/read/28074173/radiological-clinical-trials-proposal-of-a-problem-finding-questionnaire-to-improve-study-success
#2
Francesca Valdora, Bianca Bignotti, Massimo Calabrese, Nehmat Houssami, Alberto Tagliafico
AIM: To develop a survey to help define the main problems in radiological clinical trials. METHODS: Since 2006, we have managed seven different radiological clinical trials recruiting patients in academic and non-academic centres. We developed a preliminary questionnaire using a four-round Delphi approach to identify problems occurring in radiological clinical trials run at our centre. We investigated the recruitment experience, involvement of all multi-disciplinary team members and main obstacles to completing the projects...
December 26, 2016: World Journal of Methodology
https://www.readbyqxmd.com/read/28052482/an-extra-care-community-s-perceived-priorities-for-whole-system-relationships-a-q-methodological-study
#3
Paul Grimshaw, Linda McGowan, Elaine McNichol
Health and social care settings worldwide need to sustainably improve the quality of relationships across communities or 'whole systems'. This research informs the development of a relational framework based on stakeholder perspectives. It is grounded in an action research project with practitioners, and draws on a previous literature review, to present the underpinning elements of quality relationships as statements, organised under the headings of integrity, respect, fairness, compassion and trust. Using Q methodology, 27 participants, comprising a range of stakeholders (staff, residents, family and service providers), rank-ordered 48 statements based on perceptions of the importance of differing aspects of relationships...
January 3, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28048139/su-f-j-227-accuracy-of-passive-magnetic-ultrasound-needle-guidance-in-high-fidelity-conventional-and-novel-simulated-block-approach-phantoms
#4
A Johnson
PURPOSE: The objective of this research was to demonstrate accuracy of a real-time passive ultrasound magnetic needle guidance technology (NGT) and target localization algorithm using conventional anechogenic contact phantoms and a novel fluid-filled hyperechogenic phantom simulating nerve block technique. METHODS: Accuracy (mm to phantom target) was assessed by observing 35 medical practitioners (16 anesthesiologists and 19 residents) performing 560 needle procedures in high-fidelity ex vivo porcine tissue phantoms...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28031297/benefits-and-limitations-of-a-community-engaged-emergency-referral-system-in-a-remote-impoverished-setting-of-northern-ghana
#5
Sneha Patel, John Koku Awoonor-Williams, Rofina Asuru, Christopher B Boyer, Janet Awopole Yepakeh Tiah, Mallory C Sheff, Margaret L Schmitt, Robert Alirigia, Elizabeth F Jackson, James F Phillips
Although Ghana has a well-organized primary health care system, it lacks policies and guidelines for developing or providing emergency referral services. In 2012, an emergency referral pilot-the Sustainable Emergency Referral Care (SERC) initiative-was launched by the Ghana Health Service in collaboration with community stakeholders and health workers in one subdistrict of the Upper East Region where approximately 20,000 people reside. The pilot program was scaled up in 2013 to a 3-district (12-subdistrict) plausibility trial that served a population of approximately 184,000 over 2 years from 2013 to 2015...
December 23, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28027419/a-retrospective-cohort-study-of-the-influence-of-lifestyle-factors-on-survival-of-patients-undergoing-surgery-for-colorectal-cancer
#6
Dayna Alexander, Gwen M Allardice, Susan J Moug, David S Morrison
AIM: Several modifiable and non-modifiable health related behaviours are associated with the incidence of Colorectal Cancer (CRC), but there is little research on their association with survival. The project aimed to investigate possible relationships between modifiable behavioural factors and outcomes on a study cohort of CRC patients undergoing potentially curative surgery. METHOD: A retrospective cohort study was carried out of patients diagnosed with non-metastatic CRC undergoing elective curative surgery (January 2011 - December 2012), residing in the NHS Greater Glasgow & Clyde (NHSGGC) area, UK...
December 27, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28027152/the-medical-physics-workforce
#7
Wayne D Newhauser
The medical physics workforce comprises approximately 24,000 workers worldwide and approximately 8,200 in the United States. The occupation is a recognized, established, and mature profession that is undergoing considerable growth and change, with many of these changes being driven by scientific, technical, and medical advances. Presently, the medical physics workforce is adequate to meet societal needs. However, data are emerging that suggest potential risks of shortages and other problems that could develop within a few years...
February 2017: Health Physics
https://www.readbyqxmd.com/read/28025911/at-home-in-the-postcolony-ecology-empire-and-domesticity-at-the-lamto-field-station-ivory-coast
#8
Guillaume Lachenal
This article is a history of the field station Lamto, in Ivory Coast, which was created by French ecologists in 1962, after independence. It retraces the origins, the logics and the contradictions of an extraordinarily ambitious scientific project, which aimed at the systematic, holistic, quantitative and multi-disciplinary description of a unit of African nature - the savannah ecosystem. It explores how knowledge-making was articulated with work hierarchies and postcolonial politics, lifestyles, values and affects...
December 2016: Social Studies of Science
https://www.readbyqxmd.com/read/28012659/heavy-rainfall-and-risk-of-infectious-intestinal-diseases-in-the-most-populous-city-in-vietnam
#9
Dung Phung, Cordia Chu, Shannon Rutherford, Huong Lien Thi Nguyen, Mai Anh Luong, Cuong Manh Do, Cunrui Huang
The association between heavy rainfall and infectious intestinal diseases (IID) has not been well described and little research has been conducted in developing countries. This study examines the association between heavy rainfall and hospital admissions for IID in Ho Chi Minh City, the most populous city in Vietnam. An interrupted time-series method was used to examine the effect of each individual heavy rainfall event (HRE) on IID. The percentage changes in post-HRE level and trends of IID were estimated for 30days following each HRE...
December 21, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/27992587/unit-nonresponse-in-a-population-based-study-of-prostate-cancer
#10
Evrim Oral, Neal Simonsen, Christine Brennan, Jennifer Berken, L Joseph Su, James L Mohler, Jeannette T Bensen, Elizabeth T H Fontham
Low unit response rates can increase bias and compromise study validity. Response rates have continued to fall over the past decade despite all efforts to increase participation. Many factors have been linked to reduced response, yet relatively few studies have employed multivariate approaches to identify characteristics that differentiate respondents from nonrespondents since it is hard to collect information on the latter. We aimed to assess factors contributing to enrollment of prostate cancer (PCa) patients...
2016: PloS One
https://www.readbyqxmd.com/read/27984767/understanding-the-local-food-environment-a-participatory-photovoice-project-in-a-low-income-area-in-madrid-spain
#11
Julia Díez, Paloma Conde, María Sandin, María Urtasun, Remedios López, José Luis Carrero, Joel Gittelsohn, Manuel Franco
There is a need to partner between researchers, practitioners and residents to increase our understanding of environmental influences on dietary behaviors. We used the participatory method of Photovoice to understand key determinants of the local food environment influencing residents' diets. This project was conducted in Villaverde, a low-income area located in Madrid, Spain. From February to May 2015, 24 residents working in four Photovoice groups, took photographs related to their local food environment...
December 13, 2016: Health & Place
https://www.readbyqxmd.com/read/27968916/intention-to-have-a-second-child-among-chinese-women-one-year-after-the-implementation-of-selective-two-child-policy-a-cross-sectional-survey
#12
Xianglong Xu, Hanxiao Zuo, Yunshuang Rao, Lei Zhang, Lian Lian Wang, Yong Zhao
BACKGROUND: The so-called selective two-child policy was introduced on December, 27, 2015 in China to allow Chinese couples nationwide to have up to two children if either parent is an only child. This study aims to explore Chinese women's intention to have a second child. METHODS: We surveyed women from 16 hospitals in five Chinese provinces from June 1 to August 31, 2015. Multivariable logistic regression analysis was used to evaluate the sociodemographic factors related to seven key reasons for entering second pregnancy...
October 2016: Lancet
https://www.readbyqxmd.com/read/27968911/folic-acid-supplementation-birth-defects-and-adverse-pregnancy-outcomes-in-chinese-women-a-population-based-mega-cohort-study
#13
Yuan He, An Pan, Frank B Hu, Xu Ma
BACKGROUND: Periconceptional folic acid use has been widely recommended to reduce risk of neural tube defects. However, the effect on other birth defects and adverse pregnancy outcomes, as well as the time window of folic acid use, needs further investigation. Our study aimed to comprehensively assess the effect of periconceptional folic acid use on pregnancy outcomes in a mega-cohort of women of reproductive age. METHODS: The China National Free Preconception Health Examination Project (NFPHEP) was established in 2010 to assess couples who planned to get pregnant within 4-6 months for pre-pregnancy risk factors for birth defects, and was a national project for all couples in 31 provinces...
October 2016: Lancet
https://www.readbyqxmd.com/read/27938389/hot-topics-urgent-priorities-and-ensuring-success-for-racial-ethnic-minority-young-investigators-in-academic-pediatrics
#14
REVIEW
Glenn Flores, Fernando S Mendoza, Elena Fuentes-Afflick, Jason A Mendoza, Lee Pachter, Juan Espinoza, Cristina R Fernandez, Danielle D P Arnold, Nicole M Brown, Kymberly M Gonzalez, Cynthia Lopez, Mikah C Owen, Kenya M Parks, Kimberly L Reynolds, Christopher J Russell
BACKGROUND: The number of racial/ethnic minority children will exceed the number of white children in the USA by 2018. Although 38% of Americans are minorities, only 12% of pediatricians, 5% of medical-school faculty, and 3% of medical-school professors are minorities. Furthermore, only 5% of all R01 applications for National Institutes of Health grants are from African-American, Latino, and American Indian investigators. Prompted by the persistent lack of diversity in the pediatric and biomedical research workforces, the Academic Pediatric Association Research in Academic Pediatrics Initiative on Diversity (RAPID) was initiated in 2012...
December 9, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27898834/the-triticeae-toolbox-combining-phenotype-and-genotype-data-to-advance-small-grains-breeding
#15
Victoria C Blake, Clay Birkett, David E Matthews, David L Hane, Peter Bradbury, Jean-Luc Jannink
The Triticeae Toolbox (; T3) is the database schema enabling plant breeders and researchers to combine, visualize, and interrogate the wealth of phenotype and genotype data generated by the Triticeae Coordinated Agricultural Project (TCAP). T3 enables users to define specific data sets for download in formats compatible with the external tools TASSEL, Flapjack, and R; or to use by software residing on the T3 server for operations such as Genome Wide Association and Genomic Prediction. New T3 tools to assist plant breeders include a Selection Index Generator, analytical tools to compare phenotype trials using common or user-defined indices, and a histogram generator for nursery reports, with applications using the Android OS, and a Field Plot Layout Designer in development...
July 2016: Plant Genome
https://www.readbyqxmd.com/read/27893012/surgeons-and-trauma-care-physicians-perception-of-the-impact-of-the-globalization-of-medical-education-on-quality-of-care-in-lima-peru
#16
Lacey N LaGrone, Leah N Isquith-Dicker, Eduardo Huaman Egoavil, Manuel J A Rodriguez Castro, Alfredo Allagual, Fernando Revoredo, Charles N Mock
Importance: The globalization of medical education-the process by which trainees in any region gain access to international training (electronic or in-person)-is a growing trend. More data are needed to inform next steps in the responsible stewardship of this process, from the perspective of trainees and institutions at all income levels, and for use by national and international policymakers. Objective: To describe the impact of the globalization of medical education on surgical care in Peru from the perspective of Peruvian surgeons who received international training...
November 23, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27885427/-the-homburger-curriculum-as-a-model-for-medical-resident-education-for-ophthalmologists-at-saarland-university-medical-center
#17
S Goebels, A Viestenz, B Seitz
BACKGROUND: The Homburger Curriculum was introduced in 2012 to enhance the medical resident education and professional satisfaction. At the same time different steps were taken to encourage applications of eligible candidates. METHODS: To address candidates, the Homburger Curriculum is presented on the department's website and a short-term hospitation was introduced. The curriculum has been divided into time slots of 4 months throughout the 5 years of residency...
November 24, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/27875781/long-term-pediatrician-outcomes-of-a-parent-led-curriculum-in-developmental-disabilities
#18
Bruce L Keisling, Elizabeth A Bishop, David A Kube, Jenness M Roth, Frederick B Palmer
: Previous research has demonstrated high satisfaction and perceived relevance of Project DOCC (Delivery of Chronic Care), a parent led curriculum in developmental disabilities, across a sample of medical residents. AIMS: The influence of such a training program on the clinical practices and professional activities of these residents once they are established in their careers as physicians, however, has not been studied; this was the aim of the present study. METHODS: An anonymous follow-up survey was designed and disseminated to physicians who participated in Project DOCC during their one-month developmental disabilities rotation as part of their pediatrics or medicine/pediatric residency between 2002 and 2010...
January 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/27869882/-assessment-of-geriatric-patients-care-needs-based-on-sosia-classification-the-reality-of-the-lombardy-region-in-nursing-home
#19
Mariangela Vanalli
The increased demand to care that originates from demographic changes called in Italy a rapid development in Nursing Home with particular emergency the problem of programme the welfare response. It is essential the development of a classification system able to describe the stratification of the case mix on the basis of the care requirements, allowing a remuneration in function of the complexity care. Since 2003, the Lombardy region has introduced a case-mix reimbursement system for nursing homes based on the SOSIA form which classifies residents into eight classes of frailty...
November 2016: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/27862992/realising-dignity-in-care-home-practice-an-action-research-project
#20
Ann Gallagher, Katherine Curtis, Michael Dunn, Lesley Baillie
BACKGROUND: More than 400,000 older people reside in over 18,000 care homes in England. A recent social care survey found up to 50% of older people in care homes felt their dignity was undermined. Upholding the dignity of older people in care homes has implications for residents' experiences and the role of Registered Nurses. AIMS AND OBJECTIVES: The study aimed to explore how best to translate the concept of dignity into care home practice, and how to support this translation process by enabling Registered Nurses to provide ethical leadership within the care home setting...
November 15, 2016: International Journal of Older People Nursing
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