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https://www.readbyqxmd.com/read/28304182/insurance-reimbursement-for-complementary-healthcare-services
#1
James Whedon, Tor D Tosteson, Anupama Kizhakkeveettil, Melissa Nagare Kimura
INTRODUCTION: Insurance reimbursement for clinical services provided by complementary healthcare professionals in the United States likely differs by provider specialty. It is hypothesized that a lower likelihood of insurance reimbursement demonstrates that complementary healthcare services are not utilized to an optimal level and are not financially accessible to all who may need or want these services. The purpose of this project was to evaluate the likelihood of insurance reimbursement for complementary healthcare services compared with other complementary services and with conventional primary care medical services in New Hampshire...
March 17, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28301175/identifying-variability-in-permanent-supportive-housing-a-comparative-effectiveness-approach-to-measuring-health-outcomes
#2
Julia Dickson-Gomez, Katherine Quinn, Arturo Bendixen, Amy Johnson, Kelly Nowicki, Thant Ko Ko, Carol Galletly
Supportive housing has become the dominant model in the United States to provide housing to the chronically homeless and to improve their housing stability and health. Most supportive housing programs follow a "housing first" paradigm modeled after the Pathways to Housing program in New York City. However, components of housing first supportive housing models were poorly defined, and supportive models have varied considerably in their dissemination and implementation to other parts of the country. Recently, research has been conducted to determine the fidelity by which specific housing programs adhere to the Pathways Housing First model...
March 16, 2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28291151/research-interest-in-pediatric-emergency-medicine-fellows
#3
Kenneth A Michelson, Lise E Nigrovic, Joshua Nagler, Constance M McAneney, Rakesh D Mistry
OBJECTIVE: Factors predictive of research career interest among pediatric emergency medicine (PEM) fellows are not known. We sought to determine the prevalence and determinants of interest in research careers among PEM fellows. METHODS: We performed an electronically distributed national survey of current PEM fellows. We assessed demographics, barriers to successful research, and beliefs about research using 4-point ordinal scales. The primary outcome was the fellow-reported predicted percentage of time devoted to clinical research 5 years after graduation...
March 13, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28274983/an-innovative-residency-based-interprofessional-faculty-development-program
#4
Jennie B Jarrett, Tomoko Sairenji, Patricia M Klatt, Stephen A Wilson
PURPOSE: The impact of an interprofessional faculty development fellowship (FDF) on pharmacy graduates' careers is described. SUMMARY: The FDF instructional approach is a longitudinal acquisition and application of knowledge, skills, and attitudes fostered by clinical care delivery, teaching experiences, structured reflection, the giving and receiving of feedback, research and scholarly projects, and leadership development and exercises. Interprofessional FDF fellows teach, learn, and provide care together in both inpatient and outpatient clinical settings as a part of the evidence-based medicine curriculum, providing educational sessions for medical students, pharmacy students, medical residents, attending family medicine physicians, and clinical pharmacy faculty throughout the year...
March 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28273600/current-significant-challenges-in-the-decommissioning-and-environmental-remediation-of-radioactive-facilities-a-perspective-from-outside-the-nuclear-industry
#5
V Gil-Cerezo, E Domínguez-Vilches, A J González-Barrios
This paper presents the results of implementing an extrajudicial environmental mediation procedure in the socioenvironmental conflict associated with routine operation of the El Cabril Disposal Facility for low- and medium- activity radioactive waste (Spain). We analyse the socio-ethical perspective of this facility's operation with regard to its nearby residents, detailing the structure and development of the environmental mediation procedure through the participation of society and interested parties who are or may become involved in such a conflict...
March 4, 2017: Journal of Environmental Radioactivity
https://www.readbyqxmd.com/read/28266697/are-stressful-life-events-sles-associated-with-the-utilization-of-substance-use-treatment-related-services
#6
Miguel A Cruz-Feliciano, Aimee Ferraro, Angela Witt Prehn
OBJECTIVE: This study described herein explored the association of stressful life events with the utilization of substance use treatment-related services among substance users living in Puerto Rico. METHODS: A secondary data analysis was conducted using data collected by a research project entitled Puerto Rico Drug Abuse Research Development Program II (PRDARDP II). The study population consisted of 378 individuals from 18 to 35 years of age who were residents of the San Juan metropolitan area and who presented evidence of substance use in the 30 days prior to the interview...
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28228565/a-dedicated-scholarly-research-program-in-an-adult-and-pediatric-neurology-residency-program
#7
Matthew S Robbins, Sheryl R Haut, Richard B Lipton, Mark J Milstein, Lenore C Ocava, Karen Ballaban-Gil, Solomon L Moshé, Mark F Mehler
OBJECTIVE: To describe and assess the effectiveness of a formal scholarly activity program for a highly integrated adult and pediatric neurology residency program. METHODS: Starting in 2011, all graduating residents were required to complete at least one form of scholarly activity broadly defined to include peer-reviewed publications or presentations at scientific meetings of formally mentored projects. The scholarly activity program was administered by the associate residency training director and included an expanded journal club, guided mentorship, a required grand rounds platform presentation, and annual awards for the most scholarly and seminal research findings...
February 22, 2017: Neurology
https://www.readbyqxmd.com/read/28210860/a-heat-vulnerability-index-to-improve-urban-public-health-management-in-san-juan-puerto-rico
#8
Pablo Méndez-Lázaro, Frank E Muller-Karger, Daniel Otis, Matthew J McCarthy, Ernesto Rodríguez
Increased frequency and length of high heat episodes are leading to more cardiovascular issues and asthmatic responses among the population of San Juan, the capital of the island of Puerto Rico, USA. An urban heat island effect, which leads to foci of higher temperatures in some urban areas, can raise heat-related mortality. The objective of this research is to map the risk of high temperature in particular locations by creating heat maps of the city of San Juan. The heat vulnerability index (HVI) maps were developed using images collected by satellite-based remote sensing combined with census data...
February 17, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/28196574/applying-the-social-ecological-model-and-theory-of-self-efficacy-in-the-worksite-heart-health-improvement-project-plus
#9
Kelly Doran, Barbara Resnick, Natalie Kim, Donna Lynn, Tyrell McCormick
BACKGROUND: Long-term care (LTC) employees are at high risk for cardiovascular disease. Despite the documented benefits of worksite health promotion (WHP) programs for employees and employers and the potential benefits to residents in LTC facilities, LTC employees are rarely offered WHP programs. PURPOSE: The purpose of the intervention described in this article is to reduce cardiovascular disease risk factors among LTC workers using a physical activity, nutrition, and stress management WHP implemented during paid work time with 98 LTC staff members...
February 1, 2017: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/28185550/the-australian-longitudinal-study-on-male-health-methods
#10
Dianne Currier, Jane Pirkis, John Carlin, Louisa Degenhardt, Shyamali C Dharmage, Billie Giles-Corti, Ian Gordon, Lyle Gurrin, Jane Hocking, Anne Kavanagh, Louise A Keogh, Rachel Koelmeyer, Anthony D LaMontagne, Marisa Schlichthorst, George Patton, Lena Sanci, Matthew J Spittal, David M Studdert, Joanne Williams, Dallas R English
BACKGROUND: The Australian Longitudinal Study on Male Health (Ten to Men) was established in 2011 to build the evidence base on male health to inform policy and program development. METHODS: Ten to Men is a national longitudinal study with a stratified multi-stage cluster random sample design and oversampling in rural and regional areas. Household recruitment was conducted from October 2013 to July 2014. Males who were aged 10 to 55 years residing in private dwellings were eligible to participate...
October 31, 2016: BMC Public Health
https://www.readbyqxmd.com/read/28175989/predictors-of-health-related-quality-of-life-in-boys-with-duchenne-muscular-dystrophy-from-six-european-countries
#11
Christiane Otto, Birgit F Steffensen, Ann-Lisbeth Højberg, Claus Barkmann, Jes Rahbek, Ulrike Ravens-Sieberer, Annette Mahoney, Julia Vry, Kathrin Gramsch, Rachel Thompson, Sunil Rodger, Kate Bushby, Hanns Lochmüller, Janbernd Kirschner
Duchenne muscular dystrophy (DMD) is a progressive, genetically determined neuromuscular disease that affects males and leads to severe physical disability in early teenage years. Over the last decades, patient-reported outcomes such as Health-Related Quality of Life (HRQoL) gained great interest in clinical research. However, little is known about factors affecting HRQoL in boys with DMD. Data from the multi-center CARE-NMD project of boys with DMD from six European countries collected between 2011 and 2012 were analyzed (8-17 years old; n = 321)...
February 7, 2017: Journal of Neurology
https://www.readbyqxmd.com/read/28173827/integrated-solutions-for-sustainable-fall-prevention-in-primary-care-the-isolve-project-a-type-2-hybrid-effectiveness-implementation-design
#12
Lindy Clemson, Lynette Mackenzie, Chris Roberts, Roslyn Poulos, Amy Tan, Meryl Lovarini, Cathie Sherrington, Judy M Simpson, Karen Willis, Mary Lam, Anne Tiedemann, Dimity Pond, David Peiris, Sarah Hilmer, Sabrina Winona Pit, Kirsten Howard, Lorraine Lovitt, Fiona White
BACKGROUND: Despite strong evidence giving guidance for effective fall prevention interventions in community-residing older people, there is currently no clear model for engaging general medical practitioners in fall prevention and routine use of allied health professionals in fall prevention has been slow, limiting widespread dissemination. This protocol paper outlines an implementation-effectiveness study of the Integrated Solutions for Sustainable Fall Prevention (iSOLVE) intervention which has developed integrated processes and pathways to identify older people at risk of falls and engage a whole of primary care approach to fall prevention...
February 7, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28168891/ankyloglossia-and-lingual-frenotomy
#13
Jonathan Walsh, Anne Links, Emily Boss, David Tunkel
Objectives (1) Describe trends in the diagnosis of ankyloglossia and the use of lingual frenotomy and (2) analyze patient- and hospital-level factors as compared with the total pediatric discharge population. Study Design National database analysis. Methods We reviewed available data from 1997 to 2012 using the Kids' Inpatient Database, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. All weighted pediatric discharges with ankyloglossia, newborn feeding difficulty, or lingual frenotomy were analyzed for variables of sex, payer, zip code median income, hospital ownership, location/teaching status, bed size, region, and children's hospital status...
February 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28166722/integration-of-vdr-genome-wide-binding-and-gwas-genetic-variation-data-reveals-co-occurrence-of-vdr-and-nf-%C3%AE%C2%BAb-binding-that-is-linked-to-immune-phenotypes
#14
Prashant K Singh, Patrick R van den Berg, Mark D Long, Angie Vreugdenhil, Laurie Grieshober, Heather M Ochs-Balcom, Jianmin Wang, Sylvie Delcambre, Sami Heikkinen, Carsten Carlberg, Moray J Campbell, Lara E Sucheston-Campbell
BACKGROUND: The nuclear hormone receptor superfamily acts as a genomic sensor of diverse signals. Their actions are often intertwined with other transcription factors. Nuclear hormone receptors are targets for many therapeutic drugs, and include the vitamin D receptor (VDR). VDR signaling is pleotropic, being implicated in calcaemic function, antibacterial actions, growth control, immunomodulation and anti-cancer actions. Specifically, we hypothesized that the biologically significant relationships between the VDR transcriptome and phenotype-associated biology could be discovered by integrating the known VDR transcription factor binding sites and all published trait- and disease-associated SNPs...
February 6, 2017: BMC Genomics
https://www.readbyqxmd.com/read/28155322/an-assessment-of-implementation-of-communityoriented-primary-care-in-kenyan-family-medicine-postgraduate-medical-education-programmes
#15
Ian J Nelligan, Jacob Shabani, Stephanie Taché, Gulnaz Mohamoud, Megan Mahoney
BACKGROUND AND OBJECTIVES: Family medicine postgraduate programmes in Kenya are examining the benefits of Community-Oriented Primary Care (COPC) curriculum, as a method to train residents in population-based approaches to health care delivery. Whilst COPC is an established part of family medicine training in the United States, little is known about its application in Kenya. We sought to conduct a qualitative study to explore the development and implementation of COPC curriculum in the first two family medicine postgraduate programmes in Kenya...
December 2, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28152723/a-multidisciplinary-quality-improvement-project-to-improve-the-safety-of-oral-chemotherapy-in-hospitalized-patients
#16
Amer Sidani, Gelenis Calzadilla Domingo, Diana Sullivan, Katherine Sencion, Dominic Ho, Christina Haaf, Adam Bursua, Neeta K Venepalli
110 Background: At the University of Illinois Hospital and Health Sciences System (UIC), inpatient IV chemotherapy administration occurs in the setting of specific protocols and multidisciplinary safety assessments while oral chemotherapy agent (OCA) inpatient administration occurs less formally. Baseline 8 week review of 174 admissions to the oncology service revealed that of 16 patients (9.2%) on outpatient OCA, 50% received OCAs while inpatient, with 12. 55% having a formal chemotherapy note in place. We aimed to increase the percentage of administered OCAs with associated provider generated chemotherapy notes from 12...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28145945/training-internal-medicine-residents-in-social-medicine-and-research-based-health-advocacy-a-novel-in-depth-curriculum
#17
Gaurab Basu, Richard J Pels, Rachel L Stark, Priyank Jain, David H Bor, Danny McCormick
PROBLEM: Health disparities are pervasive worldwide. Physicians have a unique vantage point from which they can observe the ways social, economic, and political factors impact health outcomes and can be effective advocates for enhanced health outcomes and health equity. However, social medicine and health advocacy curricula are uncommon in postgraduate medical education. APPROACH: In academic year (AY) 2012, the Cambridge Health Alliance internal medicine residency program transformed an elective into a required social medicine and research-based health advocacy curriculum...
January 31, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28142036/handling-missing-mini-mental-state-examination-mmse-values-results-from-a-cross-sectional-long-term-care-study
#18
Judith Godin, Janice Keefe, Melissa K Andrew
BACKGROUND: Missing values are commonly encountered on the Mini Mental State Examination (MMSE), particularly when administered to frail older people. This presents challenges for MMSE scoring in research settings. We sought to describe missingness in MMSEs administered in long-term-care facilities (LTCF) and to compare and contrast approaches to dealing with missing items. METHODS: As part of the Care and Construction project in Nova Scotia, Canada, LTCF residents completed an MMSE...
December 27, 2016: Journal of Epidemiology
https://www.readbyqxmd.com/read/28122757/developing-and-improving-residency-research-training
#19
Christina F Bulkley, Michael J Miller, JoLaine R Draugalis
PURPOSE: Peer-reviewed literature on pharmacy residency research training is reviewed with an emphasis on innovative strategies for research training enhancement. SUMMARY: There is a persistent gap between institutional expectations regarding the entry-level research skills of advanced-practice pharmacists and the research training experiences provided to pharmacy residents. This gap is especially problematic because pharmacy residency programs have become a primary source for recruitment of advanced-practice pharmacists...
February 1, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28114876/the-relation-between-a-sense-of-meaning-in-life-and-suicide-potential-among-disadvantaged-adolescent-girls
#20
Y Aviad-Wilchek, Vered Ne'eman-Haviv
The study examines the influence of the sense of meaning in life, or its absence, on the suicide potential of disadvantaged adolescent girls in Israel who reside in boarding school ( n = 50) compared with adolescent girls in a rehabilitation project ( n = 31), and between them and normative adolescent girls ( n = 128). The research findings indicate a negative relation between meaning in life and suicide potential, which exists only among the normative adolescent girls and the disadvantaged adolescent girls residing in the boarding school...
January 1, 2017: International Journal of Offender Therapy and Comparative Criminology
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