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https://www.readbyqxmd.com/read/28812833/evaluating-the-implementation-and-feasibility-of-a-web-based-tool-to-support-timely-identification-and-care-for-the-frail-population-in-primary-healthcare-settings
#1
Beverley Lawson, Tara Sampalli, Stephanie Wood, Grace Warner, Paige Moorhouse, Rick Gibson, Laurie Mallery, Fred Burge, Lisa G Bedford
BACKGROUND: Understanding and addressing the needs of frail persons is an emerging health priority for Nova Scotia and internationally. Primary healthcare (PHC) providers regularly encounter frail persons in their daily clinical work. However, routine identification and measurement of frailty is not standard practice and, in general, there is a lack of awareness about how to identify and respond to frailty. A web-based tool called the Frailty Portal was developed to aid in identifying, screening, and providing care for frail patients in PHC settings...
March 7, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28812686/interactions-of-microplastic-debris-throughout-the-marine-ecosystem
#2
REVIEW
Tamara S Galloway, Matthew Cole, Ceri Lewis
Marine microscopic plastic (microplastic) debris is a modern societal issue, illustrating the challenge of balancing the convenience of plastic in daily life with the prospect of causing ecological harm by careless disposal. Here we develop the concept of microplastic as a complex, dynamic mixture of polymers and additives, to which organic material and contaminants can successively bind to form an 'ecocorona', increasing the density and surface charge of particles and changing their bioavailability and toxicity...
April 20, 2017: Nature ecology & evolution
https://www.readbyqxmd.com/read/28810984/impact-of-a-7-day-field-training-on-oral-health-condition-in-japan-ground-self-defense-force-personnel
#3
Koji Yamashita, Takeshi Nishiyama, Emi Nagata, Atik Ramadhani, Miki Kawada-Matsuo, Hitoshi Komatsuzawa, Takahiko Oho
INTRODUCTION: In the Japan Ground Self-Defense Force (JGSDF), personnel periodically perform intensive training that mimics the conditions seen in battle and during natural disasters. Military training involves intensive, stressful conditions, and changes in immune responses have been found in personnel following training. Good oral condition is important for military personnel to fulfill their duties; however, they have difficulty performing daily oral care under training conditions...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28805188/managing-faecal-incontinence-in-people-with-advanced-dementia-resident-in-care-homes-finch-study-a-realist-synthesis-of-the-evidence
#4
Claire Goodman, Christine Norton, Marina Buswell, Bridget Russell, Danielle Harari, Rowan Harwood, Brenda Roe, Jo Rycroft-Malone, Vari M Drennan, Mandy Fader, Michelle Maden, Karen Cummings, Frances Bunn
BACKGROUND: Eighty per cent of care home residents in the UK are living with dementia. The prevalence of faecal incontinence (FI) in care homes is estimated to range from 30% to 50%. There is limited evidence of what is effective in the reduction and management of FI in care homes. OBJECTIVE: To provide a theory-driven explanation of the effectiveness of programmes that aim to improve FI in people with advanced dementia in care homes. DESIGN: A realist synthesis...
August 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28805150/diffracting-addicting-binaries-an-analysis-of-personal-accounts-of-alcohol-and-other-drug-addiction
#5
Kiran Pienaar, David Moore, Suzanne Fraser, Renata Kokanovic, Carla Treloar, Ella Dilkes-Frayne
Associated with social and individual harm, loss of control and destructive behaviour, addiction is widely considered to be a major social problem. Most models of addiction, including the influential disease model, rely on the volition/compulsion binary, conceptualising addiction as a disorder of compulsion. In order to interrogate this prevailing view, this article draws on qualitative data from interviews with people who describe themselves as having an alcohol or other drug 'addiction', 'dependence' or 'habit'...
September 2017: Health (London)
https://www.readbyqxmd.com/read/28805115/hindrances-to-achieve-professional-confidence-the-nurse-s-participation-in-ethical-decision-making
#6
Anne Storaker, Dagfinn Nåden, Berit Sæteren
BACKGROUND: Research suggests that nurses generally do not participate in ethical decision-making in accordance with ethical guidelines for nurses. In addition to completing their training, nurses need to reflect on and use ethically grounded arguments and defined ethical values such as patient's dignity in their clinical work. OBJECTIVES: The purpose of this article is to gain a deeper understanding of how nurses deal with ethical decision-making in daily practice...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28799795/could-it-be-snowing-microbes-on-enceladus-assessing-conditions-in-its-plume-and-implications-for-future-missions
#7
Carolyn C Porco, Luke Dones, Colin Mitchell
We analyzed Cassini Imaging Science Subsystem (ISS) images of the plume of Enceladus to derive particle number densities for the purpose of comparing our results with those obtained from other Cassini instrument investigations. Initial discrepancies in the results from different instruments, as large as factors of 10-20, can be reduced to ∼2 to 3 by accounting for the different times and geometries at which measurements were taken. We estimate the average daily ice production rate, between 2006 and 2010, to be 29 ± 7 kg/s, and a solid-to-vapor ratio, S/V > 0...
August 11, 2017: Astrobiology
https://www.readbyqxmd.com/read/28780144/report-on-the-midwives-experiences-in-the-brazilian-national-health-system-a-qualitative-research
#8
Nádia Zanon Narchi, Cláudia Medeiros de Castro, Cintia de Freitas Oliveira, Fernanda Tambellini
OBJECTIVE: to describe the experiences of midwives who graduated from the University of São Paulo's midwifery program and the characteristics of their work within the Brazilian National Health System (SUS). DESIGN: a descriptive, qualitative field study. SETTING: interviews were scheduled by telephone or e-mail and were held with the midwives outside their work environment. Interviews lasted for up to one hour and were recorded. PARTICIPANTS: ten midwives who had graduated from the University of São Paulo's midwifery program and were working or had worked in the SUS at the time of the study...
July 20, 2017: Midwifery
https://www.readbyqxmd.com/read/28777739/statins-and-the-risk-of-cirrhosis-in-hepatitis-b-or-c-patients-a-systematic-review-and-dose-response-meta-analysis-of-observational-studies
#9
Yaqin Wang, Jianping Xiong, Meng Niu, Xiaowei Chen, Long Gao, Qirun Wu, Kechuang Zheng, Ke Xu
Hepatitis B and hepatitis C are leading causes of chronic liver disease, particularly cirrhosis. Recently, several studies have observed that statins have an inverse relationship with cirrhosis in hepatitis B or C patients. However, no published meta-analysis studied the protective effect of statins on cirrhosis. Thus, we conducted a systematic review and meta-analysis of published observational studies to better understand the relationship between statins and the risk of cirrhosis. Relevant studies were identified by searching PubMed, EMBASE, and ISI Web of Science for articles published before April 2017...
July 27, 2017: Oncotarget
https://www.readbyqxmd.com/read/28765102/beliefs-knowledge-implementation-and-integration-of-evidence-based-practice-among-primary-health-care-providers-protocol-for-a-scoping-review
#10
Filipa Pereira, Mireille Salvi, Henk Verloo
BACKGROUND: The adoption of evidence-based practice (EBP) is promoted because it is widely recognized for improving the quality and safety of health care for patients, and reducing avoidable costs. Providers of primary care face numerous challenges to ensuring the effectiveness of their daily practices. Primary health care is defined as: the entry level into a health care services system, providing a first point of contact for all new needs and problems; patient-focused (not disease-oriented) care over time; care for all but the most uncommon or unusual conditions; and coordination or integration of care, regardless of where or by whom that care is delivered...
August 1, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28763933/short-term-association-between-ambient-air-pollution-and-pneumonia-in-children-a-systematic-review-and-meta-analysis-of-time-series-and-case-crossover-studies
#11
REVIEW
Nguyen Thi Trang Nhung, Heresh Amini, Christian Schindler, Meltem Kutlar Joss, Tran Minh Dien, Nicole Probst-Hensch, Laura Perez, Nino Künzli
Ambient air pollution has been associated with respiratory diseases in children. However, its effects on pediatric pneumonia have not been meta-analyzed. We conducted a systematic review and meta-analysis of the short-term association between ambient air pollution and hospitalization of children due to pneumonia. We searched the Web of Science and PubMed for indexed publications up to January 2017. Pollutant-specific excess risk percentage (ER%) and confidence intervals (CI) were estimated using random effect models for particulate matter (PM) with diameter ≤ 10 (PM10) and ≤2...
July 25, 2017: Environmental Pollution
https://www.readbyqxmd.com/read/28760436/impact-of-the-structure-and-dose-of-protein-intake-on-clinical-and-metabolic-outcomes-in-critically-ill-children-a-systematic-review
#12
REVIEW
Daniela B Hauschild, Julia C Ventura, Nilesh M Mehta, Yara M F Moreno
OBJECTIVE: The aim of this study was to describe the effects of structure/type and total amount of protein intake on protein balance and clinical outcomes in critically ill children. METHODS: We conducted a systematic review of relevant literature on Embase, PubMed/Medline, Web of Science, Scopus, and Latin American and Caribbean Health Sciences. A partial gray literature search was undertaken and the reference lists of the selected articles were searched manually...
September 2017: Nutrition
https://www.readbyqxmd.com/read/28760149/collaborative-goal-setting-with-elderly-patients-with-chronic-disease-or-multimorbidity-a-systematic-review
#13
Neeltje P C A Vermunt, Mirjam Harmsen, Gert P Westert, Marcel G M Olde Rikkert, Marjan J Faber
BACKGROUND: It is challenging to use shared decision-making with patients who have a chronic health condition or, especially, multimorbidity. A patient-goal-oriented approach can thus be beneficial. This study aims to identify and evaluate studies on the effects of interventions that support collaborative goal setting or health priority setting compared to usual care for elderly people with a chronic health condition or multimorbidity. METHODS: This systematic review was based on EPOC, PRISMA and MOOSE guidelines...
July 31, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28759585/today%C3%A2-s-medical-self-and-the-other-challenges-and-evolving-solutions-for-enhanced-humanization-and-quality-of-care
#14
Perla Sueiras, Victoria Romano-Betech, Alejandro Vergil-Salgado, Adalberto de Hoyos, Silvia Quintana-Vargas, William Ruddick, Anaclara Castro-Santana, Sergio Islas-Andrade, Nelly F Altamirano-Bustamante, Myriam M Altamirano-Bustamante
BACKGROUND: Recent scientific developments, along with growing awareness of cultural and social diversity, have led to a continuously growing range of available treatment options; however, such developments occasionally lead to an undesirable imbalance between science, technology and humanism in clinical practice. This study explores the understanding and practice of values and value clusters in real-life clinical settings, as well as their role in the humanization of medicine and its institutions...
2017: PloS One
https://www.readbyqxmd.com/read/28752070/polymers-in-our-daily-life
#15
EDITORIAL
Hassan Namazi
Polymers are widely used advanced materials, which are found almost in every material used in our daily life. To date, the importance of polymers has been much more highlighted because of their applications in different dominions of sciences, technologies and industry - from basic uses to biopolymers and therapeutic polymers. The main aim of this editorial is to accentuate the pragmatic impacts of polymers in human daily life.
2017: BioImpacts: BI
https://www.readbyqxmd.com/read/28750920/antibiotic-stewardship-does-it-work-in-hospital-practice-a-review-of-the-evidence-base
#16
REVIEW
Marlies E J L Hulscher, Jan M Prins
BACKGROUND: Guidelines for developing and implementing stewardship programmes include recommendations on 'appropriate antibiotic use' to guide the stewardship team's choice of potential stewardship objectives. They also include recommendations on 'behavioural change interventions' to guide the team's choice of potential interventions to ensure that professionals actually use antibiotics appropriately in daily practice. AIMS: This paper aims to summarize the evidence base of both appropriate antibiotic use recommendations (the "what") and behavioural change interventions (the "how") in hospital practice...
July 24, 2017: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/28747274/efficacy-safety-and-effect-on-sexual-behaviour-of-on-demand-pre-exposure-prophylaxis-for-hiv-in-men-who-have-sex-with-men-an-observational-cohort-study
#17
Jean-Michel Molina, Isabelle Charreau, Bruno Spire, Laurent Cotte, Julie Chas, Catherine Capitant, Cecile Tremblay, Daniela Rojas-Castro, Eric Cua, Armelle Pasquet, Camille Bernaud, Claire Pintado, Constance Delaugerre, Luis Sagaon-Teyssier, Soizic Le Mestre, Christian Chidiac, Gilles Pialoux, Diane Ponscarme, Julien Fonsart, David Thompson, Mark A Wainberg, Veronique Doré, Laurence Meyer
BACKGROUND: Data for on-demand pre-exposure prophylaxis (PrEP) are scarce. We implemented a cohort study to assess its efficacy, safety, and effect on sexual behaviour. METHODS: We invited men and transgender women who have sex with men, previously enrolled in the randomised placebo-controlled ANRS IPERGAY trial at seven sites (six in France and one in Canada), to participate in an open-label extension with on-demand tenofovir disoproxil fumarate (300 mg) and emtricitabine (200 mg) to be taken before and after sexual intercourse...
July 21, 2017: Lancet HIV
https://www.readbyqxmd.com/read/28746071/toward-a-utopian-model-for-teaching-and-nonteaching-services-every-journey-begins-with-a-first-step
#18
Lisa M Bellini, Jack Ende
Nonteaching services are an imperfect step toward enabling inpatient teaching services to transition from an unregulated, natural state, driven solely by the exigencies of patient volume and throughput, to one that is more controlled and intends to achieve the proper balance between service and education. As career educators the authors prefer to view nonteaching services as critical components of an integrated system that enables the best possible patient care and learning, yet they acknowledge that, to meet the needs of patients and learners, teaching and nonteaching services alike must be truly complementary, collaborative, and integrated components of a single system...
July 25, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28741165/history-and-conceptual-developments-in-vascular-biology-and-angiogenesis-research-a-personal-view
#19
REVIEW
Andreas Bikfalvi
Vascular biology is an important scientific domain that has gradually penetrated many medical and scientific fields. Scientists are most often focused on present problems in their daily scientific work and lack awareness regarding the evolution of their domain throughout history and of how philosophical issues are related to their research field. In this article, I provide a personal view with an attempt to conceptualize vascular development research that articulates lessons taken from history, philosophy, biology and medicine...
July 24, 2017: Angiogenesis
https://www.readbyqxmd.com/read/28740944/effect-of-mechanical-vibration-generated-in-oscillating-vibratory-platform-on-the-concentration-of-plasma-biomarkers-and-on-the-weight-in-rats
#20
Éric Heleno Freire Ferreira Frederico, Danúbia da Cunha de Sá-Caputo, Eloá Moreira-Marconi, Carlos Alberto Sampaio Guimarães, André Luiz Bandeira Dionísio Cardoso, Carla da Fontoura Dionello, Danielle Soares Morel, Cintia Renata Sousa-Gonçalves, Laisa Liana Paineiras-Domingos, Rebeca Graça Costa Cavalcanti, Nasser Ribeiro Asad, Pedro Jesus Marin, Mario Bernardo-Filho
BACKGROUND: Whole body vibration (WBV) exercise has been used in health sciences. Authors have reported that changes on the concentration of plasma biomarkers could be associated with the WBV effects. The aim of this investigation is to assess the consequences of exposition of 25 Hz mechanical vibration generated in oscillating/vibratory platform (OVP) on the concentration of some plasma biomarkers and on the weight of rats. MATERIALS AND METHODS: Wistar rats were divided into two groups...
2017: African Journal of Traditional, Complementary, and Alternative Medicines: AJTCAM
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