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https://www.readbyqxmd.com/read/27904258/cost-analysis-of-a-disaster-facility-at-an-apex-tertiary-care-trauma-center-of-india
#1
Sheetal Singh, Shakti Gupta, Anoop Daga, Vijaydeep Siddharth, LaxmiTej Wundavalli
INTRODUCTION: For the Commonwealth Games 2010, Jai Prakash Narayan Apex Trauma Centre (JPNATC) of India had been directed by the Director General Health Services and Ministry of Health and Family Welfare, Government of India, to set up a specialized unit for the definitive management of the injured/unwell athletes, officials, and related personnel coming for the Commonwealth Games in October 2010. The facility included a 20-bedded fully equipped ward, six ICU beds with ventilator capacity, one very very important person observation area, one perioperative management cubicle, and one fully modular and integrated operating room...
October 2016: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/27853031/the-post-ebola-virus-disease-scourge-in-nigeria-individual-levels-of-preparedness-among-physicians-in-the-federal-capital-territory-abuja
#2
Adewale L Alli, Maxwell M Nwegbu, Perpetua U Ibekwe, Titus S Ibekwe
BACKGROUND: Ebola virus disease (EVD) is a viral hemorrhagic illness with great propensity for spread across international borders. The latest outbreak in the West African region, which involved Nigeria, was the worst among previously documented 25 outbreaks since discovery in 1976. The Nigerian response toward attaining Ebola free status was phenomenal and a case study for most nations. However, the persistence of EVD in West Africa is still a risk to recurrence, hence, the need to assess the level of consciousness of Nigerian physicians towards this...
October 2016: Annals of African Medicine
https://www.readbyqxmd.com/read/27803594/a-time-and-motion-approach-to-micro-costing-of-high-throughput-genomic-assays
#3
S Costa, D A Regier, B Meissner, I Cromwell, S Ben-Neriah, E Chavez, S Hung, C Steidl, D W Scott, M A Marra, S J Peacock, J M Connors
BACKGROUND: Genomic technologies are increasingly used to guide clinical decision-making in cancer control. Economic evidence about the cost-effectiveness of genomic technologies is limited, in part because of a lack of published comprehensive cost estimates. In the present micro-costing study, we used a time-and-motion approach to derive cost estimates for 3 genomic assays and processes-digital gene expression profiling (gep), fluorescence in situ hybridization (fish), and targeted capture sequencing, including bioinformatics analysis-in the context of lymphoma patient management...
October 2016: Current Oncology
https://www.readbyqxmd.com/read/27783728/social-representations-of-biosecurity-in-nursing-occupational-health-and-preventive-care
#4
Álvaro Francisco Lopes de Sousa, Artur Acelino Francisco Luz Nunes Queiroz, Layze Braz de Oliveira, Maria Eliete Batista Moura, Odinéa Maria Amorim Batista, Denise de Andrade
Objective: to understand the biosecurity social representations by primary care nursing professionals and analyze how they articulate with quality of care. Methods: exploratory and qualitative research based on social representation theory. The study participants were 36 nursing workers from primary health care in a state capital in the Northeast region of Brazil. The data were analyzed by descending hierarchical classification. Results: five classes were obtained: occupational accidents suffered by professionals; occupational exposure to biological agents; biosecurity management in primary health care; the importance of personal protective equipment; and infection control and biosecurity...
September 2016: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/27766964/adequacy-of-public-maternal-care-services-in-brazil
#5
Sonia Duarte de Azevedo Bittencourt, Rosa Maria Soares Madeira Domingues, Lenice Gnocchi da Costa Reis, Márcia Melo Ramos, Maria do Carmo Leal
BACKGROUND: In Brazil, hospital childbirth care is available to all, but differences in access and quality of care result in inequalities of maternal health. The objective of this study is to assess the infrastructure and staffing of publicly financed labor and birth care in Brazil and its adequacy according to clinical and obstetric conditions potentially associated with obstetric emergencies. METHODS: Nationwide cross-sectional hospital-based study "Birth in Brazil: national survey into labor and birth" conducted in 2011-2012...
October 17, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27757191/barriers-against-implementing-blunt-abdominal-trauma-guidelines-in-a-hospital-a-qualitative-study
#6
Rouhollah Zaboli, Shahram Tofighi, Ali Aghighi, Seyyed Javad Hosaini Shokouh, Nader Naraghi, Hassan Goodarzi
INTRODUCTION: Clinical practice guidelines are structured recommendations that help physicians and patients to make proper decisions when dealing with a specific clinical condition. Because blunt abdominal trauma causes a various range of mild, single-system, and multisystem injuries, early detection will help to reduce mortality and resulting disability. Emergency treatment should be initiated based on CPGs. This study aimed to determine the variables affecting implementing blunt abdominal trauma CPGs in an Iranian hospital...
August 2016: Electronic Physician
https://www.readbyqxmd.com/read/27748306/current-costs-projected-financial-needs-of-india-s-universal-immunization-programme
#7
Susmita Chatterjee, Manish Pant, Pradeep Haldar, Mahesh Kumar Aggarwal, Ramanan Laxminarayan
BACKGROUND & OBJECTIVES: India's Universal Immunization Programme (UIP) is one of the largest programmes in the world in terms of quantities of vaccines administered, number of beneficiaries, number of immunization sessions, and geographical extent and diversity of areas covered. Strategic planning for the Programme requires credible information on the cost of achieving the objectives and the financial resources needed at national, State, and district levels. We present here expenditures on immunization services in India in 2012 (baseline) and projected costs for five years (2013-2017)...
June 2016: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/27736239/future-directions-for-clinical-research-services-and-training-evidence-based-assessment-across-informants-cultures-and-dimensional-hierarchies
#8
Thomas M Achenbach
As the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) acknowledges, DSM diagnostic categories do not fit the real-world heterogeneity, comorbidity, and complexity of most mental health problems. Many efforts to develop and test evidence-based treatments also fail to take account of the heterogeneity, comorbidity, and complexity of problems seen in the community settings where most mental health services are rendered. Most community services cannot attain the treatment specificity and fidelity characterizing randomized controlled trials, which often yield larger therapeutic effects than when the tested treatments are tried in community services...
October 13, 2016: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/27720436/supply-chain-management-of-health-commodities-for-reducing-global-disease-burden-are-pharmacists-in-nigeria-aware-and-ready-to-play-a-key-role
#9
Otuto Amarauche Chukwu, Valentine Nnaemeka Ezeanochikwa, Benedict Ejikeme Eya
PURPOSE: Reducing global disease burden requires improving access to medicines, thus the need for efficient and effective supply chain management for medicines. The Nigerian government came up with new policies on Mega Drug Distribution Centres and National Drug Distribution Guidelines to improve access to quality medicines with pharmacists having a key role to play. However, pharmacists in Nigeria seem not to be aware and adequately equipped to handle the medicines supply chain. This article aimed at assessing the awareness and readiness of Nigerian pharmacists on supply chain management practices for improving access to medicines...
September 12, 2016: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/27689535/versatile-and-resilient-hydrogen-bonded-host-frameworks
#10
Takuji Adachi, Michael D Ward
Low-density molecular host frameworks, whether equipped with persistent molecular-scale pores or virtual pores that are sustainable only when occupied by guest molecules, have emerged as a promising class of materials owing to the ability to tailor the size, geometry, and chemical character of their free space through the versatility of organic synthesis. As such, molecular frameworks are promising candidates for storage, separations of commodity and fine chemicals, heterogeneous catalysis, and optical and electronic materials...
September 30, 2016: Accounts of Chemical Research
https://www.readbyqxmd.com/read/27644124/social-capital-and-adolescent-girls-resilience-to-teenage-pregnancy-in-begoro-ghana
#11
Sylvia Esther Gyan, Collins Ahorlu, Dan-Bright S Dzorgbo, Clara K Fayorsey
This study focuses on how older adolescent girls access and utilize social capital to develop resilience against teenage pregnancy in Begoro, Ghana. A survey of 419 non-pregnant girls aged 15-19 years, selected using a multi-stage cluster sampling technique, was conducted in 2012. Qualitative data were gathered through in-depth interviews with ten girls purposively selected from the survey respondents. Parents, relatives, teachers and religious groups were found to be important sources of social capital for the non-pregnant girls in developing resilience against teenage pregnancy...
September 20, 2016: Journal of Biosocial Science
https://www.readbyqxmd.com/read/27630156/is-the-1000-genome-as-near-as-we-think-a-cost-analysis-of-next-generation-sequencing
#12
Kirsten J M van Nimwegen, Ronald A van Soest, Joris A Veltman, Marcel R Nelen, Gert Jan van der Wilt, Lisenka E L M Vissers, Janneke P C Grutters
BACKGROUND: The substantial technological advancements in next-generation sequencing (NGS), combined with dropping costs, have allowed for a swift diffusion of NGS applications in clinical settings. Although several commercial parties report to have broken the $1000 barrier for sequencing an entire human genome, a valid cost overview for NGS is currently lacking. This study provides a complete, transparent and up-to-date overview of the total costs of different NGS applications. METHODS: Cost calculations for targeted gene panels (TGP), whole exome sequencing (WES) and whole genome sequencing (WGS) were based on the Illumina NextSeq500, HiSeq4000, and HiSeqX5 platforms, respectively...
September 14, 2016: Clinical Chemistry
https://www.readbyqxmd.com/read/27608978/effect-of-provision-of-an-integrated-neonatal-survival-kit-and-early-cognitive-stimulation-package-by-community-health-workers-on-developmental-outcomes-of-infants-in-kwale-county-kenya-study-protocol-for-a-cluster-randomized-trial
#13
Lisa G Pell, Diego G Bassani, Lucy Nyaga, Isaac Njagi, Catherine Wanjiku, Thulasi Thiruchselvam, William Macharia, Ripudaman S Minhas, Patricia Kitsao-Wekulo, Amyn Lakhani, Zulfiqar A Bhutta, Robert Armstrong, Shaun K Morris
BACKGROUND: Each year, more than 200 million children under the age of 5 years, almost all in low- and middle-income countries (LMICs), fail to achieve their developmental potential. Risk factors for compromised development often coexist and include inadequate cognitive stimulation, poverty, nutritional deficiencies, infection and complications of being born low birthweight and/or premature. Moreover, many of these risk factors are closely associated with newborn morbidity and mortality...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27587339/the-impact-of-the-increasing-burden-of-trauma-in-malawi-on-orthopedic-trauma-service-priorities-at-kamuzu-central-hospital
#14
Sven Young, Leonard Banza, Boston S Munthali, Kumbukani G Manda, Jared Gallaher, Anthony Charles
Background and purpose - The burden of road traffic injuries globally is rising rapidly, and has a huge effect on health systems and development in low- and middle-income countries. Malawi is a small low-income country in southeastern Africa with a population of 16.7 million and a gross national income per capita of only 250 USD. The impact of the rising burden of trauma is very apparent to healthcare workers on the ground, but there are very few data showing this development. Patients and methods - The annual number of femoral fracture patients admitted to Kamuzu Central Hospital (KCH) in the Capital of Malawi, Lilongwe, from 2009 to 2014 was retrieved from the KCH trauma database...
December 2016: Acta Orthopaedica
https://www.readbyqxmd.com/read/27547447/how-does-venture-capital-operate-in-medical-innovation
#15
P Lehoux, F A Miller, G Daudelin
While health policy scholars wish to encourage the creation of technologies that bring more value to healthcare, they may not fully understand the mandate of venture capitalists and how they operate. This paper aims to clarify how venture capital operates and to illustrate its influence over the kinds of technologies that make their way into healthcare systems. The paper draws on the international innovation policy scholarship and the lessons our research team learned throughout a 5-year fieldwork conducted in Quebec (Canada)...
July 2016: BMJ Innovations
https://www.readbyqxmd.com/read/27536781/cost-of-delivering-health-care-services-in-public-sector-primary-and-community-health-centres-in-north-india
#16
Shankar Prinja, Aditi Gupta, Ramesh Verma, Pankaj Bahuguna, Dinesh Kumar, Manmeet Kaur, Rajesh Kumar
BACKGROUND: With the commitment of the national government to provide universal healthcare at cheap and affordable prices in India, public healthcare services are being strengthened in India. However, there is dearth of cost data for provision of health services through public system like primary & community health centres. In this study, we aim to bridge this gap in evidence by assessing the total annual and per capita cost of delivering the package of health services at PHC and CHC level...
2016: PloS One
https://www.readbyqxmd.com/read/27535766/synthetic-genome-engineering-forging-new-frontiers-for-wine-yeast
#17
Isak S Pretorius
Over the past 15 years, the seismic shifts caused by the convergence of biomolecular, chemical, physical, mathematical, and computational sciences alongside cutting-edge developments in information technology and engineering have erupted into a new field of scientific endeavor dubbed Synthetic Biology. Recent rapid advances in high-throughput DNA sequencing and DNA synthesis techniques are enabling the design and construction of new biological parts (genes), devices (gene networks) and modules (biosynthetic pathways), and the redesign of biological systems (cells and organisms) for useful purposes...
August 18, 2016: Critical Reviews in Biotechnology
https://www.readbyqxmd.com/read/27524804/hla-genotyping-in-the-clinical-laboratory-comparison-of-next-generation-sequencing-methods
#18
T Profaizer, E Lázár-Molnár, D W Close, J C Delgado, A Kumánovics
Implementation of human leukocyte antigen (HLA) genotyping by next-generation sequencing (NGS) in the clinical lab brings new challenges to the laboratories performing this testing. With the advent of commercially available HLA-NGS typing kits, labs must make numerous decisions concerning capital equipment and address labor considerations. Therefore, careful and unbiased evaluation of available methods is imperative. In this report, we compared our in-house developed HLA NGS typing with two commercially available kits from Illumina and Omixon using 10 International Histocompatibility Working Group (IHWG) and 36 clinical samples...
July 2016: HLA
https://www.readbyqxmd.com/read/27487441/preparedness-for-the-rio-2016-olympic-games-hospital-treatment-capacity-in-georeferenced-areas
#19
Carolina Figueiredo Freitas, Claudia Garcia Serpa Osorio-de-Castro, Kimberley Irene Shoaf, Raulino Sabino da Silva, Elaine Silva Miranda
Recently, Brazil has hosted mass events with recognized international relevance. The 2014 FIFA World Cup was held in 12 Brazilian state capitals and health sector preparedness drew on the history of other World Cups and Brazil's own experience with the 2013 FIFA Confederations Cup. The current article aims to analyze the treatment capacity of hospital facilities in georeferenced areas for sports events in the 2016 Olympic Games in the city of Rio de Janeiro, based on a model built drawing on references from the literature...
August 1, 2016: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/27478026/life-cycle-assessment-of-capital-goods-in-waste-management-systems
#20
Line K Brogaard, Thomas H Christensen
The environmental importance of capital goods (trucks, buildings, equipment, etc.) was quantified by LCA modelling 1 tonne of waste treated in five different waste management scenarios. The scenarios involved a 240L collection bin, a 16m(3) collection truck, a composting plant, an anaerobic digestion plant, an incinerator and a landfill site. The contribution of capital goods to the overall environmental aspects of managing the waste was significant but varied greatly depending on the technology and the impact category: Global Warming: 1-17%, Stratospheric Ozone Depletion: 2-90%, Ionising Radiation, Human Health: 2-91%, Photochemical Ozone Formation: 2-56%, Freshwater Eutrophication: 0...
October 2016: Waste Management
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