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https://www.readbyqxmd.com/read/28185581/does-decentralization-influence-efficiency-of-health-units-a-study-of-opinion-and-perception-of-health-workers-in-odisha
#1
Bhuputra Panda, Harshad P Thakur, Sanjay P Zodpey
BACKGROUND: Health systems in low and middle income countries are struggling to improve efficiency in the functioning of health units of which workforce is one of the most critical building blocks. In India, Rogi Kalyan Samiti (RKS) was established at every health unit as institutions of local decision making in order to improve productive efficiency and quality. Measuring efficiency of health units is a complex task. This study aimed at assessing the perception (opinion and satisfaction) of health workers about influence of RKS on improving efficiency of peripheral decision making health units (DMHU); examining differences between priority and non-priority set-ups; identifying predictors of satisfaction at work; and discussing suggestions to improve performance...
October 31, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/28176572/extreme-care-on-aids-wards
#2
Jackie Hunt
I was completely absorbed in your feature 'Nursing in a war zone' (1 February). As a night sister at the Middlesex Hospital in the 1980s, aged 25, I looked after patients with AIDS, without any training or warning of what I might encounter. I just found them shut away in side rooms.
February 8, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28169029/the-contribution-of-volunteer-based-monitoring-data-to-the-assessment-of-harmful-phytoplankton-blooms-in-brazilian-urban-streams
#3
Davi Gasparini Fernandes Cunha, Simone Pereira Casali, Patrícia Bortoletto de Falco, Ian Thornhill, Steven Arthur Loiselle
Urban streams are vulnerable to a range of impacts, leading to the impairment of ecosystem services. However, studies on phytoplankton growth in tropical lotic systems are still limited. Citizen science approaches use trained volunteers to collect environmental data. We combined data on urban streams collected by volunteers with data obtained by professional scientists to identify potential drivers of phytoplankton community and determine thresholds for Cyanobacteria development. We combined datasets (n=117) on water quality and environmental observations in 64 Brazilian urban streams with paired data on phytoplankton...
February 3, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28168004/training-needs-and-perspectives-of-community-health-workers-in-relation-to-integrating-child-mental-health-care-into-primary-health-care-in-a-rural-setting-in-sub-saharan-africa-a-mixed-methods-study
#4
Dejene Tilahun, Charlotte Hanlon, Mesfin Araya, Basiro Davey, Rosa A Hoekstra, Abebaw Fekadu
BACKGROUND: Community health workers can help to address the substantial unmet need for child mental health care in low and middle income countries. However, little is known about their training needs for this potential role. The aim of this study was to examine training needs and perspectives of community health extension workers (HEWs) in relation to providing child mental health care in rural Ethiopia. METHODS: The study was conducted in the Southern Nations, Nationalities and Peoples' Region of Ethiopia...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28149423/analysis-of-setting-efficacy-in-young-male-and-female-volleyball-players
#5
Jara González-Silva, Alberto Moreno Domínguez, Carmen Fernández-Echeverría, Fernando Claver Rabaz, M Perla Moreno Arroyo
The main objective of this study was to analyse the variables that predicted setting efficacy in complex I (KI) in volleyball, in formative categories and depending on gender. The study sample was comprised of 5842 game actions carried out by the 16 male category and the 18 female category teams that participated in the Under-16 Spanish Championship. The dependent variable was setting efficacy. The independent variables were grouped into: serve variables (a serve zone, the type of serve, striking technique, an in-game role of the server and serve direction), reception variables (a reception zone, a receiver player and reception efficacy) and setting variables (a setter's position, a setting zone, the type of a set, setting technique, a set's area and tempo of a set)...
December 1, 2016: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28149380/effect-of-the-pitch-size-and-presence-of-goalkeepers-on-the-work-load-of-players-during-small-sided-soccer-games
#6
Karel Hulka, Radim Weisser, Jan Belka
Small-sided games (SSGs) are spontaneous forms of specific training where exercise intensity can be manipulated by modifying external factors. To ensure suitable usage of small-sided games in practice, we have to know which variables can influence internal responses and external loads. The aim of the present study was to determine the influence of presence of a goalkeeper and the pitch size on internal responses and the external load during five-a-side soccer games. Twenty nine junior soccer players (age: 18...
June 1, 2016: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28143513/utilization-of-institutional-delivery-service-and-associated-factors-in-bench-maji-zone-southwest-ethiopia-community-based-cross-sectional-study
#7
Niguse Tadele, Tafesse Lamaro
BACKGROUND: At the end of Millennium development goals, Ethiopia was included among 10 countries which constitutes about 59% of maternal deaths due to complications of pregnancy and/or childbirth every year globally. Institutional delivery, which is believed to contribute in reduction of maternal mortality is still low. Hence this study was conducted in order to assess utilization of institutional delivery and related factors in Bench Maji zone, Southwest Ethiopia. METHODS: Cross sectional study was employed from September 1st - 30th, 2015 in Bench Maji Zone, Southwest Ethiopia where 765 mothers who deliver 2 years preceding the study provided data for this research...
February 1, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28143433/developing-a-nomogram-based-on-multiparametric-magnetic-resonance-imaging-for-forecasting-high-grade-prostate-cancer-to-reduce-unnecessary-biopsies-within-the-prostate-specific-antigen-gray-zone
#8
Xiang-Ke Niu, Jun Li, Susant Kumar Das, Yan Xiong, Chao-Bing Yang, Tao Peng
BACKGROUND: Since 1980s the application of Prostate specific antigen (PSA) brought the revolution in prostate cancer diagnosis. However, it is important to underline that PSA is not the ideal screening tool due to its low specificity, which leads to the possible biopsy for the patient without High-grade prostate cancer (HGPCa). Therefore, the aim of this study was to establish a predictive nomogram for HGPCa in patients with PSA 4-10 ng/ml based on Prostate Imaging Reporting and Data System version 2 (PI-RADS v2), MRI-based prostate volume (PV), MRI-based PV-adjusted Prostate Specific Antigen Density (adjusted-PSAD) and other traditional classical parameters...
February 1, 2017: BMC Medical Imaging
https://www.readbyqxmd.com/read/28126388/impact-of-coal-carrying-trains-on-particulate-matter-concentrations-in-south-delta-british-columbia-canada
#9
K Akaoka, I McKendry, J Saxton, P W Cottle
Transport of coal by train through residential neighborhoods in Metro Vancouver, British Columbia, Canada may increase the possibility of exposure to particulate matter at different size ranges, with concomitant potential negative health impacts. This pilot study identifies and quantifies train impacts on particulate matter (PM) concentrations at a single location. Field work was conducted during August and September 2014, with the attributes of a subset of passing trains confirmed visually, and the majority of passages identified with audio data...
January 23, 2017: Environmental Pollution
https://www.readbyqxmd.com/read/28125518/a-survey-of-the-opinion-and-experience-of-uk-dentists-part-2-risk-assessment-strategies-and-the-management-of-iatrogenic-trigeminal-nerve-injuries-related-to-dental-implant-surgery
#10
Zehra Yilmaz, Cemal Ucer, Edwin Scher, Jon Suzuki, Tara Renton
BACKGROUND: Dental implant-related iatrogenic injuries are proportionally increasing with dental implant surgery. This study assessed the experience of implant-related trigeminal nerve (TG) injuries among UK dentists. Risk management strategies and management of implant-related inferior alveolar nerve (IAN), mental nerve (MN), and lingual nerve injuries were investigated. METHODS: A survey was distributed among 405 dentists attending an Association of Dental Implantology (ADI) congress, of which 187 completed the survey...
January 25, 2017: Implant Dentistry
https://www.readbyqxmd.com/read/28122555/reaching-the-unreached-through-trained-and-skilled-birth-attendants-in-ethiopia-a-cluster-randomized-controlled-trial-study-protocol
#11
Taddese Alemu Zerfu, Henok Taddese, Tariku Nigatu, Girma Tenkolu, Joshua P Vogel, Dina Khan-Neelofur, Sibhatu Biadgilign, Amare Deribew
BACKGROUND: Despite improvements since 1990 to 2014, maternal mortality ratio (MMR) remains high in Ethiopia. One of the key drivers of maternal mortality in Ethiopia is the very low coverage of Skilled Birth attendance (SBA) in rural Ethiopia. This cluster randomized trial piloted an innovative approach of deploying trained community reproductive nurses (CORN) to hard to reach/unreachable rural Ethiopia to improve the coverage of SBA. METHODS: We used a three-arm cluster randomized trial to test the effect of deploying CORN in rural communities in South Ethiopia to improve SBA and other maternal health indicators...
January 26, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28109712/effects-of-long-haul-transmeridian-travel-on-player-preparedness-case-study-of-a-national-team-at-the-2014-fifa-world-cup
#12
Peter M Fowler, Alan McCall, Mark Jones, Rob Duffield
OBJECTIVES: Describe the effects of eastward long-haul transmeridian air travel on subjective jet-lag, sleep and wellness in professional football (soccer) players prior to the 2014 FIFA World Cup in Brazil. DESIGN: Single cohort involving twenty-two male professional football players representing a national football team. METHODS: Data was collected from players prior to and following international travel from Sydney, Australia to Vitoria, Brazil...
September 2, 2016: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28073733/antibiotic-therapy-and-staphylococcal-skin-infections-in-a-tropical-malarial-zone-guyana-practices-in-conventional-and-exceptional-situations
#13
S-P Corcostegui, H Lefort, A Dia, V Pommier de Santi, C Carfantan, J Galant, E Lightburne, P Guénot, X Deparis, R Migliani, J-J Morand
A problem of community-acquired Staphylococcus aureus skin infections emerged in the French armed forces in 2004, in a malaria-endemic areas. The high incidence rate led us to evaluate military staff practices. This was a cross-sectional survey of doctors and nurses deployed as officers in French Guyana since 2006. The definition of skin and soft-tissue infection came from the criteria for epidemiological surveillance of the armed forces. We studied the management of antibiotic therapy and its related difficulties...
November 1, 2016: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28070310/implementation-of-the-who-multimodal-hand-hygiene-improvement-strategy-in-a-university-hospital-in-central-ethiopia
#14
Frieder Pfäfflin, Tafese Beyene Tufa, Million Getachew, Tsehaynesh Nigussie, Andreas Schönfeld, Dieter Häussinger, Torsten Feldt, Nicole Schmidt
BACKGROUND: The burden of health-care associated infections in low-income countries is high. Adequate hand hygiene is considered the most effective measure to reduce the transmission of nosocomial pathogens. We aimed to assess compliance with hand hygiene and perception and knowledge about hand hygiene before and after the implementation of a multimodal hand hygiene campaign designed by the World Health Organization. METHODS: The study was carried out at Asella Teaching Hospital, a university hospital and referral centre for a population of about 3...
2017: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/28069883/comparison-of-phenotypic-methods-for-the-detection-of-penicillinase-in-staphylococcus-aureus-and-proposal-of-a-practical-diagnostic-approach
#15
Michael Hombach, Christoph Weissert, Maria Magdalena Senn, Reinhard Zbinden
OBJECTIVES: Disc diffusion is a cost-efficient, low-complexity, reliable method for detection of blaZ-mediated benzylpenicillin resistance in Staphylococcus aureus if the zone edge is inspected. EUCAST breakpoints cannot fully separate β-lactamase-positive from β-lactamase-negative strains, and EUCAST recommends the zone edge test. Literature on nitrocefin-based testing and the zone edge test is scarce with wide variations in reported assay performance. METHODS: This study compared two different nitrocefin-based commercial and in-house tests and the EUCAST-based zone edge test for penicillinase detection in S...
January 8, 2017: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/28069473/high-intensity-training-improves-global-and-segmental-strains-in-severe-congestive-heart-failure
#16
Yair Blumberg, Offir Ertracht, Itai Gershon, Noa Bachner-Hinenzon, Tali Reuveni, Shaul Atar
BACKGROUND: High intensity training (HIT) is superior to moderate aerobic training (MAT) for improving quality of life in congestive heart failure (CHF) patients. Speckle tracking echocardiography (STE) has recently been suggested for estimation of left ventricle global and regional function. AIMS: We evaluated the utility of STE for characterizing differences in cardiac function following MAT or HIT in a CHF rat model. METHODS AND RESULTS: Following baseline physiological assessment, CHF was induced by coronary artery ligation in Sprague-Dawley rats...
January 6, 2017: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/28046795/mo-fg-202-06-improving-the-performance-of-gamma-analysis-qa-with-radiomics-based-image-analysis
#17
L Wootton, A Chaovalitwongse, N Li, M Nyflot, E Ford
PURPOSE: The use of gamma analysis for IMRT quality assurance has well-known limitations. Traditionally, a simple thresholding technique is used to evaluated passing criteria. However, like any image the gamma distribution is rich in information which thresholding mostly discards. We therefore propose a novel method of analyzing gamma images that uses quantitative image features borrowed from radiomics, with the goal of improving error detection. METHODS: 368 gamma images were generated from 184 clinical IMRT beams...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28043024/utility-of-a-questionnaire-tool-quaras-for-localizing-and-lateralizing-seizures-in-the-epilepsy-monitoring-unit-emu
#18
Rima M Chaudhari, Bhargavi Ramanujam, Renjith Appukuttan, Anubha Sharma, Yuvraj Kunwar, Gaurav Tejaniya, Ajay Garg, Madakasira Vasantha Padma, Madhavi Tripathi, Chandrashekhar Bal, Deepa Dash, Sarat P Chandra, Manjari Tripathi
OBJECTIVES: An accurate description of the seizure semiology improves the recognition of the ictal onset zone and helps in hypothesizing the possible epileptogenic zone (EZ). Semiology based on a reliable description of seizures may be as good as investigative modalities, as has been shown by numerous studies. The main objective of this study was to apply a questionnaire-tool for auras and semiology (QUARAS) in refractory epilepsy cohort and compare its yield to that of standard history-taking...
February 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28040019/relative-salience-of-spectral-and-temporal-features-in-auditory-long-term-memory
#19
Pingbo Yin, Shihab A Shamma, Jonathan B Fritz
In order to explore the representation of sound features in auditory long-term memory, two groups of ferrets were trained on Go vs Nogo, 3-zone classification tasks. The sound stimuli differed primarily along the spectral and temporal dimensions. In Group 1, two ferrets were trained to (i) classify tones based on their frequency (Tone-task), and subsequently learned to (ii) classify white noise based on its amplitude modulation rate (AM-task). In Group 2, two ferrets were trained to classify tones based on correlated combinations of their frequency and AM rate (AM-Tone task)...
December 2016: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/28039927/multi-center-validation-of-prostate-tumor-localization-using-multi-parametric-mri-and-prior-knowledge
#20
Cuong Viet Dinh, Peter Steenbergen, Ghazaleh Ghobadi, Henk van der Poel, Stijn W T P J Heijmink, Jeroen de Jong, Sofie Isebaert, Karin Haustermans, Evelyne Lerut, Raymond Oyen, Yangming Ou, Davatzikos Christos, Uulke A van der Heide
PURPOSE: Tumor localization provides crucial information for radiotherapy dose differentiation treatments, such as focal dose escalation and dose painting by numbers, which aim at achieving tumor control with minimal side effects. Multi-parametric (mp-)MRI is increasingly used for tumor detection and localization in prostate because of its ability to visualize tissue structure and to reveal tumor characteristics. However, it can be challenging to distinguish cancer, particularly in the transition zone...
December 31, 2016: Medical Physics
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