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https://www.readbyqxmd.com/read/28922907/organ-vouchers-and-barter-markets-saving-lives-reducing-suffering-and-trading-in-human-organs
#1
Mark J Cherry
The essays in this issue of The Journal of Medicine and Philosophy explore an innovative voucher program for encouraging kidney donation. Discussions cluster around a number of central moral and political/theoretical themes: (1) What are the direct and indirect health care costs and benefits of such a voucher system in human organs? (2) Do vouchers lead to more effective and efficient organ procurement and allocation or contribute to greater inequalities and inefficiencies in the transplantation system? (3) Do vouchers contribute to the inappropriate commodification of human body parts? (4) Is there a significant moral difference between such a voucher system and a market in human organs for transplantation? This paper argues that while kidney vouchers constitute a step in the right direction, fuller utilization of market-based incentives, including, but not limited to, barter exchanges (e...
October 1, 2017: Journal of Medicine and Philosophy
https://www.readbyqxmd.com/read/28914130/high-failure-rate-after-internal-fixation-and-beneficial-outcome-after-arthroplasty-in-treatment-of-displaced-femoral-neck-fractures-in-patients-between-55-and-70-years
#2
Stefan Bartels, Jan-Erik Gjertsen, Frede Frihagen, Cecilia Rogmark, Stein Erik Utvåg
Background and purpose - The treatment of patients between 55 and 70 years with displaced intracapsular femoral neck fracture remains controversial. We compared internal fixation (IF), bipolar hemiarthroplasty (HA) and total hip arthroplasty (THA) in terms of mortality, reoperations and patient-reported outcome by using data from the Norwegian Hip Fracture Register. Patients and methods - We included 2,713 patients treated between 2005 and 2012. 1,111 patients were treated with IF, 1,030 with HA and 572 patients with THA...
September 15, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28912115/system-wide-inpatient-portal%C3%A2-implementation-survey-of-health-care-team-perceptions
#3
Jennifer L Hefner, Cynthia J Sieck, Daniel M Walker, Timothy R Huerta, Ann Scheck McAlearney
BACKGROUND: Inpatient portals, a new type of patient portal tailored specifically to the hospital setting, can allow patients to access up-to-date health information and exchange secure communications with their care team. As such, inpatient portals present an opportunity for patients to increase engagement in their care during a time of acute crisis that emphasizes focus on a patient's health. While there is a large body of research on patient portals in the outpatient setting, questions are being raised specifically about inpatient portals, such as how they will be incorporated into the flow of patient care in hectic, stressed, team-based hospital settings...
September 14, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/28911790/microchimerism-defining-and-redefining-the-prepregnancy-context-a-review
#4
H S Gammill, W E Harrington
Bidirectional transplacental exchange characterizes human pregnancy. Cells exchanged between mother and fetus can durably persist as microchimerism and may have both short- and long-term consequences for the recipient. The amount, type, and persistence of microchimerism are influenced by obstetric characteristics, pregnancy complications, exposures to infection, and other factors. A reproductive-aged woman enters pregnancy harboring previously acquired microchimeric "grafts," which may influence her preconception health and her subsequent pregnancy outcomes...
August 31, 2017: Placenta
https://www.readbyqxmd.com/read/28903073/reconciling-disparate-information-in-continuity-of-care-documents-piloting-a-system-to-consolidate-structured-clinical-documents
#5
Masoud Hosseini, Josette Jones, Anthony Faiola, Daniel J Vreeman, Huanmei Wu, Brian E Dixon
BACKGROUND: Due to the nature of information generation in health care, clinical documents contain duplicate and sometimes conflicting information. Recent implementation of health information exchange (HIE) mechanisms in which clinical summary documents are exchanged among disparate health care organizations can proliferate duplicate and conflicting information. MATERIALS AND METHODS: To reduce information overload, a system to automatically consolidate information across multiple clinical summary documents was developed for an HIE network...
September 10, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28901654/clinical-learning-environments-place-artefacts-and-rhythm
#6
Dale Sheehan, Tanisha Jowsey, Mariam Parwaiz, Mark Birch, Philippa Seaton, Susan Shaw, Alison Duggan, Tim Wilkinson
CONTEXT: Health care practitioners learn through experience in clinical environments in which supervision is a key component, but how that learning occurs outside the supervision relationship remains largely unknown. This study explores the environmental factors that inform and support workplace learning within a clinical environment. METHODS: An observational study drawing on ethnographic methods was undertaken in a general medicine ward. Observers paid attention to interactions among staff members that involved potential teaching and learning moments that occurred and were visible in the course of routine work...
October 2017: Medical Education
https://www.readbyqxmd.com/read/28895819/paula-steiner-brings-her-blues-back-into-the-black
#7
Joseph Burns
The president and CEO of Chicago-based Health Care Service Corp. made tough decisions to raise premiums and narrow networks. But, at least for now, HCSC plans to stay in the ACA exchanges while other insurers are jumping ship.
August 2017: Managed Care
https://www.readbyqxmd.com/read/28893263/evaluation-of-a-continuous-community-based-itn-distribution-pilot-in-lainya-county-south-sudan-2012-2013
#8
Albert Kilian, Lisa Woods Schnurr, Tafadzwa Matova, Richmond Ato Selby, Kojo Lokko, Sean Blaufuss, Miatta Zenabu Gbanya, Ruth Allan, Hannah Koenker, Martin Swaka, George Greer, Megan Fotheringham, Lilia Gerberg, Matthew Lynch
BACKGROUND: Continuous distribution of insecticide-treated nets (ITNs) has now been accepted as one way of sustaining ITN universal coverage. Community-based channels offer an interesting means of delivering ITNs to households to sustain universal ITN coverage. The objective of this study was to provide proof of concept for this channel. METHODS: A 9-month, community-based, distribution pilot was implemented beginning 1 year after a mass campaign in Lainya County, South Sudan from 2012 to 2013...
September 11, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28891019/uncivilizing-mental-illness-contextualizing-diverse-mental-states-and-posthuman-emotional-ecologies-within-the-icarus-project
#9
Erica Hua Fletcher
This article argues humans should not be defined strictly at their physical boundaries with clear distinctions between anatomical bodies, mental states, and the rest of the world. Rather, diverse mental states, which are often diagnosed as "mental illness," take shape within greater environmental forces and flows, including those that are constructed online. Drawing from a multi-sited ethnography of The Icarus Project, a radical mental health community, the author situates online narratives written by two of its members within posthuman emotional ecologies in which the exchange of ideas online affects mental states in a profound way...
September 11, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/28888135/strseq-a-catalog-of-sequence-diversity-at-human-identification-short-tandem-repeat-loci
#10
Katherine Butler Gettings, Lisa A Borsuk, David Ballard, Martin Bodner, Bruce Budowle, Laurence Devesse, Jonathan King, Walther Parson, Christopher Phillips, Peter M Vallone
The STR Sequencing Project (STRSeq) was initiated to facilitate the description of sequence-based alleles at the Short Tandem Repeat (STR) loci targeted in human identification assays. This international collaborative effort, which has been endorsed by the ISFG DNA Commission, provides a framework for communication among laboratories. The initial data used to populate the project are the aggregate alleles observed in targeted sequencing studies across four laboratories: National Institute of Standards and Technology (N=1786), Kings College London (N=1043), University of North Texas Health Sciences Center (N=839), and University of Santiago de Compostela (N=944), for a total of 4612 individuals...
September 1, 2017: Forensic Science International. Genetics
https://www.readbyqxmd.com/read/28886502/nature-based-solutions-in-the-eu-innovating-with-nature-to-address-social-economic-and-environmental-challenges
#11
Nicolas Faivre, Marco Fritz, Tiago Freitas, Birgit de Boissezon, Sofie Vandewoestijne
Contemporary societies are facing a broad range of challenges, from pressures on human health and well-being to natural capital depletion, and the security of food, water and energy. These challenges are deeply intertwined with global processes, such as climate change and with local events such as natural disasters. The EU's research & innovation (R&I) policy is now seeking to address these challenges from a new perspective, with Nature-Based Solutions, and turn them into innovation opportunities that optimise the synergies between nature, society and the economy...
September 5, 2017: Environmental Research
https://www.readbyqxmd.com/read/28886077/exploration-of-ethno-medicinal-knowledge-among-rural-communities-of-pearl-valley-rawalakot-district-poonch-azad-jammu-and-kashmir
#12
Humaira Shaheen, Mirza Faisal Qaseem, Muhammad Shoaib Amjad, Piero Bruschi
BACKGROUND: Medicinal plants are the basic source of health care in the Pearl Valley District Poonch, Azad Jammu, and Kashmir. The basic aim of present study was to record information about the use of plants in herbal preparation and quantification of recorded data. MATERIALS AND METHODS: The research was conducted with the null hypothesis that there was no differential distribution of knowledge among the communities between genders and among different age groups in the study area and across cultural medicinal uses of the plants are similar...
2017: PloS One
https://www.readbyqxmd.com/read/28885989/the-role-of-health-information-technology-in-advancing-care-management-and-coordination-in-accountable-care-organizations
#13
Frances M Wu, Stephen M Shortell, Thomas G Rundall, Joan R Bloom
BACKGROUND: To be successful, accountable care organizations (ACOs) must effectively manage patient care. Health information technology (HIT) can support care delivery by providing various degrees of coordination. Few studies have examined the role of HIT functionalities or the role of different levels of coordination enabled by HIT on care management processes. PURPOSES: We examine HIT functionalities in ACOs, categorized by the level of coordination they enable in terms of information and work flow, to determine which specific HIT functionalities and levels of coordination are most strongly associated with care management processes...
October 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28882121/evaluation-of-a-peer-education-program-on-student-leaders-energy-balance-related-behaviors
#14
B C Foley, V A Shrewsbury, L L Hardy, V M Flood, K Byth, S Shah
BACKGROUND: Few studies have reported energy balance-related behavior (EBRB) change for peer leaders delivering health promotion programs to younger students in secondary schools. Our study assessed the impact of the Students As LifeStyle Activists (SALSA) program on SALSA peer leaders' EBRBs, and their intentions regarding these behaviors. METHODS: We used a pre-post study design to assess changes in EBRBs and intentions of Year 10 secondary school students (15-16 year olds) who volunteered to be peer leaders to deliver the SALSA program to Year 8 students (13-14 year olds)...
September 7, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28880968/purification-and-characterization-of-a-novel-metalloprotease-from-fruiting-bodies-of-oudemansiella-radicata
#15
Xueran Geng, Rigen Te, Guoting Tian, Yongchang Zhao, Liyan Zhao, Hexiang Wang, Tzi Bun Ng
In this study, a 39-kDa metalloprotease was purified from a rare edible mushroom with health-promoting activities, Oudemansiella radicata, using a purification protocol which entailed anion exchange chromatography on DEAE-cellulose and Q-Sepharose columns and gel filtration by fast protein liquid chromatography on a Superdex 75 column. Some peptide sequences were obtained by LC-MS/MS analysis and one of the sequences, DAWIQADVNR, manifested 90% identity to Coprinopsis cinerea metalloprotease. The optimal reaction pH and temperature for Oudemansiella radicata protease were pH 7...
2017: Acta Biochimica Polonica
https://www.readbyqxmd.com/read/28880103/close-social-ties-and-health-in-later-life-strengths-and-vulnerabilities
#16
Karen S Rook, Susan T Charles
The world is aging at an unprecedented rate, with older adults representing the fastest-growing segment of the population in most economically developed and developing countries. This demographic shift leaves much uncharted territory for researchers who study social relationships and health. Social relationships exert powerful influences on physical health in later adulthood, a critical consideration given age-related increases in the prevalence of chronic health conditions and physical disability. A large body of research indicates that older adults report greater satisfaction with their social networks than do younger adults, and that they often take measures to minimize their exposure to negative social encounters...
September 2017: American Psychologist
https://www.readbyqxmd.com/read/28879174/mobile-technology-to-increase-hiv-hcv-testing-and-overdose-prevention-response-among-people-who-inject-drugs
#17
Ian David Aronson, Alexander Bennett, Lisa A Marsch, Theodore C Bania
The United States faces dramatically increasing rates of opioid overdose deaths, as well as persistent ongoing problems of undiagnosed HIV and HCV infection. These problems commonly occur together in substance using populations that have limited, if any, access to primary care and other routine health services. To collectively address all three issues, we developed the Mobile Intervention Kit (MIK), a tablet computer-based intervention designed to provide overdose prevention and response training and to facilitate HIV/HCV testing in community settings...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28877842/improving-health-literacy-about-dementia-among-older-chinese-and-vietnamese-australians
#18
Betty Haralambous, Paulene Mackell, Xiaoping Lin, Marcia Fearn, Briony Dow
The number of older people in the population is increasing faster than for any other age group. This population growth, while positive, is associated with increasing incidence of chronic and progressive diseases such as dementia. This requires older people to navigate services that may not be designed to meet their needs. This issue can be further amplified in culturally and linguistically diverse populations who often have limited English language proficiency and limited knowledge of diseases such as dementia...
September 7, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28875054/current-status-of-electronic-medical-record-systems-in-hospitals-and-clinics-in-korea
#19
Young-Taek Park, Dongwoon Han
OBJECTIVES: Many healthcare organizations and professionals have had interests in healthcare information and communication technology (ICT). The objective of this study was to investigate the current status of overall healthcare ICT, especially focusing on Electronic Medical Record (EMR) systems in Korea. METHODS: This study used a part of the nationwide survey collected for the OECD benchmarking ICT study. The Health Insurance Review and Assessment Service conducted the survey from November 19, 2013 to January 10, 2014...
July 2017: Healthcare Informatics Research
https://www.readbyqxmd.com/read/28874160/preterm-birth-the-role-of-knowledge-transfer-and-exchange
#20
Hacsi Horvath, Claire D Brindis, E Michael Reyes, Gavin Yamey, Linda Franck
BACKGROUND: Preterm birth (PTB) is the leading cause of death in children under age five. Healthcare policy and other decision-making relevant to PTB may rely on obsolete, incomplete or inapplicable research evidence, leading to worsened outcomes. Appropriate knowledge transfer and exchange (KTE) strategies are an important component of efforts to reduce the global PTB burden. We sought to develop a 'landscape' analysis of KTE strategies currently used in PTB and related contexts, and to make recommendations for optimising programmatic implementation and for future research...
September 6, 2017: Health Research Policy and Systems
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