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https://www.readbyqxmd.com/read/29224218/researchers-supporting-schools-to-improve-health-influential-factors-and-outcomes-of-knowledge-brokering-in-the-compass-study
#1
Kristin M Brown, Susan J Elliott, Scott T Leatherdale
BACKGROUND: Although schools are considered opportune settings for youth health interventions, a gap between school health research and practice exists. COMPASS, a longitudinal study of Ontario and Alberta secondary students and schools (2012-2021), used integrated knowledge translation to enhance schools' uptake of research findings. Schools received annual summaries of their students' health behaviors and suggestions for action, and were linked with COMPASS knowledge brokers to support them in making changes to improve student health...
January 2018: Journal of School Health
https://www.readbyqxmd.com/read/29224174/cost-effectiveness-of-treatments-for-the-management-of-bone-metastases-a-systematic-literature-review
#2
REVIEW
Lazaros Andronis, Ilias Goranitis, Sue Bayliss, Rui Duarte
BACKGROUND: Metastatic cancers occur when cancer cells break away from the primary tumour. One of the most common sites of metastasis is the bone, with several therapeutic options currently available for managing bone metastases. In a resource-constrained environment, policy makers and practitioners need to know which options are cost effective. OBJECTIVE: The aim of this systematic review was to review and appraise published economic evaluations on treatments for the management of bone metastases...
December 9, 2017: PharmacoEconomics
https://www.readbyqxmd.com/read/29223861/how-lack-of-physiotherapist-out-of-hours-led-to-nurses-developing-their-role-a-uk-case-study
#3
Pat Johnson, Chloe Griggs
The aim of this article is to share the experience of how a multi-disciplinary team worked together to develop the nursing role to incorporate the practitioners supporting mobilisation of a patient. The role developed nurses' competence, ensuring that the information and instruction patients received were consistent between therapists and nursing staff, but also supported the Enhanced Recovery Programme (2010). There were issues with the level of therapy support, especially out of hours. The team agreed a vision together, with a solution to the problem on how the mobilisation of patients post-surgery could be achieved...
August 12, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/29223173/the-worried-well-characteristics-of-cognitively-normal-patients-presenting-to-a-rural-and-remote-memory-clinic
#4
Ryan Verity, Andrew Kirk, Megan E O'Connell, Chandima Karunanayake, Debra G Morgan
INTRODUCTION: In an effort to better understand why cognitively normal patients were referred to a memory clinic, we sought to identify features of "worried well" patients to better identify those more likely to be cognitively normal. METHODS: In total, 375 consecutive patients referred by primary care practitioners to a Rural and Remote Memory Clinic were categorized into two groups based on their neurologic diagnosis, "worried well" (cognitively normal, N=81) or "other" (patients with any neurologic diagnosis, N=294)...
December 10, 2017: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/29223122/a-comprehensive-review-of-spatial-allocation-of-lid-bmp-gi-practices-strategies-and-optimization-tools
#5
REVIEW
Kun Zhang, Ting Fong May Chui
Low-impact development (LID), best management practice (BMP), and green infrastructure (GI) are semi-engineered stormwater management practices that have been widely studied and implemented worldwide. Implemented in the complex environment of urban areas, LID-BMP-GI practices often intertwine with a very large number of hydro-environmental and socio-economic considerations and constraints. Therefore, they need to be carefully selected, designed, and allocated within an urban area. Both planning and optimization can lead to more systematic and strategic approaches to address this multi-scale, multi-parameter problem of practice allocation...
December 6, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29223004/towards-utilization-of-the-human-genome-and-microbiome-for-personalized-nutrition
#6
REVIEW
Stavros Bashiardes, Anastasia Godneva, Eran Elinav, Eran Segal
Generalized dietary and lifestyle guidelines have been formulated and published for decades now from a variety of relevant agencies in an attempt to guide people towards healthy choices. As the pandemic rise in metabolic diseases continues to increase, it has become clear that the one-fit-for-all diet approach does not work and that there is a significant variation in inter-individual responses to diet and lifestyle interventions. Recent technological advances have given an unprecedented insight into the sources of this variation, pointing towards our genome and microbiome as potentially and previously under-explored culprits contributing to individually unique dietary responses...
December 6, 2017: Current Opinion in Biotechnology
https://www.readbyqxmd.com/read/29221545/-globalhealth-twitter-conversations-on-malaria-hiv-tb-ncds-and-ntds-a-cross-sectional-analysis
#7
Isaac Chun-Hai Fung, Ashley M Jackson, Jennifer O Ahweyevu, Jordan H Grizzle, Jingjing Yin, Zion Tsz Ho Tse, Hai Liang, Juliet N Sekandi, King-Wa Fu
BACKGROUND: Advocates use the hashtag #GlobalHealth on Twitter to draw users' attention to prominent themes on global health, to harness their support, and to advocate for change. OBJECTIVES: We aimed to describe #GlobalHealth tweets pertinent to given major health issues. METHODS: Tweets containing the hashtag #GlobalHealth (N = 157,951) from January 1, 2014, to April 30, 2015, were purchased from GNIP Inc. We extracted 5 subcorpora of tweets, each with 1 of 5 co-occurring disease-specific hashtags (#Malaria, #HIV, #TB, #NCDS, and #NTDS) for further analysis...
May 2017: Annals of Global Health
https://www.readbyqxmd.com/read/29221496/does-intensive-management-improve-remission-rates-in-patients-with-intermediate-rheumatoid-arthritis-the-titrate-trial-study-protocol-for-a-randomised-controlled-trial
#8
Naomi H Martin, Fowzia Ibrahim, Brian Tom, James Galloway, Allan Wailoo, Jonathan Tosh, Heidi Lempp, Louise Prothero, Sofia Georgopoulou, Jackie Sturt, David L Scott
BACKGROUND: Uncontrolled active rheumatoid arthritis can lead to increasing disability and reduced quality of life over time. 'Treating to target' has been shown to be effective in active established disease and also in early disease. However, there is a lack of nationally agreed treatment protocols for patients with established rheumatoid arthritis who have intermediate disease activity. This trial is designed to investigate whether intensive management of disease leads to a greater number of remissions at 12 months...
December 8, 2017: Trials
https://www.readbyqxmd.com/read/29221494/factors-associated-with-the-achievement-of-cervical-smears-by-general-practitioners
#9
Michaël Rochoy, Thibaut Raginel, Jonathan Favre, Estelle Soueres, Nassir Messaadi, Valérie Deken, Alain Duhamel, Christophe Berkhout
OBJECTIVE: Reliable data about general practitioners performing pap-tests are insufficient. A claim code for the achievement of pap-smears exists in France, but its use by general practitioners is not known. The main purpose of this study was to highlight independent factors associated with the achievement of pap-smears by the general practitioner (GP). We carried out a descriptive and analytic epidemiologic study in 347 GPs and their 244,889 patients, registered at the Health Care Insurance Fund of Flanders...
December 8, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29221475/a-critical-realist-evaluation-of-a-music-therapy-intervention-in-palliative-care
#10
Sam Porter, Tracey McConnell, Mike Clarke, Jenny Kirkwood, Naomi Hughes, Lisa Graham-Wisener, Joan Regan, Miriam McKeown, Kerry McGrillen, Joanne Reid
BACKGROUND: Music therapy is increasingly used as an adjunct therapy to support symptom management in palliative care. However, studies to date have paid little attention to the processes that lead to changes in patient outcomes. To fill this gap, we examined the processes and experiences involved in the introduction of music therapy as an adjunct complementary therapy to palliative care in a hospice setting in the United Kingdom (UK). METHODS: Using a realistic evaluation approach, we conducted a qualitative study using a variety of approaches...
December 8, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29221450/peer-feedback-for-examiner-quality-assurance-on-mrcgp-international-south-asia-a-mixed-methods-study
#11
D P Perera, Marie Andrades, Val Wass
BACKGROUND: The International Membership Examination (MRCGP[INT]) of the Royal College of General Practitioners UK is a unique collaboration between four South Asian countries with diverse cultures, epidemiology, clinical facilities and resources. In this setting good quality assurance is imperative to achieve acceptable standards of inter rater reliability. This study aims to explore the process of peer feedback for examiner quality assurance with regard to factors affecting the implementation and acceptance of the method...
December 8, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29221442/general-practitioners-awareness-of-depressive-symptomatology-is-not-associated-with-quality-of-life-in-heart-failure-patients-cross-sectional-results-of-the-observational-recode-hf-study
#12
Marion Eisele, Sigrid Boczor, Anja Rakebrandt, Eva Blozik, Jens-Martin Träder, Stefan Störk, Christoph Herrmann-Lingen, Martin Scherer
BACKGROUND: Depression is a common comorbidity in patients with chronic heart failure (HF) and linked to a wider range of symptoms which, in turn, are linked to a decreased health-related quality of life (HRQOL). Treatment of depression might improve HRQOL but detecting depression is difficult due to the symptom overlap between HF and depression. Therefore, clinical guidelines recommend to routinely screen for depression in HF patients. No studies have so far investigated the treatment after getting aware of a depressive symptomatology and its correlation with HRQOL in primary care HF patients...
December 8, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/29220703/referral-to-specialist-physiotherapists-in-the-management-of-whiplash-associated-disorders-perspectives-of-healthcare-practitioners
#13
Aila Nica Bandong, Andrew Leaver, Martin Mackey, Michele Sterling, Joan Kelly, Carrie Ritchie, Trudy Rebbeck
BACKGROUND: Guidelines for whiplash associated disorders (WAD) recommend early referral to specialists (e.g. specialist physiotherapists) of people who are not recovering. This recommendation is a key component of a proposed clinical pathway of care for WAD. OBJECTIVE: To explore healthcare practitioners' opinions about referral to specialist physiotherapists of people with WAD at high risk of non-recovery. DESIGN: Qualitative descriptive study...
November 22, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29220599/the-evidence-based-practitioner-applying-research-to-meet-client-needs-2017-by-catana-brown-233-pp-soft-cover-isbn-13-9780803643666-fa-davis-company-philadelphia-pa-price-59-95
#14
https://www.readbyqxmd.com/read/29220480/-working-away-in-that-grey-area%C3%A2-a-qualitative-exploration-of-the-challenges-general-practitioners-experience-when-managing-behavioural-and-psychological-symptoms-of-dementia
#15
Aisling A Jennings, Tony Foley, Sheena McHugh, John P Browne, Colin P Bradley
Background: general practitioners (GPs) have identified the management of behavioural and psychological symptoms of dementia (BPSD) as a particularly challenging aspect of dementia care. However, there is a paucity of research on why GPs find BPSD challenging and how this influences the care they offer to their patients with dementia. Objectives: to establish the challenges GPs experience when managing BPSD; to explore how these challenges influence GPs' management decisions; and to identify strategies for overcoming these challenges...
December 6, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29220365/a-novel-methodology-for-strengthening-human-rights-based-monitoring-in-public-health-family-planning-indicators-as-an-illustrative-example
#16
Sofia Gruskin, Laura Ferguson, Shubha Kumar, Alexandra Nicholson, Moazzam Ali, Rajat Khosla
OBJECTIVE: The last few years have seen a rise in the number of global and national initiatives that seek to incorporate human rights into public health practice. Nonetheless, a lack of clarity persists regarding the most appropriate indicators to monitor rights concerns in these efforts. The objective of this work was to develop a systematic methodology for use in determining the extent to which indicators commonly used in public health capture human rights concerns, using contraceptive services and programmes as a case study...
2017: PloS One
https://www.readbyqxmd.com/read/29219828/improving-care-for-older-patients-in-the-acute-setting-a-qualitative-study-with-healthcare-providers
#17
C Brouwers, H Merten, M Willems, D J Habraken, F W Bloemers, T H Biesheuvel, L S van Galen, P W B Nanayakkara, C Wagner
BACKGROUND: The proportion of older people needing acute care is rapidly growing, thereby posing an increased burden on the acute care chain. The aim of this study is to gain more insight into the obstacles and potential improvement opportunities of the acute care process for older patients arriving at the hospital. METHODS: Semi-structured interviews were conducted to determine the experiences of 18 different primary (i.e. general practitioner, community nurse) and secondary healthcare professionals (i...
October 2017: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/29219098/analyzing-implementation-dynamics-using-theory-driven-evaluation-principles-lessons-learnt-from-a-south-african-centralized-chronic-dispensing-model
#18
Bvudzai Priscilla Magadzire, Bruno Marchal, Tania Mathys, Richard O Laing, Kim Ward
BACKGROUND: Centralized dispensing of essential medicines is one of South Africa's strategies to address the shortage of pharmacists, reduce patients' waiting times and reduce over-crowding at public sector healthcare facilities. This article reports findings of an evaluation of the Chronic Dispensing Unit (CDU) in one province. The objectives of this process evaluation were to: (1) compare what was planned versus the actual implementation and (2) establish the causal elements and contextual factors influencing implementation...
December 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29219080/health-practitioners-emotional-reactions-to-caring-for-hospitalized-children-in-lom%C3%A3-togo-a-qualitative-study
#19
Bassantéa Lodegaèna Kpassagou, Kokou Messanh Agbémélé Soedje
BACKGROUND: Health practitioners frequently encounter dying, death and suffering. While providing health care can be stressful, the literature on how different health practitioners cope with the emotional challenges associated with their work is sparse. Further, much of this literature is based on studies conducted in high-income countries. In this study, we explored emotional distress and associated coping strategies among health practitioners working in a pediatric oncology department in a large teaching hospital in Lomé, Togo...
December 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29218971/an-evaluation-of-medication-reconciliation-in-an-outpatient-nephrology-clinic
#20
Matthew Phillips, Jo-Anne Wilson, Amany Aly, Marsha Wood, Penelope Poyah, Sarah Drost, Anne Hiltz, Holly Carver
Background: Accreditation Canada recognizes medication reconciliation as a key required organizational practice (ROP) to enhance patient safety. Patients with chronic kidney disease (CKD) carry a high risk for adverse drug events due to multiple co-morbidities, using many medications, and being cared for by many practitioners. Data evaluating the benefits of ambulatory medication reconciliation (AmbMR) in patients with advanced CKD is limited. Methods: We retrospectively evaluated types and rates of medication discrepancies and their potential index for patient harm using the Cornish classification system in a cohort of consecutive non-dialysis-dependent CKD stage 5 patients who received AmbMR...
April 2017: CANNT Journal, Journal ACITN
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