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https://www.readbyqxmd.com/read/28526311/dramatic-effects-of-a-new-antimicrobial-stewardship-program-in-a-rural-community-hospital
#1
Claudia R Libertin, Stephanie H Watson, William L Tillett, Joy H Peterson
BACKGROUND: New Joint Commission antimicrobial stewardship requirements took effect on January 1, 2017, promoted as a central strategy for coping with the emerging problems of antimicrobial resistance and Clostridium difficile infection. Our objective was to measure the effects of a new antimicrobial stewardship program (ASP) in a rural community hospital with no prior ASP, in the context of having a new infectious disease specialist on staff. METHODS: An ASP team was formed to implement a prospective audit with health care provider feedback and targeting 12 antimicrobial agents in a rural hospital in Georgia...
May 16, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28502261/profiles-of-executive-function-across-children-with-distinct-brain-disorders-traumatic-brain-injury-stroke-and-brain-tumor
#2
Gabriel C Araujo, Tanya N Antonini, Vicki Anderson, Kathryn A Vannatta, Christina G Salley, Erin D Bigler, H Gerry Taylor, Cynthia Gerhardt, Kenneth Rubin, Maureen Dennis, Warren Lo, Mark T Mackay, Anne Gordon, Christine Hajek Koterba, Alison Gomes, Mardee Greenham, Keith Owen Yeates
OBJECTIVES: This study examined whether children with distinct brain disorders show different profiles of strengths and weaknesses in executive functions, and differ from children without brain disorder. METHODS: Participants were children with traumatic brain injury (N=82; 8-13 years of age), arterial ischemic stroke (N=36; 6-16 years of age), and brain tumor (N=74; 9-18 years of age), each with a corresponding matched comparison group consisting of children with orthopedic injury (N=61), asthma (N=15), and classmates without medical illness (N=68), respectively...
May 15, 2017: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/28483467/the-effect-of-social-media-some-on-journal-impact-factor-and-parental-awareness-in-paediatric-urology
#3
F O'Kelly, G J Nason, R P Manecksha, S Cascio, F J Quinn, M Leonard, M A Koyle, W Farhat, M J Leveridge
BACKGROUND: Social media (SoMe) comprises a number of internet-based applications that have the capability to disseminate multimodal media and allow for unprecedented inter-user connectivity. The role of Twitter has been studied in conferences and education; moreover, there is increasing evidence that patients are more likely to use social media for their own health education. OBJECTIVE: The aim of this study was to assess the impact of social media platforms on the impact factor of both urological and paediatric journals that publish on paediatric urology, and to assess parental awareness of social media in paediatric urology...
April 21, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28459105/crude-childhood-vaccination-coverage-in-west-africa-trends-and-predictors-of-completeness
#4
Jacob S Kazungu, Ifedayo M O Adetifa
Background: Africa has the lowest childhood vaccination coverage worldwide. If the full benefits of childhood vaccination programmes are to be enjoyed in sub-Saharan Africa, all countries need to improve on vaccine delivery to achieve and sustain high coverage. In this paper, we review trends in vaccination coverage, dropouts between vaccine doses and explored the country-specific predictors of complete vaccination in West Africa.  Methods: We utilized datasets from the Demographic and Health Surveys Program, available for Benin, Burkina Faso, The Gambia, Ghana, Guinea, Cote d'Ivoire, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone and Togo, to obtain coverage for Bacillus Calmette-Guerin, polio, measles, and diphtheria, pertussis and tetanus (DPT) vaccines in children aged 12 - 23 months...
February 15, 2017: Wellcome Open Research
https://www.readbyqxmd.com/read/28451471/can-handgrip-strength-improve-following-body-mass-based-lower-body-exercise
#5
Yu Yaginuma, Takashi Abe, Robert S Thiebaud, Takahiro Kitamura, Masashi Kawanishi, Tetsuo Fukunaga
Knee extension strength (KES) improves following body mass-based lower body exercise training; however, it is unknown whether this type of exercise increases handgrip strength (HGS) as a result of a cross-education effect in older individuals. Our aim was to investigate the effect of a body mass-based exercise intervention on HGS and KES in older adults. At baseline, 166 subjects started a 12-week intervention program, and 160 (108 women and 52 men) subjects completed the study. A self-selected group of 37 older adults (21 women and 16 men) served as a control group...
2017: BioResearch Open Access
https://www.readbyqxmd.com/read/28445791/quality-and-relevance-of-master-degree-education-for-the-professional-development-of-nurses-and-midwives
#6
Azzurra Massimi, Carolina Marzuillo, Marco Di Muzio, Maria Rosaria Vacchio, Elvira D'Andrea, Paolo Villari, Corrado De Vito
BACKGROUND: Advanced education in nursing is essential to provide safe, high quality and efficient health services in line with population needs. However, there is an almost complete lack of studies on how nurses view the usefulness of post-graduate education for their current employment and for professional advancement. OBJECTIVES: To evaluate how nurse graduates view the quality, relevance and applicability of the knowledge and skills acquired during the Master of Science in Nursing (MSN) degree...
June 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28444509/impact-of-an-endoscopic-quality-improvement-program-focused-on-adenoma-detection-on-sessile-serrated-adenoma-polyp-detection
#7
Ronald G Racho, Murli Krishna, Susan G Coe, Colleen S Thomas, Julia E Crook, Nancy N Diehl, Michael B Wallace
BACKGROUND: Sessile serrated adenomas/polyps (SSA/P) are an under-recognized disease with a unique malignant pathway. Improved endoscopic recognition and pathological interpretation is needed. AIMS: To determine whether an educational intervention that improved adenoma detection rate (ADR) could improve SSA/P detection rate after reclassification of previously termed "hyperplastic" polyps. METHODS: We reanalyzed data from a prospective randomized trial of an educational intervention aimed at increasing ADR...
April 25, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28441974/evaluating-effectiveness-and-cost-effectiveness-of-a-group-psychological-intervention-using-cognitive-behavioural-strategies-for-women-with-common-mental-disorders-in-conflict-affected-rural-pakistan-study-protocol-for-a-randomised-controlled-trial
#8
Anna Chiumento, Syed Usman Hamdani, Muhammad Naseem Khan, Katie Dawson, Richard A Bryant, Marit Sijbrandij, Huma Nazir, Parveen Akhtar, Aqsa Masood, Duolao Wang, Mark van Ommeren, Atif Rahman
BACKGROUND: The impact of humanitarian disasters upon mental health is well recognised. The evidence for psychological interventions for mental health is mounting, but few interventions have been rigorously tested in humanitarian settings. To be sustainable in humanitarian settings interventions need to be short, simple, deliverable by nonspecialists under supervision, and adopt a transdiagnostic approach where an array of mental health outcomes are addressed simultaneously. These elements have been incorporated into the newly developed WHO Problem Management Plus (PM+) Group intervention...
April 26, 2017: Trials
https://www.readbyqxmd.com/read/28434804/nurses-knowledge-and-perception-of-delirium-screening-and-assessment-in-the-intensive-care-unit-long-term-effectiveness-of-an-education-based-knowledge-translation-intervention
#9
Sharon L Hickin, Sandra White, Jennifer Knopp-Sihota
OBJECTIVES: To determine the impact of education on nurses' knowledge of delirium, knowledge and perception of a validated screening tool, and delirium screening in the ICU. METHODS: A quasi-experimental single group pretest-post-test design. SETTING: A 16 bed ICU in a Canadian urban tertiary care centre. MAIN OUTCOME MEASURES: Nursing knowledge and perception were measured at baseline, 3-month and 18-month periods. Delirium screening was then assessed over 24-months...
April 20, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28426922/feasibility-and-acceptability-of-healthy-directions-a-lifestyle-intervention-for-adults-with-lung-cancer
#10
Amanda C Blok, Traci M Blonquist, Manan M Nayak, Darryl Somayaji, Scott E Crouter, Laura L Hayman, Yolonda L Colson, Raphael Bueno, Karen M Emmons, Mary E Cooley
OBJECTIVE: The aims of this feasibility study of an adapted lifestyle intervention for adults with lung cancer were to: 1) determine rates of enrollment, attrition and completion of five nurse-patient contacts, 2) examine demographic characteristics of those more likely to enroll into the program, 3) determine acceptability of the intervention, and 4) identify patient preferences for the format of supplemental educational intervention materials. METHODS: This study used a single arm, pre-and post-test design...
April 20, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28425894/trends-in-smoking-initiation-in-canada-does-non-inclusion-of-young-adults-in-tobacco-control-strategies-represent-a-missed-opportunity
#11
Thierry Gagné, Gerry Veenstra
OBJECTIVES: Young adults face high prevalence rates for smoking. Recent evidence suggests that many people initiate smoking during young adulthood, but little is currently known about trends in initiation rates for this age group. METHODS: We examined rates of initiation to first cigarette (FC) and daily smoking (DS) during youth (5-17 years) and young adulthood (18-25 years) using nationally representative data from the 2001, 2003, 2005, 2007, 2009, 2011 and 2013 cycles of the Canadian Community Health Survey...
April 20, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28416830/-analysis-on-the-causes-of-unscheduled-suspensions-of-knee-and-hip-arthroplasty
#12
Y Li, Z J Li, K Zhang, H Tian, Y Q Liu, H Cai, F Li, M W Zhao
OBJECTIVE: To analyze and summarize the causes of unscheduled suspension of knee and hip arthroplasty and to provide the method for optimizing the patient's preoperative management and improving the efficiency of medical resources as well as the patient's satisfaction. METHODS: The data for this report was retrospectively collected from September 2013 to August 2014 in our hospital, from cases of knee and hip arthroplasty that were suspended before the scheduled operation time...
April 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28411959/implementation-and-outcomes-of-an-antimicrobial-stewardship-program-effectiveness-of-education
#13
Yea-Yuan Chang, Hsin-Pai Chen, Chia-Wei Lin, Jen-Jen Tang, Ti-Ying Hsu, Yueh-Chun Weng, Yuan-Ming Lee, Wei-Shu Wang, Su-Shun Lo
BACKGROUND: Unnecessary use of antibiotics is a common occurrence in hospitals. Implementation of antibiotic stewardship programs (ASPs) has been shown to reduce both unnecessary antibiotic use and drug-resistant bacteria. Education is a fundamental component of an ASP. However, the effectiveness of proper uses of antibiotics education has not been clearly analyzed. METHODS: In a 520-bed university hospital located in northeastern Taiwan, a significantly increasing prescription of carbapenems, specifically imipenem and meropenem, was observed...
April 12, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28410366/brief-educational-interventions-to-improve-performance-on-novel-quality-metrics-in-ambulatory-settings-in-kenya-a-multi-site-pre-post-effectiveness-trial
#14
Robert Ryan Korom, Stephanie Onguka, Peter Halestrap, Maureen McAlhaney, Mary Adam
BACKGROUND: The quality of primary care delivered in resource-limited settings is low. While some progress has been made using educational interventions, it is not yet clear how to sustainably improve care for common acute illnesses in the outpatient setting. Management of urinary tract infection is particularly important in resource-limited settings, where it is commonly diagnosed and associated with high levels of antimicrobial resistance. We describe an educational programme targeting non-physician health care providers and its effects on various clinical quality metrics for urinary tract infection...
2017: PloS One
https://www.readbyqxmd.com/read/28399116/maternal-pre-pregnancy-body-mass-index-and-risk-of-bronchopulmonary-dysplasia
#15
Suzan L Carmichael, Peiyi Kan, Jeffrey B Gould, David K Stevenson, Gary M Shaw, Henry C Lee
BACKGROUND: We examined the relationship between women's prepregnancy body mass index (BMI) and development of bronchopulmonary dysplasia (BPD) in their preterm offspring, hypothesizing that obesity-associated inflammation may increase risk. METHODS: We studied infants born in California 2007-2011, using linked data from California Perinatal Quality Care Collaborative neonatal intensive care units, hospital discharge, and vital statistics. We included infants with birthweight<1500 grams or gestational age at birth 22-29 weeks...
April 11, 2017: Pediatric Research
https://www.readbyqxmd.com/read/28398984/experiences-of-pre-licensure-or-pre-registration-health-professional-students-and-their-educators-in-working-with-intra-professional-teams-a-qualitative-systematic-review
#16
Diane L Butcher, Karen MacKinnon, Anne Bruce, Carol Gordon, Clare Koning
BACKGROUND: Inter-professional initiatives are prevalent in the healthcare landscape, requiring professionals to collaborate effectively to provide quality patient care. Little attention has been given to intra-professional relationships, where professionals within one disciplinary domain (such as degree and diploma nursing students) collaborate to provide care. New care models are being introduced where baccalaureate and diploma students of a particular discipline (such as nursing, occupational therapy, dentistry or physiotherapy) work closely together in teams to deliver care...
April 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28397942/flash-glucose-monitoring-system-may-benefit-children-and-adolescents-with-type-1-diabetes-during-fasting-at-ramadan
#17
Abdulmoein E Al-Agha, Shahd E Kafi, Abdullah M Zain Aldeen, Raghdah H Khadwardi
To assess the benefit of using the flash glucose monitoring system (FGMS) in children and adolescents with type 1 diabetes mellitus (T1DM) during Ramadan fasting. Methods: A prospective pilot study of 51 participants visited the pediatric diabetes clinic at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia from between June until and July 2016. The FreeStyle® Libre™ FGMS (Abbott Diabetes Care, Alameda, CA, USA) was used. Hypoglycemia was defined as glucose values of less than 70 mg/dL, while hyperglycemia as glucose values of more than 150 mg/dL for all participants based on our institute's protocol...
April 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28392003/increasing-awareness-of-age-related-fertility-and-elective-fertility-preservation-among-medical-students-and-house-staff-a-pre-and-post-intervention-analysis
#18
Erica Anspach Will, Bat-Sheva Maslow, Leah Kaye, John Nulsen
OBJECTIVE: To assess medical students' and house staff's knowledge and personal and professional perceptions of age-related fertility and fertility preservation before and after an educational intervention. DESIGN: Pre-/post intervention survey. SETTING: University-based medical center. PATIENT(S): Medical students and house staff. INTERVENTION(S): An educational session on age-related fertility decline and elective fertility preservation...
April 6, 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28376725/improving-feeding-and-growth-of-hiv-positive-children-through-nutrition-training-of-frontline-health-workers-in-tanga-tanzania
#19
Bruno F Sunguya, Linda B Mlunde, David P Urassa, Krishna C Poudel, Omary S Ubuguyu, Namala P Mkopi, Germana H Leyna, Anna T Kessy, Keiko Nanishi, Akira Shibanuma, Junko Yasuoka, Masamine Jimba
BACKGROUND: Nutrition training can boost competence of health workers to improve children's feeding practices. In this way, child undernutrition can be ameliorated in general populations. However, evidence is lacking on efficacy of such interventions among Human Immunodeficiency Virus (HIV)-positive children. We aimed to examine the efficacy of a nutrition training intervention to improve midlevel providers' (MLPs) nutrition knowledge and feeding practices and the nutrition statuses of HIV-positive children in Tanga, Tanzania...
April 4, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28373643/the-role-of-three-dimensional-printed-models-of-skull-in-anatomy-education-a-randomized-controlled-trail
#20
Shi Chen, Zhouxian Pan, Yanyan Wu, Zhaoqi Gu, Man Li, Ze Liang, Huijuan Zhu, Yong Yao, Wuyang Shui, Zhen Shen, Jun Zhao, Hui Pan
Three-dimensional (3D) printed models represent educational tools of high quality compared with traditional teaching aids. Colored skull models were produced by 3D printing technology. A randomized controlled trial (RCT) was conducted to compare the learning efficiency of 3D printed skulls with that of cadaveric skulls and atlas. Seventy-nine medical students, who never studied anatomy, were randomized into three groups by drawing lots, using 3D printed skulls, cadaveric skulls, and atlas, respectively, to study the anatomical structures in skull through an introductory lecture and small group discussions...
April 3, 2017: Scientific Reports
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