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https://www.readbyqxmd.com/read/29451878/control-fast-or-control-smart-when-should-invading-pathogens-be-controlled
#1
Robin N Thompson, Christopher A Gilligan, Nik J Cunniffe
The intuitive response to an invading pathogen is to start disease management as rapidly as possible, since this would be expected to minimise the future impacts of disease. However, since more spread data become available as an outbreak unfolds, processes underpinning pathogen transmission can almost always be characterised more precisely later in epidemics. This allows the future progression of any outbreak to be forecast more accurately, and so enables control interventions to be targeted more precisely...
February 16, 2018: PLoS Computational Biology
https://www.readbyqxmd.com/read/29433498/what-does-an-enabling-environment-for-infant-and-young-child-nutrition-look-like-at-implementation-level-perspectives-from-a-multi-stakeholder-process-in-the-breede-valley-sub-district-western-cape-south-africa
#2
L M Du Plessis, M H McLachlan, S E Drimie
BACKGROUND: Breede Valley is a sub-district of the Cape Winelands district, Western Cape Province, South Africa. The administrative capital of the district is situated in the semi-rural town Worcester. Findings of a baseline survey in Worcester revealed poor infant feeding practices and childhood under- and overnutrition, with particular concern over high levels of stunting and low dietary diversity. Maternal overweight and obesity was high. These characteristics made the site suitable to study multi-sectoral arrangements for infant and young child nutrition (IYCN)...
February 13, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29427618/factors-influencing-team-behaviors-in-surgery-a-qualitative-study-to-inform-teamwork-interventions
#3
Emma-Louise Aveling, Juliana Stone, Thoralf Sundt, Cameron Wright, Francesca Gino, Sara Singer
BACKGROUND: Surgical excellence demands teamwork. Poor team behaviors negatively affect team performance and are associated with adverse events and worse outcomes. Interventions to improve surgical teamwork focusing on frontline team members' nontechnical skills have proliferated but shown mixed results. Literature on teamwork in organizations suggests that team behaviors are also contingent on psycho-social, cultural and organizational factors. This study examines factors influencing surgical team behaviors in order to inform more contextually sensitive and effective approaches to optimizing surgical teamwork...
February 7, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29426015/the-factors-related-to-self-other-agreement-disagreement-in-nursing-competence-assessment-comparative-and-correlational-study
#4
Miyuki Takase, Masako Yamamoto, Yoko Sato
BACKGROUND: While assessment made by nurses of themselves (self-assessment) and assessment made of them by others (other-assessment) provide unique and valuable information as to individual nurses' competence, the subjective nature of both assessments often causes a disagreement between them. This is problematic when educational interventions to foster nurses' competence are designed. However, the question of what factors contribute to the self-other disagreement in competence assessment has rarely been investigated in nursing...
February 2, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29425890/the-top-medical-education-studies-of-2016-a-narrative-review
#5
REVIEW
H Barrett Fromme, Michael S Ryan, Alix Darden, Donna D'Alessandro, Leora Mogilner, Steven Paik, Teri L Turner
Education, like clinical medicine, should be based on the most current evidence in the field. Unfortunately, medical educators can be overwhelmed by the sheer volume and range of resources for this literature. This article provides an overview of 15 articles from 2016 that the authors consider the top articles in the field of pediatric medical education. The seven authors, all medical educators with combined leadership and expertise across the continuum of pediatric medical education, used an interative, three-stage process to review more than 6339 abstracts published in 2016...
February 6, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29423364/promoting-evidence-informed-policymaking-for-maternal-and-child-health-in-nigeria-lessons-from-a-knowledge-translation-workshop
#6
Chigozie Jesse Uneke, Issiaka Sombie, Henry Chukwuemeka Uro-Chukwu, Yagana Gidado Mohammed, Ermel Johnson
Background: Knowledge translation (KT) is a process that ensures that research evidence gets translated into policy and practice. In Nigeria, reports indicate that research evidence rarely gets into policymaking process. A major factor responsible for this is lack of KT capacity enhancement mechanisms. The objective of this study was to improve KT competence of an implementation research team (IRT), policymakers and stakeholders in maternal and child health to enhance evidence-informed policymaking. Methods: This study employed a "before and after" design, modified as an intervention study...
2018: Health Promotion Perspectives
https://www.readbyqxmd.com/read/29409449/enhancing-delivery-of-osteoarthritis-care-in-the-general-practice-consultation-evaluation-of-a-behaviour-change-intervention
#7
Mark Porcheret, Chris Main, Peter Croft, Krysia Dziedzic
BACKGROUND: Professionally-focussed behaviour change intervention (BCI) workshops were utilised in the Management of OsteoArthritis in Consultations (MOSAICS) trial investigating the feasibility of implementing the National Institute for Health and Care Excellence (NICE) Osteoarthritis (OA) Guideline in general practice. The workshops aimed to implement the general practitioner (GP) component of the trial intervention: an enhanced consultation for patients presenting with possible OA...
February 6, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29406077/milking-machine-and-udder-health-management-factors-associated-with-bulk-milk-somatic-cell-count-in-uruguayan-herds
#8
Claudina Vissio, Mette Bouman, Alejandro J Larriestra
This paper describes the findings of static milking machine tests and milking observations on Uruguayan dairy farms. The aim of this study was to investigate the association between both milking machine performance and udder health management factors and bulk milk somatic cell count (BMSCC) in Uruguayan dairy herds. Data from 907 visits were used for the analysis. The farm visits were made between April 2006 and November 2015 and farms were located in 17 of the 19 departments of Uruguay. Each visit involved a short static machine test and observation of the milking process; the use of blanket dry cow therapy was also recorded...
February 1, 2018: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/29402265/a-qualitative-study-of-developing-beliefs-about-health-illness-and-healthcare-in-migrant-african-women-with-gestational-diabetes-living-in-sweden
#9
Katarina Hjelm, Karin Bard, Jan Apelqvist
BACKGROUND: Gestational diabetes (GDM) is associated with health risks for both mother and child, and is particularly relevant to migrant women and women of African origin. With today's extensive global migration, contact with the new society and health system confronts the migrant's culture of origin with the culture of the host country. The question is whether immigrants' patterns of beliefs about health, illness, and health-related behaviour change over time, as no previous studies have been found on this topic...
February 5, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29396883/experiences-of-giving-and-receiving-care-in-traumatic-brain-injury-an-integrative-review
#10
REVIEW
Stephen Kivunja, Jo River, Janice Gullick
AIMS: To synthesise the literature on the experiences of giving or receiving care for traumatic brain injury (TBI) for people with TBI, their family members and nurses in hospital and rehabilitation settings. BACKGROUND: TBI represents a major source of physical, social, and economic burden. In the hospital setting, people with TBI feel excluded from decision-making processes and perceive impatient care. Families describe inadequate information and support for psychological distress...
February 3, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29395845/qualitative-evaluation-of-the-barriers-and-facilitators-influencing-the-use-of-an-electronic-basal-bolus-insulin-therapy-protocol-to-improve-the-care-of-adult-inpatients-with-diabetes
#11
Karmon E Helmle, Alun L Edwards, Andre W Kushniruk, Elizabeth M Borycki
OBJECTIVES: A qualitative evaluation of the perceived impact of a new evidence-informed electronic basal bolus insulin therapy order set on clinical workflow and practice, and exploration of potential barriers and facilitators to electronic basal bolus insulin order set uptake and use in acute care facilities for various acute care team members. METHODS: We conducted 9 semistructured focus groups with multidisciplinary nursing staff (n=22), resident trainees (n=24) and attending physicians (n=23) involved in the delivery of inpatient diabetes care at 3 adult acute care facilities...
January 29, 2018: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/29385551/society-of-behavioral-medicine-sbm-position-statement-improving-access-to-psychosocial-care-for-individuals-with-persistent-pain-supporting-the-national-pain-strategy-s-call-for-interdisciplinary-pain-care
#12
E Amy Janke, Martin Cheatle, Francis J Keefe, Lara Dhingra
Policy makers have articulated a need for clear, evidence-based guidance to help inform pain policy. Persistent pain is common, expensive, and debilitating, and requires comprehensive assessment and treatment planning. Recently released opioid prescribing guidelines by the CDC (2016) emphasize the importance of using nonopioid therapies before considering opioid treatment for those without a malignant illness. The National Pain Strategy (2016) underscores the importance of comprehensive, interdisciplinary pain care...
January 27, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29381590/simulation-of-shoulder-dystocia-for-skill-acquisition-and-competency-assessment-a-systematic-review-and-gap-analysis
#13
Edith D Gurewitsch Allen
Mastery of shoulder dystocia management skills acquired via simulation training can reduce neonatal brachial plexus injury by 66% to 90%. However, the correlation between simulation drills and reduction in clinical injuries has been inconsistently replicated, and establishing a causal relationship between simulation training and reduction of adverse clinical events from shoulder dystocia is infeasible due to ethical limitations. Nevertheless, professional liability insurance carriers increasingly are mandating simulation-based rehearsal and competency assessment of their covered obstetric providers' shoulder dystocia management skills-a high-stakes demand that will require rapid scaling up of access to quality shoulder dystocia simulation...
January 29, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29377381/medical-cannabis-a-forward-vision-for-the-clinician
#14
REVIEW
M A Fitzcharles, E Eisenberg
Medical cannabis has entered mainstream medicine and is here to stay. Propelled by public advocacy, the media and mostly anecdote rather than sound scientific study, patients worldwide are exploring marijuana use for a vast array of medical conditions including management of chronic pain. Contrary to the usual path of drug approval, medical cannabis has bypassed traditional evidence-based study and has been legalized as a therapeutic product by legislative bodies in various countries. While there is a wealth of basic science and preclinical studies demonstrating effects of cannabinoids in neurobiological systems, especially those pertaining to pain and inflammation, clinical study remains limited...
January 29, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29373186/rationalizing-the-introduction-and-use-of-pharmaceutical-products-the-role-of-managed-entry-agreements-in-central-and-eastern-european-countries
#15
Alexandru M Rotar, Alin Preda, Olga Löblová, Vanesa Benkovic, Szymon Zawodnik, Laszlo Gulacsi, Maciej Niewada, Imre Boncz, Guenka Petrova, Maria Dimitrova, Niek Klazinga
This paper aims to provide an overview of the rationalization strategies for the introduction and use of pharmaceuticals, focusing on the role of managed entry agreements (MEA) in Central and Eastern European (CEE) countries, namely Bulgaria, the Czech Republic, Croatia, Hungary, Poland and Romania. We developed a conceptual framework on MEAs that was used as the basis for a standardized assessment questionnaire sent to country experts to capture their perceptions on their countries' rationalization strategies and MEAs...
January 11, 2018: Health Policy
https://www.readbyqxmd.com/read/29371175/integrated-decentralized-training-for-health-professions-education-at-the-university-of-kwazulu-natal-south-africa-protocol-for-the-i-dect-project
#16
Pragashnie Govender, Verusia Chetty, Deshini Naidoo, Ntsikelelo Pefile
BACKGROUND: The Integrated Decentralized Training (i-DecT) project was created to address the current need for health care in South Africa among resource poor climates in rural and periurban settings. The University of KwaZulu-Natal (UKZN) in South Africa has embarked on a program within the School of Health Sciences (SHS) to decentralize the clinical learning platform in order to address this disparity. Framed in a pragmatic stance, this proposal is geared towards informing the roll out of decentralized clinical training (DCT) within the province of KwaZulu-Natal...
January 25, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29368275/genetic-counseling-in-the-era-of-genomics-what-s-all-the-fuss-about
#17
Gemma R Brett, Ella J Wilkins, Emma T Creed, Kirsty West, Anna Jarmolowicz, Giulia M Valente, Yael Prawer, Elly Lynch, Ivan Macciocca
As genomic sequencing becomes more widely available in clinical settings for diagnostic purposes, a number of genetic counseling issues are gaining precedence. The ability to manage these issues will be paramount as genetic and non-genetic healthcare professionals navigate the complexities of using genomic technologies to facilitate diagnosis and inform patient management. Counseling issues arising when counseling for diagnostic genomic sequencing were identified by four genetic counselors with 10 years of collective experience providing genetic counseling in this setting...
January 24, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29366668/the-influence-of-learning-environment-on-trainee-pharmacy-technicians-education-and-training-experiences
#18
Ellen I Schafheutle, Samuel D Jee, Sarah C Willis
BACKGROUND: In Great Britain (GB), pharmacy technicians (PTs) are registered professionals, with their education and training regulated; little is known about this or the learning environment in which it takes place. OBJECTIVES: This study aimed to profile recently registered pre-registration trainee pharmacy technicians (PTPTs) in GB and capture views on PTPTs' training experiences, focussing on differences in community and hospital settings. METHODS: A mixed methods study was conducted in 2013-14, following university ethics approval...
December 16, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29365160/scope-and-nature-of-pain-and-analgesia-related-content-of-the-united-states-medical-licensing-examination-usmle
#19
Scott M Fishman, Daniel B Carr, Beth Hogans, Martin Cheatle, Rollin M Gallagher, Joanna Katzman, Sean Mackey, Rosemary Polomano, Adrian Popescu, James P Rathmell, Richard W Rosenquist, David Tauben, Laurel Beckett, Yueju Li, Jennifer M Mongoven, Heather M Young
Background: "The ongoing opioid crisis lies at the intersection of two substantial public health challenges-reducing the burden of suffering from pain and containing the rising toll of the harms that can result from the use of opioid medications" [1]. Improved pain education for health care providers is an essential component of the multidimensional response to both still-unmet challenges [2,3]. Despite the importance of licensing examinations in assuring competency in health care providers, there has been no prior appraisal of pain and related content within the United States Medical Licensing Examination (USMLE)...
January 22, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29357987/patient-perspectives-on-nurse-led-consultations-within-a-pilot-structured-transition-program-for-young-adults-moving-from-an-academic-tertiary-setting-to-community-based-type-1-diabetes-care
#20
Sandra Zoni, Marie-Elise Verga, Michael Hauschild, Marie-Paule Aquarone-Vaucher, Teresa Gyuriga, Anne-Sylvie Ramelet, Andrew A Dwyer
PURPOSE: We aimed to evaluate patient self-management activities, patient perceptions of the therapeutic relationship and satisfaction with nurse-led consultations as part of a structured, pilot program transitioning young adults with type 1 diabetes (T1DM) to adult-oriented community-based practices. DESIGN AND METHODS: A descriptive, cross-sectional study of patients receiving nurse-led consultations. Patients provided sociodemographic/health information, glycated hemoglobin (HbA1c) measures and completed questionnaires assessing self-management (Revised Self-Care Inventory) and the therapeutic relationship (Caring Nurse-Patient Interaction - short scale)...
January 2018: Journal of Pediatric Nursing
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