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Malak Aoun, Norlena Hasnan, Hassan Al-Aaraj
Background: Lean practices are critical to eliminate waste and enhance the quality of healthcare services through different improvement approaches of total quality management (TQM). In particular, the soft side of TQM is used to develop the innovation skills of employees that are essential for the continuous improvement strategies of hospitals. Aim: The main objective was to study the relationship between lean practices, soft TQM and innovation skills in Lebanese hospitals...
June 10, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
Ridgely Fisk Green, Mary Ari, Katherine Kolor, W David Dotson, Scott Bowen, Nancy Habarta, Juan L Rodriguez, Lisa C Richardson, Muin J Khoury
Public health plays an important role in ensuring access to interventions that can prevent disease, including the implementation of evidence-based genomic recommendations. We used the Centers for Disease Control and Prevention (CDC) Science Impact Framework to trace the impact of public health activities and partnerships on the implementation of the 2009 Evaluation of Genomic Applications in Practice and Prevention (EGAPP) Lynch Syndrome screening recommendation and the 2005 and 2013 United States Preventive Services Task Force (USPSTF) BRCA1 and BRCA2 testing recommendations...
June 15, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
Mary K Hill, Ravi R Patel, Pratibha Anand, Robert P Dellavalle
Google+ sets itself apart from other social media platforms through a number of unique features, including search engine optimization services and high user satisfaction. The purpose of this study was to evaluate the presence of dermatological entities on Google+. Searches were conducted to locate any Google+ accounts associated with the most popular dermatology journals, dermatological patient-centered organizations, and professional dermatology-related organizations on social media. Additionally, "dermatology Google+" was searched via Google, and Google+ profiles retrieved in the first page of results were assessed...
April 15, 2018: Dermatology Online Journal
Lauren Suchman, Elizabeth Hart, Dominic Montagu
Social health insurance (SHI), one mechanism for achieving universal health coverage, has become increasingly important in low- and middle-income countries (LMICs) as they work to achieve this goal. Although small private providers supply a significant proportion of healthcare in LMICs, integrating these providers into SHI systems is often challenging. Public-private partnerships in health are one way to address these challenges, but we know little about how these collaborations work, how effectively, and why...
June 13, 2018: Health Policy and Planning
Helen H Lee, Nicholas M Dalesio, Anthony T Lo Sasso, William C Van Cleve
BACKGROUND: Pediatric adenotonsillectomies are common and carry known risks of potentially severe complications. Complications that require a revisit, to either the emergency department or hospital readmission, increase costs and may be tied to lower reimbursements by federal programs. In 2011 and 2012, recommendations by pediatric and surgical organizations regarding selection of candidates for ambulatory procedures were issued. We hypothesized that guideline-associated changes in practice patterns would lower the odds of revisits...
June 12, 2018: Anesthesia and Analgesia
Nicholas M Ponzio, Janet Alder, Mary Nucci, David Dannenfelser, Holly Hilton, Nikolaos Linardopoulos, Carol Lutz
Doctoral students in science disciplines spend countless hours learning how to conduct cutting-edge research but very little time learning to communicate the nature and significance of their science to people outside their field. To narrow this disparity, we created an unusual course titled Communicating Science for doctoral science trainees at Rutgers University. Our goal was to help students develop an advanced ability to communicate their research clearly and accurately and to emphasize its value and significance to diverse audiences...
2018: Journal of Microbiology & Biology Education: JMBE
Andrea Schueck, Michael von Wolff, Norman Bitterlich, Petra Stute
Chronic non-communicable diseases (NCDs) are the major reason for death and morbidity worldwide. As many NCDs are initially asymptomatic, online risk calculators with easy and inexpensive access have been developed and validated in order to facilitate early NCD detection and prevention. The aim of this study was to assess the awareness, use and applicability of NCD risk calculators among physicians in private practice in the canton of Bern, Switzerland. This was a cross-sectional cohort study of general practitioners and specialists in general internal medicine and gynaecologists...
July 2018: Maturitas
Fabiana Terra Cunha Belache, Cíntia Pereira de Souza, Jessica Fernandez, Julia Castro, Paula Dos Santos Ferreira, Elizana Rodrigues de Sousa Rosa, Nathalia Cristina Gimenez de Araújo, Felipe José Jandre Reis, Renato Santos de Almeida, Leandro Alberto Calazans Nogueira, Luís Cláudio Lemos Correia, Ney Meziat-Filho
INTRODUCTION: Chronic low back pain is a public health problem, and there is strong evidence that it is associated with a complex interaction of biopsychosocial factors. Cognitive functional therapy is an intervention that deals with potentially modifiable multidimensional aspects of pain (eg, provocative cognitive, movement and lifestyle behaviours). There is evidence (from a single randomised, controlled trial) that cognitive functional therapy is better than combined manual therapy and motor control exercise...
June 11, 2018: Journal of Physiotherapy
Alan E Kazdin
Currently, in the United States and worldwide, the vast majority of children and adolescents in need of mental health services receive no treatment. Although there are many barriers, a key barrier is the dominant model of delivering psychosocial interventions. That model includes one-to-one, in-person treatment, with a trained mental health professional, provided in clinical setting (e.g., clinic, private practice office, health-care facility). That model greatly limits the scale and reach of psychosocial interventions...
June 13, 2018: Journal of Child Psychology and Psychiatry, and Allied Disciplines
Murugan Venkatesan, Amol R Dongre, Kalaiselvan Ganapathy
Context: Medication nonadherence is common among diabetics and it is one of the leading public health challenges. Aims: The aims of this study were to find the prevalence of nonadherence to diabetic medication and to identify various factors associated with it. Settings and Design: This study was conducted in 34 villages of the field practicing areas of rural health training center. This was a mixed method study design. Subjects and Methods: It was conducted among 328 type 2 diabetic patients...
April 2018: Indian Journal of Community Medicine
Ushma D Upadhyay, Nicole E Johns, Rebecca Barron, Alice F Cartwright, Chantal Tapé, Alyssa Mierjeski, Alyson J McGregor
BACKGROUND: Media depictions and laws passed in state legislatures regulating abortion suggest abortion-related medical emergencies are common. An accurate understanding of abortion-related emergencies is important for informing policy and practice. We assessed the incidence of abortion-related emergency department (ED) visits in the United States (U.S.). METHODS: We used a retrospective observational study design using 2009-2013 data from the Nationwide Emergency Department Sample, a nationally representative sample of U...
June 14, 2018: BMC Medicine
Kent D Nash, Douglas G Benting
PURPOSE: To review data and results from past surveys of prosthodontists sponsored and conducted by the American College of Prosthodontists (ACP). Specifically, results are examined and presented from the most recently conducted survey in 2017. Trends and changes in characteristics impacting the private practice of prosthodontists over time are discussed using results from six surveys completed in 2002, 2005, 2008, 2011, 2014, and 2017. MATERIALS AND METHODS: Results from the past surveys of prosthodontists are statistically examined and used to estimate several characteristics of the current population of practicing prosthodontists...
June 13, 2018: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
C Nwankwo
Background: Poor knowledge and practice of waste management among hospital cleaners is a significant occupational and public health risk which could be improved by better training. Aims: To assess private hospital cleaners' knowledge and practice of hospital waste management and the association with training. Methods: A cross-sectional study using an interviewer-administered structured questionnaire was undertaken. The questionnaire was designed to record demographics, assess knowledge and assess self-reported practice and training by private hospital cleaners in Etiosa in Nigeria...
June 9, 2018: Occupational Medicine
Danielle M Varda, Malcolm V Williams, Michael Schooley, Daniel Duplantier, Kayleigh Newman, Kincaid Lowe Beasley, Briana Lucido, Ashley Marshall
OBJECTIVE: To assess the structure, content, quality, and quantity of partnerships that developed in response to a national cardiovascular health initiative, Million Hearts. DESIGN: This study used a social network analysis (SNA) approach to assess the Million Hearts initiative network partnerships and identify potential implications for policy and practice. SETTING/PARTICIPANTS: The Million Hearts network comprised a core group of federal and private sector partners that participate in Million Hearts activities and align with initiative priorities...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Susannah Sherlock, Mandy Way, Alexis Tabah
INTRODUCTION: Central nervous system oxygen toxicity (CNS-OT) is an uncommon complication of hyperbaric oxygen treatment (HBOT). Different facilities have developed local protocols in an attempt to reduce the risk of CNS-OT. This audit was performed to elucidate which protocols might be of benefit in mitigating CNS-OT and to open discussion on adopting a common protocol for Treatment Table 14 (TT14) to enable future multicentre clinical trials. METHODS: Audit of CNS-OT events between units using different compression profiles for TT14, performed at 243 kPa with variable durations of oxygen breathing and 'air breaks', to assess whether there is a statistical diference between protocols...
June 30, 2018: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
Sangeeta Kumaraswami, Suryanarayana Pothula, Mario Anthony Inchiosa, Keshar Paul Kubal, Micah Alexander Burns
Introduction: Neuraxial labor analgesia has become an integral part of modern obstetric anesthetic practice. Presence of a familiar person during its placement may be beneficial to the patient. A survey was sent to anesthesiologists practicing obstetric anesthesia in the USA to determine their views. Methods: The survey queried the following: existence of a written policy; would they allow a visitor; visitor's view, sitting or standing; reasons to allow or not allow a visitor; and influence by other staff on the decision...
2018: Anesthesiology Research and Practice
Barry L Carter, Barcey Levy, Brian Gryzlak, Yinghui Xu, Elizabeth Chrischilles, Jeffrey Dawson, Mark Vander Weg, Alan Christensen, Paul James, Linnea Polgreen
BACKGROUND: The use of clinical pharmacists in primary care has improved the control of several chronic cardiovascular conditions. However, many private physician practices lack the resources to implement team-based care with pharmacists. The purpose of this study was to evaluate whether a centralized, remote, clinical pharmacy service could improve guideline adherence and secondary measures of cardiovascular risk in primary care offices in rural and small communities. METHODS AND RESULTS: This study was a prospective trial in 12 family medicine offices cluster randomized to either the intervention or usual care...
June 2018: Circulation. Cardiovascular Quality and Outcomes
Omoboriowo Joad Omotehinwa, Ogendi Japheths, Iyamuremye Jean Damascene, Michael Habtu
BACKGROUND: All over the globe shisha smoking is fast growing among different age brackets. Shisha use has been reported to be increasing among youths in African major cities. Its use is documented to result in health effects such as lung cancer, cardiovascular and respiratory conditions, periodontal diseases, keratoacanthoma which are also associated with cigarette smoking. In Kigali, Rwanda's capital, reports indicate that shisha use is increasing among the youths, particularly the university students...
June 8, 2018: BMC Public Health
Falk Schwendicke, Karim Elhennawy, Osama El Shahawy, Reham Maher, Thais Gimenez, Fausto M Mendes, Brian H Willis
BACKGROUND: Diagnostic meta-analyses on caries detection methods should assist practitioners in their daily practice. However, conventional meta-analysis estimates may be inapplicable due to differences in test conduct, applied thresholds and assessed population between settings. Our aim was to demonstrate the impact of tailored meta-analysis of visual and radiographic caries detection to different settings using setting-specific routine data. METHODS: Published systematic reviews and meta-analyses on the accuracy of visual and radiographic caries detection were used...
June 8, 2018: BMC Oral Health
Amna Anjum, Xu Ming, Ahmed Faisal Siddiqi, Samma Faiz Rasool
Purpose: This empirical study aims to determine the effects of a toxic workplace environment, which can negatively impact the job productivity of an employee. Methodology: Three hundred questionnaires were randomly distributed among the staff members of seven private universities in Pakistan with a final response rate of 89%. For analysis purposes, AMOS 22 was used to study the direct and indirect effects of the toxic workplace environment on job productivity. Confirmatory Factor Analysis (CFA) was conducted to ensure the convergent and discriminant validity of the factors, while the Hayes mediation approach was used to verify the mediating role of job burnout between the four dimensions of toxic workplace environment and job productivity...
May 21, 2018: International Journal of Environmental Research and Public Health
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