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https://www.readbyqxmd.com/read/28334856/evaluating-the-effects-of-organizational-and-educational-interventions-on-adherence-to-clinical-practice-guidelines-in-a-low-resource-primary-care-setting-in-kenya
#1
Joseph R Egger, Kayla Stankevitz, Robert Korom, Philip Angwenyi, Brittney Sullivan, Jun Wang, Sonia Hatfield, Emma Smith, Karishma Popli, Jessica Gross
Background: Mid-level care providers serve as the backbone of primary care in many parts of sub-Saharan Africa. Despite this, research suggests that the quality and consistency of this care is uneven. This study assessed the degree to which a set of four simple, low-cost interventions could improve adherence to a set of clinical quality measures (CQMs) associated with four common health conditions seen in a resource-constrained primary care setting. Methods: A quasi-experimental, longitudinal study was carried out in three primary care clinics in Nairobi, Kenya from August 2014 to January, 2015...
March 15, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28328737/considerations-for-medical-students-and-advisors-after-an-unsuccessful-match
#2
Tracy Bumsted, Benjamin N Schneider, Nicole M Deiorio
Increasing numbers of graduating U.S. medical students are not securing a graduate medical education (GME) position, even after participating in the National Resident Matching Program (also known as "the Match") and the Supplemental Offer and Acceptance Program. The reasons for an unsuccessful Match include increasing numbers of applicants compared with nearly unchanging numbers of available GME positions, academic problems or professionalism lapses, and a poor fit between applicants and their first-choice specialty...
March 21, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28314418/facial-injuries-in-sports-soft-tissue-injuries-abrasions-contusions-lacerations
#3
REVIEW
Guy L Lanzi
This article reviews the diagnosis and treatment of facial soft tissue injuries in athletics. General diagnostic algorithms are presented, including initial assessment aligned with Advanced Trauma Life Support guidelines. Specific injury types are discussed along with possible collateral damage and adverse sequelae to limit morbidity. Treatment modalities are described using generally accepted principles refined to fit athlete patients. Return-to-play issues are outlined relative to level of participation, with the emphasis on safe return...
April 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28301200/on-congruence-and-incongruence-of-measures-of-fit-in-structural-equation-modeling
#4
Morten Moshagen, Max Auerswald
Guidelines to evaluate the fit of structural equation models can only offer meaningful insights to the extent that they apply equally to a wide range of situations. However, a number of previous studies found that statistical power to reject a misspecified model increases and descriptive fit-indices deteriorate when loadings are high, thereby inappropriately panelizing high reliability indicators. Based on both theoretical considerations and empirical simulation studies, we show that previous results only hold for a particular definition and a particular type of model error...
March 16, 2017: Psychological Methods
https://www.readbyqxmd.com/read/28294129/experimental-demonstration-of-photon-upconversion-via-cooperative-energy-pooling
#5
Daniel H Weingarten, Michael D LaCount, Jao van de Lagemaat, Garry Rumbles, Mark T Lusk, Sean E Shaheen
Photon upconversion is a fundamental interaction of light and matter that has applications in fields ranging from bioimaging to microfabrication. However, all photon upconversion methods demonstrated thus far involve challenging aspects, including requirements of high excitation intensities, degradation in ambient air, requirements of exotic materials or phases, or involvement of inherent energy loss processes. Here we experimentally demonstrate a mechanism of photon upconversion in a thin film, binary mixture of organic chromophores that provides a pathway to overcoming the aforementioned disadvantages...
March 15, 2017: Nature Communications
https://www.readbyqxmd.com/read/28292300/clinical-outcomes-and-glycaemic-responses-to-different-aerobic-exercise-training-intensities-in-type-ii-diabetes-a-systematic-review-and-meta-analysis
#6
Aimee Grace, Erick Chan, Francesco Giallauria, Petra L Graham, Neil A Smart
AIMS: To establish if aerobic exercise training is associated with beneficial effects on clinical outcomes and glycaemic profile in people with type II diabetes. METHODS: A systematic search was conducted to identify studies through a search of MEDLINE (1985 to Sept 1, 2016, Cochrane Controlled Trials Registry (1966 to Sept 1, 2016), CINAHL, SPORTDiscus and Science Citation Index. The search strategy included a mix of MeSH and free text terms for related key concepts...
March 14, 2017: Cardiovascular Diabetology
https://www.readbyqxmd.com/read/28291487/physical-screening-predictors-for-success-in-completing-air-force-phase-ii-air-liaison-officer-aptitude-assessment
#7
John Christopher McGee, Eric Wilson, Haley Barela, Sharon Blum
OBJECTIVES: Air Liaison Officer Aptitude Assessment (AAA) attrition is often associated with a lack of candidate physical preparation. The Functional Movement Screen, Tactical Fitness Assessment, and fitness metrics were collected (n = 29 candidates) to determine what physical factors could predict a candidate s success in completing AAA. METHODS: Between-group comparisons were made between candidates completing AAA versus those who did not (p < 0.05). Upper 50% thresholds were established for all variables with R(2) < 0...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28290741/associations-of-physical-activity-sedentary-time-and-screen-time-with-cardiovascular-fitness-in-united-states-adolescents-results-from-the-nhanes-national-youth-fitness-survey-nnyfs
#8
Anna K Porter, Krystin J Matthews, Deborah Salvo, Harold W Kohl
Background Most US adolescents do not meet guidelines of at least 60 daily minutes of moderate- to vigorous-intensity physical activity. Additionally, sedentary behaviors among this age group are of increasing concern. This study examined the association of movement behaviors with cardiovascular fitness among US adolescents. Methods Data from the 2012 NHANES National Youth Fitness Survey were used to assess the association of movement behaviors (physical activity, sedentary time, screen time) with cardiovascular fitness among adolescent males and females...
March 14, 2017: Journal of Physical Activity & Health
https://www.readbyqxmd.com/read/28289678/improving-community-health-using-an-outcome-oriented-cqi-approach-to-community-engaged-health-professions-education
#9
Amy Clithero, Simone Jacquelyn Ross, Lyn Middleton, Carole Reeve, Andre-Jacques Neusy
Health professionals providing health-care services must have the relevant competencies and clinical experiences needed to improve population health outcomes in different contexts. Current models of health profession education often fail to produce a fit-for-purpose workforce ready and willing to provide relevant, quality care to underserved communities. Evidence is emerging that community-engaged and socially accountable health workforce education, i.e., aligned with priority health needs, produces a workforce ready and willing to work in partnership with underserved regions...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28280107/ventilation-heterogeneity-measured-by-multiple-breath-inert-gas-testing-is-not-affected-by-inspired-oxygen-concentration-in-healthy-humans
#10
Susan Roberta Hopkins, Ann R Elliott, Gordon Kim Prisk, Chantal Darquenne
Multiple breath washout (MBW) and oxygen-enhanced MRI techniques use acute exposure to 100% oxygen to measure ventilation heterogeneity. Implicit is the assumption that breathing 100% oxygen does not induce changes in ventilation heterogeneity, however, this is untested. We hypothesized that ventilation heterogeneity decreases with increasing inspired oxygen concentration in healthy subjects. We performed MBW in 8 healthy subjects (4 female, 4 male, Age=43±15y) with normal pulmonary function (FEV1=98±6% predicted) using 10% Argon as a tracer gas and oxygen concentrations of 12...
March 9, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28280075/improving-reconciliation-following-medical-injury-a-qualitative-study-of-responses-to-patient-safety-incidents-in-new-zealand
#11
Jennifer Moore, Michelle M Mello
BACKGROUND: Despite the investment in exploring patient-centred alternatives to medical malpractice in New Zealand (NZ), the UK and the USA, patients' experiences with these processes are not well understood. We sought to explore factors that facilitate and impede reconciliation following patient safety incidents and identify recommendations for strengthening institution-led alternatives to malpractice litigation. METHODS: We conducted semistructured interviews with 62 patients injured by healthcare in NZ, administrators of 12 public hospitals, 5 lawyers specialising in Accident Compensation Corporation (ACC) claims and 3 ACC staff...
March 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28279573/depressive-symptomatology-and-fall-risk-among-community-dwelling-older-adults
#12
Geoffrey J Hoffman, Ron D Hays, Steven P Wallace, Martin F Shapiro, Susan L Ettner
RATIONALE: Falls are common among older adults and may be related to depressive symptoms (DS). With advancing age, there is an onset of chronic conditions, sensory impairments, and activity limitations that are associated with falls and with depressive disorders. Prior cross-sectional studies have observed significant associations between DS and subsequent falls as well as between fractures and subsequent clinical depression and DS. OBJECTIVE: The directionality of these observed relationship between falls and DS is in need of elaboration given that cross-sectional study designs can yield biased estimates of the DS-falls relationship...
April 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28274254/the-use-of-randomisation-based-efficacy-estimators-in-non-inferiority-trials
#13
David Gillespie, Daniel Farewell, Peter Barrett-Lee, Angela Casbard, Anthony Barney Hawthorne, Chris Hurt, Nick Murray, Chris Probert, Rachel Stenson, Kerenza Hood
BACKGROUND: In a non-inferiority (NI) trial, analysis based on the intention-to-treat (ITT) principle is anti-conservative, so current guidelines recommend analysing on a per-protocol (PP) population in addition. However, PP analysis relies on the often implausible assumption of no confounders. Randomisation-based efficacy estimators (RBEEs) allow for treatment non-adherence while maintaining a comparison of randomised groups. Fischer et al. have developed an approach for estimating RBEEs in randomised trials with two active treatments, a common feature of NI trials...
March 9, 2017: Trials
https://www.readbyqxmd.com/read/28272761/accuracy-in-the-quantification-of-chemical-exchange-saturation-transfer-cest-and-relayed-nuclear-overhauser-enhancement-rnoe-saturation-transfer-effects
#14
Xiao-Yong Zhang, Feng Wang, Hua Li, Junzhong Xu, Daniel F Gochberg, John C Gore, Zhongliang Zu
Accurate quantification of chemical exchange saturation transfer (CEST) effects, including dipole-dipole mediated relayed nuclear Overhauser enhancement (rNOE) saturation transfer, is important for applications and studies of molecular concentration and transfer rate (and thereby pH or temperature). Although several quantification methods, such as Lorentzian difference (LD) analysis, multiple-pool Lorentzian fits, and the three-point method, have been extensively used in several preclinical and clinical applications, the accuracy of these methods has not been evaluated...
March 8, 2017: NMR in Biomedicine
https://www.readbyqxmd.com/read/28270724/exercise-for-people-with-cancer-a-clinical-practice-guideline
#15
R Segal, C Zwaal, E Green, J R Tomasone, A Loblaw, T Petrella
BACKGROUND: Development of this guideline was undertaken by the Exercise for People with Cancer Guideline Development Group, a group organized by Cancer Care Ontario's Program in Evidence-Based Care (pebc). The purpose of the guideline was to provide guidance for clinicians with respect to exercise for patients living with cancer, focusing on the benefits of specific types of exercise, recommendations about screening requirements for new referrals, and safety concerns. METHODS: Consistent with the pebc's standardized approach, a systematic search was conducted for existing guidelines, and systematic literature searches were performed in medline and embase for both systematic reviews and primary literature...
February 2017: Current Oncology
https://www.readbyqxmd.com/read/28270718/exercise-guidelines-for-cancer-survivors-are-fitness-and-quality-of-life-benefits-enough-to-change-practice
#16
EDITORIAL
K S Courneya
No abstract text is available yet for this article.
February 2017: Current Oncology
https://www.readbyqxmd.com/read/28270378/assessing-the-quality-of-mobile-exercise-apps-based-on-the-american-college-of-sports-medicine-guidelines-a-reliable-and-valid-scoring-instrument
#17
Yi Guo, Jiang Bian, Trevor Leavitt, Heather K Vincent, Lindsey Vander Zalm, Tyler L Teurlings, Megan D Smith, François Modave
BACKGROUND: Regular physical activity can not only help with weight management, but also lower cardiovascular risks, cancer rates, and chronic disease burden. Yet, only approximately 20% of Americans currently meet the physical activity guidelines recommended by the US Department of Health and Human Services. With the rapid development of mobile technologies, mobile apps have the potential to improve participation rates in exercise programs, particularly if they are evidence-based and are of sufficient content quality...
March 7, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28269512/distribution-aware-estimation-of-the-minimum-achievable-uncertainty-in-diffusion-tensor-imaging-dti
#18
Andrea Duggento, Marco Giannelli, Carlo Tessa, Simona Lanzafame, Maria Guerrisi, Nicola Toschi
Diffusion tensor imaging (DTI) provides exquisite sensitivity to structural and microstructural characteristics of brain tissue, and is routinely employed in advanced neuroimaging applications. DTI is commonly performed using intrinsically noisy echo-planar imaging techniques and poses high demands both on scanner performance and on in-scanner subject time, which in turn is directly related to the number of diffusion-weighting direction one requires. While DTI-derived indices such as fractional anisotropy (FA), diffusion tensor trace and anisotropy mode have proven extremely useful in characterizing disease-related aberrations, their estimation is commonly performed using fitting routines that do not properly take into account MRI noise distribution...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28264859/physical-activity-and-sedentary-behavior-in-children-with-congenital-heart-disease
#19
Christine Voss, Stephanie L Duncombe, Paige H Dean, Astrid M de Souza, Kevin C Harris
BACKGROUND: Children with congenital heart disease (CHD) are thought to have low levels of physical activity (PA), but few studies have used objective measures of PA in this population. METHODS AND RESULTS: We recruited patients with mild, moderate, and severe CHD and cardiac transplant recipients, aged 8 to 19 years, from pediatric cardiology clinics throughout British Columbia and Yukon, Canada. Participants were fitted with an ActiGraph accelerometer to be worn over the right hip for 7 days...
March 6, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28264170/a-pilot-study-validity-and-reliability-of-the-csep-path-pasb-q-and-a-new-leisure-time-physical-activity-questionnaire-to-assess-physical-activity-and-sedentary-behaviors
#20
Jonathon Richard Fowles, Myles William O'Brien, William Robert Wojcik, Lisette d'Entremont, Christopher A Shields
The purpose of this study was to evaluate the accuracy of two newly developed PA questionnaires: the Canadian Society for Exercise Physiology (CSEP) Physical Activity and Sedentary Behavior Questionnaire (PASB-Q) and a newly modified Leisure Time Physical Activity Questionnaire (mLTPA-Q). These questionnaires were compared to objective measurements of physical activity and fitness (accelerometry and physiological assessments) in 35 adults, before and after a week of daily living activity. Objectively measured moderate-to-vigorous intensity aerobic physical activity (MVPA) was moderately correlated with the PASB-Q's physical activity vital sign (PAVS) (r=0...
March 6, 2017: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
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