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https://www.readbyqxmd.com/read/28715934/-first-1000-days-health-interventions-in-low-and-middle-income-countries-alignment-of-south-african-policies-with-high-quality-evidence
#1
René English, Nazia Peer, Simone Honikman, Aviva Tugendhaft, Karen J Hofman
BACKGROUND: In South Africa (SA), despite adoption of international strategies and approaches, maternal, neonatal and child (MNC) morbidity and mortality rates have not sufficiently declined. OBJECTIVES: To conduct an umbrella review (UR) that identifies interventions in low- and middle-income countries, with a high-quality evidence base, that improve MNC morbidity and mortality outcomes within the first 1000 days of life; and to assess the incorporation of the evidence into local strategies, guidelines and documents...
2017: Global Health Action
https://www.readbyqxmd.com/read/28715535/improving-adherence-to-long-term-opioid-therapy-guidelines-to-reduce-opioid-misuse-in-primary-care-a-cluster-randomized-clinical-trial
#2
Jane M Liebschutz, Ziming Xuan, Christopher W Shanahan, Marc LaRochelle, Julia Keosaian, Donna Beers, George Guara, Kristen O'Connor, Daniel P Alford, Victoria Parker, Roger D Weiss, Jeffrey H Samet, Julie Crosson, Phoebe A Cushman, Karen E Lasser
Importance: Prescription opioid misuse is a national crisis. Few interventions have improved adherence to opioid-prescribing guidelines. Objective: To determine whether a multicomponent intervention, Transforming Opioid Prescribing in Primary Care (TOPCARE; http://mytopcare.org/), improves guideline adherence while decreasing opioid misuse risk. Design, Setting, and Participants: Cluster-randomized clinical trial among 53 primary care clinicians (PCCs) and their 985 patients receiving long-term opioid therapy for pain...
July 17, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28704290/developing-a-conversational-virtual-standardized-patient-to-enable-students-to-practice-history-taking-skills
#3
Kellen Maicher, Douglas Danforth, Alan Price, Laura Zimmerman, Bruce Wilcox, Beth Liston, Holly Cronau, Laurie Belknap, Cynthia Ledford, David Way, Doug Post, Allison Macerollo, Milisa Rizer
INTRODUCTION: Although traditional virtual patient simulations are designed to teach and assess clinical reasoning skills, few employ conversational dialogue with the patients. The virtual standardized patients (VSPs) described herein represent standardized patients that students interview using natural language. Students take histories and develop differential diagnoses of the VSPs as much as they would with standardized or actual patients. The student-VSP interactions are recorded, creating a comprehensive record of questions and the order in which they were asked, which can be analyzed to assess information-gathering skills...
April 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28701204/criteria-and-models-for-the-distribution-of-casualties-in-trauma-related-mass-casualty-incidents-a-systematic-literature-review-protocol
#4
Ali Ardalan, Mohammad Reza Khajehaminian, Sayed Mohsen Hosseini Boroujeni, Amir Nejati, Abbasali Keshtkar, Abbas Rahimi Foroushani, Omid Mahdi Ebadati E
BACKGROUND: One of the most critical practices in mass casualty incident management is vacating the victims from scene of the incident and transporting them to proper healthcare facilities. Decision on distribution of casualties needs to be taken on pre-developed policies and structured decision support mechanisms. While many studies tried to present models for the distribution of casualties, no systematic review has yet been conducted to evaluate the existing models on casualty distribution following mass casualty incidents...
July 12, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28697796/patients-preferences-for-primary-health-care-a-systematic-literature-review-of-discrete-choice-experiments
#5
Kim-Sarah Kleij, Ulla Tangermann, Volker E Amelung, Christian Krauth
BACKGROUND: Primary care is a key element of health care systems and addresses the main health problems of the population. Due to the demographic change, primary care even gains in importance. The knowledge of the patients' preferences can help policy makers as well as physicians to set priorities in their effort to make health care delivery more responsive to patients' needs. Our objective was to describe which aspects of primary care were included in preference studies and which of them were the most preferred aspects...
July 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28691678/pragmatic-language-outcomes-of-children-with-attention-deficit-hyperactivity-disorder-after-therapist-and-parent-delivered-play-based-interventions-two-one-group-pretest-posttest-studies-with-a-longitudinal-component
#6
Sarah Wilkes-Gillan, Natalie Munro, Reinie Cordier, Alycia Cantrill, Wendy Pearce
OBJECTIVE: The pragmatic language outcomes of children with attention deficit hyperactivity disorder (ADHD) were explored across two feasibility studies. METHOD: Five children with ADHD (ages 6-11 yr), their parents, and 5 typically developing peers completed an assessment 18 mo after a therapist-delivered intervention (Study 1). Participants then completed a parent-delivered intervention (Study 2). Blinded ratings of peer-to-peer play interactions documented changes in children's pragmatic language 18 mo after the Study 1 intervention and before, immediately after, and 1 mo after the Study 2 intervention...
July 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28690447/the-missing-manuscript-of-dr-jose-delgado-s-radio-controlled-bulls
#7
REVIEW
Timothy C Marzullo
Neuroscience systems level courses teach: 1) the role of neuroanatomical structures of the brain for perception, movement, and cognition; 2) methods to manipulate and study the brain including lesions, electrophysiological recordings, microstimulation, optogenetics, and pharmacology; 3) proper interpretation of behavioral data to deduce brain circuit operation; and 4) the similarities, differences, and ethics of animal models and their relation to human physiology. These four topics come together quite dramatically in Dr...
2017: Journal of Undergraduate Neuroscience Education: JUNE: a Publication of FUN, Faculty for Undergraduate Neuroscience
https://www.readbyqxmd.com/read/28690312/wolff-parkinson-white-syndrome-with-ventricular-hypertrophy-in-a-brazilian-family
#8
Lenises de Paula van der Steld, Oscar Campuzano, Alexandra Pérez-Serra, Mabel Moura de Barros Zamorano, Selma Sousa Matos, Ramon Brugada
BACKGROUND PRKAG2 syndrome diagnosis is already well-defined as Wolff-Parkinson-White syndrome (WPW), ventricular hypertrophy (VH) due to glycogen accumulation, and conduction system disease (CSD). Because of its rarity, there is a lack of literature focused on the treatment. The present study aimed to describe appropriate strategies for the treatment of affected family members with PRKAG2 syndrome with a long follow-up period. CASE REPORT We studied 60 selected individuals from 84 family members (32 males, 53...
July 10, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28689924/a-national-framework-for-an-antimicrobial-resistance-surveillance-system-within-iranian-healthcare-facilities-towards-a-global-surveillance-system
#9
Reza Safdari, Marjan GhaziSaeedi, Hossein Masoumi-Asl, Peyman Rezaei-Hachesu, Kayvan Mirnia, Taha Samad-Soltani
OBJECTIVES: The threat of antimicrobial resistance (AMR) is growing rapidly, perhaps more dramatically in developing countries. A demand to monitor, surveil and predict AMR has prompted the design and implementation of AMR surveillance systems (AMRSSs) at all geographic levels, especially in the national context. This study reviewed AMRSSs in leading countries and organisations in order to customise a comprehensive framework for a national system in Iran. METHODS: The research was conducted in two phases: a review of the literature and comparative analysis; and a knowledge, attitude and practice study...
July 6, 2017: Journal of Global Antimicrobial Resistance
https://www.readbyqxmd.com/read/28689638/-oiso-automatic-treatment-of-patients-management-in-oncogenetics
#10
Céline Guien, Aurélie Fabre, Arnaud Lagarde, David Salgado, Catherine Gensollen-Thiriez, Hélène Zattara, Christophe Beroud, Sylviane Olschwang
INTRODUCTION: Oncogenetics is a long-term process, which requires a close relation between patients and medical teams, good familial links allowing lifetime follow-up. Numerous documents are exchanged in between the medical team, which has to frequently interact. We present here a new tool that has been conceived specifically for this management. METHODS: The tool has been developed according to a model-view-controler approach with the relational system PostgreSQL 9...
July 6, 2017: Bulletin du Cancer
https://www.readbyqxmd.com/read/28688492/quantifying-the-informativeness-for-biomedical-literature-summarization-an-itemset-mining-method
#11
Milad Moradi, Nasser Ghadiri
OBJECTIVE: Automatic text summarization tools can help users in the biomedical domain to access information efficiently from a large volume of scientific literature and other sources of text documents. In this paper, we propose a summarization method that combines itemset mining and domain knowledge to construct a concept-based model and to extract the main subtopics from an input document. Our summarizer quantifies the informativeness of each sentence using the support values of itemsets appearing in the sentence...
July 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/28683787/the-effect-and-safety-of-postmenopausal-hormone-therapy-and-selective-estrogen-receptor-modulators-on-kidney-outcomes-in-women-a-protocol-for-systematic-review-and-meta-analysis
#12
Sandra M Dumanski, Sharanya Ramesh, Matthew T James, Amy Metcalfe, Kara Nerenberg, Ellen W Seely, Helen Lee Robertson, Sofia B Ahmed
BACKGROUND: The prevalence of menopause in women with or at risk of chronic kidney disease is increasing globally. Although international guidelines on menopause recommend the use of postmenopausal hormone therapy with or without selective estrogen receptor modulators for control of vasomotor symptoms, the effects of these treatments on kidney function and albuminuria are unclear. Furthermore, women with chronic kidney disease are at significantly increased risk of venous thromboembolism and malignancy, well-documented adverse effects of postmenopausal hormone therapy...
July 7, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28683215/monitoring-lung-cancer-screening-utilization-and-outcomes-in-four-cancer-research-network-sites
#13
Michael K Gould, Lori C Sakoda, Debra P Ritzwoller, Michael J Simoff, Christine M Neslund-Dudas, Lawrence H Kushi, Lisa Carter-Harris, Heather Spencer Feigelson, George Minowada, V Paul Doria-Rose
RATIONALE: Lung cancer screening registries can monitor screening outcomes and improve quality of care. OBJECTIVES: To describe nascent lung cancer screening programs and share efficient data collection approaches for mandatory registry reporting in four integrated health care systems of the NCI-funded Cancer Research Network. METHODS: We documented the distinctive characteristics of lung cancer screening programs, provided examples of strategies to facilitate data collection, and described early challenges and possible solutions...
July 6, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28679876/pitfalls-of-ontology-in-medicine
#14
Bakheet Aldosari, Abdullah Alanazi, Mowafa Househ
Much research has been done in the last few decades in clinical research, medicine, life sciences, etc. leading to an exponential increase in the generation of data. Managing this vast information not only requires integration of the data, but also a means to analyze, relate, and retrieve it. Ontology, in the field of medicine, describes the concepts of medical terminologies and the relation between them, thus, enabling the sharing of medical knowledge. Ontology-based analyses are associated with a risk that errors in modeling may deteriorate the results' quality...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28679569/humor-laughter-learning-and-health-a-brief-review
#15
Brandon M Savage, Heidi L Lujan, Raghavendar R Thipparthi, Stephen E DiCarlo
Human emotions, such as anxiety, depression, fear, joy, and laughter, profoundly affect psychological and physiological processes. These emotions form a set of basic, evolved functions that are shared by all humans. Laughter is part of a universal language of basic emotions that all humans recognize. Health care providers and educators may utilize the power of laughter to improve health and enhance teaching and learning. This is an important consideration because teaching is not just about content: it is also about forming relationships and strengthening human connections...
September 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28679412/impact-of-body-size-nutrition-and-socioeconomic-position-in-early-life-on-the-epigenome-a-systematic-review-protocol
#16
Jane Maddock, Wahyu Wulaningsih, Rebecca Hardy
BACKGROUND: Body size, nutrition and socioeconomic position (SEP) in early life have been associated with a range of later life health outcomes. Epigenetic regulation is one mechanism through which these early life factors may impact later life health. The aim of this review protocol is to outline procedures to document the influence of body size, nutrition and SEP in early life on the epigenome. METHODS: MEDLINE, Embase and BIOSIS will be systematically searched using pre-defined keywords...
July 5, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28668429/diagnosis-of-lower-gastrointestinal-bleeding-by-multi-slice-ct-angiography-a-meta-analysis
#17
Bosheng He, Jushun Yang, Jing Xiao, Jinhua Gu, Feixiang Chen, Lin Wang, Chengjin Zhao, Junbo Qian, Shenchu Gong
PURPOSE: To estimate the diagnostic value of multi-slice spiral CT angiography (CTA) in lower gastrointestinal bleeding by a meta-analysis. METHODS: The relevant clinical studies on the diagnostic value of CTA were searched on PubMed, Embase and other electronic documents databases with the deadline of 2016 September. Language was limited to English. A diagnostic meta-analysis was performed by using Meta-DiSc software. The effect sizes included sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), and diagnostic odds ratio (DOR) and 95% confidence interval (CI)...
August 2017: European Journal of Radiology
https://www.readbyqxmd.com/read/28665758/multilingual-issues-in-qualitative-research
#18
Judith Oxley, Evra Günhan, Monica Kaniamattam, Jack Damico
This study is a reflective account of how problem solving was accomplished during the translation of semi-structured interviews from a source language to a target language. Data are drawn from two qualitative research studies in which Interpretative Phenomenological Analysis was used to obtain insights into the lived experience of parents of children with disabilities in India and Turkey. The authors discuss challenges to interpretation that arise when participants and the main researcher speak the same non-English native language and the results of the study are intended for an English-speaking audience...
June 30, 2017: Clinical Linguistics & Phonetics
https://www.readbyqxmd.com/read/28665352/covariates-of-identified-stress-and-depression-among-seasonal-farmworkers
#19
Beth H Chaney, Essie Torres
Many noted difficulties of farmworker life result in increased risk for stress and depression. To date, limited research has focused primarily on seasonal farmworkers; much of the prior research examines migrant farmworkers or both groups collectively. This study aims to: (1) describe levels of stress and depression among a sample of seasonal farmworkers; and (2) identify if covariates (age, gender, marital status, education level, years of residency, problems obtaining healthcare due to documentation, language barriers, transportation, costs, medical insurance, and stress level) are significant predictors of depressive symptoms...
June 30, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28662842/critical-review-of-willingness-to-pay-for-clinical-oral-health-interventions
#20
REVIEW
Sharon Hui Xuan Tan, Christopher R Vernazza, Rahul Nair
OBJECTIVES: This critical review aimed to identify, consolidate and evaluate the quality of Willingness to Pay (WTP) studies applied to clinical contexts in the field of dentistry. METHODS: PubMed and Web of Science databases were systematically searched for relevant publications. Screening and data extraction was then performed. Primary literature in English-language were included to assess the WTP for oral health interventions, when the valuations were applied to a clinical measure...
June 27, 2017: Journal of Dentistry
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