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https://www.readbyqxmd.com/read/28642517/green-dentistry-the-art-and-science-of-sustainable-practice
#1
P Mulimani
Dentistry is highly energy and resource intensive with significant environmental impact. Factors inherent in the profession such as enormous electricity demands of electronic dental equipment, voluminous water requirements, environmental effects of biomaterials (before, during and after clinical use), the use of radiation and the generation of hazardous waste involving mercury, lead etc have contributed towards this. With rising temperatures across the world due to global warming, efforts are being made worldwide to mitigate the effects of environmental damage by resorting to sustainability concepts and green solutions in a myriad of ways...
June 23, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28639549/integrated-comprehensive-care-a-case-study-in-nursing-leadership-and-system-transformation
#2
Laura Wheatley, Winnie Doyle, Cheryl Evans, Carolyn Gosse, Kevin Smith
Calls for transformational change of our healthcare system are increasingly clear, persuasive and insistent. They resonate at all levels, with those who fund, deliver, provide and receive care, and they are rooted in a deep understanding that the system, as currently rigidly structured, most often lacks the necessary flexibility to comprehensively meet the needs of patients across the continuum of care. The St. Joseph's Health System (SJHS) Integrated Comprehensive Care (ICC) Program, which bundles care and funding across the hospital to home continuum, has reduced fragmentation of care, and it has delivered improved outcomes for patients, providers and the system...
2017: Nursing Leadership
https://www.readbyqxmd.com/read/28639548/a-leadership-perspective-on-a-shared-vision-for-healthcare
#3
Tracy Kitch
Our country's recent negotiations for a new Health Accord have shone light on the importance of more accessible and better home care. The direction being taken on health funding investments has sent a strong message about healthcare system redesign. It is time to design a healthcare system that moves us away from a hospital-focused model to one that is more effective, integrated and sustainable and one that places a greater emphasis on primary care, community care and home care. The authors of the lead paper (Sharkey and Lefebre 2017) provide their vision for people-powered care and explore the opportunity for nursing leaders to draw upon the unique expertise and insights of home care nursing as a strategic lever to bring about real health system transformation across all settings...
2017: Nursing Leadership
https://www.readbyqxmd.com/read/28639547/rebuilding-the-roots-of-patient-centred-care
#4
Sally Thorne, Kelli Stajduhar
In this commentary, Thorne and Stajduhar respond to Sharkey and Lefebre's (2017) thoughts on Bringing Nursing Back to the Future Through People-Powered Care by reflecting on the kinds of structural and ideological conditions that have dismantled the traditional root structure by which the nursing profession nurtured its members and optimized their inherent capacity as champions of placing patients at the centre of care. Although the idea of patient-centred care has great popular appeal in the current context, embedding it meaningfully into a transformed healthcare system will require dedicated attention to addressing the attitudes, discourses and leadership mechanisms within which strong systems of nursing can flourish and thrive...
2017: Nursing Leadership
https://www.readbyqxmd.com/read/28639546/leadership-perspective-bringing-nursing-back-to-the-future-through-people-powered-care
#5
Shirlee Sharkey, Nancy Lefebre
At a time when there is a growing interest in person- and family-centred care and integrated community-based models, the unique strengths and expertise of home care nursing is a strategic lever for change across all healthcare settings. In this paper, we explore the theme of people-powered care as a universal starting point - a new approach to health and wellness that is anchored in the strengths of people, their networks and the patterns of everyday life. Leveraging key insights from home and community care, along with broader societal shifts towards personalization and empowerment, we discuss how nurses in all areas of the system can lead the way by empowering staff, patients and their families...
2017: Nursing Leadership
https://www.readbyqxmd.com/read/28624642/drugsemantics-a-corpus-for-named-entity-recognition-in-spanish-summaries-of-product-characteristics
#6
Isabel Moreno, Ester Boldrini, Paloma Moreda, M Teresa Romá-Ferri
For the healthcare sector, it is critical to exploit the vast amount of textual health-related information. Nevertheless, healthcare providers have difficulties to benefit from such quantity of data during pharmacotherapeutic care. The problem is that such information is stored in different sources and their consultation time is limited. In this context, Natural Language Processing techniques can be applied to efficiently transform textual data into structured information so that it could be used in critical healthcare applications, being of help for physicians in their daily workload, such as: decision support systems, cohort identification, patient management, etc...
June 14, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28609216/arts-as-an-ecological-method-to-enhance-quality-of-work-experience-of-healthcare-staff-a-phenomenological-hermeneutic-study
#7
Eva Bojner Horwitz, Christina Grape Viding, Elisabeth Rydwik, Ephrat Huss
This paper explores the impact of self-chosen arts-based recreational activities, as opposed to the traditional arts therapy activities, on the well-being of healthcare providers. Three qualitative case studies of programs in which arts-based activities were used to work with healthcare providers, lasting for 10 weeks each, are phenomenological-hermeneutically evaluated using interviews and focus groups. The findings show what we refer to as an "ecological" ripple of effects: (1) the arts-based activities helped to reduce individual stress and to enhance mood over time, (2) the activities helped to transform workplace relationships within wards, and (3) the arts humanized the overall work climate in the healthcare setting...
December 2017: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/28606138/exploring-shared-risks-through-public-private-partnerships-in-public-health-programs-a-mixed-method
#8
Wadi B Alonazi
BACKGROUND: The natural assimilation of the process through which health partners sustain long-term relationships is a key issue in maintaining social well-being, reducing health risk factors, and sustaining public health programs. One global initiative in building effective healthcare systems is public-private partnerships (PPPs). This study elucidates the proposed key performance indicators initiated by the Ministry of Health of Saudi Arabia based on the projections of the government, known as Vision 2030, from the perspective of health risk factors...
June 12, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28599142/opioid-pharmacovigilance-a-clinical-social-history-of-the-changes-in-opioid-prescribing-for-patients-with-co-occurring-chronic-non-cancer-pain-and-substance-use
#9
Kelly R Knight, Margot Kushel, Jamie S Chang, Kara Zamora, Rachel Ceasar, Emily Hurstak, Christine Miaskowski
There is growing concern among US-based clinicians, patients, policy makers, and in the media about the personal and community health risks associated with opioids. Perceptions about the efficacy and appropriateness of opioids for the management of chronic non-cancer pain (CNCP) have dramatically transformed in recent decades. Yet, there is very little social scientific research identifying the factors that have informed this transformation from the perspectives of prescribing clinicians. As part of an on-going ethnographic study of CNCP management among clinicians and their patients with co-occurring substance use, we interviewed 23 primary care clinicians who practice in safety-net clinical settings...
May 23, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28598370/uv-curable-aliphatic-silicone-acrylate-organic-inorganic-hybrid-coatings-with-antibacterial-activity
#10
Virginija Jankauskaitė, Algirdas Lazauskas, Egidijus Griškonis, Aistė Lisauskaitė, Kristina Žukienė
The most effective means to protect against bacterial invasion and to reduce the risk of healthcare-associated infections are antibacterial components synthesis. In this study, a novel process for the synthesis of organic-inorganic hybrid coatings containing silver nanoparticles is presented. Silver nanoparticles and polymer formation proceeds simultaneously through the in situ photoreduction of silver salt to silver nanoparticles and UV-crosslinking of bifunctional aliphatic silicone acrylate. The nanocomposite films with 0...
June 9, 2017: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
https://www.readbyqxmd.com/read/28598250/telehealth-centers-a-proposal-of-a-theoretical-model-for-evaluation
#11
Luana Gabriele Nilson, Luise Lüdke Dolny, Sônia Natal, Josimari Telino de Lacerda, Maria Cristina Marino Calvo
BACKGROUND: Telehealth is a form of assistance support and continuing education for professionals who work in Primary Healthcare. INTRODUCTION: The implementation of the Brazilian Telehealth Program has extended the need for evaluation of its results to improve its use and benefits. Thus, it is necessary to systematize the theory, principals, and guidelines that guide the program organization, its activities, and resources. The objective of this study is to propose a theoretical model of functioning and organization for telehealth centers of the Brazilian Telehealth Program...
June 9, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28595660/health-technology-assessment-in-turkey
#12
Rabia Kahveci, Esra Meltem Koç, Emine Özer Küçük
OBJECTIVES: The healthcare transformation program in Turkey has shown its success with improvements in important health indicators, increased access to healthcare services and expansion of coverage to all citizens. Turkey has been relatively able to bear the burdens associated with this due to rapid economic growth. The need for health technology assessment (HTA) was believed as a result of the expansion of coverage, pressure of new technologies, and increased expenditures. This study outlines the background and current formalization of HTA and shares the current use of HTA in decision making, while summarizing the transformation of the Turkish healthcare system for developing a high-quality, equal, and accessible care system...
June 9, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28594471/centralisation-of-radical-cystectomies-for-bladder-cancer-in-england-a-decade-on-from-the-improving-outcomes-guidance-the-case-for-super-centralisation
#13
Mehran Afshar, Henry Goodfellow, Francesca Jackson-Spence, Felicity Evison, John Parkin, Richard T Bryan, Helen Parsons, Nicholas D James, Prashant Patel
OBJECTIVE: To analyse the impact of centralisation of radical cystectomy provision for bladder cancer in England, on post-operative mortality, length of stay, complications and re-intervention rate, from implementation of centralisation from 2002, until 2014. In 2002, UK policymakers introduced the Improving Outcomes Guidance (IOG) for urological cancers after a global cancer surgery commission identified substantial shortcomings in provision of care of radical cystectomies. One key recommendation was centralisation of cystectomies to high output centres...
June 8, 2017: BJU International
https://www.readbyqxmd.com/read/28592167/friction-forces-and-patient-centredness-understanding-how-established-logics-endure-during-infrastructure-transformation
#14
Polyxeni Vassilakopoulou, Miria Grisot, Margunn Aanestad
In this article, we examine three cases of e-health solutions for patients in Norway. For the analysis of the three cases, we focused on friction forces that come into play when different established arrangements need to change to accommodate novelty. We argue that the design of new technologies was shaped by friction related to institutionalised practices, regulatory regimes and entrenched patient roles. These friction forces connect the past with the present, come into action when aiming for novelty and result to the perpetuation of constituents of the past during change processes...
June 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28590498/a-multi-way-multi-task-learning-approach-for-multinomial-logistic-regression-an-application-in-joint-prediction-of-appointment-miss-opportunities-across-multiple-clinics
#15
Adel Alaeddini, Seung Hee Hong
OBJECTIVES: Whether they have been engineered for it or not, most healthcare systems experience a variety of unexpected events such as appointment miss-opportunities that can have significant impact on their revenue, cost and resource utilization. In this paper, a multi-way multi-task learning model based on multinomial logistic regression is proposed to jointly predict the occurrence of different types of miss-opportunities at multiple clinics. METHODS: An extension of L1 / L2 regularization is proposed to enable transfer of information among various types of miss-opportunities as well as different clinics...
June 7, 2017: Methods of Information in Medicine
https://www.readbyqxmd.com/read/28589118/innovative-programmable-bio-nano-chip-digitizes-biology-using-sensors-that-learn-bridging-biomarker-discovery-and-clinical-implementation
#16
REVIEW
Nicolaos J Christodoulides, Michael P McRae, Timothy J Abram, Glennon W Simmons, John T McDevitt
The lack of standard tools and methodologies and the absence of a streamlined multimarker approval process have hindered the translation rate of new biomarkers into clinical practice for a variety of diseases afflicting humankind. Advanced novel technologies with superior analytical performance and reduced reagent costs, like the programmable bio-nano-chip system featured in this article, have potential to change the delivery of healthcare. This universal platform system has the capacity to digitize biology, resulting in a sensor modality with a capacity to learn...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28582981/professional-nurses-perceptions-and-experiences-with-the-implementation-of-an-integrated-chronic-care-model-at-primary-healthcare-clinics-in-south-africa
#17
Ozayr H Mahomed, Shaidah Asmall
BACKGROUND: An integrated chronic disease management model has been implemented across primary healthcare clinics in order to transform the delivery of services for patients with chronic diseases. The sustainability and rapid scale-up of the model is dependent on positive staff perceptions and experiences. OBJECTIVES: The aim of the study was to determine the perceptions and experiences of professional nurses with the integrated chronic care model that has been implemented...
May 23, 2017: Curationis
https://www.readbyqxmd.com/read/28578738/shaping-quality-through-vision-structure-and-monitoring-of-performance-and-quality-indicators-impact-story-from-the-quebec-trauma-network
#18
Catherine Truchon, Lynne Moore, Amina Belcaid, Julien Clément, Nathalie Trudelle, Marie-Andrée Ulysse, Benoît Grolleau, Jacinthe Clusiau, Danielle Lévesque, Michèle de Guise
OBJECTIVES: The Quebec Trauma Care Continuum (TCC) was initiated in 1991 with the objective of providing accessible, continuous, efficient, and high quality services for all injury cases in the province. METHODS: The TCC design relied on three key components: (i) the designation of a network of acute care and rehabilitation facilities with specific mandates and responsibilities; (ii) the elaboration of transfer protocols, standing agreements, and governing structures to ensure fluid and optimal patient flow; and (iii) the close monitoring of several indicators to facilitate the continuous evaluation and improvement of the network...
June 5, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28569385/engaging-indigenous-families-in-a-community-based-indigenous-early-childhood-programme-in-british-columbia-canada-a-cultural-safety-perspective
#19
Alison J Gerlach, Annette J Browne, Margo Greenwood
This article is part of a larger study that explored how an Indigenous early intervention programme in British Columbia (BC), Canada, known as the 'Aboriginal Infant Development Program' (AIDP), influenced family and children's health and well-being and was responsive to child health inequities. Postcolonial feminist and Indigenous feminist perspectives provided a critical analytical lens to this qualitative inquiry. The study was undertaken with AIDPs based in diverse community organisations located in off-reserve urban municipalities throughout the province of BC...
June 1, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28569208/development-of-a-health-education-intervention-strategy-using-an-implementation-research-method-to-control-taeniasis-and-cysticercosis-in-burkina-faso
#20
Helena Ngowi, Ivan Ozbolt, Athanase Millogo, Veronique Dermauw, Télesphore Somé, Paul Spicer, Lori L Jervis, Rasmané Ganaba, Sarah Gabriel, Pierre Dorny, Hélène Carabin
BACKGROUND: Taeniasis and cysticercosis are two diseases caused by Taenia solium, a parasite transmitted between humans and pigs, leading to considerable economic loss and disabilities. Transmission of the parasite is linked to environmental and behavioural factors such as inadequate sanitation and hygiene, poor pig management, and consumption of infected pork. This study used implementation research method to design a health education intervention strategy for reducing T. solium infections in Burkina Faso, a country endemic for the parasite...
June 1, 2017: Infectious Diseases of Poverty
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