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https://www.readbyqxmd.com/read/29026766/hand-hygiene-knowledge-of-primary-health-care-workers-in-abha-city-south-western-saudi-arabia
#1
Ahmed A Mahfouz, Ahmed Abolyazid, Hasan M Al-Musa, Nabil J Awadallah, Aesha Faraheen, Shamsunhar Khalil, Mohammad N El-Gamal, Khalid M Al-Musa
PURPOSE: The aim of this is to find out the hand hygiene (HH) knowledge among primary health care workers (PHCWs) in Abha health district, southwestern Saudi Arabia. METHODS: Data were collected through an anonymous self-administered questionnaire. The questionnaire was based on a WHO "Knowledge Questionnaire for Health Care Workers." RESULTS: The study included 478 PHCWs (239 males and 239 females). The sample included 186 physicians, 212 nurses, and 80 technicians...
January 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29021943/application-of-a-pyramidal-training-model-on-the-implementation-of-trial-based-functional-analysis-a-partial-replication
#2
Faisal Alnemary, Michele Wallace, Fahad Alnemary, Lusineh Gharapetian, Jordan Yassine
We employed a pyramidal training model (PTM) to teach staff to correctly implement and collect data for trial-based functional analysis (TBFA) in simulated situations. First, we trained four behavioral consultants (BCs) in a group format, who each trained one behavior technician (BT) in an individual format. We utilized a non-concurrent multiple baseline design to evaluate the effect of the training. During generalization probes, participants implemented TBFA with a novel problem behavior. This study will contribute to the literature on teaching staff how to conduct TBFA...
September 2017: Behavior Analysis in Practice
https://www.readbyqxmd.com/read/28994712/improving-influenza-vaccination-rate-among-primary-healthcare-workers-in-qatar
#3
Khalid H Elawad, Elmoubasher A Farag, Dina A Abuelgasim, Maria K Smatti, Hamad E Al-Romaihi, Mohammed Al Thani, Hanan Al Mujalli, Zienab Shehata, Merin Alex, Asmaa A Al Thani, Hadi M Yassine
The purpose of this study was to improve influenza vaccination, and determine factors influencing vaccine declination among health care workers (HCW) in Qatar. We launched an influenza vaccination campaign to vaccinate around 4700 HCW in 22 Primary Health Care Corporation (PHCC) centers in Qatar between 1st and 15th of November, 2015. Our target was to vaccinate 60% of all HCW. Vaccine was offered free of charge at all centers, and information about the campaign and the importance of influenza vaccination was provided to employees through direct communication, emails, and social media networks...
October 10, 2017: Vaccines
https://www.readbyqxmd.com/read/28989294/what-are-the-educational-and-curriculum-needs-for-emergency-medical-technicians-in-taiwan-a-scoping-review
#4
REVIEW
Yu-Tung Chang, Kuang-Chau Tsai, Brett Williams
PURPOSE: The development of emergency medical services (EMS) training in Taiwan is in a transitional phase because of increasing demand for, and advancements in, clinical skill sets. The aim of this study is to review the current literature to compare the key factors of EMS training and education development in different countries in order to provide a new curricula blueprint for the Taiwanese EMS training system. METHOD: The method follows Arksey and O'Malley's six stages of scoping review...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28954180/an-interprofessional-approach-to-continuing-education-with-mass-casualty-simulation-planning-and-execution
#5
Deborah A Saber, Kelley Strout, Lisa Swanson Caruso, Charlene Ingwell-Spolan, Aiden Koplovsky
Many natural and man-made disasters require the assistance from teams of health care professionals. Knowing that continuing education about disaster simulation training is essential to nursing students, nurses, and emergency first responders (e.g., emergency medical technicians, firefighters, police officers), a university in the northeastern United States planned and implemented an interprofessional mass casualty incident (MCI) disaster simulation using the Project Management Body of Knowledge (PMBOK) management framework...
October 1, 2017: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/28950248/visual-electrochemiluminescence-biosensing-of-aflatoxin-m1-based-on-luminol-functionalized-silver-nanoparticle-decorated-graphene-oxide
#6
Seyyed Mehdi Khoshfetrat, Hasan Bagheri, Masoud A Mehrgardi
A sensitive electrochemiluminescence (ECL) aptasensor for aflatoxin M1 (AFM1) detection by a closed bipolar electrode (BPE) array has been introduced. The thiolated AFM1 aptamer was immobilized on gold nanoparticle-coated magnetic Fe3O4 nanoparticles (Apt-GMNPs). Luminol-functionalized silver nanoparticle-decorated graphene oxide (GO-L-AgNPs) participates in π-π interactions with the unpaired bases of the immobilized aptamer (Apt-GMNPs-GO-L-AgNPs). After the Apt-GMNPs-GO-L-AgNPs were introduced to a gold anodic BPE array, the individual electrodes were subjected to different concentrations of AFM1...
September 21, 2017: Biosensors & Bioelectronics
https://www.readbyqxmd.com/read/28949474/ineffective-healthcare-technology-management-in-benin-s-public-health-sector-the-perceptions-of-key-actors-and-their-ability-to-address-the-main-problems
#7
P Thierry Houngbo, Tjard De Cock Buning, Joske Bunders, Harry L S Coleman, Daton Medenou, Laurent Dakpanon, Marjolein Zweekhorst
BACKGROUND: Low-income countries face many contextual challenges to manage healthcare technologies effectively, as the majority are imported and resources are constrained to a greater extent. Previous healthcare technology management (HTM) policies in Benin have failed to produce better quality of care for the population and costeffectiveness for the government. This study aims to identify and assess the main problems facing HTM in Benin's public health sector, as well as the ability of key actors within the sector to address these problems...
February 20, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28947359/pre-operative-duplex-ultrasonography-in-arteriovenous-fistula-creation-intra-and-inter-observer-agreement
#8
Niek Zonnebeld, Tommy M G Maas, Wouter Huberts, Magda M van Loon, Tammo Delhaas, Jan H M Tordoir
OBJECTIVE: Although clinical guidelines on arteriovenous fistula (AVF) creation advocate minimum luminal arterial and venous diameters, assessed by duplex ultrasonography (DUS), the clinical value of routine DUS examination is under debate. DUS might be an insufficiently repeatable and/or reproducible imaging modality because of its operator dependency. The present study aimed to assess intra- and inter-observer agreement of DUS examination in support of AVF surgery planning. METHODS: Ten end stage renal disease patients were included, to assess intra- and inter-observer agreement of pre-operative DUS measurements...
September 22, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28924350/pharmacovigilance-and-adverse-drug-reaction-reporting-a-perspective-of-community-pharmacists-and-pharmacy-technicians-in-sana-a-yemen
#9
Yaser Mohammed Al-Worafi, Yaman Walid Kassab, Wafa Mohammed Alseragi, Masaad Saeed Almutairi, Ali Ahmed, Long Chiau Ming, Ali Saleh Alkhoshaiban, Muhammad Abdul Hadi
OBJECTIVE: The aim of this study was to compare the knowledge, attitude and barriers of pharmacy technicians and pharmacists toward pharmacovigilance, adverse drug reactions (ADRs) and ADR reporting in community pharmacies in Yemen. METHODS: This cross-sectional survey was conducted among community pharmacists and pharmacy technicians in the capital of Yemen, Sana'a. A total of 289 community pharmacies were randomly selected. The validated and pilot-tested questionnaire consisted of six sections: demographic data, knowledge about pharmacovigilance, experience with ADR reporting, attitudes toward ADR reporting, and the facilitators to improve ADR reporting...
2017: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/28918967/accuracy-of-bedside-point-of-care-testing-in-critical-emergency-department-patients
#10
Braden W McIntosh, Jerina Vasek, Maria Taylor, Deborah Le Blanc, Henry C Thode, Adam J Singer
BACKGROUND: Point-of-care (POC) testing reduces laboratory turn-around having the potential to improve timely diagnosis and management. We compared the accuracy of nurse performed POC and core laboratory testing and determined whether deviations between the two were clinically meaningful. METHODS: We performed a prospective, observational study on a convenience sample of 50 critical care ED patients in whom a POC chemistry and hematocrit was ordered. Blood samples were divided into 2 aliquots; one sample was tested by the treating nurse using a handheld POC device and the other sample was tested in the core laboratory...
September 14, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28911343/validation-study-of-maxsignal-%C3%A2-histamine-enzymatic-assay-for-the-detection-of-histamine-in-fish-seafood
#11
Swapna Gone, Nicolas Kosa, Joseph Krebs
Bioo Scientific Corp. has developed a rapid enzymatic quantitative assay for the determination of histamine inseafood. Fresh/frozen tuna, canned tuna, pouched tuna, and frozen mahi mahi samples were used for the validation study under the specific guidelines of the AOAC Research Institute Performance Tested Methods(SM) program. Recoveries ranged from 82 to 107% at concentrations ranging from 6 to 72 ppm, with RSDr values between 0.8 and 6.5% (6-72 ppm). The linearity of the assay ranged from 0 to 108 ppm, with R² values exceeding 0...
September 15, 2017: Journal of AOAC International
https://www.readbyqxmd.com/read/28899451/hand-hygiene-improvement-and-sustainability-assessing-a-breakthrough-collaborative-in-western-switzerland
#12
Anthony Staines, Isabelle Amherdt, Estelle Lécureux, Christiane Petignat, Philippe Eggimann, Marcos Schwab, Didier Pittet
OBJECTIVE To assess hand hygiene improvement and sustainability associated with a Breakthrough Collaborative. DESIGN Multicenter analysis of hand hygiene compliance through direct observation by trained observers. SETTING A total of 5 publicly funded hospitals in 14 locations, with a total of 1,152 beds, in the County of Vaud, Switzerland. PARTICIPANTS Clinical staff. INTERVENTIONS In total, 59,272 opportunities for hand hygiene were monitored for the duration of the study, for an average of 5,921 per audit (range, 5,449-6,852)...
September 13, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28877182/cryptococcal-antigen-screening-by-lay-cadres-using-a-rapid-test-at-the-point-of-care-a-feasibility-study-in-rural-lesotho
#13
Fernanda Rick, Aline Aurore Niyibizi, Amir Shroufi, Kazumi Onami, Sarah-Jane Steele, Malehlohonolo Kuleile, Innocent Muleya, Tom Chiller, Tiffany Walker, Gilles Van Cutsem
INTRODUCTION: Cryptococcal meningitis is one of the leading causes of death among people with HIV in Africa, primarily due to delayed presentation, poor availability and high cost of treatment. Routine cryptococcal antigen (CrAg) screening of patients with a CD4 count less than 100 cells/mm3, followed by pre-emptive therapy if positive, might reduce mortality in high prevalence settings. Using the cryptococcal antigen (CrAg) lateral flow assay (LFA), screening is possible at the point of care (POC)...
2017: PloS One
https://www.readbyqxmd.com/read/28856142/preoperative-surgical-rehearsal-using-cadaveric-fresh-tissue-surgical-simulation-increases-resident-operative-confidence
#14
Erin L Weber, Hyuma A Leland, Beina Azadgoli, Michael Minneti, Joseph N Carey
BACKGROUND: Rehearsal is an essential part of mastering any technical skill. The efficacy of surgical rehearsal is currently limited by low fidelity simulation models. Fresh cadaver models, however, offer maximal surgical simulation. We hypothesize that preoperative surgical rehearsal using fresh tissue surgical simulation will improve resident confidence and serve as an important adjunct to current training methods. METHODS: Preoperative rehearsal of surgical procedures was performed by plastic surgery residents using fresh cadavers in a simulated operative environment...
August 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/28830223/defining-the-costs-of-reusable-flexible-ureteroscope-reprocessing-using-time-driven-activity-based-costing
#15
Dylan Isaacson, Tessnim Ahmad, Ian Metzler, David T Tzou, Kazumi Taguchi, Manint Usawachintachit, Samuel Zetumer, Benjamin Sherer, Marshall Stoller, Thomas Chi
PURPOSE: Careful decontamination and sterilization of reusable flexible ureteroscopes used in ureterorenoscopy cases prevent the spread of infectious pathogens to patients and technicians. However, inefficient reprocessing and unavailability of ureteroscopes sent out for repair can contribute to expensive operating room (OR) delays. Time-driven activity-based costing (TDABC) was applied to describe the time and costs involved in reprocessing. MATERIALS AND METHODS: Direct observation and timing were performed for all steps in reprocessing of reusable flexible ureteroscopes following operative procedures...
October 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28746228/randomized-noninferiority-study-between-video-versus-hand-ultrasound-with-wet-foam-dressing-materials-to-simulate-b-lines-in-lung-ultrasound-a-consort-compliant-article
#16
RANDOMIZED CONTROLLED TRIAL
Eun Jung Park, Young Tak Yoon, Chong Kun Hong, Young Rock Ha, Jung Hwan Ahn
BACKGROUND: This study evaluated the efficacy of a teaching method using simulated B-lines of hand ultrasound with a wet foam dressing material. METHODS: This prospective, randomized, noninferiority study was conducted on emergency medical technician students without any relevant training in ultrasound. Following a lecture including simulated (SG) or real video clips (RG) of B-lines, a posttest was conducted and a retention test was performed after 2 months. The test consisted of questions about B-lines in 40 randomly mixed video clips (20 simulated and 20 real videos) with 4 answer scores (R-1 [the correct answer score for the real video clips] vs S-1 [the correct answer score for the simulated video clips] in the posttest, R-2 [the correct answer score for the real video clips] vs S-2 [the correct answer score for the simulated video clips] in the retention test)...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28734228/effect-of-education-on-ability-of-ai-professionals-and-herd-owner-inseminators-to-detect-cows-not-in-oestrus-and-its-relation-with-progesterone-concentration-on-day-of-re-insemination
#17
K Vartia, J Taponen, J Heikkinen, H Lindeberg
The effect of training background of persons performing artificial insemination (AI) (herd-owner inseminators (OWNER), AI technicians (AI-T), and fertility consultants (FC)) on pregnancy rate and their ability to detect cows not in oestrus were studied. A total of 1584 re-AI occasions on 754 dairy farms were included. Milk samples for progesterone (P4) analysis in all cases were collected, as were data on the herd, previous breeding attempts, oestrous signs, uterine tone, slipperiness of cervix, and co-operation of the cow...
July 13, 2017: Theriogenology
https://www.readbyqxmd.com/read/28724040/cardiac-remodeling-indicators-in-adolescent-athletes
#18
COMPARATIVE STUDY
Joaquim Castanheira, João Valente-Dos-Santos, Daniela Costa, Diogo Martinho, Jorge Fernandes, João Duarte, Nuno Sousa, Vasco Vaz, Luis Rama, António Figueiredo, Manuel Coelho-E-Silva
Objective: The idea that different sports and physical training type results in different cardiac adaptations has been widely accepted. However, this remodelling process among different sport modalities is still not fully understood. Thus, the current study aims to investigate the heart morphology variation associated with a set of different modalities characterized by distinct models of preparation and different methods and demands of training and completion. Method: The sample comprises 42 basketball players, 73 roller hockey players, 28 judo athletes and 21 swimmers...
May 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28719707/community-triage-of-otology-patients-using-a-store-and-forward-telemedicine-device-a-feasibility-study
#19
Nishi Gupta, Neeraj Chawla, Digant Gupta, Nidhi Dhawan, Vidya R Janaki
Chronic otitis media is a major contributor to acquired hearing loss in developing countries. Developing countries such as India, with huge populations and poor health infrastructures, have always felt the shortage of trained specialists who can provide quality care to meet the enormous demand for treatment of this disease. This pilot study assessed the feasibility of empowering trained health workers equipped with ENTraview, a store-and-forward telemedicine device that integrates a camera- enabled smart phone with an otoscope...
July 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28704390/inter-rater-reliability-of-categorical-versus-continuous-scoring-of-fish-vitality-does-it-affect-the-utility-of-the-reflex-action-mortality-predictor-ramp-approach
#20
Pieter Meeremans, Noëlle Yochum, Marc Kochzius, Bart Ampe, Frank A M Tuyttens, Sven Sebastian Uhlmann
Scoring reflex responsiveness and injury of aquatic organisms has gained popularity as predictors of discard survival. Given this method relies upon the individual interpretation of scoring criteria, an evaluation of its robustness is done here to test whether protocol-instructed, multiple raters with diverse backgrounds (research scientist, technician, and student) are able to produce similar or the same reflex and injury score for one of the same flatfish (European plaice, Pleuronectes platessa) after experiencing commercial fishing stressors...
2017: PloS One
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