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https://www.readbyqxmd.com/read/28918412/prediction-of-early-unplanned-intensive-care-unit-readmission-in-a-uk-tertiary-care-hospital-a-cross-sectional-machine-learning-approach
#1
Thomas Desautels, Ritankar Das, Jacob Calvert, Monica Trivedi, Charlotte Summers, David J Wales, Ari Ercole
OBJECTIVES: Unplanned readmissions to the intensive care unit (ICU) are highly undesirable, increasing variance in care, making resource planning difficult and potentially increasing length of stay and mortality in some settings. Identifying patients who are likely to suffer unplanned ICU readmission could reduce the frequency of this adverse event. SETTING: A single academic, tertiary care hospital in the UK. PARTICIPANTS: A set of 3326 ICU episodes collected between October 2014 and August 2016...
September 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/28917097/development-of-motor-imagery-and-anticipatory-action-planning-in-children-with-developmental-coordination-disorder-a-longitudinal-approach
#2
Imke L J Adams, Jessica M Lust, Peter H Wilson, Bert Steenbergen
Children with impaired motor coordination (or Development Coordination Disorder - DCD) have difficulty with the predictive control of movements, evidenced by cross-sectional studies that show impaired motor imagery and action planning abilities. What remains unclear is whether this deficit in predictive control reflects immaturity of the motor system (a developmental delay) or some deviation from normal development (a disorder). To advance this discussion the present study used a longitudinal design to examine the development of motor imagery and action planning in children with DCD...
September 13, 2017: Human Movement Science
https://www.readbyqxmd.com/read/28906157/economic-factors-impacting-food-allergen-management-perspectives-from-the-food-industry
#3
Ruchi S Gupta, Steve L Taylor, Joseph L Baumert, Lauren M Kao, Erik Schuster, Bridget M Smith
Food allergies affect up to 8% of children in the United States and may occasionally lead to severe life-threatening reactions. Because there is currently no cure for food allergies, strict avoidance of the allergen-containing foods is the only means of preventing an allergic reaction. Consumers rely on food manufacturers to reliably track and declare the presence of food allergens in products. Over the past 10 to 20 years, the food industry has increasingly adopted allergen control approaches in its processing facilities...
September 14, 2017: Journal of Food Protection
https://www.readbyqxmd.com/read/28904011/continuation-of-non-essential-medications-in-actively-dying-hospitalised-patients
#4
Beverly Rosa Williams, F Amos Bailey, Elizabeth Kvale, Neal Steil, Patricia S Goode, Richard E Kennedy, Kathryn L Burgio
OBJECTIVE: The objective of this analysis was to examine the use of 11 non-essential medications in actively dying patients. METHODS: This was a planned secondary analysis of data from the Best Practices for End-of-Life Care for Our Nation's Veterans trial, a multicentre implementation trial of an intervention to improve processes of end-of-life care in inpatient settings. Supported with an electronic comfort care decision support tool, intervention included training hospital staff to identify actively dying patients, communicate the prognosis to patients/families and implement best practices of traditionally home-based hospice care...
September 13, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28895933/higher-protein-intake-does-not-improve-lean-mass-gain-when-compared-with-rda-recommendation-in-postmenopausal-women-following-resistance-exercise-protocol-a-randomized-clinical-trial
#5
Luana T Rossato, Paula C Nahas, Flávia M S de Branco, Fernanda M Martins, Aletéia P Souza, Marcelo A S Carneiro, Fábio L Orsatti, Erick P de Oliveira
The aim of this study was to evaluate the effect of a higher protein intake on lean body mass (LBM) gain in postmenopausal women practicing resistance exercise and compare it to the Recommended Dietary Allowance (RDA) recommendation. Twenty-three postmenopausal women (63.2 ± 7.8 years) were randomized into two groups. The group with higher protein intake (n = 11) (HP) received a dietary plan with ~1.2 g·kg(-1)·day(-1) of protein, while the normal protein (NP) group (n = 12) was instructed to ingest ~0.8 g·kg(-1)·day(-1) of protein (RDA recommendation)...
September 12, 2017: Nutrients
https://www.readbyqxmd.com/read/28893755/a-randomised-controlled-trial-of-an-online-menu-planning-intervention-to-improve-childcare-service-adherence-to-dietary-guidelines-a-study-protocol
#6
Sze Lin Yoong, Alice Grady, John Wiggers, Victoria Flood, Chris Rissel, Meghan Finch, Andrew Searles, David Salajan, Ruby O'Rourke, Jaqueline Daly, Karen Gilham, Fiona Stacey, Alison Fielding, Nicole Pond, Rebecca Wyse, Kirsty Seward, Luke Wolfenden
INTRODUCTION: The implementation of dietary guidelines in childcare settings is recommended to improve child public health nutrition. However, foods provided in childcare services are not consistent with guidelines. The primary aim of the trial is to assess the effectiveness of a web-based menu planning intervention in increasing the mean number of food groups on childcare service menus that comply with dietary guidelines regarding food provision to children in care. METHODS AND ANALYSIS: A parallel group randomised controlled trial will be undertaken with 54 childcare services that provide food to children within New South Wales, Australia...
September 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28892437/public-health-system-research-in-public-health-emergency-preparedness-in-the-united-states-2009-2015-actionable-knowledge-base
#7
Elena Savoia, Leesa Lin, Dottie Bernard, Noah Klein, Lyndon P James, Stefano Guicciardi
BACKGROUND: In 2008, the Institute of Medicine released a letter report identifying 4 research priority areas for public health emergency preparedness in public health system research: (1) enhancing the usefulness of training, (2) improving timely emergency communications, (3) creating and maintaining sustainable response systems, and (4) generating effectiveness criteria and metrics. OBJECTIVES: To (1) identify and characterize public health system research in public health emergency preparedness produced in the United States from 2009 to 2015, (2) synthesize research findings and assess the level of confidence in these findings, and (3) describe the evolution of knowledge production in public health emergency preparedness system research...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892435/community-assessment-for-public-health-emergency-response-casper-an-innovative-emergency-management-tool-in-the-united-states
#8
Amy Schnall, Nicole Nakata, Todd Talbert, Tesfaye Bayleyegn, DeAndrea Martinez, Amy Wolkin
OBJECTIVES: To demonstrate how inclusion of the Centers for Disease Control and Prevention's Community Assessment for Public Health Emergency Response (CASPER) as a tool in Public Health Preparedness Capabilities: National Standards for State and Local Planning can increase public health capacity for emergency response. METHODS: We reviewed all domestic CASPER activities (i.e., trainings and assessments) between fiscal years 2012 and 2016. Data from these CASPER activities were compared with respect to differences in geographic distribution, type, actions, efficacy, and usefulness of training...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28887344/medication-therapy-disease-management-geisinger-s-approach-to-population-health-management
#9
Laney K Jones, Gerard Greskovic, Dante M Grassi, Jove Graham, Haiyan Sun, Michael R Gionfriddo, Michael F Murray, Kandamurugu Manickam, Douglas C Nathanson, Eric A Wright, Michael A Evans
PURPOSE: Pharmacists' involvement in a population health initiative focused on chronic disease management is described. SUMMARY: Geisinger Health System has cultivated a culture of innovation in population health management, as highlighted by its ambulatory care pharmacy program, the Medication Therapy Disease Management (MTDM) program. Initiated in 1996, the MTDM program leverages pharmacists' pharmacotherapy expertise to optimize care and improve outcomes. MTDM program pharmacists are trained and credentialed to manage over 16 conditions, including atrial fibrillation (AF) and multiple sclerosis (MS)...
September 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28885944/the-value-of-live-tissue-training-for-combat-casualty-care-a-survey-of-canadian-combat-medics-with-battlefield-experience-in-afghanistan
#10
Michael Kim, Ian Torrie, Robert Poisson, Nicholas Withers, Stephen Bjarnason, Luis Teodoro DaLuz, Dylan Pannell, Andrew Beckett, Homer C Tien
INTRODUCTION: The optimum method for training military personnel for combat casualty care is unknown. In particular, there is debate regarding the incremental benefit of live animal tissue training (LTT) over inanimate human patient simulators (HPSs). Although both LTT and HPS are currently used for predeployment training, the efficacy of these models has not been established. MATERIALS AND METHODS: Canadian Armed Forces combat medics, deployed to Afghanistan between 2006 and 2011, were surveyed retrospectively regarding their experience with combat casualty care and predeployment training...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28885879/infusion-room-based-transition-to-practice-model-for-teaching-cancer-systemic-therapy-management
#11
Jennifer M Duff, Merry-Jennifer Markham, Thomas J George, Julia L Close
PURPOSE: Oncology training requirements mandate that fellows demonstrate competence in delivery of cancer therapeutics, understand clinical indications for treatment, and manage toxicities by completion of training. An academic training environment may hinder fellows' engagement in prescribing, monitoring, and adjusting cancer therapy; thus, trainees may complete their fellowship with limited experience in developing such critical skills. To provide hands-on experience in cancer systemic therapy management, we created a novel infusion room-based rotation in the final year of training; here we report the structure, logistics, and evaluation of this innovative program...
September 8, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28883552/preparing-a-personal-development-plan-for-all-members-of-the-dental-team
#12
W Maguire, P Blaylock
Personal development plans (PDPs) have been a requirement for NHS hospital staff, Foundation Training and Dental Core Training for some years; however, the General Dental Council (GDC) are changing continuing professional development (CPD) requirements in 2018 (enhanced CPD) making a PDP a requirement for all members of the dental team. A PDP consists of objectives for targeting CPD most relevant to your practice or intended practice to undertake over a defined period to maximise the improvement of your professional development...
September 8, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28883224/time-trend-in-interest-and-satisfaction-towards-clinical-training-and-academic-activities-among-early-career-cardiologists%C3%A3-the-japanese-circulation-society-post-graduate-training-survey
#13
Takashi Kohno, Shun Kohsaka, Yasuyoshi Takei, Keiichi Fukuda, Yukio Ozaki, Akira Yamashina
BACKGROUND: Satisfaction among early-career cardiologists is a key performance metric for cardiovascular (CV) educational programs. To assess the time trend in the interest and activities of early-career cardiologists regarding their training, we conducted web-based surveys in 2011 and 2015.Methods and Results:Early-career cardiologists were defined as physicians who planned to attend Japanese Circulation Society (JCS) annual meetings within 10 years of graduation. A total of 272 and 177 participants completed the survey for the years 2011 and 2015, respectively...
September 7, 2017: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/28882189/competencies-for-first-year-residents-physicians-views-from-medical-schools-with-different-undergraduate-curricula
#14
Sophie Fürstenberg, Kristina Schick, Jana Deppermann, Sarah Prediger, Pascal O Berberat, Martina Kadmon, Sigrid Harendza
BACKGROUND: Frameworks like the CanMEDS model depicting professional roles and specific professional activities provide guidelines for postgraduate education. When medical graduates start their residency, they should possess certain competencies related to communication, management and professionalism while other competencies will be refined during postgraduate training. Our study aimed to evaluate the relevance of different competencies for a first year resident required for entrustment decision from the perspective of physicians from medical faculties with different undergraduate medical curricula...
September 7, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28881055/individual-healthcare-plan-for-allergic-children%C3%A2-at-school-lessons-from-a-2015-2016-school-year-survey
#15
Guillaume Pouessel, Stépanie Lejeune, Marie-Pierre Dupond, Annie Renard, Camille Fallot, Antoine Deschildre
The Individual Healthcare Plan (IHP) was implemented in schools in France in 2003 to improve management of allergic children. Our objectives were to assess the practical aspects of IHP (excluding asthma) and allergic reactions occurring at school. METHODS: Prospective study conducted in the North Department (France) during the 2015/2016 school-year. Two questionnaires were developed: one for the school doctors (n=67) and one for the school principals (n=2372). RESULTS: Data from 336 (25%) of the 1325 IHPs (0...
September 7, 2017: Pediatric Allergy and Immunology
https://www.readbyqxmd.com/read/28879163/diagnostic-system-strengthening-for-drug-resistant-tuberculosis-in-nigeria-impact-and-challenges
#16
Gambo Aliyu, Nicholas Ezati, Mosunmola Iwakun, Sam Peters, Alash'le Abimiku
BACKGROUND: The increasing prevalence of drug-resistant tuberculosis and the threat of extensively-drug-resistant tuberculosis in HIV hotspots have made the detection and treatment of drug-resistant tuberculosis in the sub-Saharan Africa setting a global public health priority. OBJECTIVE: We sought to examine the impact and challenges of tuberculosis diagnostic capacity development for the detection of drug-resistant tuberculosis and bio-surveillance using a modular biosafety level 3 (BSL-3) laboratory in Nigeria...
2017: African Journal of Laboratory Medicine
https://www.readbyqxmd.com/read/28875807/2020-is-too-late-to-solve-nurse-staffing-crisis
#17
Susan Osborne
The year 2020 appears to be a magical one for the Department of Health (DH). In early August it announced plans to fund an extra 10,000 training places for nurses, midwives and allied health professionals by 2020.
September 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28873087/women-s-and-men-s-reports-of-past-year-prevalence-of-intimate-partner-violence-and-rape-and-women-s-risk-factors-for-intimate-partner-violence-a-multicountry-cross-sectional-study-in-asia-and-the-pacific
#18
Rachel Jewkes, Emma Fulu, Ruchira Tabassam Naved, Esnat Chirwa, Kristin Dunkle, Regine Haardörfer, Claudia Garcia-Moreno
BACKGROUND: Understanding the past-year prevalence of male-perpetrated intimate partner violence (IPV) and risk factors is essential for building evidence-based prevention and monitoring progress to Sustainable Development Goal (SDG) 5.2, but so far, population-based research on this remains very limited. The objective of this study is to compare the population prevalence rates of past-year male-perpetrated IPV and nonpartner rape from women's and men's reports across 4 countries in Asia and the Pacific...
September 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28872987/using-quality-improvement-methods-to-implement-an-early-childhood-oral-health-initiative-a-federally-qualified-health-center-pilot-study
#19
Rocio B Quinonez, Elizabeth Consky, Katrina Mattison, Greg Randolph
OBJECTIVES: To assess the use of quality improvement (QI) methods to implement an early childhood oral health program (Baby Oral Health Program-bOHP) in four federally qualified health center (FQHC) dental clinics. STUDY DESIGN: Using a mixed-methods study design, survey responses, administrative data, QI project templates, and focus group measures were collected. Plan-Do-Study-Act (PDSA) cycles as mini-projects to improve the implementation of bOHP were examined...
2017: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28870384/top-ten-challenges-when-interfacing-a-laboratory-information-system-to-an-electronic-health-record-experience-at-a-large-academic-medical-center
#20
Athena K Petrides, Milenko J Tanasijevic, Ellen M Goonan, Adam B Landman, Michalis Kantartjis, David W Bates, Stacy E F Melanson
BACKGROUND: Recent U.S. government regulations incentivize implementation of an electronic health record (EHR) with computerized order entry and structured results display. Many institutions have also chosen to interface their EHR to their laboratory information system (LIS). Reported long-term benefits include increased efficiency and improved quality and safety. In order to successfully implement an interfaced EHR-LIS, institutions must plan years in advance and anticipate the impact of an integrated system...
October 2017: International Journal of Medical Informatics
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