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https://www.readbyqxmd.com/read/28933734/growth-hormone-s-effect-on-adipose-tissue-quality-versus-quantity
#1
REVIEW
Darlene E Berryman, Edward O List
Obesity is an excessive accumulation or expansion of adipose tissue (AT) due to an increase in either the size and/or number of its characteristic cell type, the adipocyte. As one of the most significant public health problems of our time, obesity and its associated metabolic complications have demanded that attention be given to finding effective therapeutic options aimed at reducing adiposity or the metabolic dysfunction associated with its accumulation. Growth hormone (GH) has therapeutic potential due to its potent lipolytic effect and resultant ability to reduce AT mass while preserving lean body mass...
July 26, 2017: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/28929907/management-of-obesity-after-spinal-cord-injury-a-systematic-review
#2
M H Shojaei, S M Alaviniaa, B C Craven
CONTEXT: Individuals with chronic spinal cord injury (SCI) are susceptible to central and visceral obesity and it's metabolic consequences; consensus based guidelines for obesity management after SCI have not yet been stablished. OBJECTIVES: To identify and compare effective means of obesity management among SCI individuals. METHODS: This systematic review included English and non-English articles, published prior to April 2017 found in the PubMed/Medline, Embase, CINAHL Psychinfo and Cochrane databases...
September 20, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28929858/partnering-to-develop-a-talent-pipeline-for-emerging-health-leaders-in-operations-research
#3
Alfred Ng, Carly Henshaw, Michael Carter
In initiating its first central office for Quality Improvement (QI), The Scarborough Hospital (TSH) sought to accelerate momentum towards achieving its "Quality and Sustainability" strategic priority by building internal capacity in the emerging QI specialty of operations research. The Scarborough Hospital reviewed existing models of talent management in conjunction with Lean and improvement philosophies. Through simple guiding principles and in collaboration with the University of Toronto's Centre for Healthcare Engineering, TSH developed a targeted approach to talent management for Operations Research (OR) in the Office of Innovation and Performance Improvement, reduced the time from staffing need to onboarding, accelerated the development of new staff in delivering QI and OR projects, and defined new structures and processes to retain and develop this group of new emerging health leaders...
May 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28927908/the-impact-of-the-standard-american-diet-in-rats-effects-on-behavior-physiology-and-recovery-from-inflammatory-injury
#4
Stacie K Totsch, Tammie L Quinn, Larissa J Strath, Laura J McMeekin, Rita M Cowell, Barbara A Gower, Robert E Sorge
BACKGROUND AND AIMS: Obesity is a significant health concern in the Western world and the presence of comorbid conditions suggests an interaction. The overlapping distributions of chronic pain populations and obesity suggests that an interaction may exist. Poor quality diet (high carbohydrates, saturated fats, omega-6 polyunsaturated fatty acids) can lead to increased adiposity which can activate immune cells independent of the activating effect of the diet components themselves. This dual action can contribute to chronic inflammation that may alter susceptibility to chronic pain and prolong recovery from injury...
September 16, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/28916544/muscle-deficits-in-rheumatoid-arthritis-contribute-to-inferior-cortical-bone-structure-and-trabecular-bone-mineral-density
#5
Joshua F Baker, Jin Long, Sogol Mostoufi-Moab, Michele Denburg, Erik Jorgenson, Prerna Sharma, Babette S Zemel, Elena Taratuta, Said Ibrahim, Mary B Leonard
OBJECTIVE: Rheumatoid arthritis (RA) is associated with muscle loss, osteoporosis, and fracture. We examined associations between skeletal muscle mass, strength, and quality and trabecular and cortical bone deficits in patients with RA and healthy controls. METHODS: Participants, ages 18-75 years, completed whole-body dual-energy x-ray absorptiometry and peripheral quantitative computed tomography (pQCT) of the tibia to quantify appendicular lean mass and fat mass indices (ALMI, FMI), muscle density at the lower leg, trabecular bone density, and cortical bone thickness...
September 15, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/28913487/perioperative-surgical-home-meeting-tomorrow-s-challenges
#6
REVIEW
Teodora O Nicolescu
New healthcare models pose a variety of changes for anesthesiologists, ranging from the need to improve quality and to cost containment: as such, the concept of Perioperative Surgical Home (PSH) has been developed. Modelled after the UK's Enhanced Recovery After Surgery (ERAS), PSH takes a step further by coordinating care starting from the time a surgical decision is made for the patient to as many as 30 days postoperatively, taking a logical evidenced-based approach to judicious preoperative testing. Perioperative surgical home also relies heavily on engineering imported strategies such as the use of Lean Six Sigma methodologies, and involves active participation of all stakeholders...
October 2016: Rom J Anaesth Intensive Care
https://www.readbyqxmd.com/read/28901764/equilibrium-passive-sampling-of-pop-in-lipid-rich-and-lean-fish-tissue-quality-control-using-performance-reference-compounds
#7
Tatsiana P Rusina, Pernilla Carlsson, Branislav Vrana, Foppe Smedes
Passive sampling is widely used to measure levels of contaminants in various environmental matrices, including fish tissue. Equilibrium passive sampling (EPS) of persistent organic pollutants (POP) in fish tissue has been hitherto limited to application in lipid-rich tissue. We tested several exposure methods to extend EPS applicability to lean tissue. Thin-film polydimethylsiloxane (PDMS) passive samplers were exposed statically to intact fillet and fish homogenate and dynamically by rolling with cut fillet cubes...
September 13, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28899702/giving-taking-and-matching-leveraging-the-power-of-diverse-collaborative-behaviors-to-build-a-successful-radiology-team
#8
Nupur Verma, Tan-Lucien Mohammed, Puneet Bhargava
Within a radiology team, members individually lean toward being givers or takers. Radiology leadership must recognize this characteristic and leverage the strengths of givers and takers to best assist the team and to provide effective motivation. Understanding the importance of balancing these qualities within a team improves productivity and morale and reduces burnout.
September 9, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28878719/different-and-similar-at-the-same-time-cultural-competence-through-the-leans-of-healthcare-providers
#9
Giuseppina Dell'Aversana, Andreina Bruno
Cultural competence (CC) for professionals and organizations has been recognized as a key strategy to reduce health care inequalities for migrants and to promote responsiveness to diversity. For decades its main aim has been matching health services to the cultural needs of migrant users. Otherwise literature highlighted the need to find a pragmatic middle way between the 'static' and the 'dynamic' views of culture that are recognizable in CC approaches. A pragmatic middle way to CC will be proposed as the way to respect diversity, even responding to cultural issues, without stereotyping or discriminating...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28871228/interplay-of-the-quality-of-ciprofloxacin-and-antibiotic-resistance-in-developing-countries
#10
Deepali Sharma, Rahul P Patel, Syed Tabish R Zaidi, Md Moklesur Rahman Sarker, Qi Ying Lean, Long C Ming
Ciprofloxacin, a second generation broad spectrum fluoroquinolone, is active against both Gram-positive and Gram-negative bacteria. Ciprofloxacin has a high oral bioavailability and a large volume of distribution. It is used for the treatment of a wide range of infections including urinary tract infections caused by susceptible bacteria. However, the availability and use of substandard and spurious quality of oral ciprofloxacin formulations in the developing countries has been thought to have contributed toward increased risk of treatment failure and bacterial resistance...
2017: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/28870249/improving-emergency-department-radiology-transportation-time-a-successful-implementation-of-lean-methodology
#11
Eveline A Hitti, Ghada R El-Eid, Hani Tamim, Rana Saleh, Miriam Saliba, Lena Naffaa
BACKGROUND: Emergency Department overcrowding has become a global problem and a growing safety and quality concern. Radiology and laboratory turnaround time, ED boarding and increased ED visits are some of the factors that contribute to ED overcrowding. Lean methods have been used in the ED to address multiple flow challenges from improving door-to-doctor time to reducing length of stay. The objective of this study is to determine the effectiveness of using Lean management methods on improving Emergency Department transportation times for plain radiography...
September 5, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28862122/improvement-of-breast-cancer-patient-pathway-using-eusoma-standards-and-european-guidelines
#12
Hatice Camgöz Akdag, Nuh Zafer Cantürk
Queues in hospitals are directly affecting the quality of human life, which should have priority compared to other types of queues. The aim of this paper is to design a future value stream map of the system and patient pathway in terms of quality improvement in order to decrease the non-value added activities for breast cancer patients, doctors and nurses for a radiology unit in a Training and Research University Hospital based in Kocaeli, Turkey. Nowadays, the increased demand versus insufficient sources affect healthcare services due to poor quality with long queues during the diagnosis and treatment processes...
July 2017: Chirurgia
https://www.readbyqxmd.com/read/28860877/maintenance-of-the-paraspinal-muscles-may-protect-against-radiographic-knee-osteoarthritis
#13
Koichiro Azuma, Yasushi Sera, Takuma Shinjo, Michiyo Takayama, Eisuke Shiomi, Suketaka Momoshima, Yasushi Iwao, Hiroyuki Ishida, Hideo Matsumoto
BACKGROUND: Knee osteoarthritis (OA) is an increasing health problem worldwide. So far, only obesity and quadriceps weakness are identified as modifiable risk factors for knee OA. Core muscle strengthening is becoming increasingly popular among older adults because of its ability to enhance the activities of daily living during old age. This study investigated the associations of the size and quality of the abdominal trunk muscles with radiographic knee osteoarthritis (RKOA). METHODS: From 2012 to 2016, data were collected from 146 males and 135 females (age 63...
2017: Open Access Rheumatology: Research and Reviews
https://www.readbyqxmd.com/read/28860730/association-between-body-composition-and-stair-negotiation-ability-among-individuals-55-years-of-age-a-cross-sectional-study
#14
Renata Maciulis Dip, Marcos As Cabrera, Sabrina Ferrari Prato
BACKGROUND: Loss of muscle strength exerts a considerable impact on the quality of life and mortality of older adults. The present household survey study measured body composition and muscle strength with the aim of analyzing the roles of low lean mass, low muscle strength and obesity in stair negotiation ability and the effect of comorbidities on the relationship between body composition and functional capacity. METHODS: Body composition was assessed using bioelectrical impedance analysis and muscle strength was assessed with a hand grip dynamometer...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28859364/impact-of-supplemental-home-enteral-feeding-postesophagectomy-on-nutrition-body-composition-quality-of-life-and-patient-satisfaction
#15
C L Donohoe, L A Healy, M Fanning, S L Doyle, A Mc Hugh, J Moore, N Ravi, J V Reynolds
The aim of this prospective cohort study is to analyze the impact of supplemental home enteral nutrition (HEN) post-esophageal cancer surgery on nutritional parameters, quality of life (QL), and patient satisfaction. A systematic review reported that over 60% of patients lose >10% of both body weight and BMI by 6 months after esophagectomy. Enteral feeding (EF) is increasingly a modern standard postoperatively; however, the impact of extended HEN postdischarge has not been systematically studied. One hundred forty-nine consecutive patients [mean age 62 ± 9, 80% male,76% adenocarcinoma, 66% on multimodal protocols, and 69% with BMI ≥ 25 kg/m2] were studied...
September 1, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/28858964/improvement-through-small-cycles-of-change-lessons-from-an-academic-medical-center-emergency-department
#16
Amit Arbune, Sarah Wackerbarth, Penne Allison, Joseph Conigliaro
This article describes the experiences of a quality improvement team that used small cycles of change to improve the emergency department (ED) of an academic medical center. The role of EDs in the provision of healthcare continues to increase in importance. ED bottlenecks contribute to long waits and diminished outcomes for ED patients as well as more system-wide issues, such as inefficiencies in inpatient admission processes. The purpose of this "ED Operational Efficiency Project" was to reduce lengths of stay (LOS) for low-acuity patients...
September 2017: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/28856390/hypogonadal-men-with-higher-body-mass-index-have-higher-bone-density-and-better-bone-quality-but-reduced-muscle-density
#17
Lina E Aguirre, Georgia Colleluori, Richard Dorin, David Robbins, Rui Chen, Bryan Jiang, Clifford Qualls, Dennis T Villareal, Reina Armamento-Villareal
Although hypogonadism is a risk factor for bone loss and fractures, the different etiopathophysiology and hormonal profile of classical and obesity-induced hypogonadism may lead to differences in musculoskeletal profile. This is a cross-sectional study of hypogonadal men between 40 and 74 years old. Our outcomes include: areal bone mineral density (aBMD) and body composition by dual-energy X-ray absorptiometry; volumetric BMD (vBMD) and soft tissue composition of the tibia by peripheral quantitative computed tomography...
August 30, 2017: Calcified Tissue International
https://www.readbyqxmd.com/read/28852894/impact-and-ecosystem-service-of-forest-and-sacred-grove-as-saviour-of-water-quantity-and-quality-in-garhwal-himalaya-india
#18
Purna Jana, Sabyasachi Dasgupta, Nagendra P Todaria
The present study was conducted in environs of the sacred grove of Garhwal Himalaya, India, with a view to assess the impacts of sacred groves and forests on the quality and quantity of water and also to assess the effect of seasonality on perennial stream quality. Water samples were collected from three randomly selected stream spots of both the sacred grove dominated by deodar (Cedrus deodara) and the non-sacred patch dominated by oak (Quercus leucotrichophora). Water samples from both patches were within the World Health Organization (WHO) standard limits...
August 29, 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/28838320/does-value-stream-mapping-affect-the-structure-process-and-outcome-quality-in-care-facilities-a-systematic-review
#19
Marina Nowak, Holger Pfaff, Ute Karbach
BACKGROUND: Quality improvement within health and social care facilities is needed and has to be evidence-based and patient-centered. Value Stream Mapping, a method of Lean management, aims to increase the patients' value and quality of care by a visualization and quantification of the care process. The aim of this research is to examine the effectiveness of Value Stream Mapping on structure, process, and outcome quality in care facilities. METHODS: A systematic review is conducted...
August 24, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28835387/supplementing-breakfast-with-a-vitamin-d-and-leucine-enriched-whey-protein-medical-nutrition-drink-enhances-postprandial-muscle-protein-synthesis-and-muscle-mass-in-healthy-older-men
#20
Audrey Chanet, Sjors Verlaan, Jérôme Salles, Christophe Giraudet, Véronique Patrac, Véronique Pidou, Corinne Pouyet, Nordine Hafnaoui, Adeline Blot, Noël Cano, Nicolas Farigon, Anke Bongers, Marion Jourdan, Yvette Luiking, Stéphane Walrand, Yves Boirie
Background: A promising strategy to help older adults preserve or build muscle mass is to optimize muscle anabolism through providing an adequate amount of high-quality protein at each meal.Objective: This "proof of principle" study investigated the acute effect of supplementing breakfast with a vitamin D and leucine-enriched whey protein medical nutrition drink on postprandial muscle protein synthesis and longer-term effect on muscle mass in healthy older adults.Methods: A randomized, placebo-controlled, double-blind study was conducted in 24 healthy older men [mean ± SD: age 71 ± 4 y; body mass index (in kg/m(2)) 24...
August 23, 2017: Journal of Nutrition
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