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https://www.readbyqxmd.com/read/28239211/active-subjects-of-passive-monitoring-responses-to-a-passive-monitoring-system-in-low-income-independent-living
#1
Clara Berridge
Passive monitoring technology is beginning to be reimbursed by third-party payers in the United States of America. Given the low voluntary uptake of these technologies on the market, it is important to understand the concerns and perspectives of users, former users and non-users. In this paper, the range of ways older adults relate to passive monitoring in low-income independent-living residences is presented. This includes experiences of adoption, non-adoption, discontinuation and creative 'misuse'. The analysis of interviews reveals three key insights...
March 2017: Ageing and Society
https://www.readbyqxmd.com/read/28238788/childhood-vaccination-communication-outcomes-unpacked-and-organised-in-a-taxonomy-to-facilitate-core-outcome-establishment
#2
Jessica Kaufman, Rebecca Ryan, Claire Glenton, Simon Lewin, Xavier Bosch-Capblanch, Yuri Cartier, Julie Cliff, Angela Oyo-Ita, Heather Ames, Artur Manuel Muloliwa, Afiong Oku, Gabriel Rada, Sophie Hill
OBJECTIVE: We present a comprehensive taxonomy of outcomes for childhood vaccination communication interventions. Adding to our earlier map of trial outcomes, we aimed to: 1) identify relevant outcomes not measured in trials; 2) identify outcomes from stakeholder focus groups; and 3) organise outcomes into a taxonomy. STUDY DESIGN: We identified additional outcomes from non-vaccination health communication literature and through parent and healthcare professional focus groups...
February 23, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28238505/rapid-diagnosis-of-sexually-transmitted-infections
#3
Luis Otero-Guerra, Ana Fernández-Blázquez, Fernando Vazquez
Sexually transmitted infections (STIs) are responsible for an enormous burden of morbidity and mortality. Worldwide, millions of cases of STIs, such as syphilis, chlamydia, or gonorrhoea occur every year, and there is now an increase in antimicrobial resistance in pathogens, such as gonococcus. Delay in diagnosis is one of the factors that justifies the difficulty in controlling these infections. Rapid diagnostic tests allow the introduction of aetiological treatment at the first visit, and also leads to treating symptomatic and asymptomatic patients more effectively, as well as to interrupt the epidemiological transmission chain without delay...
February 23, 2017: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/28238205/co-ordinated-action-between-youth-care-and-sports-facilitators-and-barriers
#4
Niels Hermens, Lisanne de Langen, Kirsten T Verkooijen, Maria A Koelen
In the Netherlands, youth-care organisations and community sports clubs are collaborating to increase socially vulnerable youths' participation in sport. This is rooted in the idea that sports clubs are settings for youth development. As not much is known about co-ordinated action involving professional care organisations and community sports clubs, this study aims to generate insight into facilitators of and barriers to successful co-ordinated action between these two organisations. A cross-sectional study was conducted using in-depth semi-structured qualitative interview data...
February 26, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28237956/status-of-patient-safety-culture-in-arab-countries-a-systematic-review
#5
Mustafa Elmontsri, Ahmed Almashrafi, Ricky Banarsee, Azeem Majeed
OBJECTIVES: To explore the status of patient safety culture in Arab countries based on the findings of the Hospital Survey on Patient Safety Culture (HSPSC). DESIGN: Systematic review. METHODS: We performed electronic searches of the MEDLINE, EMBASE, CINAHL, ProQuest and PsychINFO, Google Scholar and PubMed databases, with manual searches of bibliographies of included articles and key journals. We included studies that were conducted in the Arab countries that were focused on patient safety culture...
February 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28237021/correlates-of-team-effectiveness-an-exploratory-study-of-firefighter-s-operations-during-emergency-situations
#6
Elise Jouanne, Camilo Charron, Christine Chauvin, Gaël Morel
This paper examines elements contributing to the effectiveness of firefighting teams carrying out typical tasks. Fourteen firefighter crews were filmed during nineteen real operations and answered questionnaires relating to psychosocial dimensions. Results have shown that "enriched closed-loops" of communication, positive emotional interactions and a "gamma" type of adaptation are positively related to team effectiveness. Conversely, open and incomplete loops of communication, negative emotional interactions, "beta" and "alpha" types of adaptation are negatively related to team effectiveness...
May 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28237016/the-situation-awareness-weighted-network-sawn-model-and-method-theory-and-application
#7
Alexander Kalloniatis, Irena Ali, Timothy Neville, Phuong La, Iain Macleod, Mathew Zuparic, Elizabeth Kohn
We introduce a novel model and associated data collection method to examine how a distributed organisation of military staff who feed a Common Operating Picture (COP) generates Situation Awareness (SA), a critical component in organisational performance. The proposed empirically derived Situation Awareness Weighted Network (SAWN) model draws on two scientific models of SA, by Endsley involving perception, comprehension and projection, and by Stanton et al. positing that SA exists across a social and semantic network of people and information objects in activities connected across a set of tasks...
May 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28236688/interventions-and-working-relationships-of-voluntary-organisations-for-diabetes-self-management-a-cross-national-study
#8
Mari Carmen Portillo, Anne Kennedy, Elka Todorova, Elena Regaira, Michel Wensing, Christina Foss, Christos Lionis, Ivaylo Vassilev, Valentin Goev, Anne Rogers
BACKGROUND: Diabetes has become a challenging health priority globally. Given the tensions of financially burdened health systems in Europe the mobilisation of community resources like voluntary organisations and community groups is seen as a health policy strategy to sustain the management of long-term conditions like diabetes. However, little is known about how this is happening in practice in Europe. OBJECTIVES: To explore diabetes self-management interventions undertaken or promoted by voluntary organisations and community groups in Europe; and describe the types of working relationships between these organisations, European health systems and users when implementing diabetes self-management programmes in different areas...
February 3, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28235969/how-do-organisational-characteristics-influence-teamwork-and-service-delivery-in-lung-cancer-diagnostic-assessment-programmes-a-mixed-methods-study
#9
Gladys N Honein-AbouHaidar, Terri Stuart-McEwan, Tom Waddell, Alexandra Salvarrey, Jennifer Smylie, Mark J Dobrow, Melissa C Brouwers, Anna R Gagliardi
OBJECTIVES: Diagnostic assessment programmes (DAPs) can reduce wait times for cancer diagnosis, but optimal DAP design is unknown. This study explored how organisational characteristics influenced multidisciplinary teamwork and diagnostic service delivery in lung cancer DAPs. DESIGN: A mixed-methods approach integrated data from descriptive qualitative interviews and medical record abstraction at 4 lung cancer DAPs. Findings were analysed with the Integrated Team Effectiveness Model...
February 23, 2017: BMJ Open
https://www.readbyqxmd.com/read/28235928/is-treating-anal-furunculosis-with-5%C3%A2-mg-kg-ciclosporin-once-daily-the-optimal-dosing-schedule
#10
Cherry Phypers, Kristen Reyher, Emma Place, Natalie Barnard, Aiden Foster
Critically Appraised Topics (CATs) are a standardised, succinct summary of research evidence organised around a clinical question, and a form of evidence synthesis used in the practice of evidence-based medicine (EBM) and evidence-based veterinary medicine (EBVM). Access to CATs enables clinicians to incorporate evidence from the scientific literature into clinical practice and they have been used to teach EBVM at the University of Bristol's School of Veterinary Sciences since 2011. CATs from Bristol university will be regularly published in the Clinical Decision Making section of Veterinary Record...
February 25, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28235793/a-mixed-method-multiperspective-evaluation-of-a-near-peer-teaching-programme
#11
Sinéad Lydon, Paul O'Connor, Orla Mongan, Miroslawa Gorecka, Lyle McVicker, Aiden Stankard, Dara Byrne
PURPOSE OF STUDY: Peer teaching (PT) has become increasingly popular. PT may offer benefits for students, tutors and institutions. Although resistance to PT has been identified among faculty, research has typically focused on students' experiences and perceptions, rather than those of the peer tutors or senior doctors/medical faculty. The current study comprised of a comprehensive, multiperspective evaluation of a near PT programme delivered by interns to final-year medical students in the Republic of Ireland...
February 24, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28230814/m1a%C3%A2-post-transcriptional%C3%A2-modification%C3%A2-in%C3%A2-trnas
#12
REVIEW
Stephanie Oerum, Clément Dégut, Pierre Barraud, Carine Tisné
To date, about 90 post-transcriptional modifications have been reported in tRNA expanding their chemical and functional diversity. Methylation is the most frequent post-transcriptional tRNA modification that can occur on almost all nitrogen sites of the nucleobases, on the C5 atom of pyrimidines, on the C2 and C8 atoms of adenosine and, additionally, on the oxygen of the ribose 2'-OH. The methylation on the N1 atom of adenosine to form 1-methyladenosine (m1A) has been identified at nucleotide position 9, 14, 22, 57, and 58 in different tRNAs...
February 21, 2017: Biomolecules
https://www.readbyqxmd.com/read/28230751/the-feasibility-of-embedding-data-collection-into-the-routine-service-delivery-of-a-multi-component-program-for-high-risk-young-people
#13
Alice Knight, Alys Havard, Anthony Shakeshaft, Myfanwy Maple, Mieke Snijder, Bernie Shakeshaft
BACKGROUND: There is little evidence about how to improve outcomes for high-risk young people, of whom Indigenous young people are disproportionately represented, due to few evaluation studies of interventions. One way to increase the evidence is to have researchers and service providers collaborate to embed evaluation into the routine delivery of services, so program delivery and evaluation occur simultaneously. This study aims to demonstrate the feasibility of integrating best-evidence measures into the routine data collection processes of a service for high-risk young people, and identify the number and nature of risk factors experienced by participants...
February 20, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28230434/practice-education-facilitator-roles-and-their-value-to-nhs-organisations
#14
Betsy Scott, Terri Rapson, Liz Allibone, Rozi Hamilton, Constance S Mambanje, Laura Pisaneschi
The role of the practice education facilitator (PEF) was introduced to support the management of large student nurse numbers in clinical areas and to monitor and enhance the quality of placements. While much has been written about the activities and roles undertaken by PEFs, less is known about the value of this type of role to the NHS organisations that employ them. This article explores some of the views of PEFs working in a variety of trusts and organisations in London and surrounding counties. There is no consistent job definition and often insufficient support, leading to some PEFs feeling overwhelmed by the work and isolated within the role...
February 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28229576/hormonal-responses-during-two-different-concurrent-training-trials-in-youth-elite-soccer-players-does-changing-the-organisation-of-training-impact-the-hormonal-response-to-concurrent-exercise
#15
Kevin Enright, James Morton, John Iga, Barry Drust
BACKGROUND: There are no data describing the acute hormonal responses to concurrent- training programmes in youth elite soccer players. Therefore, the aim of this study was to describe the total testosterone (T), cortisol (C), and growth hormone (hGH) responses during two same-day concurrent-training (CT) trials in elite soccer players. METHODS: n=13 youth elite players (age: 17.0±0.2 yrs; height, 1.80±0.07 m; body mass, 73.1±5.7 kg; VO2 max, 64.4±4.8ml-1.kg-1...
February 22, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28228948/health-system-frameworks-and-performance-indicators-in-eight-countries-a-comparative-international-analysis
#16
Jeffrey Braithwaite, Peter Hibbert, Brette Blakely, Jennifer Plumb, Natalie Hannaford, Janet Cameron Long, Danielle Marks
OBJECTIVES: Performance indicators are a popular mechanism for measuring the quality of healthcare to facilitate both quality improvement and systems management. Few studies make comparative assessments of different countries' performance indicator frameworks. This study identifies and compares frameworks and performance indicators used in selected Organisation for Economic Co-operation and Development health systems to measure and report on the performance of healthcare organisations and local health systems...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28228821/security-of-patient-data-when-decommissioning-ultrasound-systems
#17
James Moggridge
BACKGROUND: Although ultrasound systems generally archive to Picture Archiving and Communication Systems (PACS), their archiving workflow typically involves storage to an internal hard disk before data are transferred onwards. Deleting records from the local system will delete entries in the database and from the file allocation table or equivalent but, as with a PC, files can be recovered. Great care is taken with disposal of media from a healthcare organisation to prevent data breaches, but ultrasound systems are routinely returned to lease companies, sold on or donated to third parties without such controls...
February 2017: Ultrasound: Journal of the British Medical Ultrasound Society
https://www.readbyqxmd.com/read/28228161/catching-moving-targets-cancer-stem-cell-hierarchies-therapy-resistance-considerations-for-clinical-intervention
#18
REVIEW
Claudia Gasch, Brendan Ffrench, John J O'Leary, Michael F Gallagher
It is widely believed that targeting the tumour-initiating cancer stem cell (CSC) component of malignancy has great therapeutic potential, particularly in therapy-resistant disease. However, despite concerted efforts, CSC-targeting strategies have not been efficiently translated to the clinic. This is partly due to our incomplete understanding of the mechanisms underlying CSC therapy-resistance. In particular, the relationship between therapy-resistance and the organisation of CSCs as Stem-Progenitor-Differentiated cell hierarchies has not been widely studied...
February 23, 2017: Molecular Cancer
https://www.readbyqxmd.com/read/28226410/patient-specific-computational-modeling-of-cortical-spreading-depression-via-diffusion-tensor-imaging
#19
Julia M Kroos, Isabella Marinelli, Ibai Diez, Jesus M Cortes, Sebastiano Stramaglia, Luca Gerardo-Giorda
Cortical Spreading Depression (CSD), a depolarization wave originating in the visual cortex and traveling towards the frontal lobe, is commonly accepted as a correlate of migraine visual aura. As of today, little is known about the mechanisms that can trigger or stop such phenomenon. However, the complex and highly individual characteristics of the brain cortex suggest that the geometry might have a significant impact in supporting or contrasting the propagation of CSD. Accurate patient-specific computational models are fundamental to cope with the high variability in cortical geometries among individuals, but also with the conduction anisotropy induced in a given cortex by the complex neuronal organisation in the grey matter...
February 22, 2017: International Journal for Numerical Methods in Biomedical Engineering
https://www.readbyqxmd.com/read/28224872/-lessons-learned-from-the-evacuation-of-the-vu-university-medical-centre-after-flooding
#20
T H Biesheuvel, C Brouwers, F W Bloemers
On 8 September 2015, flooding of the lower floors of the VU University Medical Center in Amsterdam caused serious damage to many vital technical services, such as water and power supplies. The decision was made to completely evacuate the university hospital. This paper describes the chronology and events of that day and shares a number of important lessons that were learned, in order to help readers to optimise crisis organisation in their own institutions. A serious situation or disaster can never be standardised in protocols or manuals; flexibility, improvisation and confidence in one another's expertise and commitment are therefore essential...
2017: Nederlands Tijdschrift Voor Geneeskunde
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