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https://www.readbyqxmd.com/read/29792174/perspectives-on-clinical-use-of-bioimpedance-in-hemodialysis-focus-group-interviews-with-renal-care-professionals
#1
Jenny Stenberg, Catrin Henriksson, Magnus Lindberg, Hans Furuland
BACKGROUND: Inadequate volume control may be a main contributor to poor survival and high mortality in hemodialysis patients. Bioimpedance measurement has the potential to improve fluid management, but several dialysis centers lack an agreed fluid management policy, and the method has not yet been implemented. Our aim was to identify renal care professionals' perceived barriers and facilitators for use of bioimpedance in clinical practice. METHODS: Qualitative data were collected through four focus group interviews with 24 renal care professionals: dieticians, nephrologists and nurses, recruited voluntarily from a nation-wide selection of hemodialysis centers, having access to a bioimpedance-device...
May 23, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/29790144/-prone-position-and-nursing-care
#2
Shu-Ju Lu, Shiao-Pei Wang
Acute respiratory distress syndrome (ARDS) is a life-threatening disease, as acute inflammation in the lungs typically leads to hypoxia and symptoms of dyspnea. The treatment modalities of ARDS include mechanical ventilation, corticosteroid, extracorporeal membranous oxygenation, inhaled nitrogen oxide, and the prone position. Among these, the prone position is supported by evidence showing significantly reduced mortality in patients that adopt this modality. Lying in the prone position reduces atelectatic lung volumes by recruitment of dependent parts and facilitates normal regulation of alveolar ventilation, giving better-matched ventilation perfusion and, thus, improved oxygenation...
June 2018: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29784141/psychosocial-care-from-the-perspective-of-nurses-working-in-oncology-a-qualitative-study
#3
Perihan Güner, Duygu Hiçdurmaz, Nazmiye Kocaman Yıldırım, Figen İnci
PURPOSE: In cancer patients, unmet psychosocial needs are a common occurrence. The purpose of this study was to determine the views, obstacles, and needs of the nurses working with adult oncology patients with regards to psychosocial care. METHODS: A qualitative descriptive research design conducted through focus group interviews was adopted for the study. Thirty nurses providing care for cancer patients in adult oncology departments of three hospitals in Turkey with comprehensive oncology centers were involved in the interviews...
June 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/29781698/a-middle-range-model-for-improving-quality-of-nursing-education-in-malawi
#4
Thokozani M Bvumbwe, Ntombifikile G Mtshali
BACKGROUND:  Despite a global consensus that nurses and midwives constitute the majority and are a backbone of any country's health workforce system, productive capacity of training institutions remains low and still needs more guidance. This study aimed at developing a middle-range model to guide efforts in nursing education improvements. OBJECTIVE:  To explore challenges facing nursing education in Malawi and to describe efforts that are being put in place to improve nursing education and the process of development of a model to improve nursing education in Malawi...
March 22, 2018: Curationis
https://www.readbyqxmd.com/read/29773778/a-collaboration-to-teach-us-mph-students-about-cuba-s-health-care-system
#5
Joan O'Connell, Ana María Gálvez-González, Jean Scandlyn, María R Sala-Adam, Xiomara Martín-Linares
In 2011, the US Department of the Treasury changed its regulations to allow US students to participate in short-term education programs in Cuba. Beginning in 2012, and each year thereafter, Cuba's National School of Public Health and the Colorado School of Public Health have jointly taught a class on the Cuban public health system. The program goals are to provide US students with an opportunity to learn about the Cuban national health system's focus on 1) prevention and primary health care services; 2) financial and geographic access to services and health equity; 3) continuum of care across the home, family doctor-and-nurse offices, polyclinics and hospitals; 4) data collection at all levels to understand health risks, including outbreaks, and to guide resource allocation; 5) assessing patients' health and risks using a comprehensive definition of health; 6) multisectoral collaborations between the Ministry of Public Health and other Cuban agencies and organizations to address population health risks; 7) disaster preparedness, response and recovery; and 8) provision of international health assistance...
April 2018: MEDICC Review
https://www.readbyqxmd.com/read/29757918/regulation-of-pediatric-intensive-care-unit-nurse-practitioner-practice-a-national-survey
#6
Kristin Hittle Gigli, Mary S Dietrich, Peter I Buerhaus, Ann F Minnick
PURPOSE: To describe the extent to which organizational regulation of pediatric intensive care unit (PICU) nurse practitioner (NP) practice and prescriptive authority aligns with state scope-of-practice (SSOP) regulations, to examine differences between PICU medical directors' and NPs' report of regulation, and to describe organizational-level restriction of PICU NP practice. METHODS: A 34-item national, quantitative cross-sectional descriptive survey of US PICU medical directors and NPs included demographic, institutional characteristics, and PICU NP regulation and role-related questions...
January 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29757847/organophosphate-insecticide-exposure-a-clinical-consideration-of-chlorpyrifos-regulation
#7
Alexa Colgrove Curtis, Barbara Sattler
BACKGROUND AND PURPOSE: In March 2017, the Environmental Protection Agency (EPA) reversed course on a proposal to ban the agricultural use of the organophosphate (OP) insecticide chlorpyrifos (CPF). The purpose of this article is to examine the evidence leading to this controversial decision and provide clinically applicable health promotion guidance for nurse practitioners on CPF exposure and risk reduction measures. METHODS: Environmental Protection Agency documents on CPF regulation and corresponding research referenced within the EPA reports are reviewed...
May 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29753016/the-misshapen-kinase-regulates-the-size-and-stability-of-the-germline-ring-canals-in-the-drosophila-egg-chamber
#8
Ashley Kline, Travis Curry, Lindsay Lewellyn
Intercellular bridges are conserved structures that allow neighboring cells to exchange cytoplasmic material; defects in intercellular bridges can lead to infertility in many organisms. Here, we use the Drosophila egg chamber to study the mechanisms that regulate intercellular bridges. Within the developing egg chamber, the germ cells (15 nurse cells and 1 oocyte) are connected to each other through intercellular bridges called ring canals, which expand over the course of oogenesis to support the transfer of materials from the nurse cells to the oocyte...
May 9, 2018: Developmental Biology
https://www.readbyqxmd.com/read/29752645/a-tale-of-two-countries-innovation-and-collaboration-aimed-at-changing-the-culture-of-medicine-in-uruguay
#9
Juan J Dapueto, Mercedes Viera, Charles Samenow, William H Swiggart, Jeffrey Steiger
This is a case study of a program to address professionalism at the Universidad de la República in Uruguay. We describe a five-year ongoing international collaboration. Relevant characteristics of the context, the program components, activities, and results were analyzed. The expected outcomes were to introduce standards of professional practices in the curricula of medical students and residents and the implementation of a program that might lead to a significant change in the culture of medicine in the University...
May 11, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/29750692/trainability-of-cricoid-pressure-force-application-a-simulation-based-study
#10
Eric Noll, Shivam Shodhan, Arnavi Varshney, Christopher Gallagher, Pierre Diemunsch, F Barry Florence, Jamie Romeiser, Elliott Bennett-Guerrero
BACKGROUND: Aspiration of gastric contents is a leading cause of airway management-related mortality during anesthesia practice. Cricoid pressure (CP) is widely used during rapid sequence induction to prevent aspiration. National guidelines for CP suggest a target force of 10 N before and 30 N after loss of consciousness. However, few studies have rigorously assessed whether clinicians can be trained to consistently achieve these levels of force. We hypothesized that clinicians can be trained effectively to deliver 10-30 N during application of CP...
May 9, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29735880/-the-effects-of-neurofeedback-training-on-physical-psychoemotional-stress-response-and-self-regulation-for-late-adolescence-a-non-randomized-trial
#11
Moon Ji Choi, Wan Ju Park
PURPOSE: The aim of this study was to analyze the effects of neurofeedback training for reducing stress and enhancing self-regulation in late adolescence to identify the possibility of use for nursing intervention. METHODS: A nonequivalent control group pre-post quasi-experimental design was used. Participants were 78 late adolescents assigned to the experimental group (n=39) that received the neurofeedback training and the control group (n=39). Data were collected on heart rate variability (HRV) and skin conductance level (SCL) to assess stress-biomarker response...
April 2018: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/29724207/next-of-kin-involvement-in-improving-hospital-cancer-care-quality-and-safety-a-qualitative-cross-case-study-as-basis-for-theory-development
#12
Inger Johanne Bergerød, Bjørnar Gilje, Geir S Braut, Siri Wiig
BACKGROUND: Next-of-kin are an extension of healthcare professionals in all stages of cancer care. They offer care activities such as interpretations of symptoms, and reporting of negative or adverse effects of treatment, without any professional knowledge or skills. Their participation is often expected from healthcare professionals, managers, or the patient. However, there is limited knowledge of next-of-kin's role in and contribution to quality and safety improvement in hospital cancer care...
May 3, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29718508/expression-characterization-and-localization-of-the-foraging-gene-in-the-chinese-bee-apis-cerana-cerana-hymenoptera-apidae
#13
WeiHua Ma, YuSuo Jiang, Jiao Meng, HuiTing Zhao, HuaiLei Song, JinShan Shen
In social insects, the foraging gene (for) regulates insect age- and task-based foraging behaviors. We studied the expression and localization of the for gene (Acfor) in Apis cerana cerana workers to explore whether the differential regulation of this gene is associated with the behaviors of nurses and foragers. The expression profiles of Acfor in different tissues and at different ages were examined using real-time quantitative reverse transcription polymerase chain reaction. Cellular localization in the brain was detected using in situ hybridization...
March 1, 2018: Journal of Insect Science
https://www.readbyqxmd.com/read/29716566/active-aging-resilience-and-external-support-as-modifiers-of-the-disablement-outcome-agnes-cohort-study-protocol
#14
Taina Rantanen, Milla Saajanaho, Laura Karavirta, Sini Siltanen, Merja Rantakokko, Anne Viljanen, Timo Rantalainen, Katja Pynnönen, Anu Karvonen, Inna Lisko, Lotta Palmberg, Johanna Eronen, Eeva-Maija Palonen, Timo Hinrichs, Markku Kauppinen, Katja Kokko, Erja Portegijs
BACKGROUND: Population aging increases the need for knowledge on positive aspects of aging, and contributions of older people to their own wellbeing and that of others. We defined active aging as an individual's striving for elements of wellbeing with activities as per their goals, abilities and opportunities. This study examines associations of health, health behaviors, health literacy and functional abilities, environmental and social support with active aging and wellbeing. We will develop and validate assessment methods for physical activity and physical resilience suitable for research on older people, and examine their associations with active aging and wellbeing...
May 2, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29703627/the-impact-of-nurse-practitioner-regulations-on-population-access-to-care
#15
Donna Felber Neff, Sul Hee Yoon, Ruth L Steiner, Ilir Bejleri, Michael D Bumbach, Damian Everhart, Jeffrey S Harman
BACKGROUND: By 2025, experts estimate a significant shortage of primary care providers in the United States, and expansion of the nurse practitioner (NP) workforce may reduce this burden. However, barriers imposed by state NP regulations could reduce access to primary care. PURPOSE: The objectives of this study were to examine the association between three levels of NP state practice regulation (independent, minimum restrictive, and most restrictive) and the proportion of the population with a greater than 30-min travel time to a primary care provider using geocoding...
March 8, 2018: Nursing Outlook
https://www.readbyqxmd.com/read/29697399/-legal-regulation-of-transplantology-at-the-present-stage-ukrainian-issue-and-experience-of-foreign-states
#16
O Sovgyria
The objective of the research is to analyze the legal regulation in the transplantology field at the present stage in Ukraine. To address identified challenges, the author investigates the foreign countries experience and suggests ways of improving certain mechanism for legal regulation in the field of organ transplantation and anatomical materials. The empiric material of the study included a wide range of legal instruments regulating this sphere of legal relationships, information regarding the problems of their application, statistics, expert analysis of Ukrainian and foreign researchers...
March 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29693455/expressive-behaviors-demonstrating-well-done-in-young-children-undergoing-blood-sampling-or-vaccination-as-perceived-by-parents-and-nurses-in-japan
#17
Tsuyoshi Asari
The present study aimed to clarify expressive behaviors demonstrating "well done" in young children aged 3-7 years who were undergoing blood sampling or vaccination, as these behaviors were perceived by parents and nurses in Japan. This study applied a qualitative descriptive design using a retrospective recall approach. Data obtained from semi-structured interviews conducted with 14 parents and 15 nurses were divided into meaning units, each containing a complete expressive behavior demonstrating "well done...
April 25, 2018: Comprehensive Child and Adolescent Nursing
https://www.readbyqxmd.com/read/29680143/-advanced-practice-nurse-in-france-first-outline
#18
Christophe Debout
After several years of discussions and debate, regulations should soon be applied in France allowing for the deployment of advanced practice nurses as provided for by law no. 2016-41 of January 2016 relating to the modernisation of the French health system. The profile of this new category of nurse, whose scope of practice will be extended, will combine clinical practice carried out with patients with stabilised chronic diseases and activities aimed at promoting the continuing development of the nursing teams' skills and at supporting change processes...
April 2018: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29667698/chronic-stress-social-isolation-and-perceived-loneliness-in-dementia-caregivers
#19
Mariya Kovaleva, Sydney Spangler, Carolyn Clevenger, Kenneth Hepburn
Caregivers of individuals with dementia are at risk for chronic stress and social isolation. These exogenous factors may lead to perceived stress and perceived loneliness-psychosocial endogenous (subjective) elements of caregiving experience. Chronic stress and perceived loneliness may disrupt neuroendocrine and neuroimmunological regulation, creating low-grade systemic inflammation, promoting proinflammatory gene expression, and expediting cellular aging (endogenous physiological factors). These disturbances may enhance caregivers' risk for chronic conditions of inflammatory pathogenesis...
April 17, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29663430/effectiveness-of-a-new-single-needle-single-pump-dialysis-system-with-simultaneous-monitoring-of-dialysis-dose
#20
Wolfgang Bieser, Markus Welsch, Marten Jakob, Jörn Meibaum, David A Rodriguez, Henrik Wolff, Daniele Marcelli, Claudia Barth
To date, single-needle (SN) hemodialysis (HD) requires a dialysis machine equipped with two blood pumps-one controlling arterial blood flow (Qb) and one controlling venous Qb. B. Braun has developed an innovative single-pump SN HD system. Therefore, usability is improved by reducing complexity. The aim of this study was to compare dialysis parameters of the new single-pump SN HD system with a double-pump SN HD system available on the market (Fresenius Medical Care [FMC] 5008). In this two-armed crossover study, patients were randomized into two groups (B...
April 16, 2018: Artificial Organs
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