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https://www.readbyqxmd.com/read/28929874/healthcare-leadership-and-applied-philosophy-an-essential-resource
#1
Elizabeth Fistein, David Cruise Malloy
As healthcare professionals we are committed to the efficient and effective operation of our institutions. Bureaucratic structures, rules, regulations, policies, and of course, measurements, are the tools-at-hand. While there is nothing inherently pernicious about efficient, effective, and measured institutions, we argue what is critically missing in this environment is humanity and authenticity at the cost of meaningful work. The solutions we offer are found in the realm of philosophy and in particular that branch of philosophy that deals with first principles - what is a nurse; what is a patient; what is a hospital?...
July 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28929554/optimizing-patient-and-public-involvement-ppi-identifying-its-essential-and-desirable-principles-using-a-systematic-review-and-modified-delphi-methodology
#2
Rebecca L Baines, Sam Regan de Bere
BACKGROUND: There is international interest in the active involvement of patients and the public. However, consensus on how best to optimize its application is currently unavailable. OBJECTIVE: To identify and assess the underlying principles of patient and public involvement (PPI) in health and social care services, research, education and regulation across medicine, dentistry and nursing. DESIGN: A four-phase methodology: (i) an extensive systematic review of published and grey literature; (ii) inductive thematic analysis of review findings; (iii) development of best practice principles; and (iv) consensus testing of identified principles using a modified Delphi methodology...
September 19, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28928877/mechanisms-of-breast-cancer-in-shift-workers-dna-methylation-in-five-core-circadian-genes-in-nurses-working-night-shifts
#3
Johanna Samulin Erdem, Øivind Skare, Marte Petersen-Øverleir, Heidi Ødegaard Notø, Jenny-Anne S Lie, Edyta Reszka, Beata Pepłońska, Shanbeh Zienolddiny
Shift work has been suggested to be associated with breast cancer risk, and circadian disruption in shift workers is hypothesized as one of the mechanisms of increased cancer risk. There is, however, insufficient molecular evidence supporting this hypothesis. Using the quantitative methodology of pyrosequencing, epigenetic changes in 5-methyl cytosine (5mC) in five circadian genes CLOCK, BMAL1, CRY1, PER1 and PER2 in female nurses working night shift work (278 breast cancer cases, 280 controls) were analyzed...
2017: Journal of Cancer
https://www.readbyqxmd.com/read/28923447/-comparison-of-the-codes-of-ethics-in-different-countries
#4
Paul Snelling
In most countries, nursing ethics are set out in a code written by the body regulating the profession or by a professional organisation. An examination of these texts shows that differences exist from one country to another, both in terms of the general orientation and the content.
September 2017: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/28922028/analysis-of-aflatoxin-m1-in-breast-milk-and-its-association-with-nutritional-and-socioeconomic-status-of-lactating-mothers-in-lebanon
#5
Jomana Elaridi, Maya Bassil, Joelle Abi Kharma, Farah Daou, Hussein F Hassan
Aflatoxin B1 (AFB1) is the most potent of the dietary aflatoxins, and its major metabolite, aflatoxin M1 (AFM1), is frequently found in the breast milk of lactating mothers. The aim of this study was to assess the occurrence and factors associated with AFM1 contamination of breast milk collected from lactating mothers in Lebanon. A total of 111 breast milk samples were collected according to the guidelines set by the World Health Organization. Samples were analyzed with a competitive enzyme-linked immunosorbent assay between December 2015 and November 2016...
September 18, 2017: Journal of Food Protection
https://www.readbyqxmd.com/read/28912257/nurse-honeybee-workers-tend-capped-brood-which-does-not-require-feeding-around-the-clock
#6
Moshe Nagari, Yafit Brenner, Guy Bloch
"Nurse" honeybees tend brood around-the-clock with attenuated or no circadian rhythms, but the brood signals inducing this behavior remain elusive. We first tested the hypothesis that worker circadian rhythms are regulated by brood pheromones. We monitored locomotor activity of individually isolated nurse bees that were either exposed to various doses of larval extracts or synthetic brood ester pheromone (BEP). Bees orally treated with larvae extracts showed attenuated circadian rhythms in one of four tested colonies; a similar but statistically non-significant trend was seen in two additional colonies...
September 14, 2017: Journal of Experimental Biology
https://www.readbyqxmd.com/read/28906171/association-of-state-level-restrictions-in-nurse-practitioner-scope-of-practice-with-the-quality-of-primary-care-provided-to-medicare-beneficiaries
#7
Jennifer Perloff, Sean Clarke, Catherine M DesRoches, Monica O'Reilly-Jacob, Peter Buerhaus
CONTEXT: State scope of practice (SoP) laws impose significant restrictions on the services that a nurse practitioner (NP) may provide in some states, yet evidence about SoP limitations on the quality of primary care is very limited. METHOD: This study uses six different classifications of state regulations and bivariate and multivariate analyses to compare beneficiaries attributed to primary care nurse practitioners and primary care physicians in 2013 testing two hypotheses: (1) chronic disease management, cancer screening, preventable hospitalizations, and adverse outcomes of care provided by primary care nurse practitioners are better in reduced and restricted practice states compared to states without restrictions and (2) by decreasing access to care, SoP restrictions negatively affect the quality of primary care...
September 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/28899409/alcohol-consumption-and-breast-tumor-gene-expression
#8
Jun Wang, Yujing J Heng, A Heather Eliassen, Rulla M Tamimi, Aditi Hazra, Vincent J Carey, Christine B Ambrosone, Victor P de Andrade, Adam Brufsky, Fergus J Couch, Tari A King, Francesmary Modugno, Celine M Vachon, David J Hunter, Andrew H Beck, Susan E Hankinson
BACKGROUND: Alcohol consumption is an established risk factor for breast cancer and the association generally appears stronger among estrogen receptor (ER)-positive tumors. However, the biological mechanisms underlying this association are not completely understood. METHODS: We analyzed messenger RNA (mRNA) microarray data from both invasive breast tumors (N = 602) and tumor-adjacent normal tissues (N = 508) from participants diagnosed with breast cancer in the Nurses' Health Study (NHS) and NHSII...
September 12, 2017: Breast Cancer Research: BCR
https://www.readbyqxmd.com/read/28894695/which-obstacles-prevent-us-from-recruiting-into-clinical-trials-a-survey-about-the-environment-for-clinical-studies-at-a-german-university-hospital-in-a-comprehensive-cancer-center
#9
Christoph Straube, Peter Herschbach, Stephanie E Combs
BACKGROUND: Prospective clinical studies are the most important tool in modern medicine. The standard in good clinical practice in clinical trials has constantly improved leading to more sophisticated protocols. Moreover, translational questions are increasingly addressed in clinical trials. Such trials must follow elaborate rules and regulations. This is accompanied by a significant increase in documentation issues which require substantial manpower. Furthermore, university-based clinical centers are interested in increasing the amount of patients treated within clinical trials, and this number has evolved to be a key quality criterion...
2017: Frontiers in Oncology
https://www.readbyqxmd.com/read/28886748/erbb3-drives-mammary-epithelial-survival-and-differentiation-during-pregnancy-and-lactation
#10
Michelle M Williams, David B Vaught, Meghan Morrison Joly, Donna J Hicks, Violeta Sanchez, Philip Owens, Bushra Rahman, David L Elion, Justin M Balko, Rebecca S Cook
BACKGROUND: During pregnancy, as the mammary gland prepares for synthesis and delivery of milk to newborns, a luminal mammary epithelial cell (MEC) subpopulation proliferates rapidly in response to systemic hormonal cues that activate STAT5A. While the receptor tyrosine kinase ErbB4 is required for STAT5A activation in MECs during pregnancy, it is unclear how ErbB3, a heterodimeric partner of ErbB4 and activator of phosphatidyl inositol-3 kinase (PI3K) signaling, contributes to lactogenic expansion of the mammary gland...
September 8, 2017: Breast Cancer Research: BCR
https://www.readbyqxmd.com/read/28886600/outdoor-light-at-night-and-breast-cancer-incidence-in-the-nurses-health-study-ii
#11
Peter James, Kimberly A Bertrand, Jaime E Hart, Eva S Schernhammer, Rulla M Tamimi, Francine Laden
BACKGROUND: Animal and epidemiologic studies suggest that exposure to light at night (LAN) may disrupt circadian patterns and decrease nocturnal secretion of melatonin, which may disturb estrogen regulation, leading to increased breast cancer risk. OBJECTIVES: We examined the association between residential outdoor LAN and breast cancer incidence using data from the nationwide U.S.-based Nurses' Health Study II cohort. METHODS: We followed 109,672 women from 1989 through 2013...
August 17, 2017: Environmental Health Perspectives
https://www.readbyqxmd.com/read/28883584/social-media-and-professionalism-a-retrospective-content-analysis-of-fitness-to-practise-cases-heard-by-the-gdc-concerning-social-media-complaints
#12
P Neville
Introduction Since 2013, all General Dental Council (GDC) registrants' online activities have been regulated by the GDC's social media guidelines. Failure to comply with these guidelines results in a Fitness to Practise (FtP) complaint being investigated.Aims This study explores the prevalence of social media related FtP cases investigated by the GDC from 1 September 2013 to 21 June 2016.Method Documentary analysis of social media related FtP cases published on the GDC's website was undertaken. All cases that met the study's inclusion criteria were analysed using a quantitative content analysis framework...
September 8, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28882908/what-are-the-key-contextual-factors-when-preparing-for-successful-implementation-of-assistive-living-technology-in-primary-elderly-care-a-case-study-from-norway
#13
Martha Therese Gjestsen, Siri Wiig, Ingelin Testad
OBJECTIVE: To identify contextual factors at different organisational levels to guide the implementation of an assistive living technology intervention in Norwegian primary home care. DESIGN: A single embedded case study design was carried out in an urban municipality in Western Norway to get an overview of key contextual factors from the municipality's perspective. DATA COLLECTION AND ANALYSIS: The data collection was based on a triangulation of methods involving document analysis, semi-structured individual interviews and focus group interviews to get a broad insight when preparing for an intervention...
September 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28880423/variation-in-job-titles-within-the-nursing-workforce
#14
Alison Leary, Katrina Maclaine, Paul Trevatt, Mark Radford, Geoffrey Punshon
AIMS AND OBJECTIVES/BACKGROUND: The work of specialist nursing has been under scrutiny for many years in the UK due to a perception that it is not cost-effective. A common issue is the lack of consistency of job titles, which causes confusion to the public, employing organisations, colleagues and commissioners of services. Lack of consistency has implications for the wider perception of advanced specialist practice in the worldwide community and the workforce more generally. This study aims to understand the variation in job titles in the UK population...
September 7, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28879772/brain-membrane-proteome-and-phosphoproteome-reveal-molecular-basis-associating-with-nursing-and-foraging-behaviors-of-honeybee-workers
#15
Bin Han, Yu Fang, Mao Feng, Han Hu, Yue Hao, Chuan Ma, Xinmei Huo, Lifeng Meng, Xufeng Zhang, Fan Wu, Jianke Li
The brain is a vital organ in regulating complex social behaviors of honeybees including learning and memory. Knowledge of how brain membrane proteins and their phosphorylation underlie the age-related behavioral polyethism is still lacking. A hitherto age-resolved brain membrane proteome and phosphoproteome were reported in adult worker bees from two strains of honeybee (Apis mellifera ligustica): Italian bee (ITB) and Royal Jelly bee (RJB), a line selected from ITB for increased RJ outputs over 4 decades...
September 7, 2017: Journal of Proteome Research
https://www.readbyqxmd.com/read/28875052/prevalence-of-sharing-access-credentials-in-electronic-medical-records
#16
Ayal Hassidim, Tzfania Korach, Rony Shreberk-Hassidim, Elena Thomaidou, Florina Uzefovsky, Shahar Ayal, Dan Ariely
OBJECTIVES: Confidentiality of health information is an important aspect of the physician patient relationship. The use of digital medical records has made data much more accessible. To prevent data leakage, many countries have created regulations regarding medical data accessibility. These regulations require a unique user ID for each medical staff member, and this must be protected by a password, which should be kept undisclosed by all means. METHODS: We performed a four-question Google Forms-based survey of medical staff...
July 2017: Healthcare Informatics Research
https://www.readbyqxmd.com/read/28865630/professional-and-regulatory-infection-control-guidelines-collaboration-to-promote-patient-safety
#17
Judith L Clayton, Kimberly J Miller
Professional organizations and regulatory agencies collaborate on infection prevention and control guidelines to support preventing and controlling infection in the surgical setting. More specifically, regulatory and accrediting agencies, professional associations, and advisory committees create and promote the use of evidence-based recommendations for preventing surgical site infections. Many agencies perform accreditation surveys to ensure compliance with these standards and guidelines. Perioperative personnel can use these resources to implement and sustain essential processes for infection prevention and control and to facilitate staff member compliance with standards, regulations, and best practices...
September 2017: AORN Journal
https://www.readbyqxmd.com/read/28853646/opportunities-for-change-the-united-nations-working-for-health-and-growth-report
#18
David Benton, Stephanie Ferguson
The United Nations High-Level Commission on Health Employment and Economic Growth recently published a report that makes ten recommendations and four calls for immediate action. Analysis of the report, Working for Health and Growth: Investing in the Health Workforce, highlights several opportunities for nursing to contribute to a wide-based agenda while positioning the profession to gain wider influence. The report, when analysed through the lens of regulation, professional practice and socio-economic welfare, offers opportunities for nurses in different sectors to work collaboratively to further the recommendations...
August 30, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/28832030/did-legal-regulations-change-the-reporting-frequency-of-sharp-injuries-of-medical-personnel-study-from-36-hospitals-in-%C3%A5-%C3%A3-d%C3%A5%C2%BA-province-poland
#19
Anna Garus-Pakowska, Mariusz Górajski, Franciszek Szatko
OBJECTIVES: The aim of the study has been to analyze the epidemiological data on sharp injuries among health care workers before and after the implementation of regulations related to the conduct of the register of sharp injuries. MATERIAL AND METHODS: We hypothesized that the introduction of legislation would change the existing low reportability of sharp injuries and reporting incidents would increase. In Poland the binding regulations, dating back to 2013, require the employer to keep a record of sharp injuries...
August 23, 2017: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28830410/collaboration-in-teams-with-nurse-practitioners-and-general-practitioners-during-out-of-hours-and-implications-for-patient-care-a-qualitative-study
#20
Mieke van der Biezen, Michel Wensing, Lusine Poghosyan, Regi van der Burgt, Miranda Laurant
BACKGROUND: Increasingly, nurse practitioners (NPs) are deployed in teams along with general practitioners (GPs) to help meet the demand for out-of-hours care. The purpose of this study was to explore factors influencing collaboration between GPs and NPs in teams working out-of-hours. METHODS: A descriptive qualitative study was done using a total of 27 semi-structured interviews and two focus group discussions. Data was collected between June, 2014 and October, 2015 at an out-of-hours primary care organisation in the Netherlands...
August 23, 2017: BMC Health Services Research
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