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https://www.readbyqxmd.com/read/29884533/copd-patient-education-and-support-achieving-patient-centredness
#1
Ana Stoilkova-Hartmann, Frits M E Franssen, Ingrid M L Augustin, Emiel F M Wouters, Katharine D Barnard
BACKGROUND: The art of medicine is undergoing a dramatic shift in focus, evolving to focus on patient involvement as partners in care, transforming the traditional, prescriptive, reactive practice of healthcare into a proactive discipline. The personal and societal burden of chronic diseases is burgeoning and unsustainable in current systems, novel approaches are required to address this. DISCUSSION: Although considerable progress has been made in the development of diagnostics, therapeutics and care guidelines for patients with chronic obstructive pulmonary disease (COPD), questions remain surrounding the implementation of best practice education and support...
June 1, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29861575/clean-cooking-and-the-sdgs-integrated-analytical-approaches-to-guide-energy-interventions-for-health-and-environment-goals
#2
Joshua Rosenthal, Ashlinn Quinn, Andrew P Grieshop, Ajay Pillarisetti, Roger I Glass
Development and implementation of clean cooking technology for households in low and middle income countries (LMICs) offer enormous promise to advance at least five Sustainable Development Goals (SDGs): 3. Good health and well-being; 5. Gender equality; 7. Affordable and clean energy; 13. Climate action; 15. Life on land. Programs are being implemented around the world to introduce alternative cooking technologies, and we are well on the way to achieving the goal set by the Global Alliance for Clean Cookstoves to reach 100 million homes with cleaner and more efficient cooking methods by 2020...
February 2018: Energy for Sustainable Development: the Journal of the International Energy Initiative
https://www.readbyqxmd.com/read/29858256/a-case-study-optimizing-human-resources-in-rwanda-s-first-dental-school-three-innovative-management-tools
#3
Donna M Hackley, Chrispinus H Mumena, Agnes Gatarayiha, Corrado Cancedda, Jane R Barrow
Harvard School of Dental Medicine, University of Maryland School of Dentistry, and the University of Rwanda (UR) are collaborating to create Rwanda's first School of Dentistry as part of the Human Resources for Health (HRH) Rwanda initiative that aims to strengthen the health care system of Rwanda. The HRH oral health team developed three management tools to measure progress in systems-strengthening efforts: 1) the road map is an operations plan for the entire dental school and facilitates delivery of the curriculum and management of human and material resources; 2) each HRH U...
June 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/29857424/patient-progression-a-hospital-wide-multi-disciplinary-data-driven-approach-to-moving-patients-safely-timely-efficiently
#4
Nancia T Odom, Mitch Babb, Laurie Velez, Zachary Cockerham
High emergency department length of stays (ED LOS), emergency department (ED) crowding and inefficient management of hospital patient throughput can negatively impact patient safety, patient care, and patient satisfaction [1]. In addition, patients who leave an ED without being seen by a medical provider can lead to potentially harmful outcomes. Duke Regional Hospital (DRH) set a strategic priority to improve hospital-wide patient progression. Our goals were to provide safe, efficient and timely movement of patients from admission to discharge...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29791553/epidemiological-aspects-clinical-manifestations-and-prevention-of-pediatric-tuberculosis-from-the-perspective-of-the-end-tb-strategy
#5
Anna Cristina Calçada Carvalho, Claudete Aparecida Araújo Cardoso, Terezinha Miceli Martire, Giovanni Battista Migliori, Clemax Couto Sant'Anna
Tuberculosis continues to be a public health priority in many countries. In 2015, tuberculosis killed 1.4 million people, including 210,000 children. Despite the recent progress made in the control of tuberculosis in Brazil, it is still one of the countries with the highest tuberculosis burdens. In 2015, there were 69,000 reported cases of tuberculosis in Brazil and tuberculosis was the cause of 4,500 deaths in the country. In 2014, the World Health Organization approved the End TB Strategy, which set a target date of 2035 for meeting its goals of reducing the tuberculosis incidence by 90% and reducing the number of tuberculosis deaths by 95%...
April 2018: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/29759009/implementation-of-policy-systems-and-environmental-community-based-interventions-for-cardiovascular-health-through-a-national-not-for-profit-a-multiple-case-study
#6
Whitney R Garney, Leigh E Szucs, Kristin Primm, Laura King Hahn, Kristen M Garcia, Emily Martin, Kenneth McLeroy
INTRODUCTION: In 2014, the Centers for Disease Control and Prevention funded the American Heart Association to implement policy, systems, and environment-focused strategies targeting access to healthy food and beverages, physical activity, and smoke-free environments. METHOD: To understand factors affecting implementation and variations in success across sites, evaluators conducted a multiple case study. Based on past literature, community sites were categorized as capacity-building or implementation-ready, for comparison...
May 1, 2018: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/29735577/hepatitis-a-virus-and-hepatitis-e-virus-emerging-and-re-emerging-enterically-transmitted-hepatitis-viruses
#7
Stanley M Lemon, Christopher M Walker
Over the past two decades, progress in understanding human infections with hepatitis A virus (HAV) and hepatitis E virus (HEV) has been eclipsed by the priority of combating persistent hepatitis B virus (HBV) and hepatitis C virus (HCV) infections. During that time, the global burden of liver disease caused by enteric hepatitis viruses has not abated. Because of vaccines, hepatitis A has become increasingly a disease of adults instead of early childhood in many regions of the world, resulting in an age-related shift toward more severe disease...
May 7, 2018: Cold Spring Harbor Perspectives in Medicine
https://www.readbyqxmd.com/read/29734498/measuring-and-monitoring-equity-in-access-to-deceased-donor-kidney-transplantation
#8
D E Stewart, A R Wilk, A E Toll, A M Harper, R R Lehman, A M Robinson, S A Noreen, E B Edwards, D K Klassen
The OPTN monitors progress toward strategic goals such as increasing the number of transplants and improving waitlisted patient, living donor, and transplant recipient outcomes. However, a methodology for assessing system performance in providing equity in access to transplants was lacking. We present a novel approach for quantifying the degree of disparity in access to deceased donor kidney transplants among waitlisted patients and determine which factors are most associated with disparities. A Poisson rate regression model was built for each of 29 quarterly, period-prevalent cohorts (1/1/10-3/31/17; 5 years pre-KAS, 2 years post-KAS) of active kidney waiting list registrations...
May 7, 2018: American Journal of Transplantation
https://www.readbyqxmd.com/read/29617778/scaling-up-voluntary-medical-male-circumcision-for-human-immunodeficiency-virus-prevention-for-adolescents-and-young-adult-men-a-modeling-analysis-of-implementation-and-impact-in-selected-countries
#9
Emmanuel Njeuhmeli, Marjorie Opuni, Melissa Schnure, Michel Tchuenche, Peter Stegman, Elizabeth Gold, Valerian Kiggundu, Nida Parks, Kim Seifert Ahanda, Maria Carrasco, Katharine Kripke
Background: The new World Health Organization and Joint United Nations Programme on HIV/AIDS strategic framework for voluntary medical male circumcision (VMMC) aims to increase VMMC coverage among males aged 10-29 years in priority settings to 90% by 2021. We use mathematical modeling to assess the likelihood that selected countries will achieve this objective, given their historical VMMC progress and current implementation options. Methods: We use the Decision Makers' Program Planning Toolkit, version 2, to examine 4 ambitious but feasible scenarios for scaling up VMMC coverage from 2017 through 2021, inclusive in Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Tanzania, Uganda, and Zimbabwe...
April 3, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29615387/strengthening-routine-data-systems-to-track-the-hiv-epidemic-and-guide-the-response-in-sub-saharan-africa
#10
Brian Rice, Andrew Boulle, Stefan Baral, Matthias Egger, Paul Mee, Elizabeth Fearon, Georges Reniers, Jim Todd, Sandra Schwarcz, Sharon Weir, George Rutherford, James Hargreaves
The global HIV response has entered a new phase with the recommendation of treating all persons living with HIV with antiretroviral therapy, and with the goals of reducing new infections and AIDS-related deaths to fewer than 500,000 by 2020. This new phase has intensive data requirements that will need to utilize routine data collected through service delivery platforms to monitor progress toward these goals. With a focus on sub-Saharan African, we present the following priorities to improve the demand, supply, and use of routine HIV data: (1) strengthening patient-level HIV data systems that support continuity of clinical care and document sentinel events; (2) leveraging data from HIV testing programs; (3) using targeting data collection in communities and among clients; and (4) building capacity and promoting a culture of HIV data quality assessment and use...
April 3, 2018: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/29610394/bloom-syndrome-research-and-data-priorities-for-the-development-of-precision-medicine-as-identified-by-some-affected-families
#11
Mary Beth Campbell, Wesley C Campbell, James Rogers, Natalie Rogers, Zachary Rogers, Anne Marie van den Hurk, Annie Webb, Talon Webb, Paul Zaslaw
Bloom syndrome (BS) is a rare, autosomal recessive genetic disorder characterized by short stature, a skin rash associated with sun exposure, and an elevated likelihood of developing cancers of essentially all types, beginning at an early age. Cancer is the leading cause of death for persons with BS, and its early onset results in a reported median lifespan of <30 years. With fewer than 300 documented cases since BS was first described in 1954, its rarity has challenged progress in advancing both the care of and the cure for persons with BS...
April 2018: Cold Spring Harbor Molecular Case Studies
https://www.readbyqxmd.com/read/29595596/accredited-health-department-partnerships-to-improve-health-an-analysis-of-community-health-assessments-and-improvement-plans
#12
Jessica Kronstadt, Chinecherem Chime, Bulbul Bhattacharya, Nicole Pettenati
CONTEXT: The Public Health Accreditation Board (PHAB) Standards & Measures require the development and updating of collaborative community health assessments (CHAs) and community health improvement plans (CHIPs). OBJECTIVE: The goal of this study was to analyze the CHAs and CHIPs of PHAB-accredited health departments to identify the types of partners engaged, as well as the objectives selected to measure progress toward improving community health. DESIGN: The study team extracted and coded data from documents from 158 CHA/CHIP processes submitted as part of the accreditation process...
May 2018: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/29531291/arterial-stiffness-in-end-stage-renal-disease-pathogenesis-clinical-epidemiology-and-therapeutic-potentials
#13
REVIEW
Panagiotis I Georgianos, Maria I Pikilidou, Vassilios Liakopoulos, Elias V Balaskas, Pantelis E Zebekakis
Arterial stiffness is an important risk factor for cardiovascular morbidity and mortality in patients with end-stage renal disease (ESRD). Arterial stiffness aggravates cardiovascular risk via multiple pathways, such as augmentation of aortic systolic pressure, subendocardial hypoperfusion, and excess pulsatile energy transmission from macro- to microcirculation. Pathogenesis of the arteriosclerotic process in ESRD is complex and not yet fully understood. Several factors unique to ESRD, such as mineral metabolism disturbances, vascular calcifications, formation of advanced glycation end-products, and acute and chronic volume overload, are proposed to play a particular role in the progression of arteriosclerosis in ESRD...
May 2018: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/29508669/networks-as-systems
#14
Allan Best, Alex Berland, Trisha Greenhalgh, Ivy L Bourgeault, Jessie E Saul, Brittany Barker
Purpose The purpose of this paper is to present a case study of the World Health Organization's Global Healthcare Workforce Alliance (GHWA). Based on a commissioned evaluation of GHWA, it applies network theory and key concepts from systems thinking to explore network emergence, effectiveness, and evolution to over a ten-year period. The research was designed to provide high-level strategic guidance for further evolution of global governance in human resources for health (HRH). Design/methodology/approach Methods included a review of published literature on HRH governance and current practice in the field and an in-depth case study whose main data sources were relevant GHWA background documents and key informant interviews with GHWA leaders, staff, and stakeholders...
March 19, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29506363/-varicella-vaccination-scientific-reasons-for-a-different-strategic-approach
#15
Alberto Donzelli, Vittorio Demicheli
The Italian Parliament has recently introduced 10 mandatory immunisations, including the one against varicella. For this vaccination, the obligation starts with the birth cohort of 2017, but it is offered free of charge to subjects with a negative history and not previously vaccinated. This paper presents up-to-date evidence on this issue and illustrates a number of critical arguments that may question the opportunity of this choice. Particularly, while the disease is relatively mild in children aged between 1 and 9 years, the risk of worsening its consequences is progressive with age, becoming worst in the elderly, so the vaccination of children may increase the age of the cases...
January 2018: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/29506256/society-of-behavioral-medicine-sbm-position-statement-increasing-funding-for-the-nih-obssr-to-promote-timely-and-effective-behavioral-medicine-research
#16
Rachel A Millstein, Lisa M Quintiliani, Angela L Sharpe
Chronic diseases are a leading cause of morbidity and mortality in the USA. Most chronic diseases have behavioral risk factors that can improve health and quality of life and reduce financial burdens. Improved methods of measurement and behavioral interventions are rapidly progressing. These changes require sufficient funding to maximize effectiveness. The National Institutes of Health (NIH) Office of Behavioral and Social Sciences Research (OBSSR) helps to coordinate and support behavioral and social science research initiatives that are designed to promote public health and reduce chronic disease burden throughout the NIH...
March 1, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29506129/a-universal-influenza-vaccine-the-strategic-plan-for-the-national-institute-of-allergy-and-infectious-diseases
#17
Emily J Erbelding, Diane Post, Erik Stemmy, Paul C Roberts, Alison Deckhut Augustine, Stacy Ferguson, Catharine I Paules, Barney S Graham, Anthony S Fauci
A priority for the National Institute of Allergy and Infectious Diseases (NIAID) is development of an influenza vaccine providing durable protection against multiple influenza strains, including those that may cause a pandemic, i.e., a universal influenza vaccine. To invigorate research efforts, NIAID developed a strategic plan focused on knowledge gaps in three major research areas, as well as additional resources required to ensure progress towards a universal influenza vaccine. NIAID will use this plan as a foundation for future investments in influenza research and will support and coordinate a consortium of multidisciplinary scientists focused on accelerating progress towards this goal...
February 28, 2018: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29503460/protected-area-connectivity-shortfalls-in-global-targets-and-country-level-priorities
#18
Santiago Saura, Bastian Bertzky, Lucy Bastin, Luca Battistella, Andrea Mandrici, Grégoire Dubois
Connectivity of protected areas (PAs) is crucial for meeting their conservation goals. We provide the first global evaluation of countries' progress towards Aichi Target 11 of the Convention on Biological Diversity that is to have at least 17% of the land covered by well-connected PA systems by 2020. We quantify how well the terrestrial PA systems of countries are designed to promote connectivity, using the Protected Connected (ProtConn) indicator. We refine ProtConn to focus on the part of PA connectivity that is in the power of a country to influence, i...
March 2018: Biological Conservation
https://www.readbyqxmd.com/read/29493362/the-state-of-the-science-on-integrating-palliative-care-in-heart-failure
#19
Laura P Gelfman, Marie Bakitas, Lynne Warner Stevenson, James N Kirkpatrick, Nathan E Goldstein
BACKGROUND: Heart failure (HF) is a chronic progressive illness associated with physical and psychological burdens, high morbidity, mortality, and healthcare utilization. Palliative care is interdisciplinary care that aims to relieve suffering and improve quality of life for persons with serious illness and their families. It is offered simultaneously with disease-oriented care, unlike hospice or end-of-life care. Despite the demonstrated benefits of palliative care in other populations, evidence for palliative care in the HF population is limited...
June 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29480729/development-of-health-research-structures-over-the-last-25-years-main-achievements-and-challenges
#20
Shirin Djalalinia, Mohammad Bagher Talei, Farzaneh Barhemmat, Fatemeh Mohammadali Khalaj, Hamideh Heydari, Hossein Zokaei, Shahin Akhondzadeh, Asghar Ebadifar
BACKGROUND: In 1990, one of the most important strategies of supporting and managing reproductive research focused on development of research structures. This targeted vision, at the first step, mainly followed through creating research units. The present paper aims to explore the policies and strategies of medical research centers (MRCs)development, and its achievements and challenges over the last 25 years. METHODS: Based on expected outcomes of better directions of research activities aligned with the priorities and policies of research, the Deputy of Research and Technology of Ministry of Health and Medical Education (MOHME), initiated the set up and development of research units...
November 1, 2017: Archives of Iranian Medicine
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