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https://www.readbyqxmd.com/read/29684833/antecedents-mediators-and-outcomes-of-authentic-leadership-in-healthcare-a-systematic-review
#1
REVIEW
Bayan Alilyyani, Carol A Wong, Greta Cummings
BACKGROUND: Leaders are essential in every organization to achieve patient safety and healthy work environments. Authentic leadership is a relational leadership style purported to promote healthy work environments that influence staff performance and organizational outcomes. Given recent growth in authentic leadership research in healthcare and the importance of new knowledge to inform leadership development, there is an obligation to determine what is known about the antecedents and outcomes of authentic leadership in healthcare settings and clarify mechanisms by which authentic leadership affects healthcare staff and patient outcomes...
April 7, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29684795/screening-for-postpartum-anxiety-a-quality-improvement-project-to-promote-the-screening-of-women-suffering-in-silence
#2
Sarah Toler, Susan Stapleton, Kim Kertsburg, Tiffany J Callahan, Marie Hastings-Tolsma
BACKGROUND: Postpartum anxiety is a mental health problem that has largely been ignored by maternity care providers despite an estimated incidence as high as 28.9%. Though postpartum anxiety may or may not be accompanied by depression, and while screening for postpartum depression has become more common place, postpartum anxiety is often not assessed or addressed. PURPOSE: The purpose of this pilot quality improvement project was to implement a screening, treatment and referral program for postpartum anxiety in the birth centre environment...
April 3, 2018: Midwifery
https://www.readbyqxmd.com/read/29684778/improvement-in-productivity-nutritional-quality-and-antioxidative-defense-mechanisms-of-sunflower-helianthus-annuus-l-and-maize-zea-mays-l-in-nickel-contaminated-soil-amended-with-different-biochar-and-zeolite-ratios
#3
Ali Khan Shahbaz, Karolina Lewińska, Javed Iqbal, Qasim Ali, Mahmood-Ur-Rahman, Muhammad Iqbal, Farhat Abbas, Hafiz Muhammad Tauqeer, Pia Muhammad Adnan Ramzani
Nickel (Ni) contaminated soils pose a potential ecological risk to the environment, soil health, and quality of food produced on them. We hypothesized that application of miscanthus biochar (BC) and cationic zeolite (ZE) at various proportions into a Ni contaminated soil can efficiently immobilize Ni and reduce its bioavailability to sunflower (Helianthus annuus L.) and maize (Zea mays L.). An electroplating effluent contaminated soil was amended with BC and ZE, as sole treatments (2% w/w) and their combinations of various ratios (BC, ZE, BC25%ZE75%, BC50%ZE50% and BC75%ZE25%) for immobilization of Ni in the soil...
April 20, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29684770/affiliate-stigma-and-its-association-with-quality-of-life-among-caregivers-of-relatives-with-mental-illness-in-singapore
#4
Yunjue Zhang, Mythily Subramaniam, Siau Pheng Lee, Edimansyah Abdin, Vathsala Sagayadevan, Anitha Jeyagurunathan, Sherilyn Chang, Saleha Binte Shafie, Restria Fauziana, Binte Abdul Rahman, Janhavi Ajit Vaingankar, Siow Ann Chong
Affiliated stigma often refers to internalized stigma among family members of stigmatized individuals. This study aimed to investigate the relationship between affiliate stigma and quality of life (QOL) among primary caregivers of individuals with mental illness undergoing treatment at the Institute of Mental Health, Singapore. Three hundred and fifty caregivers were recruited for the study. The World Health Organization Quality of Life questionnaire (WHOQOL-BREF) and Family Stigma Scale (FSS) were administered to the primary caregivers of patients with mental illness...
April 13, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29684745/antibiotics-elimination-and-risk-reduction-at-two-drinking-water-treatment-plants-by-using-different-conventional-treatment-techniques
#5
Guiying Li, Huan Yang, Taicheng An, Yujuan Lu
Safe drinking water is essential for the wellbeing of people around the world. In this work, the occurrence, distribution, and elimination of four groups of antibiotics including fluoroquinolones, sulfonamides, chloramphenicols and macrolides (21 antibiotics total), were studied in two drinking water treatment plants during the wet and dry seasons. In the drinking water source (river), the most abundant group was fluoroquinolones. In contrast, chloramphenicols were all under the limitation of detection. Total concentration of all investigated antibiotics was higher in dissolved phase (62-3...
April 20, 2018: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/29684713/effects-of-depression-and-anxiety-on-quality-of-life-in-five-common-neurological-disorders
#6
Joey C Prisnie, Tolulope T Sajobi, Meng Wang, Scott B Patten, Kirsten M Fiest, Andrew G M Bulloch, Tamara Pringsheim, Samuel Wiebe, Nathalie Jette
BACKGROUND: It is unclear whether anxiety and depression impact health-related quality of life (HRQoL) equally across neurological diseases. This study examines the association between anxiety or depression and HRQoL in select neurological disorders. METHODS: HRQoL was measured using the Short Form Health Survey (SF-12) in neurological patients: epilepsy (n = 279), migraine (n = 268), multiple sclerosis (MS) (n = 222), stroke (n = 204), and Parkinson's disease (PD) (n = 224)...
April 4, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29684386/valuing-innovative-endoscopic-techniques-per-oral-endoscopic-myotomy-for-the-management-of-achalasia
#7
Eric D Shah, Andrew C Chang, Ryan Law
BACKGROUND AND AIMS: Unclear reimbursement for new and innovative endoscopic procedures can limit adoption in clinical practice despite effectiveness in clinical trials. The aim of this study was to determine maximum cost-effective reimbursement for per-oral endoscopic myotomy (POEM) in treating achalasia. METHODS: We constructed a decision analytic model assessing POEM versus laparoscopic Heller myotomy with Dor fundoplication (LHM) in managing achalasia from a payer perspective over a 1-year time horizon...
April 20, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29684310/assessing-the-quality-of-life-in-patients-with-dentofacial-deformities-before-and-after-orthognathic-surgery
#8
Hong Sun, Hong-Tao Shang, Li-Sheng He, Ming-Chao Ding, Zhong-Ping Su, Yu-Lin Shi
PURPOSE: This study aimed to assess the effect of health-related quality of life (QoL) among patients with dentofacial deformities who underwent orthognathic surgery compared with a control group without dentofacial deformities by use of generic oral health and condition-specific approaches. PATIENTS AND METHODS: In this prospective study, 2 questionnaires were administered to 85 patients (31 male and 54 female patients) who were evaluated before undergoing orthognathic surgery...
March 31, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29684258/reduction-of-peripartum-racial-and-ethnic-disparities-a-conceptual-framework-and-maternal-safety-consensus-bundle
#9
Elizabeth A Howell, Haywood Brown, Jessica Brumley, Allison S Bryant, Aaron B Caughey, Andria M Cornell, Jacqueline H Grant, Kimberly D Gregory, Susan M Gullo, Katy B Kozhimannil, Jill M Mhyre, Paloma Toledo, Robyn D'Oria, Martha Ngoh, William A Grobman
Racial and ethnic disparities exist in both perinatal outcomes and health care quality. For example, black women are 3 to 4 times more likely to die from pregnancy-related causes and have more than a 2-fold greater risk of severe maternal morbidity than white women. In an effort to achieve health equity in maternal morbidity and mortality, a multidisciplinary workgroup of the National Partnership for Maternal Safety, within the Council on Patient Safety in Women's Health Care, developed a concept article for the bundle on reduction of peripartum disparities...
April 23, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29684219/challenges-and-controversies-of-complex-interventions-in-osteoarthritis-management-recognizing-inappropriate-and-discordant-care
#10
Krysia S Dziedzic, Kelli D Allen
A number of controversies and challenges exist for the management of OA in health care. This paper describes the challenges and gaps in OA care, particularly in relation to population health management, complex interventions and outcomes. It sets this in the context of competing health priorities and multimorbidity, access to high quality conservative care, non-pharmacological therapies, resource limitations and models of care. The overuse of some therapies and neglect of others are discussed, as well as the potential for self-management...
May 1, 2018: Rheumatology
https://www.readbyqxmd.com/read/29684209/drug-review-pazopanib
#11
Shingo Miyamoto, Shigenori Kakutani, Yujiro Sato, Akira Hanashi, Yoshitaka Kinoshita, Akira Ishikawa
Pazopanib (Votrient®) is an oral small-molecule multi-kinase inhibitor that primarily inhibits vascular endothelial growth factor receptor-1, -2 and -3, platelet endothelial growth factor receptor-α, and -β, and the stem-cell factor receptor c-kit. In preliminary experiments using angiogenesis models with mice and rabbits, pazopanib inhibited angiogenesis caused by combined vascular endothelial growth factor and basic fibroblast growth factor. Although pazopanib was developed as a therapeutic agent against various tumors, it is currently approved in many countries for advanced soft-tissue sarcoma and renal cell carcinoma...
April 19, 2018: Japanese Journal of Clinical Oncology
https://www.readbyqxmd.com/read/29684181/efficacy-and-safety-of-surgery-for-mild-degenerative-cervical-myelopathy-results-of-the-aospine-north-america-and-international-prospective-multicenter-studies
#12
Jetan H Badhiwala, Christopher D Witiw, Farshad Nassiri, Muhammad A Akbar, Alireza Mansouri, Jefferson R Wilson, Michael G Fehlings
BACKGROUND: There is controversy over the optimal treatment strategy for patients with mild degenerative cervical myelopathy (DCM). OBJECTIVE: To evaluate the degree of impairment in baseline quality of life as compared to population norms, as well as functional, disability, and quality of life outcomes following surgery in a prospective cohort of mild DCM patients undergoing surgical decompression. METHODS: We identified patients with mild DCM (modified Japanese Orthopaedic Association [mJOA] 15 to 17) enrolled in the prospective, multicenter AOSpine CSM-NA or CSM-I trials...
April 19, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29684144/moving-towards-an-organized-cervical-cancer-screening-costs-and-impact
#13
Mireia Diaz, David Moriña, Vanesa Rodríguez-Salés, Raquel Ibáñez, Josep Alfons Espinás, Silvia de Sanjosé
Background: HPV screening has been shown to be more cost-effective than cytology screening under most scenarios. Furthermore, it should be offered only in organized programmes with good quality assurance mechanisms. This study analyses the comparative cost of the current policy of opportunistic cytology screening vs. a hypothetical organized programme based on primary HPV screening. Methods: Total cervical cancer expenditure was defined as the sum of three cost elements: (i) direct (medical and non-medical) costs, obtained from a calibrated Markov model of the natural history of HPV and cervical cancer; (ii) programmatic costs, estimated based on other organized screening programmes; and (iii) indirect costs, extrapolated from previously published data...
April 18, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29684135/on-the-usefulness-of-narratives-an-interdisciplinary-review-and-theoretical-model
#14
Victoria A Shaffer, Elizabeth S Focella, Andrew Hathaway, Laura D Scherer, Brian J Zikmund-Fisher
Background: How can we use stories from other people to promote better health experiences, improve judgments about health, and increase the quality of medical decisions without introducing bias, systematically persuading the listeners to change their attitudes, or altering behaviors in nonoptimal ways? More practically, should narratives be used in health education, promotion, or behavior change interventions? Method: In this article, we address these questions by conducting a narrative review of a diverse body of literature on narratives from several disciplines to gain a better understanding about what narratives do, including their role in communication, engagement, recall, persuasion, and health behavior change...
April 19, 2018: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
https://www.readbyqxmd.com/read/29684122/technical-quality-of-delivery-care-in-private-and-public-sector-health-facilities-in-enugu-and-lagos-states-nigeria
#15
Atsumi Hirose, Ibrahim O Yisa, Amina Aminu, Nathanael Afolabi, Makinde Olasunmbo, George Oluka, Khalilu Muhammad, Julia Hussein
Private-sector providers are increasingly being recognized as important contributors to the delivery of healthcare. Countries with high disease burdens and limited public-sector resources are considering using the private sector to achieve universal health coverage. However, evidence for the technical quality of private-sector care is lacking. This study assesses the technical quality of maternal healthcare during delivery in public- and private-sector facilities in resource-limited settings, from a systems and programmatic perspective...
April 18, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29684108/pituitary-diseases-and-bone
#16
Gherardo Mazziotti, Stefano Frara, Andrea Giustina
Neuroendocrinology of bone is a new area of research based on the evidence that pituitary hormones may directly modulate bone remodeling and metabolism. Skeletal fragility associated with high risk of fractures is a common complication of several pituitary diseases such as hypopituitarism, Cushing disease, acromegaly and hyperprolactinemia. As in other forms of secondary osteoporosis, pituitary diseases generally affect bone quality more than bone quantity and fractures may occur even in the presence of normal or low-normal bone mineral density as measured by dual-energy X-ray absorptiometry, making difficult the prediction of fractures in these clinical settings...
April 19, 2018: Endocrine Reviews
https://www.readbyqxmd.com/read/29684104/maternal-vitamin-d-supplementation-during-pregnancy
#17
Elizabeth M Curtis, Rebecca J Moon, Nicholas C Harvey, Cyrus Cooper
Introduction: Maternal vitamin D status in pregnancy has been linked to many health outcomes in mother and offspring. A wealth of observational studies have reported on both obstetric outcomes and complications, including pre-eclampsia, gestational diabetes, mode and timing of delivery. Many foetal and childhood outcomes are also linked to vitamin D status, including measures of foetal size, body composition and skeletal mineralization, in addition to later childhood outcomes, such as asthma...
April 19, 2018: British Medical Bulletin
https://www.readbyqxmd.com/read/29684103/common-mental-disorders-and-work
#18
Paul J Nicholson
Background: Governments and employers' organizations have sustained focus on common mental disorders (CMD), how they impact a person's ability to gain or continue work, the costs of sickness absence, presenteeism and job loss, and the positive impact of work on wellbeing. Sources of data: Scientific literature, mainly systematic reviews and grey literature, i.e. publications not accessible through medical databases. Areas of agreement: CMD are a major cause of disability, unemployment and dependency on welfare benefits...
April 19, 2018: British Medical Bulletin
https://www.readbyqxmd.com/read/29684094/quantitative-analyses-of-factors-related-to-anxiety-and-depression-in-patients-with-retinitis-pigmentosa
#19
Mayumi Sainohira, Takehiro Yamashita, Hiroto Terasaki, Shozo Sonoda, Kazunori Miyata, Yusuke Murakami, Yasuhiro Ikeda, Takeshi Morimoto, Takao Endo, Takashi Fujikado, Junko Kamo, Taiji Sakamoto
The purpose of this study is to determine the factors related to anxiety and depression in patients with retinitis pigmentosa (RP). The status of anxiety and depression was determined in RP patients with the Hospital Anxiety and Depression Scale (HADS) questionnaire which consisted of subscales for HADS-anxiety (HADS-A) and HADS-depression (HADS-D). The vision-specific quality of life (VSQOL) was assessed with the National Eye Institute Visual Function Questionnaire 25 (NEI-VFQ25). The correlations between the HADS-A or HADS-D scores and vision-related clinical parameters such as the best-corrected visual acuity (BCVA), Functional Acuity Score, Functional Field Score, Functional Vision Score, the NEI- VFQ25 subscale score were determined...
2018: PloS One
https://www.readbyqxmd.com/read/29683995/cochlear-implantation-in-adults-with-asymmetric-hearing-loss-speech-recognition-in-quiet-and-in-noise-and-health-related-quality-of-life
#20
Douglas P Sladen, Matthew L Carlson, Brittany P Dowling, Amy P Olund, Melissa D DeJong, Alyce Breneman, Sara Hollander, Charles W Beatty, Brian A Neff, Colin L Driscoll
OBJECTIVE: To examine the possible speech recognition and health related quality of life (HRQoL) benefits of cochlear implantation among adults with asymmetric sensorineural hearing loss. STUDY DESIGN: Retrospective chart review, single-subject design. METHODS: A total of 45 adult cochlear implant recipients with asymmetric sensorineural hearing loss where performance for the best-aided condition exceeded 60% correct open set sentence recognition in quiet, and the implanted ear met traditional candidacy criteria...
March 26, 2018: Otology & Neurotology
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