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Health service

Paula C Lamb, Christine Norton
Nurses working in haemodialysis units are expected to demonstrate competency and understanding of the technical processes involved in supporting patients undergoing haemodialysis treatment. In 2012 the nursing education team within a large acute National Health Service (NHS) London Hospital Group updated and standardised haemodialysis clinical competencies to assist junior haemodialysis nurses develop their clinical skills and knowledge in delivering nursing care to patients receiving haemodialysis treatment...
June 12, 2018: Nurse Education in Practice
Liwen Cui, Xiaolei Xie, Zuojun Shen
There have been rapidly growing applications using machine learning models for predictive analytics in Electronic Health Records (EHR) to improve the quality of hospital services and the efficiency of healthcare resource utilization. A fundamental and crucial step in developing such models is to convert medical codes in EHR to feature vectors. These medical codes are used to represent diagnoses or procedures. Their vector representations have a tremendous impact on the performance of machine learning models...
June 18, 2018: Journal of Biomedical Informatics
Abhishek Goyal, Howard A Cooper, Wilbert S Aronow, Prashant Nagpal, Sriktanth Yandrapalli, Christopher C Nabors, William F Frishman
BACKGROUND: The 2016 US Preventive Services Task Force (USPSTF) guidelines for primary prevention statin therapy are more restrictive than the 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines. There are important differences in how application of the risk thresholds from these guidelines would impact particular segments of the US population. METHODS: Data from the National Health and Nutrition Examination Surveys (NHANES - 2005-14) were used to determine statin eligibility across age, gender and racial/ethnic groups using criteria from the 2013 ACC/AHA and 2016 USPSTF guidelines...
June 18, 2018: American Journal of Medicine
Julia H Kim, Jong C Shin, Sharon M Donovan
Background Returning to work is one of the main barriers to breastfeeding duration among working mothers in the United States. However, the impact of workplace lactation programs is unclear. Research Aim The aim of this study was to evaluate the effectiveness of workplace lactation programs in the United States on breastfeeding practices. Methods A systematic search was conducted of seven databases through September 2017. Articles ( N = 10) meeting the inclusion criteria of describing a workplace lactation intervention and evaluation in the United States and measuring initiation, exclusivity, or duration using an experimental or observational study design were critically evaluated...
June 1, 2018: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Behdin Nowrouzi-Kia, Anson K C Li, Christine Nguyen, Jennifer Casole
Background: The objective of this study is to find temporal trends in the associations between cardiovascular disease and occupational risk factors in the context of the Canadian population. Methods: Population data were analyzed from the Canadian Community Health Survey (CCHS) collected between 2001 and 2014 for trends over time between heart disease and various occupational risk factors: hours worked, physical exertion at work, and occupation type (management/arts/education, business/finance, sales/services, trades/transportations, and primary industry/processing)...
June 2018: Safety and Health At Work
Louise McCulloch, Alan Borthwick, Anthony Redmond, Katherine Edwards, Rafael Pinedo-Villanueva, Daniel Prieto-Alhambra, Andrew Judge, Nigel K Arden, Catherine J Bowen
Background: Provision of podiatry services, like other therapies in the UK, is an area that lacks guidance by the National Institute for Health and Care Excellence. Many individuals living with arthritis in the UK are not eligible to access NHS podiatry services. The primary aim of this investigation was to understand the views of podiatry clinicians on their experiences of referral, access, provision and treatment for foot problems for patients who have arthritis. Methods: Focus groups were undertaken to explore, in-depth, individual views of podiatrists working in the UK to gain feedback on experiences of barriers and facilitators to referral, access, provision and treatment for foot problems for individuals living with arthritis...
2018: Journal of Foot and Ankle Research
Yi-Chao Zhou, Wen-Hui Fang, Tung-Wei Kao, Chung-Ching Wang, Yaw-Wen Chang, Tao-Chun Peng, Chen-Jung Wu, Hui-Fang Yang, James Yi-Hsin Chan, Wei-Liang Chen
A growing amount of evidence suggests that thyroid-stimulating hormone (TSH) is associated with cardiometabolic risk. However, there have been few longitudinal studies. The aim of this study was to explore the causal relationship between TSH and metabolic syndrome (MetS) in a large population-based longitudinal study. From 2010 to 2016 at the Health Management Center at Tri-Service General Hospital, 25,121 eligible patients were enrolled in our cross-sectional analyses. Cox proportional hazard models were used to investigate the longitudinal association among hypertension (HTN), prediabetes (pre-DM), MetS, diabetes (DM) and TSH levels (N = 12,463)...
2018: PloS One
Galileu Barbosa Costa, Amy Gilbert, Benjamin Monroe, Jesse Blanton, Sali Ngam Ngam, Sergio Recuenco, Ryan Wallace
BACKGROUND: Rabies is a fatal encephalitis caused by lyssaviruses, with most human cases worldwide resulting from rabid dog bites. Although effective animal and human vaccines have been available for over 100 years, control efforts have not been adequately implemented on the global scale and rabies remains one of the greatest global zoonotic threats to human health. We conducted a knowledge, attitudes and practices survey in Northern Cameroon to describe dog ownership characteristics, rates of dog bites, and post-bite healthcare seeking behaviors...
2018: PloS One
Neha P Limaye, Magaly M Blas, Isaac E Alva, Cesar P Carcamo, Patricia J García
The Loreto region of the Peruvian Amazon faces many obstacles to health care delivery. The majority of the population is river-bound and lives below the poverty line, with some of the worst health indicators in Peru. To overcome these barriers and fill a gap in health services, an NGO-based provider known as the Vine Trust has been providing care since 2001 via a mobile ship clinic called the Amazon Hope. This study presents an assessment of the Amazon Hope, first reporting health indicators of the program´s catchment area, services provided, and program utilization...
2018: PloS One
Gary McAuliffe, Marian Smith, Mike Brokenshire, Rose Forster, Murray Reid, Sally Roberts
AIMS: Neisseria gonorrhoeae (NG) has developed resistance to a wide range of antimicrobials. Population level data is essential to determine empiric treatment regimes. We sought to identify antimicrobial resistance patterns for NG in the Auckland region from 2008-2016, and review the utility of current methods of antimicrobial resistance testing. METHODS: Antimicrobial susceptibilities and demographic data from NG isolates derived from patients attending the Auckland Regional Sexual Health Service and Auckland City Hospital were analysed to determine resistance rates and trends over time...
June 22, 2018: New Zealand Medical Journal
Minah Ha, Anand Gangji
AIMS: This clinical audit aimed to review the Faster Cancer Tract pathway in Northland patients with gynaecological cancers to evaluate whether there has been an improvement since the previous audit in 2014-2015. METHODS: There were 46 patients who were discussed at the gynaecological oncology multidisciplinary meeting between January 2016 and December 2016 with confirmed gynaecological malignancy. Information regarding the time taken for various investigations, referrals, decisions and treatment to be completed for each patient was obtained from clinical records and compared against the Ministry of Health faster cancer treatment targets, standards of service provision and data from the previous audit...
June 22, 2018: New Zealand Medical Journal
Anna Ranta
AIMS: Stroke incidence and mortality are declining due to effective public health initatives and modern healthcare advances. However, due to population growth and ageing, the burden of stroke continues to rise worldwide. This paper aims to provide stroke volume projections for the next 1-2 decades and explores potential solutions to anticipated challenges. METHODS: Health administrative, where available epidemiological, and New Zealand Statistics data was used to model stroke service demand up to 2028...
June 22, 2018: New Zealand Medical Journal
Chukwuma Mbaeyi, Zubair Mufti Wadood, Thomas Moran, Fazal Ather, Tasha Stehling-Ariza, Joanna Nikulin, Mohammad Al Safadi, Jane Iber, Laurel Zomahoun, Nidal Abourshaid, Hong Pang, Nikki Collins, Humayun Asghar, Obaid Ul Islam Butt, Cara C Burns, Derek Ehrhardt, Magdi Sharaf
Since the 1988 inception of the Global Polio Eradication Initiative (GPEI), progress toward interruption of wild poliovirus (WPV) transmission has occurred mostly through extensive use of oral poliovirus vaccine (OPV) in mass vaccination campaigns and through routine immunization services (1,2). However, because OPV contains live, attenuated virus, it carries the rare risk for reversion to neurovirulence. In areas with very low OPV coverage, prolonged transmission of vaccine-associated viruses can lead to the emergence of vaccine-derived polioviruses (VDPVs), which can cause outbreaks of paralytic poliomyelitis...
June 22, 2018: MMWR. Morbidity and Mortality Weekly Report
Kevin A Kovach, Christina R Welter, Steven M Seweryn, Griselle Torres
OBJECTIVES: Collaboration between local health departments (LHDs) and schools and programs of public health (SPPH) may be a way to improve practice, education, and research. However, little is known about why LHDs and SPPH collaborate. This mixed-methods study addressed this issue by exploring what LHDs and SPPH perceive to be beneficial about their collaboration. METHODS: A mixed-methods study using quantitative and qualitative data was conducted. A survey of 2000 LHDs that completed the 2013 National Profile of LHDs measured how important and effective LHDs perceived 30 indicators of the 10 essential public health services to be for collaboration with SPPH...
June 20, 2018: Journal of Public Health Management and Practice: JPHMP
Huabin Luo, Zhuo Adam Chen, Lei Xu, Ronny A Bell
OBJECTIVE: This study aimed to assess whether the recent Medicaid expansion, as a natural experiment, was associated with better access to care and, as a consequence, better receipt of clinical diabetes care services. METHODS: Data were from the Behavioral Risk Factor Surveillance System (BRFSS). The analytical sample included 20 708 working-age adults with diabetes aged 18 to 64 years from 22 states. The outcome variables included 4 measures of access to care and 4 measures of receipt of clinical diabetes care services...
June 20, 2018: Journal of Public Health Management and Practice: JPHMP
Shashi N Kapadia, Carrie D Johnston, Kristen M Marks, Bruce R Schackman, Erika G Martin
CONTEXT: Curative treatments for hepatitis C virus (HCV) can alter the course of a devastating epidemic, but high drug prices have contributed to restrictions on HCV treatment access. OBJECTIVE: We aimed to learn how state health agencies have responded to the challenges of treatment access for HCV. DESIGN: Qualitative study using semistructured key informant interviews focused on aspects of HCV treatment access between June 2016 and March 2017...
June 20, 2018: Journal of Public Health Management and Practice: JPHMP
Eduardo J Mortani Barbosa, Sean Novak
PURPOSE: We have established an integrated thoracic radiology reading room within a multidisciplinary lung center clinic (LC). While our subjective experience has been positive, we sought to quantify how this model affects radiology workflow and whether the referring practitioners perceive value in having real-time access to a radiologist consultant. MATERIALS AND METHODS: Two diagnostic radiology workstations staffed by rotating thoracic radiologists and trainees were integrated within the LC...
July 2018: Journal of Thoracic Imaging
Lilian Assunção Felippe, Pedro Rippel Salgado, Diego de Souza Silvestre, Suhaila Mahmoud Smaili Santos, Gustavo Christofoletti
OBJECTIVE: To investigate the effects of a 6-month exercise program on cognition and mobility in participants with multiple sclerosis. DESIGN: Prospective, single blind, controlled clinical trial. SETTING: A community rehabilitation program within a large metropolitan health service. PARTICIPANTS: Twenty-eight patients with multiple sclerosis, referred for outpatient rehabilitation. INTERVENTIONS: Participants were allocated to one of two groups and undertook a cognitive-motor exercise program or monitoring (control group)...
June 21, 2018: American Journal of Physical Medicine & Rehabilitation
Fei Liu, Yingying Li, Xiaofeng Ju
INTRODUCTION: An online health community (OHC) is a unique social network that provides a platform for sharing healthcare information, communicating about health and offering health services. While many researchers have examined OHCs, the impact of patient reviews on patient consultation behavior in the OHCs has rarely been discussed in the existing literature. METHODS: A computer program was developed to download the required information. This process was conducted monthly to capture the variation in the dependent variable...
June 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Clare Liddy, Isabella Moroz, Ariana Mihan, Nikhat Nawar, Erin Keely
BACKGROUND: Electronic consultation (eConsult) is an asynchronous electronic communication tool allowing primary care providers to obtain a specialist consultant's expert opinion in a timely manner, thereby offering a potential solution to excessive wait times for specialist care, which remain a serious concern in many countries. INTRODUCTION: Our 2014 review of eConsult services demonstrated feasibility and high acceptability among patients and providers. However, gaps remain in knowledge regarding eConsult's impact on system costs and patient outcomes...
June 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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