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https://www.readbyqxmd.com/read/29691161/experiences-and-perspectives-of-dietary-management-among-patients-on-hemodialysis-an-interview-study
#1
Jessica Stevenson, Allison Tong, Talia Gutman, Katrina L Campbell, Jonathan C Craig, Mark A Brown, Vincent W Lee
OBJECTIVES: Diet and fluid management can reduce mortality, serious comorbidities, and debilitating symptoms in patients on hemodialysis, but restrictions may also be a major burden, and nonadherence remains high. We aimed to describe the perspectives and experiences of patients on hemodialysis regarding their dietary management to understand both facilitators and barriers to adherence and to identify strategies to improve care. DESIGN AND METHODS: Semi-structured interviews were conducted with 35 people on maintenance hemodialysis from six dialysis units in New South Wales, Australia...
April 21, 2018: Journal of Renal Nutrition
https://www.readbyqxmd.com/read/29690947/united-nations-charter-chapter-vii-article-43-now-or-never
#2
Frederick M Burkle
For more than 75 years, the United Nations Charter has functioned without the benefit of Chapter VII, Article 43, which commits all United Nations member states "to make available to the Security Council, on its call, armed forces, assistance, facilities, including rights of passage necessary for the purpose of maintaining international peace and security." The consequences imposed by this 1945 decision have had a dramatic negative impact on the United Nation's functional capacity as a global body for peace and security...
April 25, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29689085/determining-the-scope-of-attacks-on-health-in-four-governorates-of-syria-in-2016-results-of-a-field-surveillance-program
#3
Rohini J Haar, Casey B Risko, Sonal Singh, Diana Rayes, Ahmad Albaik, Mohammed Alnajar, Mazen Kewara, Emily Clouse, Elise Baker, Leonard S Rubenstein
BACKGROUND: Violent attacks on and interferences with hospitals, ambulances, health workers, and patients during conflict destroy vital health services during a time when they are most needed and undermine the long-term capacity of the health system. In Syria, such attacks have been frequent and intense and represent grave violations of the Geneva Conventions, but the number reported has varied considerably. A systematic mechanism to document these attacks could assist in designing more protection strategies and play a critical role in influencing policy, promoting justice, and addressing the health needs of the population...
April 2018: PLoS Medicine
https://www.readbyqxmd.com/read/29688846/public-health-journals-requirements-for-authors-to-disclose-funding-and-conflicts-of-interest-a-cross-sectional-study
#4
Karim N Daou, Maram B Hakoum, Assem M Khamis, Lama Bou-Karroum, Ahmed Ali, Joseph R Habib, Aline T Semaan, Gordon Guyatt, Elie A Akl
BACKGROUND: Public health journals need to have clear policies for reporting the funding of studies and authors' personal financial and non-financial conflicts of interest (COI) disclosures. This study aims to assess the policies of public health journals on reporting of study funding and the disclosure of authors' COIs. METHODS: This is a cross-sectional study of "Public, Environmental & Occupational Health" journals. Teams of two researchers abstracted data in duplicate and independently using REDCap software...
April 23, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29685909/assessment-of-potential-bias-in-research-grant-peer-review-in-canada
#5
Robyn Tamblyn, Nadyne Girard, Christina J Qian, James Hanley
BACKGROUND: Peer review is used to determine what research is funded and published, yet little is known about its effectiveness, and it is suspected that there may be biases. We investigated the variability of peer review and factors influencing ratings of grant applications. METHODS: We evaluated all grant applications submitted to the Canadian Institutes of Health Research between 2012 and 2014. The contribution of application, principal applicant and reviewer characteristics to overall application score was assessed after adjusting for the applicant's scientific productivity...
April 23, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29685443/a-systemic-integrative-framework-to-describe-comprehensively-a-swine-health-system-flanders-as-an-example
#6
Cristina Rojo-Gimeno, Jeroen Dewulf, Dominiek Maes, Erwin Wauters
A well-functioning swine health system is crucial to ensure a sustainable pig production. Yet, little attention has been paid to understand it. The objective of this study was to unravel the complexity of a swine health system by using a systems-thinking approach for the case of Flanders (Northern part of Belgium). To that end, qualitative interviews were held with 33 relevant stakeholders. A hybrid thematic analysis was conducted which consisted of two phases. First, an inductive thematic analysis was conducted and second, the resulting themes were classified into the building blocks of a systemic framework...
June 1, 2018: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/29684831/dis-integrating-cultural-difference-in-practice-and-communication-a-qualitative-study-of-host-and-migrant-registered-nurse-perspectives-from-new-zealand
#7
Margaret Brunton, Catherine Cook
BACKGROUND: Several earlier studies have provided evidence of the difficulties nurses have had adapting to foreign workplaces, however few have considered wider perspectives of the workplace communication environment. OBJECTIVE: The aim of this study was to examine the viewpoints and experience of both New Zealand qualified nurses and internationally qualified nurses in managing communication within teams and the clinical practice context in an increasingly diverse healthcare workplace in New Zealand...
April 6, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29684558/effects-of-exercise-on-brown-and-beige-adipocytes
#8
REVIEW
Revati S Dewal, Kristin I Stanford
Physical exercise leads to beneficial effects in numerous tissues and organ systems and offers protection against obesity and type 2 diabetes. Recent studies have investigated the role of exercise on brown adipose tissue (BAT) and white adipose tissue (WAT), and have indicated marked adaptations to each tissue with exercise. Studies investigating the effects of exercise on BAT have produced conflicting results, with some showing an increase in the thermogenic activity of BAT and some demonstrating a decrease in the thermogenic activity of BAT...
April 20, 2018: Biochimica et Biophysica Acta
https://www.readbyqxmd.com/read/29679820/joy-guilt-and-disappointment-an-interpretative-phenomenological-analysis-of-the-experiences-of-women-transferred-from-midwifery-led-to-consultant-led-care
#9
Patricia Larkin
BACKGROUND: Irish maternity services are predominantly medicalised and consultant led, therefore women who choose midwifery led care (MLC) do so in the context of limited birth choices. Transfers to consultant led unit (CLU) for consultant led care (CLC) can be unpredictable and can affect women's birth experiences. This study provides an in-depth exploration of women's experiences of transfer fromMLC to CLC during late pregnancy or labour. METHODS: Transfer experiences are explored through qualitative explorative in-depth interviews using interpretative phenomenological analysis (IPA)...
April 11, 2018: Midwifery
https://www.readbyqxmd.com/read/29678404/longer-sitting-time-and-low-physical-activity-are-closely-associated-with-chronic-low-back-pain-in-population-over-50-years-of-age-a-cross-sectional-study-using-the-sixth-korea-national-health-and-nutrition-examination-survey
#10
Sang-Min Park, Ho-Joong Kim, Hyunseok Jeong, Hyoungmin Kim, Bong-Soon Chang, Choon-Ki Lee, Jin S Yeom
BACKGROUND CONTEXT: There is increasing evidence supporting an association between sitting time and low back pain (LBP). However, the degree of the association between the total daily sitting time and LBP in the general population is poorly understood. PURPOSE: (1) To analyze the association between the duration of sitting time and LBP, and (2) to examine this association according to the degree of physical activity in population over 50 years of age with a nationally representative sample of Korean adults...
April 17, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29678033/the-need-of-an-open-data-quality-policy-the-case-of-the-transparency-health-database-in-the-prevention-of-conflict-of-interest
#11
Rodolphe Jantzen, Bastien Rance, Sandrine Katsahian, Anita Burgun, Vincent Looten
Open data available largely and with minimal constraints to the general public and journalists are needed to help rebuild trust between citizens and the health system. By opening data, we can expect to increase the democratic accountability, the self-empowerment of citizens. This article aims at assessing the quality and reusability of the Transparency - Health database with regards to the FAIR principles. More specifically, we observe the quality of the identity of the French medical doctors in the Transp-db...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677977/the-evaluation-of-decision-support-tools-requires-a-measure-of-decision-quality-that-has-content-and-construct-validity-in-person-centred-care
#12
Mette Kjer Kaltoft, Jesper Bo Nielsen, Jack Dowie
The evaluation of decision aids and support interventions requires a multi-attribute index which can be calculated for both aid and comparator/s. The Decision Conflict Scale (DCS) is such an index and has been widely used in this context, the recent Cochrane review Decision aids for people facing health treatment or screening decisions reporting its use in 63 of the 105 studies included. However, while the DCS may be a valid measure for the eponymous construct - decision conflict - it lacks both content and construct validity for the evaluation of decision aids...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677911/detecting-and-resolving-data-conflicts-when-using-international-claims-data-for-research
#13
Christian Haux, Olivier Kalmus, Anna-Lena Trescher, Frank Gabel, Stefan Listl, Petra Knaup
Using claims data for research is well established. However, most claims data analyses are focused on single countries. Multi-national approaches are scarce. The application of different anonymization techniques before data are shared for research as well as differences in the reimbursement systems hamper the use of claims data from multiple countries. This paper analyses data conflicts that occur when international claims data sets are used for research and develops a generic process to detect and resolve these conflicts...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29675669/can-we-draw-general-conclusions-from-interval-training-studies
#14
Ricardo Borges Viana, Claudio Andre Barbosa de Lira, João Pedro Araújo Naves, Victor Silveira Coswig, Fabrício Boscolo Del Vecchio, Rodrigo Ramirez-Campillo, Carlos Alexandre Vieira, Paulo Gentil
Interval training (IT) has been used for many decades with the purpose of increasing performance and promoting health benefits while demanding a relatively small amount of time. IT can be defined as intermittent periods of intense exercise separated by periods of recovery and has been divided into high-intensity interval training (HIIT), sprint interval training (SIT), and repeated sprint training (RST). IT use has resulted in the publication of many studies and many of them with conflicting results and positions...
April 19, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29673570/pregnancy-and-parental-leave-among-obstetrics-and-gynecology-residents-results-of-a-nationwide-survey-of-program-directors
#15
Eduardo Hariton, Benjamin Matthews, Abigail Burns, Chitra Akileswaran, Lori R Berkowitz
INTRODUCTION: The health and economic benefits of paid parental leave have been well documented. In 2016, the American College of Obstetrics and Gynecology (ACOG) released a policy statement on recommended parental leave for trainees, yet, data on adoption of said guidelines is nonexistent and published data on parental leave policies in Ob-Gyn is outdated. The objective of our study is to understand existing parental leave policies in Ob-Gyn training programs and to evaluate program director opinions on these policies and on parenting in residency...
April 16, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29672758/explaining-the-gender-gap-in-sickness-absence
#16
K A Østby, A Mykletun, W Nilsen
Background: In many western countries, women have a much higher rate of sickness absence than men. To what degree the gender differences in sickness absence are caused by gender differences in health is largely unknown. Aims: To assess to what degree the gender gap in sickness absence can be explained by health factors and work- and family-related stressors. Methods: Norwegian parents participating in the Tracking Opportunities and Problems (TOPP) study were asked about sickness absence and a range of factors possibly contributing to gender differences in sickness absence, including somatic and mental health, sleep problems, job control/demands, work-home conflicts, parent-child conflicts and stressful life events...
April 17, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/29671885/-i-expected-just-to-walk-in-get-my-tablets-and-then-walk-out-on-framing-new-community-pharmacy-services-in-the-english-healthcare-system
#17
Asam Latif, Justin Waring, Deborah Watmough, Matthew J Boyd, Rachel A Elliott
Reconfiguration of the healthcare division of labour is becoming increasingly attractive in the context of increased patient demand and resource constraints. One example is the introduction of extended roles for pharmacists to provide patients additional support to manage their medicines, while also reducing work pressures experienced by other health professionals. Understanding how such policies are framed by those delivering and receiving care has been under-theorised. Using Goffman's frame theory, we examine one newly introduced community pharmacy service (New Medicines Service (NMS)) to illustrate how a policy intended to support patient medicine-taking through the extended roles of pharmacists is framed and where this deviates from its proposed aims...
April 19, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29671620/intergenerational-transmissions-of-mother-child-loneliness-a-moderated-mediation-model-of-familial-social-support-and-conflict-avoidance
#18
Timothy Curran
Loneliness is a psychological health issue related to deleterious physical health outcomes such as mortality and chronic disease. The aim of this research was to examine intergenerational transmissions of loneliness from mothers to adult child via a moderated mediation model of perceived familial social support and conflict avoidance. Surveys were collected from 146 (N = 292) mother-child dyads on self-reports of loneliness, familial social support, and mother-child conflict avoidance. The results showed that child perceptions of familial social support mediated the relationship between mother-child loneliness...
April 19, 2018: Health Communication
https://www.readbyqxmd.com/read/29670726/decayed-missing-and-restored-teeth-in-patients-with-neurofibromatosis-type-1
#19
Reinhard E Friedrich, Anika Reul
Background: NF1 is a relatively frequently occurring autosomal dominant inherited disease. There are conflicting reports about oral health status in NF1. The aim of this study was to analyze the dental status of patients with neurofibromatosis type 1 (NF1). Material and Methods: Radiographs of 179 patients with NF1 were analyzed for decayed, missing, and filled teeth (DMFT) in a cross-sectional, retrospective study. The results were compared to age- and sex-matched controls of individuals not affected by NF1...
February 2018: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29667736/commentary-advancing-an-implementation-science-agenda-on-mental-health-and-psychosocial-responses-in-war-affected-settings-comment-on-trials-of-a-psychosocial-intervention-for-youth-affected-by-the-syrian-crisis-by-panter-brick-et-al-2018
#20
Theresa S Betancourt, Mina Fazel
Syria's civil conflict has created the largest humanitarian disaster of our time, causing massive population displacement, tremendous exposure to trauma, and loss. Advancing the mental health and psychosocial responses of war-affected populations both during acute humanitarian emergencies and in post-conflict transition is imperative in forging a constructive implementation agenda. This study makes an important contribution in building evidence toward effective interventions to advance the mental health and well-being of those affected by the Syrian crisis...
May 2018: Journal of Child Psychology and Psychiatry, and Allied Disciplines
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