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https://www.readbyqxmd.com/read/29471158/road-traffic-injuries-cross-sectional-cluster-randomized-countrywide-population-data-from-4-low-income-countries
#1
Syed Nabeel Zafar, Joseph K Canner, Neeraja Nagarajan, Adam L Kushner
INTRODUCTION: Road traffic injuries (RTI) are a leading cause of morbidity and mortality around the world. The burden is highest in low and middle-income countries (LMICs) and is increasing. We aimed to describe the epidemiology of RTIs in 4 low-income countries using nationally representative survey data. METHODS: The Surgeons Overseas Assessment of Surgical Needs (SOSAS) survey tool was administered in four countries: Sierra Leone, Rwanda, Nepal and Uganda. We performed nationally representative cross-sectional, cluster randomized surveys in each country...
February 19, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29470806/screening-of-over-1000-indian-patients-with-breast-and-or-ovarian-cancer-with-a-multi-gene-panel-prevalence-of-brca1-2-and-non-brca-mutations
#2
Jaya Singh, Nishita Thota, Suhasini Singh, Shila Padhi, Puja Mohan, Shivani Deshwal, Soumit Sur, Mithua Ghosh, Amit Agarwal, Ramesh Sarin, Rosina Ahmed, Sachin Almel, Basumita Chakraborti, Vinod Raina, Praveen K DadiReddy, B K Smruti, Senthil Rajappa, Chandragouda Dodagoudar, Shyam Aggarwal, Manish Singhal, Ashish Joshi, Rajeev Kumar, Ajai Kumar, Deepak K Mishra, Neeraj Arora, Aarati Karaba, Satish Sankaran, Shanmukh Katragadda, Arunabha Ghosh, Vamsi Veeramachaneni, Ramesh Hariharan, Ashraf U Mannan
PURPOSE: Breast and/or ovarian cancers are among the most common cancers in women across the world. In the Indian population, the healthcare burden of breast and/or ovarian cancers has been steadily rising, thus stressing the need for early detection, surveillance, and disease management measures. However, the burden attributable to inherited mutations is not well characterized. METHODS: We sequenced 1010 unrelated patients and families from across India with an indication of breast and/or ovarian cancers, using the TruSight Cancer panel which includes 14 genes, strongly associated with risk of hereditary breast and/or ovarian cancers...
February 22, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29470450/exploring-the-barriers-a-qualitative-study-about-the-experiences-of-mid-ses-roma-navigating-the-spanish-healthcare-system
#3
Emilia Aiello, Ainhoa Flecha, Olga Serradell
Whereas the topic of the 'cultural sensitivity' of healthcare systems has been addressed extensively in the US and the UK, literature on the subject in most European countries, specifically looking at the situation of Roma, is still scarce. Drawing on qualitative research conducted mainly in the city of Barcelona under the communicative approach with Roma subjects who have stable socioeconomic positions and higher cultural capitals (end-users, professionals of the healthcare system, and key informants of a regional policy oriented to the improvement of Roma living conditions), the present study aims to fill this gap...
February 22, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29470109/determinants-of-the-intention-of-senegal-s-physicians-to-use-telemedicine-in-their-professional-activities
#4
Birama Apho Ly, Elizabeth Kristjansson, Ronald Labonté, Ivy Lynn Bourgeault
BACKGROUND: In Senegal, physicians are unevenly distributed, leading to unequal access to healthcare in underserved areas. Telemedicine is seen as a potential means to address this problem. INTRODUCTION: Telemedicine's potential to improve access depends, in part, on physicians' intention to use the technology. In Senegal that intention is not well known. This study aimed to determine that intention and the factors that influence it. MATERIALS AND METHODS: We conducted a cross-sectional study between January and February 2015 with a random sample of 168 physicians working in public hospitals and 153 in district health centers in Senegal...
February 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29469671/patient-perspectives-following-pharmacogenomics-results-disclosure-in-an-integrated-health-system
#5
Amy A Lemke, Peter J Hulick, Dyson T Wake, Chi Wang, Annette W Sereika, Kristen Dilzell Yu, Nicole S Glaser, Henry M Dunnenberger
AIM: To assess patient perceptions and utilization of pharmacogenomics (PGx) testing in an integrated community health system. METHODS: Fifty-seven patients completed an online survey assessing their experiences with PGx testing offered through two methods: a designated PGx clinic or direct access in-home testing. RESULTS: The majority of participants perceived PGx testing as helpful in their healthcare and reported understanding their results...
February 22, 2018: Pharmacogenomics
https://www.readbyqxmd.com/read/29468417/eliciting-the-experiences-of-the-adolescent-parent-dyad-following-critical-care-admission-a-pilot-study
#6
Dora Wood, Sophie Geoghegan, Padmanabhan Ramnarayan, Peter J Davis, John V Pappachan, Sarah Goodwin, Jo Wray
Critically ill adolescents are usually treated on intensive care units optimised for much older adults or younger children. The way they access and experience health services may be very different to most adolescent service users, and existing quality criteria may not apply to them. The objectives of this pilot study were, firstly, to determine whether adolescents and their families were able to articulate their experiences of their critical care admission and secondly, to identify the factors that are important to them during their intensive care unit (ICU) or high dependency unit (HDU) stay...
February 21, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29466980/the-benefits-of-co-location-in-primary-care-practices-the-perspectives-of-general-practitioners-and-patients-in-34-countries
#7
M Bonciani, W Schäfer, S Barsanti, S Heinemann, P P Groenewegen
BACKGROUND: There is no clear evidence as to whether the co-location of primary care professionals in the same facility positively influences their way of working and the quality of healthcare as perceived by patients. The aim of this study was to identify the relationships between general practitioner (GP) co-location with other GPs and/or other professionals and the GP outcomes and patients' experiences. METHODS: We wanted to test whether GP co-location is related to a broader range of services provided, the use of clinical governance tools and inter-professional collaboration, and whether the patients of co-located GPs perceive a better quality of care in terms of accessibility, comprehensiveness and continuity of care with their GPs...
February 21, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29466383/stroke-survivors-and-informal-caregivers-experiences-of-primary-care-and-community-healthcare-services-a-systematic-review-and-meta-ethnography
#8
Dominika M Pindus, Ricky Mullis, Lisa Lim, Ian Wellwood, A Viona Rundell, Noor Azah Abd Aziz, Jonathan Mant
OBJECTIVE: To describe and explain stroke survivors and informal caregivers' experiences of primary care and community healthcare services. To offer potential solutions for how negative experiences could be addressed by healthcare services. DESIGN: Systematic review and meta-ethnography. DATA SOURCES: Medline, CINAHL, Embase and PsycINFO databases (literature searched until May 2015, published studies ranged from 1996 to 2015). ELIGIBILITY CRITERIA: Primary qualitative studies focused on adult community-dwelling stroke survivors' and/or informal caregivers' experiences of primary care and/or community healthcare services...
2018: PloS One
https://www.readbyqxmd.com/read/29465707/improving-insurance-and-healthcare-systems-to-ensure-better-access-to-sexually-transmitted-disease-testing-and-prevention
#9
Alice J Lee, Madeline C Montgomery, Rupa R Patel, Julia Raifman, Lorraine T Dean, Philip A Chan
No abstract text is available yet for this article.
September 25, 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/29465703/an-exploration-of-factors-impacting-pre-exposure-prophylaxis-eligibility-and-access-among-syringe-exchange-users
#10
A M Roth, B Aumaier, M Felsher, S L Welles, A P Donate-Martinez, M Chavis, B Van Der Pol
BACKGROUND: In 2015 approximately 50,000 new HIV infections occurred in the United States, 2,400 of which were attributable to injection drug use in. Pre-exposure prophylaxis (PrEP) has the potential to curb HIV acquisition, however, uptake remains low among persons who inject drugs (PWID). The purpose of the study is to describe PrEP eligibility, willingness to use PrEP, and ability to access PrEP among PWID recruited from a pilot program that paired screening and treatment for sexually transmitted infections with mobile syringe exchange program (SEP) services...
October 4, 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/29465673/healthcare-provider-perceptions-of-a-sexually-transmitted-infection-self-testing-program-in-an-hiv-care-clinic
#11
Susana Tat, Shireesha Dhanireddy, Jeanne M Marrazzo, Lindley A Barbee
BACKGROUND: Sexually transmitted infections (STI) disproportionately affect men who have sex with men (MSM). While clinical practice guidelines recommend routine STI screening of MSM who have high-risk behaviors, extragenital STI testing rates have been low in HIV clinics across the nation. The University of Washington STD Prevention Training Center implemented an STI self-testing program at a large HIV primary care clinic in Seattle, WA to facilitate extragenital STI testing. METHODS: We performed a mixed-methods program evaluation to assess healthcare provider acceptability of the program at nine months post implementation...
November 29, 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/29465446/current-practices-and-attitudes-regarding-use-of-inhaled-nitric-oxide-in-the-nicu-results-from-a-survey-of-members-of-the-national-association-of-neonatal-nurse-practitioners
#12
Allyson Kayton, Paula Timoney, Lyn Vargo, Jose A Perez
BACKGROUND: Excessive supplemental oxygen exposure in the neonatal intensive care unit (NICU) can be associated with oxygen-related toxicities, which can lead to negative clinical consequences. Use of inhaled nitric oxide (iNO) can be a successful strategy for avoiding hyperoxia in the NICU. iNO selectively produces pulmonary vasodilation and has been shown to improve oxygenation parameters across the spectrum of disease severity, from mild to very severe, in neonates with hypoxic respiratory failure associated with persistent pulmonary hypertension of the newborn...
February 20, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29465277/what-is-the-impact-of-targeted-health-education-for-mental-health-nurses-in-the-provision-of-physical-health-care-an-integrated-literature-review
#13
Sinead Hennessy, Angela M Cocoman
Individuals with a severe mental illness have a gap in life expectancy of up to twenty years in comparison to the general population. Nurses who work in mental health services have been identified as best placed to improve the physical health outcomes of individuals with mental illness. The literature identifies a lack of nursing knowledge related to physical health care and the presence of metabolic syndrome which is impeding nurses in providing essential physical health care to patients. An integrated literature review was carried out due to the dearth of research evidence pertaining to the impact of targeted education specifically with psychiatric/mental health nurses in the provision of physical healthcare...
February 21, 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29464984/the-challenges-of-implementing-advanced-access-for-residents-in-family-medicine-in-quebec-do-promising-strategies-exist
#14
Sabina Abou Malham, Nassera Touati, Lara Maillet, Mylaine Breton
BACKGROUND: The advanced access (AA) model is a highly recommended innovation to improve timely access to primary healthcare. Despite that many studies have shown positive impacts for healthcare professionals, and for patients, implementing this model in clinics with a teaching mission for family medicine residents poses specific challenges. OBJECTIVE: To identify these challenges within these clinics, as well as potential strategies to address them. DESIGN: The authors adopted a qualitative multiple case study design, collected data in 2016 using semi-structured interviews (N = 40) with healthcare professionals and clerical staff in four family medicine units in Quebec, and performed a thematic analysis...
December 2018: Medical Education Online
https://www.readbyqxmd.com/read/29464665/generic-substitution-of-orphan-drugs-for-the-treatment-of-rare-diseases-exploring-the-potential-challenges
#15
Antonello Di Paolo, Elena Arrigoni
Generic drugs are important components of measures introduced by healthcare regulatory authorities to reduce treatment costs. In most patients and conditions the switch from a branded drug to its generic counterpart is performed with no major complications. However, evidence from complex diseases suggests that generic substitution requires careful evaluation in some settings and that current bioequivalence criteria may not always be adequate for establishing the interchangeability of branded and generic products...
February 20, 2018: Drugs
https://www.readbyqxmd.com/read/29464212/understanding-the-informational-needs-of-patients-with-ipf-and-their-caregivers-you-get-diagnosed-and-you-ask-this-question-right-away-what-does-this-mean
#16
Deepa Ramadurai, Stephanie Corder, Tara Churney, Bridget Graney, Andrea Harshman, Sarah Meadows, Jeffrey J Swigris
Background: Idiopathic pulmonary fibrosis (IPF) is a progressive, incurable lung disease whose intrusive symptoms rob patients of their quality of life. Patients with IPF rely on their caregivers for support and assistance in amounts that vary according to patients' individual circumstances and disease severity. Knowledgeable and well-informed patients and caregivers are best suited to deal with life-altering conditions like IPF. Methods: We conducted two hour-long focus groups with 13 patients with IPF and 4 caregivers of patients with IPF to better understand their informational needs and in what format such information should be delivered...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29464026/converging-blockchain-and-next-generation-artificial-intelligence-technologies-to-decentralize-and-accelerate-biomedical-research-and-healthcare
#17
Polina Mamoshina, Lucy Ojomoko, Yury Yanovich, Alex Ostrovski, Alex Botezatu, Pavel Prikhodko, Eugene Izumchenko, Alexander Aliper, Konstantin Romantsov, Alexander Zhebrak, Iraneus Obioma Ogu, Alex Zhavoronkov
The increased availability of data and recent advancements in artificial intelligence present the unprecedented opportunities in healthcare and major challenges for the patients, developers, providers and regulators. The novel deep learning and transfer learning techniques are turning any data about the person into medical data transforming simple facial pictures and videos into powerful sources of data for predictive analytics. Presently, the patients do not have control over the access privileges to their medical records and remain unaware of the true value of the data they have...
January 19, 2018: Oncotarget
https://www.readbyqxmd.com/read/29462194/enhancing-healthcare-accessibility-measurements-using-gis-a-case-study-in-seoul-korea
#18
Yeeun Kim, Young-Ji Byon, Hwasoo Yeo
With recent aging demographic trends, the needs for enhancing geo-spatial analysis capabilities and monitoring the status of accessibilities of its citizens with healthcare services have increased. The accessibility to healthcare is determined not only by geographic distances to service locations, but also includes travel time, available modes of transportation, and departure time. Having access to the latest and accurate information regarding the healthcare accessibility allows the municipal government to plan for improvements, including expansion of healthcare infrastructure, effective labor distribution, alternative healthcare options for the regions with low accessibilities, and redesigning the public transportation routes and schedules...
2018: PloS One
https://www.readbyqxmd.com/read/29462152/distance-accessibility-and-costs-decision-making-during-childbirth-in-rural-sierra-leone-a-qualitative-study
#19
Laura Treacy, Håkon A Bolkan, Mette Sagbakken
BACKGROUND: Sierra Leone has one of the highest maternal mortality ratios in the world. Efforts to reduce maternal mortality have included initiatives to encourage more women to deliver at health facilities. Despite the introduction of the free health care initiative for pregnant women, many women still continue to deliver at home, with few having access to a skilled birth attendant. In addition, inequalities between rural and urban areas in accessing and utilising health facilities persist...
2018: PloS One
https://www.readbyqxmd.com/read/29461991/technology-s-role-in-quality-improvement-and-operational-efficiency
#20
Judy Blauwet, Mandy Bell
Technology for technology's sake is never a good idea. There must be a purpose behind it. It must help us do our jobs better. Technology allows healthcare to remain affordable and, as such, accessible. Technology must increase access to care, improve safety, make test results more reliable, and help teams communicate better for a seamless care experience.Avera Health, a health system based in Sioux Falls, South Dakota, comprises 330 facilities in 100 communities in five states. Sponsored by the Benedictine and Presentation Sisters, Avera is a healthcare ministry whose employees deliver high-quality care with compassion...
April 2018: Frontiers of Health Services Management
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