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https://www.readbyqxmd.com/read/29928834/effectiveness-of-workplace-lactation-interventions-on-breastfeeding-outcomes-in-the-united-states-an-updated-systematic-review
#1
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
https://www.readbyqxmd.com/read/29928755/prophylactic-abdominal-drainage-for-pancreatic-surgery
#2
REVIEW
Wei Zhang, Sirong He, Yao Cheng, Jie Xia, Mingliang Lai, Nansheng Cheng, Zuojin Liu
BACKGROUND: The use of surgical drains has been considered mandatory after pancreatic surgery. The role of prophylactic abdominal drainage to reduce postoperative complications after pancreatic surgery is controversial. OBJECTIVES: To assess the benefits and harms of routine abdominal drainage after pancreatic surgery, compare the effects of different types of surgical drains, and evaluate the optimal time for drain removal. SEARCH METHODS: For the last version of this review, we searched CENTRAL (2016, Issue 8), and MEDLINE, Embase, Science Citation Index Expanded, and Chinese Biomedical Literature Database (CBM) to 28 August 2016)...
June 21, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29928630/a-classification-system-for-assessment-and-home-monitoring-of-tremor-in-patients-with-parkinson-s-disease
#3
Omid Bazgir, Seyed Amir Hassan Habibi, Lorenzo Palma, Paola Pierleoni, Saba Nafees
Background: Tremor is one of the most common symptoms of Parkinson's disease (PD), which is widely being used in the diagnosis procedure. Accurate estimation of PD tremor based on Unified PD Rating Scale (UPDRS) provides aid for physicians in prescription and home monitoring. This article presents a robust design of a classification system to estimate PD patient's hand tremors and the results of the proposed system as compared to the UPDRS. Methods: A smartphone accelerometer sensor is used for accurate and noninvasive data acquisition...
April 2018: Journal of Medical Signals and Sensors
https://www.readbyqxmd.com/read/29928122/the-effect-of-evening-primrose-oil-on-fatigue-and-quality-of-life-in-patients-with-multiple-sclerosis
#4
Nastaran Majdinasab, Foroogh Namjoyan, Mohsen Taghizadeh, Hamid Saki
Background: Multiple sclerosis (MS) is a chronic progressive and inflammatory disease of the central nervous system that is characterized by demyelination in the central nervous system. In regard to the prevalence of diseases and enormous costs imposed on society and the health system, finding a way to stop the progression of the disease using drugs with fewer side effects seems a serious sanitation issue to the health of the international community. This study aimed to evaluate the effect of evening primrose oil (EPO) on fatigue and quality of life in patients with MS...
2018: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/29928006/the-long-term-costs-for-treating-multiple-sclerosis-in-a-16-year-retrospective-cohort-study-in-brazil
#5
Isabela Maia Diniz, Augusto Afonso Guerra, Livia Lovato Pires de Lemos, Kathiaja M Souza, Brian Godman, Marion Bennie, Björn Wettermark, Francisco de Assis Acurcio, Juliana Alvares, Eli Iola Gurgel Andrade, Mariangela Leal Cherchiglia, Vânia Eloisa de Araújo
BACKGROUND: Multiple Sclerosis (MS) is a disease that appreciably impacts on the quality of life of patients and is associated with high expenditure. MS is a chronic multifactorial disease, characterized by inflammation, demyelination and axonal loss. The Brazilian public health system provides pharmacological treatment as well as hospital and outpatient care for patients with relapsing-remitting and secondary progressive multiple sclerosis. However, we are not aware of any previous publications assessing total direct medical costs in patients with a long follow-up within the Brazilian healthcare system...
2018: PloS One
https://www.readbyqxmd.com/read/29927952/variations-in-osteoporosis-medication-utilization-a-population-based-ecological-cross-sectional-study-in-the-region-of-valencia-spain
#6
Gabriel Sanfélix-Gimeno, María-Lirios Juliá-Sanchis, Julián Librero, Salvador Peiró, Aníbal García-Sempere
Little is known about the contextual variability in osteoporosis medication utilization. Our aims were 1) to describe variations in utilization and spending on osteoporotic medication between the Primary Care Health Zones (PHZ) of the Valencia region, Spain, 2) to analyze observed variations using Small Area Variation Analysis methods, and 3) to quantify the influence of the specialized care level on variations in utilization. We conducted a population-based cross-sectional ecological study of expenditure and utilization of five therapeutic groups marketed as osteoporosis treatments in Spain in 2009...
2018: PloS One
https://www.readbyqxmd.com/read/29927860/cost-effectiveness-of-a-bone-anchored-annular-closure-device-versus-conventional-lumbar-discectomy-in-treating-lumbar-disc-herniations
#7
Jared Ament, Zhuo Yang, Bart Thaci, Edwin Kulubya, Wellington Hsu, Gerrit Bouma, Kee D Kim
STUDY DESIGN: Cost-utility analysis of an annular closure device (ACD) based on data from a prospective, multicenter randomized controlled trial (RCT) OBJECTIVE.: Determine the cost-effectiveness of a novel ACD in a patient population at high risk for recurrent herniation following discectomy SUMMARY OF BACKGROUND DATA.: Lumbar disc herniation patients with annular defect widths ≥ 6 mm are at high risk for recurrent herniation following limited discectomy. Recurrent herniation is associated with worse clinical outcomes and greater healthcare costs...
June 20, 2018: Spine
https://www.readbyqxmd.com/read/29927779/leveraging-the-incidence-burden-and-fiscal-implications-of-unplanned-hospital-revisits-for-the-prioritization-of-prevention-efforts-in-pediatric-surgery
#8
Danielle B Cameron, Stephanie K Serres, Charity C Glass, Carly E Milliren, Dionne A Graham, Seema Anandalwar, Hariharan Thangarajah, Adam B Goldin, Matthew Hall, Shawn J Rangel
OBJECTIVE: To characterize procedure-level burden of revisit-associated resource utilization in pediatric surgery with the goal of establishing a prioritization framework for prevention efforts. SUMMARY OF BACKGROUND DATA: Unplanned hospital revisits are costly to the health care system and associated with lost productivity on behalf of patients and their families. Limited objective data exist to guide the prioritization of prevention efforts within pediatric surgery...
June 20, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29927723/application-of-response-surface-methodology-rsm-for-optimizing-coagulation-process-of-paper-recycling-wastewater-using-ocimum-basilicum
#9
Mohammad Reza Mosaddeghi, Farshid Pajoum Shariati, Seyed Ali Vaziri Yazdi, Gholamreza Nabi Bidhendi
The wastewater produced in a pulp and paper industry is one of the most polluted industrial wastewaters, and therefore its treatment requires complex processes. One of the simple and feasible processes in pulp and paper wastewater treatment is coagulation and flocculation. Overusing a chemical coagulant can produce a large volume of sludge and increase costs and health concerns. Therefore, the use of natural and plant-based coagulants has been recently attracted the attention of researchers. One of the advantages of using Ocimum basilicum as a coagulant is a reduction in the amount of chemical coagulant required...
June 21, 2018: Environmental Technology
https://www.readbyqxmd.com/read/29927711/a-systematic-review-of-asynchronous-provider-to-provider-electronic-consultation-services-to-improve-access-to-specialty-care-available-worldwide
#10
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
https://www.readbyqxmd.com/read/29927702/balancing-adherence-and-expense-the-cost-effectiveness-of-two-sample-vs-one-sample-fecal-immunochemical-test
#11
David H Smith, Maureen O'Keeffe Rosetti, David M Mosen, A Gabriela Rosales, Erin Keast, Nancy Perrin, Adrianne C Feldstein, Theodore R Levin, Elizabeth G Liles
Colorectal cancer (CRC) causes more than 50,000 deaths each year in the United States but early detection through screening yields survival gains; those diagnosed with early stage disease have a 5-year survival greater than 90%, compared to 12% for those diagnosed with late stage disease. Using data from a large integrated health system, this study evaluates the cost-effectiveness of fecal immunochemical testing (FIT), a common CRC screening tool. A probabilistic decision-analytic model was used to examine the costs and outcomes of positive test results from a 1-FIT regimen compared with a 2-FIT regimen...
June 21, 2018: Population Health Management
https://www.readbyqxmd.com/read/29927693/spontanuous-demand-for-meningococcal-b-vaccination-effects-on-appropriateness-and-timing
#12
A R Giuliani, A Mattei, A Appetiti, D Pompei, F Di Donna, F Fiasca, L Fabiani
When the meningococcus B vaccine was introduced into Italy in 2017, it was recommended for newborns based on national epidemiological data indicating that they were at greater risk. However, the vaccination service of the local health authority of L'Aquila had already been receiving spontaneous parental requests to provide vaccination for children in lower-risk age groups from the beginning of 2016. We therefore decided to use a self-administered questionnaire in order to investigate the parents' socio-demographic data; their children's history of other recommended vaccinations (against measles, mumps and rubella, varicella, meningococcus C and, for females, human papilloma virus); the information sources concerning meningococcal vaccination; and the timing of its administration...
June 21, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29927643/trends-in-homeless-children-and-young-adults-seeking-shelter-in-a-boston-pediatric-emergency-department-following-state-housing-policy-changes-2011-2016
#13
Mia Kanak, Amanda Stewart, Robert Vinci, Shanshan Liu, Megan Sandel
OBJECTIVES: To describe a trend in emergency department (ED) use by homeless children and young adults before and after a state housing policy change in 2012 and to quantify financial and time costs to the health care system. METHODS: We retrospectively reviewed de-identified electronic medical records of homeless children and young adults aged 0 to 21 years seeking shelter at an urban tertiary pediatric ED in Boston, Massachusetts, between September 1, 2011, and August 31, 2016...
June 21, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29927346/the-effect-of-medical-technology-innovations-on-patient-outcomes-1990-2015-results-of-a-physician-survey
#14
David E Wamble, Michael Ciarametaro, Robert Dubois
BACKGROUND: Developments in diagnostics, medical devices, procedures, and prescription drugs have increased life expectancy and quality of life after diagnosis for many diseases. Previous research has shown that, overall, increased investment in medical technology has led to increased health outcomes. In addition, the value of investment in specific innovations, particularly in new pharmaceuticals or biopharmaceuticals, has frequently been shown through an evaluation of the associated health outcomes and costs...
June 21, 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29926965/asking-different-questions-a-call-to-action-for-research-to-improve-the-quality-of-care-for-every-woman-every-child
#15
Holly P Kennedy, Melissa Cheyney, Hannah G Dahlen, Soo Downe, Maralyn J Foureur, Caroline S E Homer, Elaine Jefford, Alison McFadden, Michaela Michel-Schuldt, Jane Sandall, Hora Soltani, Anna M Speciale, Jennifer Stevens, Saraswathi Vedam, Mary J Renfrew
Despite decades of considerable economic investment in improving the health of families and newborns world-wide, aspirations for maternal and newborn health have yet to be attained in many regions. The global turn toward recognizing the importance of positive experiences of pregnancy, intrapartum and postnatal care, and care in the first weeks of life, while continuing to work to minimize adverse outcomes, signals a critical change in the maternal and newborn health care conversation and research prioritization...
June 21, 2018: Birth
https://www.readbyqxmd.com/read/29926960/international-comparisons-of-disparities-in-access-to-care-for-people-with-mental-health-conditions
#16
Lisa Corscadden, Emily J Callander, Stephanie M Topp
OBJECTIVE: Relatively little is known about experiences of barriers in access to overall care for people with mental health conditions (MHCs), or disparities between people with and without MHCs, or how patterns vary across countries. DATA AND METHOD: The 2016 Commonwealth Fund International Health Policy Survey of adults was used to compare access barriers for people with MHCs across 11 countries, and disparities within countries between people with and without an MHC, using normalized scores...
June 21, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29926473/nurse-led-versus-doctor-led-care-for-bronchiectasis
#17
REVIEW
Kathryn Lawton, Karen Royals, Kristin V Carson-Chahhoud, Fiona Campbell, Brian J Smith
BACKGROUND: Specialist nursing roles to manage stable disease populations are being used to meet the needs of both patients and health services. With increasing cost pressures on health departments, alternative models such as nurse-led care are gaining momentum as a substitute for traditional doctor-led care. This review evaluates the safety, effectiveness, and health outcomes of nurses practising in autonomous roles while using advanced practice skills, within the context of bronchiectasis management in subacute, ambulatory, and/or community care...
June 20, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29926252/health-public-sector-service-use-and-related-costs-of-swedish-preschool-children-results-from-the-children-and-parents-in-focus-trial
#18
Filipa Sampaio, Richard Ssegonja, Camilla Nystrand, Inna Feldman
Despite Sweden's good child health statistics, data on the mental health and wellbeing of Swedish preschool children is scarce and not routinely collected in healthcare. The study aimed to: identify the proportion of preschool children with mental health and somatic problems, the public sector services used by these children and whether they differ by type of problems, investigate whether other factors affect service use, and estimate the costs associated with these services. This study used cross-sectional data on a sample of 3175 children aged 3-5 from the "Children and Parents in Focus trial"...
June 20, 2018: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/29925405/adverse-event-detection-by-integrating-twitter-data-and-vaers
#19
Junxiang Wang, Liang Zhao, Yanfang Ye, Yuji Zhang
BACKGROUND: Vaccine has been one of the most successful public health interventions to date. However, vaccines are pharmaceutical products that carry risks so that many adverse events (AEs) are reported after receiving vaccines. Traditional adverse event reporting systems suffer from several crucial challenges including poor timeliness. This motivates increasing social media-based detection systems, which demonstrate successful capability to capture timely and prevalent disease information...
June 20, 2018: Journal of Biomedical Semantics
https://www.readbyqxmd.com/read/29925403/perceived-driving-safety-and-estimated-blood-alcohol-concentration-bac-the-morning-after-drinking-amongst-young-australians-attending-a-music-festival-a-cross-sectional-survey
#20
Mario Fernando, Johanna Buckland, Prashina Melwani, Vanessa Tent, Philip Preston, Sabrina Winona Pit
BACKGROUND: Alcohol-related motor vehicle crashes remain a significant and costly public health issue globally. Particularly young people are over-represented in these incidents. This study set out to explore the factors that influence individuals' perceptions of their safety to drive, and the factors related to a change in intention to drive. METHODS: Four hundred nine young people aged 18-40 attending an Australian multi-day music festival completed a survey measuring demographics, alcohol use, amount of sleep obtained the previous night, intention to drive, number of passengers, perceived safety to drive, estimated BAC (measured in g/210 L) and change in intention to drive following a BAC measurement via breathalysers...
June 20, 2018: Substance Abuse Treatment, Prevention, and Policy
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