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https://www.readbyqxmd.com/read/27904842/the-challenges-of-cardiothoracic-surgery-practice-in-nigeria-a-12-years-institutional-experience
#1
Bode Falase, Michael Sanusi, Adeola Animasahun, Ogadinma Mgbajah, Adetinuwe Majekodunmi, Onyekwelu Nzewi, Jonathan Nwiloh, David Oke
BACKGROUND: Although the specialty of cardiothoracic surgery has been practiced in Nigeria for many years, open heart surgery (OHS) has only in the last decade become relatively more frequent, mainly through visiting foreign cardiac surgical teams. At this early phase of development it is faced with multiple challenges, especially financing and local skilled manpower for which solutions have to be identified in order to ensure sustainability and future growth. This study is aimed at highlighting these obstacles to growth of cardiothoracic surgery based on our own institutional experience at Lagos State University Teaching Hospital (LASUTH) and the current status of OHS activity in other cardiothoracic centers in Nigeria...
October 2016: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/27891413/cost-effective-recruitment-need-for-24x7-paediatricians-in-the-state-general-hospitals-in-relation-to-the-reduction-of-infant-mortality
#2
Ranjana Chatterjee, Sukanta Chatterjee
INTRODUCTION: According to World Health Organisation (WHO), improvement of hospital based care can have an impact of upto 30% in reducing Infant Mortality Rate (IMR), whereas, strengthening universal outreach and family-community based care is known to have a greater impact. The study intends to assess how far gaps in the public health facilities contribute towards infant mortality, as 2/3(rd) of infant mortality is due to suboptimum care seeking and weak health system. AIM: To identify cost-effectiveness of employment of additional paediatric manpower to provide round the clock skilled service to reduce IMR in the present state health facilities at the district general hospitals...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27888286/the-effectiveness-of-a-multidisciplinary-hip-fracture-care-model-in-improving-the-clinical-outcome-and-the-average-cost-of-manpower
#3
T W Lau, C Fang, F Leung
: After the implementation of the multidisciplinary geriatric hip fracture clinical pathway in 2007, the hospital length of stay and the clinical outcomes improves. Moreover, the cost of manpower for each hip fracture decreases. It proves that this care model is cost-effective. INTRODUCTION: The objective of this study is to compare the clinical outcomes and the cost of manpower before and after the implementation of the multidisciplinary geriatric hip fracture clinical pathway (GHFCP)...
November 26, 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27885590/payment-reform-needed-to-address-health-disparities-of-undiagnosed-diabetic-retinopathy-in-the-city-of-chicago
#4
Dustin D French, Jess J Behrens, Kathryn L Jackson, Abel N Kho, Theresa L Walunas, Charlesnika T Evans, Michael Mbagwu, Curtis E Margo, Paul J Bryar
INTRODUCTION: The Affordable Care Act (ACA) has expanded health coverage for thousands of Illinois residents. Expanded coverage, however, does not guarantee appropriate health care. Diabetes and its ocular complications serve as an example of how providers in underserved urban areas may not be able to keep up with new demand for labor- and technology-intensive health care unless changes in reimbursement policies are instituted. METHODS: A retrospective cohort study was conducted using medical encounter information from the Chicago HealthLNK Data Repository (HDR), an assembly of non-duplicated and de-identified patient medical records...
November 24, 2016: Ophthalmology and Therapy
https://www.readbyqxmd.com/read/27858502/prehospital-providers-perceptions-on-providing-patient-and-family-centered-care
#5
Emily M Ayub, Esther M Sampayo, Manish I Shah, Cara B Doughty
BACKGROUND: A gap exists in understanding a provider's approach to delivering care that is mutually beneficial to patients, families, and other providers in the prehospital setting. The purpose of this study was to identify attitudes, beliefs, and perceived barriers to providing patient and family centered care (PFCC) in the prehospital setting and to describe potential solutions for improving PFCC during critical pediatric events. METHODS: We conducted a qualitative, cross-sectional study of a purposive sample of Emergency Medical Technicians (EMTs) and paramedics from an urban, municipal, fire-based EMS system, who participated in the Pediatric Simulation Training for Emergency Prehospital Providers (PediSTEPPS) course...
November 18, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27854049/facility-evaluation-of-resigned-hospital-physicians-managerial-implications-for-hospital-physician-manpower
#6
Kao-Chi Cheng, Tsung-Lin Lee, Yen-Ju Lin, Chiu-Shong Liu, Cheng-Chieh Lin, Shih-Wei Lai
INTRODUCTION: Turnover of physicians might be responsible for reducing patients' trust and affecting hospital performance. This study aimed to understand physicians' psychological status regarding their hospital work environment and the resources of independent practitioners. METHOD: This was a cross-sectional study with 774 physicians who had resigned from hospitals and were now practicing privately in clinics in Taichung City as its study population. A mail survey with a multidimensional questionnaire was sent to each subject...
December 2016: BioMedicine
https://www.readbyqxmd.com/read/27849487/demographic-and-psychosocial-predictors-of-early-attrition-for-drug-use-in-u-s-marines
#7
Martin R White, Christopher J Phillips, Kartavya J Vyas, Lauren Bauer
OBJECTIVE: The objective of this study was to determine demographic and psychosocial predictors of early attrition for drug use in a cohort of U.S. Marines and the resulting lost person-days. METHOD: The study included data from 35,193 male Marines who completed a life history questionnaire during their first week of basic training. Associations between demographic and psychosocial variables with subsequent discharge for drug use were analyzed using logistic regression...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27849466/descriptive-characteristics-and-amputation-rates-with-use-of-intrepid-dynamic-exoskeleton-orthosis
#8
Owen Hill, Lakmini Bulathsinhala, Susan L Eskridge, Kimberly Quinn, Daniel J Stinner
Advancements in ankle-foot orthotic devices, such as the Intrepid Dynamic Exoskeletal Orthosis (IDEO), are designed to improve function and reduce pain of the injured lower extremity. There is a paucity of research detailing the demographics, injury patterns and amputation outcomes of patients who have been prescribed an IDEO. The purpose of this study was to describe the demographics, presenting diagnosis and patterns of amputation in patients prescribed an IDEO at the Center for the Intrepid (CFI). The study population was comprised of 624 service members who were treated at the CFI and prescribed an IDEO between 2009 and 2014...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27843830/international-classification-of-primary-care-2-coding-of-primary-care-data-at-the-general-out-patients-clinic-of-general-hospital-lagos-nigeria
#9
Olawunmi Abimbola Olagundoye, Kees van Boven, Chris van Weel
BACKGROUND: Primary care serves as an integral part of the health systems of nations especially the African continent. It is the portal of entry for nearly all patients into the health care system. Paucity of accurate data for health statistics remains a challenge in the most parts of Africa because of inadequate technical manpower and infrastructure. Inadequate quality of data systems contributes to inaccurate data. A simple-to-use classification system such as the International Classification of Primary Care (ICPC) may be a solution to this problem at the primary care level...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27843793/evaluation-of-performance-of-the-medical-research-department-in-research-naive-non-academic-hospital-an-audit
#10
Mukta Sunil Kuyare, Parag Vijayrao Sarve, Komal S Dalal, Raakhi K Tripathi
INTRODUCTION: Conducting medical research is not limited to academia and pharmaceutical industry but even multispeciality hospitals need to venture in this area along with patient care. To develop research culture among well-established non-acedemic hospital is always difficult and challenging task. This article attempts to evaluate the performance of the department in 'Research naïve' hospital in the last two years and review the strengths and challenges it faced at each step. METHODS: This was a retrospective document analysis study evaluating the steps towards setting and sustaining of Medical Research Department of Bhaktivedanta Hospital during the period of January 2013 to June 2015 (30 Months)...
October 2016: Perspectives in Clinical Research
https://www.readbyqxmd.com/read/27832477/pediatric-hematopoietic-stem-cell-transplantation-in-india-status-challenges-and-the-way-forward-based-on-dr-k-c-chaudhuri-oration-2016
#11
REVIEW
Vineet Govinda Gupta, Sameer Bakhshi
Hematopoietic stem cell transplantation (HSCT) refers to therapies that aim to eliminate a patient's hematopoietic and immune system and replace it with his own (autologous) or someone else's (allogenic) system. The applications of this therapy are vast and growing, and include several malignant and benign diseases incurable by any other existing modalities. Pediatric patients constitute a minority of HSCT recipients with unique concerns. Despite substantial progress in the last two decades, limitations due to financial, infrastructural, manpower and research constraints act as barriers to fulfilling the large need for pediatric HSCT services in our country...
November 10, 2016: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/27807806/a-pilot-study-of-a-hospital-based-injury-surveillance-system-in-a-secondary-level-district-hospital-in-india-lessons-learnt-and-way-ahead
#12
P V M Lakshmi, Jaya Prasad Tripathy, Nalinikanta Tripathy, Sunita Singh, Deepak Bhatia, Jagnoor Jagnoor, Rajesh Kumar
BACKGROUND: Reliable epidemiological information on injury burden and pattern is essential to formulate effective injury control and prevention strategies. Injury surveillance systems are globally gaining ground as a tool for collecting such systematic data on injuries, but less so in low and middle income countries. This study describes the experience of setting up a District Level Hospital-Based Injury Surveillance System in India and the pattern of injuries encountered therein. METHODS: A prospective study was conducted during Jan-Dec 2012 at the emergency department of a District Hospital in Fatehgarh Sahib in a North Indian state of Punjab...
December 2016: Injury Epidemiology
https://www.readbyqxmd.com/read/27790473/barriers-to-early-initiation-and-continuation-of-breastfeeding-in-a-tertiary-care-institute-of-haryana-a-qualitative-study-in-nursing-care-providers
#13
Jai Pal Majra, Vijay Kumar Silan
INTRODUCTION: Ever increasing institutional deliveries in India has shifted the responsibility of timely initiation and continuation of breastfeeding from peripheral health workers and families to the nursing care providers of health facilities where the births take place. While institutional deliveries have increased to 72.6%, only 44.6% of the newborns enjoy early breastfeeding in India. AIM: To study the barriers to early initiation of breastfeeding in institutional delivery...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27790343/approaches-in-health-human-resource-forecasting-a-roadmap-for-improvement
#14
REVIEW
Sima Rafiei, Rafat Mohebbifar, Fariba Hashemi, Mohammad Ranjbar Ezzatabadi, Fereshteh Farzianpour
INTRODUCTION: Forecasting the demand and supply of health manpower in an accurate manner makes appropriate planning possible. The aim of this paper was to review approaches and methods for health manpower forecasting and consequently propose the features that improve the effectiveness of this important process of health manpower planning. METHODS: A literature review was conducted for studies published in English from 1990-2014 using Pub Med, Science Direct, Pro Quest, and Google Scholar databases...
September 2016: Electronic Physician
https://www.readbyqxmd.com/read/27759914/a-retrospective-case-series-of-318-tracheostomy-related-adverse-events-over-6-years-a-scottish-context
#15
Harriet Mortimer, Haytham Kubba
The National Confidential Enquiry into Patient Outcome and Death recently conducted a large, robust study investigating tracheostomy care for patients in England, Wales and Northern Ireland. They found up to 31% of tracheostomy patients experience a complication at some stage in their care, many of which were serious. This study aims to explore the nature of adverse events and complications affecting tracheostomy patients across the diverse hospitals of NHS Greater Glasgow and Clyde (NHSGGC) including both adult and paediatric populations over a 6-year period between 2008 and 2014...
October 19, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27731798/eco-hab-as-a-fully-automated-and-ecologically-relevant-assessment-of-social-impairments-in-mouse-models-of-autism
#16
Alicja Puścian, Szymon Łęski, Grzegorz Kasprowicz, Maciej Winiarski, Joanna Borowska, Tomasz Nikolaev, Paweł M Boguszewski, Hans-Peter Lipp, Ewelina Knapska
Eco-HAB is an open source, RFID-based system for automated measurement and analysis of social preference and in-cohort sociability in mice. The system closely follows murine ethology. It requires no contact between a human experimenter and tested animals, overcoming the confounding factors that lead to irreproducible assessment of murine social behavior between laboratories. In Eco-HAB, group-housed animals live in a spacious, four-compartment apparatus with shadowed areas and narrow tunnels, resembling natural burrows...
October 12, 2016: ELife
https://www.readbyqxmd.com/read/27712746/setting-the-goals-in-the-management-of-mutilated-injuries-of-the-hand-impressions-based-on-the-ganga-hospital-experience
#17
S Raja Sabapathy, Praveen Bhardwaj
Mutilated injuries need to be treated aggressively and appropriately to avoid amputation or severe disability in the individual. Assessment of the management of these injuries on a global level reveals that there is a gap between the need and availability of the skilled manpower to manage these injuries. There is also a gap in the utilization of the available services. These gaps need to be covered or narrowed as far as possible. Although some measures need policy changes and improvement of health care delivery infrastructure, simpler measures taken at the final health care delivery level can significantly improve the final outcome...
November 2016: Hand Clinics
https://www.readbyqxmd.com/read/27702408/-effectiveness-of-lifestyle-apps-not-yet-proven
#18
N H Chavannes
In a systematic review in the Dutch Journal of Medicine (NTvG), Dallinga et al. look for an answer to the societally relevant question of whether mobile apps are proven to lead to a more active and healthy lifestyle. Decision makers in healthcare have high expectations of eHealth, a field where scientific evidence sometimes seems overruled merely by the opinions of self-declared 'futurists'. Commonly, eHealth is propelled forward as the solution to the lack of manpower in healthcare, given the expected rise of chronic disease...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27689584/ergonomic-workplace-assessment-in%C3%A2-orthotic-and-prosthetic-workshops
#19
H Salmani Nodooshan, S Koohi Booshehri, H Daneshmandi, A R Choobineh
BACKGROUND: In Iranian orthotic and prosthetic workshops, the majority of activities are carried out by manpower and the tasks are labor-intensive. In these workshops, ergonomic aspects of working conditions are seldom considered. OBJECTIVE: This study was conducted in orthotic and prosthetic workshops with the objectives of determination of prevalence rate of MSDs among employees and assessment of ergonomics working conditions. METHODS: In this cross-sectional study, all employees (n = 42; 29 males and 13 females) in 11 active orthotic and prosthetic production centers of Shiraz city participated...
October 17, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/27688874/medical-education-in-israel-2016-five-medical-schools-in-in-a-period-of-transition
#20
Shmuel Reis, Jacob Urkin, Rachel Nave, Rosalie Ber, Amitai Ziv, Orit Karnieli-Miller, Dafna Meitar, Peter Gilbey, Dror Mevorach
ABSTRACT: We reviewed the existing programs for basic medical education (BME) in Israel as well as their output, since they are in a phase of reassessment and transition. The transition has been informed, in part, by evaluation in 2014 by an International Review Committee (IRC). The review is followed by an analysis of its implications as well as the emergent roadmap for the future. The review documents a trend of modernizing, humanizing, and professionalizing Israeli medical education in general, and BME in particular, independently in each of the medical schools...
2016: Israel Journal of Health Policy Research
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