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https://www.readbyqxmd.com/read/29457244/the-different-moral-bases-of-patient-and-surrogate-decision-making
#1
Daniel Brudney
My topic is a problem with our practice of surrogate decision-making in health care, namely, the problem of the surrogate who is not doing her job-the surrogate who cannot be reached or the surrogate who seems to refuse to understand or to be unable to understand the clinical situation. The analysis raises a question about the surrogate who simply disagrees with the medical team. One might think that such a surrogate is doing her job-the team just doesn't like how she is doing it. My analysis raises the question of whether (or perhaps when) she should be overridden...
January 2018: Hastings Center Report
https://www.readbyqxmd.com/read/29431755/simplified-determination-of-complex-stoichiometry-for-colorimetric-metal-indicators-by-inkjet-printing
#2
Kento Kuwahara, Kentaro Yamada, Koji Suzuki, Daniel Citterio
This paper presents the determination of complex binding stoichiometry for colorimetric metal indicators according to the Job plot method by means of an office inkjet printer in combination with digital colour analysis. In contrast to the conventional solution-based analysis involving manual preparation of many mixed solutions, the elaborated inkjet-based approach allows convenient automated mixing of metal salt and indicator solutions in various ratios on a paper substrate. Inkjet-deposited liquid volumes and mixing ratios were controlled by simple colour value setting on a PC...
February 12, 2018: Analyst
https://www.readbyqxmd.com/read/29428627/-competency-requirements-for-executives-in-healthcare-and-social-services-organizations-results-of-a-delphi-study
#3
Martin Pielach, Hans-Joachim Schubert
BACKGROUND: Leadership in social services and healthcare organizations is marked by high levels of complexity and contradiction, which cannot be fully explained by politically, economically, and socially induced changes. Rather, it is the particularities of service provision in healthcare and social services that confront executives with specific demands. OBJECTIVE: This study aimed to capture and prioritize required leadership competencies in healthcare and social services organizations...
February 7, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/29420700/the-role-of-sex-gender-health-factors-and-job-context-in-workplace-accommodation-use-among-men-and-women-with-arthritis
#4
Monique A M Gignac, Selahadin Ibrahim, Peter M Smith, Vicki Kristman, Dorcas E Beaton, Cameron A Mustard
Background: With the aging of populations in many countries, workers are expected to remain employed longer but may struggle with the onset of common, chronic conditions like arthritis. To date, few studies have examined workplace policies and practices that could help accommodate individuals with arthritis, and fewer still have used a sex and gender-based approach to explore similarities and differences between women and men. Objectives: This study compared the health and work contexts of workers aged ≥50 years to better understand similarities and differences between women and men in accommodation availability, need, use, and unmet needs...
February 6, 2018: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/29389730/biomarkers-and-asthma-management-analysis-and-potential-applications
#5
Levi B Richards, Anne H Neerincx, Job J M H van Bragt, Peter J Sterk, Elisabeth H D Bel, Anke H Maitland-van der Zee
PURPOSE OF REVIEW: Asthma features a high degree of heterogeneity in both pathophysiology and therapeutic response, resulting in many asthma patients being treated inadequately. Biomarkers indicative of underlying pathological processes could be used to identify disease subtypes, determine prognosis and to predict or monitor treatment response. However, the newly identified as well as more established biomarkers have different applications and limitations. RECENT FINDINGS: Conventional markers for type 2-high asthma, such as blood eosinophils, fraction of exhaled nitric oxide, serum IgE and periostin, feature limited sensitivity and specificity despite their significant correlations...
January 31, 2018: Current Opinion in Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/29381838/supporting-arthritis-and-employment-across-the-life-course-a-qualitative-study
#6
Arif Jetha, Monique A M Gignac, Julie Bowring, Sean Tucker, Catherine E Connelly, Laurie Proulx, Kathleen A Martin Ginis
OBJECTIVE: To examine the need, availability and use of formal and informal workplace resources, and uncover differences across the life course for adults with arthritis. METHOD: Focus groups and interviews were conducted with young (ages 18 to 34 years, n = 7), middle-aged (ages 35 to 54 years, n = 13) and older adults (>55 years, n = 25) living with inflammatory arthritis, osteoarthritis, or other rheumatic disease diagnosis. Participants were asked about their employment experiences, formal and informal workplace resource needs, and availability and usage of workplace resources...
January 30, 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29366916/employer-attitudes-towards-general-health-checks-and-hiv-testing-in-the-workplace
#7
H Blake, A Banerjee, C Evans
OBJECTIVE: There is a need to increase HIV testing rates in the UK. One approach is to increase access to testing through general health checks (GHCs) in the workplace. However, it is unclear whether GHCs are routinely offered by organisations, and employer perceptions of HIV testing are largely unknown. STUDY DESIGN: Online survey to assess attitudes towards and provision of general health checks and HIV testing in the workplace. METHODS: Ninety-eight employers from 25 job sectors completed an online survey...
January 19, 2018: Public Health
https://www.readbyqxmd.com/read/29365340/towards-implementation-of-omop-in-a-german-university-hospital-consortium
#8
C Maier, L Lang, H Storf, P Vormstein, R Bieber, J Bernarding, T Herrmann, C Haverkamp, P Horki, J Laufer, F Berger, G Höning, H W Fritsch, J Schüttler, T Ganslandt, H U Prokosch, M Sedlmayr
BACKGROUND:  In 2015, the German Federal Ministry of Education and Research initiated a large data integration and data sharing research initiative to improve the reuse of data from patient care and translational research. The Observational Medical Outcomes Partnership (OMOP) common data model and the Observational Health Data Sciences and Informatics (OHDSI) tools could be used as a core element in this initiative for harmonizing the terminologies used as well as facilitating the federation of research analyses across institutions...
January 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29336223/assessment-of-safety-culture-among-job-positions-in-high-rise-construction-a-hybrid-fuzzy-multi-criteria-decision-making-fmcdm-approach
#9
A Ardeshir, M Mohajeri
The construction industry is known as one of the most dangerous industries, which not only requires sound operation of executive laws and regulations, but also necessitates the safety culture of all workers at workshops. Therefore, the aim of this research is to identify the factors of safety culture and ranking occupations in jobsites based on those factors in order to proactively improve the safety culture of construction projects and subsequently promote safety conditions and worksites. In this study, safety culture criteria are weighted by a combination of Fuzzy Decision Trail and Evaluation Laboratory and Fuzzy ANP methods...
January 16, 2018: International Journal of Injury Control and Safety Promotion
https://www.readbyqxmd.com/read/29335671/feasibility-acceptability-and-preliminary-effectiveness-of-a-4-week-mindfulness-based-cognitive-therapy-protocol-for-hospital-employees
#10
Christina M Luberto, Rachel S Wasson, Kristen M Kraemer, Richard W Sears, Carly Hueber, Sian Cotton
Hospital employees may experience occupational stress and burnout, which negatively impact quality of life and job performance. Evidence-based interventions implemented within the hospital setting are needed to promote employees' well-being. We offered a 4-week Mindfulness-Based Cognitive Therapy group program for hospital employees, and used a mixed-methods practice-based research approach to explore feasibility, acceptability, and effects on stress and burnout. Participants were 65 hospital employees (Mage = 44...
December 2017: Mindfulness
https://www.readbyqxmd.com/read/29331655/what-makes-it-so-difficult-for-nurses-to-coach-patients-in-shared-decision-making-a-process-evaluation
#11
Stephanie Anna Lenzen, Ramon Daniëls, Marloes Amantia van Bokhoven, Trudy van der Weijden, Anna Beurskens
BACKGROUND: Primary care nurses play a crucial role in coaching patients in shared decision making about goals and actions. This presents a challenge to practice nurses, who are frequently used to protocol-based working routines. Therefore, an approach was developed to support nurses to coach patients in shared decision making. OBJECTIVES: To investigate how the approach was implemented and experienced by practice nurses and patients. DESIGN: A process evaluation was conducted using quantitative and qualitative methods...
December 16, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29319920/employee-attitudes-toward-aggression-in-persons-with-dementia-readiness-for-wider-adoption-of-person-centered-frameworks
#12
Vanessa Louise Burshnic, Natalie Douglas, Robert Michael Barker
INTRODUCTION: Implementing person-centered care requires shared attitudes, beliefs, and values among all care employees. Existing research has failed to examine the attitudes of non-nursing employees. AIM: This study examined attitudes toward aggression among nursing and non-nursing employees to address gaps in existing research and assess readiness for wider adoption of person-centered frameworks. METHOD: The Management of Aggression in People with Dementia Attitude Questionnaire was used to survey attitudes of employees in Michigan-based nursing homes...
January 10, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29297401/improving-data-quality-across-3-sub-saharan-african-countries-using-the-consolidated-framework-for-implementation-research-cfir-results-from-the-african-health-initiative
#13
Sarah Gimbel, Moses Mwanza, Marie Paul Nisingizwe, Cathy Michel, Lisa Hirschhorn
BACKGROUND: High-quality data are critical to inform, monitor and manage health programs. Over the seven-year African Health Initiative of the Doris Duke Charitable Foundation, three of the five Population Health Implementation and Training (PHIT) partnership projects in Mozambique, Rwanda, and Zambia introduced strategies to improve the quality and evaluation of routinely-collected data at the primary health care level, and stimulate its use in evidence-based decision-making. Using the Consolidated Framework for Implementation Research (CFIR) as a guide, this paper: 1) describes and categorizes data quality assessment and improvement activities of the projects, and 2) identifies core intervention components and implementation strategy adaptations introduced to improve data quality in each setting...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29297287/scaling-bioinformatics-applications-on-hpc
#14
Mike Mikailov, Fu-Jyh Luo, Stuart Barkley, Lohit Valleru, Stephen Whitney, Zhichao Liu, Shraddha Thakkar, Weida Tong, Nicholas Petrick
BACKGROUND: Recent breakthroughs in molecular biology and next generation sequencing technologies have led to the expenential growh of the sequence databases. Researchrs use BLAST for processing these sequences. However traditional software parallelization techniques (threads, message passing interface) applied in newer versios of BLAST are not adequate for processing these sequences in timely manner. METHODS: A new method for array job parallelization has been developed which offers O(T) theoretical speed-up in comparison to multi-threading and MPI techniques...
December 28, 2017: BMC Bioinformatics
https://www.readbyqxmd.com/read/29284273/a-double-whammy-new-baccalaureate-registered-nurses-transitions-into-rural-acute-care
#15
Jean Smith, Virginia Vandall-Walker
INTRODUCTION: Transitioning into the Canadian rural acute care environment can be challenging for new RNs, and so retention is of concern. Currently, few seasoned registered nurses (RNs) are available to support new RNs during transition because (a) the Canadian RN workforce countrywide is aging and significant numbers are retiring, and (b) the number of Canadian RNs working rurally has plummeted in the past 10 years. Investigations into the phenomenon of new RNs\' transitions into the workforce have been conducted, but little is known about this phenomenon as it relates to Canadian rural acute care hospitals...
December 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29282814/assessment-of-job-satisfaction-in-people-with-intellectual-disabilities-towards-best-practice-recommendations
#16
Andreas Kocman, Germain Weber
BACKGROUND: The current body of research on job satisfaction of people with intellectual disability is based on highly diverse measures, originating both from the general population and people with intellectual disability. This heterogeneity represents a possible confounder. Best-practice approaches for the assessment of job satisfaction are hence needed. METHOD: Using systematic literature review, job satisfaction measures were identified and analyzed with regard to their applicability for people with intellectual disability...
December 28, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/29280778/perceptions-of-integration-of-the-clinical-pharmacist-into-the-pcmh-model-by-the-pcmh-team
#17
M Shawn McFarland, Kristen Lamb, Jonathan Hughes, Ashley Thomas, Justin Gatwood, Jacob Hathaway
INTRODUCTION: The patient-centered medical home (PCMH) model is a multidisciplinary, team-based approach to healthcare that focuses on actively involving the patient in clinical decision making. The Veterans Health Administration (VA), while desiring to be a national leader in the delivery of primary care services, used the principles of the PCMH model to design the patient-aligned care team (PACT). The purpose of this study, was to explore the perception of the PACT members after integration of a clinical pharmacist to the PACT...
December 22, 2017: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/29277970/personality-and-breast-cancer-screening-in-women-of-the-gazel-cohort-study
#18
Cédric Lemogne, Monica Turinici, Henri Panjo, Charlotte Ngo, Florence Canoui-Poitrine, Jean-Christophe Chauvet-Gelinier, Frédéric Limosin, Silla M Consoli, Marcel Goldberg, Marie Zins, Virginie Ringa
The potential benefit of breast cancer screening is mitigated by the risk of false positives and overdiagnosis, thus advocating for a more personalized approach, based on the individual benefit-harm balance. Since personality might influence the women's appraisal of this balance, this prospective observational cohort study examined whether it could influence mammography use. A total of 2691 postmenopausal women of the GAZEL Cohort Study completed the Bortner Type A Rating Scale and the Buss and Durkee Hostility Inventory in 1993...
December 26, 2017: Cancer Medicine
https://www.readbyqxmd.com/read/29277357/french-guidelines-on-stereoelectroencephalography-seeg
#19
REVIEW
Jean Isnard, Delphine Taussig, Fabrice Bartolomei, Pierre Bourdillon, Hélène Catenoix, Francine Chassoux, Mathilde Chipaux, Stéphane Clémenceau, Sophie Colnat-Coulbois, Marie Denuelle, Stéphane Derrey, Bertrand Devaux, Georg Dorfmüller, Vianney Gilard, Marc Guenot, Anne-Sophie Job-Chapron, Elisabeth Landré, Axel Lebas, Louis Maillard, Aileen McGonigal, Lorella Minotti, Alexandra Montavont, Vincent Navarro, Anca Nica, Nicolas Reyns, Julia Scholly, Jean-Christophe Sol, William Szurhaj, Agnès Trebuchon, Louise Tyvaert, Maria Paola Valenti-Hirsch, Luc Valton, Jean-Pierre Vignal, Paul Sauleau
Stereoelectroencephalography (SEEG) was designed and developed in the 1960s in France by J. Talairach and J. Bancaud. It is an invasive method of exploration for drug-resistant focal epilepsies, offering the advantage of a tridimensional and temporally precise study of the epileptic discharge. It allows anatomo-electrical correlations and tailored surgeries. Whereas this method has been used for decades by experts in a limited number of European centers, the last ten years have seen increasing worldwide spread of its use...
December 22, 2017: Neurophysiologie Clinique, Clinical Neurophysiology
https://www.readbyqxmd.com/read/29233243/pilot-mental-health-negative-life-events-and-improving-safety-with-peer-support-and-a-just-culture
#20
Sanne Mulder, Diederik de Rooy
BACKGROUND: In the last 35 yr, 17 commercial aviation accidents and incidents, with 576 fatalities, could likely have been attributed to mental disease of a pilot. Screening tools for mental health risks in airline pilots are needed. There is growing interest in pilot peer-support programs and how to incorporate them in a just culture, meaning that pilots can report mental health complaints without a risk of job or income loss. We combined findings from aviation accidents and incidents with a search of scientific literature to provide data-based recommendations for screening, peer-support, and a just culture approach to mental health problems...
January 1, 2018: Aerospace Medicine and Human Performance
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