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https://www.readbyqxmd.com/read/28877618/a-value-based-taxonomy-of-improvement-approaches-in-healthcare
#1
Christian Colldén, Ida Gremyr, Andreas Hellström, Daniella Sporraeus
Purpose The concept of value is becoming increasingly fashionable in healthcare and various improvement approaches (IAs) have been introduced with the aim of increasing value. The purpose of this paper is to construct a taxonomy that supports the management of parallel IAs in healthcare. Design/methodology/approach Based on previous research, this paper proposes a taxonomy that includes the dimensions of view on value and organizational focus; three contemporary IAs - lean, value-based healthcare, and patient-centered care - are related to the taxonomy...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28873220/patterns-and-predictors-of-frailty-transitions-in-older-men-the-osteoporotic-fractures-in-men-study
#2
Lauren R Pollack, Stephanie Litwack-Harrison, Peggy M Cawthon, Kristine Ensrud, Nancy E Lane, Elizabeth Barrett-Connor, Thuy-Tien Dam
OBJECTIVES: To describe the natural history of frailty transitions in a large cohort of community-dwelling older men and identify predictors associated with progression to or improvement from states of greater frailty. DESIGN: Prospective cohort study. SETTING: Six U.S. sites. PARTICIPANTS: Community-dwelling men aged 65 and older (N = 5,086). MEASUREMENTS: Frailty was measured at baseline and an average of 4...
September 5, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28845459/moderate-exercise-has-limited-but-distinguishable-effects-on-the-mouse-microbiome
#3
Emily V Lamoureux, Scott A Grandy, Morgan G I Langille
The gut microbiome is known to have a complex yet vital relationship with host health. While both exercise and the gut microbiome have been shown to impact human health independently, the direct effects of moderate exercise on the intestinal microbiota remain unclear. In this study, we compared gut microbial diversity and changes in inflammatory markers associated with exercise over an 8-week period in mice that performed either voluntary exercise (VE) (n = 10) or moderate forced exercise (FE) (n = 11) and mice that did not perform any exercise (n = 21)...
July 2017: MSystems
https://www.readbyqxmd.com/read/28838320/does-value-stream-mapping-affect-the-structure-process-and-outcome-quality-in-care-facilities-a-systematic-review
#4
Marina Nowak, Holger Pfaff, Ute Karbach
BACKGROUND: Quality improvement within health and social care facilities is needed and has to be evidence-based and patient-centered. Value Stream Mapping, a method of Lean management, aims to increase the patients' value and quality of care by a visualization and quantification of the care process. The aim of this research is to examine the effectiveness of Value Stream Mapping on structure, process, and outcome quality in care facilities. METHODS: A systematic review is conducted...
August 24, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28768569/tissue-cell-stress-response-to-obesity-and-its-interaction-with-late-gestation-diet
#5
Vivek Saroha, Neele S Dellschaft, Duane H Keisler, David S Gardner, Helen Budge, Sylvain P Sebert, Michael E Symonds
Intrauterine growth restriction in late pregnancy can contribute to adverse long-term metabolic health in the offspring. In the present study we used an animal (sheep) model of maternal dietary manipulation in late pregnancy, combined with exposure of the offspring to a low-activity, obesogenic environment after weaning, to characterise the effects on glucose homeostasis. Dizygotic twin-pregnant sheep were either fed to 60% of requirements (nutrient restriction (R)) or fed ad libitum (~140% of requirements (A)) from 110 days gestation until term (~147 days)...
August 3, 2017: Reproduction, Fertility, and Development
https://www.readbyqxmd.com/read/28757187/gout-and-risk-of-knee-replacement-for-severe-knee-osteoarthritis-in-the-singapore-chinese-health-study
#6
G G Teng, Y Y Leung, L-W Ang, J-M Yuan, W-P Koh
OBJECTIVE: While cross-sectional and retrospective case-control studies suggest that gout is associated with knee osteoarthritis (KOA), no prospective study has evaluated the risk of total knee replacement (TKR) for KOA in association with gout. We prospectively evaluated the association between gout and the risk of TKR due to severe KOA. DESIGN: We used data from the Singapore Chinese Health Study (SCHS), a prospective cohort with 63,257 Chinese adults aged 45-74 years at recruitment (1993-1998)...
July 27, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28753963/the-combined-intervention-with-germinated-vigna-radiata-and-aerobic-interval-training-protocol-is-an-effective-strategy-for-the-treatment-of-non-alcoholic-fatty-liver-disease-nafld-and-other-alterations-related-to-the-metabolic-syndrome-in-zucker-rats
#7
Garyfallia Kapravelou, Rosario Martínez, Elena Nebot, María López-Jurado, Pilar Aranda, Francisco Arrebola, Samuel Cantarero, Milagros Galisteo, Jesus M Porres
Metabolic syndrome (MetS) is a group of related metabolic alterations that increase the risk of developing non-alcoholic fatty liver disease (NAFLD). Several lifestyle interventions based on dietary treatment with functional ingredients and physical activity are being studied as alternative or reinforcement treatments to the pharmacological ones actually in use. In the present experiment, the combined treatment with mung bean (Vigna radiata), a widely used legume with promising nutritional and health benefits that was included in the experimental diet as raw or 4 day-germinated seed flour, and aerobic interval training protocol (65-85% VO₂ max) has been tested in lean and obese Zucker rats following a 2 × 2 × 2 (2 phenotypes, 2 dietary interventions, 2 lifestyles) factorial ANOVA (Analysis of Variance) statistical analysis...
July 19, 2017: Nutrients
https://www.readbyqxmd.com/read/28736455/using-kaizen-to-improve-employee-well-being-results-from-two-organizational-intervention-studies
#8
Ulrica von Thiele Schwarz, Karina M Nielsen, Terese Stenfors-Hayes, Henna Hasson
Participatory intervention approaches that are embedded in existing organizational structures may improve the efficiency and effectiveness of organizational interventions, but concrete tools are lacking. In the present article, we use a realist evaluation approach to explore the role of kaizen, a lean tool for participatory continuous improvement, in improving employee well-being in two cluster-randomized, controlled participatory intervention studies. Case 1 is from the Danish Postal Service, where kaizen boards were used to implement action plans...
August 2017: Human Relations; Studies Towards the Integration of the Social Sciences
https://www.readbyqxmd.com/read/28732569/high-insulin-like-growth-factor-binding-protein-1-igfbp-1-is-associated-with-low-relative-muscle-mass-in-older-women
#9
Frej Stilling, Sara Wallenius, Karl Michaëlsson, Christine Dalgård, Kerstin Brismar, Alicja Wolk
OBJECTIVE: Skeletal muscles serve several important roles in maintaining good health. Insulin-like growth factor-1 (IGF-1) is a promoter of protein synthesis in skeletal muscle. Its binding protein, Insulin-like growth factor-binding protein-1 (IGFBP-1) can be one determinant of IGF-1 activity. In the present study we investigate the association between serum IGFBP-1 and muscle mass. DESIGN: Cross-sectional analysis of 4908 women, between 55 and 85years old, participating in the Swedish Mammography Cohort-Clinical...
August 2017: Metabolism: Clinical and Experimental
https://www.readbyqxmd.com/read/28729709/sex-based-differences-in-the-association-between-body-composition-and-incident-fracture-risk-in-koreans
#10
Jung Hee Kim, A Ram Hong, Hyung Jin Choi, Eu Jeong Ku, Nam H Cho, Chan Soo Shin
The relative contribution of lean mass and fat mass on bone health is inconclusive. We investigated the relative contributions of lean and fat masses on fragility fracture risk in Korean men and women. This was an ongoing prospective community-dwelling cohort study at Ansung beginning in 2001, which included 2,189 men and 2,625 women over 40 years old. Study subjects were classified into the following four groups according to lean mass (LM)/height(2) and percentage fat mass (PF). Clinical fragility fracture events were assessed at baseline and biennially using self-reported questionnaires...
July 20, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28704429/effects-of-coconut-oil-on-glycemia-inflammation-and-urogenital-microbial-parameters-in-female-ossabaw-mini-pigs
#11
Annie E Newell-Fugate, Katherine Lenz, Cassandra Skenandore, Romana A Nowak, Bryan A White, Andrea Braundmeier-Fleming
Forty percent of American women are obese and at risk for type II diabetes, impaired immune function, and altered microbiome diversity, thus impacting overall health. We investigated whether obesity induced by an excess calorie, high fat diet containing hydrogenated fats, fructose, and coconut oil (HFD) altered glucose homeostasis, peripheral immunity, and urogenital microbial dynamics. We hypothesized that HFD would cause hyperglycemia, increase peripheral inflammation, and alter urogenital microbiota to favor bacterial taxonomy associated with inflammation...
2017: PloS One
https://www.readbyqxmd.com/read/28696961/current-body-composition-measurement-techniques
#12
Thaisa Lemos, Dympna Gallagher
PURPOSE OF REVIEW: The current article reviews the most innovative and precise, available methods for quantification of in-vivo human body composition. RECENT FINDINGS: Body composition measurement methods are continuously being perfected. Ongoing efforts involve multisegmental and multifrequency bioelectrical impedance analysis, quantitative magnetic resonance for total body water, fat, and lean tissue measurements, imaging to further define ectopic fat depots...
July 10, 2017: Current Opinion in Endocrinology, Diabetes, and Obesity
https://www.readbyqxmd.com/read/28672287/association-between-linear-growth-and-bone-accrual-in-a-diverse-cohort-of-children-and-adolescents
#13
Shana E McCormack, Diana L Cousminer, Alessandra Chesi, Jonathan A Mitchell, Sani M Roy, Heidi J Kalkwarf, Joan M Lappe, Vicente Gilsanz, Sharon E Oberfield, John A Shepherd, Karen K Winer, Andrea Kelly, Struan F A Grant, Babette S Zemel
Importance: Prevention of osteoporosis in adulthood begins with optimizing bone health in early life. The longitudinal association between growth and bone accretion during childhood is not fully understood. Objectives: To assess the acquisition of whole-body (WB) and skeletal site-specific bone mineral content (BMC) relative to linear growth in a healthy, diverse, longitudinal cohort of children, adolescents, and young adults and to test for differences related to sex and African American race...
September 5, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/28662129/maternal-gestational-weight-gain-and-objectively-measured-physical-activity-among-offspring
#14
Niko S Wasenius, Kimberly P Grattan, Alysha L J Harvey, Nick Barrowman, Gary S Goldfield, Kristi B Adamo
OBJECTIVE: Animal studies have suggested that maternal weight-related factors during pregnancy can program offspring physical activity in a sex-dependent manner. However, there is limited evidence in humans. The purpose of this study was to investigate the association between maternal gestational weight gain (GWG) and offspring total physical activity (TPA) level and to determine whether these associations are moderated by sex of offspring or maternal pre-pregnancy weight status. METHOD: We studied 56 boys (mean age = 3...
2017: PloS One
https://www.readbyqxmd.com/read/28646476/the-relationship-between-circulating-adiponectin-leptin-and-vaspin-with-bone-mineral-density-bmd-arterial-calcification-and-stiffness-a-cross-sectional-study-in-post-menopausal-women
#15
N Tanna, K Patel, A E Moore, D Dulnoan, S Edwards, G Hampson
OBJECTIVE: To explore the relationship between circulating adiponectin, leptin and vaspin with bone mineral density (BMD), arterial stiffness and vascular calcification in post-menopausal women. We hypothesised that adipokines produced by adipose tissue may be mediators of bone and cardiovascular disease (CVD) and explain, in part, the observed association between osteoporosis and CVD. DESIGN: We studied 386 ambulant community dwelling postmenopausal women aged (mean [SD] 61 [6...
June 23, 2017: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/28636161/infinity-sperm-storage-the-gift-that-keeps-on-giving
#16
Gauthier Schang, Beatriz Fernandez-Fuertes, Samantha C Lean, Alexandra L Nguyen, Osvaldo Bogado Pascottini
No abstract text is available yet for this article.
August 2017: Molecular Reproduction and Development
https://www.readbyqxmd.com/read/28629717/sarcopenia-screened-by-the-sarc-f-questionnaire-and-physical-performances-of-elderly-women-a-cross-sectional-study
#17
Yves Rolland, Charlotte Dupuy, Gabor Abellan Van Kan, Matteo Cesari, Bruno Vellas, Marie Faruch, Cedric Dray, Philipe de Souto Barreto
OBJECTIVES: Screening for sarcopenia in daily practice can be challenging. Our objective was to explore whether the SARC-F questionnaire is a valid screening tool for sarcopenia (defined by the Foundation for the National Institutes of Health [FNIH] criteria). Moreover, we evaluated the physical performance of older women according to the SARC-F questionnaire. DESIGN: Cross-sectional study. PARTICIPANTS: Data from the Toulouse and Lyon EPIDémiologie de l'OStéoporose study (EPIDOS) on 3025 women living in the community (mean age: 80...
June 16, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28591798/associations-among-body-size-across-the-life-course-adult-height-and-endometriosis
#18
L V Farland, S A Missmer, A Bijon, G Gusto, A Gelot, F Clavel-Chapelon, S Mesrine, M C Boutron-Ruault, M Kvaskoff
STUDY QUESTION: Are body size across the life course and adult height associated with endometriosis? SUMMARY ANSWER: Endometriosis is associated with lean body size during childhood, adolescence and adulthood; tall total adult height; and tall sitting height. WHAT IS KNOWN ALREADY: The literature suggests that both adult body size and height are associated with endometriosis risk, but few studies have investigated the role of body size across the life course...
August 1, 2017: Human Reproduction
https://www.readbyqxmd.com/read/28552386/tools-and-methods-for-quality-improvement-and-patient-safety-in-perinatal-care
#19
Amy T Nathan, Heather C Kaplan
The quality of health care is now recognized to vary widely in all medical specialties, including perinatal medicine. A national focus on quality improvement (QI) and patient safety is prompting providers to change and improve the care given to patients. All QI and safety efforts require the use of an improvement model to manage the complex process of improving care. This article reviews the most common frameworks in use today, including the Model for Improvement, Six Sigma, and Lean. Specific tools such as affinity, key driver and fishbone diagrams, process maps and statistical process control, as well as checklists are reviewed, with examples from the perinatal literature to illustrate their use in perinatal QI efforts...
April 2017: Seminars in Perinatology
https://www.readbyqxmd.com/read/28528621/using-lean-to-rapidly-and-sustainably-transform-a-behavioral-health-crisis-program-impact-on-throughput-and-safety
#20
Margaret E Balfour, Kathleen Tanner, Paul J Jurica, Dawn Llewellyn, Robert G Williamson, Chris A Carson
BACKGROUND: Lean has been increasingly applied in health care to reduce waste and improve quality, particularly in fast-paced and high-acuity clinical settings such as emergency departments. In addition, Lean's focus on engagement of frontline staff in problem solving can be a catalyst for organizational change. In this study, ConnectionsAZ demonstrates how they applied Lean principles to rapidly and sustainably transform clinical operations in a behavioral health crisis facility. METHODS: A multidisciplinary team of management and frontline staff defined values-based outcome measures, mapped the current and ideal processes, and developed new processes to achieve the ideal...
June 2017: Joint Commission Journal on Quality and Patient Safety
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