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https://www.readbyqxmd.com/read/29054747/u-s-army-physical-demands-study-identification-and-validation-of-the-physically-demanding-tasks-of-combat-arms-occupations
#1
Marilyn A Sharp, Bruce S Cohen, Michael W Boye, Stephen A Foulis, Jan E Redmond, Kathleen Larcom, Jay R Hydren, Deborah L Gebhardt, Maria C Canino, Bradley J Warr, Edward J Zambraski
OBJECTIVES: In 2013, the U.S. Army began developing physical tests to predict a recruit's ability to perform the critical, physically demanding tasks (CPDTs) of combat arms jobs previously not open to women. The purpose of this paper is to describe the methodology and results of analyses of the accuracy and inclusiveness of the critical physically demanding task list. While the job analysis included seven combat arms jobs, only data from the 19D Cavalry Scout occupation are presented as the process was similar for all seven jobs...
October 5, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29052316/does-an-intervention-designed-to-improve-self-management-social-support-and-awareness-of-palliative-care-address-needs-of-persons-with-heart-failure-family-caregivers-and-clinicians
#2
Margaret Sebern, Nasir Sulemanjee, Mark J Sebern, Mauricio Garnier-Villarreal, Carol J Whitlatch
AIMS AND OBJECTIVES: The study aims were to conduct a formative evaluation of the iPad-Enhanced Shared Care Intervention for Partners (iSCIP) among persons with heart failure (HF), family caregivers, and clinicians. Together, persons with HF and family caregivers are referred to as partners. BACKGROUND: There is growing awareness of the caregiver's contributions to HF self-management, social support, and reciprocal benefits of interventions that involve both partners...
October 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29052083/patient-specific-devices-and-population-level-evidence-evaluating-therapeutic-interventions-with-inherent-variation
#3
Mary Jean Walker
Designing and manufacturing medical devices for specific patients is becoming increasingly feasible with developments in 3D printing and 3D imaging software. This raises the question of how patient-specific devices can be evaluated, since our 'gold standard' method for evaluation, the randomised controlled trial (RCT), requires that an intervention is standardised across a number of individuals in an experimental group. I distinguish several senses of patient-specific device, and focus the discussion on understanding the problem of variations between instances of an intervention for RCT evaluation...
October 19, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/29050539/sustaining-care-for-a-parent-with-dementia-an-indefinite-and-intertwined-process
#4
Amy S Hwang, Lena Rosenberg, Pia Kontos, Jill I Cameron, Alex Mihailidis, Louise Nygård
This study aimed to understand how adult children sustain caring for persons with dementia (PwDs) within their family and formal care contexts in Canada. Half-day focus groups were conducted with adult daughters and adult sons in Toronto, Canada. Using constructivist grounded theory, we examined both substantive concepts and group dynamics. Sustaining care was interpreted as an indefinite process with three intertwined themes: reproducing care demands and dependency, enacting and affirming values, and "flying blind" in how and how long to sustain caring (i...
2017: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29050063/-update-in-obstetric-anesthesia-tried-and-trusted-methods-controversies-and-new-perspectives-part-1
#5
Peter Kranke, Thorsten Annecke, Dorothee H Bremerich, Daniel Chappell, Thierry Girard, Wiebke Gogarten, Robert Hanß, Lutz Kaufner, Sophie Neuhaus, Tobias Ninke, Thomas Standl, Stefan Weber, Yvonne Jelting, Thomas Volk
Since 1975, a plethora of lectures within the context of annual meetings relevant for the clinical care has been summarized in "what's new in obstetric anesthesia" by the Society for Obstetric Anesthesia and Perinatology which can be recommended to everyone interested in anaesthesiology in the delivery room. After the death of Gerard W. Ostheimer, Professor of Anaesthesiology at Brigham and Women's Hospital in Boston, Massachusetts, it became renamed the Gerard W. Ostheimer "what's new in obstetric anesthesia" lecture to honor his contributions to regional anesthesia and obstetric anaesthesia...
October 2017: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/29049076/fatigue-risk-management-the-impact-of-anesthesiology-residents-work-schedules-on-job-performance-and-a-review-of-potential-countermeasures
#6
Lily R Wong, Erin Flynn-Evans, Keith J Ruskin
Long duty periods and overnight call shifts impair physicians' performance on measures of vigilance, psychomotor functioning, alertness, and mood. Anesthesiology residents typically work between 64 and 70 hours per week and are often required to work 24 hours or overnight shifts, sometimes taking call every third night. Mitigating the effects of sleep loss, circadian misalignment, and sleep inertia requires an understanding of the relationship among work schedules, fatigue, and job performance. This article reviews the current Accreditation Council for Graduate Medical Education guidelines for resident duty hours, examines how anesthesiologists' work schedules can affect job performance, and discusses the ramifications of overnight and prolonged duty hours on patient safety and resident well-being...
October 17, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29048988/developmental-strategy-for-a-new-group-a-meningococcalconjugate-vaccine-menafrivac-r
#7
Prasad S Kulkarni, Suresh S Jadhav, F Marc LaForce
Until recently, periodic Group A meningococcal meningitis outbreaks were a major public health problem in the sub-Saharan Africa. In 2001, the Meningitis Vaccine Project (MVP), a partnership between the World Health Organization (WHO) and PATH, a Seattle-based NGO, and the Serum Institute of India Pvt Ltd (SIIPL) initiated discussions aimed at establishing a collaborationto develop a Group A meningococcal conjugate vaccine for this unmet medical need. Over the next 8 years the partnership made countless strategic decisions about product characteristics, raw materials, potential target populations, geographic prioritization and affordability of the vaccine to name a few...
October 19, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29048447/strategies-for-disease-prevention-and-health-promotion-in-urban-areas-the-erice-50-charter
#8
D D'Alessandro, S Arletti, A Azara, M Buffoli, L Capasso, A Cappuccitti, A Casuccio, A Cecchini, G Costa, A M De Martino, M Dettori, E Di Rosa, G M Fara, M Ferrante, G Giammanco, A Lauria, G Melis, U Moscato, I Oberti, C Patrizio, M G Petronio, A Rebecchi, V Romano Spica, G Settimo, C Signorelli, S Capolongo
The Erice 50 Charter titled "Strategies for Diseases Prevention and Health Promotion in Urban Areas" was unanimously approved at the conclusion of the 50th Residential Course "Urban Health. Instruments for promoting health and for assessing hygienic and sanitary conditions in urban areas", held from 29th March to 2nd April 2017 in Erice, at the "Ettore Majorana" Foundation and Centre for Scientific Culture and promoted by the International School of Epidemiology and Preventive Medicine "G. D'Alessandro" and the Study Group "Building Hygiene" of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI)...
November 2017: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/29048264/counseling-parents-at-risk-of-delivery-of-an-extremely-premature-infant-differing-strategies
#9
Marlyse F Haward, Annie Janvier, John M Lorenz, Baruch Fischhoff
BACKGROUND: It is not known how neonatologists address the affective and cognitive loads on parents deciding whether to resuscitate infants born extremely preterm. This study explores expert neonatologists' views on these decision-making processes and their own roles in counseling parents. METHODS: Semi-structured interviews asked internationally recognized experts to share their perspectives on perinatal consultations. Their responses were subjected to thematic analysis...
October 19, 2017: AJOB Empirical Bioethics
https://www.readbyqxmd.com/read/29048239/community-priorities-for-healthy-eating-in-older-adults
#10
Qianzhi Jiang, Nancy L Cohen, Melissa Ventura Marra, Kathleen Woolf, Judith Gilbride, Sarah L Francis
Community planners such as policymakers and health care and nutrition service providers can create an "age-friendly" environment to support healthy eating in older residents by addressing the highest priorities that enable older adults to improve their dietary intake through different food-related community settings. To identify and prioritize these factors that facilitate behavioral change (enablers) and behavioral settings important for older adult nutrition based on the social ecological model, nutrition and aging professionals (n = 30) from two rural (West Virginia, Iowa) and two urban (Massachusetts, New York) city/county regions (communities) participated in an online or live focus group discussion and completed an analytic hierarchy process survey online...
October 19, 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29048193/the-intersectionality-framework-and-identity-intersections-in-the-journal-of-counseling-psychology-and-the-counseling-psychologist-a-content-analysis
#11
Richard Q Shin, Jamie C Welch, Aylin E Kaya, Jeffrey G Yeung, Chynna Obana, Rajni Sharma, Collin N Vernay, Stephanie Yee
The framework of intersectionality is a powerful analytical tool for making sense of how interlocking systems of privilege and oppression are experienced by individuals and groups. Despite the long history of the concept, intersectionality has only recently gained attention in psychology. We conducted a content analysis to assess counseling psychology's engagement with an intersectional perspective. All articles published in the Journal of Counseling Psychology (n = 4,800) and The Counseling Psychologist (n = 1,915) from their first issues until July 2016 were reviewed to identify conceptual and empirical work focused on intersectionality...
October 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/29047290/understanding-factors-related-to-prolonged-trial-of-detained-defendants-in-the-philippines
#12
Raymund E Narag
Utilizing a combination of jail official data and qualitative data gathered through Focus Group Discussions and interviews with inmates, court actors, and jail officers, this article investigates the factors related to prolonged trial of detained defendants in the Philippines. Sensitizing concepts derived from Western literature are utilized to understand individual, court, and jail-level variations to prolonged detention. Results from official jail data show the magnitude and extent of the problem. The narrative data suggests the salience of organizational and cultural dynamics that lead to the delay of cases for detained defendants...
October 1, 2017: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/29046714/understanding-the-menstrual-hygiene-management-challenges-facing-displaced-girls-and-women-findings-from-qualitative-assessments-in-myanmar-and-lebanon
#13
Margaret L Schmitt, David Clatworthy, Ruwan Ratnayake, Nicole Klaesener-Metzner, Elizabeth Roesch, Erin Wheeler, Marni Sommer
BACKGROUND: There is a significant gap in empirical evidence on the menstrual hygiene management (MHM) challenges faced by adolescent girls and women in emergency contexts, and on appropriate humanitarian response approaches to meet their needs in diverse emergency contexts. To begin filling the gap in the evidence, we conducted a study in two diverse contexts (Myanmar and Lebanon), exploring the MHM barriers facing girls and women, and the various relevant sectoral responses being conducted (e...
2017: Conflict and Health
https://www.readbyqxmd.com/read/29045622/international-exchanges-in-primary-care-learning-from-thy-neighbour
#14
Bernadeta Bridgwood, John Park, Claire Hawcroft, Natasha Kay, Eugene Tang
This systematic review describes how international exchange programmes in primary care have been received and evaluated. Electronic databases (MEDLINE, Embase, PsycINFO, EBM reviews, CAB abstracts and PubMED) were searched to identify articles where the main focus of the study was exchanges undertaken in primary care/family medicine until March 2016. Articles were included if they (i) discussed participant exchanges in primary care; (ii) presented associated outcome data-this included (a) individual/group experience of exchange; (b) mechanism of exchange and (c) observations during the exchange...
October 14, 2017: Family Practice
https://www.readbyqxmd.com/read/29045614/-i-have-to-listen-to-this-old-body-femininity-and-the-aging-body
#15
Sylivia Karen Rutagumirwa, Ajay Bailey
Background and Objectives: This study explores how older women with low socioeconomic status living in rural Tanzania give meaning to their (aging) body in relation to the ideals of femininity. Research Design and Methods: Ten qualitative in-depth interviews and 10 focus group discussions (N = 60) were conducted among women aged 60 and older. Results: The findings reveal that older women perceive their aging body as "a burden." This characterization of the body is linked to the inability of the aging body to live up to the women's gendered lives...
October 13, 2017: Gerontologist
https://www.readbyqxmd.com/read/29045609/stakeholder-perspectives-on-the-optimizing-patient-transfers-impacting-medical-quality-and-improving-symptoms-transforming-institutional-care-optimistic-project
#16
Mary Ersek, Susan E Hickman, Anne C Thomas, Brittany Bernard, Kathleen T Unroe, Suzanne Meeks
Background and Objectives: The need to reduce burdensome and costly hospitalizations of frail nursing home residents is well documented. The Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project achieved this reduction through a multicomponent collaborative care model. We conducted an implementation-focused project evaluation to describe stakeholders' perspectives on (a) the most and least effective components of the intervention; (b) barriers to implementation; and (c) program features that promoted its adoption...
October 17, 2017: Gerontologist
https://www.readbyqxmd.com/read/29045434/opportunities-challenges-and-systems-requirements-for-developing-post-abortion-family-planning-services-perceptions-of-service-stakeholders-in-china
#17
Hong Jiang, Jieshuang Xu, Esther Richards, Xu Qian, Weihong Zhang, Lina Hu, Shangchun Wu, Rachel Tolhurst
Post-abortion family planning (PAFP) has been proposed as a key strategy to decrease unintended pregnancy and repeat induced abortions. However, the accessibility and quality of PAFP services remain a challenge in many countries including China where more than 10 million unintended pregnancies occur each year. Most of these unwanted pregnancies end in repeated induced abortions. This paper aims to explore service providers' perceptions of the current situation regarding family planning and abortion service needs, provision, utilization, and the feasibility and acceptability of high quality PAFP in the future...
2017: PloS One
https://www.readbyqxmd.com/read/29044652/the-impact-of-accreditation-on-medical-schools-processes
#18
Danielle Blouin, Ara Tekian, Carol Kamin, Ilene B Harris
OBJECTIVES: Increased emphasis is being placed worldwide on accreditation of undergraduate medical education programmes, and costs of participation in accreditation continue to rise. The primary purposes of accreditation are to ensure the quality of medical education and to promote quality improvement. Student performance data as indicators of the impact of accreditation have important limitations. The purpose of this study was to evaluate the impact of accreditation using an innovative marker: the processes implemented at medical schools as a result of accreditation...
October 18, 2017: Medical Education
https://www.readbyqxmd.com/read/29044374/human-and-livestock-trematode-infections-in-a-mobile-pastoralist-setting-at-lake-chad-added-value-of-a-one-health-approach-beyond-zoonotic-diseases-research
#19
Helena Greter, Annour A Batil, Bongo N Ngandolo, Idriss O Alfaroukh, Doumagoum D Moto, Jan Hattendorf, Jürg Utzinger, Jakob Zinsstag
Background: At Lake Chad in Central Africa, mobile pastoralists face economic losses due to livestock trematodiases. Fasciola gigantica and Schistosoma bovis-trematodes that affect livestock-share transmission ecology traits with Schistosoma haematobium and S. mansoni that cause human schistosomiasis. This project aimed at assessing treatment strategies and elucidating the predictive potential of human and livestock trematode infections. Methods: Schistosomiasis and fascioliasis were investigated concurrently in humans and cattle by repeated cross-sectional surveys...
June 1, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29043922/barriers-and-facilitators-to-dispensing-of-intranasal-naloxone-by-pharmacists
#20
Ludmila N Bakhireva, Adriana Bautista, Sandra Cano, Shikhar Shrestha, Amy M Bachyrycz, Theresa H Cruz
BACKGROUND: While misuse of prescription opioids has reached epidemic proportions, pharmacy-based preventive services to combat this epidemic are limited. The aims of this study were to identify barriers and facilitators to the dispensing of intranasal naloxone (INN) by pharmacists in New Mexico. METHODS: For this mixed methods study, a qualitative component (focus group) informed the development of a quantitative component (electronic survey) distributed to all pharmacists registered with the New Mexico Board of Pharmacy and practicing in the state...
October 18, 2017: Substance Abuse
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