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https://www.readbyqxmd.com/read/28912615/why-the-moratorium-on-human-animal-chimera-research-should-not-be-lifted
#1
Alan Moy
The National Institutes of Health (NIH) announced its plans to lift its moratorium on funding research that involves injecting human embryonic stem cells into animal embryos, which would allow for the creation of part-human and part-animal organisms known as chimeras. The NIH allowed only one month to receive public comments in the midst of a presidential election campaign. Lifting the moratorium means that, for the first time, the federal government will begin spending taxpayer dollars on the creation and manipulation of new organisms that would blur the line between humans and animals...
August 2017: Linacre Quarterly
https://www.readbyqxmd.com/read/28905047/use-of-community-health-workers-and-patient-navigators-to-improve-cancer-outcomes-among-patients-served-by-federally-qualified-health-centers-a-systematic-literature-review
#2
REVIEW
Katherine B Roland, Erin L Milliken, Elizabeth A Rohan, Amy DeGroff, Susan White, Stephanie Melillo, William E Rorie, Carmita-Anita C Signes, Paul A Young
Introduction: In the United States, disparities in cancer screening, morbidity, and mortality are well documented, and often are related to race/ethnicity and socioeconomic indicators including income, education, and healthcare access. Public health approaches that address social determinants of health have the greatest potential public health benefit, and can positively impact health disparities. As public health interventions, community health workers (CHWs), and patient navigators (PNs) work to address disparities and improve cancer outcomes through education, connecting patients to and navigating them through the healthcare system, supporting patient adherence to screening and diagnostic services, and providing social support and linkages to financial and community resources...
2017: Health Equity
https://www.readbyqxmd.com/read/28892451/public-health-preparedness-funding-key-programs-and-trends-from-2001-to-2017
#3
Crystal R Watson, Matthew Watson, Tara Kirk Sell
OBJECTIVES: To evaluate trends in funding over the past 16 years for key federal public health preparedness and response programs at the US Department of Health and Human Services, to improve understanding of federal funding history in this area, and to provide context for future resource allocation decisions for public health preparedness. METHODS: In this 2017 analysis, we examined the funding history of key federal programs critical to public health preparedness by reviewing program budget data collected for our annual examination of federal funding for biodefense and health security programs since fiscal year (FY) 2001...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892446/funding-public-health-emergency-preparedness-in-the-united-states
#4
Rebecca Katz, Aurelia Attal-Juncqua, Julie E Fischer
The historical precedents that support state and local leadership in preparedness for and response to disasters are in many ways at odds with the technical demands of preparedness and response for incidents affecting public health. New and revised laws and regulations, executive orders, policies, strategies, and plans developed in response to biological threats since 2001 address the role of the federal government in the response to public health emergencies. However, financial mechanisms for disaster response-especially those that wait for gubernatorial request before federal assistance can be provided-do not align with the need to prevent the spread of infectious agents or efficiently reduce the impact on public health...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28889851/the-affordability-of-myplate-an-analysis-of-snap-benefits-and-the-actual-cost-of-eating-according-to%C3%A2-the-dietary-guidelines
#5
Kranti Mulik, Lindsey Haynes-Maslow
OBJECTIVE: To estimate the funds required to support a MyPlate diet and to estimate the additional costs needed for Supplemental Nutrition Assistance Program recipients to adhere to the MyPlate diet. DESIGN: Using the US Department of Agriculture's (USDA's) MyPlate dietary guidelines that specify recommendations for individuals based on age and gender and retail price data from the USDA, the cost of following USDA's MyPlate guidelines for consuming 3 meals daily was estimated for the following individuals: children, adolescents, female adults, male adults, female seniors, male seniors, and a 4-person family...
September 2017: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/28887753/can-an-infusion-of-federal-funds-result-in-sustainable-projects-an-evaluation-of-suicide-prevention-programs
#6
Robert Apsler, Scott W Formica, Ellyson Stout, Colleen Carr
Our study evaluated the sustainability of programs in early cohorts of the Garrett Lee Smith (GLS) Memorial Act suicide prevention initiative, a major source of federal funding for youth suicide prevention among states, tribes, and institutions of higher education. We sought to: (1) determine whether suicide prevention activities initiated with federal support continued after funding ended, and (2) identify factors associated with sustainment. Thirty-three sites between 1 and 4 years beyond the end of their GLS grant participated in a retrospective online survey assessing their level of suicide prevention activity 1 year before, during (during-GLS), and 1 year after funding (after-GLS)...
September 8, 2017: Journal of Primary Prevention
https://www.readbyqxmd.com/read/28886945/cost-of-a-measles-outbreak-in-a-remote-island-economy-2014-federated-states-of-micronesia-measles-outbreak
#7
Jamison Pike, Ashley Tippins, Mawuli Nyaku, Maribeth Eckert, Louisa Helgenberger, J Michael Underwood
After 20years with no reported measles cases, on May 15, 2014 the Centers for Disease Control and Prevention (CDC) was notified of two cases testing positive for measles-specific immunoglobulin M (IgM) antibodies in the Federated States of Micronesia (FSM). Under the Compact of Free Association, FSM receives immunization funding and technical support from the United States (US) domestic vaccination program managed by the Centers for Disease Control and Prevention (CDC). In a collaborative effort, public health officials and volunteers from FSM and the US government worked to respond and contain the measles outbreak through an emergency mass vaccination campaign, contact tracing, and other outbreak investigation activities...
September 5, 2017: Vaccine
https://www.readbyqxmd.com/read/28880062/following-the-aca-repeal-and-replace-effort-where-does-the-u-s-stand-on-insurance-coverage-findings-from-the-commonwealth-fund-affordable-care-act-tracking-survey-march-june-2017
#8
Sara R Collins, Munira Z Gunja, Michelle M Doty
Issue: After Congress's failure to repeal and replace the Affordable Care Act, some policy leaders are calling for bipartisan approaches to address weaknesses in the law’s coverage expansions. To do this, policymakers will need data about trends in insurance coverage, reasons why people remain uninsured, and consumer perceptions of affordability. Goal: To examine U.S. trends in insurance coverage and the demographics of the remaining uninsured population, as well as affordability and satisfaction among adults with marketplace and Medicaid coverage...
September 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/28874494/despite-boosting-children-s-coverage-rates-to-historic-levels-medicaid-and-chip-face-an-uncertain-future
#9
Tricia A Brooks
The Children's Health Insurance Program (CHIP), which was enacted twenty years ago, covers uninsured children who do not qualify for Medicaid but lack access to affordable coverage. Together these safety-net programs have boosted the health insurance coverage rate among US children to historic levels, exceeding 95 percent of children in 2015. However, the future of both CHIP and Medicaid is uncertain. In the current congressional debate over the Affordable Care Act, Medicaid has become a target for potential funding reductions and other changes that would undermine the scope of children's coverage...
September 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28869868/patient-and-program-costs-and-outcomes-of-including-gender-sensitive-services-in-intensive-inpatient-programs-for-substance-use
#10
Sarah E Hornack, Brian T Yates
Gender-sensitive services (GSS) attempt to make substance use treatment better for women, but at what cost and with what results? We sought answers to these questions in a federally-funded study by measuring separately the patient and provider costs of adding GSS, outcomes, and cost-outcome relationships for 12 mixed-gender intensive inpatient programs (IIP) that varied in amounts and types of GSS. GSS costs to female inpatients included time devoted to GSS and expenses for care of dependents while in the IIP...
September 1, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28869212/increased-mental-health-treatment-financing-community-based-organization-s-treatment-programs-and-latino-white-children-s-financing-disparities
#11
Lonnie R Snowden, Neal Wallace, Kate Cordell, Genevieve Graaf
BACKGROUND: Latino child populations are large and growing, and they present considerable unmet need for mental health treatment. Poverty, lack of health insurance, limited English proficiency, stigma, undocumented status, and inhospitable programming are among many factors that contribute to Latino-White mental health treatment disparities. Lower treatment expenditures serve as an important marker of Latino children's low rates of mental health treatment and limited participation once enrolled in services...
September 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28865474/barriers-and-facilitators-to-implementation-of-va-home-based-primary-care-on-american-indian-reservations-a-qualitative-multi-case-study
#12
B Josea Kramer, Sarah D Cote, Diane I Lee, Beth Creekmur, Debra Saliba
BACKGROUND: Veterans Health Affairs (VA) home-based primary care (HBPC) is an evidence-based interdisciplinary approach to non-institutional long-term care that was developed in urban settings to provide longitudinal care for vulnerable older patients. Under the authority of a Memorandum of Understanding between VA and Indian Health Service (IHS) to improve access to healthcare, 14 VA medical centers (VAMC) independently initiated plans to expand HBPC programs to rural American Indian reservations and 12 VAMC successfully implemented programs...
September 2, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28859556/the-perceptions-of-first-nation-participants-in-a-community-oral-health-initiative
#13
Kavita R Mathu-Muju, James McLeod, Leeann Donnelly, Rosamund Harrison, Michael I MacEntee
The Children's Oral Health Initiative (COHI) is a federally funded community-based preventive dental program for children and their caregivers living in geographically isolated Canadian Aboriginal communities. The goal of the program is to improve access to preventive dental services for children of 0-7 years of age. It utilises community health workers in collaboration with dental therapists to promote and deliver the program. Almost half of the province of Manitoba's (n=27) First Nations communities have implemented COHI since 2005...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28858824/the-value-of-traditional-ecological-knowledge-for-the-environmental-health-sciences-and-biomedical-research
#14
Symma Finn, Mose Herne, Dorothy Castille
BACKGROUND: Traditional Ecological Knowledge (TEK) is a term, relatively new to Western science, that encompasses a subset of traditional knowledge maintained by Indigenous nations about the relationships between people and the natural environment. The term was first shared by tribal elders in the 1980s to help raise awareness of the importance of TEK. TEK has become a construct that Western scientists have increasingly considered for conducting culturally relevant research with Tribal nations...
August 29, 2017: Environmental Health Perspectives
https://www.readbyqxmd.com/read/28854712/southern-promises-a-snapshot-of-the-microbiology-research-landscape-in-south-america-based-on-bibliometric-data
#15
Corrado Nai
Scientists have a single currency for productivity and impact: published articles. In an effort to map the global research landscape in microbiology, and to obviate the current lack of bibliometric analysis in the field, FEMS-the Federation of European Microbiological Societies-generated a dataset encompassing an exhaustive, worldwide list of microbiology studies for 2013-14, which further includes information as author affiliation, funding agency and number of citations. The manually curated database is useful in assessing the impact and regional productivity of microbiology research at different levels...
September 1, 2017: FEMS Microbiology Letters
https://www.readbyqxmd.com/read/28852361/the-scarcity-of-orthopaedic-physician-scientists
#16
Joseph A Buckwalter, Jacob M Elkins
Breakthrough advances in medicine almost uniformly result from the translation of new basic scientific knowledge into clinical practice, rather than from assessment, modification or refinement of current methods of diagnosis and treatment. However, as is intuitively understood, those most responsible for scientific conception and creation-scientists - are generally not the ones applying these advances at the patient's bedside or the operating room, and vice versa. Recognition of the scarcity of clinicians with a background that prepares them to develop new basic knowledge, and to critically evaluate the underlying scientific basis of methods of diagnosis and treatment, has led to initiatives including federally funded Physician-Scientist programs, whereby young, motivated scholars begin a rigorous training, which encompasses education and mentorship within both medical and scientific fields, culminating in the conferment of both MD and PhD degrees...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28843233/increasing-awareness-of-gynecologic-cancer-risks-and-symptoms-among-asian-native-hawaiian-and-pacific-islander-women-in-the-us-associated-pacific-island-jurisdictions
#17
Daniel Novinson, Mary Puckett, Julie Townsend, Martina Reichhardt, Aileen Tareg, Jennifer Palemar, Ritchie Wichilib, Sherri L Stewart
Background: Gynecologic cancers are common among Asian/Native Hawaiian/Pacific Islander (A/NH/PI) women. Prevention is important in United States associated Pacific Island jurisdictions (USAPIJ) because there are limited resources to treat cancer. The objective of this study was to educate A/NH/PI women and providers about evidence-based interventions to prevent and control gynecologic cancers in Yap, one of four major islands comprising the Federated States of Micronesia (FSM). This was done through a partnership between Inside Knowledge: Get The Facts About Gynecologic Cancer national campaign and the Yap comprehensive cancer control program, both funded by the Center for Disease Control and Prevention (CDC)...
August 27, 2017: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/28842065/abstinence-only-until-marriage-an-updated-review-of-u-s-policies-and-programs-and-their-impact
#18
REVIEW
John S Santelli, Leslie M Kantor, Stephanie A Grilo, Ilene S Speizer, Laura D Lindberg, Jennifer Heitel, Amy T Schalet, Maureen E Lyon, Amanda J Mason-Jones, Terry McGovern, Craig J Heck, Jennifer Rogers, Mary A Ott
Adolescence is marked by the emergence of human sexuality, sexual identity, and the initiation of intimate relations; within this context, abstinence from sexual intercourse can be a healthy choice. However, programs that promote abstinence-only-until-marriage (AOUM) or sexual risk avoidance are scientifically and ethically problematic and-as such-have been widely rejected by medical and public health professionals. Although abstinence is theoretically effective, in actual practice, intentions to abstain from sexual activity often fail...
September 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28841568/extended-device-profiles-and-testing-procedures-for-the-approval-process-of-integrated-medical-devices-using-the-ieee-11073-communication-standard
#19
Armin Janß, Johannes Thorn, Malte Schmitz, Alexander Mildner, Jasmin Dell'Anna-Pudlik, Martin Leucker, Klaus Radermacher
Nowadays, only closed and proprietary integrated operating room systems (IORS) from big manufacturers are available on the market. Hence, the interconnection of components from third-party vendors is only possible with increased time and costs. In the context of the German Federal Ministry of Education and Research (BMBF)-funded project OR.NET (2012-2016), the open integration of medical devices from different manufacturers was addressed. An integrated operating theater based on the open communication standard IEEE 11073 shall give clinical operators the opportunity to choose medical devices independently of the manufacturer...
August 25, 2017: Biomedizinische Technik. Biomedical Engineering
https://www.readbyqxmd.com/read/28837212/barriers-to-achieving-economies-of-scale-in-analysis-of-ehr-data-a-cautionary-tale
#20
Mark P Sendak, Suresh Balu, Kevin A Schulman
Signed in 2009, the Health Information Technology for Economic and Clinical Health Act infused $28 billion of federal funds to accelerate adoption of electronic health records (EHRs). Yet, EHRs have produced mixed results and have even raised concern that the current technology ecosystem stifles innovation. We describe the development process and report initial outcomes of a chronic kidney disease analytics application that identifies high-risk patients for nephrology referral. The cost to validate and integrate the analytics application into clinical workflow was $217,138...
August 9, 2017: Applied Clinical Informatics
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