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https://www.readbyqxmd.com/read/29771222/structure-of-health-care-dyad-leadership-an-organization-s-experience
#1
Anurag Saxena, Maura Davies, Don Philippon
Purpose This study aims to explore the structural aspects (roles, responsibilities and reporting) of dyad leadership in one health-care organization (HCO). Design/methodology/approach The perceptions of 32 leaders (17 physician leaders and 15 dyad co-leaders) in formal leadership positions (six first-level with formal authority limited to teams or divisions, 23 middle-level with wider departmental or program responsibility and three senior-level with institution-wide authority) were obtained through focus groups and surveys...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29769106/peer-mentor-versus-teacher-delivery-of-a-physical-activity-program-on-the-effects-of-bmi-and-daily-activity-protocol-of-a-school-based-group-randomized-controlled-trial-in-appalachia
#2
Laureen H Smith, Rick L Petosa, Abigail Shoben
BACKGROUND: Rural Appalachian populations have poorer health and fewer positive health-related behaviors compared to other United States populations. Appalachians are the most sedentary U.S. population and teens are particularly sedentary. Obesity prevention through improving physical activity is a top priority in Rural Healthy People 2020. Obesity prevalence among Appalachian teens exceeds the national rates of 13.9% and has consistently been greater than 26%. Organized sports has not been effective at improving daily physical activity or health outcomes for Appalachian teens...
May 16, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29764881/protocol-for-an-economic-evaluation-of-who-stops-childhood-obesity-stepped-wedge-cluster-randomised-controlled-trial
#3
Rohan Sweeney, Marj Moodie, Phuong Nguyen, Penny Fraser, Kristy Bolton, Andrew Brown, Jennifer Marks, Nic Crooks, Claudia Strugnell, Colin Bell, Lynne Millar, Liliana Orellana, Steven Allender
INTRODUCTION: Prevention of overweight and obesity in childhood is a priority because of associated acute and chronic conditions in childhood and later in life, which place significant burden on health systems. Evidence suggests prevention should engage a range of actions and actors and target multiple levels. The Whole of Systems Trial Of Prevention <u>S</u>trategies for childhood obesity (WHO STOPS) will evaluate the outcomes of a novel systems-based intervention that aims to engage whole communities in a locally led multifaceted response...
May 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29759986/trends-in-cannabis-and-cigarette-use-among-parents-with-children-at-home-2002-to-2015
#4
Renee D Goodwin, Keely Cheslack-Postava, Samantha Santoscoy, Nina Bakoyiannis, Deborah S Hasin, Bradley N Collins, Stephen J Lepore, Melanie M Wall
BACKGROUND: In this study, we investigated trends in cannabis use among parents with children at home in the United States and estimated changes in prevalence of any cannabis use and daily cannabis use among parents who identified as cigarette smokers and nonsmokers with children in the home from 2002 to 2015. METHODS: The National Survey on Drug Use and Health is an annual, nationally representative, cross-sectional study conducted in the United States. Using logistic regression models, associations between cigarette smoking and any past-month and daily past-month cannabis use among parents with children in the home from 2002 to 2015 were estimated...
May 14, 2018: Pediatrics
https://www.readbyqxmd.com/read/29757076/economic-evaluation-of-concussion-programs-in-the-state-of-idaho-the-collective-potential-of-prevention-and-clinical-care
#5
Susie Bergeron, Hilary Flint, Zeynep Hansen
Concussion, or mild traumatic brain injury, especially among young children, teenagers, and young adults, is a significant problem in Ada County, Idaho, and the United States. Although much has been learned about concussion, considerable controversy and gaps in knowledge still exist in many areas of research, leading to variation in concussion assessment, treatment, and management protocols. Health systems can positively impact concussion outcomes through community education and outreach, and provision of timely, coordinated, evidence-based clinical care...
May 14, 2018: Population Health Management
https://www.readbyqxmd.com/read/29752831/longitudinal-associations-between-dental-caries-increment-and-risk-factors-in-late-childhood-and-adolescence
#6
Alexandra M Curtis, John VanBuren, Joseph E Cavanaugh, John J Warren, Teresa A Marshall, Steven M Levy
OBJECTIVES: To assess longitudinal associations between permanent tooth caries increment and both modifiable and non-modifiable risk factors, using best subsets model selection. METHODS: The Iowa Fluoride Study has followed a birth cohort with standardized caries exams without radiographs of the permanent dentition conducted at about ages 9, 13, and 17 years. Questionnaires were sent semi-annually to assess fluoride exposures and intakes, select food and beverage intakes, and tooth brushing frequency...
May 12, 2018: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/29747715/an-in-situ-simulation-based-training-approach-to-active-shooter-response-in-the-emergency-department
#7
Mark S Mannenbach, Carol J Fahje, Kharmene L Sunga, Matthew D Sztajnkrycer
ABSTRACTWith an increased number of active shooter events in the United States, emergency departments are challenged to ensure preparedness for these low frequency but high stakes events. Engagement of all emergency department personnel can be very challenging due to a variety of barriers. This article describes the use of an in situ simulation training model as a component of active shooter education in one emergency department. The educational tool was intentionally developed to be multidisciplinary in planning and involvement, to avoid interference with patient care and to be completed in the true footprint of the work space of the participants...
May 11, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29742673/trends-in-place-of-death-among-patients-with-gynecologic-cancer-in-the-united-states
#8
Katherine Hicks-Courant, Alexander Melamed, Michael J Worley, Young Bae Kim, John O Schorge, J Alejandro Rauh-Hain
OBJECTIVE: To describe the change over time in place of death (hospital, home, hospice) among all women in the United States who died of gynecologic malignancies and compare them with other leading causes of female cancer deaths. METHODS: This is a retrospective cross-sectional study using national death certificate data from the Mortality Multiple Cause-of-Death Public Use Record Data. All women who died from gynecologic, breast, lung, and colorectal cancers were identified according to International Classification of Diseases, 10 Revision, cause of death from 2003 to 2015...
May 7, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29740554/the-influence-of-taekwondo-training-on-school-life-adaptation-and-exercise-value-in-the-united-states
#9
Ik Rae Cho, Hyo Joo Park, Taek Kyun Lee
Previous experience has shown that school-based taekwondo training in the United States (US) results in many beneficial effect sregarding school education and the physical health of the adolescent participants; of especial significance, the training plays an important role in terms of exercise value and school-life adaptation. To explore this overall effect, a self-administered questionnaire was distributed to 401 adolescents over the age of 10 years. The survey comprisesa total of 29 questions that consist of 17 exercise-value-related questions (general, moral, and status) and 12 questions that are related to school-life adaptation (adaptation to teachers, adaptation to academic activities, adaptation to rule compliance, and adaptation to school activities)...
April 2018: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29730850/grooming-a-cat-customizing-cat-administration-rules-to-increase-response-efficiency-in-specific-research-and-clinical-settings
#10
Michael A Kallen, Karon F Cook, Dagmar Amtmann, Elizabeth Knowlton, Richard C Gershon
PURPOSE: To evaluate the degree to which applying alternative stopping rules would reduce response burden while maintaining score precision in the context of computer adaptive testing (CAT). DATA: Analyses were conducted on secondary data comprised of CATs administered in a clinical setting at multiple time points (baseline and up to two follow ups) to 417 study participants who had back pain (51.3%) and/or depression (47.0%). Participant mean age was 51.3 years (SD = 17...
May 5, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29727429/perceived-discrimination-harassment-and-abuse-in-physician-assistant-education-a-pilot-study
#11
Michelle DiBaise, Lisa Tshuma, Darin Ryujin, Susan LeLacheur
PURPOSE: A 2014 meta-analysis found that by graduation, 16.6% of medical students had reported abuse, harassment, or discrimination and that this hostile environment caused an increase in depression and anxiety. The purpose of this research study was to increase the understanding of discrimination and psychological/physical abuse in physician assistant (PA) education programs and the potential impact on student attrition. METHODS: Information was collected using an online, anonymous survey that asked about witnessed or experienced discrimination and psychological or physical abuse during the didactic and clinical years of training in PA programs in the United States...
April 26, 2018: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29721813/pioneer-baby-suggestions-for-pre-and-postnatal-health-promotion-programs-from-rural-english-and-spanish-speaking-pregnant-and-postpartum-women
#12
Lisette T Jacobson, Rosalee Zackula, Michelle L Redmond, Jennifer Duong, Tracie C Collins
In the United States, more than 9 million rural women (15-44 years old) experience limited access and delivery of reproductive healthcare services. Rurality coupled with lower socio-economic status are associated with increased maternal and neonatal morbidity and mortality. The purpose of this qualitative study was to gain in-depth information from underserved English- and Spanish-speaking pregnant and postpartum rural women on what they would value in a health promotion program. Three focus group sessions were conducted exploring four domains: (1) physical activity, (2) dietary habits, (3) fetal movement/kick counts, and (4) breastfeeding and other support resources...
May 2, 2018: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/29714598/comparison-of-brief-summary-formats-through-a-health-literacy-lens
#13
Michele L Sharp, Lori Hall, Anthony Eleftherion, Katherine Simpson, Linda Neuhauser
BACKGROUND: Print pharmaceutical advertisements in the United States require inclusion of a brief summary of side effects, warnings, precautions, and contraindications from the labeling. The full package insert, which sponsors have traditionally used to fulfill the brief summary requirement, does not adhere to health literacy best practices, limiting its value to consumers. This study compared the understandability and usability of brief summaries in 3 formats designed to be more consumer friendly...
January 1, 2018: Therapeutic Innovation & Regulatory Science
https://www.readbyqxmd.com/read/29713946/automated-risk-assessment-for-school-violence-a-pilot-study
#14
Drew Barzman, Yizhao Ni, Marcus Griffey, Alycia Bachtel, Kenneth Lin, Hannah Jackson, Michael Sorter, Melissa DelBello
School violence has increased over the past ten years. This study evaluated students using a more standard and sensitive method to help identify students who are at high risk for school violence. 103 participants were recruited through Cincinnati Children's Hospital Medical Center (CCHMC) from psychiatry outpatient clinics, the inpatient units, and the emergency department. Participants (ages 12-18) were active students in 74 traditional schools (i.e. non-online education). Collateral information was gathered from guardians before participants were evaluated...
May 1, 2018: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29706469/what-drives-intentional-overdose-with-non-prescription-drugs-a-cross-sectional-study
#15
K A Al Kubaisi, M D SteCroix, D Vinson, M N Hassan, M R Baig, S L Sharif, A R Abduelkarem
BACKGROUND: Use of overdosage of Non-Prescription Drugs (NPD) among university students is a serious public health issue. However, there are no extensive studies that measured the prevalence of taking more than the recommended dose of NPD and/or identified the risk associated with this behavior among university students. OBJECTIVES: This study was undertaken to assess the prevalence and associated risks of self-overdosage with NPDs in university students in United Arab Emirates (UAE)...
April 26, 2018: Annales Pharmaceutiques Françaises
https://www.readbyqxmd.com/read/29701864/the-role-of-the-nurse-educator-in-sustaining-compassion-in-the-workplace-a-case-study-from-an-intensive-care-unit
#16
Petra Strube, Amanda Henderson, Marion Lucy Mitchell, Jenny Jones, Sarah Winch
Intensive care unit (ICU) nurses are frequently exposed to emotional and stressful situations in the workplace, which has changed little over the decades. Compassion fatigue is caused by sustained exposure to situations that conflict with one's values and beliefs in the ICU, eroding clinical team relationships and ultimately the quality and safety of patient care. Continuing education in the intensive care setting is a priority, as ICU nurses need to remain abreast of the rapid developments in high-acuity care delivery; however, attention also needs to be directed to nurses' emotional well-being...
May 1, 2018: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29698540/the-impact-of-clinical-trial-units-on-the-value-of-clinical-research-in-switzerland
#17
Belinda von Niederhäusern, Annette Magnin, Christiane Pauli-Magnus
A prominent 2014 series by The Lancet on "Increasing value, reducing waste in biomedical research" provided recommendations on how to optimise precious resources, including in clinical research. Despite being ideally placed to lead the movement in patient-oriented clinical research, academia struggles to take corresponding measures and find ways to evaluate their impact. A decade ago, Swiss stakeholders established constructive initiatives to improve the quality of clinical research, including a national Clinical Trial Unit (CTU) Network, predominantly rooted in university hospitals...
April 26, 2018: Swiss Medical Weekly
https://www.readbyqxmd.com/read/29696731/perceived-stress-and-well-being-in-uk-and-australian-dental-hygiene-and-dental-therapy-students
#18
M Harris, J C Wilson, S Hughes, R J M Knevel, D R Radford
INTRODUCTION: This study aimed to explore United Kingdom (UK) and Australian (Aus) dental hygiene and dental therapy students' (DHDTS) perception of stress and well-being during their undergraduate education. Upon qualification, DHDTS in the UK register as dental therapists (DT), and in Australia, they register as Oral Health Therapists (OHT). MATERIALS AND METHODS: A questionnaire was distributed to years 1, 2 and 3 DHDTS at the University of Portsmouth Dental Academy (UPDA) in the UK and La Trobe Rural Health School in Australia...
April 25, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29696116/comparison-of-glasgow-coma-scale-full-outline-of-unresponsiveness-and-acute-physiology-and-chronic-health-evaluation-in-prediction-of-mortality-rate-among-patients-with-traumatic-brain-injury-admitted-to-intensive-care-unit
#19
Seyed Hossein Hosseini, Mitra Ayyasi, Hooshang Akbari, Mohammad Ali Heidari Gorji
Background: Traumatic brain injury (TBI) is a common cause of mortality and disability worldwide. Choosing an appropriate diagnostic tool is critical in early stage for appropriate decision about primary diagnosis, medical care and prognosis. Objectives: This study aimed to compare the Glasgow coma scale (GCS), full outline of unresponsiveness (FOUR) and acute physiology and chronic health evaluation (APACHE II) with respect to prediction of the mortality rate of patients with TBI admitted to intensive care unit...
October 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29694330/reflections-on-nursing-educational-advancement-within-diverse-and-evolving-national-cultural-contexts
#20
Vanessa Vila, Jiayuan Zhuang, Elsie Tan, Sally Thorne
As the development of nursing education becomes increasingly internationalized, it is tempting to focus on universal aspects of the discipline rather than explicitly emphasizing the distinct national cultures and contexts within which our profession and its educational styles and approaches have evolved. Capitalizing on an opportunity for comparative critical reflection on the relevant political, economic and social histories that have underpinned the development of nursing education in China, Brazil and Canada - three countries united by shared values about equity and access to health services - we sought to deconstruct the manner in which these forces have shaped the national differences in the way we conceptualize and deliver nursing education...
April 24, 2018: International Journal of Nursing Education Scholarship
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