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https://www.readbyqxmd.com/read/29474211/cdc-s-6-18-initiative-a-cross-sector-approach-to-translating-evidence-into-practice
#1
Laura C Seeff, Tricia McGinnis, Hilary Heishman
CONTEXT: As the US health care system continues to undergo dynamic change, the increased alignment between health care quality and payment has provided new opportunities for public health and health care sectors to work together. PROGRAM: The Centers for Disease Control and Prevention's 6|18 Initiative accelerates cross-sector collaboration between public health and health care purchasers, payers, and providers and highlights 6 high-burden conditions and 18 associated interventions with evidence of cost reduction/neutrality and improved health outcomes...
February 22, 2018: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/29473859/impact-on-clinical-management-of-after-hours-emergent-or-urgent-breast-ultrasonography-in-patients-with-clinically-suspected-breast-abscesses
#2
Tanya W Moseley, Ashley Stanley, Wei Wei, Jay R Parikh
Newly diagnosed breast abscesses are generally treated as a medical emergency that may necessitate immediate interventional treatment. At our institution, there is no in-house after-hours coverage for breast ultrasonography. We could find no peer-reviewed studies on the cost-effectiveness or clinical management impact of on-call ultrasound technologist coverage for imaging of breast abscesses. The purposes of this study were to determine the incidence of breast abscess in patients with clinical findings highly suggestive of abscess, identify clinical factors associated with breast abscess in such patients, and determine the impact of after-hours emergent or urgent breast ultrasonography on the clinical management of breast abscesses in both outpatients and inpatients...
February 23, 2018: Diagnostics
https://www.readbyqxmd.com/read/29473803/messy-but-fair-the-aca-s-hospital-value-based-purchasing-program-and-the-notice-and-comment-process
#3
Janus Pan
The Centers for Medicare and Medicaid Services (CMS) promulgated a new Medicare program called the Value-Based Purchasing Program (VBPP) as part of the 2010 Affordable Care Act (ACA). Like many other regulatory agencies, CMS used the Notice-and-Comment process to issue proposed rules, solicit public comments, and then publish final rules. Conventional literature suggests that CMS should disproportionately favor business interests during the Notice-and-Comment process, mainly due to the business interests' greater resources and capacity to draft well-reasoned comments...
July 2017: Journal of Legal Medicine
https://www.readbyqxmd.com/read/29472178/telegerontology-as-a-novel-approach-to-address-health-and-safety-by-supporting-community-based-rural-dementia-care-triads-randomized-controlled-trial-protocol
#4
Elizabeth M Wallack, Chelsea Harris, Michelle Ploughman, Roger Butler
BACKGROUND: Telegerontology is an approach using videoconferencing to connect an interdisciplinary team in a regional specialty center to patients in rural communities, which is becoming increasingly practical for addressing current limitations in rural community-based dementia care. OBJECTIVE: Using the remotely-delivered expertise of the Telegerontology dementia care team, we aim to enhance the caregiver/patient/physician triad and thereby provide the necessary support for the person with dementia to "age in place...
February 22, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29467980/a-prospective-multicenter-evaluation-of-the-value-of-the-on-call-orthopedic-resident
#5
J Benjamin Jackson, Scott Vincent, James Davies, Kevin Phelps, Chris Cornett, Greg Grabowski, Brian Scannell, Alan Stotts, Miranda Bice
Background : Funding for graduate medical education is at risk despite the services provided by residents. Objective : We quantified the potential monetary value of services provided by on-call orthopedic surgery residents. Methods : We conducted a prospective, cross-sectional, multicenter cohort study design. Over a 90-day period in 2014, we collected data on consults by on-call orthopedic surgery residents at 4 tertiary academic medical centers in the United States...
February 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29467112/interobserver-agreement-between-senior-radiology-resident-neuroradiology-fellow-and-experienced-neuroradiologist-in-the-rating-of-alberta-stroke-program-early-computed-tomography-score-aspects
#6
Chai Kobkitsuksakul, Oranan Tritanon, Vichan Suraratdecha
PURPOSE: The distribution of ischemic changes caused by infarction of the middle cerebral artery (MCA) territories is usually measured using the Alberta Stroke Program Early Computed Tomography Score (ASPECTS). The first interpreter of the brain computed tomography (CT) in the emergency department is the on-call radiology resident. The primary objective of this study was to describe the agreement of the ASPECTS performed retrospectively by the resident compared with expert raters. The second objective was to ascertain the appropriate window setting for early detection of acute ischemic stroke and good interobserver agreement between the interpreters...
February 21, 2018: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://www.readbyqxmd.com/read/29466344/censorship-then-and-now
#7
Anne Katz
As I was thinking about a topic for this editorial, news and social media outlets exploded with the announcement that employees at the Centers for Disease Control and Prevention (CDC) had been instructed to not use any of seven words or phrases in budget documents (diversity, transgender, fetus, unborn child, vulnerable, evidence-
based, and science-based). To say that this hit a nerve is an understatement. My Twitter feed and email inbox filled with messages of outrage and concern, and I must admit I was swept up in the outpouring of anger...
March 1, 2018: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29466230/linkage-of-1999-2012-national-health-interview-survey-and-national-health-and-nutrition-examination-survey-data-to-u-s-department-of-housing-and-urban-development-administrative-records
#8
Patricia C Lloyd, Veronica E Helms, Alan E Simon, Cordell Golden, James Brittain, Eileen Call, Lisa B Mirel, Barry L Steffen, Jon Sperling, Elizabeth C Rudd, Jennifer D Parker, Carol S Star
Objectives This report presents the development, plan, and operation of the 2011-2012 National Survey of Children's Health, a module of the State and Local Area Integrated Telephone Survey, conducted by the National Center for Health Statistics. Funding was provided by the Maternal and Child Health Bureau, Health Resources and Services Administration. The survey was designed to produce national and state prevalence estimates of the physical and emotional health of children aged 0-17 years, as well as factors that may relate to child well-being including medical homes, family interactions, parental health, school and after-school experiences, and neighborhood characteristics...
October 2017: Vital and Health Statistics. Ser. 1, Programs and Collection Procedures
https://www.readbyqxmd.com/read/29465554/case-report-purulent-transformation-of-granulocytic-sarcoma-an-unusual-pattern-of-differentiation-in-acute-promyelocytic-leukemia
#9
Elodie Collinge, Isabelle Tigaud, Brigitte Balme, Luc-Marie Gerland, Pierre Sujobert, Violette Carlioz, Gilles Salles, Xavier Thomas, Etienne Paubelle
RATIONALE: Acute promyelocytic leukemia (APL) is a curable subtype of acute myeloid leukemia. APL is currently treated with combination of all-trans retinoic acid (ATRA) and arsenic trioxide (ATO) resulting in the induction of apoptosis and differentiation of the leukemic cells. Differentiation syndrome (so-called ATRA syndrome) is the main life-threatening complication of induction therapy with these differentiating agents. PATIENT CONCERNS: Herein, we report the case of a 49-year-old woman diagnosed with APL with, concomitantly, a bulky cutaneous lesion of 10 cm diameter with a red-to-purple background and a necrotic center, localized on her abdomen...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29464557/the-structural-basis-for-the-extraordinary-energy-transfer-capabilities-of-the-phycobilisome
#10
Dvir Harris, Shira Bar-Zvi, Avital Lahav, Itay Goldshmid, Noam Adir
Light absorption is the initial step in the photosynthetic process. In all species, most of the light is absorbed by dedicated pigment-protein complexes called light harvesting complexes or antenna complexes. In the case of cyanobacteria and red-algae, photosynthetic organisms found in a wide variety of ecological niches, the major antenna is called the Phycobilisome (PBS). The PBS has many unique characteristics that sets it apart from the antenna complexes of other organisms (bacteria, algae and plants). These differences include the type of light absorbing chromophores, the protein environment of the chromophores, the method of assembly and association and the intercellular location with respect to the photosynthetic reaction centers (RCs)...
2018: Sub-cellular Biochemistry
https://www.readbyqxmd.com/read/29461383/evaluating-nurse-practitioners-perceived-knowledge-competence-and-comfort-level-in-caring-for-the-sexually-abused-child
#11
Janice Ceccucci
OBJECTIVE: The purpose of this project was to evaluate nurse practitioners' (NPs') current approach and self-reported competence in the care of the sexually abused child in the primary care setting. METHODS: A 50-question survey was distributed to 5,734 NPs who were members of a state nursing organization and nursing alumni. Inclusion criteria included NPs caring for pediatric patients in a primary care setting in New York State. RESULTS: A total of N = 325 responses were obtained, and 110 participants met the inclusion criteria...
January 2018: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29458404/a-novel-integrated-care-concept-nicc-versus-standard-care-in-the-treatment-of-chronic-cardiovascular-diseases-protocol-for-the-randomized-controlled-trial-cardiocare-mv
#12
Christian Schmidt, Alper Öner, Miriam Mann, Katja Krockenberger, Melanie Abbondanzieri, Bernard Brandewiede, Armin Brüge, Gisela Hostenkamp, Axel Kaiser, Henriette Neumeyer, Andreas Ziegler
BACKGROUND: Cardiovascular diseases are the major cause of death globally and represent a major economic burden on health care systems. Positive effects of disease management programs have been shown for patients with heart failure (HF). Remote monitoring and telemonitoring with active intervention are beneficial in atrial fibrillation (AF) and therapy-resistant hypertension (TRH), respectively. For these patients, we have developed a novel integrated care concept (NICC) which combines telemedicine with intensive support by a care center, including a call center, an integrated care network including inpatient and outpatient care providers and guideline therapy for patients...
February 20, 2018: Trials
https://www.readbyqxmd.com/read/29457613/on-the-photocatalytic-cycle-of-water-splitting-with-small-manganese-oxides-and-the-roles-of-water-clusters-as-direct-sources-of-oxygen-molecules
#13
Kentaro Yamamoto, Kazuo Takatsuka
We theoretically studied the chemical principles behind the photodynamics of water splitting: 2H2 O + 4hν + M → 4H+ + 4e- + O2 + M. To comprehend this simple looking but very complicated reaction, the mechanisms of at least three crucial phenomena, among others, need to be clarified, each of which is supposed to constitute the foundation of chemistry: (i) charge separation (4H+ + 4e- ), (ii) the catalytic cycle for essentially the same reactions to be repeated by each of four photon absorptions with a catalyst M, and (iii) the generation of oxygen molecules of spin triplet...
February 19, 2018: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/29457238/rationing-care-through-collaboration-and-shared-values
#14
James E Sabin
Although "rationing" continues to be a dirty word for the public in health policy discourse, Nir Eyal and colleagues handle the concept exactly right in their article in this issue of the Hastings Center Report. They correctly characterize rationing as an ethical requirement, not a moral abomination. They identify the key health policy question as how rationing can best be done, not whether it should be done at all. They make a cogent defense of what they call "rationing through inconvenience" as a justifiable allocational technique...
January 2018: Hastings Center Report
https://www.readbyqxmd.com/read/29457236/time-is-ethics
#15
Mark Mercurio
Early in my career as a neonatologist, I was called into the hospital for a newborn who would not stop crying. Screaming, really. When I entered the unit, I was greeted by a loud, shrill, distinctive cry. After hearing the history and examining the baby, I just stood there for a while, watching and listening. It took some time, but eventually, I noticed a subtle regularity, a rhythmicity. I took off my watch, placed it on the bed next to the child, and found that the crying briefly grew louder about every six or seven seconds...
January 2018: Hastings Center Report
https://www.readbyqxmd.com/read/29455924/gec-estro-acrop-recommendations-in-skin-brachytherapy
#16
Jose L Guinot, Agata Rembielak, Jose Perez-Calatayud, Silvia Rodríguez-Villalba, Janusz Skowronek, Luca Tagliaferri, Benjamin Guix, Victor Gonzalez-Perez, Vincenzo Valentini, György Kovacs
PURPOSE: The aim of this publication is to compile available literature data and expert experience regarding skin brachytherapy (BT) in order to produce general recommendations on behalf of the GEC-ESTRO Group. METHODS: We have done an exhaustive review of published articles to look for general recommendations. RESULTS: Randomized controlled trials, systemic reviews and meta-analysis are lacking in literature and there is wide variety of prescription techniques successfully used across the radiotherapy centers...
February 15, 2018: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/29454389/recruitment-of-racial-and-ethnic-minorities-to-clinical-trials-conducted-within-specialty-clinics-an-intervention-mapping-approach
#17
Rossybelle P Amorrortu, Mariana Arevalo, Sally W Vernon, Arch G Mainous, Vanessa Diaz, M Diane McKee, Marvella E Ford, Barbara C Tilley
BACKGROUND: Despite efforts to increase diversity in clinical trials, racial/ethnic minority groups generally remain underrepresented, limiting researchers' ability to test the efficacy and safety of new interventions across diverse populations. We describe the use of a systematic framework, intervention mapping (IM), to develop an intervention to modify recruitment behaviors of coordinators and specialist investigators with the goal of increasing diversity in trials conducted within specialty clinics...
February 17, 2018: Trials
https://www.readbyqxmd.com/read/29453582/the-clinical-phenotype-of-patients-positive-for-antibodies-to-myositis-and-myositis-related-disorders
#18
S G Gofrit, H Yonath, M Lidar, Y Shoenfeld, S Kivity
Inflammatory myopathies are a clinically diverse group of diseases, in which the detection of particular autoantibodies may facilitate diagnosis, treatment, and prognosis. The aim of this report is to summarize our experience with specific autoantibody testing in patients with inflammatory myopathies. Data were collected over the last decade in the Autoimmune Center of the Sheba Medical Center, a tertiary referral hospital. Data regarding patients' positive for autoantibodies against Jo-1, PL-7, PL-12, SRP, Mi-2, Ku, and PM-Scl antigens were retrospectively collected...
February 16, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29453507/interprofessional-education-opportunities-and-challenges-for-psychology
#19
Wendy Ward, Alexandra Zagoloff, Cortney Rieck, William Robiner
This manuscript is an outgrowth of an invited panel presentation at the national Association for Psychologists in Academic Health Centers Conference in 2017 on Interprofessional Education (IPE). IPE is a structured and transformative educational strategy designed to provide active learning experiences where trainees from diverse healthcare professions gain shared content knowledge plus collaboration skills as they learn about, from, and with each other. Collaboration skills include understanding professional role distinctions and overlap, effective team-based communication, shared values/ethics and respect for each other's expertise, and teamwork dynamics...
February 16, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29452920/patient-centered-medical-homes-did-not-improve-access-to-timely-follow-up-after-ed-visit
#20
Shih-Chuan Chou, Craig Rothenberg, Alicia Agnoli, Ilse Wiechers, Jason Lott, Jennifer Voorhees, Steven L Bernstein, Arjun K Venkatesh
BACKGROUND: Patients newly insured through coverage expansion under the Affordable Care Act (ACA) may have difficulty obtaining timely primary care follow-up appointments after emergency department (ED) discharge. We evaluated the association between availability of timely follow-up appointment with practice access improvements, including patient-centered medical home (PCMH) designations or extended-hours appointments. METHODS: We performed a secret-shopper audit of primary care practices in greater New Haven, Connecticut...
February 4, 2018: American Journal of Emergency Medicine
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