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https://www.readbyqxmd.com/read/27905155/optimising-qualitative-longitudinal-analysis-insights-from-a-study-of-traumatic-brain-injury-recovery-and-adaptation
#1
Joanna K Fadyl, Alexis Channon, Alice Theadom, Kathryn M McPherson
Knowledge about aspects that influence recovery and adaptation in the postacute phase of disabling health events is key to understanding how best to provide appropriate rehabilitation and health services. Qualitative longitudinal research makes it possible to look for patterns, key time points and critical moments that could be vital for interventions and supports. However, strategies that support robust data management and analysis for longitudinal qualitative research in health-care are not well documented in the literature...
November 30, 2016: Nursing Inquiry
https://www.readbyqxmd.com/read/27882836/comparison-of-pharmacist-and-physician-managed-annual-medicare-wellness-services
#2
Mary Jean Sewell, Daniel M Riche, Joshua W Fleming, Scott S Malinowski, R Terry Jackson
BACKGROUND: Medicare Annual Wellness Visits (AWV) are a benefit provided for Medicare beneficiaries to increase focus on wellness and preventive measures. Pharmacists can conduct AWVs, which offers a potential avenue for outpatient revenue generation. PROGRAM DESCRIPTION: To compare a composite of interventions and screenings and revenue generated by a pharmacist with those made by a physician during a subsequent AWV. A report generated through the electronic health record was used to determine AWVs conducted by a pharmacist or 3 participating physicians from December 2013 to March 2016, including revenue generated...
December 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27870290/assessment-of-usda-nrcs-rangeland-conservation-programs-recommendation-for-an-evidence-based-conservation-platform
#3
D D Briske, B T Bestelmeyer, J R Brown, M W Brunson, T L Thurow, J A Tanaka
The Conservation Effects Assessment Project (CEAP) was created in response to a request from the Office of Management and Budget that the U.S. Department of Agriculture, Natural Resource Conservation Service (USDA-NRCS) document the societal benefits anticipated to accrue from a major increase in conservation funding authorized by the 2002 Farm Bill. A comprehensive evaluation of the efficacy of rangeland conservation practices cost-shared with private landowners was unable to evaluate conservation benefits because outcomes were seldom documented...
August 4, 2016: Ecological Applications: a Publication of the Ecological Society of America
https://www.readbyqxmd.com/read/27865011/vital-signs-as-predictors-of-aggression-in-hospital-patients-vapa
#4
Julie Considine, Debra Berry, Rebecca Johnson, Natisha Sands
AIMS AND OBJECTIVES: To examine and describe the relationship between physiological status and violent and aggressive behaviours in hospital patients. BACKGROUND: The majority of adverse events are preceded by physiological abnormalities; whether physiological deterioration is a predictor of violent or aggressive behaviours remains unknown. DESIGN: prospective case control study. METHODS: prospective audit of 999 patients from two major health services in Melbourne, Australia...
November 16, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27859165/mutualism-exploitation-predatory-drosophilid-larvae-sugar-trap-ants-and-jeopardize-facultative-ant-plant-mutualism
#5
Mayra C Vidal, Sebastian F Sendoya, Paulo S Oliveira
An open question in the evolutionary ecology of ant-plant facultative mutualism is how other members of the associated community can affect the interaction to a point where reciprocal benefits are disrupted. While visiting Qualea grandiflora shrubs to collect sugary rewards at extrafloral nectaries, tropical savanna ants deter herbivores and reduce leaf damage. Here we show that larvae of the fly Rhinoleucophenga myrmecophaga, which develop on extrafloral nectaries, lure potentially mutualistic, nectar-feeding ants and prey on them...
July 2016: Ecology
https://www.readbyqxmd.com/read/27833649/use-of-moulded-hearing-protectors-by-child-care-workers-an-interventional-pilot-study
#6
Peter Koch, Johanna Stranzinger, Jan Felix Kersten, Albert Nienhaus
BACKGROUND: Employees of a multi-site institution for children and adolescents started to wear moulded hearing protectors (MHPs) during working hours, as they were suffering from a high level of noise exposure. It was agreed with the institutional physician and the German Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) that this presented an opportunity to perform a scientific study to investigate potential beneficial effects on risk of burnout and subjective noise exposure at work when child care workers wear MHPs...
2016: Journal of Occupational Medicine and Toxicology
https://www.readbyqxmd.com/read/27829459/understanding-the-local-context-and-its-possible-influences-on-shaping-implementing-and-running-social-accountability-initiatives-for-maternal-health-services-in-rural-democratic-republic-of-the-congo-a-contextual-factor-analysis
#7
Eric M Mafuta, Lisanne Hogema, Thérèse N M Mambu, Pontien B Kiyimbi, Berthys P Indebe, Patrick K Kayembe, Tjard De Cock Buning, Marjolein A Dieleman
BACKGROUND: Social accountability has to be configured according to the context in which it operates. This paper aimed to identify local contextual factors in two health zones in the Democratic Republic of the Congo and discuss their possible influences on shaping, implementing and running social accountability initiatives. METHODS: Data on local socio-cultural characteristics, the governance context, and socio-economic conditions related to social accountability enabling factors were collected in the two health zones using semi-structured interviews and document reviews, and were analyzed using thematic analysis...
November 9, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27814734/esip-sa%C3%A3%C2%BAde-mozambique-s-novel-approach-for-a-sustainable-human-resources-for-health-information-system
#8
Keith P Waters, Moises Ernesto Mazivila, Martinho Dgedge, Edgar Necochea, Devan Manharlal, Alexandra Zuber, Beatriz de Faria Leão, Debora Bossemeyer, Alfredo E Vergara
INTRODUCTION: Over the past decade, governments and international partners have responded to calls for health workforce data with ambitious investments in human resources information systems (HRIS). However, documentation of country experiences in the use of HRIS to improve strategic planning and management has been lacking. The purpose of this case presentation is to document for the first time Mozambique's novel approach to HRIS, sharing key success factors and contributing to the scant global knowledge base on HRIS...
November 5, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27759188/resuscitation-orders-in-acute-hospitals-a-point-prevalence-study
#9
Amber Mills, Anne Walker, Michele Levinson, Alison M Hutchinson, Gemma Stephenson, Anthea Gellie, George Heriot, Harvey Newnham, Megan Robertson
OBJECTIVE: To determine the prevalence of resuscitation orders and Advance Care Plans, and the relationship with Medical Emergency Team (MET) calls. METHOD: A point prevalence review of patient records at five Victorian hospital services. RESULTS: One thousand nine hundred and thirty-four patient records were reviewed, and 230 resuscitation orders and 15 Advance Care Plans found. Significantly, more resuscitation orders were found at public hospitals...
October 19, 2016: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/27752635/a-study-on-the-disaster-medical-response-during-the-mauna-ocean-resort-gymnasium-collapse
#10
Myeong-Il Cha, Gi Woon Kim, Chu Hyun Kim, Minhong Choa, Dai Hai Choi, Inbyung Kim, Soon Joo Wang, In Sool Yoo, Han Deok Yoon, Kang Hyun Lee, Suck Ju Cho, Tag Heo, Eun Seog Hong
OBJECTIVE: To investigate and document the disaster medical response during the Gyeongju Mauna Ocean Resort gymnasium collapse on February 17, 2014. METHODS: Official records of each institution were verified to select the study population. All the medical records and emergency medical service run sheets were reviewed by an emergency physician. Personal or telephonic interviews were conducted, without a separate questionnaire, if the institutions or agencies crucial to disaster response did not have official records or if information from different institutions was inconsistent...
September 2016: Clin Exp Emerg Med
https://www.readbyqxmd.com/read/27694659/assessing-patient-participation-in-health-policy-decision-making-in-cyprus
#11
Kyriakos Souliotis, Eirini Agapidaki, Lily Evangelia Peppou, Chara Tzavara, George Samoutis, Mamas Theodorou
Although the importance of patient participation in the design and evaluation of health programs and services is well-documented, there is scarcity of research with regard to patient association (PA) participation in health policy decision-making processes. To this end, the present study aimed to validate further a previously developed instrument as well as to investigate the degree of PA participation in health policy decision-making in Cyprus. A convenient sample of 114 patients-members of patients associations took part in the study...
June 20, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694649/planning-and-budgeting-for-nutrition-programs-in-tanzania-lessons-learned-from-the-national-vitamin-a-supplementation-program
#12
Margaret Benjamin Lyatuu, Temina Mkumbwa, Raz Stevenson, Marissa Isidro, Francis Modaha, Heather Katcher, Christina Nyhus Dhillon
BACKGROUND: Micronutrient deficiency in Tanzania is a significant public health problem, with vitamin A deficiency (VAD) affecting 34% of children aged 6 to 59 months. Since 2007, development partners have worked closely to advocate for the inclusion of twice-yearly vitamin A supplementation and deworming (VASD) activities with budgets at the subnational level, where funding and implementation occur. As part of the advocacy work, a VASD planning and budgeting tool (PBT) was developed and is used by district officials to justify allocation of funds...
May 3, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27647704/epidemiological-clinical-and-genetic-aspects-of-adult-onset-isolated-focal-dystonia-in-ireland
#13
L Williams, E McGovern, O Kimmich, A Molloy, I Beiser, J S Butler, F Molloy, P Logan, D G Healy, T Lynch, R Walsh, L Cassidy, P Moriarty, H Moore, T McSwiney, C Walsh, S O'Riordan, M Hutchinson
BACKGROUND: Adult onset idiopathic isolated focal dystonia presents with a number of phenotypes. Reported prevalence rates vary considerably; well-characterized cohorts are important to our understanding of this disorder. AIM: To perform a nationwide epidemiological study of adult onset idiopathic isolated focal dystonia in the Republic of Ireland. METHODS: Patients with adult onset idiopathic isolated focal dystonia were recruited from multiple sources...
September 19, 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/27645805/the-rehabilitation-research-matrix-producing-knowledge-at-micro-meso-and-macro-levels
#14
Per Koren Solvang, Halvor Hanisch, Jan D Reinhardt
PURPOSE: EU policy documents and health scholars point out that in order to understand the complexity of modern health systems, as well as to devise appropriate policy responses, considering micro, meso, and macro levels is indispensable. This article aims to develop an analytical framework for how rehabilitation as an interdisciplinary field can be framed in such a three-level framework. METHODS: This is a conceptual paper based on recent contributions to the development of a theory of rehabilitation...
September 19, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27625735/prehospital-lactate-measurement-by-emergency-medical-services-in-patients-meeting-sepsis-criteria
#15
Lori L Boland, Jonathan S Hokanson, Karl M Fernstrom, Tyler G Kinzy, Charles J Lick, Paul A Satterlee, Brian K LaCroix
INTRODUCTION: We aimed to pilot test the delivery of sepsis education to emergency medical services (EMS) providers and the feasibility of equipping them with temporal artery thermometers (TATs) and handheld lactate meters to aid in the prehospital recognition of sepsis. METHODS: This study used a convenience sample of prehospital patients meeting established criteria for sepsis. Paramedics received education on systemic inflammatory response syndrome (SIRS) criteria, were trained in the use of TATs and hand-held lactate meters, and enrolled patients who had a recent history of infection, met ≥ 2 SIRS criteria, and were being transported to a participating hospital...
September 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27624947/using-experience-based-design-to-improve-the-care-experience-for-patients-with-pancreatic-cancer
#16
Ann Hagensen, Amy E London, Jennifer J Phillips, W Scott Helton, Vincent J Picozzi, C Craig Blackmore
PURPOSE: Despite the importance of the patient care experience to quality and outcome, the literature detailing the care experience in patients with pancreatic cancer is limited. METHODS: To elicit the experience of patients with pancreatic cancer for care redesign, we deployed experience-based design, an emerging methodology based on identification of events of high emotional content, known as touch points, to delineate qualitatively what matters most to patients and families...
September 13, 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/27613879/beliefs-practices-and-self-efficacy-of-us-physicians-regarding-smoking-cessation-and-electronic-cigarettes-a-national-survey
#17
Andrew S Nickels, David O Warner, Sarah Michelle Jenkins, Jon Tilburt, J Taylor Hays
INTRODUCTION: We sought to assess physician knowledge/beliefs, self-efficacy, and experience/practice patterns surrounding smoking cessation and electronic cigarettes. METHODS: An eight-page survey sent via US Postal service. The initial invitation included a $10 cash incentive and up to three invitations were sent. Fifteen hundred US physicians were identified with equal representation from primary care physicians (internal medicine and family practice), surgical care physicians (general surgeons and anesthesiologists), and pulmonologists...
August 24, 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/27603391/patient-hospital-and-local-health-system-characteristics-associated-with-the-use-of-observation-stays-in-veterans-health-administration-hospitals-2005-to-2012
#18
Brad Wright, Amy M J OʼShea, Justin M Glasgow, Padmaja Ayyagari, Mary Vaughan-Sarrazin
Recent studies have documented that a significant increase in the use of observation stays along with extensive variation in patterns of use across hospitals.The objective of this longitudinal observational study was to examine the extent to which patient, hospital, and local health system characteristics explain variation in observation stay rates across Veterans Health Administration (VHA) hospitals.Our data came from years 2005 to 2012 of the nationwide VHA Medical SAS inpatient and enrollment files, American Hospital Association Survey, and Area Health Resource File...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27585477/understanding-racial-differences-in-health-related-quality-of-life-in-a-population-based-cohort-of-breast-cancer-survivors
#19
Laura C Pinheiro, Cleo A Samuel, Katherine E Reeder-Hayes, Stephanie B Wheeler, Andrew F Olshan, Bryce B Reeve
PURPOSE: Although racial disparities in health-related quality of life (HRQOL) among women with breast cancer (BC) are well documented, less is known about HRQOL changes over time among women of different races. Our objective was to assess racial differences in HRQOL during active treatment and survivorship phases of BC care. METHODS: We used data from the third phase of the Carolina Breast Cancer Study (CBCS-III). CBCS-III enrolled 3000 women in North Carolina aged 20-74 years diagnosed with BC between 2008 and 2013...
October 2016: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/27571334/-anmco-sic-consensus-document-the-heart-failure-network-organization-of-outpatient-care
#20
Nadia Aspromonte, Michele Massimo Gulizia, Andrea Di Lenarda, Andrea Mortara, Ilaria Battistoni, Renata De Maria, Michele Gabriele, Massimo Iacoviello, Alessandro Navazio, Daniela Pini, Giuseppe Di Tano, Marco Marini, Renato Pietro Ricci, Gianfranco Alunni, Donatella Radini, Marco Metra, Francesco Romeo
Changing demographics and an increasing burden of multiple chronic comorbidities in western countries dictate refocusing of heart failure (HF) services from acute in-hospital care to better support the long inter-critical out-of-hospital phases of HF. The needs of the HF population are not adequately addressed by current HF outpatient services, as documented by differences in age, gender, comorbidities and recommended therapies between patients discharged for hospitalized HF and those followed up at HF clinics...
July 2016: Giornale Italiano di Cardiologia
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