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https://www.readbyqxmd.com/read/29334639/vestibular-schwannoma-and-hearing-preservation-usefulness-of-level-specific-ce-chirp-abr-monitoring-a-retrospective-study-on-25-cases-with-preoperative-socially-useful-hearing
#1
Luciano Mastronardi, Ettore Di Scipio, Guglielmo Cacciotti, Raffaelino Roperto
BACKGROUND AND OBJECTIVES: Decision-making regarding the therapy of vestibular schwannoma (VS) changed over the last decades, during which curative microsurgery has been promoted. Goals of VS microsurgery are: extensive resection, facial nerve (FN) preservation and, in selected cases, hearing preservation (HP). The aim of this study is to evaluate postoperative HP with reference to tumor size in patients operated on with Level Specific (LS)-CE-Chirp® ABR monitoring. PATIENTS AND METHODS: Twentyfive consecutive patients with socially useful hearing (SUH) underwent VS microneurosurgery by retrosigmoid (RS) approach...
January 10, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29334564/validating-the-electronic-cardiac-arrest-risk-triage-ecart-score-for-risk-stratification-of-surgical-inpatients-in-the-postoperative-setting-retrospective-cohort-study
#2
Bartlomiej Bartkowiak, Ashley M Snyder, Andrew Benjamin, Andrew Schneider, Nicole M Twu, Matthew M Churpek, Kevin K Roggin, Dana P Edelson
OBJECTIVE: Assess the accuracy of 3 early warning scores for predicting severe adverse events in postoperative inpatients. SUMMARY OF BACKGROUND DATA: Postoperative clinical deterioration on inpatient hospital services is associated with increased morbidity, mortality, and cost. Early warning scores have been developed to detect inpatient clinical deterioration and trigger rapid response activation, but knowledge regarding the application of early warning scores to postoperative inpatients is limited...
January 12, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29332263/creating-a-primary-care-workforce-strategies-for-leaders-clinicians-and-nurses
#3
Patricia Robinson, Julie Oyemaja, Bridget Beachy, Jeff Goodie, Lisa Sprague, Jennifer Bell, Mike Maples, Christy Ward
Many primary care clinics struggle with rapid implementation and systematic expansion of primary care behavioral health (PCBH) services. Often, an uneven course of program development is due to lack of attention to preparing clinic leadership, addressing operational factors, and training primary care providers (PCPs) and nurses. This article offers competency tools for clinic leaders, PCPs, and nurses to use in assessing their status and setting change targets. These tools were developed by researchers working to disseminate evidence-based interventions in primary care clinics that included fully integrated behavioral health consultants and were then used by early adaptors of the PCBH model...
January 13, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29332055/operating-room-scheduling-and-surgeon-assignment-problem-under-surgery-durations-uncertainty
#4
Hongwei Liu, Tianyi Zhang, Shuai Luo, Dan Xu
BACKGROUND: Scientific management methods are urgently needed to balance the demand and supply of heath care services in Chinese hospitals. Operating theatre is the bottleneck and costliest department. Therefore, the surgery scheduling is crucial to hospital management. OBJECTIVE: To increase the utilization and reduce the cost of operating theatre, and to improve surgeons' satisfaction in the meantime, a practical surgery scheduling which could assign the operating room (OR) and surgeon for the surgery and sequence surgeries in each OR was provided for hospital managers...
December 29, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29331770/women-s-satisfaction-with-mammography-and-predictors-of-participation-in-an-organized-breast-cancer-screening-program-perspectives-of-a-local-health-unit-in-rome
#5
B Unim, R Boggi, M Napoli, R Fulgenzi, A Landi, G La Torre
OBJECTIVES: The aims of the study were to evaluate satisfaction with the mammography service of the Local Health Unit RMA (Rome, Lazio Region) among women who have attended the program and to identify the predictors of participation. STUDY DESIGN: Cross-sectional study. METHODS: A telephone-based questionnaire was administered to women eligible for mammography screening. The respondents were randomly selected and interviewed by the health center staff...
January 11, 2018: Public Health
https://www.readbyqxmd.com/read/29330984/polydioxanone-versus-polypropylene-closure-for-midline-abdominal-incisions
#6
Samina Naz, Sohail Ahmed Memon, Mansoor Ali Jamali, Muhammad Rashid Ahmed, Tahmida Almani
BACKGROUND: Midline laparotomy is the most common technique of abdominal incisions because it is simple, provides adequate exposure to all four quadrants, and is rapid to open. A major problem after midline laparotomy remains the adequate technique of abdominal fascia closure. This study was conducted to see the role of Polydioxanone and Prolene for midline abdominal closure in terms of postoperative wound infection and wound pain. METHODS: This study was carried out at surgical unit II, Federal Government Services Hospital Islamabad...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#7
(no author information available yet)
INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery...
January 12, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29329961/-personalised-health-services-suggestions-for-their-effective-implementation
#8
Armin Töpfer, Georg Brabänder
A strategy of customisation, and its subsequent practical implementation as part of personalised treatment pathways, is an appropriate approach to increase benefits for patients and to strengthen the competitive position of the provider of health services. This requires restructuring and/or reorganising measures to enable variants within the treatment pathway as a value creation process to be adapted to each individual patient and his illness, living conditions and preferences. This 'mass customisation' approach allows us to achieve the objective of a constructive interconnection of customisation and standardisation of health services...
January 9, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/29329656/techno-economic-performance-indicators-of-municipal-solid-waste-collection-strategies
#9
G Bertanza, E Ziliani, L Menoni
Several indicators for the evaluation of the MSW collection systems have been proposed in the literature. These evaluation tools consider only some of the aspects that influence the operational efficiency of the collection service. The aim of this paper is to suggest a set of (easy to calculate) indicators that overcomes this limitation, taking into account both the characteristics of collected waste and the operational - economic performance. The main components of the collection system (labour, vehicles and containers) are separately considered so that it is possible to quantify and compare their role within the whole process...
January 9, 2018: Waste Management
https://www.readbyqxmd.com/read/29328797/does-a-dedicated-orthopaedic-day-surgery-list-improve-delivery-of-trauma-services
#10
Jagmeet Singh Bhamra, Baljinder S Dhinsa, Sohil Patel, Chi Davies, Matthew OLiver
Our aim was to implement a 23-hour pathway for uncomplicated trauma to overcome delays and improve efficiency. A retrospective review of a single surgeon series of 105 consecutive patients operated on between July 2010 and July 2011 was performed. With recently revised trauma tariffs, we believe an efficient day surgery trauma list improves theatre utilisation, reduces inpatient bed demands, prioritises major and sub-specialist trauma and delivers patient satisfaction.
November 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29328790/hospital-stay-and-blood-transfusion-in-elderly-patients-with-hip-fractures
#11
Efthymios Iliopoulos, Sohail Yousaf, Hazel Watters, Arshad Khaleel
Neck of femur (NOF) fractures in elderly patients are the most frequent condition which an orthopaedic surgeon confronts nowadays. The incidence of these fractures is increasing as the population continues to age. These patients absorb the majority of the resources in the hospitals, as their healthcare demands are increased. This study included all patients who were admitted to our hospital between January and October 2015 following a neck of femur fracture. A total of 336 patients were included (72.3% female)...
December 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29328055/an-analysis-of-radon-levels-in-the-basements-of-uk-workplaces-and-review-of-when-employers-should-test
#12
Tracy Dawn Gooding
Radon is a recognised lung carcinogen. The main source of radon in UK buildings is the ground. As basements have more ground contact than other parts of a building, and often limited ventilation, there is an increased potential for high radon levels to occur. Regulations are in place in the UK to control radon exposures at work, which prompt employers to undertake risk assessments, test where necessary and take action if levels exceed certain thresholds. Both Public Health England (PHE) and the Health and Safety Executive (HSE) currently advise employers to test routinely occupied basements for radon, irrespective of geographical location; the minimum annual occupancy threshold has been established as one hour per week (approximately 50 hours per year)...
January 12, 2018: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/29327993/managing-a-biomedical-library-s-instruction-program-redefining-scope
#13
Holly Thompson
The National Institutes of Health (NIH) library instruction program provides training services to staff, clinicians, and researchers across NIH and several Department of Health and Human Services (HHS) operating divisions. The audience, training needs, and training topics are diverse and constantly changing. The NIH library has developed several new services and class topics to meet the needs of its NIH and HHS communities. Context, strategies, and future directions for the NIH library instruction program are described...
January 2018: Medical Reference Services Quarterly
https://www.readbyqxmd.com/read/29327988/alexa-siri-cortana-and-more-an-introduction-to-voice-assistants
#14
Matthew B Hoy
Voice assistants are software agents that can interpret human speech and respond via synthesized voices. Apple's Siri, Amazon's Alexa, Microsoft's Cortana, and Google's Assistant are the most popular voice assistants and are embedded in smartphones or dedicated home speakers. Users can ask their assistants questions, control home automation devices and media playback via voice, and manage other basic tasks such as email, to-do lists, and calendars with verbal commands. This column will explore the basic workings and common features of today's voice assistants...
January 2018: Medical Reference Services Quarterly
https://www.readbyqxmd.com/read/29327484/factors-affecting-general-practice-collaboration-with-voluntary-and-community-sector-organisations
#15
Kris Southby, Mark Gamsu
Collaborative working between general practice (GP) and voluntary and community sector (VCS) organisations is increasingly championed as a means of primary care doing more with less and of addressing patients' "wicked problems". This paper aims to add to the knowledge base around collaborative practice between GPs and VCS organisations by examining the factors that aid or inhibit such collaboration. A case study design was used to examine the lived-experience of GPs and VCS organisations working collaboratively...
January 12, 2018: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29326125/hazardous-alcohol-consumption-among-spouses-or-partners-of-military-service-personnel-a-systematic-review-of-the-literature
#16
REVIEW
Rachael Gribble, G K Thandi, L Goodwin, N T Fear
BACKGROUND: Alcohol misuse is particularly high among both the UK and US Armed Forces. As alcohol use among couples is associated, military spouses or partners may therefore be at a higher risk of acquiring hazardous drinking behaviours than people in relationships with other occupational groups. METHOD: A literature review using a systematic approach was undertaken in four medical databases and supplemented with hand searches of specialist publications and reference lists...
January 10, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29325943/neurosurgical-care-availability-and-access-in-low-and-middle-income-countries
#17
Maria Punchak, Swagoto Mukhopadhyay, Sonal Sachdev, Ya-Ching Hung, Sophie Peeters, Abbas Rattani, Michael Dewan, Walter D Johnson, Kee B Park
BACKGROUND: An estimated 5 billion people worldwide lack access to basic surgical care. In particular, the vast majority of low- and middle-income countries (LMICs) currently struggle to provide adequate neurosurgical services. Significant barriers exist, including limited access to trained medical, nursing and allied health staff, lack of equipment, and availability of services at reasonable distance and at reasonable cost to patients. An accurate assessment of current neurosurgical capacity in LIMCs is an essential first step in tackling this deficit...
January 8, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29325468/does-enhanced-support-for-offenders-effectively-reduce-custodial-violence-and-disruption-an-evaluation-of-the-enhanced-support-service-pilot
#18
Jake Camp, Kerry Joy, Mark Freestone
This study aimed to examine the effectiveness of The Enhanced Support Service (ESS) pilot in reducing custodial violence and disruption, and the associated costs, by observing the behavioural change of the 35 service users who participated in ESS intervention within its first 22 months of operation. Frequencies of recorded incidents of aggressive behaviours, self-harming behaviours, noncompliance, and positive behaviours were counted from routine administrative systems using a coding structure developed in previous studies...
January 1, 2018: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/29325404/recent-iranian-health-system-reform-an-operational-perspective-to-improve-health-services-quality
#19
Mahdi Mahdavi, Mahboubeh Parsaeian, Ebrahim Jaafaripooyan, Shahram Ghaffari
The operational management of healthcare services is expected to directly touch patient experiences. Iranian Ministry of Health and Medical Education (MoHME) for the first time, as such, has sought to improve the operational management of healthcare delivery within a reform agenda by setting benchmarks for 'number of visit per hour' and waiting time in outpatient clinics of about 700 affiliated hospitals. As a new initiative, it has faced with mixed reactions and various doubts have been cast on its successful implementation...
August 1, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29324948/validation-of-nursing-diagnoses-interventions-and-outcomes-in-a-pediatric-clinic
#20
Ana Márcia Nóbrega Dantas, Kenya de Lima Silva, Maria Miriam Lima da Nóbrega
OBJECTIVES: To elaborate operational definitions for the Nomenclature nursing diagnoses, interventionsand outcomes of the Pediatric Clinic at a University Hospital and carry out a validation of the content and clinical aspects of this Nomenclature. METHOD: Methodological research, developed in two stages: documentary study, for the validation of content of the operational definitions of nursing diagnoses; and secondly applied research, via clinical cases, performed with children from 0 to 5 years...
January 2018: Revista Brasileira de Enfermagem
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