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161. Operational research within a Global Fund supported tuberculosis project in India: why, how and its contribution towards change in policy and practice (PubMed)

Operational research within a Global Fund supported tuberculosis project in India: why, how and its contribution towards change in policy and practice The Global Fund encourages operational research (OR) in all its grants; however very few reports describe this aspect. In India, Project Axshya was supported by a Global Fund grant to improve the reach and visibility of the government Tuberculosis (TB) services among marginalised and vulnerable communities. OR was incorporated to build research (...) capacity of professionals working with the national TB programme and to generate evidence to inform policies and practices.To describe how Project Axshya facilitated building OR capacity within the country, helped in addressing several TB control priority research questions, documented project activities and their outcomes, and influenced policy and practice.From September 2010 to September 2016, three key OR-related activities were implemented. First, practical output-oriented modular training courses

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2018 Global health action

162. "I prefer dying fast than dying slowly", how institutional abuse worsens the mental health of stranded Syrian, Afghan and Congolese migrants on Lesbos island following the implementation of EU-Turkey deal (PubMed)

"I prefer dying fast than dying slowly", how institutional abuse worsens the mental health of stranded Syrian, Afghan and Congolese migrants on Lesbos island following the implementation of EU-Turkey deal In 2015 and early 2016, close to 1 million migrants transited through Greece, on their way to Western Europe. In early 2016, the closure of the "Balkan-route" and the EU/Turkey-deal led to a drastic reduction in the flow of migrants arriving to the Greek islands. The islands became open (...) detention centers, where people would spend months or years under the constant fear of being returned to Turkey.Syrians were generally granted refugee status in Greece and those arrived before the 20th of March 2016 had the option of being relocated to other European countries. Afghans had some chances of being granted asylum in Greece, whilst most migrants from the Democratic Republic of Congo were refused asylum.In a clinic run by Médecins sans Frontières on Lesbos Island, psychologists observed

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2018 Conflict and health

163. How does the UK childcare energy-balance environment influence anthropometry of children aged 3-4 years? A cross-sectional exploration. (PubMed)

How does the UK childcare energy-balance environment influence anthropometry of children aged 3-4 years? A cross-sectional exploration. To assess the association between time spent in care, the childcare energy-balance environment, and preschool-aged children's body mass index z-score (z-BMI), waist-to-height ratio (WHR) and sum of skinfold thickness (SST).Cross-sectional study.Children aged 3-4 years were recruited from 30 childcare centres in Cambridgeshire (UK) in 2013.Objectively measured (...) prevention strategies for young children.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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2018 BMJ open

164. How do Australian women cope with pelvic girdle pain during pregnancy? A qualitative study protocol. (PubMed)

How do Australian women cope with pelvic girdle pain during pregnancy? A qualitative study protocol. Pelvic girdle pain is commonly experienced during pregnancy and results in significant physical, psychosocial and work-related challenges. Few studies have investigated the lived experiences of pregnant women with pelvic girdle pain and their coping strategies. There is a need to develop a greater understanding of this prevalent condition among Australian women. Thus, this study seeks to gain (...) information about the impact of pelvic girdle pain on daily life and how women cope with this condition during pregnancy.A qualitative research design, situated within a phenomenological framework, is adopted. The participants will be invited to describe their lived experiences of pregnancy-related pelvic girdle pain, the impact on their daily life and the strategies they use to cope with the condition. A stratified purposive sample will be undertaken to ensure the sample provides information-rich cases

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2018 BMJ open

165. Building the Child Safety Collaborative Innovation and Improvement Network: How does it work and what is it achieving? (PubMed)

Building the Child Safety Collaborative Innovation and Improvement Network: How does it work and what is it achieving? This study investigated whether the Child Safety Collaborative Innovation and Improvement Network (CS CoIIN) framework could be applied in the field of injury and violence prevention to reduce fatalities, hospitalizations and emergency department visits among 0-19 year olds.Twenty-one states/jurisdictions were accepted into cohort 1 of the CS CoIIN, and 14 were engaged from (...) indicates the CS CoIIN framework can be applied to make progress on process measures, but more time is needed to determine if this will result in progress on long-term outcome measures of fatalities, hospitalizations and emergency department visits. Seventeen states/jurisdictions will participate in cohort 2.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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2018 Injury Prevention

166. How can virtual care fix the health care industrial complex?

How can virtual care fix the health care industrial complex? How can virtual care fix the health care industrial complex? How can virtual care fix the health care industrial complex? | | September 13, 2018 19 Shares The health care industry is experiencing a crisis. There’s a . And as a result, doctors are working long hours that are affecting their stress levels, increasing burnout rates, health and the ability to diagnose their patients properly. This piece will discuss the many solutions (...) what needs to change, and how can medical practices create better environments for doctors to thrive? The challenges physicians face in providing the best quality of their career Having worked with some of the most vulnerable populations in my past life as a doctor at a VA clinic, I experienced how working long hours and navigating complex patient relationships negatively impacted my quality of life and my quality of care. I remember one particular unhoused Veteran whom I suspected was selling

2018 KevinMD blog

167. It’s time to change how we regulate methadone

It’s time to change how we regulate methadone It’s time to change how we regulate methadone It’s time to change how we regulate methadone | | September 13, 2018 23 Shares In 2016, dispatchers in my hometown of Mansfield — a Rust Belt city in rural North Central Ohio — fielded over 363 overdose-related police calls. The community organized an opiate response team, created to help individuals following an overdose, which could only respond to those experiencing their second overdose. Around (...) and Congress should act to authorize approved providers at outpatient clinics to prescribe methadone. Granting this power to outpatient clinics such as federally qualified health centers and rural health clinics would vastly expand access to care. Reforming prescription rules at outpatient centers would bring the U.S. into line with existing systems in Australia and Canada. In both countries, this change expanded rural access to methadone by allowing approved primary care providers and pharmacies

2018 KevinMD blog

168. How a deliberative approach includes women in the decisions of screening mammography: a citizens' jury feasibility study in Andalusia, Spain. (PubMed)

How a deliberative approach includes women in the decisions of screening mammography: a citizens' jury feasibility study in Andalusia, Spain. To verify whether a citizens' jury study is feasible to the Andalusian population and to know if women, when better informed, are able to answer the research question of whether the Andalusian Public Health System must continue offering screening mammography to women aged 50-69. The reasons for the pertinent decision and recommendations to the political (...) desire informed decision making and to keep or increase medicalisation in their lives.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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2018 BMJ open

169. How does exercise dose affect patients with long-term osteoarthritis of the knee? A study protocol of a randomised controlled trial in Sweden and Norway: the SWENOR Study. (PubMed)

How does exercise dose affect patients with long-term osteoarthritis of the knee? A study protocol of a randomised controlled trial in Sweden and Norway: the SWENOR Study. Osteoarthritis (OA) of the knee is characterised by knee pain, disability and degenerative changes, and places a burden on societies all over the world. Exercise therapy is an often-used modality, but there is little evidence of what type of exercise dose is the most effective, indicating a need for controlled studies (...) and presented at national and international conferences.NCT02024126; Pre-results.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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2018 BMJ open

170. T-piece resuscitators: how do they compare? (PubMed)

T-piece resuscitators: how do they compare? The T-piece resuscitator (TPR) has seen increased use as a primary resuscitation device with newborns. Traditional TPR design uses a high resistance expiratory valve to produce positive end expiratory pressure (PEEP) or continuous positive airway pressure (CPAP) at resuscitation. A new TPR device that uses a dual flow ratio valve (fluidic flip) to produce PEEP/CPAP is now available (rPAP). We aimed to compare the measured ventilation performance (...) compliances expected at birth. Device-generated inadvertent PEEP and overdelivery of PIP may be clinically deleterious for term and preterm newborns or infants with larger Crs during resuscitation.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

2018 Archives of Disease in Childhood. Fetal and Neonatal Edition

171. How effective and cost-effective are behaviour change interventions in improving the prescription and use of antibiotics in low-income and middle-income countries? A protocol for a systematic review. (PubMed)

How effective and cost-effective are behaviour change interventions in improving the prescription and use of antibiotics in low-income and middle-income countries? A protocol for a systematic review. Antibiotic resistance endangers effective prevention and treatment of infections, and places significant burden on patients, families, communities and healthcare systems. Low-income and middle-income countries (LMICs) are especially vulnerable to antibiotic resistance, owing to high infectious (...) of Recommendation, Assessment, Development and Evaluation (GRADE) checklist.No individual patient data are used, so ethical approval is not required. The systematic review will be disseminated in a peer-reviewed journal and presented at a relevant international conference.CRD42017075596.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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2018 BMJ open

172. How to prevent and manage radiation-induced coronary artery disease. (PubMed)

How to prevent and manage radiation-induced coronary artery disease. Radiation-induced coronary heart disease (RICHD) is the second most common cause of morbidity and mortality in patients treated with radiotherapy for breast cancer, Hodgkin's lymphoma and other prevalent mediastinal malignancies. The risk of RICHD increases with radiation dose. Exposed patients may present decades after treatment with manifestations ranging from asymptomatic myocardial perfusion defects to ostial, triple (...) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

2018 Heart

173. Review article: A primer for clinical researchers in the emergency department: Part VII. Considering a research higher degree in emergency medicine: How does it work, where to start, what to consider. (PubMed)

Review article: A primer for clinical researchers in the emergency department: Part VII. Considering a research higher degree in emergency medicine: How does it work, where to start, what to consider. In this series we address important topics for clinicians who participate in research or are considering research as part of their career path in emergency medicine. While much emergency research is successfully done by clinicians without a research higher degree (RHD), undertaking a master's (...) degree or doctorate allows a research topic to be pursued in greater depth. It also provides a solid basis for a future research career in terms of research quality, advanced skills, academic progression and track record, as well as eligibility for grants and RHD supervision. The decision to undertake a RHD is not an easy one, and requires consideration of the time and cost involved, as well as the impact on a clinician's life plans. However, the expertise provided through a RHD often ultimately

2018 Emergency medicine Australasia

174. How Much Blood Could a JP Suck If a JP Could Suck Blood? (PubMed)

How Much Blood Could a JP Suck If a JP Could Suck Blood? Active surgical drains minimize fluid accumulation in the postoperative period. The Jackson-Pratt (JP) system consists of a silicone drain connected by flexible tubing to a bulb. When air in the bulb is evacuated, negative pressure is applied at the surgical site to aspirate fluid. The objective of this study was to determine if the evacuation method and volume of accumulated fluid affect the pressure generated by the bulb.Bulbs were (...) a side-in evacuation of a JP bulb was 87.4 cm H2 O compared to 17.7 cm H2 O for a bottom-up evacuation (P < 0.0001). When the drain contained 25 mL, 50 mL, 75 mL, and 100 mL of fluid, the pressure applied dropped to 72.6, 41.3, 37.0, and 35.6 cm H2 O, respectively.JP drains generate negative pressure in order to reduce fluid accumulation at surgical sites. Although its function is frequently taken for granted, this study demonstrates that both the specific method for evacuating the bulb as well

2018 Laryngoscope

175. The impact or effect of 'wish- granting' interventions on the psychosocial and physical wellbeing of children with life threatening conditions, and their families

The impact or effect of 'wish- granting' interventions on the psychosocial and physical wellbeing of children with life threatening conditions, and their families Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr (...) no). For stratified analyses, a minimum number of 8 studies per subgroup is required. ">Subgroup analyses A sensitivity analysis is conducted to assess the impact of decisions taken in the review process on the meta-analysis outcome. These decisions may have been made in various stages of the review, e.g. the decision to exclude certain disease models, the decision to pool certain units of measurement for an outcome, the choice of effect measure, how subgroup variables are stratified etc. In order to assess

2018 PROSPERO

176. The Effect of Individualised Homoeopathic Treatment Using the Grant Bentley Method in Premenstrual Syndrome

The Effect of Individualised Homoeopathic Treatment Using the Grant Bentley Method in Premenstrual Syndrome The Effect of Individualised Homoeopathic Treatment Using the Grant Bentley Method in Premenstrual Syndrome - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. The Effect of Individualised Homoeopathic Treatment Using the Grant Bentley Method in Premenstrual Syndrome The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02481973 Recruitment Status : Completed First Posted : June 25, 2015 Last Update

2015 Clinical Trials

177. Five New Grants Totaling $6.7 Million Will Improve Care of Older Adults

by these passionate clinicians and a pilot to help EDs implement quality improvement projects based on those guidelines. This two-year, first phase will also study the impact of guideline recommended care, set up an infrastructure for ongoing data collection and research, and develop a business plan for the expansion of the collaborative to 50 hospitals in a second grant-funded phase before becoming self-sustaining. In another exciting and collaborative project, we will be taking lessons learned from the highly (...) Five New Grants Totaling $6.7 Million Will Improve Care of Older Adults Five New Grants Totaling $6.7 Million Will Improve Care of Older Adults Contact JAHF Tel: Fax: The John A. Hartford Foundation 55 East 59th Street 16th Floor New York, NY 10022-1713 / / on December 16, 2015 , our grantees, and colleagues who are all working to improve the care of older adults! We have so much to celebrate that has already been accomplished and the momentum going forward is palpable. I am pleased to let you

2015 Health AGEnda blog

178. New Grants Totaling $3.28 Million Spur Long-Term Changes in Delivery of Care to Older Adults

performance measures for health plans focused on the outcomes older adults identify as important. These measures will be designed for eventual use in NCQA accreditation programs, and by states and CMS. Together, these projects will meet the need for quality measures that assess how well organizations provide integrated, patient-centered, goal-based care that helps people to achieve their priority outcomes. Finally, the Board also approved a three-year, grant of a little over $515,000 to continue support (...) New Grants Totaling $3.28 Million Spur Long-Term Changes in Delivery of Care to Older Adults New Grants Totaling $3.28 Million Spur Long-Term Changes in Delivery of Care to Older Adults Contact JAHF Tel: Fax: The John A. Hartford Foundation 55 East 59th Street 16th Floor New York, NY 10022-1713 / / on September 24, 2015 approved three grants totaling more than $3.28 million last week that we believe will lead to fundamental, long-term changes in the way care is delivered to older adults. We

2015 Health AGEnda blog

179. Size and characteristics of the biomedical research workforce associated with U.S. National Institutes of Health extramural grants (PubMed)

of the first-ever census of the NIH-funded extramural research workforce. Data were extracted from All Personnel Reports submitted for NIH grants funded in FY 2009, including position title, months of effort, academic degrees obtained, and personal identifiers. Data were de-duplicated to determine a unique person count. Person-years of effort (PYE) on NIH grants were computed. In FY 2009, NIH funded 50,885 grant projects, which created 313,049 full- and part-time positions spanning all job functions (...) Size and characteristics of the biomedical research workforce associated with U.S. National Institutes of Health extramural grants The U.S. National Institutes of Health (NIH) annually invests approximately $22 billion in biomedical research through its extramural grant programs. Since fiscal year (FY) 2010, all persons involved in research during the previous project year have been required to be listed on the annual grant progress report. These new data have enabled the production

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2015 The FASEB Journal

180. Transformation of the Title V Maternal and Child Health Services Block Grant (PubMed)

Transformation of the Title V Maternal and Child Health Services Block Grant This paper describes the transformation of the Title V Maternal and Child Health (MCH) Services Block Grant. The Maternal and Child Health Bureau of the Health Resources and Services Administration led a 21-month visioning process to engage input from MCH stakeholders and other national, state and local MCH leaders, families and other partners to improve, innovate, and transform the Title V MCH Services Block Grant (...) . The process has helped inform the development of a new grant guidance for the next 5-year cycle beginning in fiscal year 2016. The triple aims of the transformation are to reduce burden, maintain flexibility, and increase accountability. State reporting burden is reduced by aligning and streamlining the needs assessment, annual report and application, reducing the number of forms States have to fill out, eliminating Health Systems Capacity Indicators, and prepopulating the annual report and application

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2015 Maternal and child health journal

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