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161. 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

162. 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

163. 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

164. 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

165. 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

166. 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

167. 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

168. 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

169. 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

170. 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

171. 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

172. 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

173. 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

174. 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

175. 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

176. Comparative genomics: beyond the horizon of the next research grant. (PubMed)

Comparative genomics: beyond the horizon of the next research grant. With the development of agriculture and food processing techniques, humanity has recently challenged the rules of a billion-year-old experiment called evolution. In this experiment the availability of food in a particular niche has been one of the major driving forces to shape particular species. Comparative genomics is a new research discipline that investigates two or more genomes from different species in order to find (...) specific genetic adaptations that explain a 'workable match' between genetic make-up and environmental constraints such as nutrition. Three recent examples in the literature illustrate how selection of particular genes can contribute to species-specific adaptations that allow them to recognise, secure and digest particular types of food and metabolise its ingredients. There is growing consensus that the recent changes in human diet and physical activity play an active role in the rapid growth

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2015 Diabetologia

177. The effects of school physical education grants on obesity, fitness, and academic achievement. (PubMed)

The effects of school physical education grants on obesity, fitness, and academic achievement. Foundations and governments fund a number of programs that provide grants to improve school physical education or other forms of school-based physical activity. The effects of these grant programs are unknown. We evaluate the effects of Texas Fitness Now, a program in which the state of Texas granted $37 million to improve physical education in high-poverty middle schools over the 4 school years from (...) 2007-08 to 2010-11. The stated goals of Texas Fitness Now were to reduce obesity, increase fitness, and raise academic achievement.We summarize how Texas Fitness Now funds were spent and estimate the impact of Texas Fitness Now using a fixed-effects longitudinal model that exploits changes in schools' eligibility over time. Changes in eligibility occurred when eligibility expanded to new schools after year 2 and when the program was terminated after year 4.Most Texas Fitness Now funds were spent

2015 Preventive Medicine

178. Mixed methods study: Professionals providing cervical screening may require training and support on how to provide safe and sensitive care for survivors of childhood sexual abuse

Mixed methods study: Professionals providing cervical screening may require training and support on how to provide safe and sensitive care for survivors of childhood sexual abuse Professionals providing cervical screening may require training and support on how to provide safe and sensitive care for survivors of childhood sexual abuse | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your (...) browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Professionals providing cervical screening may require

2015 Evidence-Based Nursing

179. Cigarette Smoking: Health Risks and How to Quit (PDQ®): Health Professional Version

Cigarette Smoking: Health Risks and How to Quit (PDQ®): Health Professional Version Cigarette Smoking: Health Risks and How to Quit (PDQ®) - PDQ Cancer Information Summaries - NCBI Bookshelf Warning: The NCBI web site requires JavaScript to function. Search database Search term Search NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US); 2002-. PDQ Cancer (...) Information Summaries [Internet]. Bethesda (MD): ; 2002-. Search term Cigarette Smoking: Health Risks and How to Quit (PDQ®) Health Professional Version PDQ Screening and Prevention Editorial Board . Published online: September 21, 2018. This PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about the prevention and cessation of cigarette smoking and the control of tobacco use. It is intended as a resource to inform and assist

2016 PDQ - NCI's Comprehensive Cancer Database

180. How to assess publication bias: funnel plot, trim-and-fill method and selection models

How to assess publication bias: funnel plot, trim-and-fill method and selection models How to assess publication bias: funnel plot, trim-and-fill method and selection models | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers (...) of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here How to assess publication bias: funnel plot, trim-and-fill method and selection models Article Text Statistics in pills How to assess publication bias: funnel plot, trim-and-fill method and selection models Dimitris

2014 Evidence-Based Mental Health

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