379,941 results match your criteria Journal of Health Services Research & Policy[Journal]


Association between child marriage and utilization of maternal health care services in India: Evidence from a nationally representative cross-sectional survey.

Midwifery 2019 Apr 18;75:66-71. Epub 2019 Apr 18.

Department of Geography, University of Gour Banga, Malda 732103, West Bengal, India.

Objective: In an effort to improve utilization of maternal health care services, age at marriage of girls has gain very little attention by the policy maker and programmer. Studies have indicated that child marriage has serious negative consequences on maternal health. Moreover, there is a paucity of research on explaining the links between child marriage and maternal health care utilization. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02666138193009
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http://dx.doi.org/10.1016/j.midw.2019.04.007DOI Listing
April 2019
1 Read

The treatment gap for mental disorders and associated factors in the Czech Republic.

Eur Psychiatry 2019 Apr 19;59:37-43. Epub 2019 Apr 19.

National Institute of Mental Health, Klecany, Czech Republic; Third Faculty of Medicine, Charles University Prague, Czech Republic. Electronic address:

Objectives: To assess the extent of the treatment gap for mental disorders in the Czech Republic, determine factors associated with the utilization of mental health services and explore what influences willingness to seek mental health care.

Methods: Data from the CZEch Mental health Study, a nationally representative study of community-dwelling adults in the Czech Republic were used. The Mini International Neuropsychiatric Interview assessed the presence of mental disorders. Read More

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http://dx.doi.org/10.1016/j.eurpsy.2019.04.003DOI Listing

Biopolitics, space and hospital reconfiguration.

Soc Sci Med 2019 Apr 13;230:111-121. Epub 2019 Apr 13.

Public Service Management, King's Business School, King's College London, Bush House, 30 Aldwych, London, WC2B 4BG, United Kingdom. Electronic address:

Major service change in healthcare - whereby the distribution of services is reconfigured at a local or regional level - is often a contested, political and poorly understood set of processes. This paper contributes to the theoretical understanding of major service change by demonstrating the utility of interpreting health service reconfiguration as a biopolitical intervention. Such an approach orients the analytical focus towards an exploration of the spatial and the population - crucial factors in major service change. Read More

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http://dx.doi.org/10.1016/j.socscimed.2019.04.011DOI Listing

Minimising the use of physical restraint in acute mental health services: The outcome of a restraint reduction programme ('REsTRAIN YOURSELF').

Int J Nurs Stud 2019 Mar 28;95:40-48. Epub 2019 Mar 28.

University of Liverpool, United Kingdom; Broset Centre for Research and Education in Forensic Psychiatry, Norway.

Background: Physical restraint is a coercive intervention used to prevent individuals from harming themselves or others. However, serious adverse effects have been reported. Minimising the use of restraint requires a multimodal approach to target both organisational and individual factors. Read More

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http://dx.doi.org/10.1016/j.ijnurstu.2019.03.016DOI Listing

The European cross-border health data exchange roadmap: case study in the Italian setting.

J Biomed Inform 2019 Apr 19:103183. Epub 2019 Apr 19.

Insitute of Cristallography - CNR, Rome, Italy.

Health data exchange is a major challenge due to the sensitive information and the privacy issues entailed. Considering the European context, in which health data must be exchanged between different European Union (EU) Member States, each having a different national regulatory framework as well as different national healthcare system structures/organizations, the challenge is even greater. Europe has tried to address this challenge by launching in 2008, the epSOS ("Smart Open Services for European Patients") project, which was a European large-scale pilot on cross-border sharing of specific health data and services. Read More

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http://dx.doi.org/10.1016/j.jbi.2019.103183DOI Listing

Attitudes towards Oral Health in Patients with Rheumatoid Arthritis: A Qualitative Study Nested within a Randomized Controlled Trial.

JDR Clin Trans Res 2019 Apr 22:2380084419833694. Epub 2019 Apr 22.

1 Periodontal Research Group, School of Dentistry, Institute of Clinical Sciences, University of Birmingham, and Birmingham Dental Hospital (Birmingham Community Healthcare NHS Foundation Trust), Edgbaston, Birmingham, UK.

Introduction: Patients with rheumatoid arthritis (RA) present a higher incidence and severity of periodontitis than the general population. Our study, Outcomes of Periodontal Treatment in Patients with Rheumatoid Arthritis (OPERA), was a randomized waiting-list controlled trial using mixed methods. Patients randomized to the intervention arm received intensive periodontal treatment, and those in the control arm received the same treatment with a 6-mo delay. Read More

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http://dx.doi.org/10.1177/2380084419833694DOI Listing

PARTIAL PROTECTION IN BALB/C HOUSE MICE () AND ROCKY MOUNTAIN ELK () AFTER VACCINATION WITH A KILLED, MUCOSALLY DELIVERED VACCINE.

J Wildl Dis 2019 Apr 22. Epub 2019 Apr 22.

2   Department of Biomedical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado 80523, USA.

Brucellosis, caused by , has been eliminated from livestock in the US. Remaining wildlife reservoirs are the bison () and elk () populations in Yellowstone National Park and the surrounding area, from which there is periodic exposure and transmission to surrounding livestock herds. Elk account for nearly all of the livestock exposure, and the infection appears to be expanding in the elk population. Read More

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Financial Margins for Prostate Cancer Surgery: Quantifying the Impact of Modifiable Cost Inputs in an Episode-based Reimbursement Model.

J Urol 2019 Apr 22:101097JU0000000000000283. Epub 2019 Apr 22.

Department of Urology, David Geffen School of Medicine at UCLA , Los Angeles , CA .

Purpose: The United States health care system is rapidly moving away from fee-for-service reimbursement in an effort to improve quality and contain costs. Episode-based reimbursement is an increasingly relevant value-based payment model for surgical care. The authors sought to quantify the impact of modifiable cost inputs on institutional financial margins in an episode-based payment model for prostate cancer surgery. Read More

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http://dx.doi.org/10.1097/JU.0000000000000283DOI Listing

Hospital Quality Metrics for Radical Cystectomy: Disease-Specific and Correlated to Mortality Outcomes.

J Urol 2019 Apr 22:101097JU0000000000000282. Epub 2019 Apr 22.

Glickman Urologic and Kidney Institute, Cleveland Clinic , Cleveland , OH.

Background: Measuring quality is a high priority for healthcare systems globally. Despite high perioperative morbidity, mortality, expenditures, and performance variation for radical cystectomy (RC), there is a paucity of validated bladder cancer quality metrics. We aimed to create a hospital quality scoring system for RC that is disease-specific and associated with patient-centered outcomes. Read More

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http://dx.doi.org/10.1097/JU.0000000000000282DOI Listing

Patient Satisfaction and Treatments Offered to Swedish Patients with Suspected Pediatric Acute-Onset Neuropsychiatric Syndrome and Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections.

J Child Adolesc Psychopharmacol 2019 Apr 19. Epub 2019 Apr 19.

1 Department of Clinical Neuroscience, Center for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden.

Pediatric acute-onset neuropsychiatric syndrome (PANS) and pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) are subtypes of Obsessive-Compulsive Disorder (OCD) with suggested autoimmune etiology. Immunomodulatory treatments have been introduced as treatment options. A recent systematic review concluded that the evidence for all treatment options for PANS and PANDAS is inconclusive. Read More

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http://dx.doi.org/10.1089/cap.2018.0141DOI Listing

Evidence-Based Reviews: Trends in Nephrology Nursing.

Nephrol Nurs J 2019 Mar-Apr;46(2):249-259

Research Assistant, London Health Sciences Centre, London, Ontario, Canada.

Evidence-based practice (EBP) is one of the essential components of nephrology nursing. Reviews of such evidence are important as a means to synthesize research findings into one meaningful form of data. Publication trends of evidence reviews in nephrology nursing are unknown. Read More

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Variability in content and dissolution profiles of MDMA tablets collected in the UK between 2001 and 2018 - a potential risk to users?

Drug Test Anal 2019 Apr 22. Epub 2019 Apr 22.

Analytical Services International, St. George's University of London, Cranmer Terrace, London, SW17 0RE, UK.

MDMA ('ecstasy') tablets are widely used recreationally, and not only vary in their appearance, but also in MDMA content. Recently, the prevalence of high-content tablets is of concern to public health authorities. To compare UK data with other countries, we have evaluated MDMA content of 412 tablets collected from the UK, 2001-2018, and have investigated within-batch content variability for a sub-set of these samples. Read More

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http://dx.doi.org/10.1002/dta.2605DOI Listing

Secukinumab, a fully human anti-interleukin-17A monoclonal antibody, exhibits low immunogenicity in psoriasis patients treated up to 5 years.

J Eur Acad Dermatol Venereol 2019 Apr 22. Epub 2019 Apr 22.

Novartis Institutes for Biomedical Research, Basel, Switzerland.

Background: Secukinumab is a fully human monoclonal antibody that selectively neutralizes IL-17A, a key cytokine involved in psoriasis (PsO) and psoriatic arthritis (PsA) development, and has shown rapid and long lasting efficacy and safety in the complete spectrum of psoriasis manifestations. Monoclonal antibody therapies may be associated with the production of treatment-emergent anti-drug antibodies (TE-ADA) that can affect drug pharmacokinetics, diminish clinical responses via inhibition of target binding, or cause hypersensitivity reactions. Secukinumab exhibited minimal immunogenicity up to 52 weeks in patients with moderate-to-severe plaque psoriasis, as evidenced by TE-ADA in <1% patients. Read More

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http://dx.doi.org/10.1111/jdv.15637DOI Listing

Association Between Receipt of a Medically Tailored Meal Program and Health Care Use.

JAMA Intern Med 2019 Apr 22. Epub 2019 Apr 22.

Mongan Institute, Massachusetts General Hospital, Boston.

Importance: Whether interventions to improve food access can reduce health care use is unknown.

Objective: To determine whether participation in a medically tailored meal intervention is associated with fewer subsequent hospitalizations.

Design, Setting, And Participants: A retrospective cohort study was conducted using near/far matching instrumental variable analysis. Read More

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http://archinte.jamanetwork.com/article.aspx?doi=10.1001/jam
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http://dx.doi.org/10.1001/jamainternmed.2019.0198DOI Listing
April 2019
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Optimizing pediatric dosing recommendations and treatment management of antiretroviral drugs utilizing therapeutic drug monitoring data in children living with HIV.

Ther Drug Monit 2019 Apr 16. Epub 2019 Apr 16.

Department of Pharmacy, Radboud Institute for Health Sciences (RIHS), Radboud university medical centre, Nijmegen, The Netherlands.

Introduction: This review summarises the current dosing recommendations for antiretroviral drugs (ARVs) in the international pediatric guidelines of the World Health Organisation (WHO), US Department of Health and Human Services (DHHS), and Paediatric European Network for Treatment of AIDS (PENTA) and evaluates the research that informed these approaches. We further explore the role of data generated through therapeutic drug monitoring (TDM) in optimizing the dosing of ARVs in children.

Methods: A PubMed search was conducted for literature on ARV dosing published in English. Read More

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http://dx.doi.org/10.1097/FTD.0000000000000637DOI Listing

Medicare Beneficiaries With a Specialist as Their Personal Doctor Report Better Experiences With Care.

Med Care 2019 Apr 18. Epub 2019 Apr 18.

RAND Corporation, Boston, MA.

Background: Health plans often require that patients have a personal doctor. Older adults rely on specialists for much of their care and may use a specialist in this role, but little is known about how many or which Medicare beneficiaries use specialists as their personal doctor and how their care experiences differ from others'.

Objective: To examine the prevalence and characteristics of Medicare beneficiaries with a specialist as a personal doctor and compare their patient experiences and immunization to other beneficiaries'. Read More

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http://dx.doi.org/10.1097/MLR.0000000000001122DOI Listing
April 2019
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Traditional healers, hiv outcomes, and mortality among people living with hiv in senegal, west africa.

AIDS 2019 Apr 16. Epub 2019 Apr 16.

Department of Medicine, University of Washington, Seattle, WA, USA.

Objectives: The goals of this study were to determine the frequency of traditional healer (TH) use among PLHIV in Senegal, to identify predictors of TH use, and to determine if TH use is associated with HIV outcomes.

Design: Prospective longitudinal study METHODS:: Subjects were enrolled from April 2017-April 2018 in Dakar and Ziguinchor, Senegal. Interviews, clinical evaluations, laboratory analyses, and chart review were conducted. Read More

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http://dx.doi.org/10.1097/QAD.0000000000002232DOI Listing

Patients' and Doctors' Perceptions of a Mobile Phone-Based Consultation Service for Maternal, Neonatal, and Infant Health Care in Bangladesh: A Mixed-Methods Study.

JMIR Mhealth Uhealth 2019 Apr 22;7(4):e11842. Epub 2019 Apr 22.

National Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra, Australia.

Background: A mobile-based consultation service, or telehealth, can be used for remote consultations with health care professionals for screening, self-care management, and referral. In rural Bangladesh, where there is high demand for scarce male and even scarcer female doctors, remote consultations may help women seeking maternal and child health care. Aponjon is a mHealth service in Bangladesh that provides weekly voice or text messages to pregnant women, new mothers, and family members on various aspects of maternal, neonatal, and infant health. Read More

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http://dx.doi.org/10.2196/11842DOI Listing

Diabetes, Care Homes, and the Influence of Technology on Practice and Care Delivery in Care Homes: Systematic Review and Qualitative Synthesis.

JMIR Diabetes 2019 Apr 22;4(2):e11526. Epub 2019 Apr 22.

Division of Rural Health and Wellbeing, Centre for Health Science, University of the Highlands and Islands, Inverness, United Kingdom.

Background: Diabetes is increasing in prevalence and complexity in the care home setting, affecting up to a quarter of care home residents. Health outcomes for these residents are impacted by management of the disease, health care professionals (HCPs)' decision-making skills within the care home setting, and access to specialist services. The use of technology has the potential to recognize opportunities for early intervention that enables efficient responsive care, taking a fundamental role in linking the care home community to wider multidisciplinary teams for support. Read More

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http://dx.doi.org/10.2196/11526DOI Listing

Symposium on "parental education" at the ICCH17.

Int J Circumpolar Health 2019 Dec;78(1):1604062

a Centre for Public Health in Greenland, National Institute of Public Health , University of Southern Denmark , Copenhagen , Denmark.

This symposium report provides a brief overview of the six programmes and studies on parental education and maternal health services within the circumpolar region presented in the symposium "parental education" at the 17th International Congress of Circumpolar Health in Copenhagen, Denmark, August 2018. Read More

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http://dx.doi.org/10.1080/22423982.2019.1604062DOI Listing
December 2019

Drug discovery strategies for acute radiation syndrome.

Expert Opin Drug Discov 2019 Apr 22:1-15. Epub 2019 Apr 22.

b Scientific Research Department , Armed Forces Radiobiology Research Institute, Uniformed Services University of the Health Sciences , Bethesda , MD , USA.

Introduction: There are at the minimum two major, quite different approaches to advance drug discovery. The first being the target-based drug discovery (TBDD) approach that is commonly referred to as the molecular approach. The second approach is the phenotype-based drug discovery (PBDD), also known as physiology-based drug discovery or empirical approach. Read More

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http://dx.doi.org/10.1080/17460441.2019.1604674DOI Listing

Prevalence and factors associated with unmet needs in post-treatment cancer survivors: A systematic review.

Eur J Cancer Care (Engl) 2019 Apr 22:e13060. Epub 2019 Apr 22.

Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Cancer survivors may experience unmet needs beyond the end of their treatment. This paper aimed to explore the prevalence and most frequently found unmet needs and to identify factors associated with higher levels of total unmet needs and with each domain separately. Five databases were searched using the keywords neoplasms, survivors, needs assessment, health services' needs and demands. Read More

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http://dx.doi.org/10.1111/ecc.13060DOI Listing

Relationship of Socioeconomic Status Indicators to Obesity in Hispanic and Non-Hispanic White Middle-Aged Women: A Population Study.

Int J Womens Health Wellness 2019 28;5(1). Epub 2019 Feb 28.

Department of Health Services, University of Washington, Seattle, USA.

Background: Obesity rates differ between Hispanic and White (non-Hispanic) women in the United States, with higher rates among Hispanic women. Socioeconomic processes contribute to this disparity both at the individual and the environmental level. Understanding these complex relationships requires multilevel analyses within cohorts of women that have a shared environment. Read More

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http://dx.doi.org/10.23937/2474-1353/1510090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469717PMC
February 2019

A novel hepatitis B virus recombinant genotype D4/E identified in a South African population.

Heliyon 2019 Apr 6;5(4):e01477. Epub 2019 Apr 6.

HIV and Hepatitis Research Unit, Department of Virology, Sefako Makgatho Health Sciences University and National Health Laboratory Services, Pretoria, South Africa.

Background: Genetic diversity is a characteristic trait of the hepatitis B virus (HBV) and has been associated with different clinical outcomes. In South Africa, HBV infection is a major public health concern. Most HBV infections are caused by genotype A strains. Read More

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http://dx.doi.org/10.1016/j.heliyon.2019.e01477DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453802PMC

Drip and ship versus direct to endovascular thrombectomy: The impact of treatment times on transport decision-making.

Eur Stroke J 2018 Jun 14;3(2):126-135. Epub 2018 Feb 14.

Beaumont Hospital, Dublin, Ireland.

Introduction: In ischaemic stroke care, fast reperfusion is essential for disability free survival. It is unknown if bypassing thrombolysis centres in favour of endovascular thrombectomy (mothership) outweighs transport to the nearest thrombolysis centre for alteplase and then transfer for endovascular thrombectomy (drip-and-ship). We use conditional probability modelling to determine the impact of treatment times on transport decision-making for acute ischaemic stroke. Read More

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http://dx.doi.org/10.1177/2396987318759362DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460407PMC

End of life after stroke: A nationwide study of 42,502 deaths occurring within a year after stroke.

Eur Stroke J 2018 Mar 6;3(1):74-81. Epub 2017 Oct 6.

1Department of Public Health and Clinical Medicine, Umeå University, Sweden.

Introduction: In the scientific literature, there is very limited empirical information on end-of-life issues after stroke in the scientific literature. The present nationwide study describes the circumstances surrounding deaths that occur within a year after a stroke.

Patients And Methods: Datasets from three nationwide Swedish registers (on stroke, palliative care and cause of death) were linked. Read More

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http://dx.doi.org/10.1177/2396987317736202DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453235PMC

End-of-Life Health-Care Cost of Patients With Lung Cancer: A Retrospective Study.

Health Serv Res Manag Epidemiol 2019 Jan-Dec;6:2333392819841223. Epub 2019 Apr 10.

Laboratory of Biopharmaceutics-Pharmacokinetics, Faculty of Pharmacy, National and Kapodistrian University of Athens, Athens, Greece.

Introduction: Lung cancer exerts a significant societal and health-care-related economic burden and chemotherapy drugs constitute a major factor of total direct cost. The aim of the present study was to assess the direct health-care cost of lung cancer in Greece by conducting a retrospective analysis on the last 6 months of life.

Methods: The present study was based on both the medical data and costs of treatment of deceased adult patients who suffered from terminal stage IIIB/IV lung cancer (non-small cell lung cancer and small cell lung cancer) during the last 6 months of their life. Read More

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http://dx.doi.org/10.1177/2333392819841223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458659PMC

Structural challenges in the health domain of the health system reform: A qualitative study.

J Educ Health Promot 2019 14;8:55. Epub 2019 Mar 14.

Department of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.

Background And Aim: Considering that the Qom University of Medical Sciences was a pioneer to implement the health system reform (HSR) in the domain of health services and the lack of a study that has addressed the challenges and strategies to promote the HSR in the health domain, this study was designed to explain the structural challenges and its solutions in the health domain of the HSR in the city of Qom, Iran, 2017.

Materials And Methods: This study was a qualitative research. The health managers, the health-care providers, and the recipients of health services referring to the health centers in Qom were the participants in this study who were selected using the convenience sampling method. Read More

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http://dx.doi.org/10.4103/jehp.jehp_186_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442255PMC

Natural disasters and challenges toward achieving food security response in Iran.

J Educ Health Promot 2019 14;8:51. Epub 2019 Mar 14.

Department of Health Services Management, School of Health Management and Information Science, Iran University of Medical Sciences, Tehran, Iran.

Introduction: The consequences induced by the natural disasters such as damage to food systems and destruction of livelihood-related infrastructure can threaten the food security of the people. Hence, food security measures are one of the most important responses concerning the management of natural disasters. This study was conducted to identify the challenges of food security response following natural disasters in Iran. Read More

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http://dx.doi.org/10.4103/jehp.jehp_256_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442247PMC

Occupational burnout and lifestyle in Kazakhstan cardiologists.

Arch Public Health 2019 10;77:13. Epub 2019 Apr 10.

1Al-Fabari Kazakh National University, al-Farabi avenue 71, Almaty, Kazakhstan 050040.

Background: No data exist in the published literature on burnout in physicians from Central Asia. The aim of this analysis was to assess burnout prevalence in doctors and nurses of a cardiological hospital in Almaty, Kazakhstan and ascertain whether smoking, alcohol and physical activity may predict job-associated burnout.

Methods: The staff of the City Cardiological Centre of Almaty ( = 259, 82% females) filled in the questionnaire with the questions on demographics, lifestyle, including smoking, alcohol and physical activity, as well as fatigue (using Fatigue Severity Scale (FSS)) and burnout using Maslach Burnout Inventory (MBI) Human Services Survey for Medical Personnel. Read More

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http://dx.doi.org/10.1186/s13690-019-0345-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457002PMC

Personalizing antipsychotic treatment: evidence and thoughts on individualized tailoring of antipsychotic dosage in the treatment of psychotic disorders.

Authors:
Lex Wunderink

Ther Adv Psychopharmacol 2019 8;9:2045125319836566. Epub 2019 Apr 8.

Department of Research and Education, Friesland Mental Health Services, Sixmastraat 2, 8932 PA Leeuwarden, Netherlands.

Effectiveness of relapse prevention with antipsychotic drugs has been robustly demonstrated. However, the drawbacks of antipsychotic maintenance treatment have prompted alternative strategies to reduce antipsychotic load. A prominent drawback of antipsychotics is their negative impact on subjective well-being, initiative, and drive related to dopamine D2 blockade. Read More

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http://dx.doi.org/10.1177/2045125319836566DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457023PMC

Government pharmaceutical pricing strategies in the Asia-Pacific region: an overview.

J Mark Access Health Policy 2019 11;7(1):1601060. Epub 2019 Apr 11.

Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.

: Governments in Asia Pacific (APAC) are increasingly using pharmaceutical pricing strategies to contain rising healthcare costs. The objective of this narrative review is to discuss formal pricing strategies for reimbursed prescription medication in APAC, supported by relevant examples of implementation differences across countries. In the discussion section, we examine key advantages and disadvantages of each strategy. Read More

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http://dx.doi.org/10.1080/20016689.2019.1601060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461095PMC

Influenza A H1N1 Community-Acquired Pneumonia: Characteristics and Risk Factors-A Case-Control Study.

Can Respir J 2019 17;2019:4301039. Epub 2019 Mar 17.

Service of Pneumology, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.

Introduction: Influenza A H1N1 community-acquired pneumonia (CAP) is a quite frequent respiratory disease. Despite being considered more serious than other CAPs, there are very few studies comparing its characteristics with noninfluenza CAP. We aim to establish the differences between pneumonia due to H1N1 virus and pneumonia not caused by H1N1 influenza virus and to determine the probability that a pneumonia is due to an H1N1 virus infection based on the most relevant variables. Read More

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http://dx.doi.org/10.1155/2019/4301039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441515PMC

National Approach to Standardize and Improve Mechanical Ventilation.

Ann Thorac Med 2019 Apr-Jun;14(2):101-105

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

NASAM (National Approach to Standardize and Improve Mechanical Ventilation) is a national collaborative quality improvement project in Saudi Arabia. It aims to improve the care of mechanically ventilated patients by implementing evidence-based practices with the goal of reducing the rate of ventilator-associated events and therefore reducing mortality, mechanical ventilation duration and intensive care unit (ICU) length of stay. The project plans to extend the implementation to a total of 100 ICUs in collaboration with multiple health systems across the country. Read More

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http://www.thoracicmedicine.org/text.asp?2019/14/2/101/25552
Publisher Site
http://dx.doi.org/10.4103/atm.ATM_63_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467017PMC
April 2019
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Advancing the state-level tracking of evidence-based practices: a case study.

Int J Ment Health Syst 2019 10;13:25. Epub 2019 Apr 10.

1Department of Psychiatry and Behavioral Sciences, University of Washington, 1100 NE Campus Parkway, Box 358015, Seattle, WA 98105 USA.

Background: Despite a sustained focus by policymakers and researchers on improving the standard of clinical care in public mental health services, the use of evidence-based practice remains low. Among other challenges, this reflects the difficulty of translating clinical research into useable policy that can be feasibly funded and monitored by state or large healthcare systems.

Case Presentation: In this paper we present a case study of Washington State's strategy for monitoring the use of clinical elements at the session level for all Medicaid-funded children's mental health services. Read More

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http://dx.doi.org/10.1186/s13033-019-0280-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457070PMC

The analysis of the trend of educational system in orthotics and prosthetics in Iran and the world: A step toward the foresight.

J Res Med Sci 2019 25;24:25. Epub 2019 Mar 25.

Department of Information and Communication Technology, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Background: Along with the growth of science and technology, the orthotics and prosthetics (O and P) have been changing since the past as a dynamic profession and the role of a specialist in O and has also undergone a change due to needs of society and the growth of technologies. To illustrate the future direction of an educational system, it is necessary to have a trend analysis of what weaknesses and strengths have existed in the past and the present.

Materials And Methods: In this analysis, two methods of scoping review and interview were conducted. Read More

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http://dx.doi.org/10.4103/jrms.JRMS_645_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450132PMC

Raccoon rabies outbreak in Hamilton, Ontario: A progress report.

Can Commun Dis Rep 2018 May 3;44(5):116-121. Epub 2018 May 3.

Region of Peel, Mississauga, ON.

Background: Raccoon rabies is caused by a variant of the rabies virus found in raccoons but transmissible to other mammalian species, including humans. The disease of rabies caused by raccoon variant rabies virus is indistinguishable from rabies caused by other rabies virus variants.

Objective: This paper describes the raccoon rabies outbreak in Ontario (identified in December 2015) and the control measures undertaken to curb the spread of the epizootic using the One Health approach. Read More

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A Conceptual Framework for Examining Healthcare Access and Navigation: A Behavioral-Ecological Perspective.

Authors:
Miriam Ryvicker

Soc Theory Health 2018 Aug 23;16(3):224-240. Epub 2017 Oct 23.

Center for Home Care Policy and Research, Visiting Nurse Service of New York, 1250 Broadway, 7th Floor, New York, NY 10001, ,

This paper introduces a conceptual framework for investigating individual ability to navigate healthcare in the contexts of the built environment, social environment, and healthcare infrastructure in which a person is embedded. Given the complexity of healthcare delivery in the United States, consumers are expected to have an increasingly sophisticated set of skills in order to effectively navigate and benefit from the healthcare resources available to them. Addressing barriers to navigation in vulnerable populations may be essential to reducing health disparities. Read More

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http://link.springer.com/10.1057/s41285-017-0053-2
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http://dx.doi.org/10.1057/s41285-017-0053-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6474407PMC
August 2018
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Complex malaria epidemiology in an international border area between Brazil and French Guiana: challenges for elimination.

Trop Med Health 2019 11;47:24. Epub 2019 Apr 11.

Laboratory of Parasitic Diseases, Institute Oswaldo Cruz/Fiocruz, Av Brasil 4365. Pavilhão Arthur Neiva, Rio de Janeiro, RJ 21040-900 Brazil.

Background: The epidemiological surveillance of malaria is a necessary intervention for eliminating the disease from the planet. The international border zones of the Amazon continue to be highly vulnerable to malaria since population mobility impedes elimination. Although in the past few years, cases of malaria have had an essential reduction in Brazil, this trend was not confirmed in municipalities along the border. Read More

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http://dx.doi.org/10.1186/s41182-019-0150-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458633PMC

Technical Efficiency of Maternal and Reproductive Health Services in Public Hospitals of Oromia Regional State, Ethiopia.

Health Serv Insights 2019 10;12:1178632919837630. Epub 2019 Apr 10.

Department of Health Policy and Management, Faculty of Public Health, Jimma University, Jimma, Ethiopia.

As the Ethiopian health system faced critical resource constraints, wise use of the available health resources is a priority agenda. Therefore, our study aimed to assess technical efficiency of maternal and reproductive health services in public hospitals of Oromia regional state, Ethiopia. Two-stage data envelopment analysis was performed among 14 hospitals with input orientation and variable returns to scale assumptions. Read More

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http://dx.doi.org/10.1177/1178632919837630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458666PMC

Mental Health and Substance Use Disorders in Patients Diagnosed With Cancer: An Integrative Review of Healthcare Utilization.

Oncol Nurs Forum 2019 May;46(3):365-383

University of Connecticut.

Problem Identification: The impact of mental health disorders (MHDs) and substance use disorders (SUDs) on healthcare utilization (HCU) in patients with cancer is an understudied phenomenon.

Literature Search: A literature search of studies published prior to January 2018 that examined HCU in patients with preexisting MHDs or SUDs diagnosed with cancer was conducted.

Data Evaluation: The research team evaluated 22 studies for scientific rigor and examined significant trends in HCU, as well as types of the MHD, SUD, and cancer studied. Read More

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http://dx.doi.org/10.1188/19.ONF.365-383DOI Listing

Characteristics of the Spanish Older People in the Use of Accidents and Emergency Unit Services (2014-2017).

Clin Nurs Res 2019 Apr 21:1054773819843627. Epub 2019 Apr 21.

1 Maimonides Biomedical Research Institute of Cordoba, Spain.

The aim of this study was to determine which factors are related to Accidents and Emergency Unit (AEU) use by the elderly Spanish population. Observational analysis of the 2014 European Survey of Health in Spain (ESHS-2014; N = 6,520) and the 2017 Spanish Health Survey (SHS-2017; N = 7,024) was employed. About one third (4,095, 30. Read More

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http://dx.doi.org/10.1177/1054773819843627DOI Listing

"I remember how I felt, but I don't remember the gene": Families' experiences of cancer-related genetic testing in childhood.

Pediatr Blood Cancer 2019 Apr 22:e27762. Epub 2019 Apr 22.

Hereditary Cancer Clinic, Department of Medical Oncology, Prince of Wales Hospital, Randwick, New South Wales, Australia.

Background: Genetic testing in children for hereditary cancer predisposition syndromes (CPSs) involves unique psychosocial and family-systems considerations. This retrospective study explored the perspectives and emotional reactions of parents and young adults about cancer-related genetic counseling and testing offered to children in the family.

Methods: Families were eligible if they had considered genetic testing for a child (≤18 years) within the family. Read More

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http://dx.doi.org/10.1002/pbc.27762DOI Listing

Cost-minimisation analysis of home care reablement for older people in England: A modelling study.

Health Soc Care Community 2019 Apr 21. Epub 2019 Apr 21.

Personal Social Services Research Unit, London School of Economics and Political Science, London, United Kingdom.

Many governments have introduced or encouraged home-care reablement schemes for older people at home with the aim of improving outcomes and reducing costs. We examined if such schemes have the potential to reduce costs from the perspective of the National Health Service (NHS) and Personal Social Services (PSS) in England. Our study was carried out to inform recommendations of a national guideline. Read More

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http://dx.doi.org/10.1111/hsc.12756DOI Listing

Prediction of adverse perinatal outcomes by fetal biometry: a comparison of customized and population-based standards.

Ultrasound Obstet Gynecol 2019 Apr 22. Epub 2019 Apr 22.

Perinatology Research Branch, Division of Obstetrics and Maternal-Fetal Medicine, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, U.S. Department of Health and Human Services (NICHD/NIH/DHHS).

Objective: To compare the predictive ability of estimated fetal weight (EFW) percentiles, according to seven growth standards, to detect fetuses at risk for adverse perinatal outcomes.

Methods: This retrospective cohort study included 3,437 African-American women. Population-based (Hadlock, INTERGROWTH-21st, WHO, FMF), ethnic specific (NICHD), customized (GROW) and African American customized (PRB/NICHD) growth standards were applied to the last available scan prior to delivery. Read More

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http://dx.doi.org/10.1002/uog.20299DOI Listing

Survey mode effects and insurance coverage estimates in the redesigned Gallup well-being index.

Health Serv Res 2019 Apr 22. Epub 2019 Apr 22.

Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Objective: To test whether a change from a telephone to mail and Internet survey in January 2018 affected the sample composition and uninsured estimates in the Gallup-Sharecare Well-Being Index.

Data Sources: Gallup-Sharecare Well-Being Index (2013-2018).

Study Design: Regression discontinuity analysis identified changes after the survey redesign in the estimated U. Read More

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http://dx.doi.org/10.1111/1475-6773.13156DOI Listing

Predictability of Capillary Blood Spot Toward Venous Whole Blood Sampling for Therapeutic Drug Monitoring of Tacrolimus in Solid Organ Transplant Recipients.

Eur J Drug Metab Pharmacokinet 2019 Apr 22. Epub 2019 Apr 22.

Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton,, AB, Canada.

Therapeutic drug monitoring (TDM) of tacrolimus in whole blood obtained from venipuncture is routinely practiced. Dried blood spotting (DBS) may act as a suitable alternative for tacrolimus TDM due to relative ease of sampling and processing. The objective of this literature review was to provide a critical evaluation on the feasibility (i. Read More

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http://dx.doi.org/10.1007/s13318-019-00553-zDOI Listing

Intermittent Energy Restriction Is a Feasible, Effective, and Acceptable Intervention to Treat Adolescents with Obesity.

J Nutr 2019 Apr 22. Epub 2019 Apr 22.

Children's Hospital at Westmead Clinical School.

Background: Intermittent energy restriction (IER) is an effective obesity management strategy in adults.

Objective: The aim of this study was to investigate the feasibility, effectiveness, and acceptability of IER in adolescents (aged 12-17 y) with obesity [adult equivalent body mass index (BMI; kg/m2) ≥30].

Methods: During weeks 1-12 participants followed an IER dietary plan consisting of a very-low-energy diet (VLED) 3 d/wk (500-600 kcal/d) and an eating plan consistent with national dietary guidelines 4 d/wk. Read More

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https://academic.oup.com/jn/advance-article/doi/10.1093/jn/n
Publisher Site
http://dx.doi.org/10.1093/jn/nxz049DOI Listing
April 2019
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