885,671 results match your criteria health facilities


Resilient SARS-CoV-2 diagnostics workflows including viral heat inactivation.

PLoS One 2021 15;16(9):e0256813. Epub 2021 Sep 15.

King's College London Diagnostics Team at Guy's Campus, London, United Kingdom.

There is a worldwide need for reagents to perform SARS-CoV-2 detection. Some laboratories have implemented kit-free protocols, but many others do not have the capacity to develop these and/or perform manual processing. We provide multiple workflows for SARS-CoV-2 nucleic acid detection in clinical samples by comparing several commercially available RNA extraction methods: QIAamp Viral RNA Mini Kit (QIAgen), RNAdvance Blood/Viral (Beckman) and Mag-Bind Viral DNA/RNA 96 Kit (Omega Bio-tek). Read More

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September 2021

Influenza Vaccination in Massachusetts Jails: A Mixed-Methods Analysis.

Public Health Rep 2021 Sep 15:333549211041659. Epub 2021 Sep 15.

12261 Tufts University School of Medicine, Boston, MA, USA.

Objectives: Influenza infects millions of people each year and contributes to tens of thousands of deaths annually despite the availability of vaccines. People most at risk of influenza complications are disproportionately represented in people incarcerated in US prisons and jails. The objectives of this study were to survey health administrators in Massachusetts county jails about institutional influenza vaccine policies and practices and estimate influenza vaccination rates in Massachusetts jails from 2013 to 2020. Read More

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September 2021

Control of hippocampal pKr-2 expression reduces neurotoxic symptoms in 5XFAD mice.

Br J Pharmacol 2021 Sep 15. Epub 2021 Sep 15.

School of Life Sciences, Kyungpook National University, Daegu, Korea.

Background And Purpose: There is a scarcity of information regarding the role of prothrombin kringle-2 (pKr-2), which can be generated by active thrombin, associated with hippocampal neurodegeneration and its mechanisms in Alzheimer's disease (AD).

Experimental Approach: To assess the role of pKr-2 in association with the neurotoxic symptoms of AD, we determined pKr-2 protein levels in the postmortem hippocampal tissues of patients with AD and the hippocampi of five familial AD (5XFAD) mice compared to those of age-matched controls and wild-type (WT) mice, respectively. In addition, we investigated whether the hippocampal neurodegeneration and object memory impairments shown in 5XFAD mice were mediated by the control of pKr-2 upregulation. Read More

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September 2021

Disparities and Inequities in Youth Sports.

Curr Sports Med Rep 2021 Sep;20(9):494-498

Department of Orthopaedic Surgery and Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN.

Abstract: Participation in youth sports can have a positive, lasting impact on a child's general health and physical well-being. Unfortunately, some youth populations are unable to participate and/or reap the benefits of sports because of existing inequities. Youth from lower socioeconomic status and ethnic minority children have been found to participate in sports less. Read More

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September 2021

Phenotypic and Genetic Characterization of Flavobacterium psychrophilum Recovered from Diseased Salmonids in China.

Microbiol Spectr 2021 Sep 15:e0033021. Epub 2021 Sep 15.

Department of Fisheries and Wildlife, College of Agriculture and Natural Resources, Michigan State Universitygrid.17088.36, East Lansing, Michigan, USA.

Flavobacterium psychrophilum, the etiological agent of bacterial coldwater disease (BCWD) and rainbow trout fry syndrome, causes great economic losses in salmonid aquaculture worldwide. Recent molecular studies have uncovered important epidemiological and ecological aspects of this pathogen; however, such data are lacking for F. psychrophilum populations affecting aquaculture in China. Read More

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September 2021

Community-Based Breast Cancer Screening Using Digital Breast Tomosynthesis Versus Digital Mammography: Comparison of Screening Performance and Tumor Characteristics.

AJR Am J Roentgenol 2021 Sep 15. Epub 2021 Sep 15.

Warren Alpert Medical School of Brown University, Rhode Island Hospital, Department of Diagnostic Imaging, 593 Eddy Street, Providence, RI 02903.

Prior studies comparing screening by digital breast tomosynthesis (DBT) and digital mammography (DM) have largely entailed prospective trials and investigations at tertiary academic centers, which may encounter high risk patient populations and lack heterogeneity among interpreting radiologists. Thus, results may not generalize across real-world community settings in the United States. To compare DBT and DM in terms of screening performance and tumor characteristics of screen-detected cancers, in a community practice setting. Read More

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September 2021

Local Dynamics of Collaboration for Maternal, Newborn and Child Health: A Social Network Analysis of Healthcare Providers and Their Managers in Gert Sibande District, South Africa.

Int J Health Policy Manag 2021 Sep 8. Epub 2021 Sep 8.

School of Public Health, University of the Western Cape, Cape Town, South Africa.

Background: Accountability for maternal, newborn and child health (MNCH) is a collaborative endeavour and documenting collaboration dynamics may be key to understanding variations in the performance of MNCH services. This study explored the dynamics of collaboration among frontline health professionals participating in two MNCH coordination structures in a rural South African district. It examined the role and position of actors, the nature of their relationships, and the overall structure of the collaborative network in two sub-districts. Read More

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September 2021

Non-pharmacological measures implemented in the setting of long-term care facilities to prevent SARS-CoV-2 infections and their consequences: a rapid review.

Cochrane Database Syst Rev 2021 Sep 15;9:CD015085. Epub 2021 Sep 15.

Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany.

Background: Starting in late 2019, COVID-19, caused by the novel coronavirus SARS-CoV-2, spread around the world. Long-term care facilities are at particularly high risk of outbreaks, and the burden of morbidity and mortality is very high among residents living in these facilities.

Objectives: To assess the effects of non-pharmacological measures implemented in long-term care facilities to prevent or reduce the transmission of SARS-CoV-2 infection among residents, staff, and visitors. Read More

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September 2021

Norovirus outbreaks in long-term care facilities in the United States, 2009-2018: a decade of surveillance.

Clin Infect Dis 2021 Sep 15. Epub 2021 Sep 15.

Division of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Background: In the US, norovirus is the leading cause of healthcare-associated gastroenteritis outbreaks. To inform prevention efforts, we describe the epidemiology of norovirus outbreaks in long-term care facilities (LTCFs).

Methods: CDC collects epidemiologic and laboratory data on norovirus outbreaks from U. Read More

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September 2021

Prioritizing health, safety and environmental hazards by integrating risk assessment and analytic hierarchy process techniques in solid waste management facilities.

Arch Environ Occup Health 2021 Sep 15:1-12. Epub 2021 Sep 15.

Workplace Health Promotion Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

The aim of this research was to assess and prioritize risk levels of health, safety, and environmental (HSE) hazards in solid waste management facilities of Tehran, Iran. The risk of HSE hazards was assessed using Fine-Kinney and environmental failure mode and effects analysis (EFMEA) methods and then the high-risk hazards were prioritized for implementing corrective actions by analytic hierarchy process (AHP) considering six criteria of (1) probability of occurrence, (2) severity of consequences, (3) simultaneous HSE effects, and (4-6) feasibility, effectiveness, and cost of corrective actions. A total number of 485 HSE hazards were identified, of which 78% were health and safety hazards and 22% were environmental hazards. Read More

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September 2021

Kidney failure, status passage, and the transitional nature of living with the disease: A qualitative study in Argentina.

Health (London) 2021 Sep 15:13634593211046842. Epub 2021 Sep 15.

London School of Hygiene and Tropical Medicine, UK.

The span of kidney failure (KF) has been extended by advances in treatment. To elucidate the lived experiences of people with KF, we draw on Glaser and Strauss's theory of status passage. Semi-structured interviews were conducted with 50 patients with KF and 14 health professionals, from two healthcare facilities in Buenos Aires, Argentina. Read More

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September 2021

Is non-completion of treatment related to security need?

Crim Behav Ment Health 2021 Sep 14. Epub 2021 Sep 14.

National Forensic Mental Health Service, Central Mental Hospital, Dublin, Ireland.

Background: Treatment completion difficulties are common in forensic mental health settings and may have a profound impact on recidivism rates.

Aims: To test for associations between measures of risk and of security needs on the one hand and treatment non-completion on the other among male offender-patients in one medium security hospital.

Methods: We conducted a retrospective file study in a Flemish medium security hospital. Read More

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September 2021

The patient-driven payment model: A missed opportunity for patient-centered cancer care.

J Am Geriatr Soc 2021 Sep 14. Epub 2021 Sep 14.

Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.

Hospitalized older patients with advanced cancer who were discharged to a skilled nursing facility (SNF) for rehabilitation are unlikely to receive future cancer treatment, have high 30-day readmission rates, and high mortality yet minimal hospice use. The Medicare SNF benefit was designed to be a bridge and provide short-term nursing and rehabilitation care for patients after a hospitalization. However, advanced cancer patients churn through the health system cycling between the hospital, post-acute care facilities, and home in the last months of life. Read More

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September 2021

Prevalence and persistency of deficiency citations in Florida assisted living facilities.

Authors:
Hari Sharma

J Am Geriatr Soc 2021 Sep 14. Epub 2021 Sep 14.

Department of Health Management and Policy, The University of Iowa, Iowa City, Iowa, USA.

Background: Assisted living facilities (ALFs) are plagued with quality issues but there are limited studies on the quality of ALFs. In Florida, state surveyors conduct inspections of ALFs and cite and/or fine facilities that are in violation of regulations. Yet, we do not know the types of quality problems identified and the extent to which facilities repeat such problems. Read More

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September 2021

Malaria amidst COVID-19 in India: Challenges, Efforts, and Recommendations.

Clin Epidemiol Glob Health 2021 Sep 10:100867. Epub 2021 Sep 10.

Kabul University of Medical Sciences, Kabul, Afghanistan.

Since the outbreak of COVID-19 in India, the country has faced a slew of new challenges, spawning a slew of other deadly viruses and diseases while also serving as a breeding ground for them. Not only did Malaria (a vector-borne disease) emerge as a coincidental outbreak during the pandemic, but many others did as well, causing severe diseases in humans due to flaws in health-care systems that were already overburdened with identifying, preventing, and treating the recently introduced coronavirus disease. Inadequate water cleanliness, as well as the delayed and misdiagnosis of Malaria with COVID-19 due to overlapping symptoms, are major impediments in the incidence of these unique outbreaks. Read More

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September 2021

Construct validity and reliability of the generalised anxiety disorder-7 scale in a sample of tuberculosis patients in the Free State Province, South Africa.

Authors:
Gladys Kigozi

S Afr J Infect Dis 2021 19;36(1):298. Epub 2021 Aug 19.

Centre for Health Systems Research & Development, Faculty of the Humanities, University of the Free State, Bloemfontein, South Africa.

Background: Generalised anxiety disorder (GAD) frequently occurs amongst patients with tuberculosis (TB) and contributes to poor quality of life and treatment outcomes. This study evaluated the construct validity and reliability of the GAD-7 scale in a sample of patients with TB in the Free State Province.

Methods: A pilot study was conducted amongst a convenience sample of 208 adult patients newly diagnosed with drug-susceptible TB attending primary healthcare (PHC) facilities in the Lejweleputswa District in the Free State. Read More

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Operational analysis of the national sickle cell screening programme in the Republic of Uganda.

Afr J Lab Med 2021 12;10(1):1303. Epub 2021 Aug 12.

Division of Hematology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States.

Background: Sickle cell anaemia is a common global life-threatening haematological disorder. Most affected births occur in sub-Saharan Africa where children usually go undiagnosed and die early in life. Uganda's national sickle cell screening programme was developed in response to a 2014 sickle cell surveillance study that documented a high disease prevalence. Read More

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Strategic site selection for placement of HIV early infant diagnosis point-of-care technology within a national diagnostic network in Lesotho.

Afr J Lab Med 2021 24;10(1):1156. Epub 2021 Aug 24.

Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), Washington, District of Columbia, United States.

Background: New technologies for rapid point-of-care (POC) diagnostic tests hold great potential for improving the health outcomes of HIV-exposed infants. POC testing for HIV early infant diagnosis (EID) was introduced in Lesotho in late 2016. Here we highlight critical requirements for selecting routine POC EID sites to ensure a sustainable and optimised EID diagnostic network. Read More

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Reporting at Least One Adverse Effect Post-COVID-19 Vaccination From Primary Health Care in Muscat.

Cureus 2021 Aug 10;13(8):e17055. Epub 2021 Aug 10.

Medicine, Al Nahdha Hospital, Muscat, OMN.

Introduction Vaccinations against COVID-19 were licensed with limited testing assurances to the public triggering a widespread hesitancy around expected adverse reactions. Limited data was reported from Arabian Gulf countries on vaccine adverse effects. Objectives This study looked at the rate of reporting at least one side effect post-COVID-19 vaccination and its associated factors (sociodemographic characteristics, clinical condition, and type of vaccines). Read More

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The role of community protection institution in disaster management at West Java, Indonesia.

Jamba 2021 3;13(1):943. Epub 2021 Aug 3.

Governmental Science Post Graduate Program, Governmental Management, Institute of Governance of Home Affairs, Sumedang, Indonesia.

This research aimed to establish a mechanism of evolution of community protection, identify the support of facilities and infrastructure needed in facilitating the implementation of the tasks and functions of Linmas, especially in disaster management and formulate community protection institutions that are appropriate to the needs and capacities of the regions. The research method is carried out by a qualitative approach that is using focus group discussion (FGD) based on experience and perceptions of the benefits and impacts of the community protection unit's guidance in West Java province. The results show that the community protection institutions are needed in improving the independence of the community in tackling any disaster that is faced by an organization in which at least have the ability and skills in the field: early prevention, peace and orderly of safety fibre, health and psychologist and public and social work. Read More

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Barriers to follow-up after an abnormal cervical cancer screening result and the role of male partners: a qualitative study.

BMJ Open 2021 Sep 14;11(9):e049901. Epub 2021 Sep 14.

Clinical Department, University of North Carolina Project, Lilongwe, Central Region, Malawi.

Introduction: Cervical cancer is the leading cause of cancer deaths among women in Malawi, but preventable through screening. Malawi primarily uses visual inspection with acetic acid (VIA) for screening, however, a follow-up for positive screening results remains a major barrier, in rural areas. We interviewed women who underwent a community-based screen-and-treat campaign that offered same-day treatment with thermocoagulation, a heat-based ablative procedure for VIA-positive lesions, to understand the barriers in accessing post-treatment follow-up and the role of male partners in contributing to, or overcoming these barriers. Read More

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September 2021

The use of teledentistry in facilitating oral health for older adults: A scoping review.

J Am Dent Assoc 2021 Sep 11. Epub 2021 Sep 11.

Background: Teledentistry is used in many countries to provide oral health care services. However, using teledentistry to provide oral health care services for older adults is not well documented. This knowledge gap needs to be addressed, especially when accessing a dental clinic is not possible and teledentistry might be the only way for many older adults to receive oral health care services. Read More

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September 2021

Physician investment in hospitals: Specialization, selection, and quality in cardiac care.

Authors:
Ashley Swanson

J Health Econ 2021 Sep 4;80:102519. Epub 2021 Sep 4.

Columbia Business School and NBER, United States. Electronic address:

Physician ownership of hospitals involves several competing economic forces. Physician-owners may be incentivized to "cherry-pick" and treat profitable patients at their facilities. However, physician-owned hospitals are often specialized and may provide higher-quality care for well-matched patients. Read More

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September 2021

Alcohol-Based Hand Rub Consumption and World Health Organization Hand Hygiene Self-Assessment Framework: A Comparison Between the 2 Surveillances in a 4-Year Region-Wide Experience.

J Patient Saf 2021 Sep 13. Epub 2021 Sep 13.

From the Department of Public Health Sciences and Paediatrics School of Medicine, University of Turin, Turin, Italy.

Objectives: Hand hygiene is essential for infection prevention. In Piedmont (Northwest Italy), hand hygiene is routinely monitored through 2 surveillance systems, the World Health Organization Hand Hygiene Self-Assessment Framework (HHSAF) and alcohol-based hand rub (ABHR) consumption. This study was aimed at (1) comparing the results of these surveillances, investigating the consistence of the 2 systems and (2) inquiring whether organizational differences among healthcare facilities significantly affected hand hygiene performances. Read More

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September 2021

Understanding the financial burden of incomplete abortion: An analysis of the out-of-pocket expenditure on postabortion care in eight public-sector health care facilities in Dakar, Senegal.

Glob Public Health 2021 Sep 14:1-16. Epub 2021 Sep 14.

Le Centre de Formation, Recherche et de Plaidoyer en Santé de la Reproduction (CEFOREP), Dakar, Senegal.

Timely access to treatment is essential for women when they experience abortion complications. Out-of-pocket (OOP) expenditure is a known barrier to health care access. In 2018, we assessed the financial burden of accessing postabortion care (PAC) borne by women in Dakar, Senegal, where studies estimate that half of poor women with complications obtain PAC. Read More

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September 2021

Geographic analysis of military health system (MHS) buprenorphine prescribers and patients.

J Opioid Manag 2021 ;17(7):87-100

Georgetown University School of Medicine, Program Director Pain Fellowship, Walter Reed National Military Medical Center, Bethesda, Maryland.

Objective: To demonstrate the prevalence of opioid use disorder (OUD) in the military health system (MHS), geographically map OUD patients and providers, and offer policy recommendations to help increase buprenorphine waiver prescribing.

Design: This study was a retrospective review of data from the MHS records. Deidentified records of MHS OUD patients receiving buprenorphine were utilized. Read More

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January 2021

Optimal strategies to screen health care workers for COVID-19 in the US: a cost-effectiveness analysis.

Res Sq 2021 Sep 10. Epub 2021 Sep 10.

Background: Transmission of SARS-CoV-2 in health care facilities poses a challenge against pandemic control. Health care workers (HCWs) have frequent and high-risk interactions with COVID-19 patients. We undertook a cost-effectiveness analysis to determine optimal testing strategies for screening HCWs to inform strategic decision-making in health care settings. Read More

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September 2021

Lessons from COVID-19's impact on medical tourism in Cambodia.

Public Health Pract (Oxf) 2021 Nov 27;2:100182. Epub 2021 Aug 27.

Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima City, Fukushima, Japan.

Making medical tourism a more valuable healthcare system is a significant public health issue. However, little discussion has been conducted on what lessons can be learned from the impact of COVID-19 on medical tourism. This study aimed to discuss the issues and barriers faced by patients unable to seek medical tourism, and the medical care experience at private general hospital in capital, Cambodia. Read More

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November 2021

COVID-19 vaccine hesitancy in patients on dialysis in Italy and France.

Kidney Int Rep 2021 Sep 8. Epub 2021 Sep 8.

Néphrologie et Dialyse, Centre Hospitalier Le Mans, 194 Avenue Rubillard, 72037, Le Mans, France.

Introduction: Patients on dialysis (HDP) are a category at high risk from COVID-19 and thus a high-priority group for vaccination. COVID-19 vaccine hesitancy has been a concern since the availability of the first vaccine. The objective of this study was to determine hesitancy rates and factors associated with hesitancy towards COVID-19 vaccination in HDP. Read More

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September 2021

School environment and physical activity in adolescents from São Paulo city.

Sci Rep 2021 Sep 13;11(1):18118. Epub 2021 Sep 13.

Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.

We examined the association of physical activity (PA) facilities and access to school with total PA and domain-specific PA in adolescents. We enrolled 2610 adolescents (mean: 14.9 years) from Sao Paulo city. Read More

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September 2021