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Trust In Hospitals-Evidence From India, Vani S. Kulkarni, Veena S. Kulkarni, Raghav Gaiha 2019 University of Pennsylvania

Trust In Hospitals-Evidence From India, Vani S. Kulkarni, Veena S. Kulkarni, Raghav Gaiha

Population Center Working Papers (PSC/PARC)

Various explanations have been offered for outbursts of violence against doctors and other staff in India, drawing attention to growing supply-demand imbalance in healthcare, quality deterioration, overburdened doctors, weak security for medical staff, high expectations of patients who come in advanced stages of chronic and other illnesses, overcrowding of public hospitals with limited sanitary facilities. But underlying all these explanations is lack of trust in doctors and hospitals-especially public. Our focus here is on trust and its covariates over the period 2005-2012. The motivation stems from the fact that the existing evidence is patchy and scattered. Our aim, therefore, is ...


Determining First Aid Knowledge And Skills Retention With Laypeople: A Randomized Controlled Trial In Nepal, Bert Avau, Axel Vande veegaete, Hans Scheers, Philippe Vandekerckhove, Emmy De Buck 2019 Centre for Evidence-Based Practice, Belgian Red Cross, Mechelen, Belgium; Cochrane Belgium, Centre for Evidence-Based Medicine, Leuven, Belgium

Determining First Aid Knowledge And Skills Retention With Laypeople: A Randomized Controlled Trial In Nepal, Bert Avau, Axel Vande Veegaete, Hans Scheers, Philippe Vandekerckhove, Emmy De Buck

International Journal of First Aid Education

Background: First aid (FA) education is important in building a resilient society. Millions of people are trained annually in FA worldwide. However, the knowledge concerning retention of FA and optimal retraining frequency is limited. The aims of the current study were to investigate the two-year retention of FA knowledge and skills, and to determine to what extent refresher courses with different contents after one year influence retention.

Methods: 502 Nepalese laypeople were trained in basic FA during 21 separate 4-day courses. One year after the basic FA course, participants received one of two refresher courses. The first one (“FA theory ...


Coccidioidomycosis: Medical And Spatio-Temporal Perspectives, Nikias Sarafoglou, Rafael Laniado-Laborin, Menas Kafatos 2019 George Mason University

Coccidioidomycosis: Medical And Spatio-Temporal Perspectives, Nikias Sarafoglou, Rafael Laniado-Laborin, Menas Kafatos

Mathematics, Physics, and Computer Science Faculty Articles and Research

Coccidioidomycosis (CM) is a disease of major public health importance due to the challenges in its diagnosis and treatment. To understand CM requires the attributes of a multidisciplinary network analysis to appreciate the complexity of the medical, the environmental and the social issues involved: public health, public policy, geology, atmospheric science, agronomy, social sciences and finally humanities, all which provide insight into this population transformation.

In section 1 of this paper, we describe the CM-epidemiology, the clinical features, the diagnosis and finally the treatment.

In section 2, we highlight the most important contributions and controversies in the history of the ...


How Are Women In African Parliaments Influencing Health Outcomes?, Iyabo Obasanjo 2019 William & Mary

How Are Women In African Parliaments Influencing Health Outcomes?, Iyabo Obasanjo

Iyabo Obasanjo

This paper examines the question of how women in parliament are impacting health outcomes in African countries. One of the basic functions of parliaments is budgeting and by evaluating the impact of female parliamentarians on public expenditure on health we can determine if their impact on health outcomes comes from this fiscal responsibility of parliament. The effect of percentage of women in parliament on health expenditure in the next year was analyzed using regression analyses while controlling for GDP, HIV rate and Maternal Mortality was determined. We conclude that women in parliament influence health outcomes by increasing budgetary allocation to ...


Aid Versus Trade As The Model For International Development, Iyabo Obasanjo 2019 William & Mary

Aid Versus Trade As The Model For International Development, Iyabo Obasanjo

Iyabo Obasanjo

No abstract provided.


Anticoagulant Prescribing For Non-Valvular Atrial Fibrillation In The Veterans Health Administration, Adam J. Rose, Robert J. Goldberg, David D. McManus, Alok Kapoor, Victoria Wang, Weisong Liu, Hong Yu 2019 Boston University

Anticoagulant Prescribing For Non-Valvular Atrial Fibrillation In The Veterans Health Administration, Adam J. Rose, Robert J. Goldberg, David D. Mcmanus, Alok Kapoor, Victoria Wang, Weisong Liu, Hong Yu

Open Access Articles

Background: Direct acting oral anticoagulants (DOACs) theoretically could contribute to addressing underuse of anticoagulation in non-valvular atrial fibrillation (NVAF). Few studies have examined this prospect, however. The potential of DOACs to address underuse of anticoagulation in NVAF could be magnified within a healthcare system that sharply limits patients' exposure to out-of-pocket copayments, such as the Veterans Health Administration (VA).

Methods and Results: We used a clinical data set of all patients with NVAF treated within VA from 2007 to 2016 (n=987 373). We examined how the proportion of patients receiving any anticoagulation, and which agent was prescribed, changed over ...


Editorial: The Trusted Source Of Knowledge For Australian Perioperative Nurses, Jed Duff 2019 University of Newcastle

Editorial: The Trusted Source Of Knowledge For Australian Perioperative Nurses, Jed Duff

Journal of Perioperative Nursing

No abstract provided.


The Patient, Case, Individual And Environmental Factors That Impact On The Surgical Count Process: An Integrative Review, Victoria Ruth Warwick Dr, Brigid M. Gillespie PhD, Anne McMurray, Karen G. Clark-Burg 2019 Fiona Stanley and Fremantle Hospital Group

The Patient, Case, Individual And Environmental Factors That Impact On The Surgical Count Process: An Integrative Review, Victoria Ruth Warwick Dr, Brigid M. Gillespie Phd, Anne Mcmurray, Karen G. Clark-Burg

Journal of Perioperative Nursing

Problem identification

The surgical count is an integral component of the perioperative nurse’s role designed to reduce the risk of unintentional retained items (URIs) during surgery. Current literature provides statistical data that URIs continue to occur which has exposed a lack of adherence to the surgical count process as a possible contributing factor. This review was undertaken to identify what is currently known about perioperative nurses’ practices in relation to the surgical count and the perceived barriers and enablers when trying to follow best practice as outlined in ACORN’s Standards for Perioperative Nursing in Australia.

Literature search

The ...


Refining Guidelines For The Care Of Paediatric Perioperative Patients In A Rural Health Care Facility, Michelle Hibberson 2019 Australian College of Perioperative Nurses (ACORN)

Refining Guidelines For The Care Of Paediatric Perioperative Patients In A Rural Health Care Facility, Michelle Hibberson

Journal of Perioperative Nursing

No abstract provided.


Creating And Applying Shared Mental Models In The Operating Room, Alister Wilson 2019 Australian College of Perioperative Nurses (ACORN)

Creating And Applying Shared Mental Models In The Operating Room, Alister Wilson

Journal of Perioperative Nursing

A shared mental model is a concept from high reliability environments, like aviation, to help teams develop collective understanding of how they will work together to safely accomplish their goals. Areas of high-risk health care like the operating room have adapted this concept to improve interdisciplinary teamwork and thus improve patient outcomes. Non-technical skills including communication, situational awareness, task management and leadership are employed to produce a functional shared mental model. Nurses play an important role in the change process as traditional hierarchical cultures, differing communication styles between doctors and nurses and an increasingly transient workforce are all challenges to ...


Rapid, Remote Education For Point-Of-Care Ultrasound Among Non-Physician Emergency Care Providers In A Resource Limited Setting, Benjamin M. Terry, David L. Polan, Rashidah Nambaziira, Julius Mugisha, Mark C. Bisanzo, Romolo Joseph Gaspari 2019 University of Massachusetts Medical School

Rapid, Remote Education For Point-Of-Care Ultrasound Among Non-Physician Emergency Care Providers In A Resource Limited Setting, Benjamin M. Terry, David L. Polan, Rashidah Nambaziira, Julius Mugisha, Mark C. Bisanzo, Romolo Joseph Gaspari

Open Access Articles

Introduction: Access to high-quality emergency care in low- and middle-income countries (LMIC) is lacking. Many countries utilise a strategy known as "task-shifting" where skills and responsibilities are distributed in novel ways among healthcare personnel. Point-of-care ultrasound (POCUS) has the potential to significantly improve emergency care in LMICs.

Methods: POCUS was incorporated into a training program for a ten-person cohort of non-physician Emergency Care Providers (ECPs) in rural Uganda. We performed a prospective observational evaluation on the impact of a remote, rapid review of POCUS studies on the primary objective of ECP ultrasound quality and secondary objective of ultrasound utilisation. The ...


Prevalence, Trends, Outcomes, And Disparities In Hospitalizations For Nonalcoholic Fatty Liver Disease In The United States, Adeyinka Adejumo, Gbeminiyi Olanrewaju Samuel, Oluwole Muyiwa Adegbala, Kelechi Lauretta. Adejumo, Ogooluwa Ojelabi, Olalekan Akanbi, Olumuyiwa Akinbolaji Ogundipe, Lydie Pani 2019 University of Massachusetts Medical School

Prevalence, Trends, Outcomes, And Disparities In Hospitalizations For Nonalcoholic Fatty Liver Disease In The United States, Adeyinka Adejumo, Gbeminiyi Olanrewaju Samuel, Oluwole Muyiwa Adegbala, Kelechi Lauretta. Adejumo, Ogooluwa Ojelabi, Olalekan Akanbi, Olumuyiwa Akinbolaji Ogundipe, Lydie Pani

Open Access Articles

Background: As the frequency of nonalcoholic fatty liver disease (NAFLD) continues to rise in the United States (US) community, more patients are hospitalized with NAFLD. However, data on the prevalence and outcomes of hospitalizations with NAFLD are lacking. We investigated the prevalence, trends and outcomes of NAFLD hospitalizations in the US.

Methods: Hospitalizations with NAFLD were identified in the National Inpatient Sample (2007-2014) by their ICD-9-CM codes, and the prevalence and trends over an 8-year period were calculated among different demographic groups. After excluding other causes of liver disease among the NAFLD cohorts (n=210,660), the impact of sex ...


Implementing A Health Coach Into Your Healthcare Continuum, Dalton Jarvis 2019 Otterbein University

Implementing A Health Coach Into Your Healthcare Continuum, Dalton Jarvis

Masters Theses/Capstone Projects

Presentation on Implementing a Health-coach into your Healthcare Continuum.


Using Electronic Referrals To Address Health Disparities And Improve Blood Pressure Control, Amy Bettano, Thomas Land, Alice Byrd, Susan Svencer, Laura Nasuti 2019 Massachusetts Department of Public Health

Using Electronic Referrals To Address Health Disparities And Improve Blood Pressure Control, Amy Bettano, Thomas Land, Alice Byrd, Susan Svencer, Laura Nasuti

Open Access Articles

INTRODUCTION: Massachusetts developed and used bidirectional electronic referrals to connect clinical patients across the state to interventions run by community organizations. The objective of our study was to determine whether the use of Massachusetts's electronic referral system (MA e-Referral) reached racial/ethnic groups experiencing health disparities and whether it was associated with improved health outcomes.

METHODS: We assembled encounter-level medical records from September 2013 through June 2017 for patients at Massachusetts clinics funded by the Clinical Community Partnerships for Prevention into 2 cohorts. First, all patients meeting program eligibility guidelines for an e-Referral (N = 21,701) were examined to ...


Trace-Core Dataset On Religious Practices And Long-Term Survival After Hospital Discharge For An Acute Coronary Syndrome, Hawa O. Abu, Kate L. Lapane, Molly E. Waring, Christine M. Ulbricht, Randolph S. Devereaux, David D. McManus, Jeroan J. Allison, Catarina I. Kiefe, Robert J. Goldberg 2019 University of Massachusetts Medical School

Trace-Core Dataset On Religious Practices And Long-Term Survival After Hospital Discharge For An Acute Coronary Syndrome, Hawa O. Abu, Kate L. Lapane, Molly E. Waring, Christine M. Ulbricht, Randolph S. Devereaux, David D. Mcmanus, Jeroan J. Allison, Catarina I. Kiefe, Robert J. Goldberg

University of Massachusetts Medical School Publications

Manuscript abstract:

Background: Prior studies of healthy populations have found religious practices to be associated with survival. However, no contemporary studies have examined whether religiosity influences survival among patients discharged from the hospital after an acute coronary syndrome (ACS). The present study examined the relationship between religious practices and 2-year all-cause mortality among hospital survivors of an ACS.

Methods: Patients hospitalized for an ACS were recruited from 6 medical centers in Massachusetts and Georgia between 2011 and 2013. Study participants self-reported three items assessing religiosity: strength/comfort from religion, petition prayers for health, and awareness of intercessory prayers by others ...


Paging Dr. Strong: A Call To Action Towards Addressing Occupational Stress And Burnout Among Primary Care Health Professionals, Carmen Olmedo 2019 The University of San Francisco

Paging Dr. Strong: A Call To Action Towards Addressing Occupational Stress And Burnout Among Primary Care Health Professionals, Carmen Olmedo

Master's Projects and Capstones

Purpose: Within a rapidly evolving industry, occupational stress and burnout among healthcare clinicians and staff is becoming a pervasive public health crisis across all subspecialties. The purpose of this project was to use the Compassion Satisfaction-Compassion Fatigue (CS-CF) Theory as a method to assess burnout among primary care health professionals, in addition to developing recommendations to assist the promotion of a staff wellness initiative at an urban community clinic.
Methods: A needs assessment was conducted at a Community Health Center (CHC) in San Francisco. Data collection consisted of anonymous distribution of the Professional Quality of Life (ProQOL) Survey and semi-structured ...


Experiences With The Veterans' Choice Program, Kevin T. Stroupe, Rachael Martinez, Timothy P. Hogan, Elisa J. Gordon, Beverly Gonzalez, Ibuola Kale, Chad Osteen, Elizabeth Tarlov, Frances M. Weaver, Denise M. Hynes, Bridget M. Smith 2019 Loyola University

Experiences With The Veterans' Choice Program, Kevin T. Stroupe, Rachael Martinez, Timothy P. Hogan, Elisa J. Gordon, Beverly Gonzalez, Ibuola Kale, Chad Osteen, Elizabeth Tarlov, Frances M. Weaver, Denise M. Hynes, Bridget M. Smith

Population and Quantitative Health Sciences Publications

BACKGROUND: To address concerns about Veterans' access to care at US Department of Veterans Affairs (VA) healthcare facilities, the Veterans Access, Choice, and Accountability Act was enacted to facilitate Veterans' access to care in non-VA settings, resulting in the "Veterans Choice Program" (VCP).

OBJECTIVES: To assess the characteristics of Veterans who used or planned to use the VCP, reasons for using or planning to use the VCP, and experiences with the VCP.

DESIGN: Mixed-methods.

SUBJECTS: After sampling Veterans in the Midwest census region receiving care at VA healthcare facilities, we included 4521 Veterans in the analyses. Of these, 60 Veterans ...


Automated Text Messaging With Patients In Department Of Veterans Affairs Specialty Clinics: Cluster Randomized Trial, Vera Yakovchenko, Timothy P. Hogan, Thomas K. Houston, Lorilei Richardson, Jessica Lipschitz, Beth Ann Petrakis, Chris Gillespie, D. Keith McInnes 2019 Department of Veterans Affairs

Automated Text Messaging With Patients In Department Of Veterans Affairs Specialty Clinics: Cluster Randomized Trial, Vera Yakovchenko, Timothy P. Hogan, Thomas K. Houston, Lorilei Richardson, Jessica Lipschitz, Beth Ann Petrakis, Chris Gillespie, D. Keith Mcinnes

Open Access Articles

BACKGROUND: Acceptability of mobile phone text messaging as a means of asynchronous communication between health care systems and patients is growing. The US Department of Veterans Affairs (VA) has adopted an automated texting system (aTS) for national rollout. The aTS allows providers to develop clinical texting protocols to promote patient self-management and allows clinical teams to monitor patient progress between in-person visits. Texting-supported hepatitis C virus (HCV) treatment has not been previously tested.

OBJECTIVE: Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), we developed an aTS HCV protocol and conducted a mixed methods, hybrid type 2 effectiveness implementation ...


Adapting First Aid Education To Fragile Contexts: A Qualitative Study, Ellen Gordon, Thomas Wilp, Emily Oliver, Jeffrey L. Pellegrino 2019 British Red Cross

Adapting First Aid Education To Fragile Contexts: A Qualitative Study, Ellen Gordon, Thomas Wilp, Emily Oliver, Jeffrey L. Pellegrino

International Journal of First Aid Education

Evidence for international first aid guidelines predominantly comes from studies conducted in western contexts during peacetime and/or healthcare settings. Yet, internationally the burden of trauma falls on low- and middle-income countries where lay responders might have to act in fragile contexts, where first aid and healthcare resources are limited or not available.

This study focuses on the principles and practices that govern first aid education (FAE), versus clinical evidence of first aid interventions. Accepting that application of first aid may vary according to context, we sought to understand educational principles according to contextual resources of fragile and non-fragile environments ...


High Stakes Require More Than Just Talk: What To Do About Corruption In Health Systems, Taryn Vian 2019 University of San Francisco

High Stakes Require More Than Just Talk: What To Do About Corruption In Health Systems, Taryn Vian

Nursing and Health Professions Faculty Research and Publications

Reluctance to talk about corruption is an important barrier to action. Yet the stakes of not addressing corruption in the health sector are higher than ever. Corruption includes wrongdoing by individuals, but it is also a problem of weak institutions captured by political interests, and underfunded, unreliable administrative systems and healthcare delivery models. We urgently need to focus on corruption as a health systems problem. In addition to supporting research to better understand the context and implications of corruption in health systems, this article suggests actions that public health professionals can do now to fight corruption.


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