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A multidisciplinary reconstruction of Palaeolithic nutrition that holds promise for the prevention and treatment of diseases of civilisation


A multidisciplinary reconstruction of Palaeolithic nutrition that holds promise for the prevention and treatment of diseases of civilisation

Nutrition Research Reviews, 07/18/2012

Kuipers RS et al. – There is ample evidence that ancestors lived in a land–water ecosystem and extracted a substantial part of their diets from both terrestrial and aquatic resources. Rather than rejecting this possibility by lack of evidence, the default assumption should be that hominins, living in coastal ecosystems with catchable aquatic resources, consumed these resources. Finally, read more

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Cleanliness of portable medical equipment disinfected by nursing staff


Cleanliness of portable medical equipment disinfected by nursing staff

American Journal of Infection Control, 08/31/2011

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Havill NL et al. – Increased attention has been focused on disinfection by housekeepers, but few data are available on disinfection of equipment by nurses. The authors used adenosine triphosphate bioluminescence assays and aerobic cultures to assess the cleanliness of portable medical equipment disinfected by nurses between each patient use. They found that the equipment was more


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The impact of nurse prescribing on patients with osteoarthritis


The impact of nurse prescribing on patients with osteoarthritis

British Journal of Community Nursing, 08/15/2011

Creedon R et al. – Osteoarthritis (OA) is now considered one of the ten most disabling diseases in developed countries and it is estimated that worldwide, 18% of women and 9.6% of men aged over 60, suffer from OA. It is, therefore, vital to take into consideration the demographics of this disorder, including the health needs of this age group and associated problems, such as reduced mobility or immobility and the inability to perform everyday tasks associated with chronic pain. Older patients, however, are sometimes able to accept their condition and adopt a ...Read More

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Six Sigma DMAIC Quality Study: Expanded Nurse Practitioner’s Role


Six Sigma DMAIC Quality Study: Expanded Nurse Practitioner’s Role in Health Care During and Posthospitalization Within the United States

Home Health Care Management & Practice, 07/18/2011

Kumar S et al. – Analysis of the current open–ended health care process allowed determining failure points and how to prevent such failures. Recommended poka–yokes include greater involvement of nurses in education and counseling patients during hospitalization and posthospitalization. Structured home visits and nurses role in improving communication with patients to foster better understanding and more

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The accuracy of family physicians dementia diagnoses at different stages of dementia: a systematic review


International Journal of Geriatric Psychiatry, 06/02/2011  Evidence Based Medicine

Van Den Dungen P et al. - Many individuals with dementia are not recognised or not diagnosed as such; particularly mild dementia is under-diagnosed. Collaboration within primary care and education focussing both on knowledge and attitude are recommended to improve the accuracy of family physicians' dementia diagnosis.

  • Pubmed, Embase, CINAHL, PsycINFO and the Cochrane Library were searched for articles comparing family physicians' ‘dementia’ and ‘cognitive impairment’ diagnoses in the primary care setting to reference standard dementia diagnoses.
  • Data from six cross-sectional studies of moderate to reasonable methodological quality were extracted for the analysis.
  • One study considered the accuracy of family physicians' recollected diagnoses, and three studies focussed on documented diagnoses.
  • In these four studies, the sensitivity of family physicians' combined diagnostic categories of ‘cognitive impairment’ together with ‘dementia’ was 0.48–0.67 for mild dementia and 0.76–0.85 for moderate to severe more

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Guidelines for the management of iron deficiency anaemia


Gut, 05/23/2011

Goddard AF et al. –. Iron deficiency anaemia (IDA) occurs in 2–5% of adult men and postmenopausal women in the developed world and is a common cause of referral to gastroenterologists. Gastrointestinal (GI) blood loss from colonic cancer or gastric cancer, and malabsorption in coeliac disease are the most important causes that need to be sought.

All patients should have more

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Medicare Expenditures Among Nursing Home Residents With Advanced Dementia


Archives of Internal Medicine, 05/11/2011

Goldfeld KS et al. – Medicare expenditures among nursing home residents with advanced dementia vary substantially. Hospitalizations and hospice account for most spending. Strategies that promote high–quality palliative care may shift expenditures away from aggressive treatments for these patients at the end of life.

  • Nursing home residents with advanced dementia in 22 facilities (N = 323) were followed up for 18 months.
  • Clinical and health services use data were collected every 90 days.
  • Medicare expenditures were described.
  • Multivariate analysis was used to identify factors associated with total 90–day expenditures for (1) all Medicare services and (2) all Medicare services excluding hospice.
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Nursing as a scientific undertaking and the intersection with science in undergraduate studies: implications for nursing management


Journal of Nursing Management, 04/25/2011

Logan PA et al. – Competing philosophies that reinforce the science–nursing tension have an impact upon student endeavours yet the nexus created by practice can be used to activate student curiosity and scientific understanding. Nurse managers need to structure the student practicum to encompass scientific theory applied to practice with equal emphasis on task efficiency. This improves student attitudes to more

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The effect of social class on mid-age women's weight control practices and weight gain


Appetite, 04/15/2011

Williams L et al. – The study provides longitudinal evidence from a nationally representative sample of women that social class is related to weight gain, and to certain weight control practices.

  • 11,589 mid–aged women (aged 47–52)
  • Australian Longitudinal Study on Women's Health (ALSWH)
  • Multivariate model tested whether mean weight change over a two–year period differed by social class after adjusting for area of residence, age, education, baseline BMI, and smoking.
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Employment of mid-level providers in primary care and control of diabetes


Primary Care Diabetes, 03/30/2011

Jackson GL et al. - Diabetes control among primary care patients appeared to benefit from inclusion of nurse practitioners (NPs), while an analogous association was not found for physician assistants (PAs).

  • A cohort of diabetes patients (alive October 1, 1999) using the Veterans Affairs (VA) Diabetes Registry and VA corporate databases was established.
  • 1999 VA Survey of Primary Care Practices data were combined with individual-patient information.
  • Two-level hierarchical model to determine the relationship between staffing characteristics and hemoglobin A1c (HbA1c) was used.
  • 88,682 patients from 198 clinics were enrolled.
  • NPs at relatively limited levels (% of all providers who are NPs) in the primary more

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