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The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on public health or other clinical topics then use Trip today.
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Transparency about the outcomes of mental health services (IAPT approach): an analysis of public data. Internationally, the clinical outcomes of routine mental health services are rarely recorded or reported; however, an exception is the English Improving Access to Psychological Therapies (IAPT) service, which delivers psychological therapies recommended by the National Institute for Health and Care Excellence for depression and anxiety disorders to more than 537 000 patients in the UK each (...) year. A session-by-session outcome monitoring system ensures that IAPT obtains symptom scores before and after treatment for 98% of patients. Service outcomes can then be reported, along with contextual information, on public websites.We used publicly available data to identify predictors of variability in clinical performance. Using β regression models, we analysed the outcome data released by National Health Service Digital and PublicHealth England for the 2014-15 financial year (April 1, 2014
The future of publichealth research The future of publichealth research Summary report of a workshop held 20-21 July 2017 The Academy of Medical Sciences The Academy of Medical Sciences The Academy of Medical Sciences is the independent body in the UK representing the diversity of medical science. Our mission is to promote medical science and its translation into benefits for society. The Academy’s elected Fellows are the United Kingdom’s leading medical scientists from hospitals, academia (...) , industry and the public service. We work with them to promote excellence, influence policy to improve health and wealth, nurture the next generation of medical researchers, link academia, industry and the NHS, seize international opportunities and encourage dialogue about the medical sciences. Opinions expressed in this report do not necessarily represent the views of all participants at the event, the Academy of Medical Sciences or its Fellows, the NIHR, or the Faculty of PublicHealth. All web
Identifying and Addressing the PublicHealth Risks of Splash Parks IDENTIFYING AND ADDRESSING THE PUBLICHEALTH RISKS OF SPLASH PARKS KEY MESSAGES • Recirculating splash parks have caused several large gastrointestinal outbreaks in recent years. • Outbreaks are typically linked to failure of the chlorination/ filtration systems and/or lack of secondary disinfection, such as ultraviolet light, but may also derive from user behaviour as well as design and operating conditions. • This document (...) . 1,2 Splash parks may take one of two basic designs, which influences the associated publichealth risks. Non-recirculating or flow-through parks discharge the water directly to waste and present a relatively low risk to their users as the design is based on using fresh potable water (Figure 1a). In contrast, recirculating parks collect water in an underground tank, apply some form of water treatment, and re-use the water again (Figure 1b). This presents an increased risk of contamination
Theories, models and frameworks used in capacity building interventions relevant to publichealth: a systematic review. There is limited research on capacity building interventions that include theoretical foundations. The purpose of this systematic review is to identify underlying theories, models and frameworks used to support capacity building interventions relevant to publichealth practice. The aim is to inform and improve capacity building practices and services offered by publichealth (...) organizations.Four search strategies were used: 1) electronic database searching; 2) reference lists of included papers; 3) key informant consultation; and 4) grey literature searching. Inclusion and exclusion criteria are outlined with included papers focusing on capacity building, learning plans, professional development plans in combination with tools, resources, processes, procedures, steps, model, framework, guideline, described in a publichealth or healthcare setting, or non-government, government
Association of PublicHealth Initiatives With Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations Little is known about the influence of comprehensive publichealth initiatives according to out-of-hospital cardiac arrest (OHCA) location, particularly at home, where resuscitation efforts and outcomes have historically been poor.To describe temporal trends in bystander cardiopulmonary resuscitation (CPR) and first-responder defibrillation for OHCAs stratified by home vs (...) public location and their association with survival and neurological outcomes.This observational study reviewed 8269 patients with OHCAs (5602 [67.7%] at home and 2667 [32.3%] in public) for whom resuscitation was attempted using data from the Cardiac Arrest Registry to Enhance Survival (CARES) from January 1, 2010, through December 31, 2014. The setting was 16 counties in North Carolina.Patients were stratified by home vs public OHCA. Publichealth initiatives to improve bystander and first
A systematic review of the publichealth risks of bioaerosols from intensive farming. Population growth, increasing food demands, and economic efficiency have been major driving forces behind farming intensification over recent decades. However, biological emissions (bioaerosols) from intensified livestock farming may have the potential to impact human health. Bioaerosols from intensive livestock farming have been reported to cause symptoms and/or illnesses in occupational-settings (...) and there is concern about the potential health effects on people who live near the intensive farms. As well as adverse health effects, some potential beneficial effects have been attributed to farm exposures in early life. The aim of the study was to undertake a systematic review to evaluate potential for adverse health outcomes in populations living near intensive livestock farms.Two electronic databases (PubMed and Scopus) and bibliographies were searched for studies reporting associations between health
The evolution of publichealth ethics frameworks: systematic review of moral values and norms in publichealth policy. Given the evolution of the publichealth (PH) and the changes from the phenomenon of globalization, this area has encountered new ethical challenges. In order to find a coherent approach to address ethical issues in PH policy, this study aimed to identify the evolution of publichealth ethics (PHE) frameworks and the main moral values and norms in PH practice and policy (...) . According to the research questions, a systematic search of the literature, in English, with no time limit was performed using the main keywords in databases Web of Science (ISI) and PubMed. Finally, the full text of 56 papers was analyzed. Most of the frameworks have common underpinning assumptions and beliefs, and the need to balance PH moral obligation to prevent harm and health promotion with respect for individual autonomy has been specified. As such, a clear shift from liberal values in biomedical
Preconception health interventions delivered in publichealth and community settings: A systematic review. The objective of this systematic review was to assess the effects of preconception health interventions, delivered to individuals of reproductive age in publichealth and community settings, on reproductive, maternal, and child health outcomes.A search of Ovid MEDLINE, CINAHL, EMBASE, PsychINFO, Scopus, Gender Studies Database, and SocINDEX from July 1999 through July 2016 was performed (...) studies were conducted in the United States; all but one study included only women. Interventions were mainly educational initiatives focused on nutrition, immunization, and lifestyle behaviours and were delivered in a single contact. The studies reported positive effects on health knowledge (n = 9), behaviour change (n = 4), and health outcomes (n = 1). Study quality was weak (n = 11) or moderate (n = 1), with limitations related to selection bias, blinding, data collection methods, and participant
Civil rights as determinants of publichealth and racial and ethnic health equity: Health care, education, employment, and housing in the United States This essay examines how civil rights and their implementation have affected and continue to affect the health of racial and ethnic minority populations in the United States. Civil rights are characterized as social determinants of health. A brief review of US history indicates that, particularly for Blacks, Hispanics, and American Indians (...) be considered a powerful arena for publichealth theorizing, research, policy, and action.
Predictors and consequences of rural clientsâ€™ satisfaction level in the district public-private mixed health system of Bangladesh We investigated predictors of the rural clients' satisfaction level (CSL), and interlinks between perceived specific service quality (PSSQ), perceived utility value (PUV), CSL, and clients' reactions (CR) towards current and future utilization of providers and facilities in the public-private mixed health system of Bangladesh.A quantitative study using interviewer (...) -administered questionnaire was conducted among 400 rural patients. CSL was measured both directly and indirectly. Clients' opinions of PSSQ relating to healthcare structure and process features were measured for indirectly assessing their satisfaction. PUV and CR were also measured indirectly. 5-point Likert scales were used to measure PSSQ, PUV, CSL and CR. Multiple regression and mediation were the models.Clients' satisfaction was low in both health sectors with significantly lower in the public than
My Signals - Publichealth My Signals - Publichealth collection Search this site or Dissemination Centre My Signals - Publichealth collection In My Signals , health and social care staff and service users tell us what research is important to them and why they feel others need to know about it. Join the conversation on Twitter and tell us which Signals have interested, excited or surprised you, using #MySignals. You can find out more or read the latest on the . In this collection (...) , ( ), Director of PublicHealth at Doncaster Council, explains the role of research evidence in publichealth, and highlights NIHR Signals of particular interest to people working to improve publichealth. Evidence use in publichealth Since April 2013, local authorities in England have regained their role in leading the local publichealth system. Whilst the transfer of publichealth from the NHS is a key part of this, it is worth remembering that local government was already working to improve social
Transport and publichealth in China: the road to a healthy future. Transportation-related risk factors are a major source of morbidity and mortality in China, where the expansion of road networks and surges in personal vehicle ownership are having profound effects on publichealth. Road traffic injuries and fatalities have increased alongside increased use of motorised transport in China, and accident injury risk is aggravated by inadequate emergency response systems and trauma care. National (...) air quality standards and emission control technologies are having a positive effect on air quality, but persistent air pollution is increasingly attributable to a growing and outdated vehicle fleet and to famously congested roads. Urban design favours motorised transport, and physical activity and its associated health benefits are hindered by poor urban infrastructure. Transport emissions of greenhouse gases contribute substantially to regional and global climate change, which compound public
How do we define the policy impact of publichealth research? A systematic review. In order to understand and measure the policy impact of research we need a definition of research impact that is suited to the task. This article systematically reviewed both peer-reviewed and grey literature for definitions of research impact to develop a definition of research impact that can be used to investigate how publichealth research influences policy.Keyword searches of the electronic databases Web (...) of Science, ProQuest, PubMed, EMBASE, CINAHL, Informit, PsycINFO, The Cochrane Database of Systematic Reviews and Google Scholar were conducted between August 2015 and April 2016. Keywords included 'definition' and 'policy' and 'research impact' or 'research evidence'. The search terms 'health', publichealth' or 'mental health' and 'knowledge transfer' or 'research translation' were used to focus the search on relevant health discipline approaches. Studies included in the review described processes
A PublicHealth Preparedness Logic Model: Assessing Preparedness for Cross-border Threats in the European Region Improving preparedness in the European region requires a clear understanding of what European Union (EU) member states should be able to do, whether acting internally or in cooperation with each other or the EU and other multilateral organizations. We have developed a preparedness logic model that specifies the aims and objectives of publichealth preparedness, as well (...) as the response capabilities and preparedness capacities needed to achieve them. The capabilities, which describe the ability to effectively use capacities to identify, characterize, and respond to emergencies, are organized into 5 categories. The first 3 categories-(1) assessment; (2) policy development, adaptation, and implementation; and (3) prevention and treatment services in the health sector-represent what the publichealth system must accomplish to respond effectively. The fourth and fifth categories
HIV and Chronic Pain, Part 2: Addressing the Opioid PublicHealth Crisis 29662723 2018 11 14 2168-3808 35 4 2017 Oct Rehabilitation oncology (American Physical Therapy Association. Oncology Section) Rehabil Oncol HIV and Chronic Pain, Part 2: Addressing the Opioid PublicHealth Crisis. 197-198 Pullen Sara D SD Emory University School of Medicine, Department of Rehabilitation Medicine, Atlanta, GA 30322. eng P30 AI050409 AI NIAID NIH HHS United States Journal Article United States Rehabil Oncol
Beyond pulmonary nontuberculous mycobacteria disease: do extra-pulmonary forms represent an emerging clinical and publichealth threat? Pulmonary and extra-pulmonary diseases caused by nontuberculous mycobacteria: new clinical and publichealth threats http://ow.ly/87Dm30eMFd9.
[Subjective health and burden of disease in seniors: Overview of official statistics and publichealth reports]. There are different types of information on men's health in older age. High morbidity burden is offset by subjective assessments of "very good" and "good" health by 52% of men over 65 years.The aim of this study is to assess the health situation of seniors from official publications and publichealth reports. How can the quality of life in our male population be positively influenced (...) so that they can actively participate in society in old age.Information on the health of seniors and burden of disease were taken from men's health reports and official publications from the Robert-Koch-Institute, the Federal Statistical Office, and the IHME Institute of the USA according to age groups and gender.Burden of disease in seniors is influenced by one's own health behavior and the social situation. The increase in life expectancy of seniors is characterized by longer life with chronic
Risk perceptions, attitudes, and knowledge of chikungunya among the public and health professionals: a systematic review. Recently, attention to chikungunya has increased due to its spread into previously non-endemic areas. Since there is no available treatment or vaccine, most intervention strategies focus on mosquito bite prevention and mosquito control, which require community involvement to be successful. Thus, our objective was to systematically review the global primary literature (...) on the risk perceptions, attitudes, and knowledge of chikungunya among the public and health professionals to inform future research and improve our understanding on which intervention strategies are likely to be successful.Potentially relevant articles were identified through a standardized systematic review (SR) process consisting of the following steps: comprehensive search strategy in seven databases (Scopus, PubMed, CINAHL, CAB, LILACS, Agricola, and Cochrane) and a grey literature search of public