Balancing the risks: continuous vs. interrupted anticoagulation during TAVI – what does the evidence say? by Ravi Patel, Emmanuel Kokori, Gbolahan Olatunji, Israel Charles Abraham, Adeola Akinboade, Emmanuel Ababio Agyemang, Adetola Babalola, Nicholas Aderinto

Get full text

Access to Complex Abortion Care Service and Planning Improved through a Toll-Free Telephone Resource Line by Wendy V. Norman, Barbara Hestrin, Royce Dueck

“…Providing equitable access to the full range of reproductive health services over wide geographic areas presents significant challenges to any health system. We present a review of a service provision model which has provided improved access to abortion care; support for complex issues experienced by women seeking nonjudgmental family planning health services; and a mechanism to collect information on access barriers. …”
Get full text

Developing and validating a HEalthCare NAvigation Competency (HECNAC) Scale for refugees in the United States. by Sarah Yeo, Inseok Lee, John Ehiri, Priscilla Magrath, Kacey Ernst, Yu Ri Kim, Halimatou Alaofè

“…The finalized scale captures multifaceted aspects of healthcare navigation crucial for refugees, organized into domains such as health system knowledge, insurance, making an appointment, transportation, preparing for a visit, in the clinic, interpretation, medicine, medical bills, and preventive care. …”
Get full text

Mobile medical unit as a rational model of modern mobile medical formation operating in the metropolis in emergency situations by A. O. Sboev

“…Substantiation of organizational principles of development of the health system of the population of the megalopolis in emergency situations. …”
Get full text

Multiple outbreaks for the same pandemic: Local transportation and social distancing explain the different 'waves' of A-H1N1pdm cases observed in México during 2009 by Marco Arieli Herrera-Valdez, Maytee Cruz-Aponte, Carlos Castillo-Chavez

“…The 2009 influenza pandemic not only changed México's health priorities but also brought to the forefront some of the strengths and weaknesses of México's epidemiological surveillance and public health system. A year later, México's data show an epidemic pattern characterized by three 'waves''. …”
Get full text

Comparing the Global Tariff and Actual Costs of Surgeries at Imam Khomeini Hospital Affiliated with Kermanshah University of Medical Sciences by Jamil Sadeghifar, Nasim Eyvani, GHasem Rajabi Vasukolai, Naser Farhamand Moghadam, Shahram Ekhtyari

“…Background and purpose: Creating sustainable income, enhancing economic perspectives, optimizing and managing costs, and generating revenue in the health system—especially in hospitals, which are primary providers of medical services—are critically important. …”
Get full text

The Helplessness Dimension of Pain Catastrophizing Mediates the Relation between PTSD Symptoms and Pain Rehabilitation Measures by Matthew Schumann, Julia Craner, Elizabeth Kacel, Eleshia Morrison, Keith Gascho, Judy Gebhard, Wesley Gilliam

Get full text

Association between Prenatal One-Hour Glucose Challenge Test Values and Delivery Mode in Nondiabetic, Pregnant Black Women by Jerel M. Ezell, Rosalind M. Peters, Jessica E. Shill, Andrea E. Cassidy-Bushrow

Get full text

Low-Density Lipoprotein Cholesterol Levels in Coronary Artery Disease Patients: Opportunities for Improvement by Gary J. Martin, Meron Teklu, Edwin Mandieka, Joe Feinglass

“…There were important variations in LDL-C control between patients in our health system with the same indication for treatment. …”
Get full text

Cost–effectiveness of cetuximab combined with radiotherapy versus radiotherapy alone in locally advanced head and neck cancer in Spain by Ruth Alvarez Cabellos, Jon Cacicedo, Susana Redondo Capafons, Heidi De los Santos Real, Miriam Brines Julian, Dario Rubio-Rodriguez, Carlos Rubio-Terres

“…Methods: A probabilistic Markov model (second-order Monte Carlo simulation) with a five-year time horizon and quarterly Markov cycles was performed from the perspective of the Spanish National Health System (NHS). Results: The additional cost and quality-adjusted life-year (QALY) gain per patient receiving radiotherapy in combination with cetuximab compared with radiotherapy alone was €4356 (95% CI: €4350–4362) and 0.2380 (95% CI: 0.2370–0.2391) QALY, respectively. …”

How does career-related parental support benefit career adaptability of medical imaging technology students in Asia-Pacific LMICs? The roles of psychological capital and career val... by Xiaohui Zhang, Yangjing Shen, Junxiang Xu, Guanyu Cui

“…BackgroundChina, as a low- and middle-income country (LMIC) in the Asia-Pacific region, is advancing its rural medical and health system. Students of Medical Imaging Technology (MIT) in China, who will probably be employed in rural, are facing the pressure from both study and employment. …”
Get full text

Chronic Non-communicable Diseases in Health Care Workers: a Multidisciplinary Approach by Teresa Rodríguez Rodríguez, Darianna María Muñiz Cabeza

“…<strong>Background:</strong> the rise of chronic non-communicable diseases requires urgent attention within the projections of the health system in order to contribute to the control and better management of the multiple risk factors that accompany them. …”
Get full text

Off-Label Use of Intravenous Immunoglobulin with Methylprednisolone to Treat Parsonage–Turner Syndrome in a United States Marine by Carissa M. Sedlacek, Michael Leone, Adam D. Foster, Amy Hinkelman

Get full text

A holistic and sustainable approach to public health staffing and workforce development by Paulani Mui, Ruth Maiorana, Beth Resnick

“…This leaves the nation's public health system chronically under-resourced and ill-equipped to respond, resulting in a strained workforce that must remain nimble. …”
Get full text

THE COST OF SMS REMINDER TO IMPROVE ARV ADHERENCE AMONG KEY POPULATIONS by Mery Nurma Juwita, Donny Hardiawan, Rozar Prawinegara, Miasari Handayani, Rudi Wisaksana, Pande Putu Januraga, Nurjannah Sulaiman, Adiatma Siregar

“…Methods: Data were analyzed using a micro-costing approach from providers' and health systems' perspectives. Subjects were divided into intervention and control groups for outcome analysis, with adherence as the outcome indicator. …”
Get full text

Periodic Distribution of a Putative Nucleosome Positioning Motif in Human, Nonhuman Primates, and Archaea: Mutual Information Analysis by Daniela Sosa, Pedro Miramontes, Wentian Li, Víctor Mireles, Juan R. Bobadilla, Marco V. José

Get full text

A ‘training of trainers’ programme for operational research: increasing capacity remotely by Angela Willemsen, Eskinder Wolka, Yibeltal Assefa, Simon Reid

“…Background Operational research (OR) is a process to improve health system capacity by evaluating interventions to improve health delivery and outcomes. …”
Get full text

Predictors of Neonatal Mortality in Ethiopia: A Comprehensive Review of Follow-Up Studies by Derara Girma, Hiwot Dejene, Leta Adugna

“…The wealth of data gathered during primary research should not only lead to identification of predictors, but should also provide guidance for health system intervention strategies in a country aiming to reduce neonatal mortality.…”
Get full text

Examining priorities and investments made through the Global Financing Facility for maternal and newborn health: a sub-analysis on quality by Meghan Bruce Kumar, Mary Kinney, Joël Kiendrébéogo, Donat Shamba, Joy E. Lawn, Peter Waiswa

“…Many of the Investment Cases have a more diagonal focus on MNH service delivery considering the clinical dimensions of quality, while the investments described in the Project Appraisal Documents are primarily on horizontal structural aspects of the health system strengthening environment. The GFF is at the forefront of investing in MNH globally and provides an important opportunity to explicitly link health systems investments and quality interventions within the MNH continuum of care for optimal impact.…”
Get full text

Strategies for strengthening cervical cancer screening programmes in Gwanda district, Zimbabwe: a qualitative study by Fennie Mantula, Yoesrie Toefy, Vikash Sewram

“…The socio-ecological model that implies individual, inter-personal, community, and health system factors as influencers of screening behaviours guided the study. …”
Get full text