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Healthcare (Basel, Switzerland)

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https://www.readbyqxmd.com/read/30428510/filling-the-gaps-in-adolescent-care-and-school-health-policy-tackling-health-disparities-through-sports-medicine-integration
#1
Kemba Noel-London, Anthony Breitbach, Rhonda Belue
The School-Based Health Centre (SBHC) model of healthcare delivery in community health is designed to address the unique needs of adolescents. Through a collaborative interprofessional approach, they aim to provide comprehensive care with the goal of reducing health disparities in underserved, at-risk adolescents. Integration of sports medicine health professionals is a novel approach to increasing available services, as well as patient utilization, while addressing multiple public health issues, including lack of athletic training services for youth athletes...
November 13, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30424543/extensive-distribution-of-the-lyme-disease-bacterium-borrelia-burgdorferi-sensu-lato-in-multiple-tick-species-parasitizing-avian-and-mammalian-hosts-across-canada
#2
John D Scott, Kerry L Clark, Janet E Foley, John F Anderson, Bradley C Bierman, Lance A Durden
Lyme disease, caused by the spirochetal bacterium, Borrelia burgdorferi sensu lato (Bbsl), is typically transmitted by hard-bodied ticks (Acari: Ixodidae). Whenever this tick-borne zoonosis is mentioned in medical clinics and emergency rooms, it sparks a firestorm of controversy. Denial often sets in, and healthcare practitioners dismiss the fact that this pathogenic spirochetosis is present in their area. For distribution of Bbsl across Canada, we conducted a 4-year, tick⁻host study (2013⁻2016), and collected ticks from avian and mammalian hosts from Atlantic Canada to the West Coast...
November 12, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30404147/bereaved-family-members-satisfaction-with-care-during-the-last-three-months-of-life-for-people-with-advanced-illness
#3
Anna O'Sullivan, Anette Alvariza, Joakim Öhlen, Cecilia Håkanson
BACKGROUND: Studies evaluating the end-of-life care for longer periods of illness trajectories and in several care places are currently lacking. This study explored bereaved family members' satisfaction with care during the last three months of life for people with advanced illness, and associations between satisfaction with care and characteristics of the deceased individuals and their family members. METHODS: A cross-sectional survey design was used. The sample was 485 family members of individuals who died at four different hospitals in Sweden...
November 6, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30400667/precision-medicine-the-role-of-the-msids-model-in-defining-diagnosing-and-treating-chronic-lyme-disease-post-treatment-lyme-disease-syndrome-and-other-chronic-illness-part-2
#4
Richard I Horowitz, Phyllis R Freeman
We present a precision medical perspective to assist in the definition, diagnosis, and management of Post Treatment Lyme Disease Syndrome (PTLDS)/chronic Lyme disease. PTLDS represents a small subset of patients treated for an erythema migrans (EM) rash with persistent or recurrent symptoms and functional decline. The larger population with chronic Lyme disease is less understood and well defined. Multiple Systemic Infectious Disease Syndrome (MSIDS) is a multifactorial model for treating chronic disease(s), which identifies up to 16 overlapping sources of inflammation and their downstream effects...
November 5, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30373242/making-new-health-services-work-nurse-leaders-as-facilitators-of-service-development-in-rural-emergency-services
#5
Helle Kise Hjertstrøm, Aud Obstfelder, Bente Norbye
Nurse leaders in middle management positions in Norway and other Western countries perform additional new tasks due to high demands for quality and efficacy in healthcare services. These nurses are increasingly becoming responsible for service development and innovation in addition to their traditional leadership and management roles. This article analyses two Norwegian nurse leaders efforts in developing an emergency service in rural municipal healthcare. The analysis applies an ethnographic approach to the data collection by combining interviews with the nurse leaders with observations and interviews with six nurses in the emergency service...
October 27, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30355964/subjective-assessment-of-head-and-facial-appearance-in-children-with-craniosynostoses-after-surgical-treatment
#6
Dawid Larysz, Elżbieta Nieroba
BACKGROUND: Craniosynostoses are congenital defects in the construction of the skull involving premature fusion of one or more cranial sutures. Premature fusion of sutures causes characteristic skull deformation(s). This affect the structure and thus the appearance of the entire head and face. The aim of this study was to analyze parents' subjective assessments of head and facial appearance in children with craniosynostoses before and after surgery. Parents also assessed the interpersonal relationship of their children with peers and adults (after surgery)...
October 24, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30360369/taking-another-look-thoughts-on-behavioral-symptoms-in-dementia-and-their-measurement
#7
Diana Lynn Woods, Kathleen Buckwalter
This article proposes taking another look at behavioral symptoms of dementia (BSDs) both from a theoretical perspective that informs research and practice and from a measurement perspective. We discuss why this rethinking of behaviors impacts current models of care and our ability to better detect outcomes from interventions. We propose that BSDs be viewed from a pattern perspective and provide some suggestions for how to identify and measure these patterns that can influence the timing and type of intervention...
October 22, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30326576/under-detection-of-lyme-disease-in-canada
#8
Vett K Lloyd, Ralph G Hawkins
Lyme disease arises from infection with pathogenic Borrelia species. In Canada, current case definition for confirmed Lyme disease requires serological confirmation by both a positive first tier ELISA and confirmatory second tier immunoblot (western blot). For surveillance and research initiatives, this requirement is intentionally conservative to exclude false positive results. Consequently, this approach is prone to false negative results that lead to underestimation of the number of people with Lyme disease...
October 15, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30322049/removing-the-mask-of-average-treatment-effects-in-chronic-lyme-disease-research-using-big-data-and-subgroup-analysis
#9
Lorraine Johnson, Mira Shapiro, Jennifer Mankoff
Lyme disease is caused by the bacteria borrelia burgdorferi and is spread primarily through the bite of a tick. There is considerable uncertainty in the medical community regarding the best approach to treating patients with Lyme disease who do not respond fully to short-term antibiotic therapy. These patients have persistent Lyme disease symptoms resulting from lack of treatment, under-treatment, or lack of response to their antibiotic treatment protocol. In the past, treatment trials have used small restrictive samples and relied on average treatment effects as their measure of success and produced conflicting results...
October 12, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30308947/the-extremely-high-adsorption-capacity-of-fluoride-by-chicken-bone-char-cbc-in-defluoridation-of-drinking-water-in-relation-to-its-finer-particle-size-for-better-human-health
#10
H M Ayala S Herath, Tomonori Kawakami, Masamoto Tafu
The ingestion of fluoride-contaminated water causes serious health issues in people all over the world. In the current study, the adsorption of fluoride onto chicken bone char (CBC) was investigated as a defluoridation technique. Finer-sized CBC with a diameter of 106⁻212 µm was used to investigate the fluoride adsorption capacity onto CBC. Results revealed that finer-sized CBC yielded an unusually high fluoride adsorption capacity of 11.2 mg/g at the equilibrium fluoride concentration of 10 mg/L. The study shows that CBC can be utilized in the defluoridation of drinking water and that finer-sized CBC enhances ion exchange to perform a higher adsorption capacity...
October 10, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30301272/comparison-of-perceived-and-observed-hand-hygiene-compliance-in-healthcare-workers-in-mers-cov-endemic-regions
#11
Modhi Alshammari, Kelly A Reynolds, Marc Verhougstraete, Mary Kay O'Rourke
This study investigated healthcare workers' perceptions of hand hygiene practices by comparing personal reports, as assessed by questionnaires, to direct observations of the workers' hand hygiene practices. The study employed a cross-sectional research design. Observations were made using a 16-item checklist, based on three sources: Centers for Disease Control and Prevention (CDC), World Health Organization (WHO), and Boyce and Pittet's guidelines of hand hygiene. The checklist was used for both direct-observation and self-reported data collection purposes...
October 7, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30275371/correlations-of-self-reported-androgen-deficiency-in-ageing-males-adam-with-stress-and-sleep-among-young-adult-males
#12
Camille M Charlier, Makenzie L Barr, Sarah E Colby, Geoffrey W Greene, Melissa D Olfert
Androgen deficiency in males has traditionally been predominantly limited to older men aged 50+ years. However, little is known of the correlation between hormonal disruption, stress, and sleep in college-aged males. This cross-sectional study investigates lifestyle behavior patterns in young men and a screening for potential androgen deficiency. A survey of 409 male students, as part of a larger USDA-funded GetFruved study, was analyzed for this subproject. Survey instruments used include the Androgen Deficiency in the Aging Male Questionnaire (ADAM) to assess for inadequate ADAM scores, the Perceived Stress Scale to measure stress levels and the Pittsburgh Sleep Quality Index to evaluate sleep quality...
October 1, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30249064/development-and-psychometric-properties-of-the-delayed-childbearing-questionnaire-dcbq-55
#13
Samira Behboudi-Gandevani, Saeideh Ziaei, Anoshirvan Kazemnejad, Farideh Khalajabadi Farahani, Mojtaba Vaismoradi
The comprehensive assessment of delayed childbearing needs a valid and reliable instrument. Therefore, the aim of the present study was to develop an instrument to evaluate factors influencing delayed childbearing among women and to assess its psychometric properties. The current methodological study was performed in two phases of (i) qualitative instrument development, and (ii) quantitative psychometric assessment of the developed instrument. Face and content validity of the instrument was assessed by eligible women and a panel of experts...
September 23, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30248981/systematic-approach-to-the-diagnosis-and-treatment-of-lyme-carditis-and-high-degree-atrioventricular-block
#14
Cynthia Yeung, Adrian Baranchuk
Lyme carditis (LC) is a manifestation of the early disseminated stage of Lyme disease and often presents as high-degree atrioventricular (AV) block. High-degree AV block in LC can be treated with antibiotics, usually resolving with a highly favorable prognosis, thus preventing the unnecessary implantation of permanent pacemakers. We present a systematic approach to the diagnosis and management of LC that implements the Suspicious Index in Lyme Carditis (SILC) risk stratification score.
September 22, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30227652/physician-and-parental-decision-making-prior-to-acute-medical-paediatric-admission
#15
Rebecca Barwise-Munro, Heather Morgan, Steve Turner
BACKGROUND: The number of acute medical paediatric emergency admissions is rising. We undertook qualitative interviews with parents and clinicians to better understand what factors, other than the health status of the child, may influence decision making leading to emergency admission. METHODS: Semi-structured interviews were conducted with parents; clinicians working in general practice, out-of-hours or the emergency department (referring clinicians); and doctors working in acute medical paediatrics (receiving clinicians)...
September 17, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30227649/provider-s-perceptions-of-barriers-and-facilitators-for-latinas-to-participate-in-genetic-cancer-risk-assessment-for-hereditary-breast-and-ovarian-cancer
#16
Alejandra Hurtado-de-Mendoza, Kristi Graves, Sara Gómez-Trillos, Lyndsay Anderson, Claudia Campos, Chalanda Evans, Selma Stearns, Qi Zhu, Nathaly Gonzalez, Vanessa B Sheppard
The Comprehensive Cancer Network (NCCN) recommends genetic cancer risk assessment (GCRA) referral to women at high risk of hereditary breast and ovarian cancer. Latinas affected by breast cancer have the second highest prevalence of BRCA1/2 mutations after Ashkenazi Jews. Compared to non-Hispanic Whites, Latinas have lower GCRA uptake. While some studies have identified barriers for GCRA use in this population, few studies have focused on health care providers' perspectives. The purpose of the study was to examine providers' perceptions of barriers and facilitators for at-risk Latina women to participate in GCRA and their experiences providing services to this population...
September 17, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30223533/rational-use-of-medicines-in-neonates-current-observations-areas-for-research-and-perspectives
#17
REVIEW
Karel Allegaert
A focused reflection on rational medicines use in neonates is valuable and relevant, because indicators to assess rational medicines use are difficult to apply to neonates. Polypharmacy and exposure to antibiotics are common, while dosing regimens or clinical guidelines are only rarely supported by robust evidence in neonates. This is at least in part due to the extensive variability in pharmacokinetics and subsequent effects of medicines in neonates. Medicines utilization research informs us on trends, on between unit variability and on the impact of guideline implementation...
September 14, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30216997/how-a-communication-intervention-in-zambia-re-oriented-health-services-to-the-needs-of-the-least-supported
#18
Tony Klouda, Cathy Green, Miniratu Soyoola, Paula Quigley, Tendayi Kureya, Caroline Barber, Kenneth Mubuyaeta
Despite decades of training health workers in communication, complaints from clients and communities about poor health worker attitudes abound. This was found to be so in Zambia where the More Mobilizing Access to Maternal Health Services in Zambia (MORE MAMaZ) program was trying to ensure the inclusion of under-supported women in a community-based maternal and newborn health program in five intervention districts. Under-supported women suffer a disproportionate burden of child mortality and are poor users of health services...
September 13, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30208619/health-related-quality-of-life-after-pediatric-severe-sepsis
#19
REVIEW
Prachi Syngal, John S Giuliano
BACKGROUND: Pediatric severe sepsis is a public health problem with significant morbidities in those who survive. In this article, we aim to present an overview of the important studies highlighting the limited data available pertaining to long-term outcomes of survivors of pediatric severe sepsis. MATERIALS AND METHODS: A review of literature available was conducted using PUBMED/Medline on pediatric severe sepsis outcomes. Long-term outcomes and health-related quality of life (HRQL) following severe sepsis was defined as any outcome occurring after discharge from the hospital following an episode of severe sepsis which affected either the survivor or the survivor's family members...
September 11, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30205578/have-studies-that-measure-lumbar-kinematics-and-muscle-activity-concurrently-during-sagittal-bending-improved-understanding-of-spinal-stability-and-sub-system-interactions-a-systematic-review
#20
REVIEW
Alister du Rose
In order to improve understanding of the complex interactions between spinal sub-systems (i.e., the passive (ligaments, discs, fascia and bones), the active (muscles and tendons) and the neural control systems), it is necessary to take a dynamic approach that incorporates the measurement of multiple systems concurrently. There are currently no reviews of studies that have investigated dynamic sagittal bending movements using a combination of electromyography (EMG) and lumbar kinematic measurements. As such it is not clear how understanding of spinal stability concepts has advanced with regards to this functional movement of the spine...
September 8, 2018: Healthcare (Basel, Switzerland)
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