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https://www.readbyqxmd.com/read/30227652/physician-and-parental-decision-making-prior-to-acute-medical-paediatric-admission
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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)
https://www.readbyqxmd.com/read/30205441/sepsis-personalized-medicine-utilizing-omic-technologies-a-paradigm-shift
#7
REVIEW
Theis Skovsgaard Itenov, Daniel D Murray, Jens Ulrik Stæhr Jensen
Sepsis has over the years proven a considerable challenge to physicians and researchers. Numerous pharmacological and non-pharmacological interventions have been tested in trials, but have unfortunately failed to improve the general prognosis. This has led to the speculation that the sepsis population may be too heterogeneous to be targeted with the traditional one treatment suits all' approach. Recent advances in genetic and biochemical analyses now allow genotyping and biochemical characterisation of large groups of patients via the 'omics' technologies...
September 7, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30177659/mid-regional-pro-adrenomedullin-mr-proadm-as-a-biomarker-for-sepsis-and-septic-shock-narrative-review
#8
REVIEW
Uğur Önal, Francisco Valenzuela-Sánchez, Kalwaje Eshwara Vandana, Jordi Rello
Early identification and diagnosis of sepsis and septic shock is vitally important; despite appropriate management, mortality and morbidity rates remain high. For this reason, many biomarkers and screening systems have been investigated in accordance with the precision medicine concept. A narrative review was conducted to assess the role of mid-regional pro-adrenomedullin (MR-proADM) as a biomarker for sepsis and septic shock. Relevant studies were collected via an electronic PubMed, Web of Science, and The Cochrane Library search...
September 3, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30200307/assessment-of-health-information-technology-interventions-in-evidence-based-medicine-a-systematic-review-by-adopting-a-methodological-evaluation-framework
#9
REVIEW
Stella C Christopoulou, Theodore Kotsilieris, Ioannis Anagnostopoulos
BACKGROUND: The application of Health Information Technologies ( HITs ) can be an effective way to advance medical research and health services provision. The two-fold objective of this work is to: (i) identify and review state-of-the-art HITs that facilitate the aims of evidence-based medicine and (ii) propose a methodology for HIT assessment. METHODS: The systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses ( PRISMA ) guidelines...
August 31, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30200297/stakeholder-views-on-active-cascade-screening-for-familial-hypercholesterolemia
#10
Carla G van El, Valentina Baccolini, Peter Piko, Martina C Cornel
In familial hypercholesterolemia (FH), carriers profit from presymptomatic diagnosis and early treatment. Due to the autosomal dominant pattern of inheritance, first degree relatives of patients are at 50% risk. A program to identify healthy relatives at risk of premature cardiovascular problems, funded by the Netherlands government until 2014, raised questions on privacy and autonomy in view of the chosen active approach of family members. Several countries are building cascade screening programs inspired by Dutch experience, but meanwhile, the Netherlands' screening program itself is in transition...
August 31, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30200247/a-population-based-conceptual-framework-for-evaluating-the-role-of-healthcare-services-in-place-of-death
#11
Wei Gao, Sumaya Huque, Myfanwy Morgan, Irene J Higginson
BACKGROUND: There is a significant geographical disparity in place of death. Socio-demographic and disease-related variables only explain less than a quarter of the variation. Healthcare service factors may account for some (or much) of the remaining variation but their effects have never been systematically evaluated, partly due to the lack of a conceptual framework. This study aims to propose a population-based framework to guide the evaluation of the role of the healthcare service factors in place of death...
August 30, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30200203/an-exploration-of-parent-youth-agreement-on-functional-impairment-in-adolescents-utilizing-outpatient-mental-health-services
#12
May Yeh, Argero Zerr, Raymond La, Kristen McCabe
Parent-youth agreement on the youth's functional impairment may have important implications for mental health service utilization, assessment, therapy goal development, and treatment engagement for adolescents. The present study examines parent-youth agreement on their perceptions of youth functional impairment in a predominantly racial/ethnic minority sample of adolescents utilizing outpatient mental health services. Parent and youth functional impairment ratings were compared, and agreement was estimated in multiple ways...
August 30, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30154326/allostatic-load-biomarker-associations-with-depressive-symptoms-vary-among-us-black-and-white-women-and-men
#13
Ganga S Bey, Bill M Jesdale, Christine M Ulbricht, Eric O Mick, Sharina D Person
The prevalence and severity of depression differ in women and men and across racial groups. Psychosocial factors such as chronic stress have been proposed as contributors, but causes of this variation are not fully understood. Allostatic load, a measure of the physiological burden of chronic stress, is known to be associated with depression. Using data from the National Health and Nutrition Examination Survey 2005⁻2010, we examined the associations of nine allostatic load biomarkers with depression among US black and white adults aged 18⁻64 years ( n = 6431)...
August 28, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30149626/neuropsychiatric-lyme-borreliosis-an-overview-with-a-focus-on-a-specialty-psychiatrist-s-clinical-practice
#14
REVIEW
Robert C Bransfield
There is increasing evidence and recognition that Lyme borreliosis (LB) causes mental symptoms. This article draws from databases, search engines and clinical experience to review current information on LB. LB causes immune and metabolic effects that result in a gradually developing spectrum of neuropsychiatric symptoms, usually presenting with significant comorbidity which may include developmental disorders, autism spectrum disorders, schizoaffective disorders, bipolar disorder, depression, anxiety disorders (panic disorder, social anxiety disorder, generalized anxiety disorder, posttraumatic stress disorder, intrusive symptoms), eating disorders, decreased libido, sleep disorders, addiction, opioid addiction, cognitive impairments, dementia, seizure disorders, suicide, violence, anhedonia, depersonalization, dissociative episodes, derealization and other impairments...
August 25, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30149606/signs-in-people-with-intellectual-disabilities-interviews-with-managers-and-staff-on-the-identification-process-of-dementia
#15
Göran Holst, Maria Johansson, Gerd Ahlström
The life expectancy of people with intellectual disabilities (ID) has steadily increased, which has been accompanied by an increased risk of dementia. Staff and managers are key resources for safety diagnosis since they deliver information about people with ID behavior every day. The aim of the present study was to explore the identification process employed by staff and managers to detect signs of suspected dementia in people with an ID within intellectual disability services (ID-services). Twenty managers and 24 staff within an ID-service were interviewed and qualitative latent content analysis was applied...
August 25, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30131470/ptsd-in-u-s-veterans-the-role-of-social-connectedness-combat-experience-and-discharge
#16
Sara Kintzle, Nicholas Barr, Gisele Corletto, Carl A Castro
Service members who transition out of the military often face substantial challenges during their transition to civilian life. Leaving military service requires establishing a new community as well as sense of connectedness to that community. Little is known about how social connectedness may be related to other prominent transition outcomes, particularly symptoms of posttraumatic stress disorder (PTSD). The purpose of this study was to explore the role of social connectedness in the development of PTSD, as well as its relationship to the known risk factors of combat exposure and discharge status...
August 22, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30126126/does-medical-students-personality-traits-influence-their-attitudes-toward-medical-errors
#17
Chia-Lun Lo, Hsiao-Ting Tseng, Chi-Hua Chen
This study examined medical students' perceptions towards medical errors and the policy of the hospital within the internship curriculum, and explored how aspects of personality traits of medical students relate to their attitude toward medical errors. Based on the theory of the Five-Factor-Model (FFM) and related literature review, this study adopted a self-devised structured questionnaire to distribute to 493 medical students in years five to seven in the top three medical schools, representing a 56.7% valid questionnaire response rate...
August 17, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30111694/understanding-the-needs-of-veterans-with-ptsd
#18
EDITORIAL
Dominic M Murphy, Walter Busuttil, David Turgoose
No abstract text is available yet for this article.
August 15, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30110913/pilot-study-of-immunoblots-with-recombinant-borrelia-burgdorferi-antigens-for-laboratory-diagnosis-of-lyme-disease
#19
Song Liu, Iris Du Cruz, Catherine Calalo Ramos, Paula Taleon, Ranjan Ramasamy, Jyotsna Shah
Accurate laboratory diagnosis of Lyme disease (Lyme borreliosis), caused by the spirochete Borrelia burgdorferi (BB), is difficult and yet important to prevent serious disease. The US Centers for Disease Control and Prevention (CDC) presently recommends a screening test for serum antibodies followed by confirmation with a more specific Western blot (WB) test to detect IgG and IgM antibodies against antigens in whole cell lysates of BB. Borrelia species related to BB cause tick-borne relapsing fever (TBRF). TBRF is increasingly recognized as a health problem in the US and occurs in areas where Lyme disease is prevalent...
August 14, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30104518/orthopedic-professionals-recognition-and-knowledge-of-pain-and-perceived-barriers-to-optimal-pain-management-at-five-hospitals
#20
Fadi Bouri, Walid El Ansari, Shady Mahmoud, Ahmed Elhessy, Abdulla Al-Ansari, Mohamed Al Ateeq Al-Dosari
Pain is a challenge for orthopedic healthcare professionals (OHCP). However, pain studies examined the competencies of a single OHCP category, did not consider various pain management domains or barriers to optimal pain service, and are deficient across the Arabic Eastern Mediterranean region. We surveyed OHCP's recognition and knowledge of pain and perceived barriers to optimal pain service (361 OHCP, five hospitals). Chi square compared doctors' ( n = 63) vs. nurses/physiotherapists' ( n = 187) views. In terms of pain recognition, more nurses had pain management training, confidently assessed pediatric/elderly pain, were aware of their departments' pain protocols, and felt that their patients receive proper pain management...
August 13, 2018: Healthcare (Basel, Switzerland)
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