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https://www.readbyqxmd.com/read/28801782/common-pediatric-medical-emergencies-in-office-practice
#1
Bharat Mehra, Suresh Gupta
General Practitioners frequently see children with medical conditions that may evolve into an emergency if not promptly attended to. The most common emergencies encountered in pediatric office practice are respiratory distress, dehydration, anaphylaxis, seizures and trauma. Assessment of children is sometimes difficult as the signs and symptoms might be subtle and not markedly expressed. Also, normal value of vital signs vary with age, thus their interpretation requires discrete knowledge of age appropriate values...
August 12, 2017: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/28795227/decrease-in-work-ability-index-and-sickness-absence-during-the-following-year-a-two-year-follow-up-study
#2
Masanori Ohta, Yoshiyuki Higuchi, Masaharu Kumashiro, Hiroshi Yamato, Hisamichi Sugimura
PURPOSE: Using a 2-year follow-up design, we examined whether changes in work ability during 1 year predicted sickness absence in the following year. METHODS: Workers (N = 1408) from the Japanese information technology sector each completed the Work Ability Index (WAI), the Brief Job Stress Questionnaire (BJSQ), and the General Health Questionnaire (GHQ) in 2011 and 2012. Absence data during 2013 was obtained from employees' computerized attendance records. We used psychological distress as evaluated by the GHQ; job stress and job support calculated using the BJSQ; and job title, sex, and age as potential confounding variables...
August 9, 2017: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/28791675/work-addiction-and-presenteeism-the-buffering-role-of-managerial-support
#3
Greta Mazzetti, Michela Vignoli, Wilmar B Schaufeli, Dina Guglielmi
The current study examined the mediating effect of presenteeism and moderating effect of managerial support in the relation between workaholism and work-family conflict. A sample of 1065 white-collar employees from an Italian company filled in an online survey and hypotheses were tested using a bootstrapping procedure. Results showed that presenteeism mediated the association between workaholism and work-family conflict. Moreover, the mediating effect of presenteeism was moderated by managerial support: for employees reporting lower levels of support workaholism was stronger related to presenteeism than for those experiencing higher support...
August 8, 2017: International Journal of Psychology: Journal International de Psychologie
https://www.readbyqxmd.com/read/28737076/the-communication-skills-and-the-empathic-tendency-levels-of-nursing-students-a-cross-sect%C3%A4-onal-study
#4
Berrin Pazar, Meral Bayram Demiralp, İmren Erer Rn
BACKGROUND: Communication skills are important in every stage of life but even more so when caring for the sick individual. These skills are essential for every member of the healthcare team including nurses and should always be used in every each encounter with the patient. The most basic component of communication skills is the complex and multidimensional skill of empathy. AIM: This study was conducted to assess the communication skills and empathic tendency levels of female nursing students...
July 24, 2017: Contemporary Nurse
https://www.readbyqxmd.com/read/28703082/dental-injuries-in-younger-emergency-department-patients
#5
Vigil James, Yona R Vandersluis, Evangeline W J Zhang, Dennis Scolnik
BACKGROUND: Dental trauma is a relatively common occurrence in childhood, with an impact exceeding that of periodontal diseases. It places a significant burden on the public health system because of its high frequency, impact on quality of life and consumption of resources. OBJECTIVES: To identify changing trends of dental injury in patients between 0-18 years of age in Canada and provide a detailed assessment of dental injury patterns in patients attending a large pediatric tertiary care hospital...
July 13, 2017: CJEM
https://www.readbyqxmd.com/read/28667715/family-centered-care-to-complement-care-of-sick-newborns-a-randomized-controlled-trial
#6
Ankit Verma, Arti Maria, Ravindra Mohan Pandey, Charoo Hans, Arushi Verma, Fahima Sherwani
OBJECTIVE: To assess the impact of family-centered care in delivery of care to sick newborns, on nosocomial infection rate. DESIGN: Randomized controlled trial. SETTING: Tertiary referral nursery (October 2010 to March 2012). PARTICIPANTS: 295 neonates randomized at the time of hospitalization in neonatal intensive care unit. INTERVENTION: Parent-attendant of intervention group were trained using an indigenously developed and pretested, culturally sensitive, simple audio-video tool that covered domains of personal hygiene, hand washing, danger signs recognition and feeding of sick neonate...
June 15, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28651621/prevalence-of-malnutrition-and-associated-factors-in-children-aged-6-59%C3%A2-months-among-rural-dwellers-of-damot-gale-district-south-ethiopia-community-based-cross-sectional-study
#7
Lamirot Abera, Tariku Dejene, Tariku Laelago
BACKGROUND: Malnutrition remains one of the most common causes of morbidity and mortality among children throughout the world. This study aimed to assess prevalence of malnutrition and associated factors among children aged 6-59 months in Damot Gale, South Ethiopia. METHODS: A community based cross sectional study was conducted on 398 children aged 6-59 months in the Damot Gale district. A two-stage cluster sample design was used to select kebele and households...
June 26, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28628487/do-toddler-s-fractures-of-the-tibia-require-evaluation-and-management-by-an-orthopaedic-surgeon-routinely
#8
John S Adamich, Mark W Camp
OBJECTIVE: The majority of uncomplicated toddler fractures of the tibia (toddler's fractures) do not need an orthopaedic surgeon's intervention or follow-up. However, inexperienced emergency room physicians, general practitioners and orthopaedic trainees and surgeons understandably defer to a cautious approach of referral and subsequent frequent clinical and radiographic follow-up. An evidence-based pathway can help prevent this overtreatment, reduce unnecessary radiation exposure and decrease the financial burden on families and the healthcare system...
June 16, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/28595690/understanding-health-talk-in-an-urban-aboriginal-and-torres-strait-islander-primary-healthcare-service-a-cross-sectional-study
#9
Prabha Lakhan, Deborah Askew, Mark F Harris, Corey Kirk, Noel Hayman
Health literacy is an important determinant of health status. This cross-sectional study aimed to describe the prevalence of adequate health literacy among Aboriginal and Torres Strait Islander patients or their carers including parents of sick children attending an urban primary healthcare clinic in Australia, and their experiences of communication with General Practitioners (GPs). A questionnaire, including questions from the Brief Health Literacy Screen (BHLS) and questions from the Consumer Assessment of Healthcare Providers and Systems (CAHPS): Communication with Provider, was administered to 427 participants...
June 9, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28586543/acute-fatigue-predicts-sickness-absence-in-the-workplace-a-1-year-retrospective-cohort-study-in-pediatric-nurses
#10
Knar Sagherian, George J Unick, Shijun Zhu, Debra Derickson, Pamela S Hinds, Jeanne Geiger-Brown
AIMS: To examine the relationship between fatigue and sickness absence in nurses from a pediatric hospital over 12 months of follow-up. A secondary aim was to identify other work and personal factors that predict sickness absence. BACKGROUND: Sickness absence is often related to worker-fatigue, yet few studies have explored this relationship in nurses despite documented high fatigue levels. DESIGN: The study used retrospective cohort design...
June 6, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28585868/long-term-effects-of-internet-delivered-cognitive-behavioral-therapy-for-depression-in-primary-care-the-prim-net-controlled-trial
#11
Maria C M Eriksson, Marie Kivi, Dominique Hange, Eva-Lisa Petersson, Nashmil Ariai, Per Häggblad, Hans Ågren, Fredrik Spak, Ulf Lindblad, Boo Johansson, Cecilia Björkelund
OBJECTIVE: Internet-delivered cognitive behavioral therapy (ICBT) is recommended as an efficient treatment alternative for depression in primary care. However, only few previous studies have been conducted at primary care centers (PCCs). We evaluated long-term effects of ICBT treatment for depression compared to treatment as usual (TAU) in primary care settings. DESIGN: Randomized controlled trial. SETTING: Patients were enrolled at16 PCCs in south-west Sweden...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28464021/predictive-value-of-clinical-and-laboratory-features-for-the-main-febrile-diseases-in-children-living-in-tanzania-a-prospective-observational-study
#12
Olga De Santis, Mary Kilowoko, Esther Kyungu, Willy Sangu, Pascal Cherpillod, Laurent Kaiser, Blaise Genton, Valérie D'Acremont
BACKGROUND: To construct evidence-based guidelines for management of febrile illness, it is essential to identify clinical predictors for the main causes of fever, either to diagnose the disease when no laboratory test is available or to better target testing when a test is available. The objective was to investigate clinical predictors of several diseases in a cohort of febrile children attending outpatient clinics in Tanzania, whose diagnoses have been established after extensive clinical and laboratory workup...
2017: PloS One
https://www.readbyqxmd.com/read/28400524/women-s-healthcare-consultations-on-operations-a-multidisciplinary-provider-questionnaire
#13
Magdalena Thiel, S Evans, R Sawdy
BACKGROUND: 30% of UK primary care consultations relate to gynaecology. Servicewomen access healthcare in general more frequently than their NHS counterparts, so military medical professionals are thus more likely to be managing significant numbers of gynaecological conditions on deployed military operations. Little is known about their confidence and preparedness in managing female-specific complaints. This study aimed to assess clinicians' views as to their training and confidence in managing gynaecological conditions; to gauge the need for developing treatment guidelines and specific training opportunities and to establish the frequency and scope of female-specific presentations on a military deployment...
April 11, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28397521/improving-access-to-health-care-in-a-rural-regional-hospital-in-south-africa-why-do-patients-miss-their-appointments
#14
Lucy Frost, Louis S Jenkins, Benjamin Emmink
BACKGROUND: Access to health services is one of the Batho Pele ('people first') values and principles of the South African government since 1997. This necessitated some changes around public service systems, procedures, attitudes and behaviour. The challenges of providing health care to rural geographically spread populations include variations in socio-economic status, transport opportunities, access to appointment information and patient perceptions of costs and benefits of seeking health care...
March 30, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28362063/adherence-to-antiretroviral-therapy-for-hiv-in-sub-saharan-africa-and-asia-a-comparative-analysis-of-two-regional-cohorts
#15
Rimke Bijker, Awachana Jiamsakul, Cissy Kityo, Sasisopin Kiertiburanakul, Margaret Siwale, Praphan Phanuphak, Sulaimon Akanmu, Romanee Chaiwarith, Ferdinand W Wit, Benedict Lh Sim, Tamara Sonia Boender, Rossana Ditangco, Tobias F Rinke De Wit, Annette H Sohn, Raph L Hamers
INTRODUCTION: Our understanding of how to achieve optimal long-term adherence to antiretroviral therapy (ART) in settings where the burden of HIV disease is highest remains limited. We compared levels and determinants of adherence over time between HIV-positive persons receiving ART who were enrolled in a bi-regional cohort in sub-Saharan Africa and Asia. METHODS: This multicentre prospective study of adults starting first-line ART assessed patient-reported adherence at follow-up clinic visits using a 30-day visual analogue scale...
March 3, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28261274/assessment-of-antiretroviral-treatment-adherence-among-children-attending-care-at-a-tertiary-hospital-in-southeastern-nigeria
#16
Cletus Akahara, Emeka Nwolisa, Kelechi Odinaka, Seline Okolo
Background. Adherence is the strongest predictor of successful treatment outcome among children infected with HIV. Our aim was to assess the antiretroviral drugs adherence status of HIV-infected children attending care at a tertiary hospital in Southeastern Nigeria. Method. The study involved a cross-sectional survey of 210 HIV-infected children attending care at a tertiary hospital in Southeastern Nigeria using self-report method of assessment. Optimal ART adherence is defined as patient taking not missing more than 1 dose of combined antiretroviral therapy medication in the preceding 2 weeks prior to the study...
2017: Journal of Tropical Medicine
https://www.readbyqxmd.com/read/28249602/relating-professionalism-and-conscientiousness-to-develop-an-objective-scalar-proxy-measure-of-professionalism-in-anaesthetic-trainees
#17
M A Sawdon, K Whitehouse, G M Finn, J C McLachlan, D Murray
BACKGROUND: The concept of professionalism is complex and subjective and relies on expert judgements. Currently, there are no existing objective measures of professionalism in anaesthesia. However, it is possible that at least some elements of professionalism may be indicated by objective measures. A number of studies have suggested that conscientiousness as a trait is a significant contributor to professionalism. METHODS: A 'Conscientiousness Index' (CI) was developed by collation of routinely collected data from tasks expected to be carried out by anaesthetic trainees such as punctual submission of holiday and 'not-on-call' requests, attendance at audit meetings, timely submission of completed appraisal documentation and sickness/absence notifications...
March 1, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28241032/utilization-of-health-services-in-a-resource-limited-rural-area-in-kenya-prevalence-and-associated-household-level-factors
#18
Anthony K Ngugi, Felix Agoi, Megan R Mahoney, Amyn Lakhani, David Mang'ong'o, Esther Nderitu, Robert Armstrong, Sarah Macfarlane
BACKGROUND AND METHODS: Knowledge of utilization of health services and associated factors is important in planning and delivery of interventions to improve health services coverage. We determined the prevalence and factors associated with health services utilization in a rural area of Kenya. Our findings inform the local health management in development of appropriately targeted interventions. We used a cluster sample survey design and interviewed household key informants on history of illness for household members and health services utilization in the preceding month...
2017: PloS One
https://www.readbyqxmd.com/read/28129344/high-adherence-to-iron-folic-acid-supplementation-during-pregnancy-time-among-antenatal-and-postnatal-care-attendant-mothers-in-governmental-health-centers-in-akaki-kality-sub-city-addis-ababa-ethiopia-hierarchical-negative-binomial-poisson-regression
#19
Bisratemariam Gebreamlak, Abel Fekadu Dadi, Azeb Atnafu
BACKGROUND: Iron deficiency during pregnancy is a risk factor for anemia, preterm delivery, and low birth weight. Iron/Folic Acid supplementation with optimal adherence can effectively prevent anemia in pregnancy. However, studies that address this area of adherence are very limited. Therefore, the current study was conducted to assess the adherence and to identify factors associated with a number of Iron/Folic Acid uptake during pregnancy time among mothers attending antenatal and postnatal care follow up in Akaki kality sub city...
2017: PloS One
https://www.readbyqxmd.com/read/28125978/expectations-of-pain-and-functioning-in-patients-with-musculoskeletal-disorders-a-cross-sectional-study
#20
Sigrid Skatteboe, Cecilie Røe, Morten Wang Fagerland, Lars-Petter Granan
BACKGROUND: Research has suggested that patient expectations are associated with treatment outcome and evolve along with patient communication within the musculoskeletal field. However, few studies have investigated if or how physical medicine and rehabilitation (PMR) consultations affect the attending patients' expectations regarding pain and functional improvement. Hence, the aims of the present study were to compare patient expectations regarding pain and functional improvement before and after a PMR consultation and to assess patient characteristics, including diagnosis, that could perhaps predict changes in expectations...
January 26, 2017: BMC Musculoskeletal Disorders
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