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Diabetics in nursing home

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https://www.readbyqxmd.com/read/29903786/comorbidities-and-the-use-of-comedications-in-people-living-with-hiv-on-antiretroviral-therapy-in-japan-a-cross-sectional-study-using-a-hospital-claims-database
#1
Daniel J Ruzicka, Kentaro Imai, Kenichi Takahashi, Toshio Naito
OBJECTIVES: To investigate the prevalence of chronic comorbidities and the use of comedications in people living with HIV (PLWH) and on antiretrovirals in Japan, by using a hospital claims database. DESIGN: Observational, retrospective, cross-sectional study. SETTING: A hospital claims database of Japanese hospitals that have advanced medical treatment capabilities (ie, advanced treatment hospitals, general hospitals, acute care hospitals), which include those providing acute and chronic care (excluding nursing homes or hospices)...
June 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29872281/combined-use-of-drugs-inhibiting-the-renin-angiotensin-system-prescribing-patterns-and-risk-of-acute-kidney-injury-in-german-nursing-home-residents
#2
Michael Dörks, Stefan Herget-Rosenthal, Falk Hoffmann, Kathrin Jobski
Background/aims: In 2012, the European Medicines Agency reviewed the safety of dual renin-angiotensin system (RAS) blockade because of potentially increased risks for inter alia acute kidney injury (AKI). Since residents of nursing homes are particularly vulnerable to adverse drug outcomes, the aims of our study were to describe RAS-inhibiting drug use in German nursing home residents and examine the risk of AKI associated with dual RAS blockade. Methods: Based on claims data, a nested case-control study within a cohort of RAS-inhibiting drug users was conducted...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29868373/diabetes-diagnosis-and-management-among-insured-adults-across-metropolitan-areas-in-the-u-s
#3
Wenya Yang, Timothy M Dall, Eleonora Tan, Erin Byrne, William Iacobucci, Ritashree Chakrabarti, F Ellen Loh
This study provides diabetes-related metrics for the 50 largest metropolitan areas in the U.S. in 2012-including prevalence of diagnosed and undiagnosed diabetes, insurance status of the population with diabetes, diabetes medication use, and prevalence of poorly controlled diabetes. Diabetes prevalence estimates were calculated using cross-sectional data combining the Behavioral Risk Factor Surveillance System, American Community Survey, National Nursing Home Survey, Census population files, and National Health and Nutrition Examination Survey...
June 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29773935/factors-contributing-to-appropriate-sharps-disposal-in-the-community-among-patients-with-diabetes
#4
Li Huang, Svetlana Katsnelson, Jie Yang, Charalambos Argyrou, Marina M Charitou
Background: Proper disposal of sharps has been well studied in hospital settings but not often addressed in the home setting. This lack of attention has resulted in erratic use of proper sharps disposal techniques and thus increased risk of needle-stick injuries and infections. This study aimed to evaluate methods of disposal and patient demographic factors associated with correct disposal of diabetes-related sharps in the community. Methods: A survey was administered to diabetes patients at an endocrinology clinic of an academic tertiary care center...
May 2018: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29760123/diabetes-attributable-nursing-home-costs-for-each-u-s-state
#5
Simon J Neuwahl, Amanda A Honeycutt, Diana C Poehler, Sundar S Shrestha, Ping Zhang, Thomas J Hoerger
OBJECTIVE: To estimate the diabetes-attributable nursing home costs for each state. RESEARCH DESIGN AND METHODS: We used a diabetes-attributable fraction (AF) approach to estimate nursing home costs attributable to diabetes (in 2013 $) in aggregate and per person with diabetes in each state. We calculated the AFs as the difference in diabetes prevalence between nursing homes and the community. We used the Centers for Medicare and Medicaid's 2013-2015 Minimum Data Set to estimate the prevalence of diabetes in nursing homes and to adjust for the intensity of care among people with diabetes in nursing homes...
May 14, 2018: Diabetes Care
https://www.readbyqxmd.com/read/29708791/dietary-management-of-older-people-with-diabetes
#6
Jane McClinchy
Diabetes UK's revised nutrition guidelines for the prevention and management of diabetes, published recently, encourage education in self-management and include additional guidance for older people with diabetes. The incidence of diabetes in older people is increasing. Many older people with diabetes are healthy and mobile, and live in the community, but a number are frail and living in care homes. Those who are frail are at increased risk of malnutrition from a range of causes. Older people with diabetes should be assessed for malnutrition risk and referred to a dietitian if required...
May 2, 2018: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29684077/medication-burden-attributable-to-chronic-co-morbid-conditions-in-the-very-old-and-vulnerable
#7
Kelly L Moore, Kanan Patel, W John Boscardin, Michael A Steinman, Christine Ritchie, Janice B Schwartz
OBJECTIVE: Polypharmacy is common in older patients but relationships between polypharmacy and common co-morbid conditions have not been elucidated. Our goal was to determine relationships between daily oral medication use and common co-morbid disease dyads and triads using comprehensive medication and diagnostic data from a national sample of nursing homes (NH). DESIGN: Retrospective, cross-sectional study. SETTING: Nationally representative sample of U...
2018: PloS One
https://www.readbyqxmd.com/read/29652898/tooth-loss-and-pneumonia-mortality-a-cohort-study-of-japanese-dentists
#8
Shino Suma, Mariko Naito, Kenji Wakai, Toru Naito, Masaaki Kojima, Osami Umemura, Makoto Yokota, Nobuhiro Hanada, Takashi Kawamura
Although associations between oral health and pneumonia have been reported in previous studies, particularly in the institutionalized elderly, few prospective studies have investigated the association between oral condition and pneumonia among community-dwelling people and whether the findings among inpatients or patients in nursing homes are applicable to the general population is still unclear. The oral bacteria propagated in the periodontal regions may drop into the lung and increase the risk of pneumonia...
2018: PloS One
https://www.readbyqxmd.com/read/29625599/a-healthy-school-start-plus-for-prevention-of-childhood-overweight-and-obesity-in-disadvantaged-areas-through-parental-support-in-the-school-setting-study-protocol-for-a-parallel-group-cluster-randomised-trial
#9
Liselotte Schäfer Elinder, Emma Patterson, Gisela Nyberg, Åsa Norman
BACKGROUND: Systematic reviews conclude that interventions to prevent overweight and obesity in children obtain stronger effects when parents are involved. Parenting practices and parent-child interactions shape children's health-related behaviours. The Healthy School Start Plus intervention aims to promote healthy dietary habits and physical activity and prevent obesity in children through parental support in disadvantaged areas with increased health needs, delivered by teachers and school nurses...
April 6, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29596788/diabetes-mellitus-and-cardiogenic-shock-complicating-acute-myocardial-infarction
#10
Justin B Echouffo-Tcheugui, Dhaval Kolte, Sahil Khera, Herbert D Aronow, J Dawn Abbott, Deepak L Bhatt, Gregg C Fonarow
BACKGROUND: Diabetes mellitus (diabetes) increases the risk of acute myocardial infarction, which can result in cardiogenic shock. Data on the relation of diabetes and the occurrence and prognosis of cardiogenic shock postacute myocardial infarction are scant. METHODS: Among the National Inpatient Sample patients aged ≥18 years and hospitalized for acute myocardial infarction during the 2012-2014 period, we examined the association between diabetes and the incidence and outcomes of cardiogenic shock complicating acute myocardial infarction, using multivariable logistic and linear regression models...
March 27, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29576577/erratum-to-characterizations-of-oral-microbiota-in-elderly-nursing-home-residents-with-diabetes
#11
Taiji Ogawa, Mariko Honda-Ogawa, Kazunori Ikebe, Yumiko Notomi, Yoshiko Iwamoto, Itsuki Shirobayashi, Seiko Hata, Masahito Kibi, Shizuko Masayasu, Satoshi Sasaki, Shigetada Kawabata, Yoshinobu Maeda
The publisher regrets that in the above-mentioned article, there was an error in the list of references. The reference numbers "29-32" should be "28-31".
2018: Journal of Oral Science
https://www.readbyqxmd.com/read/29530826/preventable-risk-factors-of-mortality-after-hip-fracture-surgery-systematic-review-and-meta-analysis
#12
REVIEW
Wenli Chang, Hongzhi Lv, Chen Feng, Peizhi Yuwen, Ning Wei, Wei Chen, Yingze Zhang
OBJECTIVE: Although many studies have reported risk factors of mortality following hip fracture surgery, the preventable risk factors of mortality following hip fracture surgery have not been well-identified. The aim of this study was to identify the preventable risk factors of mortality following hip fracture surgery. METHODS: We searched PubMed, Web of Science, Google scholar, and the Chinese National Knowledge Infrastructure (CNKI) databases from January 1997 to March 2017 for studies reporting risk factors of mortality following hip fracture surgery...
April 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29520615/customization-of-home-closed-loop-insulin-delivery-in-adult-patients-with-type-1-diabetes-assisted-with-structured-remote-monitoring-the-pilot-wp7-diabeloop-study
#13
Pierre Yves Benhamou, Erik Huneker, Sylvia Franc, Maeva Doron, Guillaume Charpentier
AIMS: Improvement in closed-loop insulin delivery systems could result from customization of settings to individual needs and remote monitoring. This pilot home study evaluated the efficacy and relevance of this approach. METHODS: A bicentric clinical trial was conducted for 3 weeks, using an MPC-based algorithm (Diabeloop Artificial Pancreas system) featuring five settings designed to modulate the reactivity of regulation. Remote monitoring was ensured by expert nurses with a web platform generating automatic Secured Information Messages (SIMs) and with a structured procedure...
June 2018: Acta Diabetologica
https://www.readbyqxmd.com/read/29507945/hemoglobin-a1c-targets-for-glycemic-control-with-pharmacologic-therapy-for-nonpregnant-adults-with-type-2-diabetes-mellitus-a-guidance-statement-update-from-the-american-college-of-physicians
#14
Amir Qaseem, Timothy J Wilt, Devan Kansagara, Carrie Horwitch, Michael J Barry, Mary Ann Forciea
Description: The American College of Physicians developed this guidance statement to guide clinicians in selecting targets for pharmacologic treatment of type 2 diabetes. Methods: The National Guideline Clearinghouse and the Guidelines International Network library were searched (May 2017) for national guidelines, published in English, that addressed hemoglobin A1c (HbA1c) targets for treating type 2 diabetes in nonpregnant outpatient adults. The authors identified guidelines from the National Institute for Health and Care Excellence and the Institute for Clinical Systems Improvement...
April 17, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29506837/predictors-of-30-day-readmissions-after-gastrectomy-for-malignancy
#15
John B Ammori, Suparna Navale, Nicholas Schiltz, Siran M Koroukian
BACKGROUND: The objective of this study is to identify risk factors associated with readmission after gastrectomy to potentially identify potential areas for targeted improvements. Hospital readmission after surgery is a topic of interest in health-care policy among hospitals, payers, and providers. Readmissions are associated with increased costs, morbidity, and mortality. Readmission rates have been proposed as a quality metric for hospitals and quality indicator of individual surgeon's performance...
April 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29498747/supporting-transitions-in-care-for-older-adults-with-type-2-diabetes-mellitus-and-obesity
#16
Christina R Whitehouse, Nancy C Sharts-Hopko, Suzanne C Smeltzer, David A Horowitz
The aim of the current study was to compare outcomes for older adults with type 2 diabetes mellitus and obesity following participation in a transitional care intervention that included diabetes self-management education (DSME) and homecare. The three groups analyzed comprised an inpatient DSME plus homecare group (n = 35); an inpatient DSME only group (n = 100); and a group who received usual care (n = 45). Outcomes of interest included rehospitalization rates and hemoglobin A1C (A1C) for up to 1-year post hospital discharge...
March 1, 2018: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/29447854/risk-factors-and-associated-complications-for-postoperative-urinary-retention-after-lumbar-surgery-for-lumbar-spinal-stenosis
#17
Joshua L Golubovsky, Haariss Ilyas, Jinxiao Chen, Joseph E Tanenbaum, Thomas E Mroz, Michael P Steinmetz
BACKGROUND CONTEXT: Postoperative urinary retention (POUR) is a very common postoperative complication of all surgeries (5%-70%) that may lead to complications such as urinary tract infection (UTI), bladder overdistension, autonomic dysregulation, and increased postoperative length of stay (LOS). Within the field of spine surgery, the reported incidence rate of POUR is highly variable (5.6%-38%). Lack of clear stratification of surgical level, spinal pathology, and inadequate sample size are major limitations of available studies concerning POUR following spine surgery, which may lead to inconsistency in the incidence of POUR and the ability to model its occurrence and consequences...
February 12, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29436114/interprofessional-learning-in-ambulatory-care
#18
Rosemary Saunders, Helen Dugmore, Karla Seaman, Rachel Singer, Fiona Lake
BACKGROUND: Interprofessional practice amongst health care professionals can facilitate effective collaboration and can improve health outcomes for patients. Interprofessional clinical placements have mainly been established within inpatient settings; however, ambulatory care settings can also provide interprofessional education. This study evaluates an interprofessional placement in ambulatory care for medical and nursing students. METHODS: Medical and nursing students undertook a 2-week interprofessional placement in respiratory, diabetes and chronic pain clinics, as well as within the patient's home...
February 12, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29431547/feasibility-of-the-rapid-assessment-of-avoidable-blindness-with-diabetic-retinopathy-module-raab-dr-in-industrialised-countries-challenges-and-lessons-learned-in-hungary
#19
János Németh, Dorottya Szabó, Gábor Tóth, Gábor Sándor, Regina Lukács, Anita Pék, Irén Szalai, András Papp, Serge Resnikoff, Hans Limburg
PURPOSE: To present experiences gained during the planning, implementation, and practical performance of the rapid assessment of avoidable blindness with diabetic retinopathy module (RAAB+DR) in an established market economy. METHODS: A total of 3523 people aged 50 years or older were examined at their homes in 105 randomly selected clusters in Hungary. During the 4-month-long field work, five teams visited the clusters. Each team was composed of a senior ophthalmic resident or eye specialist, a nurse, an assistant, a driver, and a local guide...
February 12, 2018: Ophthalmic Epidemiology
https://www.readbyqxmd.com/read/29388457/avoidable-30-day-mortality-analysis-and-failure-to-rescue-in-dysvascular-lower-extremity-amputees
#20
Christian Wied, Nicolai B Foss, Peter T Tengberg, Gitte Holm, Anders Troelsen, Morten T Kristensen
Background and purpose - An enhanced treatment program may decrease 30-day mortality below 20% after lower extremity amputations (LEA). The potential and limitations for further reduction are unknown. We analyzed postoperative causes of 30-day mortality, and assessed failure to rescue (FTR) rate in LEA patients who followed an enhanced treatment program. Patients and methods - Medical charts of 195 primary LEA procedures were reviewed independently by 3 of the authors, and deaths during hospitalization following amputation were classified according to consensus...
April 2018: Acta Orthopaedica
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