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https://www.readbyqxmd.com/read/29054049/individual-variability-in-clinical-effect-and-tolerability-of-opioid-analgesics-importance-of-drug-interactions-and-pharmacogenetics
#1
REVIEW
Vigdis Solhaug, Espen Molden
BACKGROUND: As pain is often a comorbid condition, many patients use opioid analgesics in combination with several other drugs. This implies a generally increased risk of drug interactions, which along with inherent pharmacogenetic variability and other factors may cause differences in therapeutic response of opioids. AIM: To provide an overview of interactions and pharmacogenetic variability of relevance for individual differences in effect and tolerability of opioid analgesics, which physicians and other healthcare professionals should be aware of in clinical practice...
October 17, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29053525/transforming-nursing-education-a-call-for-a-conceptual-approach
#2
Frederica Feller
In an effort to meet the changing landscape of the health care system and the explosion of nursing knowledge, the Institute of Medicine and the Robert Wood Johnston Foundation have summoned nursing academia to partner on curriculum development with an emphasis on the professional socialization of the new nurse. As health care continues to change, the education of nurses must also evolve to meet these changes. Curriculum transformation is needed at nearly every aspect of health care. This policy statement will explore these challenges and the transformation in nursing education required to meet them...
October 20, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29053439/factors-influencing-indonesian-women-s-use-of-maternal-health-care-services
#3
Anna Kurniati, Ching-Min Chen, Ferry Efendi, Sarni Maniar Berliana
Employing the 2012 Indonesia Demographic and Health Survey data, we aimed to examine factors influencing married women to use maternity services. Data of married women who had given birth in the last five years before the survey were included in the analysis (n = 14,672). Factors of education, employment, women's age at first marriage, age at first birth, spousal education difference, contraceptive use, place of residence, and woman's attitude toward wife beating were associated with the use of antenatal care, institutional delivery, and postnatal care services...
October 20, 2017: Health Care for Women International
https://www.readbyqxmd.com/read/29052271/living-with-a-resected-rectum-after-rectal-cancer-surgery-struggling-not-to-let-bowel-function-control-life
#4
Maria Reinwalds, Andrea Blixter, Eva Carlsson
AIMS AND OBJECTIVE: To illuminate what it means to live with a resected rectum due to rectal cancer, after reversal of a temporary loop-ileostomy. BACKGROUND: Today, treatment for rectal cancer is performed with increasing emphasis on sphincter-saving surgery, meaning that an anterior resection often includes construction of a temporary loop-ileostomy that is later reversed. The majority of patients will subsequently have disordered bowel function, with symptoms ranging from urgency to fecal incontinence...
October 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29052116/patients-knowledge-on-oral-anticoagulant-treatment-in-hungary
#5
Reka Viola, Helga Fekete, Ildiko Csoka
Background A key element for an effective and safe oral anticoagulant treatment (OAT) is to have the relevant information delivered to patients in an easy-to-understand way and thus have them apply this knowledge in their own therapy. Objective To assess knowledge about OAT, reveal knowledge gaps and identify at-risk patients in terms of limited knowledge about their anticoagulant therapy. Setting Community pharmacies in Hungary. Methods This descriptive cross-sectional study used a structured, validated, self-developed questionnaire to assess patients' knowledge about OAT...
October 19, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29050739/-evaluation-about-patient-s-knowledge-on-their-direct-oral-anticoagulants-treatment
#6
V Pouyet, P Abassade, R Cador
AIM OF THE STUDY: Patient's knowledge about their treatment is poor, generally speaking. New oral anticoagulants are easier to use compared to antivitamin K, and they are going to increase. This simplification can underestimate their high potential risk. We have assessed patient's knowledge about their direct oral anticoagulants. METHODS: It was a quantitative, observational, multicentric, prospective study, on 50 patients on Direct Oral Anticoagulants. They have been included from November 2015 to February 2017, in Île-de-France...
October 16, 2017: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/29050508/-doing-with-%C3%A2-rather-than-doing-for-%C3%A2-older-adults-rationale-and-content-of-the-stay-active-at-home-programme
#7
Silke F Metzelthin, Gertrud Ar Zijlstra, Erik van Rossum, Janneke M de Man-van Ginkel, Barbara Resnick, Gill Lewin, Matthew Parsons, Gertrudis Ijm Kempen
BACKGROUND: Owing to increasing age, accidents or periods of illness, home care services are provided to community-dwelling older adults. Traditionally, these services focus on doing things for older adults rather than with them; though from a rehabilitative perspective, it is important to assist older adults to attain and maintain their highest level of functioning. Consequently, a re-orientation of home care services is required away from treating disease and creating dependency towards focusing on capabilities and opportunities and maximising independence...
November 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29050025/conventional-preventive-therapies-fluoride-on-root-caries-lesions
#8
Ana Carolina Magalhães
Root caries lesions (RCLs) are highly prevalent in elderly and can negatively impact the quality of life. Therefore, preventive therapies should be applied to control or to arrest RCLs. This chapter will discuss the application of fluoride, a conventional preventive therapy, to control RCLs. Among the self-applied products, there is strong evidence that 5,000 ppm F toothpaste is more effective in arresting RCLs (by increasing hardness) and in preventing new lesions (PF of 51%) compared to 1,100-1,450 ppm F toothpastes, in 6-month clinical trials...
2017: Monographs in Oral Science
https://www.readbyqxmd.com/read/29049005/beliefs-attitudes-and-activities-of-healthcare-personnel-about-influenza-and-pneumococcal-vaccines
#9
Fatma Çiftci, Elif Şen, Nalan Demir, Orçun Çiftci, Serhat Erol, Oya Kayacan
OBJECTIVES: Vaccination of healthcare personnel (HCP) is an effective measure for preventing the spread of influenza among at-risk patients. This study was conducted to determine influenza vaccination rates and activities among HCP working at a tertiary healthcare setting. METHODS: This study included 470 HCP (85 physicians, 134 nurses, 53 healthcare assistants, 44 paramedics, 47 medical secretaries, and 107 auxillary staff members) working at the emergency, cardiology, chest diseases, and internal medicine departments with the largest volume of patients with vaccination indication of two large university hospitals with similar medical practices and work environment...
October 19, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29048989/vaccination-in-pregnancy-attitudes-of-nurses-midwives-and-health-visitors-in-england
#10
Bhavita Vishram, Louise Letley, Albert Jan Van Hoek, Louise Silverton, Helen Donovan, Cheryll Adams, David Green, Angela Edwards, Joanne Yarwood, Helen Bedford, Gayatri Amirthalingam, Helen Campbell
OBJECTIVE: To examine amongst healthcare professionals in England; knowledge of vaccinations in pregnancy, their perceived roles in these programmes and whether they recommend scheduled vaccines to pregnant women. DESIGN: Cross sectional survey (online questionnaire) Setting: Healthcare workers in contact with pregnant women in England. PARTICIPANTS: The survey analysis included 3441 healthcare workers who had been surveyed during May to August 2015...
October 19, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29048982/symptom-relief-and-palliative-care-during-the-last-week-of-life-among-patients-with-heart-failure-a-national-register-study
#11
Kristofer Årestedt, Anette Alvariza, Kurt Boman, Joakim Öhlén, Ida Goliath, Cecilia Håkanson, Carl Johan Fürst, Margareta Brännström
BACKGROUND: Heart failure is a disease with high morbidity, mortality, and physical and psychological burden. More knowledge about the care provided for patients with heart failure close to death is needed. OBJECTIVE: The aim was to describe key aspects of palliative care during the last week of life in patients with heart failure, as reported by healthcare professionals. DESIGN: This is a national register study. SETTING/SUBJECTS: The study included 3981 patients with diagnosed heart failure as the underlying cause of death...
October 19, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29047365/the-weight-of-work-the-association-between-maternal-employment-and-overweight-in-low-and-middle-income-countries
#12
Vanessa M Oddo, Sara N Bleich, Keshia M Pollack, Pamela J Surkan, Noel T Mueller, Jessica C Jones-Smith
BACKGROUND: Maternal employment has increased in low-and middle-income countries (LMIC) and is a hypothesized risk factor for maternal overweight due to increased income and behavioral changes related to time allocation. However, few studies have investigated this relationship in LMIC. METHODS: Using cross-sectional samples from Demographic and Health Surveys, we investigated the association between maternal employment and overweight (body mass index [BMI] ≥ 25 kg/m(2)) among women in 38 LMIC (N = 162,768)...
October 18, 2017: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/29047349/professional-identity-career-choices-and-working-conditions-of-future-and-young-dentists-in-germany-study-design-and-methods-of-a-nationwide-comprehensive-survey
#13
Nele Kettler, Nicolas Frenzel Baudisch, Wolfgang Micheelis, David Klingenberger, A Rainer Jordan
BACKGROUND: Little is known regarding young and future dentists' career choices, professional identity, and working conditions in Germany. While the dental healthcare environment and demands in treatment are changing, it remains unclear what job perceptions young dentists have developed at the beginning of their work life and if and how these perceptions change during the subsequent years. The aim of this study was to survey future and young dentists regarding their professional identity, planned career paths, and working conditions and strains to understand career decisions and choices and enable policy makers to include future dentists' views and expectations in their decisions...
October 18, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/29047339/exploring-the-evidence-base-for-how-people-with-dementia-and-their-informal-carers-manage-their-medication-in-the-community-a-mixed-studies-review
#14
Lydia Aston, Andrea Hilton, Tiago Moutela, Rachel Shaw, Ian Maidment
BACKGROUND: Little is known about the general medicines management issues for people with dementia living in the community. This review has three aims: firstly to explore and evaluate the international literature on how people with dementia manage medication; assess understanding of medicines management from an informal carers perspective; and lastly to understand the role that healthcare professionals play in assisting this population with medicines management. METHODS: A mixed studies review was conducted...
October 18, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29046715/mental-health-training-for-primary-health-care-workers-and-implication-for-success-of-integration-of-mental-health-into-primary-care-evaluation-of-effect-on-knowledge-attitude-and-practices-kap
#15
Getinet Ayano, Dawit Assefa, Kibrom Haile, Asrat Chaka, Kelemua Haile, Melat Solomon, Kalkidan Yohannis, Akilew Awoke, Kemal Jemal
BACKGROUND: Mental disorders are always remained a neglected public health problems in low and middle-income countries (LMICs), most people with mental disorders never receive effective care and there is a large treatment gap. In order to solve the problem integration of mental health into primary health care is recommended and in Ethiopia implementation of the scale of mental health services at primary health care level was started in 2014. For the success of the integration of mental health into primary health care, primary care health professionals are the key personnel who are responsible for the management of mental, neurologic and substance use disorders...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29046601/knowledge-of-practice-a-multi-sited-event-ethnography-of-border-security-fairs-in-europe-and-north-america
#16
Theodore Baird
This article takes the reader inside four border security fairs in Europe and North America to examine the knowledge practices of border security professionals. Building on the border security as practice research agenda, the analysis focuses on the production, circulation, and consumption of scarce forms of knowledge. To explore situated knowledge of border security practices, I develop an approach to multi-sited event ethnography to observe and interpret knowledge that may be hard to access at the security fairs...
June 2017: Secur Dialogue
https://www.readbyqxmd.com/read/29046600/the-inside-out-views-of-young-people-parents-and-professionals-regarding-successful-secure-residential-care
#17
Annemiek T Harder, Erik J Knorth, Margrite E Kalverboer
Although adolescents often seem to improve in their functioning during residential care, there still is little knowledge on what factors are important in achieving these changes. The present study aims to identify the care factors that are important for adolescents' behavior change during secure residential care. We conducted in-depth interviews with eight adolescents, their parents, eight group care workers and seven teachers concerning their in-care experiences. Both adolescents and parents commonly attributed changes during secure residential care to the treatment environment...
2017: Child & Adolescent Social Work Journal: C & A
https://www.readbyqxmd.com/read/29046214/motivating-the-workforce-beyond-the-two-factor-model
#18
Elizabeth Ann Shannon
Objective The aim of the present study was to understand the factors motivating health and human services professionals in the workplace, thus adding to the body of knowledge associated with employee motivation.Methods Brainstorming research was performed on frontline and emerging managers in Tasmanian public sector organisations. Coding categories were inductively developed from the data, then deductively analysed using Herzberg's two-factor model.Results Communication was the most significant factor affecting staff motivation...
October 19, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29045996/sicko-development-of-a-multi-disciplinary-training-concept-for-paediatric-oncology
#19
Petra Tiroke, Birte Sänger, Urs Mücke, Lea Berndt, Henrike Wittenbecher, Lorenz Grigull
Background Treating children with cancer requires multiple different skills. For the healthcare personnel (HCP) in Germany the practice of ongoing training to improve professional skills is almost non-existent. Therefore, we developed a programme called 'SICKO' to support HCPs skills and attitudes by means of a multidisciplinary workshop. Methods Following a qualitative analysis, we then designed a modular (3 day) workshop. During day one (8 h) participants learn practical skills, the fundamentals of chemotherapy, and effective communication skills...
October 18, 2017: Klinische Pädiatrie
https://www.readbyqxmd.com/read/29045991/naloxone-counseling-for-harm-reduction-and-patient-engagement
#20
Jonathan K Han, Lucas G Hill, Marianne E Koenig, Niladri Das
BACKGROUND AND OBJECTIVES: The United States is experiencing an epidemic of opioid-related deaths. Naloxone, the drug of choice for reversing acute opioid overdose, is not routinely prescribed for outpatient use. The aims of this project were to improve naloxone awareness, increase naloxone prescribing, and prevent opioid overdoses. METHODS: A naloxone counseling intervention was implemented in three family health centers by an interprofessional team of providers including family medicine physicians, clinical pharmacists, and social workers...
October 2017: Family Medicine
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