Read by QxMD icon Read


Nasrin Navabi, Fatemeh Ghaffari, Zahra Jannat-Alipoor
BACKGROUND AND OBJECTIVES: The limitations caused by the process of aging and the prevalence of chronic diseases contribute to reduced performance in physical, psychological, and social areas of life in older people. The use of mobile phones as easily accessible portable tools with a high performance is associated with an increased health literacy, self-care, and independence in older people. The present study was conducted to determine older people's attitudes toward the use of mobile phones and the barriers to their use...
2016: Clinical Interventions in Aging
L Guillod, S Habersaat, M Suter, T Jeanneret, C Bertoni, P Stéphan, S Urben
BACKGROUND: Adolescence is a stressful period where important biological, psychological and social changes occur. Adolescents are particularly vulnerable during this developmental period and can use various strategies to deal with daily stress, such as substance use or externalizing behaviors. In previous studies, stress in adolescents with externalizing behaviors was often linked to ineffective cognitive coping strategies (i.e., constructive thinking) and overlooking the biological aspects involved in stress management such as neuroendocrine regulation...
October 10, 2016: L'Encéphale
Erin Davis, Carlo Marra, John-Michael Gamble, Jamie Farrell, Joe Lockyer, J Mark FitzGerald, Waseem Abu-Ashour, Charlie Gillis, John Hawboldt
BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) are often nonadherent with medications and have poor inhaler technique. Community pharmacists can help to improve health-related quality of life and overall outcomes in patients with COPD. We aim to measure the effectiveness of a systematic, pharmacist-driven intervention on patients with diagnosed COPD. METHODS/DESIGN: This pragmatic, parallel-group, cluster randomized controlled trial is designed to determine the effectiveness of a multifactorial, pharmacist-led intervention on medication adherence, inhaler technique, health-related quality of life, health care resource utilization including COPD exacerbations, and use of medications...
October 13, 2016: Trials
Amy E Green, John Ferrand, Gregory A Aarons
OBJECTIVE: The current study examines parent/caregiver and youth report of psychosocial and health-related functioning among youth served in public systems of care, with mood disorder only, comorbid mood disorder and chronic physical illness, and chronic physical illness only. METHOD: Participants were 539 youths (ages, 11-18; 64% male) with a mood disorder and/or chronic physical illness enrolled in a study of public sector care. Presence of mood disorder was based on youth report on the Diagnostic Interview Schedule for Children-IV...
October 2016: Journal of Developmental and Behavioral Pediatrics: JDBP
Laura-Jane E Smith, Ifrah Ali, Patrick Stone, Liam Smeeth, Jennifer K Quint
INTRODUCTION: People living with advanced chronic obstructive pulmonary disease (COPD) suffer from significant morbidity, reduced quality of life and high mortality, and are likely to benefit from many aspects of a palliative care approach. Prognostic estimates are a meaningful part of decision-making and better evidence for such estimates would facilitate advance care planning. We aim to provide quality evidence on known prognostic variables and scores which predict a prognosis in COPD of <12 months for use in the community...
September 15, 2016: BMJ Open
Siobhan O'Connor, Peter Hanlon, Catherine A O'Donnell, Sonia Garcia, Julie Glanville, Frances S Mair
INTRODUCTION: Patients and the public are beginning to use digital health tools to assist in managing chronic illness, support independent living and self-care, and remain connected to health and care providers. However, engaging with and enrolling in digital health interventions, such as telehealth systems, mobile health applications, patient portals and personal health records, in order to use them varies considerably. Many factors affect people's ability to engage with and sign up to digital health platforms...
2016: BMJ Open
Fatemeh Merati Fashi, Behnam Khaledi-Paveh, Rostam Jalali, Amir Hossein Hashemian
BACKGROUND: Chronic renal failure is a progressive and irreversible disorder which disables kidneys to excrete metabolic waste and maintain fluid and electrolyte and exposes the patients to different types of malfunctions. Hemodialysis is one of the main treatments for chronic kidney failure patients. Despite the therapeutic effect of hemodialysis in end stage renal failure, patients experience multiple physical and psychological stresses. Since body and spirit are correlated, religious attitude and spiritual intelligence can act as a potential support...
2016: Global Journal of Health Science
Louisa Picco, Mythily Subramaniam, Edimansyah Abdin, Janhavi Ajit Vaingankar, Siow Ann Chong
INTRODUCTION: Major depressive disorder (MDD) is one of the most common psychiatric disorders worldwide, and various sociodemographic risk factors including age, gender and ethnicity have been associated with MDD. The present study aimed to establish whether gender-specific differences relating to the prevalence and correlates of MDD existed in the Singapore adult resident population. METHODS: The Singapore Mental Health Study was a population-based, cross-sectional, epidemiological study among Singapore citizens and permanent residents aged 18 years and above...
August 16, 2016: Singapore Medical Journal
Marco Clari, Maria Matarese, Rosaria Alvaro, Michela Piredda, Maria Grazia De Marinis
The use of valid and reliable instruments for assessing self-care is crucial for the evaluation of chronic obstructive pulmonary disease (COPD) management programs. The aim of this review is to evaluate the measurement properties and theoretical foundations of instruments for assessing self-care and related concepts in people with COPD. A systematic review was conducted of articles describing the development and validation of self-care instruments. The methodological quality of the measurement properties was assessed using the COSMIN checklist...
September 2016: Heart & Lung: the Journal of Critical Care
Wayne B Jonas, Dawn M Bellanti, Charmagne F Paat, Courtney C Boyd, Alaine Duncan, Ashley Price, Weimin Zhang, Louis M French, Heechin Chae
Background: Headaches are prevalent among Service members with traumatic brain injury (TBI); 80% report chronic or recurrent headache. Evidence for nonpharmacologic treatments, such as acupuncture, are needed. Objective: The aim of this research was to determine if two types of acupuncture (auricular acupuncture [AA] and traditional Chinese acupuncture [TCA]) were feasible and more effective than usual care (UC) alone for TBI-related headache. Materials and Methods: Design: This was a three-armed, parallel, randomized exploratory study...
June 1, 2016: Medical Acupuncture
Christiane Muth, Sebastian Harder, Lorenz Uhlmann, Justine Rochon, Birgit Fullerton, Corina Güthlin, Antje Erler, Martin Beyer, Marjan van den Akker, Rafael Perera, André Knottnerus, Jose M Valderas, Ferdinand M Gerlach, Walter E Haefeli
OBJECTIVE: To improve medication appropriateness and adherence in elderly patients with multimorbidity, we developed a complex intervention involving general practitioners (GPs) and their healthcare assistants (HCA). In accordance with the Medical Research Council guidance on developing and evaluating complex interventions, we prepared for the main study by testing the feasibility of the intervention and study design in a cluster randomised pilot study. SETTING: 20 general practices in Hesse, Germany...
2016: BMJ Open
Laureano Negrón-Blanco, Jesús de Pedro-Cuesta, Javier Almazán, Carmen Rodríguez-Blázquez, Esther Franco, Javier Damián
BACKGROUND: There is a marked growth in the number of homebound older adults, due mainly to increased life expectancy. Although this group has special characteristics and needs, it has not been properly studied. This study thus aimed to measure the prevalence of homebound status in a community-dwelling population, and its association with both socio-demographic, medical and functional characteristics and the use of health care and social services. METHODS: We used instruments coming under the WHO International Classification of Functioning (ICF) framework to carry out a cross-sectional study on populations aged 50 years and over in the province of Zaragoza (Spain), covering a total of 1622 participants...
2016: BMC Public Health
Kristof Faes, Veerle De Frène, Joachim Cohen, Lieven Annemans
CONTEXT: Patients with chronic obstructive pulmonary disease (COPD) in their final months of life potentially place a high burden upon health care systems. Concrete knowledge about resources used and costs incurred by those patients at the end of life is crucial for policymakers. OBJECTIVES: The aim of this systematic review was to describe the resources used and costs incurred by patients with COPD at the end of life. METHODS: We performed a comprehensive literature search in Medline, Web of Science and Econlit...
July 8, 2016: Journal of Pain and Symptom Management
Fasiha Kanwal, Jeffrey M Pyne, Shahriar Tavakoli-Tabasi, Susan Nicholson, Brian Dieckgraefe, Erma Storay, Matthew Bidwell Goetz, Donna L Smith, Shubhada Sansgiry, Allen Gifford, Steven M Asch
OBJECTIVE: Depression is highly prevalent yet underdiagnosed and undertreated among patients with chronic hepatitis C virus (HCV) infection. Collaborative care models have improved depression outcomes in primary care settings, and this study aimed to provide more information on testing such methods in specialty HCV care. METHODS: Hepatitis C Translating Initiatives for Depression Into Effective Solutions (HEPTIDES) was a randomized controlled trial that tested a collaborative depression care model in HCV clinics at four Veterans Affairs facilities...
July 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
Carmen Rodríguez-Blázquez, Javier Damián, María José Andrés-Prado, Javier Almazán-Isla, Enrique Alcalde-Cabero, Maria João Forjaz, Juan Manuel Castellote, Jesús González-Enríquez, Pablo Martínez-Martín, Magdalena Comín, Jesús de Pedro-Cuesta
OBJECTIVES: To analyse the relationships between chronic conditions, body functions, activity limitations and participation restrictions in the International Classification of Functioning, Disability and Health (ICF) framework. DESIGN: A cross-sectional study. SETTING: 2 geographical areas in the Autonomous Region of Aragon, Spain, namely, a rural area, Cinco Villas, and an urban area in the city of Zaragoza. PARTICIPANTS: 864 individuals selected by simple random sampling from the register of Social Security card holders, aged 50 years and over, positive to disability screening...
2016: BMJ Open
Anje J Scarfe, Susanne Schuhmann-Hingel, Joanna K Duncan, Ning Ma, Yasoba N Atukorale, Alun L Cameron
A continuous paravertebral block is used when pain relief is required beyond the duration of a single-injection paravertebral block. Surgical procedures requiring an incision into the pleural cavity are some of the most painful procedures postoperatively and, if not managed appropriately, can lead to chronic pain. The current gold standard for post-cardiothoracic surgery pain management is epidural analgesia, which has contraindications, a failure rate of up to 12% and risk of complications such as epidural abscess and spinal haematoma...
May 30, 2016: European Journal of Cardio-thoracic Surgery
Maha Al Ammari, Khizra Sultana, Faisal Yunus, Mohammed Al Ghobain, Shatha M Al Halwan
OBJECTIVES: To assess the proportion of critical errors committed while demonstrating the inhaler technique in hospitalized patients diagnosed with asthma and chronic obstructive pulmonary disease (COPD).  METHODS: This cross-sectional observational study was conducted in 47 asthmatic and COPD patients using inhaler devices. The study took place at King Abdulaziz Medical City, Riyadh, Saudi Arabia between September and December 2013. Two pharmacists independently assessed inhaler technique with a validated checklist...
May 2016: Saudi Medical Journal
Douglas F Zatzick, Joan Russo, Doyanne Darnell, David A Chambers, Lawrence Palinkas, Erik Van Eaton, Jin Wang, Leah M Ingraham, Roxanne Guiney, Patrick Heagerty, Bryan Comstock, Lauren K Whiteside, Gregory Jurkovich
BACKGROUND: Each year in the USA, 1.5-2.5 million Americans are so severely injured that they require inpatient hospitalization. Multiple conditions including posttraumatic stress disorder (PTSD), alcohol and drug use problems, depression, and chronic medical conditions are endemic among physical trauma survivors with and without traumatic brain injuries. METHODS/DESIGN: The trauma survivors outcomes and support (TSOS) effectiveness-implementation hybrid trial is designed to test the delivery of high-quality screening and intervention for PTSD and comorbidities across 24 US level I trauma center sites...
2016: Implementation Science: IS
Karen H Seal, Shira Maguen, Daniel Bertenthal, Steven L Batki, Joan Striebel, Murray B Stein, Erin Madden, Thomas C Neylan
OBJECTIVE: Posttraumatic stress disorder (PTSD), chronic pain, and substance use disorders are prevalent co-occurring conditions that are challenging to treat individually, and there is no evidence-based treatment for all 3. Buprenorphine, used to treat opioid use disorder and chronic pain, is a partial nociceptin opioid receptor agonist. In preclinical studies, a nociceptin opioid receptor agonist was shown to mitigate PTSD symptoms in acute trauma. We compared buprenorphine to other opioid medications in its impact on PTSD symptoms in patients with chronic pain and opioid and/or other substance use disorders...
March 1, 2016: Journal of Clinical Psychiatry
Yana Vaks, Rachel Bensen, Dana Steidtmann, Thomas D Wang, Terry S Platchek, Donna M Zulman, Elizabeth Malcolm, Arnold Milstein
Adolescents and young adults (AYA) with serious chronic illnesses face costly and dangerous gaps in care as they transition from pediatric to adult health systems. New, financially sustainable approaches to transition are needed to close these gaps. We designed a new transition model for adolescents and young adults with a variety of serious chronic conditions. Our explicit goal was to build a model that would improve the value of care for youth 15-25 years of age undergoing this transition. The design process incorporated a review, analysis, and synthesis of relevant clinical and health services research; stakeholder interviews; and observations of high-performing healthcare systems...
March 2016: Healthcare
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"