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https://www.readbyqxmd.com/read/28749319/a-survey-exploring-national-health-service-eprescribing-toolkit-use-and-perceived-usefulness-amongst-english-hospitals
#1
Kathrin Cresswell, Ann Slee, Aziz Sheikh
BACKGROUND: There is currently limited guidance for hospitals to implement ePrescribing systems. We have developed an ePrescribing Toolkit designed to support ongoing implementation, adoption and optimisation of efforts. AIM: To investigate the perceived usefulness, reported use and areas for further development of the Toolkit by ePrescribing implementers in English hospitals. METHODS: Questionnaire-based survey of hospitals that have or are interested in implementing ePrescribing systems...
June 30, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28748600/accuracy-and-confidence-of-allied-health-assistants-administering-the-subjective-global-assessment-on-inpatients-in-a-rural-setting-a-preliminary-feasibility-study
#2
Cristal S Newman, Petrea L Cornwell, Adrienne M Young, Elizabeth C Ward, Annmarie L Mcerlain
AIM: Malnutrition has a significant impact on patient outcomes and duration of inpatient stay. However, conducting timely nutrition assessments can be challenging for rural dietitians. A solution could be for allied health assistants (AHAs) to assist with these assessments. The present study aimed to assess the accuracy and confidence of AHAs trained to conduct the subjective global assessment (SGA) compared with dietitians. METHODS: A non-inferiority study design was adopted...
July 27, 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/28748598/an-evaluation-of-the-effectiveness-of-psychological-therapy-in-reducing-general-psychological-distress-for-adults-with-autism-spectrum-conditions-and-comorbid-mental-health-problems
#3
Sarah H Blainey, Freya Rumball, Louise Mercer, Lauren Jayne Evans, Alison Beck
OBJECTIVE: To investigate the effectiveness of psychological therapy in reducing psychological distress for adults with autism spectrum conditions (ASC) and co-morbid mental health conditions in routine clinical practice. To explore the effect of individual characteristics and service factors on change in general distress. METHOD: In a specialist psychological therapies service for adults with ASC, the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) self-report questionnaire of psychological distress is completed by clients at start and end of therapy...
July 26, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28747228/iodine-nutritional-status-of-women-in-their-first-trimester-of-pregnancy-in-catalonia
#4
Maria Teresa Torres, Lidia Francés, Lluis Vila, Josep María Manresa, Gemma Falguera, Gemma Prieto, Roser Casamitjana, Pere Toran
BACKGROUND: Sufficient iodine intake is needed during pregnancy to ensure proper fetal development. The iodine levels of women in their first trimester of pregnancy in Catalonia are currently unknown. This data would help to determine whether our public health services should establish recommendations or interventions in this line. The aim of this study was to investigate the iodine nutritional status, prevalence of urinary iodine <150 μg/L, and tobacco use in the first trimester of pregnancy in our setting...
July 26, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28746574/institutional-violence-and-quality-of-service-in-obstetrics-are-associated-with-postpartum-depression
#5
Karina Junqueira de Souza, Daphne Rattner, Muriel Bauermann Gubert
OBJECTIVE: To investigate the association between institutional violence in obstetrics and postpartum depression (PP depression) and the potential effect of race, age, and educational level in this outcome. METHODS: This is a cross-sectional study about the health care conditions for the maternal and child population of the Federal District, Brazil, carried out in 2011. The study has used a probabilistic sample of 432 women, whose children were aged up to three months, stratified by clusters...
July 20, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28746465/orofacial-characteristics-of-functionally-independent-elders
#6
Danielle Nunes Moura Silva, Erica de Araújo Brandão Couto, Helena Maria Gonçalves Becker, Maria Aparecida Camargos Bicalho
Purpose: to understand the main orofacial characteristics of functionally independent elderly individuals and to investigate their association with age, gender, socioeconomic level, and dental status. Methods: an observational, cross-sectional, and analytical study was carried out with a non-probabilistic sample. Inclusion criteria: minimum age of 60 years, individual in good health conditions according to a pre-established protocol published by the health care service...
July 20, 2017: CoDAS
https://www.readbyqxmd.com/read/28746347/is-there-a-correlation-between-socioeconomic-disparity-and-functional-outcome-after-acute-ischemic-stroke
#7
Tian Song, Yuesong Pan, Ruoling Chen, Hao Li, Xingquan Zhao, Liping Liu, Chunxue Wang, Yilong Wang, Yongjun Wang
BACKGROUND: To investigate the impact of low socioeconomic status (SES), indicated by low level of education, occupation and income, on 3 months functional outcome after ischemic stroke. METHODS: We analyzed data from the China National Stroke Registry (CNSR), a multicenter and prospective registry of consecutive patients with acute cerebrovascular events occurred between September 2007 and August 2008. 11226 patients with ischemic stroke had SES and clinical characteristics data collected at baseline and mRS measured as indicator of functional outcome in 3 months follow up...
2017: PloS One
https://www.readbyqxmd.com/read/28745137/exploring-the-value-proposition-of-primary-care-for-safety-net-patients-who-utilize-emergency-departments-to-address-unmet-needs
#8
Kimberly R Enard, Deborah M Ganelin
BACKGROUND: An underlying assumption of strategies intended to promote appropriate primary care over emergency department (ED) use for ongoing health care needs is that patients will understand the "value proposition" of primary care: that they will receive specific benefits from primary care providers over and above what they receive from EDs. However, there is evidence that this value proposition may be unclear to safety-net patients. The goals of this study are to describe factors motivating ED use for low-acuity conditions; describe similarities and differences in usual source of care (USOC) experiences, by ED versus non-ED setting; and assess awareness and perceptions of the patient-centered medical home (PCMH) concept among safety-net patients...
July 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28744942/utilization-of-western-medicine-and-traditional-chinese-medicine-among-patients-with-alzheimer-s-disease-in-taiwan-a-nationwide-population-based-study
#9
C-Y Lai, M-Y Wu, J-H Chiang, M-F Sun, Y-H Chen, C-T Chang, J-G Lin, H-R Yen
BACKGROUND AND PURPOSE: Large-scale studies of utilization of medical services among patients with Alzheimer's disease (AD) are lacking. We aimed to investigate the usage of Western medicine and traditional Chinese medicine (TCM) among these patients in Taiwan. METHODS: We analyzed one million samples from the National Health Insurance Research Database in Taiwan. Patients (n = 1814) newly diagnosed with AD in 2001-2010 were divided into TCM users (n = 528) and non-TCM users (n = 1286)...
July 26, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/28741801/attitudes-toward-suicidal-behavior-and-associated-factors-among-nursing-professionals-a-quantitative-study
#10
Kelly Graziani Giacchero Vedana, Daniel Fernando Magrini, Ana Carolina Guidorizzi Zanetti, Adriana Inocenti Miasso, Tatiana Longo Borges, Manoel Antônio Dos Santos
BACKGROUND: The attitudes toward suicide of emergency nurses may affect the care provided. However, the factors associated with these attitudes remain unclear. OBJECTIVE: To investigate attitudes toward suicidal behavior and associated factors among nursing professionals working in emergency settings. METHODS: A cross-sectional observational study including 28 nurses and 118 were nursing assistants employed at two emergency services in Brazil was conducted...
July 25, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28740851/burden-of-misconception-in-sexual-health-care-setting-a-cross-sectional-investigation-among-the-patients-attending-a-psychiatric-sex-clinic-of-bangladesh
#11
S M Yasir Arafat, Srijony Ahmed
BACKGROUND: Bangladesh is a country in South Asia with about 160 million people and achieved health related Millennium Development Goals (MDG) significantly. But sexual health is still an untapped issue with predominant myths and misconception. OBJECTIVE: We aimed to look into the proportions of patients attending sexual health care services due to misconceptions. METHODS: The descriptive, cross-sectional study was conducted among 110 patients attending Psychiatric Sex Clinic (PSC) of Bangabandhu Sheikh Mujib Medical University...
2017: Psychiatry Journal
https://www.readbyqxmd.com/read/28740375/clinical-and-economic-burden-of-dyspnea-and-other-copd-symptoms-in-a-managed-care-setting
#12
Judith J Stephenson, Debra Wertz, Tao Gu, Jeetvan Patel, Anand A Dalal
PURPOSE: The degree to which symptoms such as dyspnea affect patients with COPD is individualized. To address the gap between clinical symptom measures and self-perceived disease burden, we investigated the symptom status of adult patients with COPD and followed with an administrative claims analysis of health care resource utilization and costs. METHODS: This was a hybrid US observational study consisting of a cross-sectional patient survey followed by a retrospective analysis of administrative claims data...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28740371/influence-of-environmental-factors-on-food-intake-among-nursing-home-residents-a-survey-combined-with-a-video-approach
#13
Fanny Buckinx, Jean-Yves Reginster, Alison Morelle, Nicolas Paquot, Nicole Labeye, Médéa Locquet, Stéphane Adam, Olivier Bruyère
BACKGROUND: In addition to the well-known physiological factors, dietary behavior that affects health seems to be influenced by a wide variety of environmental factors. The aim of this study was to assess, by means of an original video approach, the influence of the environment on food intake in nursing homes. METHODS: The perception of the environment during meals in nursing homes was evaluated by residents and by two groups of volunteers who either work in the field of geriatrics, or who do not work in the field of geriatrics...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28740259/proteinuria-detected-by-urine-dipstick-test-as-a-risk-factor-for-atrial-fibrillation-a-nationwide-population-based-study
#14
Woo-Hyun Lim, Eue-Keun Choi, Kyung-Do Han, Tae-Min Rhee, Hyun-Jung Lee, So-Ryoung Lee, Si-Hyuck Kang, Myung-Jin Cha, Seil Oh
Proteinuria is one of the well-known risk factors for cardiovascular disease. However the impact of proteinuria on the incidence of atrial fibrillation (AF) is unclear. In this study, we investigated the association between proteinuria detected using urine dipstick test and the risk of AF. A total of 18,201,275 individuals were analyzed, who had no prior AF and had received biennial health checkups provided by the National Health Insurance Service between 2005 and 2008 in Korea. Incidences of AF were ascertained through the end of 2015...
July 24, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28738901/stroke-in-a-resource-constrained-hospital-in-madagascar
#15
Pål Sigurd Stenumgård, Miadana Joshua Rakotondranaivo, Olav Sletvold, Turid Follestad, Hanne Ellekjær
BACKGROUND: Stroke is reported as the most frequent cause of in-hospital death in Madagascar. However, no descriptive data on hospitalized stroke patients in the country have been published. In the present study, we sought to investigate the feasibility of collecting data on stroke patients in a resource-constrained hospital in Madagascar. We also aimed to characterize patients hospitalized with stroke. METHODS: We registered socio-demographics, clinical characteristics, and early outcomes of patients admitted for stroke between 23 September 2014 and 3 December 2014...
July 24, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28738800/benchmarked-performance-charts-using-principal-components-analysis-to-improve-the-effectiveness-of-feedback-for-audit-data-in-hiv-care
#16
Skevi Michael, Mark Gompels, Caroline Sabin, Hilary Curtis, Margaret T May
BACKGROUND: Feedback tools for clinical audit data that compare site-specific results to average performance over all sites can be useful for quality improvement. Proposed tools should be simple and clearly benchmark the site's performance, so that a relevant action plan can be directly implemented to improve patient care services. We aimed to develop such a tool in order to feedback data to UK HIV clinics participating in the 2015 British HIV Association (BHIVA) audit assessing compliance with the 2011 guidelines for routine investigation and monitoring of adult HIV-1- infected individuals...
July 24, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28738796/health-profile-for-danish-adults-with-activity-limitation-a-cross-sectional-study
#17
Nina Føns Johnsen, Michael Davidsen, Susan Ishøy Michelsen, Knud Juel
BACKGROUND: Studies have indicated that people with disabilities die earlier and may experience a poorer health than the general population. This study investigated 31 factors related to health and well-being, health behaviour and social relations among Danish adults with activity limitation (AL). METHODS: This study was based on data from the Danish Health and Morbidity Survey (DHMS) 2013 where 25,000 men and women aged 16 years or older were selected randomly from the adult Danish population...
July 24, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28738685/assessing-the-effect-of-the-vha-pcmh-model-on-utilization-patterns-among-veterans-with-ptsd
#18
Ian Randall, Charles Maynard, Gary Chan, Beth Devine, Chris Johnson
OBJECTIVES: The Veterans Health Administration (VHA) implemented a patient-centered medical home (PCMH)-based Patient Aligned Care Teams (PACT) model in 2010. We examined its effects on the utilization of health services among US veterans with posttraumatic stress disorder (PTSD). STUDY DESIGN: We analyzed VHA clinical and administrative data to conduct an interrupted time series study. Encounter-level data were obtained for the period of April 1, 2005, through March 31, 2014...
May 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28737984/evaluating-the-training-responsibilities-and-practices-of-p-t-committee-members-and-nonmember-contributors
#19
Ryan Rodriguez, Brett J Kelly, Mary Moody
BACKGROUND: Pharmacy and therapeutics (P&T) committees are responsible for managing drug formularies in numerous health care settings. Although pharmacy practice and health care organizations provide general recommendations of responsibilities and skills for members and nonmember contributors of P&T committees, the study investigators hypothesized that there is diversity in the training, responsibilities, and practices of these members and contributors. OBJECTIVE: To describe the training, responsibilities, and practices of members and nonmember contributors of P&T committees in a variety of health care settings, using an online survey...
August 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28737982/knocking-on-prison-s-door-a-10-fold-rise-in-the-number-of-psychotic-prisoners-in-finland-during-the-years-2005-2016
#20
Alo Jüriloo, Lauri Pesonen, Hannu Lauerma
BACKGROUND: As in many European countries, Finnish psychiatric services experienced a rapid process of deinstitutionalization in the 1990s. In recent decades, the decrease in numbers of psychiatric hospital beds has in several countries been found to be linked with increasing criminality among severely mentally ill individuals. It has been concluded that deinstitutionalization could be the main reason for this development. AIM: To investigate whether the prevalence of severely mentally ill persons to prison is a growing trend also in Finland...
July 24, 2017: Nordic Journal of Psychiatry
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