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https://www.readbyqxmd.com/read/29917253/the-moderating-role-of-the-amount-of-caregiving-tasks-on-the-relationships-between-dementia-caregivers-characteristics-and-outcomes
#1
Youngmi Kang, Kwisoon Choe, Jinna Yu
AIM: This study identified the moderating role of the amount of caregiving tasks on relationships between dementia family caregivers' characteristics (age, education, etc.) and outcomes (burden, etc.). DESIGN: A cross-sectional analysis of surveyed data. METHOD: A convenience sample of 369 family caregivers (151 males, 218 females) aged 20 years or older was recruited from 10 cities in the southern area of South Korea. Data were collected from November - December 2011...
June 19, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29917230/health-care-expenditures-among-elderly-patients-with-epilepsy-in-the-united-states
#2
Alain Lekoubou, Kinfe G Bishu, Bruce Ovbiagele
OBJECTIVE: The purpose of this study was to evaluate health care expenditures among elderly patients with epilepsy in the United States. METHODS: We performed an analysis of weighted 37 738 607 US participants aged 65 years to estimate health care expenditures in the elderly with and without epilepsy using the Medical Expenditure Panel Survey Household Component, with 2003-2014 data. Unadjusted health care expenditures were estimated. Independent health care expenditures were estimated, using a 2-part model...
June 19, 2018: Epilepsia
https://www.readbyqxmd.com/read/29917143/implementation-of-medication-related-indicators-of-potentially-preventable-hospitalizations-in-a-national-chronic-disease-management-program-for-older-patients-with-multimorbidity
#3
Gillian E Caughey, Jodie B Hillen, Stephanie Bacon, Nicholas Bullock, Virginia Bullock, Lisa Kalisch Ellett
Initial assessment: Older people are at increased risk of medication-related potentially preventable hospitalizations (MR-PPH) due to the presence of multiple chronic conditions (multimorbidity) and subsequent polypharmacy. Choice of solution: A pilot study was conducted, using evidence-based indicators to detect older patients in a chronic disease management program (CDMP) at risk of hospitalization due to sub-optimal medication use. Implementation: Previously validated indicators for MR-PPH were applied to patients with multimorbidity, aged 65 years or older and who were enrolled in a national community-based CDMP...
June 18, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29917086/frostbite-versus-burns-increased-cost-of-care-and-use-of-hospital-resources
#4
Rachel M Nygaard, Frederick W Endorf
Numerous demographic, socioeconomic, and injury factors influence a burn patient's hospital course. Compared to the typical burn patient, frostbite injury frequently impacts those with high rates of mental illness, substance abuse, and those suffering homelessness. Our aim was to examine differences in the hospital course of frostbite patients compared to those with burns limited to the hands and feet. Patients with frostbite injury and those with isolated hand and/or foot burns were identified in the National Burn Repository...
June 15, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29917071/individualization-and-the-health-care-mosaic-in-assisted-living
#5
Candace L Kemp, Mary M Ball, Molly M Perkins
Background and Objectives: Assisted living (AL) is a popular residential long-term care option for frail older adults in the United States. Most residents have multiple comorbidities and considerable health care needs, but little is known about their health care arrangements, particularly over time. Our goal is to understand how health care is managed and experienced in AL by residents and their care network members. Research Design and Methods: This grounded theory analysis focuses on the delivery of health care in AL...
June 15, 2018: Gerontologist
https://www.readbyqxmd.com/read/29917053/echocardiographic-strain-analysis-for-the-early-detection-of-left-ventricular-systolic-diastolic-dysfunction-and-dyssynchrony-in-a-mouse-model-of-physiological-aging
#6
Claudio de Lucia, Markus Wallner, Deborah M Eaton, Huaqing Zhao, Steven R Houser, Walter J Koch
Heart disease is the leading cause of hospitalization and death worldwide, severely affecting health care costs. Aging is a significant risk factor for heart disease and the senescent heart is characterized by structural and functional changes including diastolic and systolic dysfunction as well as left ventricular (LV) dyssynchrony. Speckle-tracking based strain echocardiography (STE) has been shown as a non-invasive, reproducible and highly sensitive methodology to evaluate LV function in both animal models and humans...
June 18, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29916991/risk-factors-for-early-reoperation-after-operative-treatment-of-acetabular-fractures
#7
Anthony Ding, Robert V OʼToole, Renan Castillo, Brad Reahl, Ryan Montalvo, Jason W Nascone, Marcus F Sciadini, Anthony R Carlini, Theodore T Manson
OBJECTIVES: To identify the risk factors for early reoperation after operative fixation of acetabular fractures. DESIGN: Retrospective evaluation. SETTING: Level I Trauma Center. PATIENTS: Seven hundred ninety-one patients with displaced acetabular fractures treated with open reduction and internal fixation (ORIF) from 2006 to 2015. Average follow-up was 52 weeks. MAIN OUTCOME MEASURES: Early reoperation after acetabular ORIF, defined as secondary procedure for infection or revision within 3 years of initial operation...
July 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29916960/attrition-across-the-hiv-cascade-of-care-among-a-diverse-cohort-of-women-living-with-hiv-in-canada
#8
Genevieve Kerkerian, Mary Kestler, Allison Carter, Lu Wang, Nadine Kronfli, Paul Sereda, Eric Roth, M-J Milloy, Neora Pick, Deborah Money, Kath Webster, Robert S Hogg, Alexandra de Pokomandy, Mona Loutfy, Angela Kaida
BACKGROUND: In North America, women have lower engagement across the HIV cascade of care compared with men. Among women living with HIV (WLWH) in Canada, we measured the prevalence and correlates of attrition across cascade stages overall, and by key sub-populations. METHODS: We analyzed baseline survey data regarding six nested stages of the HIV cascade among 1,424 WLWH enrolled in the Canadian HIV Sexual and Reproductive Health Cohort Study (CHIWOS), including: linked to care, retained in care, initiated antiretroviral therapy (ART), current ART use, ART adherence (≥90%), and viral suppression (<50 copies/mL)...
June 15, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29916866/the-practice-of-overlapping-colorectal-operations-in-a-tertiary-care-center-is-safe-a-model-for-advancing-team-based-care
#9
Benjamin D Shogan, William S Harmsen, Eric J Dozois, Heidi Nelson, David W Larson
OBJECTIVE: Determine the safety of overlapping surgery in a tertiary care colorectal surgery practice. SUMMARY: Although overlapping surgery is common in academic centers, reports on outcomes of this practice are limited. The primary aim of this study was to investigate the safety of overlapping surgery in a dedicated tertiary care academic colorectal practice by comparing groups of patients who did or did not have their surgery performed in an overlapping fashion...
June 18, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29916794/perceptions-of-resilience-and-physical-health-symptom-improvement-following-post-disaster-integrated-health-services
#10
Howard J Osofsky, Carl F Weems, Rebecca A Graham, Joy D Osofsky, Tonya C Hansel, Lucy S King
OBJECTIVE: Theorists and researchers have linked resilience with a host of positive psychological and physical health outcomes. This paper examines perceptions of resilience and physical health symptoms in a sample of individuals exposed to multiple community disasters following involvement in integrated mental health services. METHODS: A multiwave naturalistic design was used to follow 762 adult clinic patients (72% female; 28% minority status), ages 18-92 years (mean age=40 years), who were evaluated for resilience and physical health symptoms prior to receiving services and at 1, 3, and 6 months' follow-up...
June 19, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29916723/barriers-and-facilitators-to-participation-in-a-health-check-for-cardiometabolic-diseases-in-primary-care-a-systematic-review
#11
Anne-Karien M de Waard, Per E Wändell, Martin J Holzmann, Joke C Korevaar, Monika Hollander, Carl Gornitzki, Niek J de Wit, François G Schellevis, Christos Lionis, Jens Søndergaard, Bohumil Seifert, Axel C Carlsson
Background Health checks for cardiometabolic diseases could play a role in the identification of persons at high risk for disease. To improve the uptake of these health checks in primary care, we need to know what barriers and facilitators determine participation. Methods We used an iterative search strategy consisting of three steps: (a) identification of key-articles; (b) systematic literature search in PubMed, Medline and Embase based on keywords; (c) screening of titles and abstracts and subsequently full-text screening...
January 1, 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29916566/-chronicity-and-aging-in-cardiology-geriatric-cardiology-cardiac-rehabilitation-or-care-related-cardiogeriatric-rehabilitation-delle-cure-correlate
#12
Roberto F E Pedretti
OBJECTIVES: The population of elderly adults is constantly increasing and age is a strong determinant of the development of chronic diseases, especially cardiovascular diseases; therefore old subjects represent a very high proportion of cardiac patients. Since cardiology is progressively more and more involved in the care of aged patients, a new area of Cardiology has been identified, the Geriatric Cardiology (GC). METHODS: On the other hand, Cardiac Rehabilitation (CR) and GC show a wide overlap, and GC seems to be the application in the aged cardiac patient of the core-components that CR has already tested in younger cardiac patients...
February 2018: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29916564/-chronicity-and-rehabilitation-in-general-medicine-and-geriatry
#13
Ciro Esposito
OBJECTIVES: The prevalence of chronic degenerative diseases such as diabetes, chronic kidney disease, obesity, cancer is increasing and comorbidity is more frequent in older age. The elderly patients with chronic degenerative diseases experience more acute complications and hospitalizations and poorer quality of life compared to elderly patients without chronic diseases. Furthermore it is widely acknowledged that an acute care model is inappropriate for patients with chronic conditions...
February 2018: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29916448/clinical-profile-and-risk-factors-associated-with-severe-scrub-typhus-infection-among-non-icu-patients-in-semi-urban-south-india
#14
Sarah S Premraj, K Mayilananthi, Durga Krishnan, K Padmanabhan, D Rajasekaran
Background & objectives: Scrub typhus is as an emerging infectious disease that generally causes acute febrile illness, with disease spectrum ranging from mild illness to multiorgan dysfunction. This study was aimed to report the clinical profile, complications and risk factors associated with severe illness in patients with scrub typhus, outside the intensive care setting. Methods: It was a prospective study, which involved recruitment of patients with acute febrile illness and diagnosed to have scrub typhus, who were admitted to the general medical wards of a tertiary care centre in Kanchipuram district, in semi-urban south India, over a 12 month period between June 2015 and May 2016...
January 2018: Journal of Vector Borne Diseases
https://www.readbyqxmd.com/read/29916302/a-realist-review-to-understand-the-efficacy-and-outcomes-of-interventions-designed-to-minimise-reverse-or-prevent-the-progression-of-frailty
#15
Holly Gwyther, Elzbieta Bobrowicz Campos, João Apóstolo, Maura Marcucci, Antonio Cano, Carol Holland
Interventions to minimise, reverse or prevent the progression of frailty in older adults represent a potentially viable route to improving quality of life and care needs in older adults. Intervention methods used across European Innovation Partnership on Active and Healthy Ageing (EIP-AHA) collaborators were analysed, along with findings from literature reviews to determine "what works for whom in what circumstances". A realist review of FOCUS study literature reviews, 'real world' studies and grey literature was conducted according to RAMESES standards, and used to populate a framework analysis of theories of why frailty interventions worked, and theories of why frailty interventions did not work...
June 19, 2018: Health Psychology Review
https://www.readbyqxmd.com/read/29916297/attitude-of-upper-egypt-health-care-professionals-toward-living-liver-donation-and-transplantation
#16
Nahed A Makhlouf, Shaimaa Arafat Abdel-Monem, Ahlam Mohamed Farghaly, Ahmed Helmy
BACKGROUND: In Egypt, there is no legislation for deceased donor transplant; therefore, programs provide living donation only. One possible barrier against living liver donation may be the attitude of the health-care professional. This study aimed to (1) assess the level of knowledge and attitude toward liver donation and transplantation among health-care professional in an University Hospital in Upper Egypt and (2) analyze the variables that affect such an attitude. MATERIALS AND METHODS: This was a cross-sectional survey study with 300 health-care professionals...
January 1, 2018: Progress in Transplantation
https://www.readbyqxmd.com/read/29916140/statin-use-is-not-associated-with-future-long-term-care-admission-extended-follow-up-of-two-randomised-controlled-trials
#17
Jennifer K Burton, Richard Papworth, Caroline Haig, Colin McCowan, Ian Ford, David J Stott, Terence J Quinn
BACKGROUND: Statins have been associated with later life, long-term care admission in observational studies. However, by preventing vascular events, statins may also prevent or delay admission. We wished to determine statin and long-term care admission associations in a randomised controlled trial context, and describe associations between long-term care admission and other clinical and demographic factors. METHODS: We used extended follow-up of two randomised trial populations, using national data to assign the long-term care admission outcome, and included individuals screened or recruited to two large randomised trials of pravastatin 40 mg daily-the West of Scotland Coronary Prevention Study (WOSCOPS) and the pravastatin in elderly individuals at risk of vascular disease (PROSPER) study...
June 19, 2018: Drugs & Aging
https://www.readbyqxmd.com/read/29915888/moyamoya-disease-in-pregnancy-a-systematic-review
#18
REVIEW
Georgios A Maragkos, Luis C Ascanio, Kohei Chida, Myles D Boone, Christopher S Ogilvy, Ajith J Thomas, Ekkehard M Kasper
BACKGROUND: Moyamoya disease (MMD) management during pregnancy poses a challenge to health care providers, and recommendations are outdated, vague, and controversial. We conducted a systematic review to investigate and present the available evidence. METHOD: We searched five online databases and bibliographies of relevant published original studies to identify case reports, case series, cohort studies, and reviews reporting on patients diagnosed with MMD before, during, or shortly after pregnancy...
June 19, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29915869/using-a-high-flow-nasal-cannula-provides-superior-results-to-oxymask-delivery-in-moderate-to-severe-bronchiolitis-a-randomized-controlled-study
#19
Ayse Betul Ergul, Emrah Calıskan, Hasan Samsa, Ikbal Gokcek, Ali Kaya, Gozde Erturk Zararsiz, Yasemin Altuner Torun
The effectiveness of using a face mask with a small diffuser for oxygen delivery (OxyMask) was compared to use of a high-flow nasal cannula (HFNC) in patients with moderate or severe bronchiolitis.The study population in this open, phase 4, randomized controlled trial consisted of 60 patients aged 1-24 months diagnosed with moderate or severe bronchiolitis and admitted to an intensive care unit (ICU) for oxygen therapy. The patients were randomized into two groups according to the method of oxygen delivery: a diffuser mask group and an HFNC group...
June 18, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29915804/using-advanced-wound-care-and-hyperbaric-oxygen-to-manage-wound-complications-following-treatment-of-vulvovaginal-carcinoma
#20
C Griffiths, R S Howell, H Boinpally, E Jimenez, E Chalas, F Musa, S Gorenstein
Postoperative management of patients with vulvar cancer is associated with a high incidence of poor wound healing and radiation -induced late tissue necrosis. This case series demonstrates the impact on wound healing with the use of hyperbaric oxygen therapy and advanced wound care following radical vulvectomy and/or radiation therapy. A retrospective case series was performed of all patients from 2016 to 2017 with lower genital cancer who underwent radical surgery with or without chemoradiation treatment, experienced wound dehiscence or late tissue radionecrosis, and were treated with advanced wound care, including hyperbaric oxygen therapy (HBO)...
May 2018: Gynecologic Oncology Reports
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