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https://www.readbyqxmd.com/read/30007521/understanding-factors-that-influence-the-demand-for-dialysis-among-elderly-in-a-multi-ethnic-asian-society
#1
Eric Andrew Finkelstein, Semra Ozdemir, Chetna Malhotra, Tazeen H Jafar, Lina Choong Hui Lin, Sheryl Gan Shien Wen
BACKGROUND: Despite literature suggesting conservative management (CM) is a viable option for elderly comorbid ESRD patients, the vast majority in Singapore receive dialysis. We hypothesized that the high demand for dialysis is driven by 1) lack of knowledge of CM and relative benefits of dialysis to CM, 2) adherence to physician recommendations which favour dialysis, and 3) high subsidies for haemodialysis (HD). METHODS: We tested these hypotheses via a survey, including a discrete choice experiment (DCE), administered to 151 elderly pre-dialysis kidney patients and their family caregivers...
June 27, 2018: Health Policy
https://www.readbyqxmd.com/read/29969849/prevalence-and-risk-factors-of-abusive-behaviors-in-the-caregivers-of-people-with-dementia-in-korea
#2
Taehyun Kim, Hyeon Jeong, Ji Won Han, Kyung Phil Kwak, Bong-Jo Kim, Shin-Kyeom Kim, Jeong Lan Kim, Tae Hui Kim, Seung-Ho Ryu, Seok Woo Moon, Jae Young Park, Joon Hyuk Park, Jae Nam Bae, Jong Chul Youn, Dong Young Lee, Dong Woo Lee, Seok Bum Lee, Jung Jae Lee, Jin Hyeong Jhoo, Jungwon Lee, Ki Woong Kim
Objective: We investigated the prevalence and risk factors of physically abusive behaviors (PhAB) and psychologically abusive behaviors (PsAB) towards people with dementia (PWD) in family caregivers, and compared their prevalences between East Asian and Western countries. Methods: We estimated the prevalence and risk factors of PhAB and PsAB in 467 Korean pairs of community-dwelling PWD and their primary family caregivers. We evaluated abusive behaviors using the Modified Conflict Tactics Scale...
July 4, 2018: Psychiatry Investigation
https://www.readbyqxmd.com/read/29938212/patient-portal-usage-in-pediatric-urology-is-it-meaningful-use-for-everyone
#3
Ruth A Bush, Andrew C Richardson, Diana Cardona-Grau, Hena Din, Cynthia L Kuelbs, George J Chiang
Introduction: The Affordable Care Act promotes multiple directives for meaningful use of the Electronic Health Record, such as patient/provider portals, to increase patient engagement. Although portal use is common within adult healthcare, little information exists regarding pediatric portal use. We examined pediatric urology patient portal enrollment and activation patterns at a tertiary pediatric hospital in Southern California by race/ethnicity, preferred language, gender, and residential region...
July 2018: Urology Practice
https://www.readbyqxmd.com/read/29902469/acceptance-of-tele-rehabilitation-by-stroke-patients-perceived-barriers-and-facilitators
#4
Shilpa Tyagi, Daniel Sy Lim, Wilbert Hh Ho, Yun Qing Koh, Vincent Cai, Gerald Ch Koh, Helena Legido-Quigley
OBJECTIVE: To explore the perceived barriers and facilitators of tele-rehabilitation by stroke patients, caregivers and rehabilitation therapists in an Asian setting. DESIGN: Qualitative study involving semi-structured in-depth interviews and focus group discussions. SETTING: General community PARTICIPANTS: 37 participants including stroke patients, their caregivers and tele-therapists selected by purposive sampling. INTERVENTIONS: STARS trial...
June 11, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29901494/speaking-up-and-walking-out-are-vulnerable-patients-less-likely-to-disagree-with-or-change-doctors
#5
Steven C Martino, Marc N Elliott, Joshua S Mallett, Nate Orr, Sarah Gaillot, Amelia M Haviland
BACKGROUND: Disparities in clinical process-of-care and patient experiences are well documented for Medicare beneficiaries with ≥1 social risk factors. If such patients are less willing to express disagreement with their doctors or change doctors when dissatisfied, these behaviors may play a role in observed disparities. OBJECTIVE: To investigate the association between social risk factors and self-reported likelihood of disagreeing with or changing doctors if dissatisfied among the Medicare fee-for-service population...
June 12, 2018: Medical Care
https://www.readbyqxmd.com/read/29883281/racial-and-ethnic-differences-in-the-prevalence-of-depressive-symptoms-among-u-s-nursing-home-residents
#6
Yue Li, Xueya Cai, Charlene Harrington, Michael Hasselberg, Yeates Conwell, Xi Cen, Helena Temkin-Greener
This study aimed to examine racial and ethnic differences in significant depressive symptoms among long-term nursing home residents. We analyzed the 2014 national Minimum Data Set linked to a nursing home file and estimated multivariable logistic regressions to determine the associations of race and ethnicities with significant depressive symptoms (score ≥ 10 on the 9-item Patient Health Questionnaire [PHQ-9] scale) and whether associations were explained by resident and nursing home covariates. Stratified analyses further determined independent associations in subgroups of residents...
June 8, 2018: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/29882771/food-allergy-perceptions-and-health-related-quality-of-life-in-a-racially-diverse-sample
#7
Alicia Toeruna Widge, Elizabeth Flory, Hemant Sharma, Linda Jones Herbert
This study examined caregiver perceptions of risk of food allergen exposure, and food allergy severity, worry, and health-related quality of life, and identified variations by race/ethnicity. Given the lack of data on racial/ethnic background in research on the psychosocial impacts of food allergy, this study meets a pressing need for research regarding food allergy-related experiences among diverse populations. This study found there were significant differences in perceived risk of allergen exposure among racial/ethnic groups with Asian Americans reporting significantly higher perceived risk of allergen exposure than Hispanic, Caucasian, and African American caregivers...
June 6, 2018: Children
https://www.readbyqxmd.com/read/29869345/smoking-in-pregnancy-a-key-factor-for-sudden-infant-death-among-m%C3%A4-ori
#8
M MacFarlane, E A Mitchell, J M D Thompson, B Lawton, J Zuccollo, D Elder, B Taylor, G McDonald, A W Stewart, T Percival, N Baker, M Schlaud, P Fleming
AIM: To examine the Sudden Unexpected Death in Infancy (SUDI) disparity between Māori and non-Māori in New Zealand. METHODS: A nationwide prospective case-control study ran from March 2012-February 2015. Exposure to established SUDI risk factors was analysed to investigate the disparity experienced by Māori. Infant ethnicity was based on mother's ethnicity. Māori ethnicity was prioritised. Non-Māori includes Pacific, Asian, NZ European and Other. RESULTS: There were 137 cases and 649 controls...
June 5, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29689472/autonomic-dysreflexia-following-acute-myelitis-due-to-neuromyelitis-optica
#9
Julio C Furlan
BACKGROUND: Cardiovascular autonomic dysfunction is a relatively common secondary complication of tetraplegia. In addition to low baseline arterial blood pressure, tetraplegics can develop sudden-onset hypertensive episodes associated with a variety of symptoms and signs (so-called autonomic dysreflexia). Unfortunately, this potentially life-threatening medical entity is often overlooked and mismanaged. With this, a case of typical presentation of autonomic dysreflexia in an individual with acute severe cervical spinal cord impairment due to neuromyelitis optica (NMO) is reported and discussed...
April 16, 2018: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/29688843/cost-of-medical-care-of-patients-with-advanced-serious-illness-in-singapore-compass-prospective-cohort-study-protocol
#10
Irene Teo, Ratna Singh, Chetna Malhotra, Semra Ozdemir, Rebecca A Dent, Nesaretnam Barr Kumarakulasinghe, Wee Lee Yeo, Yin Bun Cheung, Rahul Malhotra, Ravindran Kanesvaran, Alethea Chung Pheng Yee, Noreen Chan, Huei Yaw Wu, Soh Mun Chin, Hum Yin Mei Allyn, Grace Meijuan Yang, Patricia Soek Hui Neo, Nivedita V Nadkarni, Richard Harding, Eric A Finkelstein
BACKGROUND: Advanced cancer significantly impacts quality of life of patients and families as they cope with symptom burden, treatment decision-making, uncertainty and costs of treatment. In Singapore, information about the experiences of advanced cancer patients and families and the financial cost they incur for end-of-life care is lacking. Understanding of this information is needed to inform practice and policy to ensure continuity and affordability of care at the end of life. The primary objectives of the Cost of Medical Care of Patients with Advanced Serious Illness in Singapore (COMPASS) cohort study are to describe changes in quality of life and to quantify healthcare utilization and costs of patients with advanced cancer at the end of life...
April 23, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29688754/aripiprazole-for-irritability-in-asian-children-and-adolescents-with-autistic-disorder-a-12-week-multinational-multicenter-prospective-open-label-study
#11
Hyo-Won Kim, Eun-Jin Park, Ji-Hoon Kim, Vitharon Boon-Yasidhi, Jariya Tarugsa, Alexis Reyes, Stella Manalo, Yoo-Sook Joung
OBJECTIVES: We investigated the effectiveness and tolerability of aripiprazole in the treatment of irritability in Asian children and adolescents (6-17 years) with autistic disorder in a 12-week, multinational, multicenter, open-label study. METHODS: Sixty-seven subjects (10.0 ± 3.1 years old, 52 boys) were enrolled and treated with flexibly dosed aripiprazole for 12 weeks (mean dose, 5.1 ± 2.5 mg; range 2-15 mg). RESULTS: Aripiprazole significantly reduced the mean caregiver-rated scores for the Irritability, Lethargy/Social Withdrawal, Stereotypy, Hyperactivity, and Inappropriate Speech subscales of the Aberrant Behavior Checklist from baseline to week 12 (p < 0...
April 24, 2018: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/29682835/longitudinal-examination-of-family-efficacy-following-pediatric-stem-cell-transplant
#12
Rachel Tillery, Naomi E Joffe, Constance A Mara, Stella M Davies, Ahna L H Pai
OBJECTIVE: Pediatric stem cell transplant (pSCT) is emotionally demanding for families. Yet, we know little of how the family unit responds to the adversity of pSCT within the first year after transplant. Family efficacy, an indicator of family resilience, is linked to positive parent, child, and family adjustment. Better understanding the factors that promote family efficacy during this difficult time could inform modifiable intervention targets and improve child and parent adjustment...
April 23, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29666801/current-therapeutic-landscape-for-advanced-gastroesophageal-cancers
#13
REVIEW
Anthony Lopez, Kazuto Harada, Dilsa Mizrak Kaya, Jaffer A Ajani
Treatment of advanced gastroesophageal cancers remains challenging for clinicians, patients, and caregivers alike. Despite considerable research, the therapeutic armamentarium is restricted and hardly personalized. In the first-line setting, trastuzumab with a fluoropyrimidine and platinum agent is the standard-of-care in patients with HER2-positive tumor. For the others, a platinum-based doublet (preferably with oxaliplatin) is recommended. Three-drug cytotoxic regimens should be reserved for exceptional cases where patients have good performance status...
February 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29572220/caregiver-experiences-of-racism-and-child-healthcare-utilisation-cross-sectional-analysis-from-new-zealand
#14
Sarah-Jane Paine, Ricci Harris, James Stanley, Donna Cormack
OBJECTIVES: Children's exposure to racism via caregiver experience (vicarious racism) is associated with poorer health and development. However, the relationship with child healthcare utilisation is unknown. We aimed to investigate (1) the prevalence of vicarious racism by child ethnicity; (2) the association between caregiver experiences of racism and child healthcare utilisation; and (3) the contribution of caregiver socioeconomic position and psychological distress to this association...
March 23, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29554838/caregiver-reported-sleep-disturbances-are-associated-with-behavioral-and-psychological-symptoms-in-an-asian-elderly-cohort-with-cognitive-impairment-no-dementia
#15
Xin Xu, Cheuk Ni Kan, Tien Yin Wong, Ching-Yu Cheng, M Kamran Ikram, Christopher Li-Hsian Chen, Narayanaswamy Venketasubramanian
OBJECTIVE: Sleep disturbances were found to be associated with more behavioral and psychological symptoms (BPS) in early patients with Alzheimer's disease (AD). However, data on preclinical stages of dementia are lacking. Hence, the present study sought to investigate the association between sleep disturbances and BPS in dementia-free elderly with varying severity of cognitive impairment in an Asian sample. METHODS: Community-living elderly were recruited and administered a comprehensive cognitive battery (vascular dementia battery [VDB]) and the Neuropsychiatric Inventory to assess symptoms of sleep disturbances and BPS...
March 2018: Journal of Geriatric Psychiatry and Neurology
https://www.readbyqxmd.com/read/29554461/surgical-care-for-school-aged-youth-with-cleft-results-from-a-multicenter-prospective-observational-study
#16
Ryan Richard Ruff, Canice E Crerand, Lacey Sischo, Alexandre Peshansky, David B Sarwer, Richard E Kirschner, Hillary L Broder
OBJECTIVE: To explore factors related to completion of surgery recommendations among children with cleft lip and palate (CLP) or cleft palate only (CPO). DESIGN: Multicenter prospective longitudinal cohort study (2009-2015). SETTING: Six cleft centers in the United States. PATIENTS/PARTICIPANTS: A diverse sample of 1186 youth aged 7.5 to 18.5 years with CLP or CPO and a caregiver. RESULTS: Data were collected from child-caregiver dyads at baseline and up to 3 follow-up visits...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29512485/frequent-community-use-of-antibiotics-among-a-low-economic-status-population-in-manila-the-philippines-a-prospective-assessment-using-a-urine-antibiotic-bioassay
#17
Nobuo Saito, Noriko Takamura, Grace P Retuerma, Carina H Frayco, Paul S Solano, Cherlyn D Ubas, Arianne V Lintag, Maricel R Ribo, Rontgene M Solante, Alexis Q Dimapilis, Elizabeth O Telan, Winston S Go, Motoi Suzuki, Koya Ariyoshi, Christopher M Parry
The widespread unregulated use of antibiotics without medical consultation contributes to the burden of antibiotic resistance in Southeast Asian countries. This study investigated antibiotic use before hospital consultation. In a prospective observational study from February 2, 2015, to July 2, 2015, we enrolled febrile patients attending the emergency room in San Lazaro Hospital, Manila, the Philippines. A urine sample was collected and a bioassay was used to detect antibiotic activity in urine using Bacillus stearothermophilus (ATCC7953), Escherichia coli (ATCC25922), and Streptococcus pyogenes (ATCC19615)...
May 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29376188/fall-concern-about-older-persons-shifts-to-carers-as-changing-health-policy-focuses-on-family-home-based-care
#18
Seng Giap Marcus Ang, Anthony Paul O'Brien, Amanda Wilson
With the Singaporean population ageing at an exponential rate, home carers are increasingly becoming essential partners in fall prevention and care delivery for older persons living at home and in the community. Singapore, like other Asian countries, regards the family as the main support structure for the older person, and national policies have been implemented to support this cultural expectation. Family carers experience similar concerns as older persons with regard to fall risk, and identifying and addressing these concerns can potentially lower fall risk and improve fall prevention for older persons...
January 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29241090/attachment-style-and-filial-obligation-in-the-burden-of-caregivers-of-dementia-patients
#19
Juwon Lee, Bo Kyung Sohn, Hyunjoo Lee, Su Jeong Seong, Soowon Park, Jun-Young Lee
Insecure attachment styles have been known to predict greater burden in caregivers of dementia patients. However, it has not been tested how filial obligation, which refers to one's sense of duty on helping elderly parents and is especially pronounced in Asian cultures, is involved in that relationship. We sought to identify whether the association between attachment style and caregiver burden differs according to the degree of filial obligation in caregivers of dementia patients. To assess filial obligation in Korean participants, a Korean filial obligation measure was developed...
March 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29219936/end-of-life-care-discussion-for-residents-with-dementia-in-long-term-care-facilities
#20
Hsiu-Li Huang, Li-Chueh Weng, WeWen-Yu Hu, Yea-Ing Lotus Shyu, Wen-Pin Yu, Kang-Hua Chen
BACKGROUND: Healthcare professionals play an important role in end-of-life care decisions. Although the factors affecting end-of-life care in long-term care facilities have been well studied in Western contexts, few studies have examined factors affecting end-of-life care discussions for residents with dementia among multidisciplinary professionals in Asian or Taiwanese contexts. PURPOSE: The aim of this study was to explore the factors related to the end-of-life care discussions of registered nurses, social workers, and physicians with residents with dementia and their families...
December 6, 2017: Journal of Nursing Research: JNR
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