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https://www.readbyqxmd.com/read/28527211/alzheimer-s-disease-in-the-latino-community-intersection-of-genetics-and-social-determinants-of-health
#1
Irving E Vega, Laura Y Cabrera, Cassandra M Wygant, Daniel Velez-Ortiz, Scott E Counts
Alzheimer's disease (AD) is the most common type of dementia among individuals 65 or older. There are more than 5 million diagnosed cases in the US alone and this number is expected to triple by 2050. Therefore, AD has reached epidemic proportions with significant socioeconomic implications. While aging in general is the greatest risk factor for AD, several additional demographic factors that have contributed to the rise in AD in the US are under study. One such factor is associated with the relatively fast growth of the Latino population...
May 17, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28526308/implementing-an-electronic-hand-hygiene-monitoring-system-lessons-learned-from-community-hospitals
#2
Catherine Edmisten, Charles Hall, Lorna Kernizan, Kimberly Korwek, Aaron Preston, Evan Rhoades, Shalin Shah, Lori Spight, Silvia Stradi, Sonia Wellman, Scott Zygadlo
BACKGROUND: Measuring and providing feedback about hand hygiene (HH) compliance is a complicated process. Electronic HH monitoring systems have been proposed as a possible solution; however, there is little information available about how to successfully implement and maintain these systems for maximum benefit in community hospitals. METHODS: An electronic HH monitoring system was implemented in 3 community hospitals by teams at each facility with support from the system vendor...
May 16, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28521019/a-whole-system-approach-to-improving-mortality-associated-with-acute-kidney-injury
#3
Thangavelu Chandrasekar, Asheesh Sharma, Lucinda Tennent, Christopher Wong, Peter Chamberlain, Kottarathil A Abraham
BACKGROUND: Acute kidney injury (AKI) is in the main managed by non-nephrologists, many who feel challenged by or lack awareness of the complexity that the renal element adds to their patients' care. National reports have raised major concerns about the quality of care and have predicted that mortality reductions of 30% are achievable with good medical practice. AIM: This quality improvement project evaluated whether a whole system approach could improve outcomes for patients with AKI...
May 18, 2017: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/28508782/the-use-of-restful-web-services-in-medical-informatics-and-clinical-research-and-its-implementation-in-europe
#4
Jozef Aerts
BACKGROUND: RESTful web services nowadays are state-of-the-art in business transactions over the internet. They are however not very much used in medical informatics and in clinical research, especially not in Europe. OBJECTIVES: To make an inventory of RESTful web services that can be used in medical informatics and clinical research, including those that can help in patient empowerment in the DACH region and in Europe, and to develop some new RESTful web services for use in clinical research and regulatory review...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28501228/integrative-medicine-for-the-treatment-of-persistent-pain
#5
REVIEW
Marni G Hillinger, Ruth Q Wolever, Lindsey C McKernan, Roy Elam
Integrative health modalities can provide useful tools in the management of persistent pain in the primary care setting. These modalities, such as acupuncture, mind-body medicine, diet and herbs, and movement strategies can be safely used and may provide patients with hope and empowerment. It is highly recommended that the patient work alongside trained professionals for a given modality and/or an interprofessional team.
June 2017: Primary Care
https://www.readbyqxmd.com/read/28499772/exploring-patient-engagement-a-qualitative-analysis-of-low-income-urban-participants-in-asthma-research
#6
Amy Korwin, Heather Black, Luzmercy Perez, Knashawn H Morales, Heather Klusaritz, Xiaoyan Han, Jingru Huang, Marisa Rogers, Grace Ndicu, Andrea J Apter
BACKGROUND: Uncontrolled asthma is a common highly morbid condition with worse outcomes in low-income and minority patients in part due to barriers accessing and engaging with health care. We developed a patient advocate to educate about and assist with navigating access to care and provider-patient communication. Participants completed an End of Study Questionnaire (ESQ) that was analyzed to assess experience and engagement with the protocol. OBJECTIVE: This study uses qualitative analysis to evaluate participant experience with the patient advocate and control group interventions...
May 10, 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/28498779/evaluation-of-the-education-clinical-telemedicine-e-health-in-the-curriculum-of-medical-students-at-the-university-of-zurich
#7
Christiane Brockes, Thomas Grischott, Magdalena Dutkiewicz, Sabine Schmidt-Weitmann
BACKGROUND: Digitalization and patient empowerment result in new requirements and challenges. In response, the module "Clinical Telemedicine/e-Health" was implemented by the Faculty of Medicine of Zurich in 2008. The module was systematically evaluated to determine if the students would benefit from this course. In 2011, 2015, and 2016 further evaluations were performed. METHOD: In 2008 and 2009, students evaluated 16 statements. We calculated the combined mean value and medians for both evaluations...
May 12, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28492210/predictors-of-quality-of-life-in-patients-with-diabetes-mellitus-in-two-tertiary-health-institutions-in-ghana-and-nigeria
#8
Grace K Ababio, Samuel Bosomprah, Adesola Olumide, Nicholas Aperkor, Chris Aimakhu, Audrey Oteng-Yeboah, Joan Agama, William F Chaplin, Kola S Okuyemi, Albert G B Amoah, Gbenga Ogedegbe
BACKGROUND: Patients with chronic diseases such as Type 2 diabetes mellitus (DM) usually have a relatively poor quality of life (QoL), because the cost of care (living expenses and health) or diet restrictions are heavily felt by these patients, and this is of a public health concern. However, limited data on DM QoL exist in Ghana and Nigeria. This makes it imperative for data to be collated in that regard. MATERIALS AND METHODS: We adopted the Strengthening The reporting of observational studies in epidemiology (STROBE) consensus checklist to survey the patients with DM seen at the diabetic clinic at the Department of Medicine of the Korle-Bu Teaching Hospital and University College Hospital, Ibadan, Nigeria...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28488985/an-alternative-paradigm-for-evidence-based-medicine-revisiting-lawrence-weed-md-s-systems-approach
#9
Ali Rafik Shukor
Lawrence Weed, MD, is renowned for being the father of the Problem-Oriented Medical Record (POMR), the medical care standard for collecting, managing, and contextualizing patient data in medical records. What have been consistently overlooked are his teachings on knowledge coupling, which refers to matching patient data with associated medical knowledge. Together, the POMR standard and knowledge coupling are meant to form the basis of a systems approach that enables individualized evidence-based decision making within the context of multimorbidity and patient complexity...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28481683/applying-the-international-classification-of-functioning-disability-and-health-to-guide-home-health-care-services-planning-and-delivery-in-thailand
#10
Atipong Pimdee, Nomjit Nualnetr
Home health care is an essential service for home-bound patients in Thailand. In this action research study, we used the International Classification of Functioning, Disability and Health (ICF) framework to modify home health care services provided by a university hospital. Staff responsible for delivering the services (physical therapist, nurses, and Thai traditional medicine practitioners) participated in the development of an ICF-based assessment tool and home health care service procedure. After an 8-month trial of implementing these changes, professional satisfaction and empowerment were high among the home health care team members...
May 8, 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/28479559/adaptive-workflows-for-diabetes-management-self-management-assistant-and-remote-treatment-for-diabetes
#11
Iván Contreras, Stephan Kiefer, Josep Vehi
Diabetes self-management is a crucial element for all people with diabetes and those at risk for developing the disease. Diabetic patients should be empowered to increase their self-management skills in order to prevent or delay the complications of diabetes. This work presents the proposal and first development stages of a smartphone application focused on the empowerment of the patients with diabetes. The concept of this interventional tool is based on the personalization of the user experience from an adaptive and dynamic perspective...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28472988/transcultural-adaptation-and-validation-of-the-patient-empowerment-in-long-term-conditions-questionnaire
#12
Paloma Garcimartin, Josep Comin-Colet, Pilar Delgado-Hito, Neus Badosa-Marcé, Anna Linas-Alonso
BACKGROUND: Patient empowerment is a key element to improve the results in health, increase satisfaction amongst users and obtain higher treatment compliance. The main objective of this study is to validate the Spanish version of the questionnaire "Patient empowerment in long-term conditions" which evaluates the patients' level of empowerment of chronic diseases. The secondary objective is to identify factors which predict basal empowerment and changes (improvement or deterioration) in patients with Heart Failure (HF)...
May 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28472938/exploring-generative-mechanisms-of-the-antiretroviral-adherence-club-intervention-using-the-realist-approach-a-scoping-review-of-research-based-antiretroviral-treatment-adherence-theories
#13
Ferdinand C Mukumbang, Sara Van Belle, Bruno Marchal, Brian van Wyk
BACKGROUND: Poor retention in care and non-adherence to antiretroviral therapy (ART) continue to undermine the success of HIV treatment and care programmes across the world. There is a growing recognition that multifaceted interventions - application of two or more adherence-enhancing strategies - may be useful to improve ART adherence and retention in care among people living with HIV/AIDS. Empirical evidence shows that multifaceted interventions produce better results than interventions based on a singular perspective...
May 4, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28470156/-effects-of-a-relapse-prevention-program-on-insight-empowerment-and-treatment-adherence-in-patients-with-schizophrenia
#14
Jaewon Joung, Sungjae Kim
PURPOSE: The purpose of this study was to develop a relapse prevention program (RPP) and examine the effects of the RPP on insight, empowerment, and treatment adherence in patients with schizophrenia. METHODS: A non-equivalent control group pretest-posttest design was used. Participants were 54 inpatients who had a diagnosis of schizophrenia (experimental group: 26, control group: 28). The study was carried out from February 7, 2012 to February 6, 2013. Over a 10-day period prior to discharge each participant in the experimental group received three one-hour sessions of RPP a one-to-one patient-nurse interaction...
April 2017: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/28466749/the-impact-of-an-empowerment-intervention-on-people-with-schizophrenia-results-of-a-randomized-controlled-trial
#15
Abdalhadi Hasan, Mahmoud Musleh
AIMS: The aim of the study was to assess what empowerment intervention has on people with schizophrenia. METHODS: A randomized controlled trial was carried out between November 2015 and May 2016 involving 112 participants who had been diagnosed with schizophrenia. Patients, who were 18 years and above diagnosed with Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-V) schizophrenia or schizoaffective disorder from the outpatient mental health clinics in Jordan, were randomly assigned to take part in an intervention that consisted of receiving 6 weeks' worth of information booklets, with face to face discussions, while receiving their usual medication or allocated treatment as usual...
May 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28466738/-telehealth-is-patient-empowerment-in-action
#16
Jennifer Trueland
As a senior nurse with many years of experience, mostly in general practice, Cathy Gillespie admits to having been a bit sceptical about telehealth at first. Surely the essence of nursing is being face-to-face with your patient, not sitting in an office perhaps many miles away? And how would patients - many of them elderly and vulnerable - cope with the demands of new technology? 'I just didn't really see how it could work. I didn't learn that until I came into the job,' she says.
May 3, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28464977/family-members-experiences-of-integrated-palliative-advanced-home-and-heart-failure-care-a-qualitative-study-of-the-prefer-intervention
#17
Anette Alvariza, Kristofer Årestedt, Kurt Boman, Margareta Brännström
OBJECTIVE: Chronic heart failure is a disease with high morbidity and symptom burden for patients, and it also places great demands on family members. Patients with heart failure should have access to palliative care for the purpose of improving quality of life for both patients and their families. In the PREFER randomized controlled intervention, patients with New York Heart Association classes III-IV heart failure received person-centered care with a multidisciplinary approach involving collaboration between specialists in palliative and heart failure care...
May 3, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28464865/empathy-in-psychoanalysis-and-medical-education-what-can-we-learn-from-each-other
#18
Henriette Löffler-Stastka, Felicitas Datz, Karoline Parth, Ingrid Preusche, Xenia Bukowski, Charles Seidman
BACKGROUND: Several research areas, including medical education (ME), focus on empathy as an important topic in interpersonal relationships. This focus is central to the use of communication skills related to empathy and even more crucial to provide information in a way that makes patients feel more involved in the treatment process. Psychoanalysis (PA) provides its initial concept of empathy based on affective aspects including findings from neuroscience and brain research. Enhancing cooperation between ME and PA can help to integrate both aspects of empathy into a longitudinal training program...
May 2, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28462110/self-care-use-patterns-in-the-uk-us-australia-and-japan-a-multinational-web-based-survey
#19
Sujeong Mun, Jeong-Hwan Park, Seung-Min Baek, Minhee Lee, Sun-Mi Choi, Sanghun Lee
BACKGROUND: The trend toward patient- or consumer-centered healthcare has been accelerated by advances in technology, consumer empowerment, and a shift from infectious to chronic diseases. The purpose of this study was to examine the growing self-care market by analyzing self-care patterns. METHODS: We conducted a cross-sectional, web-based survey involving adults from nine major cities in the UK, the USA, Australia, and Japan. This study examined the extent and frequency of self-care, self-care expenditure, sources of self-care information, and reasons for self-care in each country...
June 2016: Integr Med Res
https://www.readbyqxmd.com/read/28449363/health-literacy-interventions-for-immigrant-populations-a-systematic-review
#20
REVIEW
M Fernández-Gutiérrez, P Bas-Sarmiento, M J Albar-Marín, O Paloma-Castro, J M Romero-Sánchez
BACKGROUND: Health literacy is considered a social health determinant that influences improvement in health, patient empowerment and reduction in inequalities. There is a lack of health literacy interventions for vulnerable social groups (i.e. immigrants), and nurses have shown little familiarity with the concept. AIM: This study aimed to identify and analyse whether interventions directed at immigrant populations improve the functional (basic reading, writing and arithmetic skills), interactive (social and cognitive skills) and critical (advanced cognitive and social skills in critically analyzing information and making informed decisions) dimensions of health literacy, taking into account the role played by nursing in these interventions...
April 27, 2017: International Nursing Review
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