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https://www.readbyqxmd.com/read/28929230/defensive-medicine-among-neurosurgeons-in-the-netherlands-a-national-survey
#1
Sandra C Yan, Alexander F C Hulsbergen, Ivo S Muskens, Marjel van Dam, William B Gormley, Marike L D Broekman, Timothy R Smith
OBJECTIVE: In defensive medicine, practice is motivated by legal rather than medical reasons. Previous studies have analyzed the correlation between perceived medico-legal risk and defensive behavior among neurosurgeons in the United States, Canada, and South Africa, but not yet in Europe. The aim of this study is to explore perceived liability burdens and self-reported defensive behaviors among neurosurgeons in the Netherlands and compare their practices with their non-European counterparts...
September 20, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28928197/impact-of-oral-self-care-on-incident-functional-disability-in-elderly-japanese-the-ohsaki-cohort-2006-study
#2
Shino Bando, Yasutake Tomata, Jun Aida, Kemmyo Sugiyama, Yumi Sugawara, Ichiro Tsuji
OBJECTIVES: To assess whether oral self-care (tooth brushing, regular dental visits and use of dentures) affects incident functional disability in elderly individuals with tooth loss. DESIGN: A 5.7-year prospective cohort study. SETTING: Ohsaki City, Japan. PARTICIPANTS: 12 370 community-dwelling individuals aged 65 years and older. PRIMARY OUTCOME MEASURES: Incident functional disability (new long-term care insurance certification)...
September 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28926778/korean-immigrants-don-t-buy-health-insurance-the-influences-of-culture-on-self-employed-korean-immigrants-focusing-on-structure-and-functions-of-social-networks
#3
Hyunsung Oh, Chung Hyeon Jeong
Culture has been pinpointed as a culprit of disparities in health insurance coverage between Korean immigrants and other ethnic groups. This study explored specific mechanisms by which culture influences a decision to buy health insurance among self-employed Korean immigrants living in ethnic enclaves by focusing on the structure and functions of social networks. Between March and June 2015, we recruited 24 Korean immigrant adults (aged 18 or older) who identified as self-employed and being uninsured for substantial periods before 2014 in Southern California...
September 12, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28916160/-sociodemographic-and-health-related-determinants-of-health-care-utilisation-and-access-to-primary-and-specialist-care-results-of-a-nationwide-population-survey-in-germany-2006-2016
#4
Florian Tille, Bernhard Gibis, Klaus Balke, Adelheid Kuhlmey, Susanne Schnitzer
BACKGROUND: The aim of this paper is to identify systematic differences due to sociodemographic and health-related determinants in outpatient healthcare utilisation and access in Germany for the period from 2006 to 2016. The study focuses on frequent users and those reporting particularly long wait times for their physician appointments and contributes to assessing the level of health equity in Germany. METHODS: The investigation draws on nine population surveys conducted by the German National Association of Statutory Health Insurance Physicians (NASHIP), which interviewed 42,925 respondents aged 18 and above...
September 12, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28912201/race-and-socioeconomic-differences-associated-with-changes-in-statin-eligibility-under-the-2013-american-college-of-cardiology-american-heart-association-cholesterol-guidelines
#5
Amol A Verma, Marcia P Jimenez, S V Subramanian, Allan D Sniderman, Fahad Razak
BACKGROUND: The 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines expanded eligibility criteria for statins. We examined race and socioeconomic differences associated with these changes. METHODS AND RESULTS: This was an observational study of adults between 40 and 75 years of age using data from the National Health and Nutrition Examination Surveys between 2005 and 2012. Change in eligibility for statins was assessed based on the third adult treatment panel criteria and the 2013 ACC/AHA guidelines...
September 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28910244/inequalities-in-oral-health-understanding-the-contributions-of-education-and-income
#6
Julie Farmer, Rebecca C Phillips, Sonica Singhal, Carlos Quiñonez
OBJECTIVE: To quantify the extent to which income and education explain gradients in oral health outcomes. METHODS: Using data from the Canadian Community Health Survey (CCHS 2003), binary logistic regression models were constructed to examine the relationship between income and education on self-reported oral health (SROH) and chewing difficulties (CD) while controlling for age, sex, ethnicity, employment status and dental insurance coverage. The relative index of inequality (RII) was utilized to quantify the extent to which income and education explain gradients in poor SROH and CD...
September 14, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28904710/self-medication-and-its-risk-factors-among-women-before-and-during-pregnancy
#7
Hossein Ebrahimi, Giti Atashsokhan, Farzaneh Amanpour, Azam Hamidzadeh
INTRODUCTION: Self-medication can cause significant challenges for the individuals and community, especially in women during pregnancy. This study was aimed to compare the prevalence of self-medication before and during pregnancy among women in Iran. METHODS: in this cross-sectional study, a total of 384 pregnant women were evaluated for the prevalence of self-medication and its associated factors before and during pregnancy. Stratified random sampling was used as the sampling method...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28898523/-yubi-wakka-finger-ring-test-a-practical-self-screening-method-for-sarcopenia-and-a-predictor-of-disability-and-mortality-among-japanese-community-dwelling-older-adults
#8
Tomoki Tanaka, Kyo Takahashi, Masahiro Akishita, Tetsuo Tsuji, Katsuya Iijima
AIM: We developed a simple self-screening method, the "Yubi-wakka (finger-ring)" test to assess sarcopenia swiftly. This prospective cohort study aimed to examine the validity of this test as a practical method among community-dwelling older adults for identifying sarcopenia, and for predicting disability and mortality. METHODS: We followed 1904 older adults, and analyzed associations between this "Yubi-wakka" test result at baseline in 2012 and sarcopenia at baseline, new-onset sarcopenia followed until 2014, and new-certification for the long-term care insurance and mortality followed until 2016...
September 12, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28895659/implementation-strategies-for-health-systems-in-low-income-countries-an-overview-of-systematic-reviews
#9
REVIEW
Tomas Pantoja, Newton Opiyo, Simon Lewin, Elizabeth Paulsen, Agustín Ciapponi, Charles S Wiysonge, Cristian A Herrera, Gabriel Rada, Blanca Peñaloza, Lilian Dudley, Marie-Pierre Gagnon, Sebastian Garcia Marti, Andrew D Oxman
BACKGROUND: A key function of health systems is implementing interventions to improve health, but coverage of essential health interventions remains low in low-income countries. Implementing interventions can be challenging, particularly if it entails complex changes in clinical routines; in collaborative patterns among different healthcare providers and disciplines; in the behaviour of providers, patients or other stakeholders; or in the organisation of care. Decision-makers may use a range of strategies to implement health interventions, and these choices should be based on evidence of the strategies' effectiveness...
September 12, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28894502/use-of-smoking-cessation-products-a-survey-of-patients-in-community-pharmacies
#10
Alan Phung, Lauren Luo, Noor Breik, Silvia Alessi-Severini
OBJECTIVES: At 17.3%, smoking rates in Manitoba continue to exceed the national average. In this province, a total health care spending of more than $200 million per year has been attributed to smoking. This study examined the use of smoking cessation agents, including nicotine replacement products and prescription medications, in a sample of smokers in the city of Winnipeg. METHODS: A simple multiple-choice questionnaire was administered to willing individuals attending 2 community pharmacies in Winnipeg, Manitoba...
September 2017: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/28890239/self-help-organisations-as-patient-representatives-in-health-care-and-policy-decision-making
#11
Daniela Rojatz, Rudolf Forster
A crucial question about participation is who is legitimised, willing and capable of representing particular collectives. Social insurance health care systems tend to focus on representation by patient organisations. Self-help organisations (SHOs), as one type of 'health consumer and patient organisation', often take over this role. Research findings indicate that participation by SHOs is accompanied by high expectations, but also by concerns about the risks of instrumental abuse, overload and professionalisation...
September 2, 2017: Health Policy
https://www.readbyqxmd.com/read/28888517/beliefs-regarding-asthma-management-relating-to-asthma-action-plans-aaps-of-african-american-caregivers-residing-in-newark-new-jersey-public-housing-communities
#12
Frank Wagner, Lorraine Steefel
PURPOSE: The purpose of this study was to explore the beliefs regarding asthma management and Asthma Action Plans (AAPs) of African American caregivers residing in three New Jersey public housing communities in Newark, New Jersey. DESIGN: A qualitative methods design was accomplished using semi-structured interviews with a purposive sample of nine African American caregivers of children with asthma. Information was coded using N'VIVO™; the textual analysis combined codes into categories, which were then assembled into themes...
September 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28877209/unmet-healthcare-needs-in-homeless-women-with-children-in-the-greater-paris-area-in-france
#13
Cécile Vuillermoz, Stéphanie Vandentorren, Ruben Brondeel, Pierre Chauvin
BACKGROUND: Despite their poor health status, homeless women encounter many barriers to care. The objectives of our study were to estimate the prevalence of unmet healthcare needs in homeless women and to analyse associated relationships with the following factors: financial and spatial access to care, housing history, migration status, healthcare utilisation, victimization history, caring for children, social network and self-perceived health status. METHODS: We used data from 656 homeless women interviewed during the ENFAMS representative survey of sheltered homeless families, conducted in the Paris region in 2013...
2017: PloS One
https://www.readbyqxmd.com/read/28874320/exercise-training-for-intermittent-claudication
#14
Mary M McDermott
OBJECTIVE: The objective of this study was to provide an overview of evidence regarding exercise therapies for patients with lower extremity peripheral artery disease (PAD). METHODS: This manuscript summarizes the content of a lecture delivered as part of the 2016 Crawford Critical Issues Symposium. RESULTS: Multiple randomized clinical trials demonstrate that supervised treadmill exercise significantly improves treadmill walking performance in people with PAD and intermittent claudication symptoms...
September 2, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28867439/mixed-methods-investigation-of-women-s-experiences-with-second-trimester-abortion-care-in-the-midwest-and-northeast-united-states
#15
Kelly Blanchard, Jill L Meadows, Hialy R Gutierrez, Curtiss Ps Hannum, Ella F Douglas-Durham, Amanda J Dennis
OBJECTIVE(S): We studied women's experiences seeking and receiving second-trimester abortion care in two geographically and legislatively different settings to inform ways to improve abortion care access and services. STUDY DESIGN: We conducted in-depth interviews with women who obtained second-trimester abortion care. Themes from the interviews were then used to inform a self-administered survey, which was completed by 108 women who received second-trimester abortion care in the Northeast and Midwest...
August 31, 2017: Contraception
https://www.readbyqxmd.com/read/28862879/chronic-obstructive-pulmonary-disease-in-hispanics-a-9-year-update
#16
Alejandro Díaz, Bartolomé Celli, Juan C Celedón
Hispanics are the largest minority in the U.S., now encompassing 56.6 million people. A Hispanic or Latino is an individual whose ancestry can be traced to Spain or territories previously under Spanish control. The Hispanic population in the U.S. and Latin America is very diverse for country of origin, nativity, and racial ancestry. Over the last nine years, our knowledge of COPD in Hispanics has improved, due to a better understanding of differences in COPD burden and risk factors across Hispanic subgroups, development of subgroup-specific spirometry reference equations, genetic studies, and better knowledge of barriers and needs in the diagnosis and management of COPD in the Hispanic population...
September 1, 2017: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/28862314/working-capacity-after-a-subarachnoid-haemorrhage-a-six-year-follow-up
#17
Emma Westerlind, Hanna C Persson, Katharina S Sunnerhagen
OBJECTIVE: Subarachnoid haemorrhage can lead to long-term disabilities. It is a major health issue for the patient and can affect work capacity. The aim of this study was to investigate working capacity after subarachnoid haemorrhage from a long-term perspective, using data from national sick leave records. In addition, factors associated with working capacity were analysed. DESIGN: A retrospective cohort study. SUBJECTS/PATIENTS: A consecutive total sample of 38 working-age participants with first-ever subarachnoid haemorrhage was included...
September 1, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28859989/repeatedly-measured-material-and-behavioral-factors-changed-the-explanation-of-socioeconomic-inequalities-in-all-cause-mortality
#18
Joost Oude Groeniger, Carlijn B Kamphuis, Johan P Mackenbach, Frank J van Lenthe
OBJECTIVE: We examined whether using repeatedly measured material and behavioral factors contributed differently to socioeconomic inequalities in all-cause mortality compared to one baseline measurement. STUDY DESIGN AND SETTING: Data from the Dutch prospective GLOBE cohort were linked to mortality register data (1991 - 2013; N=4,851). Socioeconomic position was measured at baseline by educational level and occupation. Material factors (financial difficulties, housing tenure, health insurance) and behavioral factors (smoking, leisure time physical activity, sports participation and body mass index) were self-reported in 1991, 1997 and 2004...
August 28, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28859424/age-differences-in-health-literacy-do-younger-korean-adults-have-a-higher-level-of-health-literacy-than-older-korean-adults
#19
Eun Jin Lee, Hee Yun Lee, Soondool Chung
The purpose of this study was to investigate the level of health literacy of adults living in South Korea and identify factors associated with health literacy in different age groups. Using a quota sampling method, authors recruited 1,000 Korean adults age 20 years and older. Health literacy was measured by using three items selected from a 16-question self-report health literacy measure. In accordance with Andersen's behavioral model, predisposing, enabling, and need factors were included in the multiple regression model...
August 1, 2017: Health & Social Work
https://www.readbyqxmd.com/read/28858659/are-self-report-scales-as-effective-as-clinician-rating-scales-in-measuring-treatment-response-in-routine-clinical-practice
#20
Mark Zimmerman, Emily Walsh, Michael Friedman, Daniela A Boerescu, Naureen Attiullah
OBJECTIVE: Recent treatment guidelines have suggested that outcome should be measured in routine clinical practice. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, we compared three self-report scales of depressive symptoms and the two most widely used clinician administered scales in treatment studies in their sensitivity to change and evaluation of treatment response in depressed patients treated in routine practice...
August 15, 2017: Journal of Affective Disorders
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