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https://www.readbyqxmd.com/read/28431164/low-activity-microstates-during-sleep
#1
Hiroyuki Miyawaki, Yazan N Billeh, Kamran Diba
Study Objectives: To better understand the distinct activity patterns of the brain during sleep, we observed and investigated periods of diminished oscillatory and population spiking activity lasting for seconds during non-REM sleep, which we call "LOW" activity sleep. Methods: We analyzed spiking and local field potential (LFP) activity of hippocampal CA1 region alongside neocortical electroencephalogram (EEG) and electromyogram (EMG) in 19 sessions from four male Long-Evans rats (262-363g) during natural wake/sleep across the 24-hr cycle, as well as data from other brain regions obtained from http://crcns...
April 18, 2017: Sleep
https://www.readbyqxmd.com/read/28396745/multidisciplinary-staff-attitudes-to-home-haemodialysis-therapy
#2
Anuradha Jayanti, Philip Foden, Sandip Mitra
Background: More than a decade after the National Institute for Health and Clinical Excellence recommendation of home haemodialysis (home HD) for 10-15% of those needing renal replacement therapy, the uptake across different regions in the UK remains uneven. Methods: This survey is part of the Barriers to Successful Implementation of Care in Home Haemodialysis (BASIC-HHD) study, an observational study of patient and organizational factor barriers and enablers of home HD uptake, in the UK. The study centres had variable prevalence of home HD by design [low: <3% (2), medium: 5-8% (2) and high: >8% (1)]...
April 2017: Clinical Kidney Journal
https://www.readbyqxmd.com/read/28394154/interrelationships-among-length-of-stay-in-a-domestic-violence-shelter-help-received-and-outcomes-achieved
#3
Cris M Sullivan, Tyler Virden
Survivors of intimate partner violence (IPV) have a variety of reasons for turning to domestic violence shelter programs. Some are seeking temporary respite and immediate safety while others are seeking longer term assistance to heal from their trauma and begin new lives. In line with these differing needs, some survivors only stay in shelter for a few days, while others may need to stay for months or even years. The current study involved secondary data analysis of an 8-state study that collected information from survivors shortly after they arrived in shelter and shortly before exit...
April 10, 2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28388285/evaluating-an-alternative-to-the-emergency-department-for-adults-in-mental-health-crisis
#4
Michelle Heyland, Mary Johnson
Adults with mental health issues lack clinically indicated options when in crisis. Historically, the emergency department (ED) has been the primary source of intervention largely due to funding cuts and decreased community resources in the USA. The literature highlights drastic mental health funding cuts alongside an increased prevalence of mental illness. A community-based alternative for adults in mental health crises was subsequently developed as a model of crisis care. The program has demonstrated impressive short-term outcomes, typically avoiding ED admissions in over 95% of the clients...
April 7, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28380708/accuracy-of-caregiver-proxy-reports-of-home-care-service-use
#5
Neena L Chappell, Helena Kadlec
Although much of the research on service use by older adults with dementia relies on proxy reports by informal caregivers, little research assesses the accuracy of these reports, and that which does exist, does not focus on home care services. This brief report compares proxy reports by family caregivers to those with dementia with provincial Ministry of Health records collected for payment and monitoring. The four home care services examined include home nursing care, adult day care, home support, and respite care...
December 1, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28371802/u-s-veteran-health-care-utilization-increases-after-caregivers-use-of-national-caregiver-telephone-support-line
#6
Joan M Griffin, Cari Malcolm, Pamela Wright, Emily Hagel Campbell, Margaret Kabat, Ann K Bangerter, Nina A Sayer
The U.S. Department of Veterans Affairs (VA) established the national Caregiver Support Line (CSL) in February 2011. The CSL is operated by licensed master's degree social workers who provide caregivers of veterans with information about caregiver benefits and services, counseling, and referrals to a caregiver support coordinator at the nearest VA medical center. The authors compared differences in veteran health care utilization patterns in the six months before and after a caregiver call to the CSL, hypothesizing that veterans with caregivers using the CSL had improved access to health care services and improved access increased utilization of health care...
March 25, 2017: Health & Social Work
https://www.readbyqxmd.com/read/28369736/restraint-use-in-older-adults-receiving-home-care
#7
Kristien Scheepmans, Bernadette Dierckx de Casterlé, Louis Paquay, Hendrik Van Gansbeke, Koen Milisen
OBJECTIVES: To determine the prevalence, types, frequency, and duration of restraint use in older adults receiving home nursing care and to determine factors involved in the decision-making process for restraint use and application. DESIGN: Cross-sectional survey of restraint use in older adults receiving home care completed by primary care nurses. SETTING: Homes of older adults receiving care from a home nursing organization in Belgium. PARTICIPANTS: Randomized sample of older adults receiving home care (N = 6,397; mean age 80...
March 28, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28368745/sexuality-in-the-shadows-of-a-friendship-an-intimate-portrayal-of-friendship-between-two-british-pakistani-lesbians
#8
Asifa Siraj
Friendships have the potential to transform and reconfigure lives and improve one's health and mental well-being through mutual affection, understanding, care, and love. The social, cultural, and religious ostracism British Pakistani lesbians encounter in their lives means that their friendships, in particular with other lesbians, are crucial for fostering a sense of self-acceptance and personal enrichment. Friendship can provide a supportive network, refuge, and respite from a repressive social, cultural, and family environment, especially for those who feel ostracized and marginalized...
April 3, 2017: Journal of Lesbian Studies
https://www.readbyqxmd.com/read/28355645/informal-care-in-europe-findings-from-the-european-social-survey-2014-special-module-on-the-social-determinants-of-health
#9
Ellen Verbakel, Stian Tamlagsrønning, Lizzy Winstone, Erlend L Fjær, Terje A Eikemo
Against the background of a rising demand for informal care in European societies, this study sets out to provide descriptive information by gender on (i) prevalence rates of (intensive) informal caregiving, (ii) characteristics of (intensive) informal caregivers and (iii) consequences of (intensive) informal caregiving in terms of mental well-being. Data from the European Social Survey, Round 7 were analysed with multilevel (logistic) regression techniques ( n = 28 406 respondents in n = 20 countries). On average, 34...
February 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28318409/on-fertile-ground-an-initial-evaluation-of-green-care-farms-in-the-united-states
#10
Keith A Anderson, Kate P Chapin, Zachary Reimer, Gina Siffri
Green care farms (GCF) provide unique opportunities to persons with disabilities to engage in meaningful and therapeutic activities in farm settings. In this pilot study, the researchers examined the feasibility and impact of the first GCF in the United States. Qualitative interviews (N = 19) and thematic analysis were conducted. GCF participants and family members were enthusiastic about participation and identified benefits such as respite and improved mood. Administrators and farmers indicated that GCF challenged the status quo of funding, programming, and farming...
February 7, 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/28294463/information-sharing-with-respite-care-services-for-older-adults-a-qualitative-exploration-of-carers-experiences
#11
Linda C McSwiggan, Judith Marston, Martin Campbell, Timothy B Kelly, Thilo Kroll
Respite services play an important role in supporting older adults and their carers. When an older person is unable to fully represent themselves, provision of respite care relies on effective information-sharing between carers and respite staff. This study aimed to explore, from carers' perspectives, the scope, quality and fit of information-sharing between carers, older people and respite services. An explorative, cross-sectional qualitative study involving a purposive sample of 24 carers, recruited via carer support groups and community groups in voluntary organisations, was undertaken in North East Scotland...
March 10, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28294011/we-must-not-repeat-the-mistakes-of-mid-staffs
#12
Sir Stephen Moss
These are exceptionally tough times for everyone providing care and treatment across NHS settings. Colleagues on the front line face unprecedented pressure day in, day out, without any respite and often with limited resources. As a nurse it distresses me greatly to see graphic images of older, frail patients waiting for long periods on trolleys in overcrowded emergency departments.
March 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28281999/the-hidden-story-of-innovation-charity-hospital-angola-prison-and-the-challenging-of-surgical-dogma
#13
Patrick Greiffenstein, Paul R Hastings
The late 1960s was a period of significant upheaval of social, cultural, and scientific norms. The generally accepted notion of mandatory laparotomy for all penetrating abdominal injuries was among those norms being called into question across the country and many advocated expectant management of selected patients presenting with this type of injury. Leaders of the surgical community published opinions on either side of the argument. The house staff at Charity Hospital during this period was among the busiest in the nation in treating these injuries, many of them inmates of the Louisiana State Penitentiary who used self-inflicted stab wounds to the abdomen as a means of temporary respite from the inhumane conditions in the prison...
February 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28261381/role-of-surgical-resection-for-non-colorectal-non-neuroendocrine-liver-metastases
#14
REVIEW
Nobuyuki Takemura, Akio Saiura
It is widely accepted that the indications for hepatectomy in colorectal cancer liver metastases and liver metastases of neuro-endocrine tumors result in relatively better prognoses, whereas, the indications and prognoses of hepatectomy for non-colorectal non-neuroendocrine liver metastases (NCNNLM) remain controversial owing to the limited number of cases and the heterogeneity of the primary diseases. There have been many publications on NCNNLM; however, its background heterogeneity makes it difficult to reach a specific conclusion...
February 18, 2017: World Journal of Hepatology
https://www.readbyqxmd.com/read/28228196/the-hidden-story-of-innovation-charity-hospital-angola-prison-and-the-challenging-of-surgical-dogma
#15
Patrick Greiffenstein, Paul R Hastings
The late 1960s was a period of significant upheaval of social, cultural, and scientific norms. The generally accepted notion of mandatory laparotomy for all penetrating abdominal injuries was among those norms being called into question across the country and many advocated expectant management of selected patients presenting with this type of injury. Leaders of the surgical community published opinions on either side of the argument. The house staff at Charity Hospital during this period was among the busiest in the nation in treating these injuries, many of them inmates of the Louisiana State Penitentiary who used self-inflicted stab wounds to the abdomen as a means of temporary respite from the inhumane conditions in the prison...
February 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28222344/caring-for-children-with-intellectual-disabilities-part-2-detailed-analyses-of-factors-involved-in-respite-workers-reported-assessment-and-care-decisions
#16
Lara M Genik, C Meghan McMurtry, Lynn M Breau
Respite workers (RW) commonly care for children with intellectual disabilities (ID), and pain is common for these children. Little is known about factors which inform RW pain assessment and management-related decisions. OBJECTIVES: To describe/determine the following in response to a series of pain-related scenarios (e.g., headache, falling): (1) factors considered important by RW when assessing children with ID's pain; (2) whether children's verbal ability impacts pain assessment factors considered; (3) RW assessment and management approach...
February 20, 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/28208103/caring-for-children-with-intellectual-disabilities-part-1-experience-with-the-population-pain-related-beliefs-and-care-decisions
#17
Lara M Genik, C Meghan McMurtry, Lynn M Breau
Some children with intellectual disabilities (ID): experience pain more frequently than children without ID, express their pain differently, and are incapable of providing self-reports. No research has examined disability and pain-related beliefs of respite workers (RW) and their relations to pain assessment and management decisions for children with ID. OBJECTIVES: (1) compare disability and pain-related beliefs between RW and a sample with little experience in ID; (2) determine whether individuals' beliefs and personal characteristics are related to pain assessment and management decisions...
March 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/28156624/a-study-of-discrepancy-between-laboratory-calculated-and-weight-based-glomerular-filtration-rate-gfr-as-a-marker-of-renal-function-in-a-palliative-care-population
#18
Miriam Colleran
58 Background: Renal function is important in a palliative care population and can impact on frequently-used medications including chemotherapeutic agents, opioids, non-steroidal anti-inflammatory drugs and neuropathic agents. In local practice, estimated glomerular filtration rate (eGFR), calculated on a presumed weight of 70kg, is displayed in laboratory results. However, the weight of palliative patients varies considerably, for example, due to cancer cachexia or malabsorption and a considerable population weigh less than 70kg...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28156540/family-camp-a-multi-disciplinary-intervention-for-brain-tumor-patients-and-families
#19
Mary Lovely, Abigail Levinson Marks, Amanda K LaMarre, Susan M Chang, Jennifer Clarke, Judy Patt, Emelia Barani
240 Background: The diagnosis of a brain tumor is a catastrophic life changing event that impacts the entire family. Patients and caregivers experience dramatic role changes, concern for their children, financial stress, and isolation. For many, the situation is overwhelming. A novel intervention to address these needs is "Family Camp". Our vision for camp was to provide respite to the entire family, decrease caregiver stress, improve family connections and promote a sense of understanding and connection with the community at large...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28103894/impacts-of-caring-for-a-child-with-the-cdkl5-disorder-on-parental-wellbeing-and-family-quality-of-life
#20
Yuka Mori, Jenny Downs, Kingsley Wong, Barbara Anderson, Amy Epstein, Helen Leonard
BACKGROUND: Although research in this area remains sparse, raising a child with some genetic disorders has been shown to adversely impact maternal health and family quality of life. The aim of this study was to investigate such impacts in families with a child with the CDKL5 disorder, a newly recognised genetic disorder causing severe neurodevelopmental impairments and refractory epilepsy. METHODS: Data were sourced from the International CDKL5 Disorder Database to which 192 families with a child with a pathogenic CDKL5 mutation had provided data by January 2016...
January 19, 2017: Orphanet Journal of Rare Diseases
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