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https://www.readbyqxmd.com/read/28409087/favourable-outcomes-of-a-preventive-screening-and-counselling-programme-for-older-people-in-underprivileged-areas-in-the-netherlands-the-primus-project
#1
D J Annemarie van Dijk, Matty R Crone, Pepijn van Empelen, Willem J Assendelft, Barend J Middelkoop
An aging population is associated with an increased prevalence of diabetes, cardiovascular diseases and depression. Important aspects of programmes targeted at older people are: to reach those at risk, effective screening, optimising advice, and referral to local interventions. We examined the effect of a preventive health consultation (PRIMUS), a multi-behavioural screening programme for persons aged 55-74 years in primary care. In a multi-centre randomised controlled trial, the effects of participating in the PRIMUS intervention were compared to a comparison group receiving personalised summaries and advice by postal mail, both preceded by a health risk assessment via a questionnaire...
June 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28394156/the-readiness-for-integrated-care-questionnaire-ricq-an-instrument-to-assess-readiness-to-integrate-behavioral-health-and-primary-care
#2
Victoria C Scott, Tara Kenworthy, Erin Godly-Reynolds, Gilberte Bastien, Jonathan Scaccia, Courtney McMickens, Sharon Rachel, Sayon Cooper, Glenda Wrenn, Abraham Wandersman
Integration of behavioral health and primary care services is a promising approach for reducing health disparities. The growing national emphasis on care coordination has mobilized efforts to integrate behavioral health and primary care services across the United States. These efforts align with broader health care system goals of improving health care quality, health equity, utilization efficiency, and patient outcomes. Drawing from our work on a multiyear integrated care initiative (Integrated Care Leadership Program; ICLP) and an implementation science heuristic for organizational readiness (Readiness = Motivation x General Capacity and Innovation-Specific Capacity; R = MC2), this article describes the development and implementation of a tool to assess organizational readiness for integrated care, referred to as the Readiness for Integrated Care Questionnaire (RICQ)...
April 10, 2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28337523/hip-fracture-incidence-and-social-deprivation-results-from-a-french-ecological-study
#3
M -P Petit, J Bryère, M Maravic, F Pallaro, C Marcelli
The association between socioeconomic status (SES) and hip fracture (HF) incidence was analyzed in France in 2008. In men and women, a decrease in HF incidence was observed as the social deprivation index increased. This result may be partly due to the protective effect of increasing body weight against HF. INTRODUCTION: Regional variations in hip fracture (HF) incidence exist worldwide. Reasons for these variations remain unknown. As regional variations have also been observed for socioeconomic status, we analyzed the association between socioeconomic deprivation (SED) and HF incidence in France in 2008...
March 23, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28333691/asthma-prevalence-and-severity-in-low-resource-communities
#4
Álvaro A Cruz, Rafael Stelmach, Eduardo V Ponte
PURPOSE OF REVIEW: The prevalence of asthma was thought to be low in most low-income countries, but several reports have indicated this is not always true. This is a narrative review of recent publications on the burden of asthma in low and middle-income countries (LMIC) and underprivileged communities from developed countries. RECENT FINDINGS: Several studies have reported a low prevalence of asthma is LMIC, but indicate it is increasing. In the last few years, however, many surveys demonstrated this may not always be true...
March 22, 2017: Current Opinion in Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/28296523/the-brazilian-amazon-region-eye-survey-design-and-methods
#5
Solange R Salomão, João Marcello Furtado, Adriana Berezovsky, Nívea N Cavascan, Alberto N Ferraz, Jacob M Cohen, Sergio Muñoz, Rubens Belfort
PURPOSE: To describe the study design, operational strategies, procedures, and baseline characteristics of the Brazilian Amazon Region Eye Survey (BARES), a population-based survey of the prevalence and causes of distance and near visual impairment and blindness in older adults residing in the city of Parintins. METHODS: Cluster sampling, based on geographically defined census sectors, was used for cross-sectional random sampling of persons 45 years and older from urban and rural areas...
March 15, 2017: Ophthalmic Epidemiology
https://www.readbyqxmd.com/read/28230990/comparative-study-of-the-synthesis-and-structural-and-physicochemical-properties-of-diketopiperazines-vs-aza-diketopiperazines
#6
Pierre Regenass, Damien Bosc, Stéphanie Riché, Patrick Gizzi, Marcel Hibert, Lydia Karmazin, A Ganesan, Dominique Bonnet
Aza-diketopiperazines (aza-DKPs) represent an underprivileged motif obtained by scaffold hopping of 2,5-diketopiperazines (2,5-DKPs). Herein, we compare the synthesis and the structural and physicochemical properties of aza-DKP 4 vs 2,5-DKP 7. Thus, X-ray and (1)H NMR studies show that aza-DKP 4 is a rigid and nonflat scaffold like the 2,5-DKP 7. Moreover, the replacement of one Cα-stereogenic center by a nitrogen atom results in a significant improvement of both the water solubility and the microsomal stability...
March 8, 2017: Journal of Organic Chemistry
https://www.readbyqxmd.com/read/28210089/prevalence-of-gastroesophageal-reflux-disease-in-a-country-with-a-high-occurrence-of-helicobacter-pylori
#7
Serhat Bor, Gul Kitapcioglu, Elmas Kasap
AIM: To evaluate the prevalence of gastroesophageal reflux disease (GERD) with additional symptoms, relationship with Helicobacter pylori (H. pylori) of this country-wide study. METHODS: Data from 3214 adults were obtained with validated questionnaire. Eight hundred and forty-one subjects were randomized to be tested for H. pylori via the urea breath test. "Frequent symptoms" were defined heartburn and/or regurgitation occurring at least weekly. RESULTS: The prevalence of GERD was 22...
January 21, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28182041/assessment-of-health-related-quality-of-life-and-its-determinants-in-patients-with-chronic-kidney-disease
#8
M Manavalan, A Majumdar, K T Harichandra Kumar, P S Priyamvada
Health-related quality of life is an important, yet neglected aspect of chronic kidney disease (CKD) care. We evaluated the quality of life and its determinants across CKD 3 to 5D using a kidney disease specific tool (Kidney Disease Quality of Life-SF™) in an underprivileged, predominantly rural population with high rates of illiteracy and unemployment. The scores of individual domains were summarized to three composite scores - physical composite summary (PCS), mental composite summary (MCS), and kidney disease component summary score (KDCS)(...
January 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28178433/the-legacy-of-thomas-hodgkin-is-still-relevant-150-years-after-his-death-nothing-of-humanity-was-foreign-to-him
#9
Eldad J Dann
Current leading figures in medical science usually focus on very specific topics and use cutting-edge technologies to broaden our knowledge in the field. The working environment of the nineteenth century was very different. Medical giants of that time such as Rudolph Virchow and Thomas Hodgkin had a wide-ranging scope of research and humanitarian interests and made enormous contributions to a variety of core areas of medicine and the well-being of mankind. The year 2016 marked the 150th anniversary of the death of Dr Thomas Hodgkin...
January 30, 2017: Rambam Maimonides Medical Journal
https://www.readbyqxmd.com/read/28123960/the-referral-pathway-of-presumptive-drug-resistant-tuberculosis-in-an-urban-poor-setting-the-philippines
#10
E Lopez, S Yoshimatsu, A Querri, L Coprada, J Bermejo, M R Paulino, A Medina, A M C Garfin, A Ohkado
Setting: Socio-economically underprivileged urban areas in the Philippines. Objectives: To identify gaps in the referral pathway of presumptive drug-resistant tuberculosis (DR-TB) patients from initial consultation until initiation of treatment. Design: A retrospective study in which a masterlist of presumptive multidrug-resistant TB (MDR-TB) patients registered in 18 DOTS facilities in Tondo, Manila and Payatas, Quezon City, from October 2012 to September 2013, was analysed and reviewed. Results: Among 378 presumptive DR-TB patients identified and listed in the masterlist, 97% (368/378) were referred, of whom 90% (333/368) were screened at an MDR-TB treatment centre...
December 21, 2016: Public Health Action
https://www.readbyqxmd.com/read/28123957/a-review-of-tuberculosis-contact-investigations-in-the-poor-urban-areas-of-manila-the-philippines
#11
L Coprada, S Yoshimatsu, A Querri, E Lopez, P Agujo, M R Paulino, A Medina, A M C Garfin, A Ohkado
Setting: Socio-economically underprivileged areas in the Philippines. Objective: To review the implementation of tuberculosis (TB) contact investigations in the urban poor areas of Manila and Quezon City. Design: A descriptive cross-sectional study based on a review of data from household contact registries in local government unit (LGU) and non-government organisation (NGO) facilities during January-December 2012 in Manila and Quezon City. Free discussion sessions were also conducted among health-care workers...
December 21, 2016: Public Health Action
https://www.readbyqxmd.com/read/28102463/marked-differences-of-haplotype-tagging-snp-distribution-linkage-and-haplotype-profile-of-apoa5-gene-in-roma-population-samples
#12
Katalin Sumegi, Balazs Duga, Bela I Melegh, Zsolt Banfai, Erzsebet Kovesdi, Anita Maasz, Bela Melegh
Roma people are underprivileged, neglected population worldwide, with severe healthcare problems. They have significantly increased prevalence of cardiovascular morbidity, presumably related to their poor social status, alcohol consumption and smoking habits. Assuming that genetic background also plays a role in their susceptibility for cardiovascular diseases, we hypothesized that APOA5 gene polymorphisms, an important role-player in lipid metabolism and in the development of metabolic syndrome and cardio/cerebrovascular events, may also be involved...
January 19, 2017: Pathology Oncology Research: POR
https://www.readbyqxmd.com/read/28098680/insight-into-scabies
#13
Faye Mariz Razon, Emily Weidman-Evans
Scabies, an infectious disease caused by the scabies mite, manifests as an intensely pruritic skin rash. Children, the underprivileged, and patients with immunocompromise are at a higher risk of acquiring this contagious disease. Infectivity occurs worldwide in patients of all races, ages, and sex. The classical appearance of papular burrows between the webbed spaces of digits or along the wrists can help distinguish scabies from other dermatologic diseases. Practitioners need to be familiar with how scabies may present so that patients can be treated and taught how to prevent spread of the disease...
February 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/28092932/the-burden-of-infectious-and-cardiovascular-diseases-in-india-from-2004-to-2014
#14
Kajori Banerjee, Laxmi Kant Dwivedi
OBJECTIVES: In India, both communicable and non-communicable diseases have been argued to disproportionately affect certain socioeconomic strata of the population. Using the 60th (2004) and 71st (2014) rounds of the National Sample Survey, this study assessed the balance between infectious diseases and cardiovascular diseases (CVD) from 2004 to 2014, as well as changes in the disease burden in various socioeconomic and demographic subpopulations. METHODS: Prevalence rates, hospitalization rates, case fatality rates, and share of in-patients deaths were estimated to compare the disease burdens at these time points...
2016: Epidemiology and Health
https://www.readbyqxmd.com/read/28056833/molecular-epidemiology-of-panton-valentine-leukocidin-positive-community-acquired-methicillin-resistant-staphylococcus-aureus-isolates-in-pastoral-communities-of-rural-south-western-uganda
#15
Benon B Asiimwe, Rossella Baldan, Alberto Trovato, Daniela M Cirillo
BACKGROUND: The emergence of multidrug resistant Staphylococcus aureus strains, including methicillin resistant (MRSA), is a global concern. Treatment of bacterial infections in Uganda's health care settings is largely empirical, rarely accompanied by laboratory confirmation. Here we show the burden, characteristics of MRSA and epidemiology of Panton-Valentine Leukocidin (PVL) positive strains in asymptomatic carriers in pastoral households of south-west Uganda. METHODS: Nasal swabs from 253 participants were cultured following standard methodology...
January 5, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28041921/rising-trend-of-diabetes-mellitus-amongst-the-undernourished-state-of-the-art-review
#16
REVIEW
Nimmy K Francis, Harpreet S Pawar, Anirban Mitra, Analava Mitra
Diabetes mellitus is prevailing in the malnourished populations congruently in well-nourished ones with an escalating trend in the former group regardless of the absence of obesity as an etiologic determining factor as per the studies in underprivileged sectors of the population. Chronic undernutrition across a lifetime may be an imperative stimulator of diabetes in an individual either by progressively reducing beta cell function alongside islet cell volume and increasing the individual predisposition to other genetic or environmental diabetogenic influences with modifying influence on the course of clinical syndrome...
December 23, 2016: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/28017696/ethnobiological-treatments-of-neurological-conditions-in-the-chota-nagpur-plateau-india
#17
Abhijit Dey, Partha Gorai, Anuradha Mukherjee, Raghunath Dhan, Biplob Kumar Modak
ETHNOPHARMACOLOGICAL RELEVANCE: World Health Organization (WHO) has recognized the contribution of traditional medicine in the primary health care system. WHO also considers neurological disorders as one of the prime concern to the public health. Inadequate and inaccessible health facilities in the rural and underprivileged areas have forced the various tribal and non-tribal communities to use ethno-phyto and ethno-zoo therapeutics against different ailments. Chota Nagpur Plateau, India is one of the richest in India in terms of plant and animal diversity, and houses a number of indigenous communities often practising their own ethnobiological medicines...
December 22, 2016: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/27998311/disseminated-tungiasis-in-a-78-year-old-woman-from-tanzania-a-case-report
#18
Pedro Pallangyo, Paulina Nicholaus
BACKGROUND: Tungiasis is one of the neglected tropical diseases; it affects up to 40% of individuals living in societies with poor housing and sanitation standards. In endemic areas, Tunga infestation, which predominantly affects the periungual areas of the lower limbs in humans, is associated with considerable morbidity and poor quality of life. CASE PRESENTATION: A 78-year-old woman of African descent presented with pain, inflammation, suppuration, ulceration, and deformation of digits of all four limbs...
December 20, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27862523/chinese-women-health-ambassadors-program-a-process-evaluation
#19
Janet Yuen Ha Wong, Maggie Mee Kie Chan, Kris Yuet Wan Lok, Fei Wan Ngai, Michelle Tsz Ha Pang, Claudia Kor Yee Chan, Jessie Ho Yin Yau, Edmond Pui Hang Choi, Shirley Siu Ming Fong
AIMS AND OBJECTIVES: The aim of this study was to assess a community-women health ambassadors program and report the areas that were successful and those that required improvement. The objectives were to assess the feasibility, effectiveness, implementation, and sustainability of the program. BACKGROUND: Health promotion for the prevention of chronic diseases has always been the top priority in the health sector. In order to ensure that the relevant health messages are well-received in local communities, a health promotion program must be accessible, acceptable, and culturally relevant...
November 9, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27861676/-obtaining-drugs-for-hypertension-and-diabetes-through-the-brazilian-people-s-pharmacy-program-results-of-the-national-health-survey-2013
#20
Karen Sarmento Costa, Noemia Urruth Leão Tavares, Sotero Serrate Mengue, Marco Aurélio Pereira, Deborah Carvalho Malta, Jarbas Barbosa da Silva
OBJECTIVE: to describe the proportion of hypertensive and diabetic patients who reported getting medicines to control these diseases via the Brazilian People's Pharmacy Program, according to sociodemographic factors. METHODS: this was a population-based descriptive study using 2013 National Health Survey data on individuals aged over 18 years. RESULTS: around one third of hypertensive individuals (35.9%; 95%CI 34.1-37.7) and more than half of those with diabetes (57...
January 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
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