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https://www.readbyqxmd.com/read/29902038/coping-strategies-and-support-structures-of-addiction-affected-families-a-qualitative-study-from-goa-india
#1
Sydney Church, Urvita Bhatia, Richard Velleman, Gill Velleman, Jim Orford, Anil Rane, Abhijit Nadkarni
INTRODUCTION: Despite the large burden of a relative's drinking on their family members, the latter's perspectives and experiences are largely neglected. The aims of this article are to assess the coping strategies used by affected family members (AFMs) in Goa, India, and to examine the nature of the support they have for dealing with their drinking relative. METHOD: In-depth interviews were conducted with adult AFMs selected through purposive and maximum variation sampling...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29796150/high-burden-of-atopy-in-immigrant-families-in-substandard-apartments-in-sweden-on-the-contribution-of-bad-housing-to-poor-health-in-vulnerable-populations
#2
Jens Christian Richter, Kristina Jakobsson, Tahir Taj, Anna Oudin
Background: Atopic disorders are a global concern. Studies in migrant populations can illuminate the interplay of genetic and environmental factors. Exposures related to bad housing (indoor dampness, mould growth, crowding etc.) are likely to play a role in how socioeconomic inequalities can turn into health disparities for disadvantaged populations. The sizable immigrant population living in very poor-quality housing in Malmö, Sweden, became the focus of a cross-sectional study. Objective: To describe atopic disorders and sensitizations in a population living in substandard housing in Malmö, Sweden, with an emphasis on their relation to harmful exposures from the built environment...
2018: World Allergy Organization Journal
https://www.readbyqxmd.com/read/29791514/high-prevalence-of-syndemic-health-problems-in-patients-seeking-post-exposure-prophylaxis-for-sexual-exposures-to-hiv
#3
Steven A Morrison, Deborah Yoong, Trevor A Hart, Paul MacPherson, Isaac Bogoch, Vishalini Sivarajah, Kevin Gough, Mark Naccarato, Darrell H S Tan
INTRODUCTION: The standard clinical approach to non-occupational HIV post-exposure prophylaxis (nPEP) focuses on biomedical aspects of the intervention, but may overlook co-occurring or 'syndemic' psychosocial problems that reinforce future vulnerability to HIV. We therefore sought to determine the prevalence of syndemic health problems in a cohort of Ontario nPEP patients, and explored the relationship between syndemic burden and HIV risk. METHODS: Between 07/2013-08/2016, we distributed a self-administered questionnaire to patients presenting to three clinics in Toronto and Ottawa seeking nPEP for sexual HIV exposures...
2018: PloS One
https://www.readbyqxmd.com/read/29772910/qualitative-assessment-of-smoke-free-policy-implementation-in-low-income-housing-enhancing-resident-compliance
#4
Jodi Anthony, Roberta Goldman, Vaughan W Rees, Rochelle L Frounfelker, Jessica Davine, Robyn R Keske, Daniel R Brooks, Alan C Geller
PURPOSE: As public housing agencies and other low-income housing providers adopt smoke-free policies, data are needed to inform implementation approaches that support compliance. DESIGN: Focused ethnography used including qualitative interviews with staff, focus groups with residents, and property observations. SETTING: Four low-income housing properties in Massachusetts, 12 months postpolicy adoption. PARTICIPANTS: Individual interviews (n = 17) with property staff (managers, resident service coordinators, maintenance, security, and administrators) and focus groups with resident smokers (n = 28) and nonsmokers (n = 47)...
January 1, 2018: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29766842/continuous-low-dose-antibiotic-prophylaxis-to-prevent-urinary-tract-infection-in-adults-who-perform-clean-intermittent-self-catheterisation-the-antic-rct
#5
Robert Pickard, Thomas Chadwick, Yemi Oluboyede, Catherine Brennand, Alexander von Wilamowitz-Moellendorff, Doreen McClurg, Jennifer Wilkinson, Laura Ternent, Holly Fisher, Katherine Walton, Elaine McColl, Luke Vale, Ruth Wood, Mohamed Abdel-Fattah, Paul Hilton, Mandy Fader, Simon Harrison, James Larcombe, Paul Little, Anthony Timoney, James N'Dow, Heather Armstrong, Nicola Morris, Kerry Walker, Nikesh Thiruchelvam
BACKGROUND: People carrying out clean intermittent self-catheterisation (CISC) to empty their bladder often suffer repeated urinary tract infections (UTIs). Continuous once-daily, low-dose antibiotic treatment (antibiotic prophylaxis) is commonly advised but knowledge of its effectiveness is lacking. OBJECTIVE: To assess the benefit, harms and cost-effectiveness of antibiotic prophylaxis to prevent UTIs in people who perform CISC. DESIGN: Parallel-group, open-label, patient-randomised 12-month trial of allocated intervention with 3-monthly follow-up...
May 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29766128/a-multi-decade-joinpoint-analysis-of-firearm-injury-severity
#6
Bindu Kalesan, Yi Zuo, Ziming Xuan, Michael B Siegel, Jeffrey Fagan, Charles Branas, Sandro Galea
Background: Non-fatal firearm injuries constitute approximately 70% of all firearm trauma injuries in the United States. Patterns of severity of these injuries are poorly understood. We analyzed the overall, age-, sex- and intent-specific temporal trends in the injury severity of firearm hospitalizations from 1993 to 2014. Methods: We assessed temporal trends in the severity of patients hospitalized for firearm using Nationwide Inpatient Sample (NIS) data over a 22 year period...
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/29763434/ibuprofen-versus-pivmecillinam-for-uncomplicated-urinary-tract-infection-in-women-a-double-blind-randomized-non-inferiority-trial
#7
Ingvild Vik, Marianne Bollestad, Nils Grude, Anders Bærheim, Eivind Damsgaard, Thomas Neumark, Lars Bjerrum, Gloria Cordoba, Inge Christoffer Olsen, Morten Lindbæk
BACKGROUND: Although uncomplicated urinary tract infections (UTIs) are often self-limiting, most patients will be prescribed antibiotic treatment. We assessed whether treatment with ibuprofen was non-inferior to pivmecillinam in achieving symptomatic resolution by day 4, with a non-inferiority margin of 10%. METHODS AND FINDINGS: This was a randomized, controlled, double-blind non-inferiority trial. We recruited patients from 16 sites in a general practice setting in Norway, Sweden, and Denmark...
May 2018: PLoS Medicine
https://www.readbyqxmd.com/read/29730615/how-does-exercise-dose-affect-patients-with-long-term-osteoarthritis-of-the-knee-a-study-protocol-of-a-randomised-controlled-trial-in-sweden-and-norway-the-swenor-study
#8
Tom Arild Torstensen, Wilhelmus J A Grooten, Håvard Østerås, Annette Heijne, Karin Harms-Ringdahl, Björn Olov Äng
INTRODUCTION: Osteoarthritis (OA) of the knee is characterised by knee pain, disability and degenerative changes, and places a burden on societies all over the world. Exercise therapy is an often-used modality, but there is little evidence of what type of exercise dose is the most effective, indicating a need for controlled studies of the effect of different dosages. Thus, the aim of the study described in this protocol is to evaluate the effects of high-dose versus low-dose medical exercise therapy (MET) in patients with knee OA...
May 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29729771/in-harm-s-way-unintentional-firearm-injuries-in-young-children
#9
Andrew Nordin, Alan Coleman, Junxin Shi, Krista Wheeler, Henry Xiang, Brian Kenney
PURPOSE: Firearm-related trauma represents a major source of preventable injury and death. Many firearm injuries in young children are unintentional, and the true incidence may be underestimated. We sought to characterize the morbidity of unintentional firearm injuries. METHODS: National Trauma Data Bank data from 2007 to 2014 was obtained for patients aged 0-14 sustaining gunshot wounds (GSW). We analyzed demographics, injury severity score, hospital and ICU length of stay (LOS), ventilator days, discharge to rehab, and mortality...
May 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29674776/-anxiety-depression-and-risk-consumption-of-alcohol-in-a-sample-of-university-students
#10
Omar Enzo Santangelo, Sandro Provenzano, Alberto Firenze
AIM: The university student is vulnerable to the adverse effects of many stress factors that can lead to depressive symptoms, anxiety and alcohol abuse, causing an increase in the burden of illness in young people. The aim of the study was to measure depressive symptoms, anxiety levels, and harmful alcohol consumption within the student population of the University of Palermo. METHODS: An online questionnaire was sent by e-mail to the 8500 students enrolled in the (ERSU) Regional Office for the Right to University Study's mailing list in Palermo...
March 2018: Rivista di Psichiatria
https://www.readbyqxmd.com/read/29673896/health-beliefs-and-medication-adherence-in-black-patients-with-diabetes-and-mild-cognitive-impairment
#11
Barry W Rovner, Robin J Casten
OBJECTIVES: To evaluate determinants of medication adherence and glycemic control in black patients with diabetes and mild cognitive impairment (MCI). METHODS: Cross-sectional study of 143 participants with mean age of 68.8 (SD: 6.7) years; 66.4% were women. RESULTS: Eighty-seven participants (60.8%) self-reported medication nonadherence; they had more negative beliefs about medicines, greater diabetes-related distress, and more difficulty with daily living activities and affording medications than adherent participants...
March 23, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29669495/paediatric-mental-and-physical-health-presentations-to-emergency-departments-victoria-2008-15
#12
Harriet Hiscock, Rachel J Neely, Shaoke Lei, Gary Freed
OBJECTIVES: To identify trends in presentations to Victorian emergency departments (EDs) by children and adolescents for mental and physical health problems; to determine patient characteristics associated with these presentations; to assess the relative clinical burdens of mental and physical health presentations. DESIGN: Secondary analysis of Victorian Emergency Minimum Dataset (VEMD) data. Participants, setting: Children and young people, 0-19 years, who presented to public EDs in Victoria, 2008-09 to 2014-15...
May 7, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29627192/why-do-the-very-old-self-harm-a-qualitative-study
#13
Anne P F Wand, Carmelle Peisah, Brian Draper, Henry Brodaty
OBJECTIVES: To examine the perspectives of people aged 80 years or older who self-harmed regarding their reasons for self-harm and its consequences, and their perceptions of care. DESIGN: A qualitative study using in-depth interviews. SETTING: Participants were recruited from two teaching hospitals and associated community services. PARTICIPANTS: People aged 80 years or older who had self-harmed within the previous month...
March 15, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29589336/acute-hospital-reconfiguration-and-self-harm-presentations-a-before-and-after-study
#14
Eve Griffin, Catherine Murphy, Ivan J Perry, Brenda Lynch, Ella Arensman, Paul Corcoran
BACKGROUND: The evidence for improved patient outcomes following acute hospital reconfiguration is limited. AIMS: We assessed the impact of the reconfiguration of acute services within a hospital group in terms of the number and clinical management of self-harm presentations. METHODS: The study was conducted across the three Mid-Western regional hospitals in Ireland during 2004-2014. Reconfiguration in April 2009 involved two hospitals reducing the operation of their emergency departments (EDs) from 24 to 12 h...
March 27, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29573769/-delirium-the-7th-vital-sign
#15
REVIEW
Rita Prayce, Filipa Quaresma, Isabel Galriça Neto
INTRODUCTION: Delirium is an acute, transient and fluctuating neuropsychiatric syndrome that is common in medical wards, particularly in the geriatric and palliative care population. MATERIAL AND METHODS: We present a brief literature review of the definition, pathophysiology, aetiology, diagnosis, prevention and treatment of delirium and its social and economic impact. RESULTS AND DISCUSSION: Delirium is under-recognized, especially by health professionals, and is associated with higher morbidity, mortality and economic burden...
January 31, 2018: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/29515918/violence-against-children-in-south-africa-the-cost-of-inaction-to-society-and-the-economy
#16
REVIEW
Celia Hsiao, Deborah Fry, Catherine L Ward, Gary Ganz, Tabitha Casey, Xiaodong Zheng, Xiangming Fang
Despite the extent and magnitude of violence against children in South Africa, political and financial investments to prevent violence against children remain low. A recent costing study investigating the social burden and economic impact of violence against children in South Africa found notable reductions to mental and physical health outcomes in the population if children were prevented from experiencing violence, neglect and witnessing family violence. The results showed, among others, that drug abuse in the entire population could be reduced by up to 14% if sexual violence against children could be prevented, self-harm could be reduced by 23% in the population if children did not experience physical violence, anxiety could be reduced by 10% if children were not emotionally abused, alcohol abuse could be reduced by 14% in women if they did not experience neglect as children, and lastly, interpersonal violence in the population could be reduced by 16% if children did not witness family violence...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29495306/sharply-reduced-but-still-heavy-self-harm-burdens-in-hubei-province-china-1990-2015
#17
Jingju Pan, Lan Zhang, Yumeng Tang, Qian Li, Chuanhua Yu, Tianjing He
The aims of this study were to describe fatal and non-fatal self-harm burdens, as well as burdens from the main preventable risk factors, and to investigate the different suicide methods in Hubei province in central China utilizing data from both Global Burden of Disease Study 2015 and Hubei Disease Surveillance Points system. All self-harm burdens including mortality, years of life lost (YLLs), prevalence, years lived with disability (YLDs), and disability adjusted life-years (DALYs) consistently demonstrated downward trends in Hubei from 1990 to 2015, with a bigger decline gap observed among females and narrower decreasing amplitudes among the elderly...
February 24, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29477722/feasibility-and-safety-of-ultrasonography-guidance-and-flank-position-during-percutaneous-nephrolithotomy
#18
Seyed Hassan Inanloo, Seyed Reza Yahyazadeh, Samaneh Rashidi, Erfan Amini, Mohammad Reza Nowroozi, Mohsen Ayayti, Hassan Jamshidian, Mohammad Reza Nikoobakht, Seyed Mohammad Kazem Aghamir, Omid Hemmatian, Seyed Ali Momeni
PURPOSE: Percutaneous nephrolithotomy is generally performed using fluoroscopy, which is associated with exposure to radiation. Another drawback of fluoroscopic guided percutaneous nephrolithotomy is the prone position, which is not suitable for all patients. In this study we evaluated the feasibility, safety and efficacy of ultrasound guided percutaneous nephrolithotomy with the patient in the flank position. MATERIALS AND METHODS: A total of 603 patients with a mean ± SD age of 50...
March 1, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29476566/changing-health-behaviour-with-rehabilitation-in-thoracic-cancer-a-systematic-review-and-synthesis
#19
Joanne Bayly, Dominique Wakefield, Nilay Hepgul, Andrew Wilcock, Irene J Higginson, Matthew Maddocks
OBJECTIVES: International guidelines recommend that rehabilitation be offered to people with thoracic cancer to improve symptoms, function, and quality of life. When rehabilitation interventions require a change in behaviour, the use of theory and behaviour change techniques (BCTs) enhance participation. Our objective was to systematically identify BCTs and examine their use in relation to the Capability, Opportunity, Motivation-Behaviour model and known enablers and barriers to engagement in this population...
February 24, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29433877/self-inflicted-gunshot-wounds-readmission-patterns
#20
Charlotte M Rajasingh, Lakshika Tennakoon, Kristan L Staudenmayer
BACKGROUND: Self-inflicted gunshot wounds (SI-GSWs) are often fatal, but roughly 20% of individuals survive. What happens to survivors after the initial hospitalization is unknown. We hypothesized that the SI-GSW survivors are frequently readmitted and that the pattern of readmission is different from that of the survivors of non-GSW self-harm (SH). METHODS: We conducted a retrospective cohort analysis using the 2013 and 2014 Nationwide Readmission Database. Patients with any diagnosis indicating deliberate SH in the first 6 months of the year were included...
March 2018: Journal of Surgical Research
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