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https://www.readbyqxmd.com/read/29627192/why-do-the-very-old-self-harm-a-qualitative-study
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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 under fluoroscopy that 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 aimed to evaluate the feasibility, safety and efficacy of ultrasound-guided percutaneous nephrolithotomy in flank position. MATERIALS & METHODS: From December 2010 to July 2016, a total of 603 patients with a mean age of 50...
February 22, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29476566/changing-health-behaviour-with-rehabilitation-in-thoracic-cancer-a-systematic-review-and-synthesis
#7
Jo 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
#8
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
https://www.readbyqxmd.com/read/29416991/adolescent-health-in-urban-india
#9
REVIEW
S Ramadass, Sanjeev Kumar Gupta, Baridalyne Nongkynrih
Adolescence is the period in human growth and development that occurs after childhood and before adulthood, from ages 10 to 19 years. It is a period of dynamic brain development. During this period, adolescents learn from the social behavior and environmental surroundings of their community. Because of rapid urbanization without accounting for the basic health-care amenities, health disparities tend to arise. In this review, we have tried to describe the health profile of adolescents in urban India. Relevant articles were extracted from PubMed and related websites...
July 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29351886/self-harm-among-the-homeless-population-in-ireland-a-national-registry-based-study-of-incidence-and-associated-factors
#10
Peter Barrett, Eve Griffin, Paul Corcoran, Mary T O'Mahony, Ella Arensman
BACKGROUND: Self-harm is a strong predictor of future suicide, but little is known about self-harm among the homeless population. The study aim was to estimate the incidence of self-harm among the homeless population and to assess factors associated with self-harm. METHODS: Data on self-harm presentations to 34 hospital emergency departments in Ireland were collected by the National Self-Harm Registry Ireland (NSHRI). Index presentations between 2010 and 2014 were included for the homeless and fixed residence populations...
March 15, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29250007/how-do-stress-exposure-and-stress-regulation-relate-to-borderline-personality-disorder
#11
REVIEW
Nadège Bourvis, Aveline Aouidad, Clémence Cabelguen, David Cohen, Jean Xavier
Borderline personality disorder (BPD) is a severe and frequent disorder characterized by a pervasive pattern of instability affecting impulse control, emotional regulation, cognitive processing, self-image and interpersonal relationships. Patients' personal histories are often marked by stressful or traumatic experiences, either unique or repeated. Moreover, while clinical signs of the disorder include both chronic and acute features, acute features are mostly triggered by acute stressful situations. Such features include transient cognitive distortion, intense anger, uncontrollable impulsivity, and self-harm behavior - including suicide - and contribute to the burden of the disease...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29233804/end-user-and-implementer-experiences-of-mhealth-technologies-for-noncommunicable-chronic-disease-management-in-young-adults-systematic-review
#12
REVIEW
Helen Slater, Jared M Campbell, Jennifer N Stinson, Megan M Burley, Andrew M Briggs
BACKGROUND: Chronic noncommunicable diseases (NCDs) such as asthma, diabetes, cancer, and persistent musculoskeletal pain impose an escalating and unsustainable burden on young people, their families, and society. Exploring how mobile health (mHealth) technologies can support management for young people with NCDs is imperative. OBJECTIVE: The aim of this study was to identify, appraise, and synthesize available qualitative evidence on users' experiences of mHealth technologies for NCD management in young people...
December 12, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29202881/modifiable-lifestyle-risk-factors-for-stroke-among-a-high-risk-hypertensive-population-in-greater-kampala-uganda-a-cross-sectional-study
#13
Mark Kaddumukasa, James Kayima, Jane Nakibuuka, Carol Blixen, Elisabeth Welter, Elly Katabira, Martha Sajatovic
OBJECTIVE: To describe the modifiable lifestyle risk factors for stroke among a high risk population for stroke. Africa suffers from rapid population growth, adoption of harmful western diets, and increased prevalence of hypertension and obesity. RESULTS: A total of 440 study participants were screened and 87 individuals with hypertension plus at least one other known stroke risk factor were enrolled. The prevalence of hypertension and diabetes mellitus in the screened population was 19...
December 4, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29202423/suicide-and-self-harm-in-nepal-a-scoping-review
#14
REVIEW
Suresh Thapaliya, Pawan Sharma, Kapil Upadhyaya
BACKGROUND: Suicide and self harm behavior has become a major public health issue in recent years in Nepal. This small south Asian country was ranked 7th by suicide rate globally by the 2014 World Health Organization report with an estimated 6,840 suicides annually, or 24.9 suicides per 100,000 people. We decided to explore the epidemiology of suicidal behaviour and self harm, modes of attempt, associated risk factors and trends in specific population. METHODOLOGY: Two researchers independently reviewed 47 studies published in the US National Library of Medicine's PubMed electronic Database and Google Scholar till December 2016...
February 2018: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29146122/health-and-wellbeing-of-indigenous-adolescents-in-australia-a-systematic-synthesis-of-population-data
#15
Peter S Azzopardi, Susan M Sawyer, John B Carlin, Louisa Degenhardt, Ngiare Brown, Alex D Brown, George C Patton
BACKGROUND: Indigenous populations have high rates of disease and premature mortality. Most Indigenous communities are young, and adolescence (age 10-24 years) provides great opportunities for population health gain. However, the absence of a comprehensive account of Indigenous adolescents' health has been a barrier to effective policy. We aimed to report a national health profile for Indigenous adolescents in Australia. METHODS: We undertook a systematic synthesis of population data to report the health and wellbeing of Indigenous adolescents in Australia...
February 24, 2018: Lancet
https://www.readbyqxmd.com/read/29077863/seen-through-the-patients-eyes-safety-of-chronic-illness-care
#16
Melissa Desmedt, Mirko Petrovic, Jochen Bergs, Dominique Vandijck, Hubertus Vrijhoef, Johan Hellings, Peter Vermeir, Lieselot Cool, Ezra Dessers
Objective: Due to the increasing burden of chronic diseases, a considerable part of care delivery will continue to shift from secondary to primary care, and home care settings. Despite the growing importance of primary care, concerns about the safety of patients in hospitals have thus far driven most research in the field. Therefore, the present study sought to explore patients' perceptions and experiences of the safety of primary chronic care. Design: An observational, cross-sectional study design was applied...
November 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29063412/epilepsy-knowledge-attitude-and-practice-among-secondary-school-teachers-in-khartoum-state
#17
Mohamed A Elhassan, Amr A Alemairy, Zeinab M Amara, Abdrahman A Hamadelneel, Abbasher H Mohamed, Ahmed A Elaimeri
INTRODUCTION: Epilepsy is a continuing tendency to have seizures, i.e., a convulsion or any transient abnormal event resulting from paroxysmal cerebral neurons discharge, even if the attacks are separated by long intervals. Eighty-nine percent of the global burden of epilepsy is in developing countries. Knowledge about the disease is the cornerstone for its treatment and prevention. OBJECTIVES: The aim of this study was to assess knowledge, attitude, and practice of secondary school teachers toward epilepsy in Khartoum state, Sudan...
December 2017: Neurology and Therapy
https://www.readbyqxmd.com/read/29030324/exploring-the-therapeutic-affordances-of-self-harm-online-support-communities-an-online-survey-of-members
#18
Neil S Coulson, Emma Bullock, Karen Rodham
BACKGROUND: A growing number of online communities have been established to support those who self-harm. However, little is known about the therapeutic affordances arising from engagement with these communities and resulting outcomes. OBJECTIVE: The aim of this study was to explore the presence of therapeutic affordances as reported by members of self-harm online support communities. METHODS: In total, 94 respondents (aged 13-63 years, mean=23...
October 13, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/28993303/the-lived-experience-of-being-evaluated-for-organ-donation-focus-groups-with-living-kidney-donors
#19
Camilla S Hanson, Angelique F Ralph, Karine E Manera, John S Gill, John Kanellis, Germaine Wong, Jonathan C Craig, Jeremy R Chapman, Allison Tong
BACKGROUND AND OBJECTIVES: Comprehensive evaluations are required to safeguard voluntarism and minimize harm to living kidney donors. This process is lengthy, invasive, and emotionally challenging, with up to one fifth of potential donors opting out. We aimed to describe donors' experiences of the evaluation process. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted 14 focus groups involving 123 kidney donors who completed donation from three transplant centers (Australia and Canada)...
November 7, 2017: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/28977621/new-national-alcohol-guidelines-in-the-uk-public-awareness-understanding-and-behavioural-intentions
#20
Gillian Rosenberg, Linda Bauld, Lucie Hooper, Penny Buykx, John Holmes, Jyotsna Vohra
Background: Alcohol consumption places a significant burden on the NHS and is an important risk factor for cancer, associated with 12 800 UK cases/year. New alcohol guidelines were published in 2016, taking into account the increasing evidence of the health harms of alcohol. Methods: A survey of the UK drinker population (n = 972) was conducted 1 week before and 1 month after the release of the guidelines to capture drinking habits, guideline awareness and intended behaviour change...
September 18, 2017: Journal of Public Health
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