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https://www.readbyqxmd.com/read/29140737/older-americans-were-sicker-and-faced-more-financial-barriers-to-health-care-than-counterparts-in-other-countries
#1
Robin Osborn, Michelle M Doty, Donald Moulds, Dana O Sarnak, Arnav Shah
High-income countries are grappling with the challenge of caring for aging populations, many of whose members have chronic illnesses and declining capacity to manage activities of daily living. The 2017 Commonwealth Fund International Health Policy Survey of Older Adults in eleven countries showed that US seniors were sicker than their counterparts in other countries and, despite universal coverage under Medicare, faced more financial barriers to health care. The survey's findings also highlight economic hardship and mental health problems that may affect older adults' health, use of care, and outcomes...
November 15, 2017: Health Affairs
https://www.readbyqxmd.com/read/29139313/body-image-quality-of-life-and-psychological-distress-a-comparison-between-kidney-transplant-patients-and-a-matching-healthy-sample
#2
Yaron Yagil, Shulamit Geller, Sigal Levy, Yael Sidi, Shiri Aharoni
The purpose of the current study was to assess the uniqueness of the condition of kidney transplant recipients in comparison to a sample of matching healthy peers in relation to body-image dissatisfaction and identification, quality of life and psychological distress. Participants were 45 kidney transplant recipients who were under follow-up care at a Transplant Unit of a major Medical Center, and a sample of 45 matching healthy peers. Measures were taken using self-report questionnaires [Body-Image Ideals Questionnaire (BIIQ), Body Identification Questionnaire (BIQ), Brief Symptoms Inventory (BSI), and the SF-12]...
November 15, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/29137878/integration-of-medicare-and-medicaid-for-dually-eligible-beneficiaries-a-focus-group-study-examining-beneficiaries-early-experiences-in-california-s-dual-financial-alignment-demonstration
#3
Carrie L Graham, Holly C Stewart, Elaine Kurtovich, Pi-Ju Liu
BACKGROUND: In 2014 California implemented a federal dual alignment demonstration that used a capitated managed care health plans called Cal MediConnect (CMC) to integrate medical care and long term services and supports (LTSS) for beneficiaries with both Medicare and Medicaid. These beneficiaries often have complex care needs, including multiple chronic conditions and disabilities. By 2016, 120,000 eligible beneficiaries were enrolled in the program. OBJECTIVES: Focus groups with enrolled beneficiaries were conducted to gather rich data about their early experiences with quality of care, access to care, and coordination of care in CMC plans and to identify recommendations for program improvement...
July 21, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/29134046/relationships-between-physical-activity-levels-self-identity-body-dissatisfaction-and-motivation-among-spanish-high-school-students
#4
Pedro Antonio Sánchez-Miguel, Francisco Miguel Leo, Diana Amado, Juan José Pulido, David Sánchez-Oliva
The aim of this study was to examine the relationships between gender and the educational grade on the one hand, and physical activity levels, motivation, self-identity, body dissatisfaction, the intention to be physically active and daily sitting time on the other, in a sample of Spanish high school adolescents. The sample consisted of 2087 Spanish students from the 3rd (n = 1141) and 4th grade (n = 946), both male (n = 1046) and female (n = 1041), ranging in age from 15 to 17 years old (M = 15.42; SD = .86)...
October 2017: Journal of Human Kinetics
https://www.readbyqxmd.com/read/29131384/extent-and-consequences-of-inadequate-disease-control-among-adults-with-a-history-of-moderate-to-severe-atopic-dermatitis
#5
Wenhui Wei, Peter Anderson, Abhijit Gadkari, Stuart Blackburn, Rachel Moon, James Piercy, Shashank Shinde, Jorge Gomez, Eric Ghorayeb
Since control of atopic dermatitis (AD) remains challenging but has not been adequately characterized, the objective of this study was to characterize disease control among patients with a history of moderate to severe AD. Data were from the 2014 Adelphi US AD Disease Specific Programme, a cross-sectional survey of physicians (n = 202) and their patients with history of moderate to severe AD (n = 1064, 54% female, 75% white, mean age 40 years). Inadequately controlled AD as rated by the physician was defined as currently flaring; deteriorating/changeable AD; or physician dissatisfaction with current control...
November 13, 2017: Journal of Dermatology
https://www.readbyqxmd.com/read/29130700/-dissatisfaction-with-body-image-and-its-relation-to-nutritional-status-cardiometabolic-risk-and-cardiorespiratory-capacity-in-public-school-children
#6
Pedro Antonio Delgado Floody, Cristian Martínez Salazar, Felipe Caamaño Navarrete, Daniel Jerez Mayorga, Aldo Osorio Poblete, Felipe García Pinillos, Pedro Latorre Román
INTRODUCTION: The increase in abdominal fat and excess weight are related to dissatisfaction with body image, which nowadays is highly prevalent nationally and internationally. AIM: The purpose of the study was to relate dissatisfaction levels to body image, nutritional status, cardiometabolic risk and cardiorespiratory capacity in pre-adolescent students. MATERIAL AND METHODS: Three hundred and thirty-nine students participated in the study, 165 girls (11...
October 24, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29129956/relationship-between-provider-stigma-and-predictors-of-staff-turnover-among-addiction-treatment-providers
#7
Magdalena Kulesza, Sarah B Hunter, Amy L Shearer, Marika Booth
To further our knowledge about feasible targets for improving quality of addiction treatment services, the current study provides preliminary assessment of the relationship between provider stigma and indicators of staff turnover. As predicted, results suggest that higher provider stigma was significantly related to lower ratings of job satisfaction and workplace climate. However, provider stigma was not significantly related to burnout. Our preliminary findings, if replicated, suggest the importance of considering provider stigma as a risk factor for future staff turnover and job dissatisfaction...
2017: Alcoholism Treatment Quarterly
https://www.readbyqxmd.com/read/29128876/internal-femoral-component-malrotation-in-tka-significantly-alters-tibiofemoral-kinematics
#8
Thomas J Heyse, Bilal F El-Zayat, Ronny De Corte, Yan Chevalier, Susanne Fuchs-Winkelmann, Luc Labey
PURPOSE: Femoral component malrotation in total knee arthroplasty (TKA) is clinically proven to cause dissatisfaction and impaired function. This study is an attempt to characterize the tibiofemoral kinematics following femoral malrotation in posterior stabilized (PS) TKA. It was hypothesized that internal malrotation would introduce the most pronounced changes. METHODS: Six fresh-frozen cadaver specimens were mounted in a kinematic rig. Three motion patterns were applied with the native knee and following PS TKA (passive motion, open chain extension, and squatting) while infrared cameras recorded the trajectories of markers attached to femur and tibia...
November 11, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29128549/personality-traits-and-appearance-ideal-internalization-differential-associations-with-body-dissatisfaction-and-compulsive-exercise
#9
Shelby J Martin, Sarah E Racine
Thin-ideal internalization is a robust risk factor for body dissatisfaction and eating pathology. Conversely, athletic-ideal internalization is often unrelated to body dissatisfaction, but predicts compulsive exercise (i.e., rigid, rule-driven exercise that is continued despite adverse consequences). Distinct personality traits could relate to internalization of different appearance ideals, which may be associated with divergent eating disorder outcomes. Past research has shown that neuroticism is related to body dissatisfaction, whereas extraversion and conscientiousness have been associated with regular and problematic exercise...
November 6, 2017: Eating Behaviors
https://www.readbyqxmd.com/read/29128275/a-longitudinal-study-of-motivations-before-and-psychosexual-outcomes-after-genital-gender-confirming-surgery-in-transmen
#10
Tim C van de Grift, Garry L S Pigot, Siham Boudhan, Lian Elfering, Baudewijntje P C Kreukels, Luk A C L Gijs, Marlon E Buncamper, Müjde Özer, Wouter van der Sluis, Eric J H Meuleman, Mark-Bram Bouman, Margriet G Mullender
BACKGROUND: Genital dissatisfaction is an important reason for transmen to undergo genital gender-confirming surgery (GCS; phalloplasty or metoidioplasty). However, little is known about motives for choosing specific techniques, how transmen benefit postoperatively, and whether psychosexual outcomes improve. AIM: To evaluate motivations for and psychosexual outcomes after GCS. METHODS: A longitudinal study of 21 transmen at least 1 year after GCS was conducted...
November 8, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29127577/predictors-of-success-in-bariatric-surgery-the-role-of-bmi-and-pre-operative-comorbidities
#11
Magda Rosa Ramos da Cruz, Alcides José Branco-Filho, Marília Rizzon Zaparolli, Nathalia Farinha Wagner, José Simão de Paula Pinto, Antônio Carlos Ligocki Campos, Cesar Augusto Taconeli
BACKGROUND: This is a retrospective review of 204 patients who underwent bariatric surgery. The impact of weight regain (WR), pre-operative comorbidities and BMI values on the recurrence of comorbidities was evaluated, and an equation was elaborated to estimate BMI at 5 years of bariatric surgery. METHODS: Pre-operative data, after 1 year and after 5 years, was collected from the medical records. Descriptive analyses and bivariate hypothesis tests were performed first, and then, a generalised linear regression model with Tweedie distribution was adjusted...
November 10, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29126846/sexual-function-and-quality-of-life-in-adult-male-individuals-with-exstrophy-epispadias-complex-a-survey-of-the-german-cure-network
#12
J Traceviciute, N Zwink, E Jenetzky, H Reutter, K Hirsch, R Stein, W H Rösch, A K Ebert
OBJECTIVE: To investigate sexual function and quality of life (QoL) in adult male individuals with exstrophy-epispadias complex (EEC). Data from the German network for congenital uro-rectal malformations (CURE-Net) were used. PATIENTS AND METHODS: 51 males (≥18 years) recruited by CURE-Net between 2009 and 2012 were re-contacted per mail and asked to fill out four questionnaires including International Index of Erectile Function (IIEF-5), Cologne assessment of Erectile Dysfunction (KEED), the Short-Form 36 (SF-36) and one self-designed questionnaire about their medical history, current health status, sexual experience...
November 7, 2017: Urology
https://www.readbyqxmd.com/read/29126444/expectations-towards-participation-in-easily-accessible-pain-management-interventions-a-qualitative-study
#13
Torunn Hatlen Nøst, Aslak Steinsbekk, Liv Riseth, Ola Bratås, Kjersti Grønning
BACKGROUND: People with chronic pain use a range of healthcare services, but they also report a high degree of dissatisfaction with treatments. One reason for dissatisfaction might be participants' expectations towards treatments. The aim of this study was to explore expectations of people with chronic pain towards participation in easily accessible pain management interventions delivered in public primary care. METHODS: A qualitative study using semi-structured individual face-to-face interviews with 21 informants...
November 10, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29121488/analysis-of-facial-symmetry-after-zygomatic-bone-fracture-management
#14
Mohamad Saleh Khaqani, Fateme Tavosi, Mahdi Gholami, Hamid Reza Eftekharian, Leila Khojastepour
PURPOSE: The location of the zygomatic bone plays an important role in facial symmetry and esthetics. The aim of this study was to determine and compare the frequency of facial asymmetry in a sample of patients who had undergone treatment of unilateral zygomaticomaxillary complex (ZMC) fractures (study group) and a sample of patients without ZMC fracture (control group). MATERIALS AND METHODS: This was a retrospective controlled cross-sectional study. The primary predictor variable was the type of ZMC fracture (linear or comminuted)...
October 14, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29120776/comparative-proteomic-profiling-of-myofibrillar-proteins-in-dry-cured-ham-with-different-proteolysis-indices-and-adhesiveness
#15
M López-Pedrouso, C Pérez-Santaescolástica, D Franco, E Fulladosa, J Carballo, C Zapata, J M Lorenzo
Excessive proteolysis during dry-cured ham processing may lead to high adhesiveness and consumer dissatisfaction. The aim of this research is to identify biomarkers for proteolysis and adhesiveness. Two hundred biceps femoris porcine muscle samples from Spanish dry-cured ham were firstly evaluated for various physicochemical parameters, including their proteolysis indices and instrumental adhesiveness. Proteins of samples with extreme proteolysis indices were separated by two-dimensional electrophoresis and identified by tandem mass spectrometry (MALDI-TOF/TOF)...
April 1, 2018: Food Chemistry
https://www.readbyqxmd.com/read/29119881/anxiety-and-attitudes-towards-sex-in-women-requesting-emergency-contraception
#16
Ernesto S González-Mesa, Lorena Bueno-Cobos, Nuria Barroso-García, José C Vilches-Jiménez
We performed an observational descriptive study on 89 women who requested for emergency contraception (EC) at the emergency units of two hospitals, Virgen de la Victoria Hospital, and Regional University Hospital in Malaga between October 2016 and April 2017. Both hospitals are on the Andalusian Public Health System. We evaluated a group of socio-demographic variables and others related to the beliefs and the knowledge about EC and contraception in general, sexual behavior, Eysenck's Inventory of Attitudes to Sex (satisfaction and promiscuity factors), and State-Trait Anxiety Inventory (STAI)...
November 9, 2017: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29111811/treatment-of-limb-length-discrepancy-following-total-hip-arthroplasty
#17
Babar Kayani, Jurek Pietrzak, Matthew J Donaldson, Sujith Konan, Fares S Haddad
Limb length discrepancy is the leading cause of patient dissatisfaction following total hip arthroplasty and the most common reason for litigation in the field of orthopaedics. This article provides a systematic, stepwise approach for identifying the aetiology of limb length discrepancy following total hip arthroplasty and provides guidance on the treatment of this complication to optimize postoperative clinical and functional outcomes. This review discusses postoperative history taking, clinical examination, radiographic assessment, conservative treatment, and surgical intervention for the management of patients with established limb length discrepancy following total hip arthroplasty...
November 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29106582/effectiveness-of-community-pharmacies-in-improving-seasonal-influenza-uptake-an-evaluation-using-the-donabedian-framework
#18
Gurpreet Kaur Rai, Annette Wood
Background: Community pharmacies are now commissioned nationally in England to provide a seasonal influenza vaccination service. However, there is little evidence about the effectiveness of a pharmacy-based immunization service in improving uptake. Methods: The Donabedian framework was used to evaluate a community pharmacy service in the West Midlands from a commissioning perspective. A mixed methods approach was adopted, including provider and patient surveys, data from the national influenza vaccination returns and an electronic pharmacy data recording system...
July 5, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/29106341/the-long-term-impact-of-an-eating-disorder-prevention-program-for-professional-ballet-school-students-a-15-year-follow-up-study
#19
Rachel J Bar, Stephanie E Cassin, Michelle M Dionne
Eating disorder prevention programs have been assessed up to 3 years post-implementation; however, their impact on long-term resilience is unclear. The current study assessed disordered eating and body dissatisfaction in 116 dancers from a professional ballet school 15 or more years following their participation in an effective selective prevention program. Dancers who attended the ballet school during and following the program endorsed fewer thoughts and behaviours associated with bulimia, had lower lifetime prevalence of laxative use, and showed a trend toward lower lifetime rates of vomiting to control weight than those who attended the ballet school prior to the intervention...
October 2017: Eating Disorders
https://www.readbyqxmd.com/read/29105805/should-body-image-programs-be-inclusive-a-focus-group-study-of-college-students
#20
Anna C Ciao, Olivia C Ohls, Kevin D Pringle
OBJECTIVE: Most evidence-based body image programs for college students (e.g., the Body Project) are designed for female-only audiences, although body dissatisfaction is not limited to female-identified individuals. Furthermore, programs do not explicitly discuss diversity, although individuals with marginalized gender, racial, and sexual identities may be particularly vulnerable to body image disturbances. Making programs more inclusive may increase their disseminability. METHOD: This qualitative study examined the feasibility of adapting the Body Project for universal and inclusive use with college students...
November 6, 2017: International Journal of Eating Disorders
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