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https://www.readbyqxmd.com/read/29470813/structural-and-socio-cultural-barriers-to-prenatal-care-in-a-us-marshallese-community
#1
Britni L Ayers, Rachel S Purvis, Williamina Ioanna Bing, Jellesen Rubon-Chutaro, Nicola L Hawley, Rebecca Delafield, Ingrid K Adams, Pearl Anna McElfish
Objectives Pacific Islanders are disproportionately burdened by poorer perinatal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care. The aim of this study is to examine Marshallese mothers' beliefs, perceptions, and experiences of prenatal care and to identify potential barriers. Methods Three focus groups were conducted with Marshallese mothers, who were 18 years or older, and living in Arkansas. Focus groups focused on mothers' beliefs, perceptions, and experiences of prenatal care...
February 22, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29467790/classification-of-autism-spectrum-disorder-using-random-support-vector-machine-cluster
#2
Xia-An Bi, Yang Wang, Qing Shu, Qi Sun, Qian Xu
Autism spectrum disorder (ASD) is mainly reflected in the communication and language barriers, difficulties in social communication, and it is a kind of neurological developmental disorder. Most researches have used the machine learning method to classify patients and normal controls, among which support vector machines (SVM) are widely employed. But the classification accuracy of SVM is usually low, due to the usage of a single SVM as classifier. Thus, we used multiple SVMs to classify ASD patients and typical controls (TC)...
2018: Frontiers in Genetics
https://www.readbyqxmd.com/read/29467037/strategies-for-successful-trauma-registry-implementation-in-low-and-middle-income-countries-protocol-for-a-systematic-review
#3
Tiffany Paradis, Etienne St-Louis, Tara Landry, Dan Poenaru
BACKGROUND: The benefits of trauma registries have been well described. The crucial data they provide may guide injury prevention strategies, inform resource allocation, and support advocacy and policy. This has been shown to reduce trauma-related mortality in various settings. Trauma remains a leading cause of mortality in low- and middle-income countries (LMICs). However, the implementation of trauma registries in LMICs can be challenging due to lack of funding, specialized personnel, and infrastructure...
February 21, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29466913/screening-for-cognitive-impairment-in-sle-using-the-self-administered-gerocognitive-exam
#4
A Meara, N Davidson, H Steigelman, S Zhao, G Brock, W N Jarjour, B H Rovin, H Madhoun, S Parikh, L Hebert, I Ayoub, S P Ardoin
Objective Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease that can affect the central nervous system in multiple ways, including causing cognitive dysfunction. Cognitive dysfunction is a common complaint of SLE patients yet diagnosis is challenging, time consuming, and costly. This study evaluated the Self-Administered Gerocognitive Exam (SAGE) as a screening test for cognitive impairment in a cohort of SLE patients. Methods A total of 118 SLE patients completed the SAGE. Providers completed the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) and the Systemic Lupus International Collaborative Clinics Damage Index (SLICC-DI)...
January 1, 2018: Lupus
https://www.readbyqxmd.com/read/29463964/culturally-sensitive-chiropractic-care-of-the-transgender-community-a-narrative-review-of-the-literature
#5
REVIEW
Michele J Maiers, William K Foshee, Heidi Henson Dunlap
Objectives: Transgender individuals commonly experience barriers to quality health care and may suffer from unique musculoskeletal complaints. Although these needs are often inadequately addressed within the health care system, they could be attended to by the chiropractic community. This narrative review describes best practices for delivering culturally sensitive care to transgender patients within the context of chiropractic offices. Methods: A literature search generated peer-reviewed material on culturally competent care of the transgender community...
December 2017: Journal of Chiropractic Humanities
https://www.readbyqxmd.com/read/29461138/enablers-and-barriers-to-the-development-of-interprofessional-collaboration-between-physicians-and-osteopaths-a-mixed-methods-study
#6
Chantal Morin, Johanne Desrosiers, Isabelle Gaboury
Osteopathy is a complementary and alternative medicine (CAM) that is growing in popularity. Increasing numbers of parents are seeking pediatric osteopathic care in addition to conventional medical care. Information about the development of interprofessional collaboration (IPC) between these practitioners is scarce. This explanatory sequential mixed methods study aimed to explore enablers of and barriers to the development of IPC between physicians and osteopaths involved with pediatric patients in primary care in Quebec, Canada...
February 20, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29456356/the-current-state-of-rural-neurosurgical-practice-an-international-perspective
#7
REVIEW
Pavan S Upadhyayula, John K Yue, Jason Yang, Harjus S Birk, Joseph D Ciacci
Introduction: Rural and low-resource areas have diminished capacity to care for neurosurgical patients due to lack of infrastructure, healthcare investment, and training programs. This review summarizes the range of rural neurosurgical procedures, novel mechanisms for delivering care, rapid training programs, and outcome differences across international rural neurosurgical practice. Methods: A comprehensive literature search was performed for English language manuscripts with keywords "rural" and "neurosurgery" using the National Library of Medicine PubMed database (01/1971-06/2017)...
January 2018: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/29455680/emergency-medical-service-ems-utilization-by-syrian-refugees-residing-in-ankara-turkey
#8
Ali Osman Altıner, Sıdıka Tekeli Yeşil
Introduction Many Syrians have left their country and migrated to other countries since March 2011, due to the civil war. As of March 2016, a total of 2,747,946 Syrian refugees had immigrated to Turkey. Some Syrian refugees have been living in camps, while 2,475,134 have been living in metropolitan areas, such as Ankara. Study Objective This study investigated Emergency Medical Service (EMS) utilization among Syrian refugees residing in Ankara. METHODS: This study was a descriptive, cross-sectional database analysis using data obtained from the Department of EMS of the Ankara Provincial Health Directorate...
February 19, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29454323/autonomy-and-infant-feeding-decision-making-among-teenage-mothers-in-a-rural-and-urban-setting-in-kwazulu-natal-south-africa
#9
Ngcwalisa Amanda Jama, Aurene Wilford, Lyn Haskins, Anna Coutsoudis, Lenore Spies, Christiane Horwood
BACKGROUND: The nutritional status of infants born to teenage mothers can be sub-optimal compared to those born to older mothers. One contributing factor is inappropriate feeding practices adopted by teenage mothers. Little is known about how infant feeding decisions are made among teenage mothers, particularly in under resourced settings. In this study we prospectively explored autonomy and infant feeding decision-making among teenage mothers in a rural and urban setting in KwaZulu-Natal, South Africa...
February 17, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29451100/ethnographic-analysis-of-communication-and-the-deaf-community-s-rights-in-the-clinical-context
#10
Dolors Rodríguez-Martín, Catalina Rodríguez-García, Anna Marta Falcó-Pegueroles
ABSTRAT Blackground: Communication is a key factor in people's interaction with the health system. In the case of Deaf Community -deaf sign language users- healthcare interactions could be affected by communication in a society that is mainly hearing and consequently, it can also have a negative impact on health and jeopardise some of their health rights. OBJECTIVES: . The aims were (i) to know the communication access difficulties of deaf people in healthcare context and (ii) determine how these difficulties violate their rights...
February 16, 2018: Contemporary Nurse
https://www.readbyqxmd.com/read/29449495/evaluation-of-self-reported-patient-experiences-insights-from-digital-patient-communities-in-psoriatic-arthritis
#11
Prashanth Sunkureddi, Stephen Doogan, John Heid, Samir Benosman, Alexis Ogdie, Layne Martin, Jacqueline B Palmer
OBJECTIVE: To evaluate the types of experiences and treatment access challenges of patients with psoriatic arthritis (PsA) using self-reported online narratives. METHODS: English-language patient narratives reported between January 2010 and May 2016 were collected from 31 online sources (general health social networking sites, disease-focused patient forums, treatment reviews, general health forums, mainstream social media sites) for analysis of functional impairment and 40 online sources for assessment of barriers to treatment...
February 15, 2018: Journal of Rheumatology
https://www.readbyqxmd.com/read/29449162/is-video-based-education-an-effective-method-in-surgical-education-a-systematic-review
#12
Akgul Ahmet, Kus Gamze, Mustafaoglu Rustem, Karaborklu Argut Sezen
OBJECTIVE: Visual signs draw more attention during the learning process. Video is one of the most effective tool including a lot of visual cues. This systematic review set out to explore the influence of video in surgical education. We reviewed the current evidence for the video-based surgical education methods, discuss the advantages and disadvantages on the teaching of technical and nontechnical surgical skills. METHODS: This systematic review was conducted according to the guidelines defined in the preferred reporting items for systematic reviews and meta-analyses statement...
February 12, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29448812/a-qualitative-examination-of-parent-engagement-in-a-family-based-childhood-obesity-program
#13
Emily A Schmied, Emmeline Chuang, Hala Madanat, Jamie Moody, Leticia Ibarra, Kenia Ortiz, Karla Macias, Guadalupe X Ayala
Low parent engagement is frequently identified as a barrier to effective implementation of family-based childhood obesity prevention and control programs. A more nuanced understanding of factors affecting parent engagement is important for improving implementation and, ultimately, program efficacy. This qualitative study examined factors influencing parent engagement in a family-based childhood obesity prevention and control program. Semistructured interviews informed by the health belief model and the transtheoretical model were conducted with 22 predominantly Latina mothers following the scheduled conclusion of program activities...
February 1, 2018: Health Promotion Practice
https://www.readbyqxmd.com/read/29444583/barriers-to-a-healthy-lifestyle-for-three-to-four-year-old-children-of-australian-born-and-overseas-born-mothers-with-post-gestational-diabetes-an-australian-qualitative-study
#14
Tehzeeb Zulfiqar, Christopher J Nolan, Cathy Banwell, Rosemary Young, Lynelle Boisseau, Martha Ingle, Fiona E Lithander
Children of mothers affected by gestational diabetes mellitus (GDM) are at higher risk of long-term cardio-metabolic diseases. We explore the diet and physical activity knowledge and practices of Australian-born and overseas-born mothers with GDM history, for their three- to four-year-old children following antenatal health promotion education at a tertiary hospital. We conducted face-to-face, semi-structured interviews with 8 Australian-born and 15 overseas-born mothers with a history of GDM. Findings indicated that mothers of both groups were unaware of the increased health risks of their GDM for their children and could not recall receiving specific dietary or physical activity advice aimed at future child health...
January 1, 2018: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/29439194/quality-of-life-is-poorer-for-patients-with-stroke-who-require-an-interpreter-an-observational-australian-registry-study
#15
Monique F Kilkenny, Natasha A Lannin, Craig S Anderson, Helen M Dewey, Joosup Kim, Karen Barclay-Moss, Chris Levi, Steven Faux, Kelvin Hill, Brenda Grabsch, Sandy Middleton, Amanda G Thrift, Rohan Grimley, Geoffrey Donnan, Dominique A Cadilhac
BACKGROUND AND PURPOSE: In multicultural Australia, some patients with stroke cannot fully understand, or speak, English. Language barriers may reduce quality of care and consequent outcomes after stroke, yet little has been reported empirically. METHODS: An observational study of patients with stroke or transient ischemic attack (2010-2015) captured from 45 hospitals participating in the Australian Stroke Clinical Registry. The use of interpreters in hospitals, which is routinely documented, was used as a proxy for severe language barriers...
February 9, 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29437739/a-foreign-older-diabetic-woman-with-an-acute-myocardial-infarction-when-cognitive-biases-in-clinical-decision-making-become-especially-important
#16
Mathias Schlögl, Daniel Hofmänner, Robert Manka, Dagmar I Keller
We present a case of an 80-year-old Turkish female patient with diabetes who suffered an acute myocardial infarction (AMI) and underwent percutaneous coronary balloon angioplasty (PTCA)/stenting. Due to new ischaemic episodes, a second PTCA/stenting had to be preformed 6 days later, which revealed a partial restent thrombosis. This case report raises several important issues. First, language problems are an important barrier for safety and quality in healthcare. Second, gender, ethnicity and age differences in patients with AMI need to be considered in order to eliminate inequities in clinical practice...
February 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29434175/can-hybrid-educational-activities-of-team-and-problem-based-learning-program-be-effective-for-japanese-medical-students
#17
Kentaro Iwata, Asako Doi
BACKGROUND: The purpose of this study is to investigate the medical students'perceptions of the Hybrid Educational Activities between team based learning (TBL) and problem based learning (PBL) Program (HEATAPP), a novel educational program that combines characteristics of PBL and TBL. METHODS: A five-day HEATAPP on infectious diseases was provided to 4th year medical students at Kobe University School of Medicine, Kobe, Japan. After the program, a focus group discussion was held among 6 medical students who participated in HEATAPP...
November 10, 2017: Kobe Journal of Medical Sciences
https://www.readbyqxmd.com/read/29433362/the-icf-has-made-a-difference-to-functioning-and-disability-measurement-and-statistics
#18
Rosamond H Madden, Anita Bundy
AIMS: Fifteen years after the publication of the International Classification of Functioning, Disability and Health (ICF), we investigated: How ICF applications align with ICF aims, contents and principles, and how the ICF has been used to improve measurement of functioning and related statistics. METHODS: In a scoping review, we investigated research published 2001-2015 relating to measurement and statistics for evidence of: a change in thinking; alignment of applications with ICF specifications and philosophy; and the emergence of new knowledge...
February 12, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29426344/implementation-strategies-to-improve-cervical-cancer-prevention-in-sub-saharan-africa-a-systematic-review
#19
REVIEW
Lauren G Johnson, Allison Armstrong, Caroline M Joyce, Anne M Teitelman, Alison M Buttenheim
BACKGROUND: Developed countries, such as the USA, have achieved significant decreases in cervical cancer burden since the introduction of Pap smear-based programs in the 1960s. Due to implementation barriers and limited resources, many countries in sub-Saharan Africa (SSA) have been unable to attain such reductions. The purpose of this review is to evaluate implementation strategies used to improve the uptake and sustainability of cervical cancer prevention programs in SSA. METHODS: A reviewer (LJ) independently searched PubMed, Ovid/MEDLINE, Scopus, and Web of Science databases for relevant articles with the following search limits: English language, peer reviewed, and published between 1996 and 2017...
February 9, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29417703/factors-associated-with-intention-of-israeli-born-women-and-immigrant-women-from-the-former-soviet-union-to-take-folic-acid-before-and-during-pregnancy
#20
Merav Ben Natan, Alina Brandin Rimkus, Anna Tseytlin Eryomine
AIM: Folic acid supplementation before and during pregnancy decreases rates of neural tube defects. However, many women fail to adhere to folic acid supplementation recommendations. This study explored factors associated with women's intention to take folic acid before and during pregnancy, using the Theory of Planned Behaviour, with an emphasis on differences between Israeli-born women and immigrant women from the Former Soviet Union. METHODS: In this cross-sectional study, 100 Israeli born-women and 100 women from the Former Soviet Union of childbearing age completed a questionnaire, based on the Theory of Planned Behaviour...
February 7, 2018: International Journal of Nursing Practice
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