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https://www.readbyqxmd.com/read/29652165/exploring-the-predictors-of-emergency-department-triage-acuity-assignment-in-patients-with-sepsis
#1
Leon Petruniak, Maher El-Masri, Susan Fox-Wasylyshyn
Background and purpose Evidence suggests that septic patients, who require prompt medical attention, may be undertriaged, resulting in delayed treatment. The purpose of this study was to examine patient and contextual variables that contribute to high- versus low-acuity triage classification of patients with sepsis. Methods Data were abstracted from the medical records of 154 adult patients with sepsis admitted to hospital through a Canadian Emergency Department. Logistic regression was used to explore the predictors of triage classification...
January 1, 2018: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29649039/barriers-to-rehabilitation-care-in-pediatric-cochlear-implant-recipients
#2
Bryce Noblitt, Kristan P Alfonso, Margaret Adkins, Matthew L Bush
OBJECTIVE: The purpose of this study was to assess barriers to rehabilitation care for pediatric cochlear implant (CI) recipients. STUDY DESIGN: Cross-sectional questionnaire study. SETTING: Tertiary medical center. PATIENTS: Parents of children who received a CI from October 1996 to June 2013. MAIN OUTCOME MEASURE(S): Factors related to access to and barriers in audiology and speech therapy services, factors related to CI use, and performance with CI using the Parents' Evaluation of Aural/Oral Performance of Children (PEACH)...
April 11, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29642898/enablers-and-barriers-for-women-with-gestational-diabetes-mellitus-to-achieve-optimal-glycaemic-control-a-qualitative-study-using-the-theoretical-domains-framework
#3
Ruth Martis, Julie Brown, Judith McAra-Couper, Caroline A Crowther
BACKGROUND: Glycaemic target recommendations vary widely between international professional organisations for women with gestational diabetes mellitus (GDM). Some studies have reported women's experiences of having GDM, but little is known how this relates to their glycaemic targets. The aim of this study was to identify enablers and barriers for women with GDM to achieve optimal glycaemic control. METHODS: Women with GDM were recruited from two large, geographically different, hospitals in New Zealand to participate in a semi-structured interview to explore their views and experiences focusing on enablers and barriers to achieving optimal glycaemic control...
April 11, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29629476/health-and-health-care-access-for-syrian-refugees-living-in-%C3%A4-stanbul
#4
Perihan Torun, Meltem Mücaz Karaaslan, Büşra Sandıklı, Ceyda Acar, Ellyn Shurtleff, Sophia Dhrolia, Bülent Herek
OBJECTIVES: The study was conducted to assess the health needs of urban refugees living in İstanbul. METHODS: A mixed methods approach was adopted to interview Syrian women from households, doctors, decision makers and NGO representatives. The data were collected between June and October 2015. RESULTS: The main challenges were the cost of living in İstanbul, increased rent and language barrier. Almost half (49.6%) of the interviewed women did not know about free health care rights for Syrians...
April 9, 2018: International Journal of Public Health
https://www.readbyqxmd.com/read/29622778/disparities-in-nicu-quality-of-care-a-qualitative-study-of-family-and-clinician-accounts
#5
Krista Sigurdson, Christine Morton, Briana Mitchell, Jochen Profit
OBJECTIVE: To identify how family advocates and clinicians describe disparities in NICU quality of care in narrative accounts. STUDY DESIGN: Qualitative analysis of a survey requesting disparity stories at the 2016 VON Quality Congress. Accounts (324) were from a sample of RNs (n = 114, 35%), MDs (n = 109, 34%), NNPs (n = 55, 17%), RN other (n = 4, 1%), clinical other (n = 25, 7%), family advocates (n = 16, 5%), and unspecified (n = 1, <1%)...
April 5, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29621797/curriculum-based-language-interventions-what-who-why-where-and-how
#6
Ashley Bourque Meaux, Janet A Norris
Purpose: School-based speech-language pathologists (SLPs) have been asked to be contributors to the educational curriculum (American Speech-Language-Hearing Association, 2010). The aim of this tutorial is to provide elementary school-based SLPs with a guide to explore curriculum-based language interventions (CBLIs) in their practices. Method: In this tutorial, the authors (a) describe CBLI, (b) review the existing literature available to guide this type of practice in elementary school, (c) provide examples of how we have explored CBLIs, and (d) discuss the existing barriers for implementing CBLIs in schools...
April 5, 2018: Language, Speech, and Hearing Services in Schools
https://www.readbyqxmd.com/read/29618276/perceived-barriers-to-managing-medications-and-solutions-to-barriers-suggested-by-bhutanese-former-refugees-and-service-providers
#7
Linda Murray, Shandell Elmer, Jennifer Elkhair
INTRODUCTION: The purpose of this study was to explore perceived barriers to managing medications and potential solutions to such barriers among Bhutanese former refugees and service providers in Tasmania, Australia. METHOD: Thirty Bhutanese former refugees and service providers recruited through community health programs participated in a community-based participatory research design. Data were elicited through a structured focus group process and analyzed using content analysis...
April 1, 2018: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
https://www.readbyqxmd.com/read/29610006/-type-3-gaucher-disease-also-an-adult-disease
#8
A Leurs, A Chepy, C Detonellaere, L Pascal, P Gallois, T-A-C Tran, C Caillaud, P-Y Hatron, C Rose
INTRODUCTION: Gaucher disease is a genetic lysosomal storage disorder due to a glucocerebrosidase deficiency. Type 3, including neurological impairment, may have a specific phenotype in the context of the D409H mutation. OBSERVATION: We report the case of a 22-year-old woman who presented with Gaucher disease. Enzyme replacement therapy by imiglucerase was followed by rapid clinical and biological improvement. However, communication difficulties, which were initially attributed to the language barrier, revealed neurological impairment...
March 30, 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29609547/health-professional-perceptions-regarding-screening-tools-for-developmental-surveillance-for-children-in-a-multicultural-part-of-sydney-australia
#9
Pankaj Garg, My Trinh Ha, John Eastwood, Susan Harvey, Sue Woolfenden, Elisabeth Murphy, Cheryl Dissanayake, Katrina Williams, Bin Jalaludin, Anne McKenzie, Stewart Einfeld, Natalie Silove, Kate Short, Valsamma Eapen
BACKGROUND: Encouraging early child development and the early identification of developmental difficulties is a priority. The Ministry of Health in the Australian State of New South Wales (NSW), has recommended a program of developmental surveillance using validated screening questionnaires, namely, the Parents' Evaluation of Development Status (PEDS) and Ages and Stages Questionnaire (ASQs), however, the use of these tools has remained sub-optimal. A longitudinal prospective birth cohort "Watch Me grow" study was carried out in the South Western Sydney (SW) region of NSW to ascertain the uptake as well as the strategies and the resources required to maximise engagement in the surveillance program...
April 2, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29609219/assessing-school-wellness-policies-and-identifying-priorities-for-action-results-of-a-bi-state-evaluation
#10
Susan P Harvey, Deborah Markenson, Cheryl A Gibson
BACKGROUND: Obesity is a complex health problem affecting more than one-third of school-aged youth. The increasing obesity rates in Kansas and Missouri has been particularly concerning, with efforts being made to improve student health through the implementation of school wellness policies (SWPs). The primary purpose of this study was to conduct a rigorous assessment of SWPs in the bi-state region. METHODS: SWPs were collected from 46 school districts. The Wellness School Assessment Tool (WellSAT) was used to assess comprehensiveness and strength...
May 2018: Journal of School Health
https://www.readbyqxmd.com/read/29608738/improving-access-and-provision-of-pre-travel-healthcare-for-travellers-visiting-friends-and-relatives-a-review-of-the-evidence
#11
Anita E Heywood, Nicholas Zwar
Background: Travellers visiting friends and relatives (VFR travellers) in their country of origin are at increased risk of a range of preventable infections. Risks are broadly related to circumstances of travel, risk misconceptions and access to health services. Despite nearly two decades of literature highlighting these increased risks little impact has been made on their risk disparity. Methods: This review draws on evidence from travel medicine literature, supplemented by evidence from the broader field of immigrant health, and is structured to include strategies that aim to reduce barriers at the patient, provider and health system level...
January 1, 2018: Journal of Travel Medicine
https://www.readbyqxmd.com/read/29605055/disparities-in-genetics-assessment-for-women-with-ovarian-cancer-can-we-do-better
#12
Erica Manrriquez, Jocelyn S Chapman, Julie Mak, Amie M Blanco, Lee-May Chen
OBJECTIVE: We sought to characterize referral patterns for genetic counseling for women with ovarian cancer and hypothesized that differences in referral and testing rates are shaped by socioeconomic factors. METHODS: Patients were identified by pathology reports from August 2012 to January 2016 containing the words "serous" or "ovarian." Patient information was obtained via electronic medical record. Primary outcomes were placement of a genetics referral and completion of counseling...
April 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29603847/inclusion-of-non-english-speaking-patients-in-research-a-single-institution-experience
#13
Rachel Bernier, Erin Halpin, Steven J Staffa, Lindsey Benson, James A DiNardo, Viviane G Nasr
BACKGROUND: Considering the recent increase in medical care provided to patients from foreign countries and the diversity of languages spoken by families living within the United States, it is important to determine whether non-English-speaking patients have access to participate in clinical research from which they may benefit. AIMS: We aimed to determine the number of non-English-speaking patients presenting to Boston Children's Hospital for medical care between 2011 and 2016, the number of clinical research protocols active within the Department of Anesthesiology, Critical Care and Pain Medicine approved to enroll non-English-speaking patients, as well as the number of both non-English- and English-speaking patients approached and enrolled in these studies...
March 30, 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29603075/promoting-colorectal-cancer-screening-in-foreign-born-chinese-american-women-does-racial-ethnic-and-language-concordance-matter
#14
Karen Kim, Michal Quinn, Helen Lam
Chinese Americans are one of the fastest-growing and largest Asian-American subgroups. Approximately 70% of Chinese Americans are immigrants with 46% being of limited English proficiency. Despite colorectal cancer (CRC) being the second leading cause of cancer death in Chinese Americans, Chinese Americans have lower CRC screening rates than other Asian subgroups, and only 40% of CRC cases among Chinese Americans are diagnosed early. Furthermore, CRC is the second most common cancer among Chinese American women...
March 30, 2018: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/29601374/user-centered-development-of-a-decision-aid-for-patients-facing-implantable-cardioverter-defibrillator-replacement-a-mixed-methods-study
#15
Krystina B Lewis, David Birnie, Sandra L Carroll, Lorraine Clark, Freya Kelly, Paul Gibson, Lloyd Rockburn, Louise Rockburn, Dawn Stacey
BACKGROUND: Because of battery depletion, an implantable cardioverter-defibrillator (ICD) generator requires surgical replacement every 5 to 7 years. Routine replacement is the norm without discussion with patients about whether or not to proceed. OBJECTIVE: The aim of this study was to develop a patient decision aid (PDA) for patients facing ICD replacement and plan for its implementation. METHODS: An embedded mixed-methods study was conducted using questionnaires and semistructured interviews focused on current ICD replacement practices; PDA acceptability, usability, and content; and PDA implementation...
March 29, 2018: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29596495/assessing-the-influence-of-health-systems-on-type-2-diabetes-mellitus-awareness-treatment-adherence-and-control-a-systematic-review
#16
Suan Ee Ong, Joel Jun Kai Koh, Sue-Anne Ee Shiow Toh, Kee Seng Chia, Dina Balabanova, Martin McKee, Pablo Perel, Helena Legido-Quigley
BACKGROUND: Type 2 Diabetes Mellitus (T2DM) is reported to affect one in 11 adults worldwide, with over 80% of T2DM patients residing in low-to-middle-income countries. Health systems play an integral role in responding to this increasing global prevalence, and are key to ensuring effective diabetes management. We conducted a systematic review to examine the health system-level factors influencing T2DM awareness, treatment, adherence, and control. METHODS AND FINDINGS: A protocol for this study was published on the PROSPERO international prospective register of systematic reviews (PROSPERO 2016: CRD42016048185)...
2018: PloS One
https://www.readbyqxmd.com/read/29596145/strategies-for-overcoming-language-barriers-in-healthcare
#17
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Nursing Management
https://www.readbyqxmd.com/read/29582641/factors-affecting-uptake-of-cervical-cancer-screening-among-african-women-in-klang-valley-malaysia
#18
Cecilia Chinemerem Nwabichie, Rosliza Abdul Manaf, Suriani Binti Ismail
Introduction: Cervical cancer is a health concern among women worldwide, presently ranking as the second to fourth common cancer type among women in different parts of the world. Human papillomaviruses (HPV) 16 and 18 are the main causative agents of cervical cancer. However, prevention is possible with early and regular cervical cancer screening. Objective: This study aimed to identify the cervical cancer screening practices and factors affecting the screening status of African immigrant women attending selected church services in Klang Valley, Malaysia...
March 27, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/29578989/our-journal-unites-us-global-responsibilities-and-possibilities-for-pediatric-physical-therapy
#19
Ann F Van Sant
PURPOSE: This article was designed to describe personal and social responsibilities for strengthening the science of pediatric physical therapy and effective international research collaboration and communication. KEY POINTS: Common flaws in research design and analysis are reviewed with recommendations for developing research students' design and analytical skills. Our social responsibility to be informed by global knowledge is highlighted. Barriers to scientific collaboration and communication including international disparities in scientific development and language barriers are presented...
April 2018: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/29578353/barriers-to-diabetes-awareness-and-self-help-are-influenced-by-people-s-demographics-perspectives-of-south-asians-with-type-2-diabetes
#20
Shahina Pardhan, Georgina Nakafero, Rajiv Raman, Raju Sapkota
AIM: To determine whether barriers to diabetes awareness and self-help differ in South Asian participants of different demographic characteristics (age, gender, and literacy) with type 2 diabetes living in the United Kingdom. METHODS: Six focus group discussions (FGDs) were carried out in patients who were categorized according to age (30-60 years, ≥60 years), gender (male, female) and literacy status (literate, illiterate). Data were analysed following the iterative process of thematic analysis techniques...
March 26, 2018: Ethnicity & Health
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