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https://www.readbyqxmd.com/read/28427336/protocol-for-the-home-hazards-removal-program-harp-study-a-pragmatic-randomized-clinical-trial-and-implementation-study
#1
Susan Stark, Emily Somerville, Marian Keglovits, Jane Conte, Melody Li, Yi-Ling Hu, Yan Yan
BACKGROUND: Falls remain the leading cause of injury, long-term disability, premature institutionalization, and injury-related mortality in the older adult population. Home modifications, when delivered by occupational therapists, can reduce falls among high-risk community-dwelling older adults by 39%. However, home-modification implementation is not standard practice in the United States. The goal of the Home Hazard Removal Program (HARP) study is to implement an evidence-based home modification intervention for older adults designed to reduce the incidence of falls through an aging services network...
April 20, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28424776/socially-responsible-surgery-building-recognition-and-coalition
#2
Tyler D Robinson, Thiago M Oliveira, Theresa R Timmes, Jacqueline M Mills, Nichole Starr, Matthew Fleming, Megan Janeway, Diane Haddad, Feroze Sidhwa, Ryan D Macht, Douglas F Kauffman, Tracey A Dechert
IMPORTANCE: Socially responsible surgery (SRS) integrates surgery and public health, providing a framework for research, advocacy, education, and clinical practice to address the social barriers of health that decrease surgical access and worsen surgical outcomes in underserved patient populations. These patients face disparities in both health and in health care, which can be effectively addressed by surgeons in collaboration with allied health professionals. OBJECTIVE: We reviewed the current state of surgical access and outcomes of underserved populations in American rural communities, American urban communities, and in low- and middle-income countries...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28420361/health-care-availability-quality-and-unmet-need-a-comparison-of-transgender-and-cisgender-residents-of-ontario-canada
#3
Rachel Giblon, Greta R Bauer
BACKGROUND: Evidence suggests that transgender (trans) individuals in Canada are a medically underserved population; barriers range from lack of provider knowledge on trans issues to refusal of care. This paper provides the first formal estimation of health care inequalities between trans and cisgender individuals in Ontario, Canada. METHODS: Weighted statistics from the Ontario-wide Trans PULSE Project (n = 433) were compared with age-standardized Ontario data from the Canadian Community Health Survey (n = 39,980) to produce standardized prevalence differences (SPDs)...
April 18, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28417338/accessibility-accountability-affordability-healthcare-policy-in-orthopedic-trauma
#4
REVIEW
Renee C Genova, Rachel L Box, James R Ficke
PURPOSE OF REVIEW: This review provides historical background on trauma care in the USA and summarizes contemporary trauma-related health policy issues. It is a primer for orthopedic surgeons who want to promote improvements in research, delivery, and cost reduction in trauma care. RECENT FINDINGS: As of 2010, funding for trauma research accounted for only 0.02% of all National Institutes of Health research funding. This is disproportionate to the societal burden of traumatic injury, which is the leading cause of death and disability among people aged 1 to 46 years in the USA...
April 18, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28414410/preparing-family-physicians-to-care-for-underserved-populations-a-historical-perspective
#5
Denise V Rodgers, Andrea L Wendling, George W Saba, Megan Ruth Mahoney, Joedrecka S Brown Speights
Family physicians have been involved in the care of rural and urban underserved populations since the founding of the specialty. In the early 1970s family medicine training programs specifically focused on training residents to work with the underserved were established in both urban and rural settings. Key to the success of these programs has been a specific focus on improving access to care, understanding and eliminating health disparities, cultural competency and behavioral science training that recognizes the challenges often faced by patients and families living in poor rural and urban areas of the country...
April 2017: Family Medicine
https://www.readbyqxmd.com/read/28410237/combination-therapy-in-combating-cancer
#6
REVIEW
Reza Bayat Mokhtari, Tina S Homayouni, Narges Baluch, Evgeniya Morgatskaya, Sushil Kumar, Bikul Das, Herman Yeger
Combination therapy, a treatment modality that combines two or more therapeutic agents, is a cornerstone of cancer therapy. The amalgamation of anti-cancer drugs enhances efficacy compared to the monotherapy approach because it characteristically targets key pathways with a synergistic or an additive effect. This approach potentially reduces drug-resistance, while simultaneously producing therapeutic anti-cancer benefits, such as reducing tumor growth and metastatic potential, arresting cells in cell cycle, reducing cancer stem cell populations, and inducing apoptosis...
March 30, 2017: Oncotarget
https://www.readbyqxmd.com/read/28410118/disparity-in-rates-of-hpv-infection-and-cervical-cancer-in-underserved-us-populations
#7
Asok Ranjan Karuri, Vivek Kumar Kashyap, Murali Mohan Yallapu, Nadeem Zafar, Satish K Kedia, Meena Jaggi, Subhash C Chauhan
There is a higher rate of HPV infection and cervical cancer incidence and mortality in underserved US population who reside in Appalachian mountain region compared to Northern Plains. Social and behavioral factors such as smoking and alcohol consumption are for such a high incidence. However, by and large, the reasons for these discrepancies lie in the reluctance of the underserved population to adopt preventive measures such as prophylactic Human papilloma virus (HPV) vaccines and Pap smear screening that have significantly reduced the incidence and mortality rate of cervical cancer in Caucasian women...
June 1, 2017: Frontiers in Bioscience (Scholar Edition)
https://www.readbyqxmd.com/read/28408217/could-mobile-mammography-reduce-social-and-geographic-inequalities-in-breast-cancer-screening-participation
#8
Elodie Guillaume, Ludivine Launay, Olivier Dejardin, Véronique Bouvier, Lydia Guittet, Pauline Déan, Annick Notari, Rémy De Mil, Guy Launoy
Evaluation of mobile mammography for reducing social and geographic inequalities in breast cancer screening participation. We examined the responses to first invitations to undergo breast cancer screening from 2003 to 2012 in Orne, a French department. Half of the participants could choose between screening in a radiologist's office or a mobile mammography (MM) unit. We calculated the participation rate and individual participation model according to age group, deprivation quintile and distance. Among participants receiving an MM invitation, the preference was for MM...
April 10, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28408171/evaluation-of-the-impact-of-a-residency-in-an-independent-pharmacy-in-rural-mississippi
#9
Meagan Brown, Laurie Fleming, Mary Jean Sewell, Leigh Ann Ross
OBJECTIVES: To evaluate the impact of a postgraduate year 1 (PGY1) community pharmacy residency program on clinical pharmacy service implementation and enhancement in a rural Mississippi community. SETTING: An independent rural community pharmacy in Canton, MS. PRACTICE DESCRIPTION AND INNOVATION: Delivery of clinical pharmacy services provided by PGY1 community residents 1 day a week to an underserved population during an 18-month period...
April 10, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28407068/a-successful-model-for-longitudinal-community-engaged-health-research-the-2040-partners-for-health-student-program
#10
Romany M Redman, Magdalena C Reinsvold, Anireddy Reddy, Paige E Bennett, Janine M Hoerauf, Kristina M Puls, Alida R Ovrutsky, Alexandra R Ly, Gregory White, Owetta McNeil, Janet J Meredith
Introduction.: Community-based participatory research [CBPR] is an emerging approach to collaborative research aimed at creating locally effective and sustainable interventions. The 2040 Partners for Health student program was developed as a unique model of longitudinal CBPR. Analysis of this program and its components illuminates both the challenges and the opportunities inherent in community engagement. Methods.: The program rests on a foundation of a community-based, non-profit organization and a supportive academic university centre...
April 12, 2017: Family Practice
https://www.readbyqxmd.com/read/28401512/erratum-to-increasing-routine-cancer-screening-among-underserved-populations-through-effective-communication-strategies-application-of-a-health-literacy-framework
#11
Alicia L Best, Cheryl Vamos, Seul Ki Choi, Erika L Thompson, Ellen Daley, Daniela B Friedman
No abstract text is available yet for this article.
April 12, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28400956/fukushima-after-the-great-east-japan-earthquake-lessons-for-developing-responsive-and-resilient-health-systems
#12
Shingo Fukuma, Shahira Ahmed, Rei Goto, Thomas S Inui, Rifat Atun, Shunichi Fukuhara
BACKGROUND: On 11 March 2011, the Great East Japan Earthquake, followed by a tsunami and nuclear-reactor meltdowns, produced one of the most severe disasters in the history of Japan. The adverse impact of this 'triple disaster' on the health of local populations and the health system was substantial. In this study we examine population-level health indicator changes that accompanied the disaster, and discuss options for re-designing Fukushima's health system, and by extension that of Japan, to enhance its responsiveness and resilience to current and future shocks...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28400250/assessment-of-self-care-and-medication-adherence-in-individuals-with-mental-health-conditions
#13
Lisa J Bible, Kristin A Casper, Jennifer L Seifert, Kyle A Porter
OBJECTIVES: This descriptive study explored whether patients with mental health conditions engage in personal medicine (self-care activities) as part of their treatment regimen. Personal medicine is patient-identified and -initiated activities of self-care that can improve mental health through various means, including physical activity, social engagement, and spiritual connectedness. The purpose of this study was to explore patient engagement in personal medicine within an underserved population and to evaluate the impact self-care might have on self-reported medication use and adherence and patient perception of mental health control...
April 8, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28397160/implementation-of-a-tobacco-free-workplace-program-at-a-local-mental-health-authority
#14
Virmarie Correa-Fernández, William T Wilson, Deborah A Shedrick, Bryce Kyburz, Hannah L Samaha, Timothy Stacey, Teresa Williams, Cho Y Lam, Lorraine R Reitzel
Tobacco-free workplace policies that incorporate evidence-based practices can increase the reach and effectiveness of tobacco dependence treatment among underserved populations but may be underutilized due to limited knowledge about implementation processes. This paper describes the implementation of a comprehensive tobacco-free workplace program at a behavioral healthcare community center in Texas. The center participated in a tobacco-free workplace program implementation project that provided guidance and resources and allowed center autonomy in implementation...
April 10, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28395681/contraception-coverage-and-methods-used-among-women-in-south-africa-a-national-household-survey
#15
M F Chersich, N Wabiri, K Risher, O Shisana, D Celentano, T Rehle, M Evans, H Rees
BACKGROUND: Globally, family planning services are being strengthened and the range of contraceptive choices expanded. Data on contraceptive coverage and service gaps could help to shape these initiatives. OBJECTIVE: To assess contraception coverage in South Africa (SA) and identify underserved populations and aspects of programming that require strengthening. METHODS: Data from a 2012 SA household survey assessed contraception coverage among 6 296 women aged 15 - 49 years and identified underserved populations...
March 29, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28389399/integrating-musculoskeletal-education-and-patient-care-at-medical-student-run-free-clinics
#16
Thomas McQuillan, Nate Wilcox-Fogel, Emily Kraus, Amy Ladd, Michael Fredericson
BACKGROUND: Student-run free clinics (SRFCs) have emerged as an important educational component of United States (US) medical schools. Despite the prevalence of musculoskeletal (MSK) problems presenting to SRFCs, students and clinics are often unprepared to diagnose and treat common MSK complaints. OBJECTIVE: We sought to determine the scope of diagnosis and treatment at a medical student-run free clinic specializing in musculoskeletal care utilizing physical medicine and rehabilitation (PM&R) residents...
April 4, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28384176/sociodemographic-disparities-in-chemotherapy-and-hematopoietic-cell-transplantation-utilization-among-adult-acute-lymphoblastic-and-acute-myeloid-leukemia-patients
#17
Brice Jabo, John W Morgan, Maria Elena Martinez, Mark Ghamsary, Matthew J Wieduwilt
INTRODUCTION: Identifying sociodemographic disparities in chemotherapy and hematopoietic cell transplantation (HCT) utilization for acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML) may improve survival for underserved populations. In this study, we incorporate neighborhood socioeconomic status (nSES), marital status, and distance from transplant center with previously studied factors to provide a comprehensive analysis of sociodemographic factors influencing treatments for ALL and AML...
2017: PloS One
https://www.readbyqxmd.com/read/28370975/international-evolution-in-aya-oncology-current-status-and-future-expectations
#18
REVIEW
Andrea Ferrari, Ronald D Barr
Adolescents and Young Adults (AYAs) contribute approximately 1 million incident cases globally, but the great majority are underserved. In high-income countries, overall survival exceeds 80%, but the needs of this population during and after their treatment experience are poorly met, though specialized clinical programs are evolving. Engagement of national governments is advantageous and deployment of multidisciplinary teams essential. Collaboration between pediatric and adult healthcare providers is mandatory and AYAs must be given a strong voice in program development...
March 30, 2017: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/28368735/correlates-of-postpartum-maternal-functioning-in-a-low-income-obstetric-population
#19
Jennifer L Barkin, Amy McKeever, Brad Lian, Stephen R Wisniewski
BACKGROUND: Perinatal mental health has been characterized primarily via depression evaluation. However, there may be advantages to complementary assessment of postpartum functional status. OBJECTIVE: The purpose of this study was to examine sociodemographic and clinical factors associated with maternal functioning in low-income obstetrics patients. DESIGN: One hundred and twenty-eight women receiving postpartum obstetrical care at a large medical center in medically underserved, Middle Georgia were screened for depressive symptoms with the Edinburgh Postnatal Depression Scale...
March 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28367747/hiv-risk-and-prevention-among-men-who-have-sex-with-men-in-rural-south-africa
#20
Kabelo Maleke, Nosipho Makhakhe, Remco Ph Peters, Geoffrey Jobson, Glenn De Swardt, Joseph Daniels, Timothy Lane, James A McIntyre, John Imrie, Helen Struthers
Rural South African men who have sex with men (MSM) are likely to be underserved in terms of access to relevant healthcare and HIV prevention services. While research in urban and peri-urban MSM populations has identified a range of factors affecting HIV risk in South African MSM, very little research is available that examines HIV risk and prevention in rural MSM populations. This exploratory study begins to address this lack by assessing perceptions of HIV risk among MSM in rural Limpopo province. Using thematic analysis of interview and discussion data, two overarching global themes that encapsulated participants' understandings of HIV risk and the HIV risk environment in their communities were developed...
March 2017: African Journal of AIDS Research: AJAR
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