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https://www.readbyqxmd.com/read/29663658/understanding-consumers-initial-expectations-of-community-based-residential-mental-health-rehabilitation-in-the-context-of-past-experiences-of-care-a-mixed-methods-pragmatic-grounded-theory-analysis
#1
Stephen Parker, Carla Meurk, Ellie Newman, Clayton Fletcher, Isabella Swinson, Frances Dark
This study explores how consumers expect community-based residential mental health rehabilitation to compare with previous experiences of care. Understanding what consumers hope to receive from mental health services, and listening to their perspectives about what has and has not worked in previous care settings, may illuminate pathways to improved service engagement and outcomes. A mixed-methods research design taking a pragmatic approach to grounded theory guided the analysis of 24 semi-structured interviews with consumers on commencement at three Community Care Units (CCUs) in Australia...
April 16, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29661929/arginase-1-expression-in-myeloid-cells-regulates-s-aureus-planktonic-but-not-biofilm-infection
#2
Kelsey J Yamada, Cortney E Heim, Amy L Aldrich, Casey M Gries, Anna G Staudacher, Tammy Kielian
S. aureus is a leading cause of device-associated biofilm infections, which represent a serious health care concern based on their chronicity and antibiotic resistance. We previously reported that S. aureus biofilms preferentially recruit myeloid-derived suppressor cells (MDSCs), which promote monocyte and macrophage anti-inflammatory properties. This is associated with increased myeloid arginase-1 (Arg-1) expression, which has been linked to anti-inflammatory and pro-fibrotic activity that are observed during S...
April 16, 2018: Infection and Immunity
https://www.readbyqxmd.com/read/29661084/understanding-the-use-of-niv-in-als-results-of-an-international-als-specialist-survey
#3
Terry D Heiman-Patterson, Merit E Cudkowicz, Mamede De Carvalho, Angela Genge, Orla Hardiman, Carlayne E Jackson, Noah Lechtzin, Hiroshi Mitsumoto, Vincenzo Silani, Jinsy A Andrews, Dafeng Chen, Sarah Kulke, Stacy A Rudnicki, Leonard H van den Berg
OBJECTIVE: To identify common practices of noninvasive ventilation (NIV) use among ALS specialists and how they follow respiratory status in their patients. METHODS: A 25-item questionnaire on NIV indications/initiation was sent via SurveyMonkey® to ALS specialists identified through membership in NEALS (114 sites in the US) and ENCALS (39 sites in Europe). Descriptive statistics and Cochran-Mantel-Haenszel test for general association were performed. RESULTS: In their initial evaluation, US and European specialists (n = 186) use upright forced vital capacity (FVC) most (92...
April 16, 2018: Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration
https://www.readbyqxmd.com/read/29659296/mental-health-knowledge-and-training-needs-among-direct-care-workers-a-mixed-methods-study
#4
Candace Konnert, Vivian Huang, Barbara Pesut
OBJECTIVES: Direct care providers (DCWs) spend the most time with clients in the home, and as such, play an integral role in identifying mental health problems. However, DCWs receive little preparation in mental health and there is little research regarding their role in the mental health care of clients. The purpose of this study was to explore DCWs' knowledge, attitudes, and experiences of caring for clients with mental health problems from the perspectives of DCWs and key administrators (KAs)...
April 16, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29659068/evolving-standards-of-care-in-the-age-of-cybertechnology
#5
Frederic G Reamer
Behavioral health professionals are making increased use of cybertechnology to deliver services to patients, communicate with patients, gather information about patients, and communicate with colleagues. The advent of cybertechnology - included the Internet, text (SMS), email, video, cloud storage of electronic records, and other forms of electronic communication and documentation - has introduced novel and unprecedented ethical and risk-management challenges. This article provides an overview of emerging issues related to informed consent; delivery of services; privacy, confidentiality, and privileged communication; boundary issues and dual relationships; documentation; and practitioners' relationships with colleagues...
March 2018: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/29657179/the-dilemma-of-the-doctor-in-the-family
#6
Joanna K Weinberg
The twelve narratives written by physicians for this symposium address the same question: "What happens when I wear a white physician's coat at the bedside of an ill or dying family member or friend?" This commentary addresses several key themes, which emerged as the author reacted to these narratives: (1) the physicians did not mention policy issues affecting the public inherent in a health system regulated by statutes and paid for by insurers; (2) the physicians did not follow the ethical rule against treating family members; (3) there was no discussion of whether hospital ethics committees or similar advisory bodies might have helped address conflicts as they arose; and (4) there was minimal discussion of Advance Medical Directives and Do Not Resuscitate Orders...
2018: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/29656802/impact-on-the-brain-of-the-inflammatory-response-to-surgery
#7
Sarah Saxena, Mervyn Maze
The brain is both the orchestrator as well as the target of the innate immune system's response to the aseptic trauma of surgery. When trauma-induced inflammation is not appropriately regulated persistent neuro-inflammation interferes with the synaptic plasticity that underlies the learning and memory aspects of cognition. The complications that ensue, include postoperative delirium (POD) and postoperative cognitive dysfunction (POCD) at two poles of a constellation that is now termed perioperative neurocognitive disorders...
April 12, 2018: La Presse Médicale
https://www.readbyqxmd.com/read/29656703/the-ethics-of-concurrent-care-for-children-a-social-justice-perspective
#8
Kim Mooney-Doyle, Jessica Keim-Malpass, Lisa C Lindley
Recent estimates indicate that over 40,000 children die annually in the United States and a majority have life-limiting conditions. Children at end of life require extensive healthcare resources, including multiple hospital readmissions and emergency room visits. Yet, many children still suffer from symptoms at end of life-including fatigue, pain, dyspnea, and anxiety-with less than 10% of these children utilizing hospice care services. A critical barrier to pediatric hospice use was the original federal regulations associated with the hospice care that required a diagnosis of 6 months to live and the discontinuation of all curative treatments...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29656526/access-to-knowledge-and-the-global-abortion-policies-database
#9
Joanna N Erdman, Brooke Ronald Johnson
Research shows that women, healthcare providers, and even policy makers worldwide have limited or inaccurate knowledge of the abortion law and policies in their country. These knowledge gaps sometimes stem from the vague and broad terms of the law, which breed uncertainty and even conflict when unaccompanied by accessible regulation or guidelines. Inconsistency across national law and policy further impedes safe and evidence-based practice. This lack of transparency creates a crisis of accountability. Those seeking care cannot know their legal entitlements, service providers cannot practice with legal protection, and governments can escape legal responsibility for the adverse effects of their laws...
April 14, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29651112/behavioural-medicine-and-gastrointestinal-disorders-the-promise-of-positive-psychology
#10
REVIEW
Laurie Keefer
Psychosocial risk factors linked to brain-gut dysregulation are prevalent across the spectrum of gastrointestinal disorders and are associated with poor patient outcomes. Robust and reproducible data in the areas of behavioural intervention science and the brain-gut axis have led to major advances in patient care, including the routine use of brain-gut psychotherapies to manage digestive symptoms and optimize coping. The logical next step for the emerging field of psychogastroenterology is to develop a scientific framework that enables the identification of those individual characteristics and coping styles that buffer patients against the negative psychological effects of chronic gastrointestinal disorders...
April 12, 2018: Nature Reviews. Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29649846/-palliative-home-care-teams-in-germany
#11
Friedemann Nauck, Maximiliane Jansky
Since 2007, patients with severe advanced life-limiting illnesses and high, complex symptom burdens have a right to receive specialized outpatient palliative care (SAPV). Multi-professional teams with heterogeneous organizational structures provide care in cooperation with primary care givers, not limited to cancer patients. The aim of SAPV is to foster patient's autonomy and quality of life. SAPV can be provided as counseling of patient and care givers, coordination of care, additional supportive and full care provision...
April 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29649007/practice-of-teledermatopathology-a-systematic-review
#12
Jasmine Saleh
INTRODUCTION: Teledermatopathology has the potential to revolutionize the practice of diagnosing skin diseases. This review provides an overview of the advantages, limitations, and future directions of teledermatopathology. METHODS: MEDLINE was searched via PubMed and Google Scholar databases for relevant articles published from 2012 to the present. Additional articles were also identified by hand-searching. RESULTS: A total of 2675 citations were identified in the initial search...
April 11, 2018: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/29642891/physical-activity-and-sedentary-behavior-legislation-in-canadian-childcare-facilities-an-update
#13
Leigh M Vanderloo, Patricia Tucker
BACKGROUND: Within the childcare sector, physical activity and sedentary behaviors are not legislated at a national level in Canada. Efforts have been undertaken to identify factors within childcare facilities which support and deter physical activity and sedentary behaviors. The purpose of this paper was to provide an amended review of the legislative landscape, at the provincial and territorial level, regarding physical activity and sedentary behaviors (via screen-viewing) in Canadian childcare centers...
April 11, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29629365/physiotherapy-in-bangladesh-inequality-begets-inequality
#14
Firoz Ahmed Mamin, Rieke Hayes
Background: The demand for health services in developing countries often outweighs provision. This article describes the present condition of physiotherapy in Bangladesh. Physiotherapy is not recognized as a profession by the government. There is no single registration and regulation body. The health-related and economic benefits of physiotherapy are not felt by the majority of Bangladeshi citizens. Areas covered: The burden of disease is changing, and Bangladesh needs a profession that specializes in physical rehabilitation to face these challenges...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29628200/public-policy-and-health-informatics
#15
REVIEW
Katherine Bell
OBJECTIVES: To provide an overview of the history of electronic health policy and identify significant laws that influence health informatics. DATA SOURCES: US Department of Health and Human Services. CONCLUSION: The development of health information technology has influenced the process for delivering health care. Public policy and regulations are an important part of health informatics and establish the structure of electronic health systems...
April 5, 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29627872/hospital-clinical-pharmacy-services-in-vietnam
#16
Hieu T Trinh, Huong T L Nguyen, Van T T Pham, Hai L Ba, Phuong T X Dong, Thao T B Cao, Hanh T H Nguyen, Jo-Anne Brien
Background Clinical pharmacy is key to the quality use of medicines. While there are different approaches in different countries, international perspectives may inform health service development. The Vietnamese Ministry of Health introduced a legal regulation of clinical pharmacy services in December 2012. Objective To describe the services, and to explore reported barriers and facilitators in implementing clinical pharmacy activities in Vietnamese hospitals after the introduction of Vietnamese Ministry of Health legal regulation...
April 7, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29626093/restoring-mitochondrial-calcium-uniporter-expression-in-diabetic-mouse-heart-improves-mitochondrial-calcium-handling-and-cardiac-function
#17
Jorge Suarez, Federico Cividini, Brian T Scott, Kim Lehmann, Julieta Diaz-Juarez, Tanja Diemer, Anzhi Dai, Jorge A Suarez, Mohit Jain, Wolfgang H Dillmann
Diabetes mellitus is a growing health care problem, resulting in significant cardiovascular morbidity and mortality. Diabetes also increases the risk for heart failure (HF) and decreased cardiac myocyte function, which are linked to changes in cardiac mitochondrial energy metabolism. The free mitochondrial calcium level ([Ca2+]m) is fundamental in activating the mitochondrial respiratory chain complexes and ATP production and is also known to regulate pyruvate dehydrogenase complex (PDC) activity. The mitochondrial calcium uniporter (MCU) complex (MCUC) plays a major role in mediating mitochondrial Ca2+ import, and its expression and function therefore have a marked impact on cardiac myocyte metabolism and function...
April 6, 2018: Journal of Biological Chemistry
https://www.readbyqxmd.com/read/29624140/population-health-management-guiding-principles-to-stimulate-collaboration-and-improve-pharmaceutical-care
#18
Betty Steenkamer, Caroline Baan, Kim Putters, Hans van Oers, Hanneke Drewes
Purpose A range of strategies to improve pharmaceutical care has been implemented by population health management (PHM) initiatives. However, which strategies generate the desired outcomes is largely unknown. The purpose of this paper is to identify guiding principles underlying collaborative strategies to improve pharmaceutical care and the contextual factors and mechanisms through which these principles operate. Design/methodology/approach The evaluation was informed by a realist methodology examining the links between PHM strategies, their outcomes and the contexts and mechanisms by which these strategies operate...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29622012/if-you-can-t-measure-it-you-can-t-change-it-a-longitudinal-study-on-improving-quality-of-care-in-hospitals-and-health-centers-in-rural-kenya
#19
Michael Marx, Christine Nitschke, Maureen Nafula, Mabel Nangami, Marc Brodowski, Irmgard Marx, Helen Prytherch, Charles Kandie, Irene Omogi, Friederike Paul-Fariborz, Joachim Szecsenyi
BACKGROUND: The Kenyan Ministry of Health- Department of Standards and Regulations sought to operationalize the Kenya Quality Assurance Model for Health. To this end an integrated quality management system based on validated indicators derived from the Kenya Quality Model for Health (KQMH) was developed and adapted to the area of Reproductive and Maternal and Neonatal Health, implemented and analysed. METHODS: An integrated quality management (QM) approach was developed based on European Practice Assessment (EPA) modified to the Kenyan context...
April 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29621365/association-of-hypovitaminosis-d-with-increased-risk-of-uveitis-in-a-large-health-care-claims-database
#20
Lucia Sobrin, Lynn K Stanwyck, Wei Pan, Rebecca A Hubbard, John H Kempen, Brian L VanderBeek
Importance: Understanding the role of vitamin D-which regulates inflammatory responses-in noninfectious uveitis (an inflammatory disease) may provide insight into treatment and prevention of this disease. Objective: To investigate whether there is an association between hypovitaminosis D and incident noninfectious uveitis. Design, Setting, and Participants: In a retrospective case-control study, data from a health care claims database containing deidentified medical claims from a large private insurer were used to identify 558 adults enrolled from January 1, 2000, to December 31, 2016, who received a diagnosis of noninfectious uveitis from an eye care clinician (with receipt of a confirmatory diagnosis within 120 days of the initial diagnosis) and who had a vitamin D level measured within 1 year before the first diagnosis...
April 5, 2018: JAMA Ophthalmology
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