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https://www.readbyqxmd.com/read/29913303/re-entry-experiences-of-black-men-living-with-hiv-aids-after-release-from-prison-intersectionality-and-implications-for-care
#1
Shufang Sun, Natasha Crooks, Rebecca Kemnitz, Ryan P Westergaard
RATIONALE: Both the HIV epidemic and incarceration disproportionately affect Black men in the United States. A critical period for incarcerated Black men living with HIV/AIDS is re-entry into the community, which is often associated with adverse health outcomes. Additionally, Black men living with HIV/AIDS involved in the criminal justice system are burdened by multiple, intersecting disadvantaged identities and social positions. OBJECTIVE: This study aimed to examine community re-entry experiences among Black men living with HIV/AIDS from an intersectional perspective...
June 12, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29913284/effect-sizes-of-bold-cvr-resting-state-signal-fluctuations-and-time-delay-measures-for-the-assessment-of-hemodynamic-impairment-in-carotid-occlusion-patients
#2
Jill B De Vis, Alex A Bhogal, Jeroen Hendrikse, Esben T Petersen, Jeroen C W Siero
BACKGROUND AND PURPOSE: The BOLD signal amplitude as a response to a hypercapnia stimulus is commonly used to assess cerebrovascular reserve. Despite recent advances, the implementation remains cumbersome and alternative ways to assess hemodynamic impairment are desirable. Resting-state BOLD signal fluctuations (rsBOLD) have been proposed however data on its sensitivity and dependence on baseline venous cerebral blood volume (vCBV) is limited. The primary aim of this study was to compare the effect sizes of resting-state and hypercapnia induced BOLD signal changes in the detection of hemodynamic impairment...
June 15, 2018: NeuroImage
https://www.readbyqxmd.com/read/29913112/differences-in-care-provided-to-children-with-behavioral-and-emotional-problems-in-a-delineated-region-by-using-the-taxonomy-of-care-for-youth-tocfy
#3
Els Evenboer, Anne-Marie Huyghen, Jolanda Tuinstra, Erik Knorth, Sijmen A Reijneveld
Behavioral and emotional problems can lead to severe restrictions in the functioning of children and to an impaired development. The types of support for children vary greatly between care providers. The aim of this study is to apply the Taxonomy of Care for Youth (TOCFY) and to make an inventory of the core elements and program elements of the various types of support for children with behavioral and emotional problems that were offered overall and per main types of providers in a delineated region. We assessed the types of support to children (N = 621) by applying TOCFY...
June 18, 2018: Social Work in Health Care
https://www.readbyqxmd.com/read/29912968/information-spreading-by-a-combination-of-meg-source-estimation-and-multivariate-pattern-classification
#4
Masashi Sato, Okito Yamashita, Masa-Aki Sato, Yoichi Miyawaki
To understand information representation in human brain activity, it is important to investigate its fine spatial patterns at high temporal resolution. One possible approach is to use source estimation of magnetoencephalography (MEG) signals. Previous studies have mainly quantified accuracy of this technique according to positional deviations and dispersion of estimated sources, but it remains unclear how accurately MEG source estimation restores information content represented by spatial patterns of brain activity...
2018: PloS One
https://www.readbyqxmd.com/read/29912960/understanding-women-s-uptake-and-adherence-in-option-b-for-prevention-of-mother-to-child-hiv-transmission-in-papua-indonesia-a-qualitative-study
#5
Christina Lumbantoruan, Michelle Kermode, Aloisius Giyai, Agnes Ang, Margaret Kelaher
BACKGROUND: Despite a more proactive approach to reducing new HIV infections in infants through lifelong treatment (Option B+ policy) for infected pregnant women, prevention of mother-to-child transmission of HIV (PMTCT) has not been fully effective in Papua, Indonesia. Mother-to-child transmission (MTCT) is the second greatest risk factor for HIV infection in the community, and an elimination target of <1% MTCT has not yet been achieved. The purpose of this study was to improve understanding of the implementation of Option B+ for PMTCT in Papua through investigation of facilitators and barriers to women's uptake and adherence to antiretroviral therapy (ART) in the program...
2018: PloS One
https://www.readbyqxmd.com/read/29912823/individualized-learning-plan-ilp-is-an-effective-tool-in-assessing-achievement-of-otology-related-subcompetency-milestones
#6
Maja Svrakic, John P Bent
OBJECTIVE: To investigate the individualized learning plan (ILP) as a tool in assessment of residents' milestone achievements as they pertain to Otology subcompetencies: Chronic Ear Disease, Pediatric Otitis Media, and Hearing Loss. STUDY DESIGN: Prospective study. METHODS: Twenty otolaryngology residents were instructed to use an ILP and identify six milestones from three otology-related subcompetencies to focus on during the course of a 3-month rotation...
June 15, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29912818/sociodemographic-determinants-of-attrition-in-the-hiv-continuum-of-care-in-brazil-in-2016
#7
Ana Roberta Pati Pascom, Mariana Veloso Meireles, Adele Schwartz Benzaken
The aim of this study was to identify sociodemographic factors associated with attrition in the 3 steps of the HIV continuum of care related to the 90-90-90 targets - access to diagnosis, treatment initiation, and virologic suppression, in Brazilian adults (15 years or older), in 2016.Programmatic data were obtained from 2 information systems from the Brazilian Ministry of Health, which register all antiretroviral therapy (ART) dispensations and all CD4 and viral load counts (VL) performed within the country's public health system...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29912817/prevalence-estimates-of-hiv-syphilis-hepatitis-b-and-c-among-female-sex-workers-fsw-in-brazil-2016
#8
Orlando da Costa Ferreira-Júnior, Mark Drew Crosland Guimarães, Giseli Nogueira Damacena, Wanessa da Silva de Almeida, Paulo Roberto Borges de Souza-Júnior, Célia Landmann Szwarcwald
BACKGROUND: Female sex workers (FSW) bear a high burden of sexually transmitted infections (STI). In this paper, we estimate the prevalence of human immunodeficiency virus (HIV), HBV = hepatitis B virus (HBV), HCV = hepatitis C virus (HCV), syphilis and co-infections in the second Biological and Behavioral Surveillance Survey among FSW in Brazil. METHOD: The survey was conducted in 12 Brazilian cities from July to November 2016. We used respondent-driven sampling (RDS) to recruit 350 FSW in each city...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29912754/evaluation-of-the-severity-of-hyperlipidemia-pancreatitis-using-ct-measured-visceral-adipose-tissue
#9
Ting Ji, Xueliang Li, Xiangcheng Zhang, Liangliang Hui, Futai Shang, Xingxing Zhu, Lili Guo, Yiming Xu
BACKGROUND: Computed tomography-measured visceral adipose tissue (VAT) and the distribution of VAT are highly correlated with the severity and prognosis of acute pancreatitis (AP). To date, all available data are from the overall AP patient population; no subgroup analysis has been conducted to evaluate patients with moderately severe AP or patients with hyperlipidemia acute pancreatitis (HLAP) as independent populations. Currently, studies on the relationship between VAT and HLAP are lacking...
June 16, 2018: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/29912582/biomarkers-of-aggressiveness-in-genitourinary-tumors-with-emphasis-on-kidney-bladder-and-prostate-cancer
#10
Alessia Cimadamore, Silvia Gasparrini, Matteo Santoni, Liang Cheng, Antonio Lopez-Beltran, Nicola Battelli, Francesco Massari, Francesca Giunchi, Michelangelo Fiorentino, Marina Scarpelli, Rodolfo Montironi
Over the last decade, the improvement in molecular techniques and the acquisition of genomic information has transformed and increased the quality of patient care and our knowledge of diseases. Areas covered: Protein expression levels in immunohistochemistry and molecular biomarkers are reported for their ability to predict recurrence, progression, development of metastases, or patient survival. In particular, for renal cell carcinoma, we take into consideration the biomarkers applicable to immunohistochemistry and with molecular and genetic analyses...
June 18, 2018: Expert Review of Molecular Diagnostics
https://www.readbyqxmd.com/read/29912469/effects-of-patient-safety-auditing-in-hospital-care-results-of-a-mixed-method-evaluation-part-1
#11
Mirelle Hanskamp-Sebregts, Marieke Zegers, Gert P Westert, Wilma Boeijen, Steven Teerenstra, Petra J van Gurp, Hub Wollersheim
Objective: To evaluate the effectiveness of internal auditing in hospital care focussed on improving patient safety. Design, Setting and Participants: A before-and-after mixed-method evaluation study was carried out in eight departments of a university medical center in the Netherlands. Intervention(s): Internal auditing and feedback focussed on improving patient safety. Main Outcome Measure(s): The effect of internal auditing was assessed 15 months after the audit, using linear mixed models, on the patient, professional, team and departmental levels...
June 15, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29912463/the-veterans-health-administration-s-traumatic-brain-injury-screen-and-evaluation-service-delivery-insights
#12
D Helen Moore, Gail Powell-Cope, Heather G Belanger
Background: In recognition of the incidence of traumatic brain injuries (TBIs) in the Iraq and Afghanistan conflicts, the Department of Veterans Affairs (VA) has, since 2007, examined returning U.S. service members for symptoms of TBI, a pre-condition for VA treatment of TBI. This study characterizes "Traumatic Brain Injury screen" service delivery, according to the barrier and facilitator viewpoints of those experiencing the delivery. Methods: The purposeful sample comprised both Veteran patient and VA staff participants in the TBI screen program (n = 64), including patients (n = 14), health care providers (n = 38), and key informants (n = 12)...
April 18, 2018: Military Medicine
https://www.readbyqxmd.com/read/29912446/quality-of-diabetes-care-in-cancer-a-systematic-review
#13
Robert I Griffiths, Nancy L Keating, Clare R Bankhead
Purpose: Overlooking other conditions during cancer could undermine gains associated with early detection and improved cancer treatment. We conducted a systematic review on the quality of diabetes care in cancer. Data sources: Systematic searches of Medline and Embase, from 1996 to present, were conducted to identify studies on the quality of diabetes care in patients diagnosed with cancer. Study selection: Studies were selected if they met the following criteria: longitudinal or cross-sectional observational study; population consisted of diabetes patients; exposure consisted of cancer of any type and outcomes consisted of diabetes quality of care indicators, including healthcare visits, monitoring and testing, control of biologic parameters, or use of diabetes and other related medications...
June 15, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29912256/-loss-of-risk-perception-to-zoonoses-and-the-figure-of-community-dog
#14
Claudio A Rojas, Carlos F Lüders, Carlos Manterola, Myriam Velazco
Dogs may cause zoonoses and damages; especially when we accept as normal some dangerous behavior, losing the perception of disease risk. The purpose of this review was to demonstrate that the presence of stray dogs as well as community dogs, are public health hazard. Through sustainable epidemiological information, we believe this measure could prevent it from spreading. Dog's aggressiveness regulates its social relationships through submission or dominance; those characteristics are difficult to be recognized by human population...
April 2018: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/29912247/-the-challenge-in-colistin-dosing-updating-available-recommendations
#15
Ruth Rosales, Loreto Rojas, Francisco Zamora, Giannina Izquierdo, Claudia Benavides, Claudio González
Polymyxins have been available since the 1960s, however, because of their adverse effects, their use has been reserved for the treatment of infections caused by multiresistant bacteria. The increase in the clinical experience acquired in recent years and the published medical literature have raised doubts about the information provided by the product, indicating the need to update dosage recommendations, pharmacokinetics and pharmacokinetic/pharmacodynamic information (PK/PD). In addition, differences in concentration and dose between the different products of colistin may lead to errors of indication/administration and pose a risk to patients...
April 2018: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/29912069/the-impact-of-critical-care-nursing-certification-on-pediatric-patient-outcomes
#16
Patricia A Hickey, Kimberlee Gauvreau, Courtney Porter, Jean A Connor
OBJECTIVES: To examine the relationship of nursing and unit characteristics including Critical Care Registered Nurse certification on patient complications for children undergoing congenital heart surgery in free-standing children's hospitals in the United States. DESIGN: A cross-sectional descriptive survey of nursing and organizational characteristics was sent electronically. SETTING: Free-standing children's hospitals in the United States...
June 14, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29912033/analysis-of-healthcare-institutional-costs-of-pediatric-home-parenteral-nutrition-central-line-infections
#17
Bram P Raphael, Christina Hazenkamp, Mihail Samnaliev, Al Ozonoff
BACKGROUND: While previous literature suggests home parenteral nutrition (HPN) dependent children experience frequent complications like community acquired central line associated bloodstream infections (CLABSI), few studies have characterized the cost. OBJECTIVES: To evaluate institutional cost of community-acquired CLABSI in pediatric HPN patients. METHODS: This is a single center retrospective review of institutional costs for HPN patients with community-acquired CLABSI at a tertiary care children's hospital...
June 13, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29911969/home-based-palliative-care-program-relieves-chronic-pain-in-kerala-india-success-realized-through-patient-family-narratives
#18
Aparna Sai Ajjarapu, Ann Broderick
An estimated 1.5 billion people across the globe live with chronic pain, and an estimated 61 million people worldwide experience unrelieved serious health-related suffering. One-sixth of the global population lives in India, where approximately 10 million people endure unrelieved serious health-related suffering. The state of Kerala is home to Pallium India, one of the most sophisticated palliative care programs in the country. This private organization in Trivandrum provides palliative and hospice care to underresourced populations and emphasizes holistic pain treatment...
June 14, 2018: Permanente Journal
https://www.readbyqxmd.com/read/29911964/potentially-preventable-hospital-and-emergency-department-events-lessons-from-a-large-innovation-project
#19
Leif I Solberg, Kris A Ohnsorg, Emily D Parker, Robert Ferguson, Sanne Magnan, Robin R Whitebird, Claire Neely, Emily Brandenfels, Mark D Williams, Mark Dreskin, Todd Hinnenkamp, Jeanette Y Ziegenfuss
INTRODUCTION: There are few proven strategies to reduce the frequency of potentially preventable hospitalizations and Emergency Department (ED) visits. To facilitate strategy development, we documented these events among complex patients and the factors that contribute to them in a large care-improvement initiative. METHODS: Observational study with retrospective audits and selective interviews by the patients' care managers among 12 diverse medical groups in California, Minnesota, Pennsylvania, and Washington that participated in an initiative to implement collaborative care for patients with both depression and either uncontrolled diabetes, uncontrolled hypertension, or both...
June 4, 2018: Permanente Journal
https://www.readbyqxmd.com/read/29911901/patient-reported-experiences-of-using-community-rehabilitation-and-or-support-services-whilst-living-with-a-long-term-neurological-condition-a-qualitative-systematic-review-and-meta-aggregation
#20
Katherine Jackson, Sharon Hamilton, Susan Jones, Steven Barr
OBJECTIVES: The objective of this study is to identify patient reported experiences of using community rehabilitation and/or support services whilst living with a long-term neurological condition, and perceptions of their impact on quality of life. METHODS: Nine electronic databases were searched for peer-reviewed qualitative studies from 2005 to 2016, which met the inclusion criteria. Critical appraisal, data extraction, and quality assessment of 37 included papers were performed by three reviewers...
June 18, 2018: Disability and Rehabilitation
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