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https://www.readbyqxmd.com/read/30551002/promoting-opioid-overdose-prevention-and-recovery-an-exploratory-study-of-an-innovative-intervention-model-to-address-opioid-abuse
#1
Kristen Gilmore Powell, Peter Treitler, N Andrew Peterson, Suzanne Borys, Donald Hallcom
BACKGROUND: Fatal opioid overdose is a national public health concern in the United States and a critical problem confronting New Jersey's addiction treatment system. New Jersey developed an innovative program, the Opioid Overdose Recovery Program (OORP), to address the epidemic and the issue of low treatment admissions following a non-fatal overdose. The OORP utilizes an intervention model with peer recovery specialists (RSs) and patient navigators (PNs) to engage individuals within emergency departments (EDs) immediately following an opioid overdose reversal...
December 11, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/30548454/young-adults-with-chronic-kidney-disease-an-exploration-of-their-relationships-and-support-networks
#2
Emma Coyne, Heather Langham, Matthew Tomlin, Wendy Hope, Catherine Johnson, Catherine Byrne, Charlotte Bebb, Heather Buchanan
BACKGROUND: Young people with chronic kidney disease (CKD) have a number of key issues and life changes to manage while also possibly transitioning into adult care. During this time, the nature of their support networks including, social, romantic, family and health care relationships, is changing. OBJECTIVE: To explore these young people's experience and perceptions of their past, current and future relationships and support networks. DESIGN: Qualitative study...
December 12, 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/30547847/the-summit-ambulatory-icu-primary-care-model-for-medically-and-socially-complex-patients-in-an-urban-federally-qualified-health-center-study-design-and-rationale
#3
Brian Chan, Samuel T Edwards, Meg Devoe, Richard Gil, Matthew Mitchell, Honora Englander, Christina Nicolaidis, Devan Kansagara, Somnath Saha, P Todd Korthuis
BACKGROUND: Medically complex urban patients experiencing homelessness comprise a disproportionate number of high-cost, high-need patients. There are few studies of interventions to improve care for these populations; their social complexity makes them difficult to study and requires clinical and research collaboration. We present a protocol for a trial of the streamlined unified meaningfully managed interdisciplinary team (SUMMIT) team, an ambulatory ICU (A-ICU) intervention to improve utilization and patient experience that uses control populations to address limitations of prior research...
December 14, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/30545707/exploring-barriers-and-potential-solutions-in-home-dialysis-an-nkf-kdoqi-conference-outcomes-report
#4
Christopher T Chan, Eric Wallace, Thomas A Golper, Mitchell H Rosner, Rebecca Kurnik Seshasai, Joel D Glickman, Martin Schreiber, Patrick Gee, Michael V Rocco
Home dialysis therapy, including home hemodialysis and peritoneal dialysis, is underused as a modality for the treatment of chronic kidney failure. The National Kidney Foundation-Kidney Disease Outcomes Quality Initiative sponsored a home dialysis conference in late 2017 that was designed to identify the barriers to starting and maintaining patients on home dialysis therapy. Clinical, operational, policy, and societal barriers were identified that need to be overcome to ensure that dialysis patients have the freedom to choose their treatment modality...
December 10, 2018: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/30544195/prevalence-and-incidence-of-zika-virus-infection-among-household-contacts-of-patients-with-zika-virus-disease-puerto-rico-2016-2017
#5
Eli S Rosenberg, Kate Doyle, Jorge L Munoz-Jordan, Liore Klein, Laura Adams, Matthew Lozier, Kevin Weiss, Tyler M Sharp, Gabriela Paz-Bailey
Background: Little is known about the prevalence or incidence of Zika virus (ZIKV) infection in settings affected by the 2015-16 Zika pandemic, and associated risk-factors. We assessed these factors among household contacts of patients with ZIKV disease enrolled in a cohort study in Puerto Rico during 2016-2017. Methods: Household contacts of index case-patients completed a questionnaire and gave specimens for RT-PCR and IgM ELISA testing to detect ZIKV infection...
December 13, 2018: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/30542808/patient-and-partner-illness-appraisals-and-health-among-adults-with-type-1-diabetes
#6
Vicki S Helgeson, Cynthia A Berg, Caitlin S Kelly, Meredith Van Vleet, Melissa Zajdel, Enjin Lee Tracy, Michelle L Litchman
In a study of 199 couples in which one person had type 1 diabetes, we examined how patient appraisal of the diabetes as shared versus individual was associated with collaborative, supportive and unsupportive behavior and whether patient shared illness appraisal was most beneficial for health when it occurred in the context of supportive behavior. We assessed illness appraisal among patients with type 1 diabetes and their partners and had patients complete relationship and health measures. Results showed partners were more likely than patients to hold shared illness appraisals...
December 12, 2018: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/30540063/safe-embrace-technological-innovation-for-elderly-safety-in-the-use-of-toilets
#7
Luciana Mitsue Sakano Niwa, Nanci Martins Ferreira Radovich, Suely Itsuko Ciosak
OBJECTIVE: to describe the development of a device to prevent falling for seniors when using the toilet. METHOD: we sought in literature and in the hospital market for a device to prevent falling, without success. Geriatric nurses, in partnership with the hospital engineering team, elaborated a prototype and, after several analysis, looked for a partner for its production. RESULTS: the device, named "Safe Embrace", installed and tested in an apartment of the Geriatric ward, was positively evaluated by the health team, patients and caregivers...
2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/30536917/organisation-of-health-services-for-preventing-and-treating-pressure-ulcers
#8
REVIEW
Pauline Joyce, Zena Eh Moore, Janice Christie
BACKGROUND: Pressure ulcers, which are a localised injury to the skin, or underlying tissue, or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressure ulcers are often difficult to heal, painful, expensive to manage and have a negative impact on quality of life. While individual patient safety and quality care stem largely from direct healthcare practitioner-patient interactions, each practitioner-patient wound-care contact may be constrained or enhanced by healthcare organisation of services...
December 9, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/30534907/-persons-living-with-hiv-aids-ethnic-and-sociocultural-differences-in-chile
#9
Ana M Alarcón, Carolina Chahin, Sergio Muñoz, Marcelo Wolff, Rebeca Northland
BACKGROUND: The association between ethnicity and HIV/AIDS is an emerging and unexplored issue in Chile. AIM: To determine the profile of patients with HIV/AIDS by ethnicity and socioeconomic factors associated with diagnostic-therapeutic opportunity in the Araucania and Metropolitan regions. METHODS: Cross-sectional study with 558 patients from two centers of HIV/AIDS in Chile. Data were collected using a questionnaire with clinical and sociocultural data obtained under informed consent...
2018: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/30530461/computer-aided-telephone-support-for-primary-care-patients-with-common-mental-health-conditions-randomized-controlled-trial
#10
Salaha Zaheer, Vanessa Garofalo, David Rodie, Athina Perivolaris, Jenny Chum, Allison Crawford, Rose Geist, Andrea Levinson, Brian Mitchell, David Oslin, Nadiya Sunderji, Benoit H Mulsant
BACKGROUND: Depression, anxiety, and at-risk drinking are highly prevalent in primary care settings. Many jurisdictions experience geographical barriers to accessing mental health services, necessitating the development and validation of alternative models of care delivery. Existing evidence supports the acceptability and effectiveness of providing mental health care by telephone. OBJECTIVE: This analysis assesses patient's acceptability of computer-aided telephone support delivered by lay providers to primary care patients with depression, anxiety, or at-risk drinking...
December 10, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/30528443/receptiveness-to-patient-delivered-partner-therapy-pdpt-for-chlamydia-infection-exploratory-findings-from-a-sample-of-canadian-youth
#11
Ashley Vandermorris, Leanne Kerr, Sari Kives
OBJECTIVES: To determine hypothetical receptiveness among Canadian 15-24 year old youth to providing and receiving patient-delivered partner therapy (PDPT) for Chlamydia trachomatis infection and to explore patient characteristics associated with receptiveness. METHODS: An anonymous cross-sectional survey was administered to a convenience sample of 312 youth ages 15-24 years presenting to a youth-focused community health centre (CHC) in Ajax, ON. The survey probed comfort with PDPT for chlamydia, both if the respondent was the hypothetical index case or the hypothetical partner...
October 24, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30527697/lgbt-inclusivity-in-health-assessment-textbooks
#12
Franc Louie M De Guzman, Louise Nathalie Ngalee Moukoulou, Linda D Scott, Julie J Zerwic
Lesbian, gay, bisexual, and transgender (LGBT) people make up 4% of the adult population in the United States; however, it is unclear if there is sufficient material in nursing textbooks for students to learn how to provide care for sexual minority populations. A content analysis of two commonly used health assessment textbooks was completed to identify material that prepared nurses for LGBT patient interactions. Topics such as gender neutrality, same-sex partners, and other terms referring to LGBT persons were considered LGBT content...
November 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/30527548/leadership-in-a-private-nephrology-practice-autonomy-is-more-than-a-dream
#13
REVIEW
Nelson Kopyt, Ravindra Bollu
Private practice is entering an era of diminishing reimbursement and increasing overhead associated with federally mandated payment reforms resulting in a need to move from the traditional fee-for-service to a value-based model, changes that place financial and organizational strain on nephrology practices. In addition, the changing geopolitical scene is one of mergers and consolidation of health care networks, which in turn are developing their own insurance plans or partnering with commercial payers. The new landscape will require the leadership of a private nephrology practice to vigilantly monitor and adapt to these changes for success...
November 2018: Advances in Chronic Kidney Disease
https://www.readbyqxmd.com/read/30526799/canadian-consensus-algorithm-for-erectile-rehabilitation-following-prostate-cancer-treatment
#14
Dean S Elterman, Anika R Petrella, Brandon Van Asseldonk, Leah Jamnicky, Gerald B Brock, Stacy Elliott, Antonio Finelli, Lauren M Walker, Jerzy B Gajewski, Keith A Jarvi, John Robinson, Janet Ellis, Shaun Shepherd, Hossein Saadat, Andrew Matthew
INTRODUCTION: The present descriptive analysis carried out by a pan-Canadian panel of expert healthcare practitioners (HCPs) summarizes best practices for erectile rehabilitation following prostate cancer (PCa) treatment. This algorithm was designed to support an online sexual health and rehabilitation e-clinic (SHARe-Clinic), which provides biomedical guidance and supportive care to Canadian men recovering from PCa treatment. The implications of the algorithm may be used inform clinical practice in community settings...
December 3, 2018: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/30522978/needs-and-expectations-of-patients-with-erectile-dysfunction-an-update-on-pharmacological-innovations-in-phosphodiesterase-type-5-inhibition-with-focus-on-sildenafil
#15
REVIEW
Emmanuele A Jannini, Stéphane Droupy
INTRODUCTION: Phosphodiesterase type 5 inhibitors (PDE5-Is) have an excellent efficacy and tolerability profile and remain the first-line choice for the treatment of erectile dysfunction (ED). However, ED is still an underdiagnosed and undertreated condition, and many men prematurely discontinue therapy with conventional dosage formulations despite successful intercourse. AIM: To review the unmet needs and expectations of patients with ED and describe the latest pharmaceutical innovations in the field of PDE5-I formulations designed to address these needs, with particular reference to a new orodispersible film (ODF) formulation of the PDE5-I, sildenafil...
December 3, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/30522499/intimate-partner-violence-and-depression-among-pregnant-women-in-the-north-west-region-of-cameroon-a-research-proposal
#16
Tsi Njim, Franklin Ngu Mbolingong
OBJECTIVES: Intimate partner violence (IPV) in pregnancy is a major public health concern due to its harmful effects on both the mother and the unborn foetus. In this study, we aim to assess the prevalence and correlates of both IPV and depression in pregnant women in the northwest region of Cameroon. Specifically: (1) To determine the prevalence of IPV in a group of pregnant women in the northwest region of Cameroon. (2) To determine the prevalence of depression amongst these women. (3) To assess the various sociodemographic determinants of IPV in these women...
December 6, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/30516727/integrating-hiv-testing-into-syphilis-partner-services-in-mississippi-to-improve-hiv-case-finding
#17
Tigran Avoundjian, James Stewart, David Peyton, Christie Lewis, Kendra Johnson, Sara N Glick, Matthew R Golden, Christine M Khosropour
BACKGROUND: Mississippi (MS) has the 10th highest rate of new HIV infections in the United States. The Mississippi State Department of Health (MSDH) integrated partner HIV testing into syphilis partner services (PS) in 2014, but the effectiveness of this as an HIV case-finding strategy has not been evaluated. METHODS: We identified all early syphilis (primary, secondary, and early latent) case records reported from 7/1/2014-12/31/2016, excluding case records for people concurrently newly diagnosed with HIV...
December 3, 2018: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/30515680/a-clinically-structured-and-partnered-approach-to-genetic-testing-in-trinidadian-women-with-breast-cancer-and-their-families
#18
Talia Donenberg, Sophia George, Jameel Ali, Gabriela Bravo, Karen Hernandez, Navin Sookar, Kimlin Tam Ashing, Steven A Narod, Mohammad R Akbari, Judith Hurley
INTRODUCTION: Breast cancer (BC) is the leading cause of cancer death in Caribbean women. Across the Caribbean islands, the prevalence of hereditary breast cancer among unselected breast cancer patients ranges from 5 to 25%. Moreover, the prevalence of BC among younger women and the high mortality in the Caribbean region are notable. This BC burden presents an opportunity for cancer prevention and control that begins with genetic testing among high-risk women. Measured response to positive genetic test results includes the number of preventive procedures and cascade testing in family members...
December 4, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/30514695/the-internet-of-things-in-health-care-in-oxford-protocol-for-proof-of-concept-projects
#19
Edward Meinert, Michelle Van Velthoven, David Brindley, Abrar Alturkistani, Kimberley Foley, Sian Rees, Glenn Wells, Nick de Pennington
BACKGROUND: Demands on health services across are increasing because of the combined challenges of an expanding and aging population, alongside complex comorbidities that transcend the classical boundaries of modern health care. Continuing to provide and coordinate care in the current manner is not a viable route to sustain the improvements in health outcomes observed in recent history. To ensure that there continues to be improvement in patient care, prevention of disease, and reduced burden on health systems, it is essential that we adapt our models of delivery...
December 4, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/30514694/preliminary-effectiveness-of-a-smartphone-app-to-reduce-depressive-symptoms-in-the-workplace-feasibility-and-acceptability-study
#20
Mark Deady, David Johnston, David Milne, Nick Glozier, Dorian Peters, Rafael Calvo, Samuel Harvey
BACKGROUND: The workplace represents a unique setting for mental health interventions. Due to range of job-related factors, employees in male-dominated industries are at an elevated risk. However, these at-risk groups are often overlooked. HeadGear is a smartphone app-based intervention designed to reduce depressive symptoms and increase well-being in these populations. OBJECTIVE: This paper presents the development and pilot testing of the app's usability, acceptability, feasibility, and preliminary effectiveness...
December 4, 2018: JMIR MHealth and UHealth
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