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Frequent attenders

Stefano Fumagalli, Paolo Pieragnoli, Kristina H Haugaa, Tatjana S Potpara, Laura Rasero, Nicola Ramacciati, Giuseppe Ricciardi, Francesco Solimene, Giuseppe Mascia, Giosuè Mascioli, Giulia Zuo, Anna T Roberts, Niccolò Marchionni, Radoslaw Lenarczyk, Serge Boveda, Nikolaos Dagres
BACKGROUND: Cardiac implantable electronic devices (CIEDs) are widely used to treat bradyarrhythmias or improve the prognosis of patients with heart failure (HF). AIMS: To evaluate age-related (≤ 75 vs. > 75 years) attitudes, worries, psychological effects and needs in an Italian CIEDs population. METHODS: Patients attending their periodical ambulatory evaluation received a questionnaire conceived by the European Heart Rhythm Association Scientific Initiatives Committee as part of a multicenter, multinational snapshot survey...
December 14, 2018: Aging Clinical and Experimental Research
Andrew Radley, Marijn de Bruin, Sarah K Inglis, Peter T Donnan, John F Dillon
INTRODUCTION: Hepatitis C virus (HCV) infection affects 0.7% of the general population, and up to 40% of people prescribed opioid substitution therapy (OST) in Scotland. In conventional care, less than 10% of OST users are tested for HCV and less than 25% of these initiate treatment. Community pharmacists see this group frequently to provide OST supervision. This study examines whether a pharmacist-led 'test & treat' pathway increases cure rates for HCV. METHODS AND ANALYSIS: This protocol describes a cluster-randomised trial where 60 community pharmacies provide either conventional or pharmacy-led care...
December 14, 2018: BMJ Open
James M Backes, Brittany L Melton, Janelle F Ruisinger, Crystal D Burkhardt, Patrick M Moriarty
BACKGROUND: Dietary fish oil supplements containing the omega-3 polyunsaturated fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are frequently used for cardiovascular benefit. However, several factors may limit the intake of prescribed doses. OBJECTIVE: The objective of this study is to compare the prescribed, patient self-reported, and actual intake of supplemental EPA + DHA doses in a lipid-specialty clinic and identify common barriers and influences to therapy...
November 15, 2018: Journal of Clinical Lipidology
Marcellin N Nouaman, Michael Vinikoor, Moussa Seydi, Didier K Ekouevi, Patrick A Coffie, Lloyd Mulenga, Aristophane Tanon, Matthias Egger, François Dabis, Antoine Jaquet, Gilles Wandeler
INTRODUCTION: Excessive alcohol consumption leads to unfavourable outcomes in people living with HIV (PLHIV), including reduced adherence to antiretroviral therapy (ART) and engagement into care. However, there is limited information on alcohol consumption patterns among PLHIV in sub-Saharan Africa. METHODS: Using a cross-sectional approach, the Alcohol Use Disorders Identification Test (AUDIT-C) was administered to PLHIV attending HIV clinics in Côte d'Ivoire, Togo, Senegal and Zambia (2013 to 2015)...
December 2018: Journal of the International AIDS Society
Eléonore F van Dam van Isselt, Jan van Wijngaarden, Dirk J A Lok, Wilco P Achterberg
Purpose: Cardiac rehabilitation in older patients after hospitalization because of cardiovascular disease is recommended. However, many older patients do not receive cardiac rehabilitation in daily practice, due to lack of referral and poor adherence. This can be related to impaired clinical and functional status of these patients, who are more likely to present with frailty, frequent comorbidities, and disability. Geriatric rehabilitation might be a possible solution to reduce barriers to cardiac rehabilitation attendance...
2018: European Geriatric Medicine
J C Romero Vigara, J L Llisterri Caro, M Turégano Yedro, S Cinza Sanjurjo, L Muñoz González, Y A Silvero, A Segura Fragoso, J Santianes Patiño, J I García García, J Benítez Rivero
OBJECTIVE: To describe the clinical and socio-sanitary characteristics of adults older than 65 years attended in a Primary Care setting. MATERIAL AND METHODS: The PYCAF study (Prevalence and Characteristics of the Fragile Elderly) is a descriptive, cross-sectional and multicentre study, in which patients older than 65 years attended in clinical practice in Primary Care in Spain were consecutively included. RESULTS: A total of 2,461 patients (mean age 76...
December 9, 2018: Semergen
Raquel Pellizzari Calixto, Cristina Flores, Carlos Fernando Francesconi
BACKGROUND: Inflammatory bowel disease frequently affects patients at working age, compromising their quality of life in several levels: physical, psychological, familial and social. Few studies have evaluated the impact of Inflammatory bowel disease on quality of life, anxiety and depression in Brazilian patients. OBJECTIVE: Evaluate quality of life and its correlation with psychological aspects of patients with inflammatory bowel disease through the Inflammatory Bowel Disease Questionnaire and Hospital Anxiety and Depression Scale...
July 2018: Arquivos de Gastroenterologia
Linda L Knol, Cliff A Robb, Erin M McKinley, Mary Wood
OBJECTIVE: Investigate the relationships between food security status and cooking self-efficacy and food preparation behaviors among college students. METHODS: Students living off campus while attending the University of Alabama completed an online survey between February and April 2016. Food security status was assessed using the Adult Food Security Survey Module. Cooking self-efficacy and food preparation behaviors were assessed using validated questionnaires...
December 8, 2018: Journal of Nutrition Education and Behavior
Sean M Rumschik, Jacob M Appel
OBJECTIVE: Malingering is commonly encountered in the psychiatric emergency department, yet little is known about its prevalence, objectives, or effect on patient management. This study analyzed characteristics of malingering and patient disposition in a 24/7-staffed comprehensive psychiatric emergency program (CPEP) and created predictive models to understand malingering and its effect on physician decision making. METHODS: Attending psychiatrists completed questionnaires after comprehensive assessments of 405 patients presenting to the CPEP during the 1-month study, recording suspicion of malingering, symptoms malingered, associated secondary gains, demographic characteristics, and initial disposition decision...
December 10, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
Claudia W Allen, Sharon Diamond-Myrsten, Lisa K Rollins
Frequent school absenteeism has immediate and long-term negative effects on academic performance, social functioning, high school and college graduation rates, adult income, health, and life expectancy. Previous research focused on distinguishing between truancy and anxiety-driven school refusal, but current policy has shifted to reducing absenteeism for any reason. Chronic absenteeism appears to be driven by overlapping medical, individual, family, and social factors, including chronic illness, mental health conditions, bullying, perceived lack of safety, health problems or needs of other family members, inconsistent parenting, poor school climate, economic disadvantage, and unreliable transportation...
December 15, 2018: American Family Physician
David Mellor, David J Hallford, Jeretine Tan, Monique Waterhouse
Sleep problems are highly prevalent among school-attending youth, and impact on school performance and outcomes. Sleep-competing behaviours are likely factors in the inadequate sleep time and related functional outcomes observed in this population. We examined a range of sleep-competing behaviours and their associations with sleep variables in Australian school-attending youth. We also assessed whether these behaviours indirectly affected mental health and daytime functioning through poorer sleep quality. A total of 353 school-attending youth (mean age = 14...
December 7, 2018: International Journal of Psychology: Journal International de Psychologie
Caryn N Bell, Michelle Beadle Holder
Objective: The association between social norms and dietary behaviors is well-documented, but few studies examine the role of race. The aim of this study was to determine the interrelationships among race, social norms, and dietary behaviors. Methods: We used data from the Healthy Friends Network Study (a pilot study of women attending a southern university). Dietary behaviors, social norms, and self-identified race were obtained. Results: African Americans had lower odds of daily vegetable (OR = 0.55, 95% CI = 0...
January 1, 2019: American Journal of Health Behavior
Gezahegn Tesfaye, Catherine Chojenta, Roger Smith, Deborah Loxton
BACKGROUND: In Ethiopia, the uptake of antenatal care services has been low. Moreover, there is less frequent and late attendance of antenatal care among women who attend. Using the Anderson-Newman model of health care utilization, this study identified factors that either facilitate or impede antenatal care utilization in Kersa district, Eastern Ethiopia. METHOD: A community-based cross-sectional study was conducted. A total of 1294 eligible women participated in the study...
2018: PloS One
Wolney Lisbôa Conde, Camila Medeiros da Silva Mazzeti, Jéssica Cumpian Silva, Iolanda Karla Santana Dos Santos, Aline Micaele Dos Reis Santos
INTRODUCTION: Obesity has increased in Brazil for all age groups. Overweight at the end of adolescence indicates a high probability of unhealthy weight in adulthood. OBJECTIVE: To describe anthropometric data of the National Adolescent School-based Health Survey (PeNSE) 2015 and its distribution according to geographic and socioeconomic strata. METHODS: Data from the PeNSE 2015 was used. The analysis sample consisted of adolescents aged 11 to 19 years old from public and private schools with available anthropometric data...
November 29, 2018: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Samanta Bárbara Vieira de Oliveira, Soraya Coelho Costa Barroso, Maria Aparecida Camargos Bicalho, Adriano Max Moreira Reis
OBJECTIVE: To determine the profile of medications used for self-medication by the elderly. METHODS: A cross-sectional study based on interviews with elderly seen at a reference center for Elderly Health of a teaching hospital, from July 2014 to July 2015. Clinical, demographic and pharmacotherapeutic data were collected. RESULTS: A total of 170 elderly were interviewed, 85.9% female, and the median age was 76 years. The frequency of self-medication was 80...
November 29, 2018: Einstein
Joab Cabral Ramos, Mirla Lays Dantas de Almeida, Yan Carlos Gomes de Alencar, Luís Ferreira de Sousa Filho, Camila Helena Machado da Costa Figueiredo, Manuella Santos Carneiro Almeida
OBJECTIVE: to study the epidemiological data of patients suffering from buccomaxillofacial trauma treated at a referral hospital in the State of Paraíba. METHODS: we conducted a cross-sectional study of inductive approach, with a comparative statistical procedure and research technique by field direct documentation. The sample comprised hospital records obtained from January 2016 to December 2017 of patients attended by the Service of Buccomaxillofacial Surgery and Traumatology of this hospital, and consisted of 332 patients according to the study's eligibility criteria...
November 29, 2018: Revista do Colégio Brasileiro de Cirurgiões
Ludovico Pinzari, Soumya Mazumdar, Federico Girosi
BACKGROUND: Detecting the variation of health indicators across similar areas or peer geographies is often useful if the spatial units are socially and economically meaningful, so that there is a degree of homogeneity in each unit. Indices are frequently constructed to generate summaries of socioeconomic status or other measures in geographic small areas. Larger areas may be built to be homogenous using regionalization algorithms. However, there are no explicit guidelines in the literature for the grouping of peer geographies based on measures such as area level socioeconomic indices...
December 4, 2018: International Journal of Health Geographics
Gustav Valentin Blichfeldt Sørensen, Jacob Stegger, Jørgen Møller Munkhof, Erika Frischknecht Christensen
INTRODUCTION: Pain is a frequent symptom in patients attending emergency departments (EDs), but it remains unknown whether all patients with pain want pain-relieving treatment. The primary aim of this study was to investigate the frequency and intensity of pain. The secondary aim was to establish the proportion of patients wanting pain-relieving treatment. METHODS: A cross-sectional study was performed at Aalborg University Hospital, Denmark. We interviewed all patients attending the ED using a structured questionnaire to evaluate patient and pain characteristics as well as pain management in the ED...
December 2018: Danish Medical Journal
S Kargl, W Pumberger, S Luczynski, T Moritz
AIM: To assess the performance of paediatric skeletal radiography interpretation in the emergency department. MATERIALS AND METHODS: In a large paediatric referral centre, data from trauma patients with initially misdiagnosed skeletal radiography was collected from October 2014 to June 2015. Data analysis focused on demographic data, region of the injury and clinical consequences as well as outcome of treatment. RESULTS: In 125 of 2,316 patients aged from 1-17 years an initial misdiagnosis was documented (5...
November 30, 2018: Clinical Radiology
Yasmin Mohamed, Kelly Durrant, Chelsea Huggett, Jessica Davis, Alison Macintyre, Seta Menu, Joyce Namba Wilson, Mary Ramosaea, Michael Sami, Dani J Barrington, Donna McSkimming, Lisa Natoli
Attitudes and beliefs about menstruation can place restrictions on menstruating women and girls, limiting their ability to fully participate in community life, education and employment. This paper presents evidence on menstruation-related beliefs contributing to restrictive practices in Papua New Guinea (PNG), Solomon Islands (SI) and Fiji. Focus group discussions and interviews were undertaken with 307 adolescent girls, women and men in a rural and urban site in each country. Data were analysed using an inductive thematic approach...
2018: PloS One
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