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Home visits

Pengqing Deng, Jianlong Yu, Naitong Zhou, Ming Hu
OBJECTIVE: To investigate medicine accessibility and antibiotic use in households in western China using World Health Organization (WHO) methodology as well as to identify the influencing factor of care-seeking outside the home and primary determinant factors that influence the use of antibiotics in Chinese residents. METHODS: A cross-sectional household survey was conducted from March to July 2015, and 1200 households from six cities in Sichuan China were selected for a questionnaire survey using stratified multistage random cluster sampling...
2018: PloS One
Samantha Siu Lian Liauw, Ayelet Kuper, Geoffroy Noël, Lisa Richardson
PURPOSE: To explore how host medical students learn from visiting foreign students, by reporting on a global health program that has invited 2 or 3 Haitian medical students each year since 2013 to a Canadian medical school for a summer anatomy program. METHOD: In 2017, the authors conducted a qualitative descriptive study that collected data through one-on-one, semistructured interviews with 10 Canadian students, who participated in the Université Quisqueya-McGill University collaborative, a bidirectional global health education initiative, between 2013 and 2016...
August 14, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Hege Verpe, Marian Kjellevold, Vibeke Moe, Lars Smith, Unni T Vannebo, Kjell Morten Stormark, Margaret Ljosnes Søvik, Siv Skotheim
BACKGROUND: In most maternity wards in Norway, early discharge (<48 hour) is the norm. To monitor newborns' and women's health during the first week after delivery, most maternity wards offer early check-ups, where families return to the hospital (standard care). However, a few municipalities offer home visits by midwives (domiciliary care) to ensure seamless services for the family. AIM: The primary aim of this study was to explore whether different follow-up strategies were differently associated with maternal depression and breastfeeding habits, 6 weeks and 6 months postpartum...
August 15, 2018: Scandinavian Journal of Caring Sciences
Arun R Nelakurthi, Angela M Pinto, Curtiss B Cook, Lynne Jones, Mary Boyle, Jieping Ye, Theodoros Lappas, Jingrui He
Aim: To evaluate the use of social media of individuals with diabetes mellitus (DM). Materials & methods: Both web-based and in-clinic surveys were collected from individuals with DM. Descriptive and correlation analyses were employed to evaluate respondents' diabetes-specific social networking site behaviors. Results: Forty-five patients with DM completed the web-based survey and 167, the clinic-based survey, of whom only 40 visited diabetes-specific social networking sites...
July 2018: Future Science OA
Ailsa Munns, Roz Walker
This participatory action research study was situated within a larger research study, which investigated the development of a peer-led Aboriginal parent support program in the remote setting of Halls Creek in Western Australia. The aim of this smaller research component was to explore the self-perceived role of home visiting peer support workers in this remote area. Participatory Action Research methodology was employed, within which eleven Action Learning Sets were used to facilitate participant collaboration (n = 8)...
August 15, 2018: Comprehensive Child and Adolescent Nursing
Andrew McWilliams, Jason Roberge, William E Anderson, Charity G Moore, Whitney Rossman, Stephanie Murphy, Stephannie McCall, Ryan Brown, Shannon Carpenter, Scott Rissmiller, Scott Furney
BACKGROUND: Despite years of intense focus, inpatient and observation readmission rates remain high and largely unchanged. Hospitals have little, robust evidence to guide the selection of interventions effective at reducing 30-day readmissions in real-world settings. OBJECTIVE: To evaluate if implementation of recent recommendations for hospital transition programs is effective at reducing 30-day readmissions in a population discharged to home and at high-risk for readmission...
August 14, 2018: Journal of General Internal Medicine
Skander M'zah, Barbara Lopes Cardozo, Dabney P Evans
Because little is known about the mental health status of Syrian refugees in the United States, we conducted a survey among a convenience sample of those resettled in Atlanta between March 2011 and 2017. Though home visits, we delivered a questionnaire including standardized instruments (HSCL25 and PTSD-8) to assess symptoms of anxiety, depression and Posttraumatic Stress Disorder. We found high rates of anxiety (60%), depression (44%) and Posttraumatic Stress Disorder (84%) symptoms; however, only 20% of participants had seen a mental health professional...
August 14, 2018: Journal of Immigrant and Minority Health
Malgorzata A Klukowska, Niranjan Ramji, Chelsea Combs, Jeffery L Milleman, Kimberly R Milleman, David L Ramsey, Usa Rattanaudompol, Christina Haven, Denise McClenathan, Donald J White
PURPOSE: To examine the delivery of stannous fluoride to subgingival sulci following toothpaste use in a clinical population. METHODS: This was a controlled, single-site study. 23 subjects with at least 20 dental pockets, 2-4 mm with bleeding, who had not used a stannous fluoride dentifrice in the last 3 months were enrolled. After a 2-week washout period, 20 subjects returned for a baseline visit. They were instructed to refrain from brushing the night before the baseline visit...
August 2018: American Journal of Dentistry
Kiyotaka Uchiyama, Naoki Washida, Nobuyuki Yube, Takahiro Kasai, Keisuke Shinozuka, Kohkichi Morimoto, Akihito Hishikawa, Hiroyuki Inoue, Hidenori Urai, Aika Hagiwara, Kentaro Fujii, Shu Wakino, Souzana Deenitchina, Hiroshi Itoh
AIMS: Remote monitoring (RM) can improve management of chronic diseases. We evaluated the impact of RM in automated peritoneal dialysis (APD) in a simulation study. MATERIALS AND METHODS: We simulated 12 patient scenarios with common clinical problems and estimated the likely healthcare resource consumption with and without the availability of RM (RM+ and RM- groups, respectively). Scenarios were evaluated 4 times by randomly allocated nephrologist-nurse teams or nephrologist-alone assessors...
August 14, 2018: Clinical Nephrology
Lenisa V Chang, Anita N Shah, Erik R Hoefgen, Katherine A Auger, Huibin Weng, Jeffrey M Simmons, Samir S Shah, Andrew F Beck
BACKGROUND AND OBJECTIVES: Hospitalization-related nonmedical costs, including lost earnings and expenses such as transportation, meals, and child care, can lead to challenges in prioritizing postdischarge decisions. In this study, we quantify such costs and evaluate their relationship with sociodemographic factors, including family-reported financial and social hardships. METHODS: This was a cross-sectional analysis of data collected during the Hospital-to-Home Outcomes Study, a randomized trial designed to determine the effects of a nurse home visit after standard pediatric discharge...
August 13, 2018: Pediatrics
Robert Goodspeed, Xiang Yan, Jean Hardy, V G Vinod Vydiswaran, Veronica J Berrocal, Philippa Clarke, Daniel M Romero, Iris N Gomez-Lopez, Tiffany Veinot
BACKGROUND: Mobile devices are increasingly used to collect location-based information from individuals about their physical activities, dietary intake, environmental exposures, and mental well-being. Such research, which typically uses wearable devices or mobile phones to track location, benefits from the growing availability of fine-grained data regarding human mobility. However, little is known about the comparative geospatial accuracy of such devices. OBJECTIVE: In this study, we compared the data quality of location information collected from two mobile devices that determine location in different ways-a global positioning system (GPS) watch and a mobile phone with Google's Location History feature enabled...
August 13, 2018: JMIR MHealth and UHealth
Naor Bar-Zeev, Carina King, Tambosi Phiri, James Beard, Hazzie Mvula, Amelia C Crampin, Ellen Heinsbroek, Sonia Lewycka, Jacqueline E Tate, Umesh D Parashar, Anthony Costello, Charles Mwansambo, Robert S Heyderman, Neil French, Nigel A Cunliffe
BACKGROUND: Rotavirus is a major contributor to child mortality. The effect of rotavirus vaccine on diarrhoea mortality has been estimated in middle-income but not low-income settings, where mortality is high and vaccine effectiveness in reducing admissions to hospital is lower. Empirical population-based mortality studies have not been done in any setting. Malawi introduced monovalent rotavirus vaccine (RV1) in October, 2012. We aimed to investigate the impact and effectiveness of the RV1 vaccine in reducing diarrhoea-associated mortality in infants aged 10-51 weeks...
September 2018: Lancet Global Health
Minal M Amin, Jennifer D Stowell, William Hendley, Philip Garcia, D Scott Schmid, Michael J Cannon, Sheila C Dollard
BACKGROUND: Caring for young children is a known risk factor for cytomegalovirus (CMV) infection mainly through exposure to their saliva and urine. In a previous study, 36 CMV-seropositive children 2 mo. to 4 years old were categorized as CMV shedders (n = 23) or non-shedders (n = 13) based on detection of CMV DNA in their saliva and urine. The current study evaluated the presence of CMV on surfaces in homes of the children. METHODS: Study staff made 4 visits to homes of the 36 enrolled children over 100 days...
August 13, 2018: BMC Infectious Diseases
Emma Säfström, Tiny Jaarsma, Anna Strömberg
BACKGROUND: The period after hospitalization due to deteriorated heart failure (HF) is characterized as a time of high generalized risk. The transition from hospital to home is often problematic due to insufficient coordination of care, leading to a fragmentation of care rather than a seamless continuum of care. The aim was to describe health and community care utilization prior to and 30 days after hospitalization, and the continuity of care in patients hospitalized due to de novo or deteriorated HF from the patients' perspective and from a medical chart review...
August 13, 2018: BMC Geriatrics
Arianna Zanolini, Kombatende Sikombe, Izukanji Sikazwe, Ingrid Eshun-Wilson, Paul Somwe, Carolyn Bolton Moore, Stephanie M Topp, Nancy Czaicki, Laura K Beres, Chanda P Mwamba, Nancy Padian, Charles B Holmes, Elvin H Geng
BACKGROUND: In public health HIV treatment programs in Africa, long-term retention remains a challenge. A number of improvement strategies exist (e.g., bring services closer to home, reduce visit frequency, expand hours of clinic operation, improve provider attitude), but implementers lack data about which to prioritize when resource constraints preclude implementing all. We used a discrete choice experiment (DCE) to quantify preferences for a number of potential clinic improvements to enhance retention...
August 2018: PLoS Medicine
Hillary Goldman, Maria Fagnano, Tamara T Perry, Ariel Weisman, Amanda Drobnica, Jill S Halterman
Background/Aims Engaging underserved populations in research requires substantial effort for recruitment and retention. The objective of this study is to describe the effort needed to recruit and retain urban participants in pediatric asthma studies and to characterize the Hardest-to-Reach group by demographics and asthma severity. Methods We included 311 children (3-10 years) with persistent asthma enrolled in two school-based asthma interventions in Rochester, NY. Contact logs were collected at four time points (baseline, 2 month, 4 month, 6 month)...
August 13, 2018: Clinical Trials: Journal of the Society for Clinical Trials
Danya A Fox, Nazrul Islam, Shazhan Amed
BACKGROUND AND OBJECTIVES: To access care, pediatric type 1 diabetes (T1D) patients living in British Columbia (BC), Canada, travel to the sole tertiary pediatric hospital (BC Children's Hospital; BCCH), or they receive community care from pediatric endocrinologists and/or pediatricians. We sought to determine whether HbA1C and patient reported outcomes were associated with (i) distance to clinic and (ii) tertiary vs. community care. METHODS: Patients were recruited from T1D clinics across BC...
August 12, 2018: Pediatric Diabetes
Liron Sinvani, Jessy Warner-Cohen, Andrew Strunk, Travis Halbert, Ruchika Harisingani, Colm Mulvany, Michael Qiu, Andrzej Kozikowski, Vidhi Patel, Tara Liberman, Maria Carney, Renee Pekmezaris, Gisele Wolf-Klein, Corey Karlin-Zysman
OBJECTIVES: To determine whether a multicomponent intervention improves care in hospitalized older adults with cognitive impairment. DESIGN: One-year retrospective chart review with propensity score matching on critical demographic and clinical variables was used to compare individauls with cognitive impairmenet on intervention and nonintervention units. SETTING: Large tertiary medical center. PARTICIPANTS: All hospitalized individuals age 65 and older with cognitive impairment admitted to medicine who required constant or enhanced observation for behavioral and psychological symptoms...
August 11, 2018: Journal of the American Geriatrics Society
Binod Bindu Sharma, Lisa Jones, Deborah Joanne Loxton, Debbie Booth, Roger Smith
BACKGROUND: This is a systematic review on the effectiveness of community interventions in improving maternal health care outcomes in South Asia. METHODS: We searched electronic databases to June 2017. Randomised or cluster randomised studies in communities within rural/remote areas of Nepal, Bangladesh, India and Pakistan were included. Data were analysed as risk ratios (RR) or odds ratios (OR), and effects were adjusted for clustering. Meta-analyses were performed using random-effects and evidence quality was assessed...
August 10, 2018: BMC Pregnancy and Childbirth
Sian Floyd, Helen Ayles, Albertus Schaap, Kwame Shanaube, David MacLeod, Mwelwa Phiri, Sam Griffith, Peter Bock, Nulda Beyers, Sarah Fidler, Richard Hayes
BACKGROUND: HPTN071(PopART) is a 3-arm community-randomised study in 21 peri-urban/urban communities in Zambia and the Western Cape of South Africa, with high HIV prevalence and high mobility especially among young adults. In Arm A communities, from November 2013 community HIV care providers (CHiPs) have delivered the "PopART" universal-test-and-treat (UTT) package in annual rounds, during which they visit all households and offer HIV testing. CHiPs refer HIV-positive (HIV+) individuals to routine HIV clinic services, where universal ART (irrespective of CD4 count) is offered, with re-visits to support linkage to care...
2018: PloS One
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