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https://www.readbyqxmd.com/read/28088236/economic-burden-of-family-caregiving-for-elderly-population-in-southern-ghana-the-case-of-a-peri-urban-district
#1
Stephen Tettey Nortey, Genevieve Cecilia Aryeetey, Moses Aikins, Djesika Amendah, Justice Nonvignon
BACKGROUND: Health systems in low and lower-middle income countries, particularly in sub-Sahara Africa, often lack the specialized personnel and infrastructure to provide comprehensive care for elderly/ageing populations. Close-to-client community-based approaches are a low-cost way of providing basic care and social support for elderly populations in such resource-constrained settings and family caregivers play a crucial role in that regard. However, family caregiving duties are often unremunerated and their care-related economic burden is often overlooked though this knowledge is important in designing or scaling up effective interventions...
January 14, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28087118/open-lower-limb-fractures-in-major-trauma-centers-a-loss-leader
#2
Elizabeth K Tissingh, Arman Memarzadeh, Joseph Queally, Peter Hull
PURPOSE: Open lower limb fractures are resource intensive injuries. Regardless of the financing model, the cost of treatment is an important consideration for any healthcare provider. METHODS: Open lower limb fractures treated at our centre were identified over a six-month period. Isolated open femur or tibia fractures were included as well as cases with multiple fractures. Direct inpatient care costs were calculated and income was reviewed for each case according to 'Healthcare Resource Group' (HRG) cost codes...
December 28, 2016: Injury
https://www.readbyqxmd.com/read/28081556/stressful-events-and-circumstances-reported-by-patients-prior-to-being-prescribed-antidepressants
#3
Morgyn Hartdegen, Kerry Gibson, Claire Cartwright, John Read
AIMS: This study investigates the extent to which those who receive a prescription for antidepressants perceive psychosocial stressors to be significant in their difficulties. METHODS: This study draws on a survey of adults prescribed antidepressants. It analyses 1,683 responses to an open-ended question that enquired about difficult events and circumstances participants experienced in the time leading up to receiving an antidepressant prescription. RESULTS: Sixty-five percent of respondents described experiencing one or more stressful events or circumstances, with 19 % reporting two and 20% reporting three or more...
January 13, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28063226/enhancing-physical-activity-and-reducing-obesity-through-smartcare-and-financial-incentives-a-pilot-randomized-trial
#4
Dong Wook Shin, Jae Moon Yun, Jung-Hyun Shin, Hyuktae Kwon, Hye Yeon Min, Hee-Kyung Joh, Won Joo Chung, Jin Ho Park, Kee-Taig Jung, BeLong Cho
OBJECTIVE: A pilot randomized trial assessed the feasibility and effectiveness of an intervention combining Smartcare (activity tracker with a smartphone application) and financial incentives. METHODS: A three-arm, open-label randomized controlled trial design involving traditional education, Smartcare, and Smartcare with financial incentives was involved in this study. The latter group received financial incentives depending on the achievement of daily physical activity goals (process incentive) and weight loss targets (outcome incentive)...
January 7, 2017: Obesity
https://www.readbyqxmd.com/read/28062429/inadvertently-boarding-a-pirate-ship-disease-progression-in-a-paediatric-patient-with-relapsed-metastatic-ewing-sarcoma-receiving-treatment-at-a-centre-for-alternative-therapy-in-mexico
#5
Jessica H Cheng, Leslie Y Chiang, Dennis John Kuo
Complementary and alternative medicine (CAM) therapies are commonly incorporated into the care of patients with paediatric cancer. Many modalities are safe and effective during cancer treatment and have proved beneficial for symptom relief and quality of life. However, situations where alternative therapy is provided without allopathic medical care supportive care resources can pose a safety risk to patients. This report describes the case of a 16-year-old Chinese girl with metastatic Ewing sarcoma who sought treatment with alternative treatment in Mexico...
January 6, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28058202/how-much-are-ecuadorians-willing-to-pay-to-reduce-maternal-mortality-results-from-a-pilot-study-on-contingent-valuation
#6
María Isabel Roldós, Phaedra Corso, Justin Ingels
CONTEXT: There is an established association between the provision of health care services and maternal mortality. In Ecuador, little is known if the societal value is greater than the resources expended in preventive medicine. AIMS: The purpose of this research is to investigate Ecuadorians' willingness to pay to prevent maternal death and disabilities due to complications of care during childbirth in the context of universal coverage. METHODS AND MATERIALS: The study elicited a "contingent" market on morbidity and mortality outcomes, specific to Ecuador's epidemiologic profiles between a hypothetical market that included a 50% reduction in the risk of maternal mortality from 100 to 50 per 100,000, and a market that included a 50% reduction in the risk of maternal morbidity from 4,000 to 2,000 per 100,000...
2017: International Journal of MCH and AIDS
https://www.readbyqxmd.com/read/28042591/relationship-between-nutritional-support-and-tuberculosis-treatment-outcomes-in-west-bengal-india
#7
Blesson Samuel, Tyson Volkmann, Sushma Cornelius, Sugata Mukhopadhay, MejoJose, Kaushik Mitra, Ajay M V Kumar, John E Oeltmann, Sidhajyoti Parija, Aslesh Ottapura Prabhakaran, Patrick K Moonan, Vineet K Chadha
INTRODUCTION: Poverty and poor nutrition are associated with the risk of developing tuberculosis (TB). Socioeconomic factors may interfere with anti-tuberculosis treatment compliance and its outcome. We examined whether providing nutritional support (monthly supply of rice and lentil beans) to TB patients who live below the poverty line was associated with TB treatment outcome. METHODS: This was a retrospective cohort study of sputum smear-positive pulmonary TB patients living below the poverty line (income of <$1...
December 2016: Journal of Tuberculosis Research
https://www.readbyqxmd.com/read/28040270/a-systematic-review-of-financial-and-economic-assessments-of-bovine-viral-diarrhea-virus-bvdv-prevention-and-mitigation-activities-worldwide
#8
REVIEW
Beate Pinior, Clair L Firth, Veronika Richter, Karin Lebl, Martine Trauffler, Monika Dzieciol, Sabine E Hutter, Johann Burgstaller, Walter Obritzhauser, Petra Winter, Annemarie Käsbohrer
Infection with bovine viral diarrhea virus (BVDV) results in major economic losses either directly through decreased productive performance in cattle herds or indirectly, such as through expenses for control programs. The aim of this systematic review was to review financial and/or economic assessment studies of prevention and/or mitigation activities of BVDV at national, regional and farm level worldwide. Once all predefined criteria had been met, 35 articles were included for this systematic review. Studies were analyzed with particular focus on the type of financially and/or economically-assessed prevention and/or mitigation activities...
December 23, 2016: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28034737/strategies-used-by-overweight-and-obese-low-income-mothers-to-feed-their-families-in-urban-brazil
#9
Priscila de Morais Sato, Ramiro Fernandes Unsain, Joel Gittelsohn, João Gabriel Sanches Tavares da Silva, Isabel Cristina Gonçalves Perez, Fernanda Baeza Scagliusi
OBJECTIVE: To describe and compare strategies adopted by overweight and obese low-income mothers living in different vulnerable contexts to deal with food constraints and feed their families. DESIGN: Qualitative in-depth interviews. Data were analyzed with exploratory content analysis and the number of segments per theme was used to compare neighborhoods. SETTING: Three low-income neighborhoods in Santos, Brazil. PARTICIPANTS: A purposive sample of 21 overweight or obese mothers...
December 26, 2016: Appetite
https://www.readbyqxmd.com/read/28025611/evidence-and-evidence-gaps-an-introduction
#10
REVIEW
Gabriele Dreier, Jan Löhler
Background: Medical treatment requires the implementation of existing evidence in the decision making process in order to be able to find the best possible diagnostic, therapeutic or prognostic measure for the individual patient based on the physician's own expertise. Clinical trials form the evidence base and ideally, their results are assembled, analyzed, summarized, and made available in systematic review articles. Beside planning, conducting, and evaluating clinical trials in conformity with GCP (good clinical practice), it is essential that all results of conducted studies are publicly available in order to avoid publication bias...
2016: GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
https://www.readbyqxmd.com/read/28007118/rapidly-progressive-cataract-formation-associated-with-non-small-cell-lung-cancer-therapy
#11
Erica Liu, Kamden Kopani
: We report 6 patients who developed rapidly progressive hypermature cataracts after starting treatment with rociletinib, a non-small-cell lung cancer therapy with known side effects of hyperglycemia, fatigue, and prolonged QT. Early cataract detection and surgery may prevent complications during future cataract removal. Although rociletinib development has been suspended, there are patients who have been treated and will continue to be treated with this medication based on their physician's judgment...
December 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28007113/effect-of-postoperative-administration-of-nonsteroidal-antiinflammatory-drugs-and-steroids-on-the-conformational-changes-in-wound-healing-after-cataract-surgery
#12
Eun Young Choi, Hyun Goo Kang, Tae-Im Kim, Eung Kwoen Kim, Hyung Keun Lee
PURPOSE: To assess the changes in clear corneal incision (CCI) healing resulting from the postoperative administration of nonsteroidal antiinflammatory drugs (NSAIDs) or steroids using anterior segment optical coherence tomography (AS-OCT). SETTING: Institute of Vision Research, Department of Ophthalmology, Yonsei University, Seoul, South Korea. DESIGN: Prospective randomized comparative study. METHODS: Eyes having cataract surgery were randomly given an NSAID (bromfenac 0...
December 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28006698/type-2-diabetes-mellitus-in-african-women
#13
REVIEW
Julia H Goedecke, Asanda Mtintsilana, Siphiwe N Dlamini, Andre Pascal Kengne
Compared to global estimates, Sub-Saharan Africa (SSA) has the highest projected rates of increase in type 2 diabetes (T2D) over the next 25years. This is attributed to the ageing population, increasing urbanisation and the associated lifestyle changes. Although the prevalence does not differ by gender, deaths attributable to T2D in SSA are greater in women, likely due to differences in beliefs and access to care. Women in SSA also have greater risk factor burden for T2D than men, in particular obesity, which is explained in part by sociocultural factors...
December 5, 2016: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/28004987/determining-the-level-and-cost-of-sickness-presenteeism-among-hospital-staff-in-turkey
#14
Kandemir Aysun, Şahin Bayram, Taşkaya Serap
OBJECTIVE: This study aimed to determine the associations between sickness presenteeism and socio-demographic factors, perceived health status and health complaints among hospital staff and to calculate the cost burdens and productivity losses attributed to presenteeism. METHODS: A cross-sectional study was conducted using 951 hospital staff, including physicians, nurses, midwives, other health personnel and administrative staff working in two hospitals that are located in Kırıkkale province in Turkey...
December 22, 2016: International Journal of Occupational Safety and Ergonomics: JOSE
https://www.readbyqxmd.com/read/28003321/collaborative-care-intervention-for-the-perceived-care-needs-of-women-with-breast-cancer-undergoing-adjuvant-therapy-after-surgery-a-feasibility-study
#15
Kanae Momino, Miyashita Mitsunori, Hiroko Yamashita, Tatsuya Toyama, Hiroshi Sugiura, Nobuyasu Yoshimoto, Kei Hirai, Tatsuo Akechi
OBJECTIVE: This study aimed to investigate the feasibility of an intervention program for women with breast cancer undergoing adjuvant anticancer therapy, and determine its preliminary effectiveness in reducing their unmet needs and psychological distress. METHODS: The intervention was based on the collaborative care model, and compromised four domains: identification of unmet needs, problem-solving therapy and behavioral activation supervised by a psychiatrist, psychoeducation and referral to relevant departments...
December 20, 2016: Japanese Journal of Clinical Oncology
https://www.readbyqxmd.com/read/28000764/statistically-validated-network-of-portfolio-overlaps-and-systemic-risk
#16
Stanislao Gualdi, Giulio Cimini, Kevin Primicerio, Riccardo Di Clemente, Damien Challet
Common asset holding by financial institutions (portfolio overlap) is nowadays regarded as an important channel for financial contagion with the potential to trigger fire sales and severe losses at the systemic level. We propose a method to assess the statistical significance of the overlap between heterogeneously diversified portfolios, which we use to build a validated network of financial institutions where links indicate potential contagion channels. The method is implemented on a historical database of institutional holdings ranging from 1999 to the end of 2013, but can be applied to any bipartite network...
December 21, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27990031/grain-size-and-grain-depth-restrict-oxygen-movement-in-leaky-hermetic-containers-and-contribute-to-protective-effect
#17
Scott B Williams, Larry L Murdock, Kabita Kharel, Dieudonne Baributsa
Postharvest insect pests threaten the nutritional and financial security of smallholder farmers in the developing world. Hermetic storage, a technology that protects grain against insects by blocking their supply of oxygen, alleviates the problem of insect-caused losses. PICS (Purdue Improved Crop Storage) bags represent one hermetic technology that improves food availability and incomes of farmers. The polyethylene liners of PICS bags are sometime damaged during use, acquiring small holes or tears. Observations in the laboratory and field suggest that insect development remains localized around the point where the bag is damaged...
October 2016: Journal of Stored Products Research
https://www.readbyqxmd.com/read/27974062/interventions-to-reduce-the-impact-of-unemployment-and-economic-hardship-on-mental-health-in-the-general-population-a-systematic-review
#18
T H M Moore, N Kapur, K Hawton, A Richards, C Metcalfe, D Gunnell
BACKGROUND: Job loss, debt and financial difficulties are associated with increased risk of mental illness and suicide in the general population. Interventions targeting people in debt or unemployed might help reduce these effects. METHOD: We searched MEDLINE, Embase, The Cochrane Library, Web of Science, and PsycINFO (January 2016) for randomized controlled trials (RCTs) of interventions to reduce the effects of unemployment and debt on mental health in general population samples...
December 15, 2016: Psychological Medicine
https://www.readbyqxmd.com/read/27974014/treatment-of-multiple-wounds-of-aplasia-cutis-congenita-on-the-lower-limb-a-case-report
#19
M Cherubino, F Maggiulli, R Dibartolo, L Valdatta
INTRODUCTION: Aplasia cutis congenita (ACC) is a rare congenital disease, characterised by absence of skin, that can affect different parts of the body. ACC is more frequent on the scalp, but can involve limbs, with partial-or total-thickness loss of skin, with a functional impairment of the joint affected. There is no clear indication for surgical or conservative treatment, therefore, it would be helpful to find scientific support for the optimal treatment strategies. CLINICAL PRESENTATION: We present a case of a newborn female, with six wounds on the inferior limbs, treated with conservative therapy...
December 2, 2016: Journal of Wound Care
https://www.readbyqxmd.com/read/27957689/securitization-product-design-for-china-s-environmental-pollution-liability-insurance
#20
Chengyi Pu, Bismark Addai, Xiaojun Pan, Pangtuo Bo
The environmental catastrophic accidents in China over the last three decades have triggered implementation of myriad policies by the government to help abate environmental pollution in the country. Consequently, research into environmental pollution liability insurance and how that can stimulate economic growth and the development of financial market in China is worthwhile. This study attempts to design a financial derivative for China's environmental pollution liability insurance to offer strong financial support for significant compensation towards potential catastrophic environmental loss exposures, especially losses from the chemical industry...
December 12, 2016: Environmental Science and Pollution Research International
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