keyword
https://read.qxmd.com/read/38200508/study-protocol-for-the-family-empowerment-program-a-randomized-waitlist-controlled-trial-to-evaluate-the-effectiveness-of-online-community-reinforcement-and-family-training-craft-on-the-wellbeing-of-family-members-with-a-relative-experiencing-substance-dependence
#21
JOURNAL ARTICLE
Julaine Allan, Nicole Snowdon, Subash Thapa, Kedir Y Ahmed
BACKGROUND: Systematic reviews consistently show that family-focused interventions are effective at improving substance treatment engagement and outcomes across the lifespan. Yet, Australian substance use treatment services rarely incorporate family members and concerned significant others. Testing of family focussed interventions in the Australian context is required. METHODS: The trial is a randomized wait-list control trial assessing the effectiveness, feasibility and acceptability of online CRAFT with a parallel group...
January 10, 2024: BMC Psychiatry
https://read.qxmd.com/read/38183084/a-study-protocol-for-implementing-canadian-practice-guidelines-for-treating-children-and-adolescents-with-eating-disorders
#22
JOURNAL ARTICLE
Jennifer L Couturier, Melissa Kimber, Catherine Ford, Jennifer S Coelho, Gina Dimitropoulos, Ayisha Kurji, Jonathan Boman, Leanna Isserlin, Jason Bond, Chelsea Soroka, Anna Dominic, Ahmed Boachie, Gail McVey, Mark Norris, Nicole Obeid, David Pilon, Wendy Spettigue, Sheri Findlay, Josie Geller, Seena Grewal, Joanne Gusella, Monique Jericho, Natasha Johnson, Debra Katzman, Natalie Chan, Chloe Grande, Maria Nicula, Drew Clause-Walford, Anick Leclerc, Rachel Loewen, Techiya Loewen, Cathleen Steinegger, Elizabeth Waite, Cheryl Webb, Melissa Brouwers
BACKGROUND: Eating disorders have one of the highest mortality rates among psychiatric illnesses. Timely intervention is crucial for effective treatment, as eating disorders tend to be chronic and difficult to manage if left untreated. Clinical practice guidelines play a vital role in improving healthcare delivery, aiming to minimize variations in care and bridge the gap between research and practice. However, research indicates an active guideline implementation approach is crucial to effective uptake...
January 5, 2024: Implementation science communications
https://read.qxmd.com/read/38180798/usability-of-an-app-for-medical-history-taking-in-general-practice-from-the-patients-perspective-cross-sectional-study
#23
JOURNAL ARTICLE
Klara Albrink, Dominik Schröder, Carla Joos, Frank Müller, Eva Maria Noack
BACKGROUND: A future shortage of physicians, especially in general practice, will result in an increasing workload for health care providers as a whole. Therefore, it is important to optimize patient-encounter processes to increase time efficiency related to visits. Utilizing digital tools to record patients' medical histories prior to a consultation offers great potential to achieve this goal. The collected information can be stored into the practice's electronic medical record, allowing for the general practitioner to review structured information of the patients' complaints and related medical history beforehand, thereby saving time during the encounter...
January 5, 2024: JMIR Human Factors
https://read.qxmd.com/read/38146014/wait-for-me-chronic-mental-illness-and-experiences-of-time-during-the-pandemic
#24
JOURNAL ARTICLE
Lindsey Beth Zelvin
As someone diagnosed with severe chronic mental illness early in my adolescence, I have spent over half of my life feeling out of step with the rest of the world due to hospitalizations, treatment programs, and the disruptions caused by anxiety, anorexia, depression, and obsessive-compulsive disorder. The effect of my mental health conditions compounded by these treatment environments means I often feel that I experience time passing differently, which results in sensations of removal and isolation from those around me...
December 26, 2023: Journal of Medical Humanities
https://read.qxmd.com/read/38142059/children-in-street-situations-access-to-healthcare-qualitative-findings-from-the-street-child-world-cup-2022
#25
JOURNAL ARTICLE
Shona Lindsay Macleod, Pia MacRae, Júlia Pimenta
BACKGROUND: Children in street situations (those who live or work on the street) are known to face barriers in accessing healthcare. METHODS: The study combined a remote survey with 33 adult non-governmental organisation (NGO) staff members, in-depth interviews with staff members of 11 NGOs and 4 formerly street-connected adult young leaders and a questionnaire with 30 street-connected children from 15 countries participating in the Street Child World Cup event in Qatar in 2022...
December 23, 2023: BMJ Paediatrics Open
https://read.qxmd.com/read/38103267/patterns-of-self-care-decision-making-and-associated-factors-a-cross-sectional-observational-study
#26
JOURNAL ARTICLE
Christopher S Lee, Kenneth E Freedland, Tiny Jaarsma, Anna Strömberg, Ercole Vellone, Shayleigh Dickson Page, Heleen Westland, Sara Pettersson, Michelle van Rijn, Subhash Aryal, Andrew Belfiglio, Douglas Wiebe, Barbara Riegel
OBJECTIVE: The aim of this study was to identify for the first time patterns of self-care decision-making (i.e. the extent to which participants viewed contextual factors influencing decisions about symptoms) and associated factors among community-dwelling adults with chronic illness. METHODS: This was a secondary analysis of data collected during the development and psychometric evaluation of the 27-item Self-Care Decisions Inventory that is based on Naturalistic Decision-Making (n = 430, average age = 54...
February 2024: International Journal of Nursing Studies
https://read.qxmd.com/read/38074503/liver-transplant-selection-criteria-and-outcomes-in%C3%A2-critically-ill-patients-with-aclf
#27
JOURNAL ARTICLE
Sophie-Caroline- Sacleux, Philippe Ichaï, Audrey Coilly, Marc Boudon, Elise Lemaitre, Rodolphe Sobesky, Eleonora De Martin, Valérie Cailliez, Ilias Kounis, Edoardo Poli, Marie-Amélie Ordan, Alina Pascale, Jean-Charles Duclos-Vallée, Cyrille Feray, Daniel Azoulay, Eric Vibert, Daniel Cherqui, René Adam, Didier Samuel, Faouzi Saliba
BACKGROUND & AIMS: Retrospective studies have reported good results with liver transplantation (LTx) for acute-on-chronic liver failure (ACLF) in selected patients. The aim of this study was to evaluate the selection process for LTx in patients with ACLF admitted to the intensive care unit (ICU) and to assess outcomes. METHODS: This prospective, non-interventional, single high-volume center study collected data on patients with ACLF admitted to the ICU between 2017-2020...
January 2024: JHEP reports: innovation in hepatology
https://read.qxmd.com/read/38064335/resilience-of-patients-with-brain-tumor-while-awaiting-surgery
#28
JOURNAL ARTICLE
Supawadee Maneekrong, Thitipong Tankumpuan, Suporn Danaidutsadeekul, Rungsak Siwanuwatn
BACKGROUND: Resilience is the ability of patients to adapt effectively when given a diagnosis of an illness. While awaiting brain tumor surgery, patients often experience uncertainty from brain tumor-related symptoms resulting in inducing depressive symptoms, having physical disability, and reducing quality of life. Resilience studies have been widely conducted in the postoperative phase with a limited knowledge on the preoperative phase. This study aimed to identify predictors of resilience while awaiting brain tumor surgery...
December 8, 2023: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://read.qxmd.com/read/38060222/emergency-department-care-for-children-during-the-2022-viral-respiratory-illness-surge
#29
JOURNAL ARTICLE
Alexander T Janke, Courtney W Mangus, Christopher M Fung, Neil Kamdar, Michelle L Macy, Michele M Nypaver, Keith E Kocher
IMPORTANCE: Pediatric readiness is essential for all emergency departments (EDs). Children's experience of care may differ according to operational challenges in children's hospitals, community hospitals, and rural EDs caused by recurring and sometimes unpredictable viral illness surges. OBJECTIVE: To describe wait times, lengths of stay (LOS), and ED revisits across diverse EDs participating in a statewide quality collaborative during a surge in visits in 2022...
December 1, 2023: JAMA Network Open
https://read.qxmd.com/read/38034877/listening-to-caregivers-narratives-of-health-seeking-for-children-under-five-with-pneumonia-and-diarrhea-insights-from-the-nigraan-trial-in-pakistan
#30
JOURNAL ARTICLE
Maryam Huda, Fauziah Rabbani, Leah Shipton, Wafa Aftab, Kausar S Khan, Maria Giulia Marini
BACKGROUND: Understanding health-seeking behaviors of caregivers is important to reduce child mortality. Several factors influence decision-making related to childhood illnesses. OBJECTIVE: The objective of this study was to gather caretaker narratives to develop a comprehensive understanding of the context and process of caregiving at household level during all stages of an episode of diarrhea and pneumonia in children <5. METHODS: Using a narrative interview approach, stories from caregivers of children <5 were collected from a rural district in Sindh Pakistan...
2023: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/38031251/visualising-navigating-and-making-time-the-use-of-a-digital-solution-in-treatment-and-rehabilitation-from-low-back-pain
#31
JOURNAL ARTICLE
Charlotte Ettrup Christiansen, Mette Terp Høybye, Ronja Rosenberg Grøn, Camilla Blach Rossen
Illness trajectories are particularly characterised by the temporal dimension of human existence. In the area of low back pain, patients often have challenging temporal experiences such as unproductive waiting time and fragmented, repetitive consultations over many years. This study seeks to investigate relationships between digital technologies, temporal agency, and illness, through describing how users experienced a new digital solution, BackTrace, targeting patients with low back pain. The study builds on six months of ethnographic fieldwork, including semi-structured interviews, participant observation and a workshop...
November 29, 2023: Health (London)
https://read.qxmd.com/read/37964199/a-smartphone-based-intervention-for-young-people-who-self-harm-primary-study-protocol-for-a-multicenter-randomized-controlled-trial
#32
JOURNAL ARTICLE
Anouk Aleva, Tessa van den Berg, Odilia M Laceulle, Marcel A G van Aken, Andrew M Chanen, Jennifer K Betts, Christel J Hessels
BACKGROUND: Self-harm in young people is a public health concern connected with severe mental health problems, such as personality pathology. Currently, there are no specific evidence-based interventions available for young people who self-harm. Therefore, we developed PRe-Intervention Monitoring of Affect and Relationships in Youth (PRIMARY), a smartphone-based intervention, co-designed by clinicians and young people with lived experience of mental ill-health. PRIMARY combines the Experience Sampling Method (ESM) with weekly report sessions...
November 14, 2023: BMC Psychiatry
https://read.qxmd.com/read/37935305/evaluating-a-multi-behavioural-home-based-intervention-for-reducing-depressive-symptoms-in-postnatal-women-the-food-move-sleep-fomos-for-postnatal-mental-health-randomised-controlled-trial-protocol
#33
JOURNAL ARTICLE
Madeleine France-Ratcliffe, Hannah E Christie, Sarah Blunden, Rachelle S Opie, Elysha Chua, Nazgol Karimi, Brittany Markides, Alison C Uldrich, Ellinor K Olander, Rhiannon L White, Paige van der Pligt, Jane Willcox, Gavin Abbott, Jane Denton, Miriam Lewis, Maria Apostolopoulos, Penelope Love, Anita Lal, Mats Hallgren, Sarah Costigan, Mitch J Duncan, Megan Teychenne
BACKGROUND: Postnatal depression (PND) is a leading cause of illness and death among women following childbirth. Physical inactivity, sedentary behaviour, poor sleep, and sub-optimal diet quality are behavioural risk factors for PND. A feasible, sustainable, and scalable intervention to improve healthy behaviours and reduce PND symptoms among women at postpartum is needed. This study aims to examine the effectiveness of a multi-behavioural home-based program Food, Move, Sleep (FOMOS) for Postnatal Mental Health designed to improve PND symptoms in women at postpartum...
November 5, 2023: Contemporary Clinical Trials
https://read.qxmd.com/read/37869814/identifying-preventable-emergency-admissions-in-hospitals-using-machine-learning
#34
JOURNAL ARTICLE
Sarah A Alkhodair, Norah Altwaijri, Ahmed I Albarrak
Overcrowding in EDs has been viewed globally as a chronic health challenge. It is directly related to the increased use of EDs for non-urgent issues, leading to increased complications, long waiting times, a higher death rate, or delayed intervention of those more acutely ill. This study aims to develop Machine Learning models to differentiate immediate medical needs from unnecessary ED visits. A Decision Tree, Random Forest, AdaBoost, and XGBoost models were built and evaluated on real-life data. XGBoost achieved the best accuracy and F1-score...
October 20, 2023: Studies in Health Technology and Informatics
https://read.qxmd.com/read/37820870/2023-canadian-cardiovascular-society-guidelines-on-the-fitness-to-drive
#35
Peter G Guerra, Christopher S Simpson, Harriette G C Van Spall, Anita W Asgar, Phyllis Billia, Julia Cadrin-Tourigny, Santabhanu Chakrabarti, Christopher C Cheung, Annie Dore, Christopher B Fordyce, Pishoy Gouda, Ansar Hassan, Andrew Krahn, Jessica G Y Luc, Susanna Mak, Sean McMurtry, Colleen Norris, Francois Philippon, John Sapp, Robert Sheldon, Candice Silversides, Christian Steinberg, David A Wood
Cardiovascular conditions are among the most frequent causes of impairment to drive, as they may induce unpredictable mental-state alterations via diverse mechanisms like myocardial ischemia, cardiac arrhythmias, and vascular dysfunction. Accordingly, health professionals are often asked to assess patients' fitness to drive (FTD). The Canadian Cardiovascular Society (CCS) previously published FTD guidelines in 2003-2004; here, we present updated FTD Guidelines. Because there are no randomized trials on FTD, observational studies were used to estimate the risk of driving-impairment in each situation, and recommendations made based on CCS Risk of Harm formula...
October 9, 2023: Canadian Journal of Cardiology
https://read.qxmd.com/read/37795557/beva-primary-care-clinical-guidelines-diagnosis-and-management-of-equine-pituitary-pars-intermedia-dysfunction
#36
REVIEW
Nicola J Menzies-Gow, Heidi E Banse, Aimi Duff, Nicholas Hart, Joanne L Ireland, Edward J Knowles, Dianne McFarlane, David Rendle
BACKGROUND: Pituitary pars intermedia dysfunction (PPID) is a prevalent, age-related chronic disorder in equids. Diagnosis of PPID can be challenging because of its broad spectrum of clinical presentations and disparate published diagnostic criteria, and there are limited available treatment options. OBJECTIVES: To develop evidence-based primary care guidelines for the diagnosis and treatment of equine PPID based on the available literature. STUDY DESIGN: Evidence-based clinical guideline using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework...
October 5, 2023: Equine Veterinary Journal
https://read.qxmd.com/read/37795124/nurses-perceptions-of-intensive-care-unit-orientation-patient-education-pamphlet
#37
JOURNAL ARTICLE
Daniel S Livingston, Vidya Krishnan
BACKGROUND: Critical illness is a stressful time for patients and their support networks. Although patient-directed educational material to improve the understanding of critical illness exists, both patients and staff members are often unaware of these resources or how to find them. OBJECTIVES: We aimed to evaluate the impact of the implementation of the American Thoracic Society's (ATS) "Managing the Intensive Care Unity (ICU) Experience: A Proactive Guide for Patients and Families", an ICU orientation pamphlet, on nurses' perceptions of the availability and effectiveness of patient and family educational resources...
September 2023: ATS scholar
https://read.qxmd.com/read/37755927/-the-vision-of-interdisciplinary-teams-on-an-ambulatory-nursing-consultation
#38
JOURNAL ARTICLE
N Van Cleemput, A Van Hecke, G Lemmens, B Serraes, H Vandewiele
BACKGROUND: Several European countries are reforming their mental healthcare program. This implies an increase of pressure on outpatient care and also in Flanders are waiting times long in the outpatient care and patients don&rsquo;t receive timely care. Hitherto, a nursing consultation in mental health care is a fairly new concept of care. AIM: To explore mental health care professionals&rsquo; point of view on outpatient nursing consultation in mental health care...
2023: Tijdschrift Voor Psychiatrie
https://read.qxmd.com/read/37729280/acute-cholecystitis-in-high-risk-patients-surgical-radiological-or-endoscopic-treatment-brazilian-college-of-digestive-surgery-position-paper
#39
JOURNAL ARTICLE
Júlio Cezar Uili Coelho, Marco Aurélio Raeder da Costa, Marcelo Enne, Orlando Jorge Martins Torres, Wellington Andraus, Antonio Carlos Ligocki Campos
Acute cholecystitis (AC) is an acute inflammatory process of the gallbladder that may be associated with potentially severe complications, such as empyema, gangrene, perforation of the gallbladder, and sepsis. The gold standard treatment for AC is laparoscopic cholecystectomy. However, for a small group of AC patients, the risk of laparoscopic cholecystectomy can be very high, mainly in the elderly with associated severe diseases. In these critically ill patients, percutaneous cholecystostomy or endoscopic ultrasound gallbladder drainage may be a temporary therapeutic option, a bridge to cholecystectomy...
2023: Brazilian Archives of Digestive Surgery: ABCD
https://read.qxmd.com/read/37708654/men-placed-on-waiting-lists-for-psychiatric-admission-from-irish-prisons-over-five-years-clinical-outcomes-during-a-forensic-bed-crisis
#40
JOURNAL ARTICLE
Margaret Gallagher, Damian Smith, Philip Hickey, Mark Nolan, Eimear Ní Mhuircheartaigh, Michael Murray, Enda Taylor, Michelle Connaughton, Conor O'Neill
BACKGROUND: Ireland has low provision rates of general and forensic beds compared with other western countries. In recent years there have been difficulties and delays in accessing forensic beds for prisoners with severe mental illness. AIMS: We aimed to determine clinical outcomes for male prisoners assessed as requiring psychiatric admission over an extended period, with time frames for admission and other outcomes. We aimed to determine whether admissions to forensic and non-forensic locations were risk-appropriate...
September 12, 2023: International Journal of Law and Psychiatry
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