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Adult protective services

Isis Marques Severo, Ricardo Kuchenbecker, Débora Feijó Villas Boas Vieira, Luciana Ramos Correa Pinto, Michele Elisa Weschenfelder Hervé, Amália de Fátima Lucena, Miriam de Abreu Almeida
AIM: To develop and validate a predictive model for falls in hospitalized adult clinical and surgical patients, assessing intrinsic (i.e. patient-related) and extrinsic factors (i.e. care process-related). BACKGROUND: To identify factors predictive of falls and enable appropriate management of fall risk it is necessary to understand patient and environmental factors, along with care delivery processes. DESIGN: A matched case-control study...
October 18, 2018: Journal of Advanced Nursing
Adina J Smith, Rachel Hallum-Montes, Kyndra Nevin, Roberta Zenker, Bree Sutherland, Shawn Reagor, M Elizabeth Ortiz, Catherine Woods, Melissa Frost, Bryan Cochran, Kathryn Oost, Hillary Gleason, James Michael Brennan
This project utilized a Community-Based Participatory Research (CBPR) approach to conduct qualitative interviews with 30 transgender adults living in a rural state. Participants' identities spanned from trans women and men to non-binary and Two-Spirit. The aim of this study was to better understand the experiences, needs, and priorities of the participants as well as to examine possible determinants of mental health, well-being, and suicidality for transgender individuals in Montana. These factors were investigated at individual, interpersonal, community, and societal levels using an ecological framework...
April 2018: Rural Mental Health
Young-Ju Kim, Victoria B Mitrani
INTRODUCTION: Household composition is seen as a critical factor for recovery of Hispanic mothers with mental illness, but little research has examined the relationship of household composition and health. AIM: This study examined how household composition and family functioning impact on both physical and psychological health of Hispanic mothers receiving outpatient mental health services. METHOD: The study analysed baseline data of 137 Hispanic mothers participating in a randomised trial of 'Healthy Home', a family-strengthening home health intervention...
October 6, 2018: Journal of Psychiatric and Mental Health Nursing
Jin Ge, Evelyn K Hsu, John Bucuvalas, Jennifer C Lai
BACKGROUND AND AIMS: Each year, approximately 60 children, representing 12% of waitlist candidates, die awaiting liver transplantation. The current allocation algorithm for pediatric donor livers prioritizes local/regional adults over national children. We attempted to better understand the impact of the present algorithm on pediatric candidates. METHODS: We analyzed pediatric donor liver offers from 2010 to 2014. Donors and recipients were classified based on age...
October 3, 2018: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
Julie A Wolfson, Joshua S Richman, Can-Lan Sun, Wendy Landier, Karen Leung, Eileen P Smith, Margaret O'Donnell, Smita Bhatia
Background: Adolescents and young adults (AYA: 15-39 years) with acute lymphoblastic leukemia (ALL) have inferior survival when compared with children (1-14 years). An approach is lacking that includes both patients enrolled and not enrolled in clinical trials, and includes the contribution of health care delivery, treatment, and clinical prognosticators. Methods: We assembled a retrospective cohort of ALL patients diagnosed between 1-39 years (AYA: n = 93; child: n = 91) and treated at a single institution between 1990 and 2010, irrespective of clinical trial enrollment...
October 2018: Cancer Epidemiology, Biomarkers & Prevention
Jennifer Rogers, Sandra Silva, Sarah Benatar, Ana Carolina Loyola Briceno
PURPOSE: A cornerstone of the Title X program is guaranteed access to confidential family planning services regardless of patients' ability to pay. This is particularly important for adolescents and young adults. The Patient Protection and Affordable Care Act (ACA) expanded health insurance access for thousands of individuals. But, billing third-party payers for family planning services can result in the generation of explanations of benefits and other communications to the policy holder that may compromise confidentiality for covered dependents...
September 24, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Masashi Kizuki, Takeo Fujiwara
Introduction: Social support is an important protective factor for psychological distress, and adult attachment patterns-which are the basis of human relationships-may modify the association between social support and psychological distress. The objective of this study was to investigate whether adult attachment patterns modify the association between social support and psychological distress. Methods: A commercial online survey service was used to collect data from 1648 men and women of 30-69 years of age in Japan...
2018: Frontiers in Public Health
Esperanza Diaz, Gry Omland, Yngvild Hannestad, Sabine Ruths
INTRODUCTION: Immigrants and their offspring constitute 16.3% of the population in Norway. Knowledge about their contraceptive use is important in order to inform adequate family planning services. Prior research has shown less use of contraception among first-generation immigrants as compared to non-immigrant women. Our aim is to compare the use of hormonal contraceptives between immigrants and their adult daughters. MATERIAL AND METHODS: Information from the Norwegian Prescription Database on all hormonal contraceptives dispensed at all pharmacies in Norway in 2008 was merged with demographic, socioeconomic and immigration data from the National Population Register and information from the Regular General Practitioner Database and the Medical Birth Registry Norway...
September 25, 2018: Acta Obstetricia et Gynecologica Scandinavica
Jonathon Schubert, Anuk Kruavit, Sumit Mehra, Sanji Wasgewatta, Anne B Chang, Subhash Heraganahally
BACKGROUND AND OBJECTIVE: Poor lung function is a predictor of future all-cause mortality. In Australia, respiratory diseases are particularly prevalent among the Indigenous population, especially in remote communities. However, there are little published pulmonary function tests (PFT) data of remote-based adult Indigenous patients. We aimed to evaluate the severity of airflow obstruction and other PFT abnormalities of adults referred to specialist respiratory clinics in remote Indigenous communities...
September 21, 2018: Internal Medicine Journal
D J N Wong, S K Harris, S R Moonesinghe
BACKGROUND: Cancellation of planned surgery impacts substantially on patients and health systems. This study describes the incidence and reasons for cancellation of inpatient surgery in the UK NHS. METHODS: We conducted a prospective observational cohort study over 7 consecutive days in March 2017 in 245 NHS hospitals. Occurrences and reasons for previous surgical cancellations were recorded. Using multilevel logistic regression, we identified patient- and hospital-level factors associated with cancellation due to inadequate bed capacity...
October 2018: British Journal of Anaesthesia
Teresa N Brockie, Jessica H L Elm, Melissa L Walls
OBJECTIVES: The purpose of this study was to determine the frequency of select adverse childhood experiences (ACEs) among a sample of American Indian (AI) adults living with type 2 diabetes (T2D) and the associations between ACEs and self-rated physical and mental health. We also examined associations between sociocultural factors and health, including possible buffering processes. DESIGN: Survey data for this observational study were collected using computer-assisted survey interviewing techniques between 2013 and 2015...
September 19, 2018: BMJ Open
Jimin Lee, Sukhyang Lee
STUDY OBJECTIVE: Patients with coronary heart disease (CHD) frequently use the combination of a statin and renin-angiotensin-aldosterone system (RAAS) blocker- an angiotensin-converting enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB)-to control lipid levels and blood pressure, respectively, and the use of ARBs is increasing in Korean patients. Few studies are available, however, that have compared combination therapy with statin-ACEIs versus statin-ARBs. The objective of this study was to evaluate whether ARBs are associated with a reduced risk of major adverse cardiovascular and cerebrovascular events (MACCEs) compared with ACEIs when used in combination with statins in patients with established CHD...
September 17, 2018: Pharmacotherapy
Amanda Hall, Helen Pryce, Iain A Bruce, Peter Callery, Monica Lakhanpaul, Anne Gm Schilder
OBJECTIVES: To scope current service provision across England for management of otitis media with effusion and hearing loss in children with Down syndrome; to explore professional decision making about managing otitis media with effusion and hearing loss; to explore patient and public views on the direction of future research. DESIGN: Mixed methods including a service evaluation of NHS clinical practice through a structured telephone survey; a qualitative study of professional decision making with in-depth interviews collected and analysed using grounded theory methods; patient/public involvement consultations...
September 17, 2018: Clinical Otolaryngology
Jason Burnett, Carmel B Dyer, Leslie E Clark, John M Halphen
OBJECTIVES: To describe the Texas Elder Abuse and Mistreatment Institute Forensic Assessment Center Network (TEAM-FACN), a novel statewide elder mistreatment (EM) virtual assessment program using low-cost videophone technology and innovative web-based coordination to connect an Adult Protective Services (APS) agency and its clients, rural and urban, to a centralized geriatric and EM expert medical team for virtual in-home assessments. DESIGN: Descriptive. SETTING: Community...
September 17, 2018: Journal of the American Geriatrics Society
Cristian A Martínez-Adriano, Cecilia Díaz-Castelazo, Armando Aguirre-Jaimes
Background: Interspecific interactions play an important role in determining species richness and persistence in a given locality. However at some sites, the studies, especially for interaction networks on adult butterflies are scarce. The present study aimed the following objectives: (1) determine butterfly species richness and diversity that visit flowering plants, (2) compare species richness and diversity in butterfly-plant interactions among six different vegetation types and (3) analyze the structure of butterfly-flowering plant interaction networks mediated by flowers...
2018: PeerJ
Rachel Silliman Cohen, Jessica L Moore, Christine E Barron
Food insecurity affects both children and adults in 8% of households in the United States and 12.8% of households in Rhode Island, negatively impacting childhood health and development. Children with a history of child abuse or neglect are at higher risk for food insecurity than other pediatric populations. Patients evaluated at a child protection clinic - which completes evaluations for all forms of suspected child maltreatment - were screened for food insecurity using a validated two-item questionnaire. Data were collected over a four-month period, with three quality improvement cycles...
September 4, 2018: Rhode Island Medical Journal
Zobair M Younossi, Radhika Tampi, Massoom Priyadarshini, Fatema Nader, Issah M Younossi, Andrei Racila
BACKGROUND AND AIM: Non-alcoholic steatohepatitis (NASH) is the progressive form of non-alcoholic fatty liver disease (NAFLD). Our aim was to estimate the total economic burden of NASH and advanced NASH in the United States. METHODS: We constructed lifetime Markov models for all stages of NASH, and a separate model to specifically identify the increased burden of advanced NASH [Fibrosis Stage >3 (F3)]. The models comprised patients aged 18+, who moved through seven different health states...
September 4, 2018: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
L Mc Morrow, M C O' Hara, L Hynes, Á Cunningham, A Caulfield, C Duffy, C Keighron, M Mullins, M Long, D Walsh, M Byrne, B Kennelly, P Gillespie, S F Dinneen, E Doherty
AIM: Attending routine outpatient clinic appointments is a central self-management behaviour of individuals living with Type 1 diabetes. A large number of young adults with Type 1 diabetes disengage from diabetes services, which may contribute to poor psychosocial and diabetes outcomes. The aim of this study is to elicit preferences from young adults with Type 1 diabetes regarding clinic-related services to inform service delivery. METHODS: A discrete choice experiment was developed to understand the preferences of young adults with Type 1 diabetes for clinic-related services...
September 3, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
K N O'Neill, S M McHugh, M L Tracey, A P Fitzgerald, P M Kearney
AIMS: To estimate the health service use and direct healthcare costs attributable to diabetes using best available data and methods. METHODS: A nationally representative sample of adults aged ≥50 years was analysed (n=8107). Health service use in the previous 12 months included the number of general practitioner visits, outpatient department visits, hospital admissions, and accident and emergency department attendances. Multivariable negative binomial regression was used to estimate the associations between diabetes and frequency of visits...
August 28, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Kamil E Barbour, Naoko Sagawa, Robert M Boudreau, Mary E Winger, Jane A Cauley, Michael C Nevitt, Tomoko Fujii, Kushang V Patel, Elsa S Strotmeyer
BACKGROUND: The risk of falls among adults with knee osteoarthritis (OA) has been documented, yet, to our knowledge no studies have examined knee OA and medically treated injurious falls (hereafter injurious falls) (overall and by sex), an outcome of substantial clinical and public health relevance. METHODS: Using data from the Health ABC Knee Osteoarthritis Substudy, a community-based study of white and black older adults, we tested associations between knee OA status and the risk of injurious falls among 734 participants with a mean (SD) age of 74...
August 21, 2018: Arthritis Care & Research
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