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Li Ping Chung, Mark Hew, Philip Bardin, Vanessa M McDonald, John W Upham
Severe asthma leads to debilitating symptoms for patients and excessive socioeconomic burden for the community. Comprehensive models of care are required to address complex issues, risk factors and comorbidities in patients with severe asthma, and to identify patients most appropriate for specialised treatments. Dedicated severe asthma services improve asthma control, reduce asthma exacerbations and hospital admissions, and improve quality of life. Currently, diverse models of care exist for managing severe asthma across Australia...
December 2018: Internal Medicine Journal
Ai Shiraishi, Yoshihiro Yoshimura, Hidetaka Wakabayashi, Yuri Tsuji, Makio Yamaga, Hiroaki Koga
AIM: To examine the effects of oral management provided by dental hygienists (DH) on patient outcomes in post-acute rehabilitation. METHODS: We carried out a retrospective cohort study with 1056 patients newly admitted to a post-rehabilitation hospital in Japan. DH care was defined as two or more consecutive instances of oral management provided by a ward DH during hospitalization. The primary outcome was the motor domain of Functional Independence Measure score at discharge...
December 5, 2018: Geriatrics & Gerontology International
Murray Schellenberg, Bryan Gick
BACKGROUND/AIMS: Both music and language impose constraints on fundamental frequency (F0) in sung music. Composers are known to set words of tone languages to music in a way that reflects tone height but fails to include tone contour. This study tests whether choral singers add linguistic tone contour information to an unfamiliar song by examining whether Cantonese singers make use of microtonal variation. METHODS: 12 native Cantonese-speaking non-professional choral singers learned and sang a novel song in Cantonese which included a minimal set of the Cantonese tones to probe whether everyday singers add in missing contour information...
December 5, 2018: Phonetica
Elizabeth Anne Kinsella, Kirsten Smith, Saara Bhanji, Rachelle Shepley, Andreja Modor, Andrew Bertrim
BACKGROUND: Investigations into the use of mindfulness with allied health and social care students, many of whom ultimately work in rehabilitation settings, is in the nascent stages and no systematic mapping of the literature has occurred. The purpose of this scoping review was to identify, summarise, and describe the current state of knowledge on mindfulness in allied health and social care professional education. METHODS: Arksey and O'Malley's scoping review methodology was adopted...
December 5, 2018: Disability and Rehabilitation
James G Dolan, Peter J Veazie
PURPOSE: In the process of developing an evidence-based decision dashboard to support treatment decisions for patients with newly diagnosed prostate cancer, we found that the clinical evidence base is insufficient to provide high-quality comparative outcome data. We therefore sought to determine if clinically acceptable outcome estimates could be created using a modified version of the Sheffield Elicitation Framework (SHELF), a formal method for eliciting judgments regarding probability distributions of expected decision outcomes...
December 5, 2018: Medical Decision Making: An International Journal of the Society for Medical Decision Making
Mohammad S Jalali, Bethany Russell, Sabina Razak, William J Gordon
Background: Connected medical devices and electronic health records have added important functionality to patient care, but have also introduced a range of cybersecurity concerns. When a healthcare organization suffers from a cybersecurity incident, its incident response strategies are critical to the success of its recovery. Objective: In this article, we identify gaps in research concerning cybersecurity response plans in healthcare. Through a systematic literature review, we develop aggregated strategies that professionals can use to construct better response strategies in their organizations...
November 28, 2018: Journal of the American Medical Informatics Association: JAMIA
Petra Borsje, Peter L B J Lucassen, Hans Bor, Roland B Wetzels, Anne Margriet Pot, Raymond T C M Koopmans
Background: During the course of dementia, most people develop some type of neuropsychiatric symptoms (NPS), which result in lower quality of life, high caregiver burden, psychotropic drug use and a major risk of institutionalization. Studies on NPS in people with dementia have been mainly conducted in clinical centres or psychiatric services. Objectives: To investigate the course of NPS in people with dementia in primary care. Methods: Analysis of (cumulative) prevalence and incidence, persistence and resolution based on data collected during an assessment at home of a prospective naturalistic cohort study in primary care in a sample of 117 people with dementia and their informal caregivers...
December 4, 2018: Family Practice
Ariane Gomes Dos Santos, Claudete Ferreira de Souza Monteiro
OBJECTIVE: to verify associations between the types of intimate partner violence and the domains of common mental disorders in women. METHOD: cross-sectional study with 369 women. The information was obtained through the instruments Self-Reporting Questionnaire and Conflict Tactic Scales. To analyze the data, Pearson's Chi-Square test, Fisher's exact test and Odds Ratio were used. RESULTS: women who reported physical abuse with and without sequela were respectively 2...
November 29, 2018: Revista Latino-americana de Enfermagem
Paula Hino, Aline Aparecida Monroe, Renata Ferreira Takahashi, Káren Mendes Jorge de Souza, Tania Maria Ribeiro Monteiro de Figueiredo, Maria Rita Bertolozzi
PURPOSE: to present the opinion of professionals about street dwellers undergoing treatment of tuberculosis and identify strategies of control of tuberculosis in this population. METHOD: an exploratory and descriptive study involving 17 health professionals working in street clinics. A semi-structured study composed of closed questions and a guiding question. The statements were analyzed using the discourse analysis technique, resulting in the identification of two analytical categories: 1...
November 29, 2018: Revista Latino-americana de Enfermagem
Teresa Neves, Vitor Rodrigues, João Graveto, Pedro Parreira
OBJECTIVE: to contribute to the validation study of the Scale of Adverse Events associated with Nursing Practices in the hospital context. METHOD: cross-sectional study, in public hospital units, in the central and northern regions of Portugal. The exploratory factor analysis of the Scale of Adverse Events associated to Nursing Practices was conducted with a sample of 165 nurses and the confirmatory factorial analysis was made with a sample of 685 nurses. Reliability, internal consistency and construct validity were estimated...
November 29, 2018: Revista Latino-americana de Enfermagem
Danúbia Mariane Barbosa Jardim, Celina Maria Modena
OBJECTIVE: to analyze the scientific production on obstetric violence by identifying and discussing its main characteristics in the routine care for the pregnant-puerperal cycle. METHOD: integrative literature review of 24 publications indexed in the Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online, SciVerse Scopus, Web of Science and the Scientific Electronic Library Online and Virtual Health Library...
November 29, 2018: Revista Latino-americana de Enfermagem
Vanessa Cristina Martins Silva, Samira Julien Calux, Marcilio Figueiredo Lemos, Adriana Parise Compri, Ana Paula de Torres Santos, Isabel Takano Oba, Maria Cássia Jacintho Mendes-Correa, Regina Célia Moreira
INTRODUCTION: Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) have identical transmission routes, explaining the high prevalence of coinfections. The main aim of this study was to detect fluctuations in serological HCV levels in HIV patients. METHODS: We analyzed samples of 147 patients who attended an outpatient service that supports HIV/AIDS patients in São Paulo city. We also recruited 22 HCV-monoinfected patients who attended the Instituto Adolfo Lutz Laboratory in São Paulo city, to compare the test results...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
Max Moura de Oliveira, Silvânia Suely Caribé de Araújo Andrade, Sheila Rizzato Stopa, Deborah Carvalho Malta
INTRODUCTION: Knowing the profile of individuals who demand health services or professionals could help in the improvement and reorganization of services. However, this subject is still underexplored among adolescents. This study aimed to describe and identify characteristics related to the demand for health services or professionals by Brazilian students. METHODS: Using data from the 2015 National School Health Survey, the prevalence and respective 95% confidence intervals (95%CI) of the demand for health services or professionals among students were estimated, and Poisson regression adjusted by age and region of residence was used to identify the associated factors...
November 29, 2018: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Lílian Moura de Lima Spagnolo, Jéssica Oliveira Tomberg, Martina Dias da Rosa Martins, Luize Barbosa Antunes, Roxana Isabel Cardozo Gonzales
OBJECTIVE: To analyze the structure of primary health care for the detection of tuberculosis cases in two municipalities of Rio Grande do Sul. METHOD: Descriptive, evaluative mixed methods research, with direct observation of the physical structure of 69 primary health care units; and semi-structured interviews with 10 subjects. Conducted between 2014 and 2016. Using descriptive statistics and content analysis for data analysis. RESULTS: In the 50 units in Pelotas there was an absence of: pots (24%); forms (53...
November 29, 2018: Revista Gaúcha de Enfermagem
Jacqueline Macedo Dos Santos, Juliana Ávila Baptista, Cíntia Nasi, Marcio Wagner Camatta
OBJECTIVE: Analyze the degree of accountability and participation of user under treatment at the Psychosocial Care Center for Alcohol and Drug Users (CAPS-ad) from the harm reduction policy perspective. METHODS: It is a qualitative approach study, case study type, with 12 users and four professionals from CAPS-ad in a county of Minas Gerais state. Data were collected from April to September 2017, by means of semi-structured interview, participant observation and documental analysis...
November 29, 2018: Revista Gaúcha de Enfermagem
Andreia Barcelos Teixeira Macedo, Caren de Oliveira Riboldi, Karen Schein da Silva, Thiane Mergen, Isabel Cristina Echer, Sônia Beatriz Cócaro de Souza
OBJECTIVE: To propose parameters to qualify the filling of the Patient Classification System proposed by Perroca. METHOD: Validation study by consensus held in 2014, in a university hospital. The sample included 10 specialist nurses, four teachers and a computer science professional, all knowledgeable in the Classification System. The information was collected and analyzed through meetings registration, where strategies were discussed to enable the systematic application of the instrument in the institution...
November 29, 2018: Revista Gaúcha de Enfermagem
Silvana de Oliveira Silva, Letícia Martins Machado, Maria Denise Schimith, Laís Mara Caetano da Silva, Vanessa do Nascimento Silveira, Anderson Cecchin de Bastos
OBJECTIVE: to describe our experience with a methodology for teaching nursing consultation in support of people with diabetes mellitus at a Family Health Unit. METHOD: experience report with four moments-submission of the proposal to the team; theorizing; nursing care for people with diabetes mellitus at home and at the health unit, and evaluation of learning. RESULTS: the pedagogical process favored the integration between service and users, contributed to implement and apply the nursing process and strengthened professional training, based on the epidemiological profile of chronic diseases and its implications for nursing in primary care...
November 2018: Revista Brasileira de Enfermagem
Luna Vitória Cajé Moura, Larissa Chaves Pedreira, Tânia Maria de Oliva Menezes, Nildete Pereira Gomes, Alyne Henri Motta Coifman, Alice de Andrade Santos
OBJECTIVE: To elaborate and implement, through an educational intervention with the nursing team of the Emergency Unit, strategies that contribute to the management of elderly people suspected/affected by Stroke. METHOD: Action research with eighteen nursing professionals working in the Emergency Unit of a reference hospital. The data were collected through five pedagogical workshops and systematized through the thematic analysis. RESULTS: After a situational analysis and identification of the difficulties in the management of these elderly, a synthesis chart was prepared with strategic actions, responsible professionals and perspectives for implementation in the short, medium and long term...
November 2018: Revista Brasileira de Enfermagem
Adriana Elisa Carcereri de Oliveira, Adrielle Barbosa Machado, Edson Duque Dos Santos, Érika Bicalho de Almeida
OBJECTIVE: To measure the response time of health professionals before sound alarm activation and the implications for patient safety. METHOD: This is a quantitative and observational research conducted in an Adult Intensive Care Unit of a teaching hospital. Three researchers conducted non-participant observations for seven hours. Data collection occurred simultaneously in 20 beds during the morning shift. When listening the alarm activation, the researchers turned on the stopwatches and recorded the motive, the response time and the professional conduct...
November 2018: Revista Brasileira de Enfermagem
Ana Elisa Ramos, Carmen Viana Ramos, Marize Melo Dos Santos, Camila Aparecida Pinheiro Landim Almeida, Maria do Carmo de Carvalho E Martins
OBJECTIVE: To analyze the knowledge of breastfeeding (BF) and supplementary feeding (SF) of professionals in the Primary Health Care. METHOD: Cross-sectional study, with 168 professionals, conducted between June and September 2016. The Kruskal Wallis test was used to compare means of percentage of knowledge about BF and SF, by professional category and contingency testing, for association between variables. RESULTS: From the total of professionals, 39...
November 2018: Revista Brasileira de Enfermagem
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