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https://www.readbyqxmd.com/read/28646643/pathways-to-competence-in-sexual-and-reproductive-health-care-for-advanced-practice-nurses
#1
Katherine Simmonds, Caroline M Hewitt, E Angel Aztlan-James, Emily Skinner
Sexual and reproductive health (SRH) care is often overlooked in advanced practice nursing educational programs, but advanced practice registered nurses are expected to provide care in this sensitive area. Competencies for SRH care were developed by the World Health Organization, and individual countries including the United States have adapted them to their unique health systems and populations. In this article, we discuss extant and future pathways for advanced practice registered nurses to develop competence in SRH care...
June 21, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28644704/numerical-analysis-of-time-dependent-inhibition-kinetics-comparison-between-rat-liver-microsomes-and-rat-hepatocyte-data-for-mechanistic-model-fitting
#2
Chuong Pham, Swati Nagar, Ken Korzekwa
Time dependent inhibition (TDI) may confound drug interaction predictions. Recently, models were generated for an array of TDI kinetic schemes using numerical analysis of microsomal assays. Additionally, a distinct terminal inactivation step was identified for certain mechanism based inhibitors (MBI) following reversible metabolite intermediate complex (MIC) formation. Longer hepatocyte incubations potentially allow analysis of slow TDI and terminal inactivation. In the experiments presented here, we compared the quality of TDI parameterization by numerical analysis between hepatocyte and microsomal data...
June 23, 2017: Xenobiotica; the Fate of Foreign Compounds in Biological Systems
https://www.readbyqxmd.com/read/28639838/provider-perceptions-of-stigma-and-discrimination-experienced-by-adolescents-and-young-adults-with-phiv-while-accessing-sexual-and-reproductive-health-care
#3
Cynthia D Fair, Meredith Berk
Historically, children with perinatally-acquired HIV (PHIV) were viewed as the "innocent victims" as their HIV infection was not acquired through sexual/drug related means. Today, adolescents with PHIV are surviving into young adulthood and are engaging in developmentally expected behaviors such as establishing intimate, sexual relationships. Like other youth, those living with PHIV often need to access sexual and reproductive health (SRH) services. Previous research has documented stigma and discrimination experienced by adult women living with HIV as they try to access SRH care...
June 22, 2017: AIDS Care
https://www.readbyqxmd.com/read/28629459/antiretroviral-therapy-initiation-within-seven-days-of-enrolment-outcomes-and-time-to-undetectable-viral-load-among-children-at-an-urban-hiv-clinic-in-uganda
#4
Rogers Ssebunya, Rhoda K Wanyenze, Heather Lukolyo, Milton Mutto, Grace Kisitu, Pauline Amuge, Albert Maganda, Adeodata Kekitiinwa
BACKGROUND: Viral suppression is a critical indicator of HIV treatment success. In the era of test-and-start, little is known about treatment outcomes and time to undetectable viral loads. This study compares treatment outcomes, median times to achieve undetectable viral loads and its predictors under different antiretroviral (ART) treatment initiation schedules (i.e. within seven days of enrolment or later). METHODS: A retrospective cohort of 367 patients <18 years who enrolled in care between January 2010 and December 2015 with a baseline viral load of >5000 copies/ml were followed up for 60 months...
June 19, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28625115/do-nonclinical-community-based-youth-serving-professionals-talk-with-young-men-about-sexual-and-reproductive-health-and-intend-to-refer-them-for-care
#5
Arik V Marcell, Susannah E Gibbs, Shalynn R Howard, Nanlesta A Pilgrim, Jacky M Jennings, Renata Sanders, Kathleen R Page, Penny S Loosier, Patricia J Dittus
Young men (ages 15-24) may benefit from community-based connections to care since many have sexual and reproductive health (SRH) needs and low care use. This study describes nonclinical community-based youth-serving professionals' (YSPs) SRH knowledge, confidence, past behaviors, and future intentions to talk with young men about SRH and refer them to care, and examines factors associated with care referral intentions. YSPs ( n = 158) from 22 settings in one mid-Atlantic city answered questions about the study's goal, their demographics and work environment from August 2014 to December 2015...
July 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/28620774/-in-my-culture-we-don-t-know-anything-about-that-sexual-and-reproductive-health-of-migrant-and-refugee-women
#6
Christine Metusela, Jane Ussher, Janette Perz, Alexandra Hawkey, Marina Morrow, Renu Narchal, Jane Estoesta, Melissa Monteiro
PURPOSE: Migrant and refugee women are at risk of negative sexual and reproductive health (SRH) outcomes due to low utilisation of SRH services. SRH is shaped by socio-cultural factors which can act as barriers to knowledge and influence access to healthcare. Research is needed to examine constructions and experiences of SRH in non-English-speaking migrant and refugee women, across a range of cultural groups. METHOD: This qualitative study examined the constructions and experiences of SRH among recent migrant and refugee women living in Sydney, Australia, and Vancouver, Canada...
June 15, 2017: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28620712/challenges-to-the-provision-of-sexual-and-reproductive-health-care-to-refugee-and-migrant-women-a-q-methodological-study-of-health-professional-perspectives
#7
Zelalem B Mengesha, Janette Perz, Tinashe Dune, Jane Ussher
This Q methodological study was conducted to examine the perspectives of health professionals in providing sexual and reproductive health (SRH) care to refugee and migrant women. Forty-seven health professionals rank-ordered 42 statements and commented on their rankings in subsequent open-ended questions. A bi-person factor analysis was performed and factors were extracted according to the centroid method with a varimax rotation. Seven factors each with a distinct and meaningful viewpoint were identified. These factors are: "Communication difficulties-hurdles to counselling", "Lack of access to culturally appropriate care", "Navigating SRH care", "Cultural constraints on effective communication", "Effects of the lack of cultural competency", "Impacts of low income and language barrier" and "SRH services are accessible, but not culturally relevant"...
June 15, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28619067/design-and-initial-implementation-of-the-who-fp-umbrella-project-to-strengthen-contraceptive-services-in-the-sub-saharan-africa
#8
Rita Kabra, Moazzam Ali, James Kiarie
BACKGROUND: Strengthening contraceptive services in sub Saharan Africa is critical to achieve the FP 2020 goal of enabling 120 million more women and girls to access and use contraceptives by 2020 and the Sustainable Development Goals (SDG) targets of universal access to sexual and reproductive health (SRH) services including family planning by 2030. METHOD: The World Health Organization (WHO) and partners have designed a multifaceted project to strengthen health systems to reduce the unmet need of contraceptive and family planning services in sub Saharan Africa...
June 15, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28618322/multiple-inflammatory-markers-and-15-year-incident-adl-disability-in-admixed-older-adults-the-bambui-epigen-study
#9
Maria Fernanda Lima-Costa, Juliana V M Mambrini, Karen C L Torres, Sérgio V Peixoto, Fabíola B Andrade, Cesar De Oliveira, Eduardo Tarazona-Santos, Andrea Teixeira-Carvalho, Olindo A Martins-Filho
BACKGROUND: The ability of inflammatory markers to predict disability in later life has received growing attention. However, the current evidence came predominantly from Caucasians and the role of genomic ancestry has not been investigated. OBJECTIVE: We investigated the prognostic value of multiple citokynes and chemokines for incident disability in admixed older Brazilians and whether genomic African and Native American ancestry affects the association. DESIGN: Population-based longitudinal study...
June 7, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28614512/sexual-and-reproductive-health-among-young-people-rio-de-janeiro-brazil
#10
Stella Regina Taquette, Denise Leite Maia Monteiro, Nádia Cristina Pinheiro Rodrigues, Riva Rozenberg, Daniela Contage Siccardi Menezes, Adriana de Oliveira Rodrigues, José Augusto Sapienza Ramos
We aimed to analyze the geographic distribution, the structure of healthcare services and the human resources of all units of the Sistema Único de Saúde (SUS - the Unified Health System) that provide sexual and reproductive health (SRH) services to the adolescent population in the second largest city in Brazil. We conducted a cross-sectional study with geographical mapping and data collection through a questionnaire applied in person with coordinators of the units or their representatives in 147 outpatient clinics in Rio de Janeiro that have SSR services...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28606797/do-factor-v-leiden-and-prothrombin-g20210a-mutations-predict-recurrent-venous-thromboembolism-in-older-patients
#11
Marie Méan, Andreas Limacher, Odile Stalder, Anne Angelillo-Scherrer, Lorenzo Alberio, Pierre Fontana, Hans-Jürg Beer, Nicolas Rodondi, Bernhard Lämmle, Drahomir Aujesky
BACKGROUND: The value of genetic thrombophilia testing in elderly patients with an unprovoked venous thromboembolism is unclear. We assessed whether the factor V Leiden and the prothrombin G20210A mutation are associated with recurrent venous thromboembolism in elderly patients in a prospective multicenter cohort study. METHODS: We genotyped the factor V Leiden and the prothrombin G20210A mutation in 354 consecutive in- and outpatients aged ≥65 years with a first unprovoked venous thromboembolism from nine Swiss hospitals...
June 9, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28599376/pride-shame-and-health-among-adolescents-a-cross-sectional-survey
#12
Eva Randell, Junia Joffer, Renée Flacking, Bengt Starrin, Lars Jerdén
Background Pride and shame are important emotions known to influence identity development and psychological well-being in adolescence. Research evidence indicates that self-rated health (SRH) is a strong predictor of future health. This cross-sectional study, conducted during 2008-2009, aimed to investigate the associations between pride, shame and SRH among adolescent boys and girls. Methods The study sample comprised 705 adolescents in Sweden aged 17-18 years (318 boys and 387 girls) who completed a questionnaire that included items on SRH, shame and pride (participation rate 67%)...
May 24, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/28597233/how-have-you-been-or-%C3%A2-como-est%C3%A3-s-does-language-of-interview-influences-self-rated-health-among-hispanic-subgroups
#13
Alexis R Santos-Lozada, Matthew J Martinez
This paper reports language differences in poor/fair self-rated health (SRH) among adults from six Hispanic groups in the United States. Data are from the cross-sectional 1997-2013 National Health Interview Survey (NHIS). The total sample of Hispanic adults with valid information for the variables considered in the study (n = 156,374) included Mexican-Americans (Mex-Am; n = 43,628), Mexicans (n = 55,057), Puerto Ricans (n = 14,631), Cubans (n = 8,041), Dominicans (from Dominican Republican, n = 4,359) and Other Hispanics (n = 30,658)...
June 8, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28590435/effects-of-perceived-neighbourhood-environments-on-self-rated-health-among-community-dwelling-older-chinese
#14
Moses Wong, Ruby Yu, Jean Woo
In response to the growing number of older people living in cities, the World Health Organization (WHO) introduced the concept of "Age-Friendly Cities" (AFC) to guide the way in designing physical and social environments to encourage active ageing. Limited research has studied the effects of neighbourhood age-friendliness on elderly health outcomes. Using the example of a highly urbanized city in Asia, this study examined the effects of perceived age-friendliness of neighbourhood environments on self-rated health (SRH) among community-dwelling older Chinese...
June 7, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28575472/population-aging-and-health-trajectories-at-older-ages
#15
Eric M Vogelsang, James M Raymo, Jersey Liang, Erika Kobayashi, Taro Fukaya
Objective: This study examines relationships between municipal age structure and two types of self-rated health: general (SRH) and comparison with similar-aged peers (C-SRH). Methods: Using a national sample of almost 5,000 Japanese older adults over two decades, we employ hierarchical growth curve models to estimate health trajectories. For municipal age structure, we consider both the relative prevalence of elderly adults in the local population and the pace of aging over time...
June 1, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/28560936/self-rated-health-is-associated-with-subsequent-functional-decline-among-older-adults-in-japan
#16
Mayumi Hirosaki, Kiyohito Okumiya, Taizo Wada, Masayuki Ishine, Ryota Sakamoto, Yasuko Ishimoto, Yoriko Kasahara, Yumi Kimura, Eriko Fukutomi, Wen Ling Chen, Masahiro Nakatsuka, Michiko Fujisawa, Kuniaki Otsuka, Kozo Matsubayashi
BACKGROUND: Previous studies have reported that self-rated health (SRH) predicts subsequent mortality. However, less is known about the association between SRH and functional ability. The aim of this study was to examine whether SRH predicts decline in basic activities of daily living (ADL), even after adjustment for depression, among community-dwelling older adults in Japan. METHODS: A three-year prospective cohort study was conducted among 654 residents aged 65 years and older without disability in performing basic ADL at baseline...
May 31, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28553992/does-age-modify-the-association-between-psychosocial-factors-at-work-and-deterioration-of-self-rated-health
#17
Hermann Burr, Hans Martin Hasselhorn, Norbert Kersten, Anne Pohrt, Reiner Rugulies
Objectives Few epidemiological studies have examined whether associations of psychosocial working conditions with risk of poor health differ by age. Based on results from mostly cross-sectional studies, we test whether (i) psychosocial relational factors (social support) are more strongly associated with declining health of older than younger employees and (ii) psychosocial job factors (workpace, influence, possibilities for development) are more strongly associated with declining health of younger than older employees...
May 29, 2017: Scandinavian Journal of Work, Environment & Health
https://www.readbyqxmd.com/read/28539133/gender-differences-in-the-trajectories-and-the-risk-factors-of-depressive-symptoms-in-later-life
#18
Jiae Lee, Soong-Nang Jang, Sung-Il Cho
BACKGROUND: The present study investigated changes in the trajectories of depressive symptoms in the elderly and attempted to identify risk factors that influence these changes according to gender. METHODS: All data were obtained from a subsample of subjects who participated in the Korean Longitudinal Study of Ageing between 2006 and 2012; 3,667 individuals (1,566 men and 2,101 women) aged 60 years and older were included in the present study. A group-based trajectory model was employed to determine the appropriate number of groups and to observe changes in depressive symptoms according to research year...
May 25, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28534061/educational-inequalities-in-self-rated-health-across-us-states-and-european-countries
#19
Patrick Präg, S V Subramanian
OBJECTIVES: The US shows a distinct health disadvantage when compared to other high-income nations. A potential lever to reduce this disadvantage is to improve the health situation of lower socioeconomic groups. Our objective is to explore how the considerable within-US variation in health inequalities compares to the health inequalities across other Western countries. METHODS: Representative survey data from 44 European countries and the US federal states were obtained from the fourth wave of the European Values Study (EVS) and the 2008 wave of the Behavioral Risk Factor Surveillance System...
July 2017: International Journal of Public Health
https://www.readbyqxmd.com/read/28532399/economic-stress-and-condescending-treatment-in-childhood-and-adult-self-rated-health-results-from-a-population-study-in-sweden
#20
Fredrik Granström, Hans-Georg Eriksson, Anu Molarius
BACKGROUND: Even today, 12% of the children in Sweden live in poverty and many children are exposed to adverse experiences, such as being bullied, which may have long-term consequences on public health. This study examined the associations between economic stress and condescending treatment in childhood and self-rated health (SRH) in adulthood. METHODS: The study is based on 26,706 persons who responded to a postal survey questionnaire sent to a random sample of men and women aged 25-84 years in 2012 (response rate 53%)...
May 22, 2017: BMC Public Health
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