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https://www.readbyqxmd.com/read/29677575/sustainability-of-a-person-centered-ward-atmosphere-and-possibility-to-provide-person-centered-forensic-psychiatric-care-after-facility-relocation
#1
Eirini Alexiou, Helle Wijk, Gustaf Ahlquist, Anette Kullgren, Alessio Degl' Innocenti
OBJECTIVE: This longitudinal study aims to assess the sustainability of staff perceptions of ward atmosphere and their possibility to provide person-centered forensic psychiatric care after relocation to new hospitals that aimed to provide supportive work conditions for the staff to be able to perform care of high quality. METHODS: In this study we only present the result for the repeated measures, that is, only the individuals that performed both the questionnaires at baseline and at the three follow-ups...
April 11, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29677458/intake-of-diacylglycerols-and-the-fasting-insulin-and-glucose-concentrations-a-meta-analysis-of-5-randomized-controlled-studies
#2
Xu Tongcheng, Jia Min, Li Xia, Qiu Bin, Zhang Yuan, Liu Wei, Zong Aizhen, Liu Lina, Du Fangling
Diacylglycerol (DAG) supplementation has been shown to be associated with the health improvement of patients with diabetes mellitus, although this efficacy is uncertain. We quantitatively examined the effect of dietary DAG on fasting serum glucose and insulin concentrations by conducting a meta-analysis of randomized controlled trials. Potential papers were initially searched from electronic databases of Medline, Embase, and Cochrane Library. Inclusion criteria required the trial to be randomized, with triacylglycerol (TAG) controlled with fasting serum glucose or insulin concentration as one of the end points...
April 20, 2018: Journal of the American College of Nutrition
https://www.readbyqxmd.com/read/29677210/provider-reported-barriers-and-solutions-to-improve-testing-among-tuberculosis-patients-eligible-for-drug-susceptibility-test-a-qualitative-study-from-programmatic-setting-in-india
#3
Hemant Deepak Shewade, Arun M Kokane, Akash Ranjan Singh, Malik Parmar, Manoj Verma, Prabha Desikan, Sheeba Naz Khan, Ajay M V Kumar
BACKGROUND: In a study conducted in Bhopal district (a setting with facility for molecular drug susceptibility testing (DST)) located in central India in 2014-15, we found high levels of pre-diagnosis attrition among patients with presumptive multi drug-resistant tuberculosis (MDR-TB)-meaning TB patients who were eligible for DST, were not being tested. OBJECTIVES: In this study, we explored the health care provider perspectives into barriers and suggested solutions for improving DST...
2018: PloS One
https://www.readbyqxmd.com/read/29677043/the-effects-of-interprofessional-pediatric-end-of-life-simulation-on-communication-and-role-understanding-in-health-professions-students
#4
Jacqueline Stout-Aguilar, Alison Pittman, Regina Bentley, Jerry Livingston, Bree Watzak
The purpose of this study was to analyze the impact of interprofessional pediatric end-of life simulations for health professions students. A quasiexperimental design was used with three TeamSTEPPS® tools. Forty-one students were enrolled (nursing = 20, medicine = 10, pharmacy = 10, public health = 1). TeamSTEPPS 2.0 Teamwork Attitudes Questionnaire and Teamwork Perceptions Questionnaire analysis indicated a significant difference in mean pretest and posttest scores (p = .015 and p = .028, respectively). The Team Performance Observation Tool indicated statistical significance between simulations (p < ...
April 19, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29676966/an-alternative-perspective-on-assistive-technology-the-person-environment-tool-pet-model
#5
Gustav Jarl, Lars-Olov Lundqvist
The medical and social models of disability are based on a dichotomy that categorizes people as able-bodied or disabled. In contrast, the biopsychosocial model, which forms the basis for the International Classification of Functioning, Disability and Health (ICF), suggests a universalistic perspective on human functioning, encompassing all human beings. In this article we argue that the artificial separation of function-enhancing technology into assistive technology (AT) and mainstream technology might be one of the barriers to a universalistic view of human functioning...
April 20, 2018: Assistive Technology: the Official Journal of RESNA
https://www.readbyqxmd.com/read/29676936/pediatric-metabolic-outcome-comparisons-based-on-a-spectrum-of-obesity-and-asthmatic-symptoms
#6
Ashley D Perdue, Lesley A Cottrell, Christa L Lilly, William A Gower, Brian A Ely, Brad Foringer, Melvin L Wright, William A Neal
RATIONALE: Asthma and obesity are two of the most prevalent public health issues for children in the U.S. Trajectories of both have roughly paralleled one another over the past several decades causing many to explore their connection to one another and to other associated health issues such as diabetes and dyslipidemia. Earlier models have commonly designated obesity as the central hub of these associations; however, more recent models have argued connections between pediatric asthma and other obesity-related metabolic conditions regardless of children's obesity risk...
April 20, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/29676762/water-treatment-and-handwashing-practices-in-rural-kenyan-health-care-facilities-and-households-six-years-after-the-installation-of-portable-water-stations-and-hygiene-training
#7
Anu Rajasingham, Margaret Leso, Samuel Ombeki, Tracy Ayers, Robert Quick
Many health care facilities (HCFs) and households in low-and-middle-income countries have inadequate access to water for hygiene and consumption. To address these problems, handwashing and drinking water stations were installed in 53 HCFs with prevention-of-mother-to-child-transmission of HIV programs in Kenya in 2005, and hygiene education was provided to health workers and clinic clients. To assess this program, we selected a random sample of 30 HCFs, observed the percentage of handwashing and drinking water stations that were functional and in use, and after that interviewed health providers and clients about hygiene and water treatment...
April 2018: Journal of Water and Health
https://www.readbyqxmd.com/read/29676710/-incidence-of-incontinence-after-radical-prostatectomy-using-claims-based-data
#8
M H J Schepens, C M P Ziedses des Plantes, D M Somford, J A van Erkelens, R G Cremers, S de Vries, K K H Aben, R Hoekstra, J J C Stienen, B P Wijsman, M B Busstra, J van Limbeek
OBJECTIVE: To determine the effect of radical prostatectomy (RP) hospital volume on the probability of post-RP incontinence. DESIGN: Retrospective research based on claims-based data of health insurers. METHOD: For every patient with RP the probability of incontinence was determined, based on the definition of claims of one or more incontinence pads per day. Casemix corrections were made based on indicators available in claims-data: age, lymph node dissection, and radiotherapy...
2018: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29676695/huge-heterogeneity-in-survival-in-a-subset-of-adult-patients-with-resected-wild-type-isocitrate-dehydrogenase-status-who-grade-ii-astrocytomas
#9
Gaëtan Poulen, Catherine Gozé, Valérie Rigau, Hugues Duffau
OBJECTIVE World Health Organization grade II gliomas are infiltrating tumors that inexorably progress to a higher grade of malignancy. However, the time to malignant transformation is quite unpredictable at the individual patient level. A wild-type isocitrate dehydrogenase (IDH-wt) molecular profile has been reported as a poor prognostic factor, with more rapid progression and a shorter survival compared with IDH-mutant tumors. Here, the oncological outcomes of a series of adult patients with IDH-wt, diffuse, WHO grade II astrocytomas (AII) who underwent resection without early adjuvant therapy were investigated...
April 20, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29676641/toxic-and-genomic-influences-of-inhaled-nanomaterials-as-a-basis-for-predicting-adverse-outcome
#10
Penny Nymark, Pekka Kohonen, Vesa Hongisto, Roland C Grafström
An immense variety of different types of engineered nanomaterials are currently being developed and increasingly applied to consumer products. Importantly, engineered nanomaterials may pose unexplored adverse health effects because of their small size. Particularly in occupational settings, the dustiness of certain engineered nanomaterials involves risk of inhalation and influences on lung function. These facts call for quick and cost-effective safety testing practices, such as that obtained through multiparametric high-throughput screening using cultured human lung cells...
April 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29676625/exposomics-based-analysis-of-environmental-factors-associated-with-forced-expiratory-volume-in-1-second-at-6-months-post-lung-transplantation
#11
Michelle L North, Musawir Ahmed, Sepehr Salehi, Kavindi Jayasinghe, Manisha Tilak, Joyce Wu, Cheol-Heon Jeong, Greg J Evans, Chung-Wai Chow
RATIONALE: Chronic lung allograft dysfunction is the biggest impediment to long-term survival after lung transplantation. Studies have shown an increased risk for chronic lung allograft dysfunction in patients exposed to traffic-related air pollution, using residential distance to roadways and outdoor pollution. OBJECTIVES: Personal monitoring and the indoor environment post-lung transplantation have not been investigated. The exposome is a novel conceptual framework that allows for concurrent examination of multiple intrinsic and extrinsic factors, including environmental exposures, as well as changes in exposures over time, to elucidate the complex environmental factors that affect health outcomes...
April 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29676618/cancer-risk-from-paediatric-computed-tomography-scanning-implications-for-radiation-protection-in-medicine
#12
A Kesminiene, E Cardis
The use of computed tomography (CT) imaging is clearly beneficial for millions of patients. However, the potential adverse health effects, particularly cancer, of ionising radiation exposure from CT early in life are an issue of growing concern in the radiological protection, medical, and public health communities. Although efforts to quantify these effects have been conducted, the precision and accuracy of reported risks needs confirmation. EPI-CT, a European collaborative epidemiological study, was set up to quantify risks from paediatric CT to optimise paediatric diagnostic protocol...
January 1, 2018: Annals of the ICRP
https://www.readbyqxmd.com/read/29676589/association-of-diabetes-diagnosis-with-dietary-changes-and-weight-reduction
#13
Daeho Kim, Kanghyock Koh, Shailender Swaminathan, Amal N Trivedi
BACKGROUND: Lifestyle modifications are associated with better outcomes for patients with diabetes. Patients' awareness of having diabetes may promote lifestyle changes, but there is limited evidence to support this assertion. This study examined whether a report of physician-diagnosed diabetes is associated with dietary changes and efforts to lose weight. METHODS: Cross-sectional comparison of individuals with and without diabetes or prediabetes diagnosis, matched on glycosylated hemoglobin (HbA1c) level, socio-demographic characteristics, and health status using propensity-score matching analysis...
April 20, 2018: Expert Review of Pharmacoeconomics & Outcomes Research
https://www.readbyqxmd.com/read/29676508/applications-of-social-network-analysis-to-obesity-a-systematic-review
#14
REVIEW
S Zhang, K de la Haye, M Ji, R An
People's health behaviours and outcomes can be profoundly shaped by the social networks they are embedded in. Based on graph theory, social network analysis is a research framework for the study of social interactions and the structure of these interactions among social actors. A literature search was conducted in PubMed and Web of Science for articles published until August 2017 that applied social network analysis to examine obesity and social networks. Eight studies (three cross-sectional and five longitudinal) conducted in the US (n = 6) and Australia (n = 2) were identified...
April 20, 2018: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/29676359/molecular-genetics-of-bcr-abl1-negative-myeloproliferative-neoplasms-in-india
#15
Nikhil Rabade, P G Subramanian, Rohan Kodgule, Goutham Raval, Swapnali Joshi, Shruti Chaudhary, Russel Mascarenhas, Prashant Tembhare, Sumeet Gujral, Nikhil Patkar
Introduction: Over the past decade, we have moved on from a predominantly morphological and clinical classification of myeloproliferative neoplasms (MPN) to a more evolved classification that accounts for the molecular heterogeneity that is unique to this subgroup of hematological malignancies. This usually incorporates mutations in Janus kinase 2 (JAK2), MPL, and calreticulin (CALR) genes. In this manuscript, we report the frequency of these mutations in a cohort of Indian patients at a tertiary cancer center...
April 2018: Indian Journal of Pathology & Microbiology
https://www.readbyqxmd.com/read/29676296/a-profile-of-noise-sensitivity-on-the-health-related-quality-of-life-among-young-motorcyclists
#16
Anila Ali, Roslinah M Hussain, Nazri C Dom, Razi Ikhwan Md Rashid
Introduction: Motorcycle riders with noise sensitivity (NS) may suffer from degraded health-related quality of life (HRQOL) because they are exposed to acute noise levels on a daily basis. Materials and Methods: This study was aimed to identify the relationship between NS and HRQOL among young motorcycle riders (undergraduate university students) aged between 19 and 25 years (n = 301) through a cross-sectional questionnaire-based study, that is, Weinstein noise sensitivity scale and the World Health Organization Quality of Life...
March 2018: Noise & Health
https://www.readbyqxmd.com/read/29676244/resistance-of-bacteria-to-biocides
#17
Jean-Yves Maillard
Biocides and formulated biocides are used worldwide for an increasing number of applications despite tightening regulations in Europe and in the United States. One concern is that such intense usage of biocides could lead to increased bacterial resistance to a product and cross-resistance to unrelated antimicrobials including chemotherapeutic antibiotics. Evidence to justify such a concern comes mostly from the use of health care-relevant bacterial isolates, although the number of studies of the resistance characteristics of veterinary isolates to biocides have increased the past few years...
April 2018: Microbiology Spectrum
https://www.readbyqxmd.com/read/29676217/care-planning-what-works-for-whom-and-in-what-circumstances-a-rapid-realist-review
#18
Sarah Brown, Monique Lhussier, Sonia M Dalkin, Simon Eaton
Care planning has been described as a "better conversation" that helps people with long-term conditions to be in control of planning their care. Each person with long-term conditions faces individual challenges and each health care setting is fundamentally different, so there is a need for empirical testing of the specific mechanisms through which care planning may lead to health improvements. A rapid realist review was conducted to unearth underpinning mechanisms leading to outcomes in particular contexts...
April 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29676216/developing-a-compassionate-culture-within-pediatric-rehabilitation-does-the-schwartz-rounds%C3%A2-support-both-clinical-and-nonclinical-hospital-workers-in-managing-their-work-experiences
#19
Keith Adamson, Sonia Sengsavang, Sakeena Myers-Halbig, Nancy Searl
Schwartz Rounds™ offers an interprofessional forum for staff to openly engage in discussions about social-emotional aspects of care. We aimed to assess the perceived impact of Rounds in the health care context of pediatric rehabilitation, as well as a comparative analysis of how Rounds affected clinical versus nonclinical staff. Does effect on perceived outcomes was also investigated. Data were collected from 29 hospital staff (15 clinicians, 14 nonclinicians) who attended one, two, or three+ Rounds via semistructured interviews...
April 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29676202/critical-perspectives-on-the-end-of-aids
#20
Nora Kenworthy, Matthew Thomann, Richard Parker
This special symposium critically examines optimistic promises about an imminent 'end of AIDS,' currently circulating in global health discourse and policy. We aim not simply to interrogate the discourse surrounding calls to end AIDS, but to also explore the broader practices, contexts, and policy landscapes that have transformed the global HIV response during the fourth decade of the epidemic and allowed this discourse to gain such political traction. In this introduction we preview the collection's five substantive papers, which delve beneath the 'end of AIDS' rhetoric, bringing greater realism as well as resolve together with empirical evidence about the state of efforts to end AIDS in diverse locations and populations...
April 20, 2018: Global Public Health
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