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https://www.readbyqxmd.com/read/28913571/kardiologische-rehabilitation-in-europa-%C3%A2-eine-kritische-analyse
#1
Werner Benzer
Cardiac rehabilitation is an evidence-based treatment to improve prognosis and quality of life in patients after a cardiac event. In general, cardiac rehabilitation programmes are offered in all European countries. Nevertheless a wide dispersion between countries exists in programme structure and design because of different national legislation and funding. The absence of international standards has a negative effect on programme quality and outcome. Most striking imbalance can be observed between patients eligible for cardiac rehabilitation and the real admission rate...
September 14, 2017: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28910238/telemanagement-of-heart-failure-patients-across-the-post-acute-care-continuum
#2
Amy Dadosky, Heather Overbeck, Laura Barbetta, Ken Bertke, Maureen Corl, Kathleen Daly, Natasha Hiles, Nancy Rector, Eugene Chung, Santosh Menon
BACKGROUND: Heart failure (HF) is a chronic condition causing nearly 1 million hospital admissions annually in the United States with 25% of patients rehospitalized within 30 days. INTRODUCTION: The purpose of this study was to investigate whether telemanagement of HF patients throughout the post-acute continuum of care would reduce rehospitalization rates and improve patient self-care knowledge and satisfaction. MATERIALS AND METHODS: HF patients discharged to a skilled nursing facility (SNF) received telemanagement by HF clinicians with opportunity for continuation at home with assistance of home healthcare (HHC) nurses...
September 13, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28899995/hiv-seroconversion-among-baltimore-city-residents-tested-at-a-mobile-van-programme
#3
Sarah Puryear, Phyllis Burnett, Kathleen R Page, Ravikiran Muvva, Patrick Chaulk, Khalil G Ghanem, Anne Monroe
BACKGROUND: Many individuals with HIV in the USA are unaware of their diagnosis, and therefore cannot be engaged in treatment services, have worse clinical outcomes and are more likely to transmit HIV to others. Mobile van testing may increase HIV testing and diagnosis. Our objective was to characterise risk factors for HIV seroconversion among individuals using mobile van testing. METHODS: A case cohort study (n=543) was conducted within an HIV surveillance dataset of mobile van testing users with at least two HIV tests between September 2004 and August 2009 in Baltimore, Maryland...
September 12, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28892551/transforming-the-pediatric-experience-the-story-of-child-life
#4
Kia Beickert, Kelsey Mora
During the past century, child life programming has evolved into a standard of care for children experiencing life's most challenging events. From pediatric outpatient clinics and dentists' offices to funeral homes and courtrooms, children are now being provided access to professionals that relieve the anxiety and fear associated with emotional and physical pain. Recognized by the American Academy of Pediatrics, child life specialists focus on the "strengths and sense of well-being of children while promoting their optimal development and minimizing the adverse effects of children's experiences in health care or other potentially stressful settings...
September 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28886867/experiences-of-vulnerability-and-uncertainty-during-the-iraq-and-afghanistan-wars-stories-of-wounded-service-members-and-the-nurses-who-cared-for-them
#5
Patricia Watts Kelley, Deborah Kenny, Rosemary Donley
BACKGROUND: The findings reported in this paper were derived from a secondary analysis of selected data from a large clinical knowledge study designed to document the experiential learning of military and federal nurses caring for critically wounded service members (WSMs) of their experience of care from point of injury in the combat zone through their rehabilitation. FINDINGS: This article describes a picture of vulnerability and uncertainty in both WSMs and their nurses throughout the health care continuum...
August 12, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28885270/association-between-internalized-hiv-related-stigma-and-hiv-care-visit-adherence
#6
Whitney S Rice, Kaylee Burnham, Michael J Mugavero, James L Raper, Ghislaine C Atkins, Bulent Turan
BACKGROUND: Internalized HIV-related stigma acts as a barrier to antiretroviral therapy (ART) adherence, but its effects on other HIV care continuum outcomes is unclear. METHODS: Among 196 HIV clinic patients in Birmingham, Alabama, we assessed internalized HIV-related stigma and depressive symptom severity using validated multi-item scales, and assessed ART adherence using a validated single-item measure. HIV visit adherence (attended out of total scheduled visits) was calculated using data from clinic records...
September 6, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28872281/transitioning-young-adults-from-paediatric-to-adult-care-and-the-hiv-care-continuum-in-atlanta-georgia-usa-a-retrospective-cohort-study
#7
Sophia A Hussen, Rana Chakraborty, Andrea Knezevic, Andres Camacho-Gonzalez, Eugene Huang, Rob Stephenson, Carlos Del Rio
INTRODUCTION: The transition from paediatric to adult HIV care is a particularly high-risk time for disengagement among young adults; however, empirical data are lacking. METHODS: We reviewed medical records of 72 youth seen in both the paediatric and the adult clinics of the Grady Infectious Disease Program in Atlanta, Georgia, USA, from 2004 to 2014. We abstracted clinical data on linkage, retention and virologic suppression from the last two years in the paediatric clinic through the first two years in the adult clinic...
September 1, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28863012/critical-care-organizations-business-of-critical-care-and-value-performance-building
#8
Sharon Leung, Sara R Gregg, Craig M Coopersmith, A Joseph Layon, John Oropello, Daniel R Brown, Stephen M Pastores, Vladimir Kvetan
OBJECTIVE: New, value-based regulations and reimbursement structures are creating historic care management challenges, thinning the margins and threatening the viability of hospitals and health systems. The Society of Critical Care Medicine convened a taskforce of Academic Leaders in Critical Care Medicine on February 22, 2016, during the 45th Critical Care Congress to develop a toolkit drawing on the experience of successful leaders of critical care organizations in North America for advancing critical care organizations (Appendix 1)...
August 31, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28862933/quality-of-care-of-the-initial-patient-cohort-of-the-diabetes-collaborative-registry-%C3%A2
#9
Suzanne V Arnold, Abhinav Goyal, Silvio E Inzucchi, Darren K McGuire, Fengming Tang, Sanjeev N Mehta, Laurence S Sperling, Thomas M Maddox, Daniel Einhorn, Nathan D Wong, Niklas Hammar, Peter Fenici, Kamlesh Khunti, Carolyn S P Lam, Mikhail Kosiborod
BACKGROUND: Although guidelines and performance measures exist for patients with diabetes mellitus, achievement of these metrics is not well known. The Diabetes Collaborative Registry(®) (DCR) was formed to understand the quality of diabetes mellitus care across the primary and specialty care continuum in the United States. METHODS AND RESULTS: We assessed the frequency of achievement of 7 diabetes mellitus-related quality metrics and variability across the Diabetes Collaborative Registry(®) sites...
August 11, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28861551/access-to-medical-and-mental-health-services-across-the-hiv-care-continuum-among-young-transgender-women-a-qualitative-study
#10
Nadia Dowshen, Susan Lee, Joshua Franklin, Marné Castillo, Frances Barg
Purpose: (1) To describe psychosocial, medical, and mental health outcomes of young transgender women (YTW) living with or at risk for HIV infection and (2) to explore barriers and facilitators to medical and mental health services across the HIV care continuum. Methods: We conducted a cross-sectional observational study of YTW aged 16-24 years who were at risk for contracting or living with HIV. Participants were recruited from an adolescent HIV clinic and local community-based organizations that serve YTW...
2017: Transgender Health
https://www.readbyqxmd.com/read/28847013/do-less-harm-evaluating-hiv-programmatic-alternatives-in-response-to-cutbacks-in-foreign-aid
#11
Rochelle P Walensky, Ethan D Borre, Linda-Gail Bekker, Emily P Hyle, Gregg S Gonsalves, Robin Wood, Serge P Eholié, Milton C Weinstein, Xavier Anglaret, Kenneth A Freedberg, A David Paltiel
Background: Resource-limited nations must consider their response to potential contractions in international support for HIV programs. Objective: To evaluate the clinical, epidemiologic, and budgetary consequences of alternative HIV program scale-back strategies in 2 recipient nations, the Republic of South Africa (RSA) and Côte d'Ivoire (CI). Design: Model-based comparison between current standard (CD4 count at presentation of 0.260 × 109 cells/L, universal antiretroviral therapy [ART] eligibility, and 5-year retention rate of 84%) and scale-back alternatives, including reduced HIV detection, no ART or delayed initiation (when CD4 count is <0...
August 29, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28846138/eras-safety-checklists-antibiotics-and-vte-prophylaxis
#12
REVIEW
Susan D Moffatt-Bruce, Brian Hilligoss, Iahn Gonsenhauser
The concept rested on several components that many of us have now tried to adopt or improve on, inclusive of a multidisciplinary team, a multimodal approach to anesthesia and preoperative preparedness, evidence-based approach to care protocols; and a change in management using interactive and continuous audit prior to and post-procedure. This article describes the development of ERAS protocols relative to checklist implementation, antibiotic use, and venous thromboembolism (VTE) prevention, how these ideas are developed and operationalized as well as how they are evolving and spreading across the care continuum to achieve sustained outcome improvements...
August 28, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28834799/stigma-and-hiv-care-continuum-outcomes-among-ethiopian-adults-initiating-art
#13
Susie Hoffman, Olga Tymejczyk, Sarah Kulkarni, Maria Lahuerta, Tsigereda Gadisa, Robert H Remien, Zenebe Melaku, Denis Nash, Batya Elul
BACKGROUND: Stigma harms the mental health of HIV-positive individuals and reduces adherence to antiretroviral therapy (ART), but less is known about stigma and other outcomes across the HIV care continuum. METHODS: Among 1180 Ethiopian adults initiating ART at six urban HIV clinics, we examined the relationship of internalized, anticipated, and enacted stigma to HIV care-related outcomes ascertained by interview (repeat HIV-positive testing, provider vs. self-referred testing, missed clinic visit before ART initiation, eagerness to begin ART) and by abstraction of routinely collected clinical data (late ART initiation, 3-month gap in care following ART initiation)...
August 22, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28830001/how-to-build-a-helpful-baby-a-look-at-the-roots-of-prosociality-in-infancy
#14
REVIEW
Tobias Grossmann
The ability to show concern for others in need and distress is thought to be a vital building block for prosocial tendencies among humans. The current review shows that such other-oriented emotional processes play an important role in guiding prosocial behavior from early in development. Recent research supports the view that infants genuinely care about others in need and distress, but also that a caring continuum exists, which underpins variability in infant prosocial action. Novel methods measuring brain, pupillary, and postural responses have provided insights into affective predictors, motivators, and consequences of prosocial behavior in infants...
August 9, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28826401/integrated-hiv-care-is-associated-with-improved-engagement-in-treatment-in-an-urban-methadone-clinic
#15
Claire Simeone, Brad Shapiro, Paula J Lum
BACKGROUND: Persons living with HIV and unhealthy substance use are often less engaged in HIV care, have higher morbidity and mortality and are at increased risk of transmitting HIV to uninfected partners. We developed a quality-improvement tracking system at an urban methadone clinic to monitor patients along the HIV care continuum and identify patients needing intervention. OBJECTIVE: To evaluate patient outcomes along the HIV Care Continuum at an urban methadone clinic and explore the relationship of HIV primary care site and patient demographic characteristics with retention in HIV treatment and viral suppression...
August 22, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/28826230/optimism-alongside-new-challenges-using-a-rehabilitation-framework-to-explore-experiences-of-a-qualitative-longitudinal-cohort-of-people-living-with-hiv-on-antiretroviral-treatment-in-lusaka-zambia
#16
Stephanie A Nixon, Virginia Bond, Patricia Solomon, Cathy Cameron, Chanda Mwamba, Jill Hanass-Hancock, Margaret C Maimbolwa, J Anitha Menon, Phillimon Simwaba, Robert Sinyinza, Margaret Siwale, Stephen Tattle, Tammy Yates
Previous research has demonstrated increased comorbidities related to the chronic effects of HIV. Rehabilitation science offers a useful approach for studying chronic illness. This longitudinal qualitative study used a rehabilitation science approach to explore the experiences over time of women and men living with HIV and on antiretroviral therapy (ART) in the high HIV-prevalence setting of Lusaka, Zambia. Thirty-five participants participated in a total of 99 in-depth interviews from 2012 to 2015. The central pattern that emerged across the participants' narratives was the paradoxical experience of profound optimism alongside significant new challenges...
August 21, 2017: AIDS Care
https://www.readbyqxmd.com/read/28818836/the-care-continuum-an-evolving-model-for-care-and-research-in-rare-diseases
#17
Erika F Augustine, E Ray Dorsey, Peter L Saltonstall
No abstract text is available yet for this article.
August 17, 2017: Pediatrics
https://www.readbyqxmd.com/read/28797017/how-do-social-capital-and-hiv-aids-outcomes-geographically-cluster-and-which-sociocontextual-mechanisms-predict-differences-across-clusters
#18
Yusuf Ransome, Lorraine T Dean, Natalie D Crawford, David S Metzger, Michael B Blank, Amy S Nunn
BACKGROUND: Place of residence has been associated with HIV transmission risks. Social capital, defined as features of social organization that improve efficiency of society by facilitating coordinated actions, often varies by neighborhood, and hypothesized to have protective effects on HIV care continuum outcomes. We examined whether the association between social capital and 2 HIV care continuum outcomes clustered geographically and whether sociocontextual mechanisms predict differences across clusters...
September 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28793893/the-role-of-hospitals-in-bridging-the-care-continuum-a-systematic-review-of-coordination-of-care-and-follow-up-for-adults-with-chronic-conditions
#19
Melissa De Regge, Kaat De Pourcq, Bert Meijboom, Jeroen Trybou, Eric Mortier, Kristof Eeckloo
BACKGROUND: Multiple studies have investigated the outcome of integrated care programs for chronically ill patients. However, few studies have addressed the specific role hospitals can play in the downstream collaboration for chronic disease management. Our objective here is to provide a comprehensive overview of the role of the hospitals by synthesizing the advantages and disadvantages of hospital interference in the chronic discourse for chronically ill patients found in published empirical studies...
August 9, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28791877/implementing-data-to-care-initiatives-for-hiv-in-new%C3%A2-york-state-assessing-the-value-of-community-health-centers-identifying-persons-out-of-care-for-health-department-follow-up
#20
Rachel Hart-Malloy, Shakara Brown, Kathleen Bogucki, James Tesoriero
To end the HIV/AIDS epidemic, innovative strategies are needed to improve outcomes along the HIV care continuum. Data-to-Care is a public health strategy whereby HIV surveillance data are used to identify people living with HIV/AIDS for linkage to, or re-engagement in HIV medical care. Three main approaches to Data-to-Care are defined by where persons out of care are identified and where outreach activities are initiated: the Health Department level, the Healthcare Provider level, or a combination of the two (Combination Model)...
August 9, 2017: AIDS Care
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