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https://www.readbyqxmd.com/read/29042804/weight-loss-medications-in-canada-a-new-frontier-or-a-repeat-of-past-mistakes
#1
Sean Wharton, Jasmine Lee, Rebecca Ag Christensen
Current methods for the treatment of excess weight can involve healthy behavior changes, pharmacotherapy, and surgical interventions. Many individuals are able to lose some degree of weight through behavioral changes; however, they are often unable to maintain their weight loss long-term. This is in part due to physiological processes that cannot be addressed through behavioral changes alone. Bariatric surgery, which is the most successful treatment for excess weight to date, does result in physiological changes that can help with weight loss and weight maintenance...
2017: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
https://www.readbyqxmd.com/read/29038691/a-network-analysis-of-anger-shame-proposed-icd-11-post-traumatic-stress-disorder-and-different-types-of-childhood-trauma-in-foster-care-settings-in-a-sample-of-adult-survivors
#2
Tobias M Glück, Matthias Knefel, Brigitte Lueger-Schuster
Background: Anger and shame are aspects that are specifically associated with psychopathology and maladaptation after childhood abuse and neglect. They are known to influence symptom maintenance and exacerbation; however, their interaction is not fully understood. Objective: To explore with network analysis the association and interaction of prolonged, complex interpersonal childhood abuse and neglect in institutional foster care settings [institutional abuse (IA)] with anger, shame, and the proposed 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11) post-traumatic stress disorder (PTSD) symptoms in adult survivors...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29035903/the-future-of-obstetrics-and-gynecology-macra-electronic-health-records-and-more
#3
Deborah A Wing
There is immense change affecting obstetrical and gynecologic medical practice at this moment in time-involving reimbursement with the shift from volume-based to value-based care, increasing regulation, and workforce sustainability. Aspects to be reviewed in this chapter include reimbursements and Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), electronic medical records, physician satisfaction surveys, maintenance of certification, and physician burnout.
October 13, 2017: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29034736/family-history-collection-practices-national-survey-of-pediatric-primary-care-providers
#4
Beth A Tarini, Michele C Gornick, Brian J Zikmund-Fisher, Howard M Saal, Laurie Edmondson, Wendy R Uhlmann
While family history (FH) collection is a core responsibility of pediatric primary care providers (PCPs), few details about this practice are known. We surveyed a random national sample of 1200 pediatricians and family medicine physicians about FH collection practices. A total of 86% of respondents (n = 289 pediatricians; n = 152 family medicine physicians) indicated that they collect a FH "always" or "most of the time" with 77% reporting collection at the first visit, regardless of whether it is a health maintenance or problem-focused visit...
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29033861/neuropsychological-impairment-in-detoxified-alcohol-dependent-subjects-with-preserved-psychosocial-functioning
#5
Catherine Martelli, Amélie Petillion, Marine Brunet-Lecomte, Rubén Miranda Marcos, Sandra Chanraud, Ammar Amirouche, Alexia Letierce, Nikoleta Kostogianni, Hervé Lemaitre, Henri-Jean Aubin, Lisa Blecha, Michel Reynaud, Jean-Luc Martinot, Amine Benyamina
BACKGROUND: Chronic alcoholism and its related cognitive impairments are associated with increased social, relational, and professional deficits which have a variable overall impact on social integration. These impairments are known to have varying severities and have rarely been studied among healthy alcohol-dependent subjects with preserved psychosocial functioning. Thus, the objective of this study is to describe neuropsychological performance in this particular population. METHOD: Twenty-nine socially adjusted alcohol-dependent men, hospitalized for a first or second withdrawal and abstinent for 3 weeks minimum, were compared to 29 healthy non-alcoholic controls...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29032892/evaluation-and-management-of-skeletal-disease-in-cancer-care
#6
REVIEW
Anuhya Kommalapati, Sri Harsha Tella, Mary Angelynne Esquivel, Ricardo Correa
Recently, there have been considerable advancements in cancer therapies thereby prolonging the life of cancer survivors. However, these recent advancements present new challenges in the management of bone disease in cancer survivors. Bone acts as a fertile soil for cancer seeding and bone health is often compromised because of increased inflammatory cytokines in cancer, direct cancer metastasis and toxic effects of anti-cancer therapies. This effect is more pronounced in elderly population who already have compromised bone mineral density leading to increased skeletal related events and bone pain...
September 8, 2017: Critical Reviews in Oncology/hematology
https://www.readbyqxmd.com/read/29027480/a-learning-collaborative-approach-to-improve-primary-care-sti-screening
#7
M Diane McKee, Elizabeth Alderman, Deborah V York, Arthur E Blank, Rahil D Briggs, Kelsey E S Hoidal, Christopher Kus, Claudia Lechuga, Marie Mann, Paul Meissner, Nisha Patel, Andrew D Racine
The Bronx Ongoing Pediatric Screening (BOPS) project sought to improve screening for sexual activity and sexually transmitted infections (gonorrhea and chlamydia [GCC] and HIV) in a primary care network, employing a modified learning collaborative, real-time clinical data feedback to practices, improvement coaching, and a pay-for-quality monetary incentive. Outcomes are compared for 11 BOPS-participating sites and 10 non-participating sites. The quarterly median rate for documenting sexual activity status increased from 55% to 88% (BOPS sites) and from 13% to 74% (non-BOPS sites)...
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29024562/health-maintenance-practices-and-healthcare-experiences-among-international-university-students
#8
Suzanne Martin, Jane Dyer
BACKGROUND AND PURPOSE: While over a million international students attend U.S. universities, there is little information to guide providers on their care. Differences in language and health beliefs can lead to misunderstandings and poor outcomes. The purpose of this study was to describe the health practices and healthcare experiences of international students before and after they move to the United States to carve out specific quality improvement activities at a student health center...
October 12, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29023745/prevention-of-tooth-loss-and-dental-pain-for-reducing-the-global-burden-of-oral-diseases
#9
Susan Hyde, Veronique Dupuis, Boipelo P Mariri, Sophie Dartevelle
Population ageing is a global phenomenon and is predicted to become one of the most significant social transformations of the 21st century. The anticipated demographic shift provides governments the opportunity to proactively align policies with the estimated demands for housing, transportation, social protection, and health and well-being. Oral health is a fundamental component of health and physical and mental well-being, and is influenced by the individual's changing experience, perceptions, expectations and ability to adapt to circumstances...
September 2017: International Dental Journal
https://www.readbyqxmd.com/read/29023742/oral-health-for-healthy-longevity-in-an-ageing-society-maintaining-momentum-and-moving-forward
#10
Kakuhiro Fukai, Hiroshi Ogawa, Patrick Hescot
The ageing of populations worldwide is rapidly accelerating. However, the global burden of oral disease remains a critical and often underestimated problem. As ageing progresses globally, oral health maintenance becomes a matter not only of public health, but also of human rights. Therefore, in low- and middle-income countries, policymakers are seeking to realize universal health coverage even as they struggle with severe resource limitations. To achieve and maintain global oral health, we propose an ongoing global monitoring cycle consisting of the following four steps: needs assessment, implementation of appropriate health care systems and provisions, reducing the global burden of oral disease, and working to achieve a healthy ageing society...
September 2017: International Dental Journal
https://www.readbyqxmd.com/read/28993857/smabcare-study-subcutaneous-monoclonal-antibody-in-cancer-care-cost-consequence-analysis-of-subcutaneous-rituximab-in-patients-with-follicular-lymphoma
#11
Emilie Fargier, Florence Ranchon, Laure Huot, Pascale Guerre, Violaine Safar, Arthur Dony, Nathalie Hequet, Emmanuel Bachy, Stéphane Savouroux, Clémentine Fronteau, Patrick Tomaré, Jean-François Tournamille, Vérane Schwiertz, Nicolas Vantard, Steven Le Gouill, Emmanuel Gyan, Gilles Salles, Catherine Rioufol
Rituximab is used as a standard of care for follicular lymphoma and is usually administered intravenously. A novel subcutaneous formulation recently showed non-inferior efficacy with similar pharmacokinetic and safety profiles compared to intravenous rituximab in patients with follicular lymphoma. This new approach is promising in terms of comfort for patients and time-saving for hospital staff. To evaluate the real-life economic impact of subcutaneous rituximab as maintenance therapy in patients with follicular lymphoma in real life, we conducted a cost-consequence analysis from the hospital's point of view in three French teaching hospitals...
October 10, 2017: Annals of Hematology
https://www.readbyqxmd.com/read/28993389/innovative-telemonitoring-enhanced-care-programme-for-chronic-heart-failure-itec-chf-to-improve-guideline-compliance-and-collaborative-care-protocol-of-a-multicentre-randomised-controlled-trial
#12
Hang Ding, Rajiv Jayasena, Andrew Maiorana, Alison Dowling, Sheau Huey Chen, Mohan Karunanithi, Jamie Layland, Iain Edwards
INTRODUCTION: Chronic heart failure (CHF) is a life-threatening chronic disease characterised by periodic exacerbations and recurrent hospitalisations. In the management of CHF, patient compliance with evidence-based clinical guidelines is essential, but remains difficult practically. The objective of this study is to examine whether an Innovative Telemonitoring Enhanced Care Programme for CHF (ITEC-CHF) improves patients' compliance, and associated health and economic outcomes. METHODS AND ANALYSIS: An open multicentre randomised controlled trial has been designed...
October 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28990741/post-transplant-diabetes-diagnosis-and-management
#13
Brian P Boerner, Vijay Shivaswamy, Eric Wolatz, Jennifer Larsen
Post-transplant diabetes mellitus (PTDM) is common after most types of solid organ transplantation, though the actual incidence is as yet unknown because of the use of different diagnostic criteria. PTDM is the result of individual risk factors as well as risk factors associated with the transplant itself, particularly immunosuppressants. Previously called New Onset Diabetes, in many cases inadequate screening for diabetes before transplant cannot assure that the diabetes is new after transplant. The most recent international consensus guidelines suggest diagnosis should be delayed until the patient is taking maintenance doses of immunosuppressants even if they require treatment in the immediate hospitalization...
October 9, 2017: Minerva Endocrinologica
https://www.readbyqxmd.com/read/28990395/an-evaluation-of-reach-for-a-work-site-implementation-of-the-national-diabetes-prevention-program-focusing-on-diet-and-exercise
#14
Victoria A Zigmont, Abigail B Shoben, Gail L Kaye, Richard J Snow, Steven K Clinton, Randall E Harris, Susan E Olivo-Marston
PURPOSE: Our objective is to evaluate the "reach" component of the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework by comparing prediabetics who were and were not interested in enrolling in a free work site diabetes prevention program (DPP) during the first year of the program. Reach is defined as the proportion of eligible participants who enroll in a health program. DESIGN: A cross-sectional study design was used. SETTING: The setting was a large health system in the Midwest...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/28987147/from-episodic-care-to-life-long-maintenance-of-oral-health
#15
Eric Rooney
No abstract text is available yet for this article.
August 31, 2017: Primary Dental Journal
https://www.readbyqxmd.com/read/28982818/impact-of-policy-support-on-uptake-of-evidence-based-continuous-quality-improvement-activities-and-the-quality-of-care-for-indigenous-australians-a-comparative-case-study
#16
Ross Bailie, Veronica Matthews, Sarah Larkins, Sandra Thompson, Paul Burgess, Tarun Weeramanthri, Jodie Bailie, Frances Cunningham, Ru Kwedza, Louise Clark
OBJECTIVES: To examine the impact of state/territory policy support on (1) uptake of evidence-based continuous quality improvement (CQI) activities and (2) quality of care for Indigenous Australians. DESIGN: Mixed-method comparative case study methodology, drawing on quality-of-care audit data, documentary evidence of policies and strategies and the experience and insights of stakeholders involved in relevant CQI programmes. We use multilevel linear regression to analyse jurisdictional differences in quality of care...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28982801/effectiveness-of-oncologist-referred-exercise-and-healthy-eating-programming-as-a-part-of-supportive-adjuvant-care-for-early-breast-cancer
#17
Amy A Kirkham, Cheri L Van Patten, Karen A Gelmon, Donald C McKenzie, Alis Bonsignore, Kelcey A Bland, Kristin L Campbell
BACKGROUND: Randomized trials have established efficacy of supervised exercise training during chemotherapy for breast cancer for numerous health outcomes. The purpose of this study was to assess reach, effectiveness, maintenance, and implementation of an evidence-based exercise and healthy eating program offered within an adjuvant care setting. SUBJECTS, MATERIALS, AND METHODS: Women receiving adjuvant chemotherapy for breast cancer were given a prescription by their oncologist to participate in the Nutrition and Exercise during Adjuvant Treatment (NExT) program...
October 5, 2017: Oncologist
https://www.readbyqxmd.com/read/28981633/impact-of-an-integrated-model-of-care-on-outcomes-of-patients-with-inflammatory-bowel-diseases-evidence-from-a-population-based-study
#18
Juan Nicolás Peña-Sánchez, Lisa M Lix, Gary F Teare, Wenbin Li, Sharyle A Fowler, Jennifer L Jones
Background and Aims: Studies evaluating the impact of integrated models of care [IMC] for inflammatory bowel disease [IBD] on disease-related outcomes are needed. We compared the risk of IBD-related outcomes and prescription medication claims between patients exposed and non-exposed to an IMC. Methods: A retrospective population-based matched cohort study was conducted between 2009 and 2015, using administrative health data of Saskatchewan, Canada. Patients aged 18+ years with a diagnosis of IBD were identified with a validated administrative definition...
August 2, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28981334/adolescent-and-adult-hiv-providers-definitions-of-hiv-infected-youths-successful-transition-to-adult-care-in-the-united-states
#19
Morgan M Philbin, Amanda E Tanner, Alice Ma, Brittany D Chambers, Samuella Ware, Elizabeth N Kinnard, Sophia A Hussen, Sonia Lee, J Dennis Fortenberry
It is important for both individual- and population-level health that HIV-infected individuals progress through the Care Continuum. However, HIV-infected youth frequently disengage from care during transition from pediatric/adolescent to adult care; only 50% remain in adult care after 1 year. Understanding how providers define and approach a successful healthcare transition can improve the delivery of HIV-related services during critical years of HIV treatment. We conducted 58 staff interviews across 14 Adolescent Trials Network clinics (n = 30) and 20 adult clinics (n = 28)...
October 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28979100/acceptability-of-community-based-adherence-clubs-among-health-facility-staff-in-south-africa-a-qualitative-study
#20
Ndumiso Tshuma, Ofentse Mosikare, Jessica A Yun, Olufunke A Alaba, Meera S Maheedhariah, Keith Muloongo, Peter S Nyasulu
BACKGROUND: Patient retention in care for HIV/AIDS is a critical challenge for antiretroviral treatment programs. Community-based adherence programs (CBAPs) as compared to health care facility-based adherence programs have been considered as one of the options to provide treatment maintenance support for groups of patients on antiretroviral therapy. Such an approach provides a way of enhancing self-management of the patient's condition. In addition, CBAPs have been implemented to support antiretroviral treatment expansion in resource-limited settings...
2017: Patient Preference and Adherence
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