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health care maintenance

Mohammad A Hossain, Eric Costanzo, James Cosentino, Chirag Patel, Huzaif Qaisar, Vikas Singh, Taimoor Khan, Jennifer S Cheng, Arif Asif, Tushar J Vachharajani
Contrast-induced acute kidney injury is a common iatrogenic complication associated with increased health resource utilization and adverse outcomes, including short- and long-term mortality and accelerated progression of preexisting renal insufficiency. The incidence of contrast-induced nephropathy (CIN) has been reported to range from 0% to 24%. This wide range reported by the studies is due to differences in definition, background risk factors, type and dose of contrast medium used, and the frequency of other coexisting potential causes of acute renal failure...
January 2018: Saudi Journal of Kidney Diseases and Transplantation
Anna M Gorczyca, Richard A Washburn, Lauren Ptomey, Matthew S Mayo, Debra K Sullivan, Cheryl A Gibson, Robert Lee, Sarah Stolte, Joseph E Donnelly
Obesity prevalence is higher in rural compared to urban residents. Rural health clinics offer a potential venue for delivery of weight management. However, traditional programs require travel to attend on-site meetings which is impractical or inconvenient for rural residents. Clinic staff in most rural settings are unlikely to be trained to provide effective weight management. Remote delivery using group phone conferences (GP) or individual phone calls (IP), by staff associated with rural clinics eliminates the need for travel to attend on-site meetings...
February 14, 2018: Contemporary Clinical Trials
Joel B Epstein, Andrei Barasch
A diagnosis of head and neck cancer (HNC) is typically followed by therapy that is associated with immediate and long-lasting toxic consequences. HNC patients' oral health needs may be complex and are best addressed in multidisciplinary collaborative teams including surgical, medical, and radiation oncologists, dental providers, nutrition, speech/swallow specialists, and physical therapists. Oral health maintenance also requires patient compliance and caregiver support. The role of dental providers begins prior to cancer diagnosis and continues through survivorship...
2018: Cancer Treatment and Research
Erdogan Aslan, Nadia Bechelaghem
The importance of a healthy vaginal micro-flora is indisputable. Therefore, intravaginal practices, such as vaginal douching (VD), may inhibit or lower the colonisation of beneficial Lactobacilli strains. Although the results of disrupted vaginal microbiota have been widely reported in the literature, direct microbicidal effects of products used for VD have been rarely studied. Moreover, there are certain studies advocating the beneficial effects of VD. This in vitro study was designed to provide more evidence to help health care givers in disseminating the knowledge that VD might have detrimental effects on vaginal microbiota...
February 13, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Lily Kpobi, Leslie Swartz, Angela L Ofori-Atta
BACKGROUND: One of the most successful modes of record-keeping and data collection is the use of health management information systems, where patient information and management plans are uniformly entered into a database to streamline the information and for ease of further patient management. For mental healthcare, a Mental Health Information System (MHIS) has been found most successful since a properly established and operational MHIS is helpful for developing equitable and appropriate mental health care systems...
February 8, 2018: BMC Health Services Research
Edelen Maria Orlando, Gage Barbara J, Rose Adam J, Ahluwalia Sangeeta, DeSantis Amy Soo Jin, Dunbar Michael Stephen, Fischer Shira H, Huang Wenjing, Klein David J, Martino Steven, Pillemer Francesca, Piquado Tepring, Shier Victoria, Shih Regina A, Sherbourne Cathy D, Stucky Brian D
The Centers for Medicare & Medicaid Services (CMS) contracted with the RAND Corporation to identify and/or develop standardized items to include in the post-acute care patient assessment instruments. RAND was tasked by CMS with developing and testing items to measure seven areas of health status for Medicare beneficiaries: (1) vision and hearing; (2) cognitive status; (3) depressed mood; (4) pain; (5) care preferences; (6) medication reconciliation; and (7) bladder and bowel continence. This article presents results of the first Alpha 1 feasibility test of a proposed set of items for measuring each of these health status areas...
January 2018: Rand Health Quarterly
Maria José Laurentina do Nascimento Carvalho, Michelle Figueiredo Carvalho, Carlos Renato Dos Santos, Paula Thianara de Freitas Santos
OBJECTIVE: To investigate the influence of the first postpartum visit, family income, pacifier habit, number of siblings and birth weight on the maintenance of exclusive breastfeeding in infants aged one week up to six months. METHODS: In this cross-sectional study, data were collected through a survey, which included social and demographic characteristics of the families and the breastfeeding practice in children aged one week to six months, who received care at family health units in the municipality of Vitória de Santo Antão, Pernambuco, Northeast Brazil, between December 2014 and February 2015...
January 15, 2018: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
Monica G Lawrence, John W Steinke, Larry Borish
OBJECTIVE: Asthma and allergic diseases continue to increase in prevalence, creating a financial burden on the health care system and impacting the quality of life for those who suffer from these diseases. Many intrinsic and extrinsic factors are involved in the initiation and maintenance of the allergic response. Cytokines are proteins with growth, differentiation, and activation functions that regulate and direct the nature of immune responses. DATA SOURCES/STUDY SELECTIONS: We searched clinicaltrials...
February 1, 2018: Annals of Allergy, Asthma & Immunology
Isabel Araujo Barata, Meredith Akerman, Zayan Mahmooth, Kathryn Bradburn, John DʼAngelo
STUDY OBJECTIVE: The objective of this study was to analyze the characteristics of pediatric patients transferred from a hospital-based general emergency department (ED) to an acute care facility. METHODS: Study data were abstracted from the 2010 Healthcare Cost and Utilization Project Nationwide Emergency Department Sample database. A multivariate logistic regression was constructed for pediatric patients (<18 years old) who require a transfer to an acute care facility from a general ED...
February 5, 2018: Pediatric Emergency Care
Michiko Furuta, Kenji Takeuchi, Munehisa Adachi, Toshinori Kinoshita, Nobuoki Eshima, Sumio Akifusa, Takeshi Kikutani, Yoshihisa Yamashita
AIM: Severe tooth loss and swallowing dysfunction occur more frequently in dependent older adult populations. Poor oral health and functional status are expected to have a negative impact on general health. We examined whether mortality is related to the number of teeth and swallowing function in dependent older Japanese individuals receiving home care services. METHODS: Older adults aged ≥65 years who were receiving home care were included. The planned follow-up period was 3 years...
February 6, 2018: Geriatrics & Gerontology International
Merthan Tunay, Hatice Kurdak, Sevgi Özcan, Çiğdem Özdemir, Zeliha Yelda Özer
OBJECTIVE: Lifestyle modification requires extensive information sharing and counseling. However, one-on-one primary care consultations are lacking to cover all necessary components due to time constraints. This preliminary study aims to investigate the feasibility and effects of lifestyle-changing intervention by family physician-led group visits (GVs) on weight management in overweight and obese women. METHODS: 60 volunteers fulfilling the inclusion criteria were enrolled...
February 7, 2018: Obesity Facts
Jennifer Hewitt, Stephen Goodall, Lindy Clemson, Timothy Henwood, Kathryn Refshauge
BACKGROUND: Falls prevention is an international priority, and residents of long-term aged care fall approximately 3 times more often than community dwellers. There is a relative scarcity of published trials in this setting. OBJECTIVES: Our objective was to undertake a randomized controlled trial to test the effect of published best practice exercise in long-term residential aged care. The trial was designed to determine if combined high level balance and moderate intensity progressive resistance training (the Sunbeam Program) is effective in reducing the rate of falls in residents of aged care facilities...
February 2, 2018: Journal of the American Medical Directors Association
Candace L Kemp, Mary M Ball, Jennifer Craft Morgan, Patrick J Doyle, Elisabeth O Burgess, Molly M Perkins
Objectives: Frail and disabled individuals such as assisted living residents are embedded in "care convoys" comprised of paid and unpaid caregivers. We sought to learn how care convoys are configured and function in assisted living and understand how and why they vary and with what resident and caregiver outcomes. Method: We analyzed data from a qualitative study involving formal in-depth interviews, participant observation and informal interviewing, and record review...
February 1, 2018: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
Ashok Krishnaswami, Rohini Ashok, Stephen Sidney, Michael Okimura, Beth Kramer, Lindsey Hogan, Michael Sorel, Sheri Pruitt, Wayne Smith
CONTEXT: There are insufficient data on the long-term, nonsurgical, nonpharmacologic treatment of obesity. OBJECTIVE: To determine changes in weight over 5 years in participants enrolled between April 1, 2007, and December 31, 2014, in a medically supervised weight management program at Kaiser Permanente Northern California Medical Centers. The program consisted of 3 phases: Complete meal replacement for 16 weeks; transition phase, 17 to 29 weeks; and lifestyle maintenance phase, 30 to 82 weeks...
2018: Permanente Journal
Eirini Stafyla, Mary Geitona, Theodora Kerenidi, Athina Economou, Zoe Daniil, Konstantinos I Gourgoulianis
Introduction: Chronic obstructive pulmonary disease (COPD) places a major burden on health care systems and has substantial economic effects; however, the cost of stable disease in Greece has never been thoroughly explored. The objective of the study was to estimate the annual COPD patient cost during the maintenance phase and explore the relationships between the cost and disease severity. Methods: Data were collected from 245 COPD patients (male: 231, mean age: 69...
2018: International Journal of Chronic Obstructive Pulmonary Disease
Hui Yeon Lee, Gaeun Kim, Yeonghee Shin
AIMS AND OBJECTIVES: The aim of this study was to investigate whether warming the feet with socks would prevent hypothermia among patients undergoing spinal surgery. BACKGROUNDS: Perioperative hypothermia is a common health problem among spinal surgery patients. RESEARCH DESIGN: This study used a quasi-experimental design. METHODS: Seventy-two patients were assigned to two groups. The control group (n=36) received usual care without the warmed socks...
February 3, 2018: Journal of Clinical Nursing
Emily E Johnston, Elysia Alvarez, Olga Saynina, Lee M Sanders, Smita Bhatia, Lisa J Chamberlain
BACKGROUND: Studies of adolescent and young adult (AYA) oncology end-of-life care utilization are critical because cancer is the leading cause of nonaccidental AYA death and end-of-life care contributes significantly to health care expenditures. This study was designed to determine the quantity of and disparities in inpatient utilization in the last year of life of AYAs with cancer. METHODS: The California Office of Statewide Health Planning and Development administrative discharge database, linked to death certificates, was used to perform a population-based analysis of cancer patients aged 15 to 39 years who died in 2000-2011...
February 2, 2018: Cancer
Alex R Jenkins, Holly Gowler, Ffion Curtis, Neil S Holden, Christopher Bridle, Arwel W Jones
Introduction: The clinical benefit of continued supervised maintenance exercise programs following pulmonary rehabilitation in COPD remains unclear. This systematic review aimed to synthesize the available evidence on the efficacy of supervised maintenance exercise programs compared to usual care following pulmonary rehabilitation completion on health care use and mortality. Methods: Electronic databases (MEDLINE, Embase, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science, and PEDro) and trial registers (ClinicalTrials...
2018: International Journal of Chronic Obstructive Pulmonary Disease
Kristen Dams-O'Connor, Alexandra Landau, Jeanne Hoffman, Jef St De Lore
PRIMARY OBJECTIVE: To gather information about brain injury (BI) survivors' long-term healthcare needs, quality, barriers and facilitators. RESEARCH DESIGN: Qualitative content analysis of data gathered in focus groups using semi-structured interviews. METHODS: Forty-four community-dwelling adults participated at two clinical research centres in Seattle, Washington and New York, New York. Participants were asked open-ended questions about their experiences with healthcare in the community with regard to care needs, utilization, access, barriers and facilitators to health management...
February 1, 2018: Brain Injury: [BI]
Andrew Quanbeck, David H Gustafson, Lisa A Marsch, Ming-Yuan Chih, Rachel Kornfield, Fiona McTavish, Roberta Johnson, Randall T Brown, Marie-Louise Mares, Dhavan V Shah
BACKGROUND: Despite the near ubiquity of mobile phones, little research has been conducted on the implementation of mobile health (mHealth) apps to treat patients in primary care. Although primary care clinicians routinely treat chronic conditions such as asthma and diabetes, they rarely treat addiction, a common chronic condition. Instead, addiction is most often treated in the US health care system, if it is treated at all, in a separate behavioral health system. mHealth could help integrate addiction treatment in primary care...
January 30, 2018: Journal of Medical Internet Research
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