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https://www.readbyqxmd.com/read/29229630/the-role-of-moisturizers-in-addressing-various-kinds-of-dermatitis-a-review
#1
REVIEW
Schandra Purnamawati, Budi Satria, Niken Indrastuti, Retno Danarti, Tatan Saefudin
Moisturizer is a major component of basic daily skin care, particularly in presence of epidermal barrier alteration and reduced epidermal water content. It is an important part of a dermatologist's strategy to maintain skin health as well as treating various dermatoses which co-exist with skin dryness, linked to impaired skin barrier function such as in atopic disorder as well as other types of dermatitis. Mastering the knowledge regarding action mechanism, application, dosage, adverse effects as well as specific clinical usage of moisturizers is must for a dermatologist, in order to support the capability to recommend their use, particularly for therapeutic purposes, in accordance with evidence-based medicine...
December 11, 2017: Clinical Medicine & Research
https://www.readbyqxmd.com/read/29215132/may-car-washing-represent-a-risk-for-legionella-infection
#2
T Baldovin, A Pierobon, C Bertoncello, E Destefani, M Gennari, A Stano, V Baldo
BACKGROUND: Legionella is a ubiquitous Gram-negative bacterium naturally found in aquatic environments. It can pose a health problem when it grows and spreads in man-made water systems. Legionella pneumophila is the most common cause of Legionnaires' disease nowadays, a community-acquired pneumonia with pulmonary symptoms and chest radiography no different from any other form of infectious pneumonia. Legionella monitoring is important for public health reasons, including the identification of unusual environmental sources of Legionella...
January 2018: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/29210171/a-realist-review-of-one-to-one-breastfeeding-peer-support-experiments-conducted-in-developed-country-settings
#3
REVIEW
Heather Trickey, Gill Thomson, Aimee Grant, Julia Sanders, Mala Mann, Simon Murphy, Shantini Paranjothy
The World Health Organisation guidance recommends breastfeeding peer support (BFPS) as part of a strategy to improve breastfeeding rates. In the UK, BFPS is supported by National Institute for Health and Care Excellence guidance and a variety of models are in use. The experimental evidence for BFPS in developed countries is mixed and traditional methods of systematic review are ill-equipped to explore heterogeneity, complexity, and context influences on effectiveness. This review aimed to enhance learning from the experimental evidence base for one-to-one BFPS intervention...
December 6, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29208036/informal-care-and-health-behaviors-among-elderly-people-with-chronic-diseases
#4
Hong Wu, Naiji Lu
BACKGROUND: The mechanism by which social relationships influence health can be interpreted as a social network regulating one's health behaviors. Based on the hypothesis that relatives, friends, or neighbors are sources of social support and may monitor one's health behaviors, researchers have gotten significant and consistent results that a social network can regulate health behaviors. However, few empirical studies have been conducted to examine the role of informal care in the regulation of health behaviors, especially for elderly individuals with chronic diseases that can be controlled by healthy behaviors...
December 6, 2017: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/29205979/update-on-current-care-guideline-periodontitis
#5
(no author information available yet)
Periodontitis is common in the adult Finnish population. Also the prevalence of peri-implant diseases increases. As symptoms are rare, affected patients seldom seek dental care but require attention through the health care system. A careful periodontal screening, including risk assessment, is essential. Individual brushing and interdental cleaning instructions, as well as tobacco counseling, are important in preventing and treating these diseases, Early signs of periodontitis are indication for treatment, including necessary maintenance visits, preventing the severe periodontitis and its harmful consequences for the patient's dentition and general health...
2017: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/29202257/maintenance-fluid-practices-in-paediatric-intensive-care-units-in-australia-and-new-zealand
#6
Shailesh Bihari, Ben Gelbart, Ian Seppelt, Kelly Thompson, Nicola Watts, Shivesh Prakash, Marino Festa, Andrew Bersten
BACKGROUND: Maintenance fluid administration is a common practice in paediatric intensive care units (PICUs), contributing to daily fluid intake and fluid balance, but little is known about this practice. OBJECTIVES: To determine the volume and type of maintenance fluid delivered to PICU patients, and to assess changes in practice compared with a previous time point. METHODS: A prospective, observational, single-day, point prevalence study of paediatric patients from 11 Australian and New Zealand PICUs, conducted in 2014...
December 2017: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/29200702/affordable-and-safe-health-care-for-all-children-lessons-learned-from-the-use-of-peg-asparaginase-in-a-developing-country
#7
Dhaarani Jayaraman, Ramya Uppuluri, Venkateswaran Vellaichamy Swaminathan, Meena Sivasankaran, Shivani Patel, Revathi Raj
Peg-asparaginase has widely replaced the use of conventional asparaginase in treatment of children with acute lymphoblastic leukaemia in developed countries. In developing countries like India, with financial constraints being a part of clinical challenge to the treatment of cancers, uniform use of Peg-asparaginase in all children is not practically possible. However, we found by a retrospective analysis of 211 children treated for acute lymphoblastic leukaemia, uniform use of this drug was feasible with indigenous techniques like storing the drug with strict cold chain maintenance and sharing the drug amongst 2 or 3 patients to reduce the burden on each family...
July 2017: Indian Journal of Medical and Paediatric Oncology
https://www.readbyqxmd.com/read/29200655/lumbar-extension-traction-alleviates-symptoms-and-facilitates-healing-of-disc-herniation-sequestration-in-6-weeks-following-failed-treatment-from-three-previous-chiropractors-a-cbp%C3%A2-case-report-with-an-8%C3%A2-year-follow-up
#8
Paul A Oakley, Deed E Harrison
[Purpose] To present the outcome of a patient, having sciatica and MRI-verified disc herniation/sequestration who underwent Chiropractic BioPhysics® (CBP®) protocol designed to improve the lumbar lordosis. [Subject and Methods] A 56-year-old male suffered from chronic low back pain and recent sciatica due to lumbar disc herniation despite being under continuous care from three previous chiropractors. Radiographic analysis revealed a lumbar hypolordosis and MRI confirmed disc herniation and sequestration at L4-L5...
November 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29200050/a-call-for-compassionate-care
#9
Karen Alexander
The Substance Abuse and Mental Health Services Administration (2014) reported that 1.1% of pregnant women used nonprescription opiates (either heroin or prescription pills) in the last 30 days. Methadone and buprenorphine are the most common treatments for opiate addiction in pregnant women. Reasons for seeking opiate maintenance treatment (OMT) include keeping custody of one's children and the hope of developing a healthy parenting relationship. Yet, healthcare organizations and professionals have mixed opinions regarding health promotion within the maternal OMT population...
October 2017: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/29198641/hemodialysis-self-management-intervention-randomized-trial-hed-smart-a-practical-low-intensity-intervention-to-improve-adherence-and-clinical-markers-in-patients-receiving-hemodialysis
#10
Konstadina Griva, Mooppil Nandakumar, Jo-An H Ng, Kevin F Y Lam, Hayley McBain, Stanton P Newman
BACKGROUND: Poor adherence to treatment is common in hemodialysis patients. However, effective interventions for adherence in this population are lacking. Small studies of behavioral interventions have yielded improvements, but clinical effectiveness and long-term effects are unclear. STUDY DESIGN: Multicenter parallel (1:1) design, blinded cluster-randomized controlled trial. SETTING & PARTICIPANTS: Patients undergoing maintenance hemodialysis enrolled in 14 dialysis centers...
November 30, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/29192397/ustekinumab-for-treating-moderately-to-severely-active-crohn-s-disease-after-prior-therapy-an-evidence-review-group-perspective-of-a-nice-single-technology-appraisal
#11
Robert Hodgson, Matthew Walton, Mousumi Biswas, Teumzghi Mebrahtu, Nerys Woolacott
As part of the single technology appraisal (STA) process, the National Institute for Health and Care Excellence (NICE) invited Janssen to submit evidence on the clinical and cost effectiveness of their drug ustekinumab, an interleukin-12/23 inhibitor, for treating moderate-to-severe active Crohn's disease (CD). The Centre for Reviews and Dissemination (CRD) and Centre for Health Economics (CHE) Technology Appraisal Group at the University of York was commissioned to act as the independent Evidence Review Group (ERG)...
November 30, 2017: PharmacoEconomics
https://www.readbyqxmd.com/read/29185362/living-with-incurable-cancer-what-are-the-rehabilitation-needs-in-a-palliative-setting
#12
Kirsti Loughran, Sarah Rice, Lisa Robinson
BACKGROUND: Increasing numbers of people are living with incurable cancers. Symptoms, side effects, and treatment burdens impact on physical functioning, yet little is known about the impact on people's lives and how best to provide rehabilitation. MATERIALS AND METHODS: A qualitative study employing a phenomenological approach explored the lived experience of incurable cancer. A purposive sample of six people participated in semi-structured interviews. The data were analysed thematically at a semantic level to identify the functional difficulties experienced by people living with incurable cancer, the meanings of those difficulties, and participants perceived rehabilitation needs...
November 29, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29184818/transition-of-care-for-patients-with-type-1-diabetes-mellitus-from-pediatric-to-adult-health-care-systems
#13
REVIEW
Elizabeth O Buschur, Bethany Glick, Manmohan K Kamboj
Planning for the transition from pediatric to adult healthcare is broadly understood to be beneficial to the quality of care of patients with chronic illness. Due to the level of self-care that is necessary in the maintenance of most chronic diseases, it is important that pediatric settings can offer support during a time when adolescents are beginning to take more responsibility in all areas of their lives. Lack of supportive resources for adolescents with chronic conditions often results in both decreased access to care and impaired health and function likely leading to increased medical costs later...
October 2017: Translational Pediatrics
https://www.readbyqxmd.com/read/29182219/hepatitis-b-in-poland-in-2015
#14
Małgorzata Stępień, Katarzyna Piwowarow, Mirosław P. Czarkowski
OBJECTIVE: Assessment of the epidemiological situation of hepatitis B in Poland in 2015 in relation to previous years. MATERIAL AND METHODS: Evaluation of the epidemiological situation carried out based on analysis of data from individual reports on acute hepatitis B cases registered by the sanitary-epidemiological stations, aggregate data published in annual bulletins “Infectious diseases and poisonings in Poland” and data from annual bulletin “Vaccinations in Poland”...
2017: Przegla̧d Epidemiologiczny
https://www.readbyqxmd.com/read/29181091/parenting-and-child-mental-health
#15
Rachael Ryan, Christine O'Farrelly, Paul Ramchandani
This paper reviews parenting programmes and their effectiveness with families of young children and highlights additional resources for primary care practitioners. Typically, 30% of GP consultations concern child behaviour problems and established behaviour problems can have lasting effects on children's life chances. These problems can be identified in infancy and toddlerhood.Parenting is a key risk factor in their development and maintenance, yet is also amenable to change. In this paper we consider six parenting programmes that are widely evaluated and/or available in the U...
November 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/29177193/percutaneous-management-of-a-pyocystic-fistulizing-continent-urinary-diversion
#16
Michael C Phung, Benjamin R Lee, Joel T Funk
Background: Continent diversions have since been performed with increasing frequency since the 1950s, with some providers espousing the use of orthotopic diversions as being the new gold standard. However, patients must be counseled to take great care in the maintenance of their diversions because of complications such as metabolic abnormalities, pouch stones, and mucus retention. Case Report: A 21-year-old male with a history of posterior urethral valves underwent a continent catheterizable diversion as a child...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29171179/optimal-timing-of-viral-load-monitoring-during-pregnancy-to-predict-viraemia-at-delivery-in-hiv-infected-women-initiating-art-in-south-africa-a-simulation-study
#17
Maia Lesosky, Tracy Glass, Elton Mukonda, Nei-Yuan Hsiao, Elaine J Abrams, Landon Myer
INTRODUCTION: HIV viral load (VL) monitoring is a central tool to evaluate ART effectiveness and transmission risk. There is a global movement to expand VL monitoring following recent recommendations from the World Health Organization (WHO), but there has been little research into VL monitoring in pregnant women. We investigated one important question in this area: when and how frequently VL should be monitored in women initiating ART during pregnancy to predict VL at the time of delivery in a simulated South African population...
November 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29170284/impact-of-multimorbidity-on-healthcare-professional-task-shifting-potential-in-patients-with-type-2-diabetes-in-primary-care-a-french-cross-sectional-study
#18
Irène Supper, Yann Bourgueil, René Ecochard, Laurent Letrilliart
OBJECTIVES: To estimate the transferability of processes of care from general practitioners (GPs) to allied healthcare professionals and the determinants of such transferability. DESIGN: French national cross-sectional multicentre study SETTING: 128 family practices providing supervised training for residents in general practice. PARTICIPANTS: All patients consulting with their GP over a total number of 20 days (ie, 1 day a week from December 2011 to April 2012)...
November 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29169964/-integral-incident-management-system-in-primary-care-beyond-patient-safety
#19
F J Luque Mellado, F J Martos Molines, Y Lebrero Villa
OBJECTIVE: To describe an integral system of notification and management of incidents, created by the Primary Care Team of Guineueta, as well as the main results after 18 months of implementation. MATERIAL AND METHOD: Using a simple online form, health professionals notified any type of, already categorised, incident. Each of them were distributed to an improvement team that assessed and performed the necessary actions. In addition, the Quality Committee immediately assessed the ones that affected patient safety, as well as the most relevant or repetitive ones every 6 months...
November 20, 2017: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
https://www.readbyqxmd.com/read/29168052/change-in-health-related-quality-of-life-and-social-cognitive-outcomes-in-obese-older-adults-in-a-randomized-controlled-weight-loss-trial-does-physical-activity-behavior-matter
#20
Jason Fanning, Michael P Walkup, Walter T Ambrosius, Lawrence R Brawley, Edward H Ip, Anthony P Marsh, W Jack Rejeski
This article compared the effect of dietary weight loss administered alone (WL) or in combination with aerobic training (WL + AT) or resistance training (WL + RT) on health related quality of life, walking self-efficacy, stair climb self-efficacy, and satisfaction with physical function in older adults with cardiovascular disease or the metabolic syndrome. Participants (N = 249; M age = 66.9) engaged in baseline assessments and were randomly assigned to one of three interventions, each including a 6-month intensive phase and a 12-month follow-up...
November 22, 2017: Journal of Behavioral Medicine
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