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https://www.readbyqxmd.com/read/28029758/adoption-and-foster-care-analysis-and-reporting-system-final-rule
#1
(no author information available yet)
The Social Security Act (the Act) requires that ACF regulate a national data collection system that provides comprehensive demographic and case-specific information on children who are in foster care and adopted. This final rule replaces existing Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations and the appendices to require title IV-E agencies to collect and report data to ACF on children in out-of-home care, and who exit out-of-home care to adoption or legal guardianship, children in out-of-home care who are covered by the Indian Child Welfare Act, and children who are covered by a title IV-E adoption or guardianship assistance agreement...
14, 2016: Federal Register
https://www.readbyqxmd.com/read/28027459/dignity-and-autonomy-in-the-care-for-patients-with-dementia-differences-among-formal-caretakers-of-varied-cultural-backgrounds-and-their-meaning
#2
Miriam Ethel Bentwich, Nomy Dickman, Amitai Oberman
BACKGROUND: A key message in the World Health Organization report on dementia (2012) emphasizes this disease as a top priority in public health and the need to improve professional attitudes to patients with dementia, while acknowledging that the workforce in dementia care is becoming increasingly diverse culturally. AIMS: To trace whether there are substantial gaps between formal caretakers from different cultural groups (Israeli born Jews [Sabras], Israeli Arabs [Arabs] and migrants from Russia [Russians]) regarding their stances on the human dignity and autonomy of patients with dementia, as well as understand the meaning of these gaps...
December 8, 2016: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28003772/determinants-of-institutional-delivery-service-utilization-among-pastorals-of-liben-zone-somali-regional-state-ethiopia-2015
#3
Nejimu Biza Zepro, Ahmed Tahir Ahmed
Maternal health service utilizations are poorly equipped, inaccessible, negligible, and not well documented in the pastoral society. This research describes a quantitative and qualitative study on the determinants of institutional delivery among pastoralists of Liben Zone with special emphasis on Filtu and Deka Suftu woredas of Somali Region, Ethiopia. The study was funded by the project "Fostering health care for refugees and pastoral communities in Somali Region, Ethiopia". This community-based cross-sectional study was conducted during November 2015...
2016: International Journal of Women's Health
https://www.readbyqxmd.com/read/27995394/the-mrc-national-survey-of-health-and-development-reaches-age-70-maintaining-participation-at-older-ages-in-a-birth-cohort-study
#4
Diana Kuh, Andrew Wong, Imran Shah, Adam Moore, Maria Popham, Philip Curran, Daniel Davis, Nikhil Sharma, Marcus Richards, Mai Stafford, Rebecca Hardy, Rachel Cooper
A life course approach to ageing relies on maintaining participation rates in national birth cohorts and other long-term longitudinal studies. This reduces the risk of selective attrition biasing associations between lifetime risk factors and health outcomes in later life and ensures the studies remain as representative as possible of the original population. We report the participation patterns for a postal questionnaire and home visit at 68-69 years of study members in the MRC National Survey of Health and Development, the oldest and longest-running British birth cohort study...
November 2016: European Journal of Epidemiology
https://www.readbyqxmd.com/read/27976750/compass-continuous-open-mouse-phenotyping-of-activity-and-sleep-status
#5
Laurence A Brown, Sibah Hasan, Russell G Foster, Stuart N Peirson
Background  Disruption of rhythms in activity and rest occur in many diseases, and provide an important indicator of healthy physiology and behaviour. However, outside the field of sleep and circadian rhythm research, these rhythmic processes are rarely measured due to the requirement for specialised resources and expertise. Until recently, the primary approach to measuring activity in laboratory rodents has been based on voluntary running wheel activity. By contrast, measuring sleep requires the use of electroencephalography (EEG), which involves invasive surgical procedures and time-consuming data analysis...
2016: Wellcome Open Res
https://www.readbyqxmd.com/read/27940775/mental-and-physical-health-of-children-in-foster-care
#6
Kristin Turney, Christopher Wildeman
BACKGROUND AND OBJECTIVES: Each year, nearly 1% of US children spend time in foster care, with 6% of US children placed in foster care at least once between their birth and 18th birthday. Although a large literature considers the consequences of foster care placement for children's wellbeing, no study has used a nationally representative sample of US children to compare the mental and physical health of children placed in foster care to the health of children not placed in foster care...
November 2016: Pediatrics
https://www.readbyqxmd.com/read/27936830/promoting-personal-resources-and-reducing-exhaustion-through-positive-work-reflection-among-caregivers
#7
Elisa Clauss, Annekatrin Hoppe, Deirdre O'Shea, M Gloria González Morales, Anna Steidle, Alexandra Michel
The aim of this study was to test the effects of a daily positive work reflection intervention on fostering personal resources (i.e., hope and optimism) and decreasing exhaustion (i.e., emotional exhaustion and fatigue) among caregivers for the elderly and caregivers who provide services at patients' homes. Using an intervention/waitlist control group design, 46 caregivers in an intervention group were compared with 44 caregivers in a control group at 3 points of measurement: pre-intervention, post-intervention, and at a 2-week follow-up...
December 12, 2016: Journal of Occupational Health Psychology
https://www.readbyqxmd.com/read/27922462/fostering-evidence-based-quality-improvement-for-patient-centered-medical-homes-initiating-local-quality-councils-to-transform-primary-care
#8
Susan E Stockdale, Jessica Zuchowski, Lisa V Rubenstein, Negar Sapir, Elizabeth M Yano, Lisa Altman, Jacqueline J Fickel, Skye McDougall, Timothy Dresselhaus, Alison B Hamilton
BACKGROUND: Although the patient-centered medical home endorses quality improvement principles, methods for supporting ongoing, systematic primary care quality improvement have not been evaluated. We introduced primary care quality councils at six Veterans Health Administration sites as an organizational intervention with three key design elements: (a) fostering interdisciplinary quality improvement leadership, (b) establishing a structured quality improvement process, and (c) facilitating organizationally aligned frontline quality improvement innovation...
December 3, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27919001/the-impact-of-changing-neighborhoods-switching-schools-and-experiencing-relationship-disruption-on-children-s-adjustment-to-a-new-placement-in-foster-care
#9
Kya Fawley-King, Emily V Trask, Jinjin Zhang, Gregory A Aarons
When children enter a new foster care placement they may experience several different transitions. Not only will a child move in with a new family, he or she may move to a different neighborhood, change schools, lose contact with old friends, be placed apart from one or more siblings, and have limited contact with his or her biological parents. The current study examined the impact of these transitions on foster children's adjustment to a new placement in out-of-home care. The sample consisted of 152 youth ages 6-17...
January 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27910119/the-significance-of-meaningful-and-enjoyable-activities-for-nursing-home-resident-s-experiences-of-dignity
#10
Åshild Slettebø, Berit Saeteren, Synnøve Caspari, Vibeke Lohne, Arne Wilhelm Rehnsfeldt, Anne Kari Tolo Heggestad, Britt Lillestø, Bente Høy, Maj-Britt Råholm, Lillemor Lindwall, Trygve Aasgaard, Dagfinn Nåden
BACKGROUND: Living in a nursing home may be challenging to the residents' experience of dignity. Residents' perception of how their dignity is respected in everyday care is important. AIM: To examine how nursing home residents experience dignity through the provision of activities that foster meaning and joy in their daily life. METHOD: A qualitative design was used and 28 individual semistructured interviews conducted with nursing home residents from six nursing homes in Denmark, Norway and Sweden...
December 2, 2016: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/27904909/from-left-ventricular-assist-device-to-transplant-to-home-an-interdisciplinary-team-approach-to-treating-medically-complex-cardiac-patients-during-the-bridge-to-transplantation-a-case-report
#11
Keith J Foster, Angelica Cota, Stephanie Cleves
CASE REPORT: A 56-year-old man presented with advanced heart failure requiring implantation of a left ventricular assist device and was discharged home. after implantation He returned to the hospital with right posterior putamen stroke and after a comprehensive rehabilitation programme was discharged home with the ability to be independent. The patient later underwent heart transplantation and subsequently required readmission to inpatient rehabilitation. He again completed a comprehensive rehabilitation programme and returned home with the ability to be independent with use of a single-point cane for ambulation...
November 30, 2016: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27902951/exploring-children-s-perspectives-of-engagement-with-their-carers-using-factor-analysis
#12
Tania Withington, Ray Duplock, Judith Burton, Areana Eivers, Bob Lonne
Positive engagement between a child and carer in out-of-home care is understood to have long-term benefits for children who have experienced abuse or neglect. This study analysed data from the 'Views of Children and Young People in Foster Care 2009' survey of 937 children in out-of-home care in Queensland, Australia, to identify factors that supported or hindered engagement between a child and carer. Exploratory and confirmatory factor analysis and structural regression were used. Findings suggest that children's engagement with their carer is influenced by a range of internal and external factors including child characteristics, the care experience, contact with biological parents, and placement trajectory...
January 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27899358/cytohesin-1-regulates-homing-and-engraftment-of-human-hematopoietic-stem-and-progenitor-cells
#13
Justyna Rak, Katie Foster, Katarzyna Potrzebowska, Mehrnaz Safaee Talkhoncheh, Natsumi Miharada, Karolina Komorowska, Therese Torngren, Anders Kvist, Åke Borg, Lena Svensson, Dominique Bonnet, Jonas Larsson
Adhesion is a key component of hematopoietic stem cell regulation mediating homing and retention to the niche in the bone marrow. Here, using an RNA interference screen, we identify cytohesin 1 (CYTH1) as a critical mediator of adhesive properties in primary human cord-blood derived hematopoietic stem and progenitor cells (HSPCs). Knockdown of CYTH1 disrupted adhesion of HSPC to primary human mesenchymal stroma cells (MSCs). Attachment to fibronectin and ICAM1, two integrin ligands, was severely impaired, and CYTH1 deficient cells showed a reduced integrin β1 activation response, suggesting that CYTH1 mediates integrin-dependent functions...
November 29, 2016: Blood
https://www.readbyqxmd.com/read/27893567/determining-whether-a-dosage-specific-and-individualized-home-exercise-program-with-consults-reduces-fall-risk-and-falls-in-community-dwelling-older-adults-with-difficulty-walking-a-randomized-control-trial
#14
Estelle Gallo, Maria Stelmach, Fernanda Frigeri, Dong-Hyun Ahn
BACKGROUND AND PURPOSE: The development and implementation of effective interventions to prevent falls in older adults is a public health priority. The purpose of this study was to compare the efficacy of a new practice model, incorporating Shubert's evidence-based fall prevention recommendations, with the usual ambulatory physical therapy (PT) at Rusk Rehabilitation, to decrease fall risk among older adults living in the community. The hypotheses were (1) the proposed program would decrease participants' fall risk, (2) it would be more effective than our usual PT, and (3) the addition of 4 consults after discharge would improve compliance with a home exercise program...
November 23, 2016: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/27876269/a-social-ecology-analysis-of-childbirth-among-females-emancipating-from-foster-care
#15
Svetlana Shpiegel, Michele Cascardi, Michael Dineen
PURPOSE: No research has examined childbirth from a national perspective among females emancipating from foster care. The present study fills this gap by: (1) documenting the rates of initial and repeat births among females ages 17 and 19 in a national prospective study and (2) identifying risk and protective factors at age 17 that predict childbirth between ages 17 and 19. METHODS: This study used data from the National Youth in Transition Database and Adoption and Foster Care Analysis and Reporting System to identify risk and protective factors associated with childbirth in a national sample of transition-age female youth (N = 3,474)...
November 18, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/27871856/will-cardiac-optogenetics-find-the-way-through-the-obscure-angles-of-heart-physiology
#16
Nicola Pianca, Tania Zaglia, Marco Mongillo
Optogenetics is a technique exploded in the last 10 years, which revolutionized several areas of biological research. The brightest side of this technology is the use of light to modulate non-invasively, with high spatial resolution and millisecond time scale, excitable cells genetically modified to express light-sensitive microbial ion channels (opsins). Neuroscience has first benefited from such fascinating strategy, in intact organisms. By shining light to specific neuronal subpopulations, optogenetics allowed unearth the mechanisms involved in cell-to-cell communication within the context of intact organs, such as the brain, formed by complex neuronal circuits...
January 22, 2017: Biochemical and Biophysical Research Communications
https://www.readbyqxmd.com/read/27861445/electronic-care-coordination-from-the-preoperative-clinic
#17
Vinca W Chow, David L Hepner, Angela M Bader
Fragmented and variable perioperative care exposes patients to unnecessary risks and handoff errors. The perioperative surgical home aims to optimize quality, value-based care. We performed a retrospective evaluation of how a preoperative assessment center could coordinate care through e-mails sent to a patient's healthcare team that initiate discussion on critical clinical information. During 100 clinic days on which 8122 patients were evaluated, 606 triggered e-mails, with a potential impact on 19 elements across the perioperative care spectrum...
December 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27828576/use-of-potentially-inappropriate-medications-by-the-elderly-at-home
#18
Lázara Montezano Lopes, Tácita Pires de Figueiredo, Soraya Coelho Costa, Adriano Max Moreira Reis
The goal of this study was to assess how often potentially inappropriate medicines are used by the elderly at home, and analyze its clinical significance. This is a retrospective cross-sectional study, a segment of a study on the use of medication conducted at a public hospital. Inappropriate medication was classified according to the three criteria in the 2012 Beers List. 190 elderly were included in this study; the prevalence of the use of inappropriate medicines was 44.2%. The therapeutic classes of most often used inappropriate medicines were non-steroid anti-inflammatories, cardiovascular agents, benzodiazepines and antidepressants...
November 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27799137/evaluating-the-economic-impact-of-smart-care-platforms-qualitative-and-quantitative-results-of-a-case-study
#19
Frederic Vannieuwenborg, Thomas Van der Auwermeulen, Jan Van Ooteghem, An Jacobs, Sofie Verbrugge, Didier Colle
BACKGROUND: In response to the increasing pressure of the societal challenge because of a graying society, a gulf of new Information and Communication Technology (ICT) supported care services (eCare) can now be noticed. Their common goal is to increase the quality of care while decreasing its costs. Smart Care Platforms (SCPs), installed in the homes of care-dependent people, foster the interoperability of these services and offer a set of eCare services that are complementary on one platform...
October 31, 2016: JMIR Medical Informatics
https://www.readbyqxmd.com/read/27783737/stroke-patient-characteristics-and-quality-of-life-of-caregivers
#20
Tatiana Ferreira da Costa, Thayris Mariano Gomes, Lia Raquel de Carvalho Viana, Kaisy Pereira Martins, Kátia Nêyla de Freitas Macêdo Costa
Objective: to investigate the association between the domains of health-related quality of life of family caregivers and sociodemographic characteristics of individuals with stroke sequelae. Method: descriptive, cross-sectional, quantitative research, conducted with 136 family caregivers of individuals with stroke sequelae by means of home interviews from April to June 2013. Results: we found that caregivers of individuals aged under 65 years, married, with 10 to 12 years of formal education, presented higher scores, respectively, in the domains 'Social aspects', 'Emotional aspects', and 'Mental health'...
September 2016: Revista Brasileira de Enfermagem
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