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https://www.readbyqxmd.com/read/29232365/monitoring-compliance-with-standards-of-care-for-chronic-diseases-using-healthcare-administrative-databases-in-italy-strengths-and-limitations
#1
Rosa Gini, Martijn J Schuemie, Alessandro Pasqua, Emanuele Carlini, Francesco Profili, Iacopo Cricelli, Patrizio Dazzi, Valentina Barletta, Paolo Francesconi, Francesco Lapi, Andrea Donatini, Giulia Dal Co, Modesta Visca, Mariadonata Bellentani, Miriam Sturkenboom, Niek Klazinga
BACKGROUND: A recent comprehensive report on healthcare quality in Italy published by the Organization of Economic Co-operation and Development (OECD) recommended that regular monitoring of quality of primary care by means of compliance with standards of care for chronic diseases is performed. A previous ecological study demonstrated that compliance with standards of care could be reliably estimated on regional level using administrative databases. This study compares estimates based on administrative data with estimates based on GP records for the same persons, to understand whether ecological fallacy played a role in the results of the previous study...
2017: PloS One
https://www.readbyqxmd.com/read/29230934/adult-children-of-parents-with-mental-illness-dehumanization-of-a-parent-she-wasn-t-the-wreck-in-those-years-that-she-was-to-become-later
#2
Gillian Murphy, Kath Peters, Lesley Wilkes, Debra Jackson
Children who have lived with parental mental illness experience long-standing reduced health and social outcomes, alongside ongoing personal distress. While there has been some dialogue regarding interventions to support children who are living with parental mental illness, there remains a paucity of knowledge regarding adult children's experiences and potential needs. Given this, the aim of the present study was to establish parenting narratives of adult children who had experienced childhood parental mental illness...
December 11, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29216857/images-of-god-and-attitudes-towards-death-in-relation-to-spiritual-wellbeing-an-exploratory-side-study-of-the-eortc-qlq-swb32-validation-study-in-palliative-cancer-patients
#3
Renske Kruizinga, Michael Scherer-Rath, Johannes B A M Schilderman, Mariëtte Weterman, Teresa Young, Hanneke W M van Laarhoven
BACKGROUND: When patients are facing the ends of their lives, spiritual concerns often become more important. It is argued that effective, integrated palliative care should include addressing patients' spiritual wellbeing. In 2002 the EORTC Quality of Life Group began an international study to develop an spiritual wellbeing measure for palliative patients (SWB). Spiritual wellbeing is a complex construct, which comprises multiple contributory components. While conducting the EORTC SWB validation study with Dutch palliative cancer patients we also conducted an exploratory side study to examine the relationship between their spiritual wellbeing, images of God, and attitudes towards death...
December 8, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29216841/medical-overuse-and-quaternary-prevention-in-primary-care-a-qualitative-study-with-general-practitioners
#4
Kathrin Alber, Thomas Kuehlein, Angela Schedlbauer, Susann Schaffer
BACKGROUND: Medical overuse is a topic of growing interest in health care systems and especially in primary care. It comprises both over investigation and overtreatment. Quaternary prevention strategies aim at protecting patients from unnecessary or harmful medicine. The objective of this study was to gain a deeper understanding of relevant aspects of medical overuse in primary care from the perspective of German general practitioners (GPs). We focused on the scope, consequences and drivers of medical overuse and strategies to reduce it (=quaternary prevention)...
December 8, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/29212338/-incidence-of-diabetes-from-the-perspective-of-social-security-benefits
#5
Libuše Čeledová, Rostislav Čevela
The article analyzes the development of the activity of Medical Assessment Service for people with diabetes mellitus for selected assessment categories in the assessment of health conditions from 2012 to 2016. The assessment criteria for assessing disability, the degree of dependency for care allowance and the health status for grant for special aid, and certificate of person with disability are set out in the legislation. The incidence of disability for diabetes declined by 13 % between 2012 and 2016 and by 10 % for the degree of dependency for care allowance...
2017: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/29208974/bioaccumulation-of-pharmaceuticals-and-personal-care-product-chemicals-in-fish-exposed-to-wastewater-effluent-in-an-urban-wetland
#6
Derek Muir, Denina Simmons, Xiaowa Wang, Tom Peart, Maria Villella, Jason Miller, Jim Sherry
The bioaccumulation of a broad range of pharmaceuticals and personal care product chemicals (PPCPs) was studied in Cootes Paradise Marsh (CPM), an urban wetland that receives tertiary treated municipal waste waters as well as urban storm runoff. We measured PPCPs in caged and wild goldfish, as well as wild carp, and compared observed bioaccumulation factors (BAFP) using concentrations in surface waters and fish blood plasma, with modeled BAFs. Thirty-two PPCPs were detected in water from the central CPM site (CPM3) while 64 PPCPs were found at higher concentrations at a site immediately downstream of the effluent outflow (CPM1)...
December 5, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29207433/-from-the-history-of-the-german-society-of-internal-medicine-dgim-part-1-the-dgim-in-the-nazi-era
#7
Ralf Forsbach, Hans-Georg Hofer
51 years after its founding in 1882, the "Congress for Internal Medicine", 1920 renamed "German Society for Internal Medicine (DGIM)", fell into heavy water. While during the Kaiserreich and the Weimar Republic the medical care for the individual patient had never been seriously questioned, the proclaimed "Third Reich" brought fundamental changes. The 1164 male and 13 female physicians, who had been organized in the DGIM 1933, had to position themselves in the Nazi dictatorship. The same applied for the society as a whole...
December 2017: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29200963/mobility-care-in-nursing-homes-development-and-psychometric-evaluation-of-the-kinaesthetics-competence-self-evaluation-kcse-scale
#8
Heidrun Gattinger, Beate Senn, Virpi Hantikainen, Sascha Köpke, Stefan Ott, Helena Leino-Kilpi
Background: Impaired mobility is a prevalent condition among care-dependent persons living in nursing homes. Therefore, competence development of nursing staff in mobility care is important. This study aimed to develop and initially test the Kinaesthetics Competence Self-Evaluation (KCSE) scale for assessing nursing staff's competence in mobility care. Methods: The KCSE scale was developed based on an analysis of the concept of nurses' competence in kinaesthetics...
2017: BMC Nursing
https://www.readbyqxmd.com/read/29193428/amalgamation-of-marginal-gains-amg-as-a-potential-system-to-deliver-high-quality-fundamental-nursing-care-a-qualitative-analysis-of-interviews-from-high-performance-amg-sports-and-healthcare-practitioners
#9
Claire Pentecost, David A Richards, Julia Frost
AIMS AND OBJECTIVES: To investigate the components of the Amalgamation of Marginal Gains (AMG) performance system to identify a set of principles that can be built into an innovative fundamental nursing care protocol. BACKGROUND: Nursing is urged to refocus on its fundamental care activities, but little evidence exists to guide practising nurses. Fundamental care is a combination of many small behaviours aimed at meeting a person's care needs. AMG is a successful system of performance management that focusses on small (or marginal) gains, and might provide a new delivery framework for fundamental nursing care...
November 28, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29192401/spatio-temporal-evaluation-of-emerging-contaminants-and-their-partitioning-along-a-brazilian-watershed
#10
Diana Nara Ribeiro de Sousa, Antonio Aparecido Mozeto, Renato Lajarim Carneiro, Pedro Sergio Fadini
The occurrence, partitioning, and spatio-temporal distribution of seven pharmaceuticals for human use, three steroid hormones and one personal care product were determined in surface water, suspended particulate matter (SPM), and sediment of Piraí Creek and Jundiaí River (Jundiaí River Basin, São Paulo, Brazil). The maximum average detected concentrations of the compounds in the Piraí River samples were < 30 ng L-1, except for caffeine (222 ng L-1). In Jundiaí River samples, most of the compounds were frequently detected, wherein caffeine had the highest concentration, with maximum average concentrations of 14,050 ng L-1, followed by atenolol (431 ng L-1), ibuprofen (268 ng L-1) and diclofenac (214 ng L-1)...
November 30, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29189701/expressive-writing-a-tool-to-help-health-workers-research-project-on-the-benefits-of-expressive-writing
#11
Annalisa Tonarelli, Chiara Cosentino, Diletta Artioli, Stefania Borciani, Elena Camurri, Barbara Colombo, Antonio D'Errico, Liana Lelli, Laura Lodini, Giovanna Artioli
BACKGROUND AND AIMS: Numerous studies in the international literature hold that expressive writing is a useful tool to take care of the person as a whole. It gives voice to emotions, moods and intimate thoughts of patients, as well as caregivers and family members. The reference model is based on Pennebaker's theory (2004), which posits that expressing our deeper thoughts and feelings can result in significant health benefits in the short and long term. Studies over the past 25 years have shown that expressive writing, that is, simple writing on deeper thoughts and emotional sensations, is a useful tool to alleviate both physical and psychological symptoms...
November 30, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29180361/production-of-1-dodecanol-1-tetradecanol-and-1-12-dodecanediol-by-whole-cell-biotransformation-in-escherichia-coli
#12
Shan-Chi Hsieh, Jung-Hao Wang, Yu-Chen Lai, Ching-Yeuh Su, Kung-Ta Lee
Medium- and long-chain 1-alkanol and α,ω-alkanediols are used in personal care products, industrial lubricants, and as precursors for polymers synthesized for medical applications. The industrial production of α,ω-alkanediols by alkane hydroxylation primarily occurs at a high temperature and pressure using heavy metal catalysts. However, bio-production has recently emerged as a more economically and environmentally friendly alternative. Among alkane monooxygenases, CYP153A from Marinobacter aquaeolei VT8 possesses low overoxidation activity and high regioselectivity and thus has great potential for use in terminal hydroxylation...
November 27, 2017: Applied and Environmental Microbiology
https://www.readbyqxmd.com/read/29177204/nutritional-renaissance-and-public-health-policy
#13
T C Campbell
The science of nutrition has long been entrapped in reductionist interpretation of details, a source of great confusion. However, if nutrition is defined as the integration of countless nutrient factors, metabolic reactions and outcomes, biologically orchestrated as in symphony, its relevance for personal and public health would be less confusing and more productive. This more wholistic interpretation may be observed at the cellular and physiological levels and may be described, in part, by the concept of pleiotropy (multiple cell-based effects from one nutrient source), together with its more expansive cousin, epitropy (multiple cell-based effects from multiple nutrients)...
2017: Journal of Nutritional Biology
https://www.readbyqxmd.com/read/29170285/categorising-cancers-to-enable-tailored-care-planning-through-a-secondary-analysis-of-cancer-registration-data-in-the-uk
#14
Hannah McConnell, Rachel White, Jane Maher
OBJECTIVES: The aim of this study is to categorise cancers into broad groups based on clusters of common treatment aims, experiences and outcomes to provide a numerical framework for understanding the services required to meet the needs of people with different cancers. This framework will enable a high-level overview of care and support requirements for the whole cancer population. SETTING AND PARTICIPANTS: People in the UK with 1 of 20 common cancers; an estimated 309 000 diagnoses in 2014, 1 679 000 people diagnosed in a 20-year period and still living in 2010 and 135 000 cancer deaths in 2014...
November 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29166917/collaborative-action-for-person-centred-coordinated-care-p3c-an-approach-to-support-the-development-of-a-comprehensive-system-wide-solution-to-fragmented-care
#15
Helen M Lloyd, Mark Pearson, Rod Sheaff, Sheena Asthana, Hannah Wheat, Thava Priya Sugavanam, Nicky Britten, Jose Valderas, Michael Bainbridge, Louise Witts, Debra Westlake, Jane Horrell, Richard Byng
BACKGROUND: Fragmented care results in poor outcomes for individuals with complexity of need. Person-centred coordinated care (P3C) is perceived to be a potential solution, but an absence of accessible evidence and the lack of a scalable 'blue print' mean that services are 'experimenting' with new models of care with little guidance and support. This paper presents an approach to the implementation of P3C using collaborative action, providing examples of early developments across this programme of work, the core aim of which is to accelerate the spread and adoption of P3C in United Kingdom primary care settings...
November 22, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29164987/quality-of-life-for-late-life-patients-mixed-methods-evaluation-of-a-whole-person-approach-for-patients-with-chronic-illnesses
#16
Tetyana Shippee, Nathan Shippee, Karl Fernstrom, Patrick Mobley, Monica Frazer, Judy Jou, Heather Britt
Quality of life (QOL) for patients with serious illness in late life is important for patients and policy makers and has implications for improved care delivery. This mixed-methods evaluation examined the effectiveness of a new whole-person approach to late life care-the LifeCourse-which provides patients with ongoing, across-setting assistance from lay health care workers, supported by a clinical team. We investigated whether participation in LifeCourse improves QOL for intervention patients, compared with usual care controls...
October 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29140483/integrative-whole-person-oncology-care-in-the-uk
#17
Catherine Zollman, Axel Walther, Helen E Seers, Rachel C Jolliffe, Marie J Polley
The term "whole-person cancer care"-an approach that addresses the needs of the person as well as treating the disease-is more widely understood in the United Kingdom than its synonym "integrative oncology." The National Health Service (NHS) provides free access to care for all, which makes it harder to prioritize NHS funding of whole-person medicine, where interventions may be multimodal and lacking in cost-effectiveness data. Despite this, around 30% of cancer patients are known to use some form of complementary or alternative medicine (CAM)...
November 1, 2017: Journal of the National Cancer Institute. Monographs
https://www.readbyqxmd.com/read/29129193/experiences-of-three-states-implementing-the-medicaid-health-home-model-to-address-opioid-use-disorder-case-studies-in-maryland-rhode-island-and-vermont
#18
Lisa Clemans-Cope, Jane B Wishner, Eva H Allen, Nicole Lallemand, Marni Epstein, Brenda C Spillman
PURPOSE: The United States is facing an unprecedented opioid epidemic. The Affordable Care Act (ACA) included several provisions designed to increase care coordination in state Medicaid programs and improve outcomes for those with chronic conditions, including substance use disorders. Three states-Maryland, Rhode Island, and Vermont - adopted the ACA's optional Medicaid health home model for individuals with opioid use disorder. The model coordinates opioid use disorder treatment that features opioid agonist therapy provided at opioid treatment programs (OTPs) and Office-based Opioid Treatment (OBOT) with medical and behavioral health care and other services, including those addressing social determinants of health...
December 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29126084/a-simple-and-highly-selective-molecular-imprinting-polymer-based-methodology-for-propylparaben-monitoring-in-personal-care-products-and-industrial-waste-waters
#19
Ana Vicario, Leslie Aragón, Chien C Wang, Franco Bertolino, María R Gomez
In this work, a novel molecularly imprinted polymer (MIP) proposed as solid phase extraction sorbent was developed for the determination of propylparaben (PP) in diverse cosmetic samples. The use of parabens (PAs) is authorized by regulatory agencies as microbiological preservative; however, recently several studies claim that large-scale use of these preservatives can be a potential health risk and harmful to the environment. Diverse factors that influence on polymer synthesis were studied, including template, functional monomer, porogen and crosslinker used...
November 4, 2017: Journal of Pharmaceutical and Biomedical Analysis
https://www.readbyqxmd.com/read/29126063/estimation-of-chemical-emissions-from-down-the-drain-consumer-products-using-consumer-survey-data-at-a-country-and-wastewater-treatment-plant-level
#20
Mélanie Douziech, Rosalie van Zelm, Rik Oldenkamp, Antonio Franco, A Jan Hendriks, Henry King, Mark A J Huijbregts
Deriving reliable estimates of chemical emissions to the environment is a key challenge for impact and risk assessment methods and typically the associated uncertainty is not characterised. We have developed an approach to spatially quantify annual chemical emission loads to the aquatic environment together with their associated uncertainty using consumer survey data and publicly accessible and non-confidential data sources. The approach is applicable for chemicals widely used across a product sector. Product usage data from consumer survey studies in France, the Netherlands, South Korea and the USA were combined with information on typical product formulations, wastewater removal rates, and the spatial distribution of populations and wastewater treatment plants (WWTPs) in the four countries...
November 4, 2017: Chemosphere
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