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Mariana Dutra, Mariana V Monteiro, Karina B Ribeiro, Guilherme P Schettino, Andre Carlos Kajdacsy-Balla Amaral
OBJECTIVES: Handovers are associated with medical errors, and our primary objective is to identify missed diagnosis and goals immediately after a shift handover. Our secondary objective is to assess clinicians' diagnostic accuracy in anticipating clinical events during the night shift. DESIGN: Single-center prospective observational cohort study. SETTING: Thirty-bed tertiary ICU in Sao Paulo, Brazil. PATIENTS: Three-hundred fifty-two patient encounters over 44 day-to-night handovers...
July 17, 2018: Critical Care Medicine
M Thomas Kishore, Veena Satyanarayana, Supraja Thirumalai Ananthanpillai, Geetha Desai, Binukumar Bhaskarapillai, Harish Thippeswamy, Prabha S Chandra
BACKGROUND: Recent life events may be significant risk factors for depression during pregnancy. However, its association with the individual's resilience and social support is not clear. AIMS: To understand the association between life events and depression during pregnancy and whether the association is moderated by resilience and social support. METHODS: This study is part of a prospective cohort study on perinatal mental health in an urban antenatal clinic, which included 589 women recruited in the first and early second trimester...
July 1, 2018: International Journal of Social Psychiatry
Shari L Wade, Gary Bedell, Jessica A King, Michele Jacquin, Lyn S Turkstra, Juliet Haarbauer-Krupa, Jeremy Johnson, Ralph Salloum, Megan E Narad
PURPOSE/OBJECTIVE: Our goal was to examine the feasibility and preliminary efficacy of an app-based coaching intervention (Social Participation and Navigation; SPAN) to help survivors of acquired brain injury attain social participation goals. Research Method/Design: This is a nonrandomized pilot trial of SPAN, including 15 adolescents (9 with traumatic brain injury, 6 with brain tumor) between the ages of 14-22. The SPAN intervention consisted of a mobile app to support the development and implementation of social participation goals, weekly video-conference coaching sessions to identify goals and step-by-step action plans, and online didactic materials...
July 19, 2018: Rehabilitation Psychology
Merel Verhoeff, Frank Lobbezoo, Peter Wetselaar, Ghizlane Aarab, Michail Koutris
BACKGROUND: Even though bruxism and Parkinson's disease (PD) share common characteristics, their relation is still not clear. Both bruxism and PD are movement disorders in addition, patients with bruxism as well as those with PD complain about musculoskeletal pain, including temporomandibular disorders (TMD) pain. OBJECTIVES: Therefore, the aim of this pilot study was to gain more insight into the possible relation between bruxism and TMD on the one hand and PD on the other...
July 19, 2018: Journal of Oral Rehabilitation
Wei T Sze, Mei C Kong
Background: Early intravenous to oral (IV-PO) antibiotics switch, which is one of the important elements in antimicrobial stewardship (AMS) is not well implemented in Malaysian district hospitals. A systematic interventional strategy is required to facilitate IV-PO antibiotic switch. Objective: This study aimed to evaluate the impact of printed AMS recommendations on early IV-PO antibiotics switch practice in district hospitals. Methods: This study was an interventional study conducted in medical wards of eight Sarawak district hospitals from May to August 2015...
April 2018: Pharmacy Practice
Narong Maneeton, Benchalak Maneeton, Suwannee Putthisri, Pakapan Woottiluk, Assawin Narkpongphun, Manit Srisurapanont
Background: Various clinical trials suggested that risperidone was beneficial in the treatment of autism spectrum disorder (ASD) in children and adolescents. Objective: The aim of this systematic review was to determine the efficacy, acceptability and tolerability of risperidone in the treatment of children and adolescents with ASD. Data sources: The databases of Scopus, PubMed, CINAHL and Cochrane Controlled Trials Register were searched in February 2017...
2018: Neuropsychiatric Disease and Treatment
A J Esbensen, E K Hoffman, R Shaffer, E Chen, L Patel, L Jacola
BACKGROUND: Behavioural problems are common among children with Down syndrome (DS). Tools to detect and evaluate maladaptive behaviours have been developed for typically developing children and have been evaluated for use among children with intellectual and developmental disabilities. However, these measures have not been evaluated for use specifically in children with DS. This psychometric evaluation is important given that some clinically observed behaviours are not addressed in currently available rating scales...
July 18, 2018: Journal of Intellectual Disability Research: JIDR
Ling-Xin Li, Kai Deng, Yun Qu
OBJECTIVE: To explore the effectiveness and safety of acupuncture in patients with post-stroke dysphagia by an update meta-analysis. METHODS: Potentially eligible RCTs aimed to evaluate the effects of acupuncture vs. non-acupuncture treatments, such as rehabilitation training or routine medication on the swallowing difficulty after stroke were searched from PubMed, Cochrane Library, China National Knowledge Infrastructure, and other database from the earliest record to June 2016...
July 18, 2018: Chinese Journal of Integrative Medicine
Jennifer L Wolff, Debra L Roter, Cynthia M Boyd, David L Roth, Diane M Echavarria, Jennifer Aufill, Judith B Vick, Laura N Gitlin
BACKGROUND: Establishing priorities for discussion during time-limited primary care visits is challenging in the care of patients with cognitive impairment. These patients commonly attend primary care visits with a family companion. OBJECTIVE: To examine whether a patient-family agenda setting intervention improves primary care visit communication for patients with cognitive impairment DESIGN: Two-group pilot randomized controlled study PARTICIPANTS: Patients aged 65 + with cognitive impairment and family companions (n = 93 dyads) and clinicians (n = 14) from two general and one geriatrics primary care clinic INTERVENTION: A self-administered paper-pencil checklist to clarify the role of the companion and establish a shared visit agenda MEASUREMENTS: Patient-centered communication (primary); verbal activity, information disclosure including discussion of memory, and visit duration (secondary), from audio recordings of visit discussion RESULTS: Dyads were randomized to usual care (n = 44) or intervention (n = 49)...
July 18, 2018: Journal of General Internal Medicine
Menahem I Krakowski, Pal Czobor
OBJECTIVE: We delineated important trait predispositions to violence, including psychopathic and impulsive traits and trait aggression, in patients with schizophrenia and in the general population. METHOD: The study included 144 subjects: 40 violent (VS's) and 34 nonviolent (NV's) patients with schizophrenia, 35 healthy controls (HC's) and 35 non-psychotic violent subjects (NPV's). We used the Psychopathy Checklist, Buss-Perry Aggression Questionnaire, and Barratt Impulsiveness Scale (BIS-11)...
July 16, 2018: Schizophrenia Research
Jamie Cirbus, Alasdair M J MacLullich, Christopher Noel, E Wesley Ely, Rameela Chandrasekhar, Jin H Han
ABSTRACTBackground:Delirium is heterogeneous and can vary by etiology. OBJECTIVES: We sought to determine how delirium subtyped by etiology affected six-month function and cognition. DESIGN: Prospective cohort study. SETTING: Tertiary care, academic medical center. PARTICIPANTS: A total of 228 hospitalized patients > 65 years old were admitted from the emergency department (ED). MEASUREMENTS: The modified Brief Confusion Assessment Method was used to determine delirium in the ED...
July 19, 2018: International Psychogeriatrics
Anna Suarez, Jari Lahti, Darina Czamara, Marius Lahti-Pulkkinen, Polina Girchenko, Sture Andersson, Timo E Strandberg, Rebecca M Reynolds, Eero Kajantie, Elisabeth B Binder, Katri Raikkonen
BACKGROUND: Molecular aging biomarkers, such as epigenetic age predictors, predict risk factors of premature aging, and morbidity/mortality more accurately than chronological age in middle-aged and elderly populations. Yet, it remains elusive if such biomarkers are associated with aging-related outcomes earlier in life when individuals begin to diverge in aging trajectories. We tested if the Horvath epigenetic age predictor is associated with pubertal, neuroendocrine, psychiatric, and cognitive aging-related outcomes in a sample of 239 adolescents, 11...
July 18, 2018: Clinical Epigenetics
Sandra Mudhune, Sydney Chauwa Phiri, Marta R Prescott, Elizabeth A McCarthy, Aaron Banda, Prudence Haimbe, Francis Dien Mwansa, Angel Mwiche, Francis Bwalya, Micheck Kabamba, Hilda Shakwelele, Margaret L Prust
BACKGROUND: A strong evidence base exists regarding routine and emergency services that can effectively prevent or reduce maternal and new-born mortality. However, even when skilled providers care for women in labour, many of the recommended services are not provided, despite being available. Barriers to the provision of appropriate childbirth services may include lack of availability of supplies, limited health worker knowledge and confidence, or inadequate time. The WHO Safe Childbirth Checklist (SCC) includes reminders for evidenced-based practices at specific points in the childbirth process...
July 18, 2018: BMC Public Health
Raquel Corval, Jay Belsky, Joana Baptista, Ana Mesquita, Isabel Soares
Reactive Attachment Disorder (RAD) is presumed to be a consequence of social neglect and deprivation of the kind particularly associated with institutional care. Despite its clinical relevance there is a lack of assessment tools for RAD based on the direct observation of child-caregiver interaction. Here we describe the development and validation of such a tool for use with preschool children, the Rating of Inhibited Attachment Disordered Behavior (RInAB). The RInAB is composed of 17 ratings grouped in three subscales assessing (1) Attachment, (2) Exploratory, and (3) Socioemotional behavior...
July 18, 2018: Attachment & Human Development
Jeffrey M Pyne, Joseph I Constans, John T Nanney, Mark D Wiederhold, Douglas P Gibson, Timothy Kimbrell, Teresa L Kramer, Jeffery A Pitcock, Xiaotong Han, D Keith Williams, Don Chartrand, Richard N Gevirtz, James Spira, Brenda K Wiederhold, Rollin McCraty, Thomas R McCune
Introduction: There is a long history of pre-deployment PTSD prevention efforts in the military and effective pre-deployment strategies to prevent post-deployment PTSD are still needed. Materials and Methods: This randomized controlled trial included three arms: heart rate variability biofeedback (HRVB), cognitive bias modification for interpretation (CBM-I), and control. The hypothesis was that pre-deployment resilience training would result in lower post-deployment PTSD symptoms compared with control...
July 18, 2018: Military Medicine
Maya Aboumrad, Brian Shiner, Natalie Riblet, Peter D Mills, Bradley V Watts
OBJECTIVE: Vast efforts are directed toward curing or prolonging the life of patients with cancer. However, less attention is given to mental health aspects of cancer care, and there is elevated incidence of death by suicide in this population. Evaluating Root Cause Analyses (RCAs) of cancer-related suicides may further our understanding of system-level factors that may contribute to suicide in patients with cancer and highlight strategies to mitigate this risk. METHODS: We searched the Veterans Health Administration National Center for Patient Safety RCA database for cancer-related suicides between 2002 and 2017 to evaluate the context of the suicides and identify root causes and suggested actions...
July 18, 2018: Psycho-oncology
Katina Swan, Reinie Cordier, Ted Brown, Renée Speyer
Fibreoptic Endoscopic Evaluation of Swallowing (FEES) and Videofluoroscopic Swallow Studies (VFSS) are instrumental assessments of dysphagia which provide videos of the internal structures of swallowing. They are commonly regarded as 'gold-standard' assessments; however, there is no consensus regarding a gold-standard measure to analyse the video recordings that they produce. Measures require sound psychometric properties to be suitable for clinical or research purposes. To date, no review of psychometric properties of FEES and VFSS measures has been undertaken or formally reported...
July 17, 2018: Dysphagia
Lida Jalili, Shahnaz Najar, Salimeh Nezamivand-Chegini, Masoumeh Yaralizadeh
Objective: This study aimed to investigate the relationship between factors related to divorce request with mental health among divorce applicant women in order to understand the effect of these factors on women's mental health. Materials and methods: This study was a cross-sectional study performed on 434 divorce applicant women who referred to legal medicine department of Ahvaz in 2013 based on convenience sampling. Information was collected by using researcher made questionnaire for factors affecting divorce and symptom checklist-25 (SCL-25) standard questionnaire...
September 2017: Journal of Family & Reproductive Health
Meiping Wang, Hailei Li, Kirby Deater-Deckard, Wenxin Zhang
Numerous studies have demonstrated that both catechol- O -methyltransferase ( COMT ) gene and monoamine oxidase A ( MAOA ) gene have been involved in aggressive behavior, as have stressful life events (SLEs). However, most of available evidence was based upon single gene or single gene-environment design, which is limited in accounting for the variance of aggressive behavior, a complex phenotype. This study examined the possible gene × gene × environment interactions between SLE (interpersonal problems and academic pressure) and two genetic polymorphisms ( MAOA T941G and COMT Ala22/72Ser) correlated with aggressive behaviors in a sample of 658 Chinese male adolescents...
2018: Frontiers in Psychology
Qun Zheng, Jia-Zhen Zhu, Xiao-Yi Bao, Peng-Chong Zhu, Qiang Tong, Yue-Yue Huang, Qi-Hao Zhang, Ke-Jian Zhang, Guo-Qing Zheng, Yan Wang
Astragaloside IV (AS-IV), the major pharmacological extract from Astragalus membranaceus Bunge , possesses a variety of biological activities in the cardiovascular systems. Here, we aimed to evaluate preclinical evidence and possible mechanism of AS-IV for animal models of myocardial ischemia/reperfusion (I/R) injury. Studies of AS-IV in animal models with myocardial I/R injury were identified from 6 databases from inception to May, 2018. The methodological quality was assessed by using CAMARADES 10-item checklist...
2018: Frontiers in Physiology
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