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https://www.readbyqxmd.com/read/28429886/patients-experiences-of-consultations-with-physician-associates-in-primary-care-in-england-a-qualitative-study
#1
Mary Halter, Vari M Drennan, Louise M Joly, Jonathan Gabe, Heather Gage, Simon de Lusignan
BACKGROUND: Physician associates are new to English general practice and set to expand in numbers. OBJECTIVE: To investigate the patients' perspective on consulting with physician associates in general practice. DESIGN: A qualitative study, using semi-structured interviews, with thematic analysis. SETTING AND PARTICIPANTS: Thirty volunteer patients of 430 who had consulted physician associates for a same-day appointment and had returned a satisfaction survey, in six general practices employing physician associates in England...
April 21, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28429454/scuba-diving-patent-foramen-ovale-and-heart-rhythm-disturbances-the-role-of-underwater-holter-monitoring-case-report
#2
Szymon Olędzki, Andrzej Wojtarowicz, Edyta Płońska-Gościniak, Maciej Lewandowski, Jarosław Gorący
Patent foramen ovale (PFO) is thought to be a risk factor for decompression illness (DCI). Catheter-based closure procedure reduces the risk of DCI in selected scuba divers with PFO. Major complication of invasive approach are rare, minor, especially heart rhythm disturbances are reported relatively often. We describe a case of 41-year-old diver, who underwent PFO closure due to recurrent DCI events. Afterward, he experienced no DCI symptoms; however, he complained about feeling of the heart beating during a submersion...
April 21, 2017: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/28423145/brief-behavioral-therapy-for-pediatric-anxiety-and-depression-in-primary-care-a-randomized-clinical-trial
#3
V Robin Weersing, David A Brent, Michelle S Rozenman, Araceli Gonzalez, Megan Jeffreys, John F Dickerson, Frances L Lynch, Giovanna Porta, Satish Iyengar
Importance: Anxiety and depression affect 30% of youth but are markedly undertreated compared with other mental disorders, especially in Hispanic populations. Objective: To examine whether a pediatrics-based behavioral intervention targeting anxiety and depression improves clinical outcome compared with referral to outpatient community mental health care. Design, Setting, and Participants: This 2-center randomized clinical trial with masked outcome assessment conducted between brief behavioral therapy (BBT) and assisted referral to care (ARC) studied 185 youths (aged 8...
April 19, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28422977/defining-the-complex-phenotype-of-severe-systemic-loxoscelism-using-a-large-electronic-health-record-cohort
#4
Jamie R Robinson, Vanessa E Kennedy, Youssef Doss, Lisa Bastarache, Joshua Denny, Jeremy L Warner
OBJECTIVE: Systemic loxoscelism is a rare illness resulting from the bite of the recluse spider and, in its most severe form, can lead to widespread hemolysis, coagulopathy, and death. We aim to describe the clinical features and outcomes of the largest known cohort of individuals with moderate to severe loxoscelism. METHODS: We performed a retrospective, cross sectional study from January 1, 1995, to December 31, 2015, at a tertiary-care academic medical center, to determine individuals with clinical records consistent with moderate to severe loxoscelism...
2017: PloS One
https://www.readbyqxmd.com/read/28412951/understanding-discharge-communication-behaviours-in-a-pediatric-emergency-care-context-a-mixed-methods-observation-study-protocol
#5
Janet A Curran, Andrea Bishop, Amy Plint, Shannon MacPhee, Roger Zemek, Jill Chorney, Mona Jabbour, Stephen Porter, Scott Sawyer
BACKGROUND: One of the most important transitions in the continuum of care for children is discharge to home. Optimal discharge communication between healthcare providers and caregivers (e.g., parents or other guardians) who present to the emergency department (ED) with their children is not well understood. The lack of policies and considerable variation in practice regarding discharge communication in pediatric EDs pose a quality and safety risk for children and their parents. METHODS: The aim of this mixed methods study is to better understand the process and structure of discharge communication in a pediatric ED context to contribute to the design and development of discharge communication interventions...
April 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28412889/diabetes-prevalence-among-racial-ethnic-minority-group-members-with-severe-mental-illness-taking-antipsychotics-double-jeopardy
#6
Christina Mangurian, Walker Keenan, John W Newcomer, Eric Vittinghoff, Jennifer M Creasman, Dean Schillinger
OBJECTIVE: This study assessed differences in diabetes prevalence based on race-ethnicity among people with severe mental illnesses. METHODS: This retrospective cohort study examined diabetes prevalence in 2009 among California Medicaid enrollees with severe mental illness who were screened for diabetes (N=19,364). Poisson regression assessed differences in diabetes prevalence by race-ethnicity. The sample was standardized to the U.S. POPULATION: HASH(0x489b4b0) RESULTS: The overall prevalence of diabetes was 32...
April 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28410657/assessment-of-the-hispanic-cognitively-impaired-elderly-patient
#7
REVIEW
Liliana Ramirez Gomez, Felipe A Jain, Lina M D'Orazio
Hispanics are the largest minority group in the United States, approximately 7% of the population older than 65. They often encounter challenges related to health care access and quality of care. The prevalence of dementia among Hispanics is higher than that of non-Hispanic whites and they frequently present at a more advanced stage of illness. Cognitive evaluation should take into account sociodemographic information and cultural factors to avoid misdiagnosis and guide management. A provider who has knowledge of Hispanic culture should conduct the neuropsychological assessment, and tests used to measure cognitive functioning should be developed for Hispanics in the United States...
May 2017: Neurologic Clinics
https://www.readbyqxmd.com/read/28409478/reversing-racial-inequities-at-the-end-of-life-a-call-for-health-systems-to-create-culturally-competent-advance-care-planning-programs-within-african-american-communities
#8
Randi Belisomo
Racial and cultural barriers inherent in health systems have made the delivery of culturally relevant end of life care that aligns with patient preferences a particular challenge across African American patient populations. The end of life experience has been cited as a public health crisis by the Institute of Medicine (IOM), and this crisis is one felt even more acutely by patients of this minority race. Structural racism has limited access to the planning mechanisms proven to result in quality end of life care; thus, health systems must initiate remedies in the face of dire need, as African Americans face a disproportionate burden of morbidity and mortality from many serious illnesses...
April 13, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28407367/a-review-of-early-influences-on-physical-activity-and-sedentary-behaviors-of-preschool-age-children-in-high-income-countries
#9
REVIEW
Ana Cristina Lindsay, Mary L Greaney, Sherrie F Wallington, Tatiana Mesa, Carlos F Salas
PURPOSE: Promoting physical activity (PA) is a key component of preventing and controlling childhood obesity. Despite well-documented benefits of PA, globally, rates of PA among young children have declined over the past decades, and most children are not accruing sufficient PA daily. Helping children develop the foundation for PA habits early in life is critical for the promotion of health in childhood and prevention of chronic diseases later in life, and will ultimately promote longer and healthier lives for individuals and the general population...
April 13, 2017: Journal for Specialists in Pediatric Nursing: JSPN
https://www.readbyqxmd.com/read/28399022/palliative-and-end-of-life-care-in-nephrology-moving-from-observations-to-interventions
#10
Nwamaka D Eneanya, Michael K Paasche-Orlow, Angelo Volandes
PURPOSE OF REVIEW: In comparison with patients who have other serious illnesses, patients with advanced kidney disease have a higher rate of intensive care utilization at the end of life and receive palliative care less frequently. Consensus and clinical practice guidelines have therefore recommended the incorporation of palliative care earlier in the disease trajectory. This review summarizes recent literature on this aspect of care and will highlight future directions for patient-centered care within palliative nephrology...
April 8, 2017: Current Opinion in Nephrology and Hypertension
https://www.readbyqxmd.com/read/28397711/volatile-organic-compounds-in-exhaled-breath-are-independent-of-systemic-inflammatory-syndrome-caused-by-intravenous-lipopolysaccharide-infusion-in-humans-results-from-an-experiment-in-healthy-volunteers
#11
Anna L Peters, Marije G Gerritsen, Paul Brinkman, Koos A H Zwinderman, Alexander P J Vlaar, Lieuwe D Bos
Systemic inflammatory response syndrome (SIRS) is observed during critical illness in most patients. It is defined by a clinical definition. The composition of volatile organic compounds (VOCs) in exhaled breath may change during SIRS and may thus serve as a diagnostic tool. We investigated whether exhaled breath VOCs can serve as biomarker for SIRS in a human model of endotoxemia. Eighteen healthy volunteers received 2 ng Eschericia coli lipopolysaccharide (LPS) kg(-1) body weight intravenously. Venous blood and exhaled breath were collected before infusion of LPS and every 2 h thereafter, up to 8 h after infusion...
April 11, 2017: Journal of Breath Research
https://www.readbyqxmd.com/read/28394714/access-to-health-care-by-migrant-farm-workers-on-fruit-plantations-in-eastern-thailand
#12
Anamai Thetkathuek, Wanlop Jaidee, Patchana Jaidee
OBJECTIVES: This study was undertaken to elucidate factors that influenced access to health care for migrant farm workers from Cambodia employed on fruit plantations in eastern Thailand. METHODS: Data were collected from 861 participants via interview questions and focus group discussions. RESULTS: The results revealed that 58.2% of immigrant workers were male, averaged 30.4 years of age, and 56.3% had no formal education. In the past year, 28% reported back pain, and 25% had joint pain...
April 10, 2017: Journal of Agromedicine
https://www.readbyqxmd.com/read/28392917/now-you-see-it-now-you-don-t-compulsive-exercise-in-adolescents-with-an-eating-disorder
#13
Johanna Levallius, Christina Collin, Andreas Birgegård
BACKGROUND: Compulsive exercise (CE) has been proposed as significant in the etiology, development and maintenance of eating disorders (EDs), resulting in more severe and enduring pathology. However, few studies have investigated CE longitudinally in adolescents with EDs. We aimed to test if adolescents show the same associations between CE and other clinical variables as previous research has found in adults. METHODS: Three thousand one hundred sixteen girls and 139 boys from a clinical ED database were investigated regarding prevalence and frequency of CE and its relation to psychiatric symptoms, associated features and outcome...
2017: Journal of Eating Disorders
https://www.readbyqxmd.com/read/28389420/the-reviews-are-in-a-qualitative-content-analysis-of-consumer-perspectives-on-apps-for-bipolar-disorder
#14
Jennifer Nicholas, Andrea S Fogarty, Katherine Boydell, Helen Christensen
BACKGROUND: The delivery of mobile health (mHealth) services is acceptable to mental health consumers. However, despite the benefits of accessibility, cost-effectiveness, anonymity, and ability to tailor content to individual needs, consumer engagement remains a hurdle for uptake and continued use. This may be unsurprising as few studies have examined app content from the consumer perspective or assessed consumer preferences for the content of apps for mental health management. An opportunity to examine consumer perspectives exists in using naturally generated data that is publically available in the Google Play and Apple app stores...
April 7, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28387988/comparing-epidemiologic-features-of-kawasaki-disease-in-winter-and-summer
#15
Yukie Ozeki, Fumiya Yamada, Tsuyoshi Kishimoto, Mayumi Yashiro, Yosikazu Nakamura
BACKGROUND: Epidemiology of Kawasaki disease (KD) shows seasonal variations, although the etiology of KD is unknown. In this study, we compared the clinical epidemiology of KD with onset of disease in winter and summer to identify its etiology, e.g., infectious agents. METHODS: Epidemiologic features of KD were compared between two seasons with high incidence (January and July) using the 22(nd) nationwide survey dataset. Data on patients who visited hospitals during 2011-2012 in Japan were analyzed after adjusting for age differences...
April 7, 2017: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/28381395/a-mobile-app-for-chronic-disease-self-management-protocol-for-a-randomized-controlled-trial
#16
Raymond L Ownby, Amarilis Acevedo, Drenna Waldrop-Valverde, Joshua Caballero, Michael Simonson, Rosemary Davenport, Kofi Kondwani, Robin J Jacobs
BACKGROUND: Health literacy is a critically important skill that helps people become active participants in their health care. Multiple studies in the United States and across the world have documented the association of health literacy with multiple health outcomes. In particular, the elderly and many members of minority groups have been shown to have low levels of health literacy; the same groups are disproportionately affected by chronic illnesses. These twin burdens affect the people most in need of the skills and knowledge required for coping with chronic illnesses...
April 5, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28374471/a-high-proportion-of-prehospital-emergency-patients-are-not-transported-by-ambulance-a-retrospective-cohort-study-in-northern-finland
#17
M Hoikka, T Silfvast, T I Ala-Kokko
BACKGROUND: The number of missions in the emergency medical services (EMS) has increased considerably in recent years. People are requesting ambulance for even minor illnesses and non-medical problems, which is placing financial and resource burdens on the EMS. The aim of this study was to determine the rate of non-transportation missions in Northern Finland and the reasons for these missions. METHODS: All ambulance missions in two hospital districts in Northern Finland during the 6-month period of January 1 through June 30, 2014, were retrospectively evaluated from the EMS charts to identify missions in which the patients were not transported by the EMS...
May 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/28369756/the-antibiotic-prescribing-pathway-for-presumed-urinary-tract-infections-in-nursing-home-residents
#18
Christine E Kistler, Sheryl Zimmerman, Kezia Scales, Kimberly Ward, David Weber, David Reed, Mallory McClester, Philip D Sloane
OBJECTIVES: Due to the high rates of inappropriate antibiotic prescribing for presumed urinary tract infections (UTIs) in nursing home (NH) residents, we sought to examine the antibiotic prescribing pathway and the extent to which it agrees with the Loeb criteria; findings can suggest strategies for antibiotic stewardship. METHODS: Chart review of 260 randomly-selected cases from 247 NH residents treated with an antibiotic for a presumed UTI in 31 NHs in North Carolina...
March 28, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28369550/mind-the-gap-predicting-the-positive-mental-health-of-adult-sexual-minority-canadians
#19
Tracey Peter
The goal of the study is to investigate possible predictors of positive mental health, and whether they differ across sexual identity adult groups. Using data from the 2012 Canadian Community Health Survey on Mental Health, multivariate analyses were conducted, including interaction terms, to assess the effects of sexual orientation on various mental illness, health-risk behaviors, and sociological indicators and their correlations with positive mental health. Substantial effect sizes were observed across all sexual identity groups for psychological distress, social provisions and sense of belonging in terms of their influence on positive mental health...
March 21, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28365166/-i-was-close-to-death-abortion-and-medical-risk-on-american-television-2005-2016
#20
Gretchen Sisson, Brenly Rowland
OBJECTIVES: To examine the portrayal of complications and long-term health consequences associated with abortion on television, recognizing the impact that fictional stories can have on public beliefs about abortion's safety. STUDY DESIGN: Using a systematic online search, we identified all instances of abortion on US television from 2005 to 2016. We qualitatively coded these plotlines to identify any occurrences of complications, interventions or long-term health consequences associated with abortion care, with 95% intercoder reliability...
March 29, 2017: Contraception
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