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https://www.readbyqxmd.com/read/27904639/effect-of-self-care-training-program-based-on-orem-s-model-on-the-behaviors-leading-to-sexually-transmitted-disease-in-vulnerable-women
#1
Zahra Baghersad, Nasrollah Alimohammadi, Zahra Boroumandfar, Parastoo Golshiri
BACKGROUND: Vulnerable women are prone to sexually transmitted diseases due to their high-risk behaviors. The present study aimed to investigate the effect of self-care training program based on Orem's model on the behaviors leading to sexually transmitted diseases in vulnerable women. MATERIALS AND METHODS: This field trial was initially conducted on 100 women covered under health services and welfare organization in Isfahan city, who were selected by rationing ssampling...
September 2016: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/27892723/optimization-and-stratification-of-multiple-sclerosis-treatment-in-fast-developing-economic-countries-a-perspective-from-qatar
#2
Dirk Deleu, Boulenouar Mesraoua, Hisham El Khider, Beatriz Canibano, Gayane Melikyan, Hassan Al Hail, Noha Mhjob, Anjushri Bhagat, Faiza Ibrahim, Yolande Hanssens
OBJECTIVE: The introduction of disease-modifying therapies (DMTs) - with varying degrees of efficacy for reducing annual relapse rate and disability progression - has considerably transformed the therapeutic landscape of relapsing-remitting multiple sclerosis (RRMS). We aim to develop rational evidence-based treatment recommendations and algorithms for the management of clinically isolated syndrome (CIS) and RRMS conform to the healthcare system in a fast-developing economic country such as Qatar...
November 28, 2016: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/27869878/-efficacy-and-effectiveness-of-prevention-programs-in-the-population-for-a-more-rational-choice-of-public-health-interventions
#3
Alessandro Coppo, Francesco Barone Adesi, Fabrizio Faggiano
INTRODUCTION: Evidence Based Prevention is becoming increasingly important to guide the policy-makers to choose preventive interventions to be offered to the population. Sometimes however the impact of an intervention in real conditions (effectiveness) may be smaller than the efficacy estimated in studies conducted in experimental settings. This can be due for example to suboptimal coverage of the intervention or to poor compliance of the involved subjects. Regrettably, this aspect is rarely taken into account in the planning of preventive interventions...
November 2016: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/27862154/health-professionals-perceive-teamwork-with-relatives-as-an-obstacle-in-their-daily-work-a-focus-group-interview
#4
Jannie Laursen, Malene Broholm, Jacob Rosenberg
BACKGROUND: Health professionals must often balance between different rationalities within the hospital organisation. Having adequate time with patients, shorter waiting time and the ability to greater professional autonomy have been shown to help provide a higher quality of care. Empathy and sympathy appear to be crucial components for the health professionals and their relationship to patients. AIM: The aim of this study was to explore health professionals' experiences of relatives to critically ill patients in order to identify aspects that may facilitate a better understanding of this teamwork...
November 8, 2016: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/27849273/use-of-prescription-drugs-and-self-medication-among-men
#5
Maria Aparecida Medeiros Barros do Prado, Priscila Maria Stolses Bergamo Francisco, Tássia Fraga Bastos, Marilisa Berti de Azevedo Barros
Objective: To estimate the prevalence, investigate factors associated with the use of medication according to prescription, identify the main pharmaceuticals consumed through self-medication, and the reason for this use among adult men. Methods: This cross-sectional population-based study with stratified clustered two-stage sampling was conducted in Campinas, São Paulo, Brazil, in 2008/2009. Results: Of the 1,063 men, 45.3% reported using at least 1 drug in the last 3 days...
July 2016: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/27845574/-we-smoke-the-same-pipe-religion-and-community-home-based-care-for-plwh-in-rural-swaziland
#6
Robin Root, Arnau van Wyngaard, Alan Whiteside
We draw on a study of a church run community home-based care organization in Swaziland to explore how individuals living with HIV perceived caregivers' impact on wellbeing. Our primary concern was to examine how religion, as a heuristic practice of Christian-based caregiving, was felt to be consequential in a direly underserved region. Part of a larger medical anthropological project, we conducted semi-structured interviews with 79 CHBC clients, of whom half (53%) said they would have died, some from suicide, without its services...
November 15, 2016: Medical Anthropology
https://www.readbyqxmd.com/read/27843966/detecting-and-managing-drug-related-problems-in-the-neurology-ward-of-a-tertiary-care-teaching-hospital-in-iran-a-clinical-pharmacist-s-intervention
#7
Farzaneh Foroughinia, Seyyed Ramtin Tazarehie, Peyman Petramfar
OBJECTIVE: Nowadays, the role of clinical pharmacists has become more prominent by more clinical pharmacists joining the health-care teams. This study was aimed to assess the role of a clinical pharmacist specialist in detecting and managing drug-related problems (DRPs) in the neurology ward of a tertiary care teaching hospital in Iran. METHODS: This is a prospective cross-sectional study conducted on 123 hospitalized patients admitted to the neurology ward of a teaching hospital...
October 2016: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/27842620/contested-evidence-a-dutch-reimbursement-decision-taken-to-court
#8
Floortje Moes, Eddy Houwaart, Diana Delnoij, Klasien Horstman
This paper examines a remarkable lawsuit in health care rationing. The Patients Association for Interstitial Cystitis sued the Dutch National Health Care Institute for alleged misconduct against Interstitial Cystitis patients, as the Institute decided that bladder instillations with chondroitin sulphate or hyaluronic acid are no longer covered by the basic health insurance. The patients' organisation challenged the Institute for basing its standpoint on scientific evidence; overruling clinical expertise and patients' experiences...
November 15, 2016: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/27836999/quality-of-child-healthcare-at-primary-healthcare-facilities-a-national-assessment-of-the-integrated-management-of-childhood-illnesses-in-afghanistan
#9
Ghulam Farooq Mansoor, Paata Chikvaidze, Sherin Varkey, Ariel Higgins-Steele, Najibullah Safi, Adela Mubasher, Khaksar Yusufi, Sayed Alisha Alawi
OBJECTIVE: To assess quality of the national Integrated Management of Childhood Illness (IMCI) program services provided for sick children at primary health facilities in Afghanistan. DESIGN: Mixed methods including cross-sectional study. SETTING: Thirteen (of thirty-four) provinces in Afghanistan. PARTICIPANTS: Observation of case management and re-examination of 177 sick children, exit interviews with caretakers and review of equipment/supplies at 44 health facilities...
November 10, 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27833774/rational-suicide-euthanasia-and-the-very-old-two-case-reports
#10
Anne Pamela Frances Wand, Carmelle Peisah, Brian Draper, Carolyn Jones, Henry Brodaty
Suicide amongst the very old is an important public health issue. Little is known about why older people may express a wish to die or request euthanasia and how such thoughts may intersect with suicide attempts. Palliative care models promote best care as holistic and relieving suffering without hastening death in severely ill patients; but what of those old people who are tired of living and may have chronic symptoms, disability, and reduced quality of life? Two cases of older people who attempted suicide but expressed a preference for euthanasia were it legal are presented in order to illustrate the complexity underlying such requests...
2016: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/27828586/quality-of-life-and-associated-factors-in-elderly-people-at-a-reference-center
#11
Lívia Carvalho Viana Miranda, Sônia Maria Soares, Patrícia Aparecida Barbosa Silva
Studies have evaluated the quality of life (QOL) of many groups; however, such studies in relation to Reference Centers for the Elderly are scarce. This research identified factors associated with a good QOL of people using a Reference Center in the city of Belo Horizonte, MG, Brazil. Transversal study of 257 elderly people who used a Reference Center for the Elderly. The short version of the World Health Organization Quality of Life Assessment (WHOQOL-BREF) was used to evaluate the QOL of the elderly people...
November 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27828576/use-of-potentially-inappropriate-medications-by-the-elderly-at-home
#12
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/27822968/towards-interprofessional-networking-in-medication-management-of-the-aged-current-challenges-and-potential-solutions-in-finland
#13
Sonja Kallio, Anne Kumpusalo-Vauhkonen, Timo Järvensivu, Antti Mäntylä, Marika Pohjanoksa-Mäntylä, Marja Airaksinen
OBJECTIVE: The Finnish Medicines Agency (Fimea) initiated a programme in 2012 for enhancing interprofessional networking in the medication management of the aged. The goal is to develop national guidelines for interprofessional collaboration with respect to medication management. This study aims to explore the challenges and potential solutions experienced by existing health care teams in managing medication of the aged: (1) at the individual and team level (micro level), (2) organisational level (meso level) and (3) structural level (macro level)...
November 8, 2016: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/27821118/the-intensive-care-lifeboat-a-survey-of-lay-attitudes-to-rationing-dilemmas-in-neonatal-intensive-care
#14
C Arora, J Savulescu, H Maslen, M Selgelid, D Wilkinson
BACKGROUND: Resuscitation and treatment of critically ill newborn infants is associated with relatively high mortality, morbidity and cost. Guidelines relating to resuscitation have traditionally focused on the best interests of infants. There are, however, limited resources available in the neonatal intensive care unit (NICU), meaning that difficult decisions sometimes need to be made. This study explores the intuitions of lay people (non-health professionals) regarding resource allocation decisions in the NICU...
November 8, 2016: BMC Medical Ethics
https://www.readbyqxmd.com/read/27800166/an-assessment-of-the-future-impact-of-alternative-technologies-on-antibiotics-markets
#15
Ejike Nwokoro, Ross Leach, Christine Årdal, Enrico Baraldi, Kellie Ryan, Jens Plahte
BACKGROUND: The increasing threat of antimicrobial resistance combined with the paucity of new classes of antibiotics represents a serious public health challenge. New treatment technologies could, in theory, have a significant impact on the future use of traditional antibiotics, be it by facilitating rational and responsible use or by product substitution in the existing antibiotics markets, including by reducing the incidence of bacterial infections through preventative approaches. The aim of this paper is to assess the potential of alternative technologies in reducing clinical use of and demand for antibiotics, and to briefly indicate which segments of the antibiotics market that might be impacted by these technologies...
2016: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/27780495/information-for-mental-health-systems-an-instrument-for-policy-making-and-system-service-quality
#16
A Lora, A Lesage, S Pathare, I Levav
AIMS: Information is crucial in mental healthcare, yet it remains undervalued by stakeholders. Its absence undermines rationality in planning, makes it difficult to monitor service quality improvement, impedes accountability and human rights monitoring. For international organizations (e.g., WHO, OECD), information is indispensable for achieving better outcomes in mental health policies, services and programs. This article reviews the importance of developing system level information with reference to inputs, processes and outputs, analyzes available tools for collecting and summarizing information, highlights the various goals of information gathering, discusses implementation issues and charts the way forward...
October 26, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27768569/refractory-depression-fatigue-irritable-bowel-syndrome-and-chronic-pain-a-functional-medicine-case-report
#17
Gregory Plotnikoff, Melissa Barber
INTRODUCTION: Single-disorder or single-organ-system clinical practice guidelines are often of limited usefulness in guiding effective management of patients with chronic multidimensional signs and symptoms. The presence of multiple long-standing medical problems in a given patient despite intensive medical effort suggests that addressing systemic core imbalances could complement more narrowly focused approaches. CASE PRESENTATION: A 72-year-old man experiencing longstanding depression, fatigue, irritable bowel syndrome, and chronic pain in the context of additional refractory illnesses was assessed and treated, guided by a system-oriented approach to underlying core imbalances termed functional medicine...
2016: Permanente Journal
https://www.readbyqxmd.com/read/27756947/prescribing-pattern-of-analgesics-in-orthopedic-in-patient-department-at-tertiary-care-hospital-in-guwahati-assam-northeast-india
#18
Dwijen Kumar Choudhury, Babul Kumar Bezbaruah
OBJECTIVES: The aim of this study is to evaluate the prescribing pattern of analgesics and analyze the rational use of analgesic in orthopedic in-patient department of tertiary care teaching hospital, Guwahati, Assam. SUBJECTS AND METHODS: An observational and cross-sectional study was carried out for 1 month from April to May 2014. Collected data included age, sex, diagnosis and line of management during the study. The generic name and the average cost of treatment per patient were evaluated using Indian Drug Review, 2014...
July 2016: Indian Journal of Pharmacology
https://www.readbyqxmd.com/read/27756944/drug-dispensing-practices-at-pharmacies-in-bengaluru-a-cross-sectional-study
#19
R Soumya, Vijayalakshmi Devarashetty, C R Jayanthi, M Sushma
OBJECTIVES: Pharmacists are one of the crucial focal points for health care in the community. They have tremendous outreach to the public as pharmacies are often the first-port-of-call. With the increase of ready-to-use drugs, the main health-related activity of a pharmacist today is to assure the quality of dispensing, a key element to promote rational medicine use. MATERIALS AND METHODS: A cross-sectional study of 200 pharmacies, 100 each in various residential (R) and commercial (C) areas of Bengaluru, was conducted using a prevalidated questionnaire administered to the chief pharmacist or the person-in-charge by the investigators...
July 2016: Indian Journal of Pharmacology
https://www.readbyqxmd.com/read/27756851/does-the-theory-of-planned-behavior-predict-dietary-sodium-intake-in-patients-with-heart-failure
#20
Jia-Rong Wu, Terry A Lennie, Sandra B Dunbar, Susan J Pressler, Debra K Moser
Sodium intake in heart failure (HF) is a crucial but poorly understood phenomenon. Theoretical models promote understanding and provide a context for rational appraisal of complex situations. The purpose of this study was to determine which factors were associated with sodium intake in HF patients using theory of planned behavior (TPB). In this study, patients' (N = 244) attitudes, subjective norms, and perceived behavioral control (tenets of the TPB) were assessed using the Dietary Sodium Restriction Questionnaire...
October 18, 2016: Western Journal of Nursing Research
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