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https://www.readbyqxmd.com/read/29678972/to-work-despite-chronic-health-conditions-a-qualitative-study-of-workers-at-the-swedish-public-employment-service
#1
Carina Hjärtström, Annika Lindahl Norberg, Gun Johansson, Theo Bodin
OBJECTIVES: Achieving a sustainable, healthy and long working life is key prerequisite for meeting the demographic challenge posed by an ageing population so that more people can work on into their later years. The objective of this study is to explore the relationship between work and chronic health conditions in a group of employees aged 50-64 years with a focus on factors that enable them to continue to work. METHODS: Ten white-collar workers with one or more chronic health conditions at the Swedish Public Employment Service participated in the study...
April 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29678965/parents-uptake-of-human-papillomavirus-vaccines-for-their-children-a-systematic-review-and-meta-analysis-of-observational-studies
#2
Peter A Newman, Carmen H Logie, Ashley Lacombe-Duncan, Philip Baiden, Suchon Tepjan, Clara Rubincam, Nick Doukas, Farid Asey
OBJECTIVE: To examine factors associated with parents' uptake of human papillomavirus (HPV) vaccines for their children. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Cochrane Library, AIDSLINE, CINAHL, EMBASE, PsycINFO, Social Sciences Abstracts, Ovid MEDLINE, Scholars Portal, Social Sciences Citation Index and Dissertation Abstracts International from inception through November 2017. METHODS: We included studies that sampled parents and assessed uptake of HPV vaccines for their children (≤18 years) and/or sociodemographics, knowledge, attitudes or other factors associated with uptake...
April 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29677410/mapping-drug-overdose-demographic-and-socioeconomic-characteristics-in-the-community
#3
Brenda L Rooney, Mitchell T Voter, Christopher M Eberlein, Andrea J Schossow, Cathy L Fischer
INTRODUCTION: Drug use and drug overdose have increased at an alarming rate. OBJECTIVE: To identify demographic and neighborhood social and economic factors associated with higher risk of overdose. These findings can be used to inform development of community programs and appropriately devote resources to prevent and treat drug abuse. METHODS: The electronic health records of all patients seen in the emergency department or admitted to the hospital for a drug overdose in 2016 at Gundersen Health System in La Crosse, Wisconsin, were reviewed retrospectively...
March 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29674600/incidence-and-comorbidity-of-reactive-attachment-disorder-based-on-national-health-insurance-claims-data-2010-2012-in-korea
#4
Minha Hong, Duk Soo Moon, Hyejung Chang, Seung Yup Lee, Seong Woo Cho, Kyung-Sook Lee, Jin-Ah Park, Sang Min Lee, Geon Ho Bahn
Objective: We aimed to investigate the current diagnostic incidence and medical and psychiatric comorbidities of reactive attachment disorder (RAD) using the National Health Insurance Review and Assessment (HIRA) claims data. Methods: To examine the diagnostic incidence, we selected patients who were under 10-year-old and had at least one medical claim containing a 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) code for RAD (F94...
April 20, 2018: Psychiatry Investigation
https://www.readbyqxmd.com/read/29668891/maternal-polycystic-ovarian-syndrome-and-early-offspring-development
#5
Griffith A Bell, Rajeshwari Sundaram, Sunni L Mumford, Hyojun Park, James Mills, Erin M Bell, Miranda Broadney, Edwina H Yeung
STUDY QUESTION: Is maternal polycystic ovarian syndrome (PCOS) associated with developmental delays in offspring? SUMMARY ANSWER: Offspring of mothers with PCOS were at higher risk of failure on the Ages and Stages Questionnaire (ASQ). WHAT IS KNOWN ALREADY: There is growing evidence that offspring of mothers with PCOS may be at higher risk for developmental disorders due to potential exposure to hyperandrogenism and insulin resistance. Few studies exist regarding maternal PCOS and early childhood development in the USA...
April 13, 2018: Human Reproduction
https://www.readbyqxmd.com/read/29668529/health-management-in-commercially-insured-populations-it-s-time-to-include-social-determinants-of-health
#6
Bruce W Sherman, Emily Stiehl
: Employers have been challenged by low employee participation rates in health-related programs, and have often relied on incentives and other engagement approaches to overcome this difficulty. One of the apparent barriers to employee engagement in health-related activities is represented by social determinants of health (SDH). According to some, these factors comprise as much as 40% of an individual's health status, and while they have been the focus of attention in the public health domain, their role in the workplace has not been broadly recognized...
April 17, 2018: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29666139/last-year-of-life-study-cologne-lyol-c-protocol-for-a-cross-sectional-mixed-methods-study-to-examine-care-trajectories-and-transitions-in-the-last-year-of-life-until-death
#7
Julia Strupp, Gloria Hanke, Nicolas Schippel, Holger Pfaff, Ute Karbach, Christian Rietz, Raymond Voltz
INTRODUCTION: The last year of life constitutes a particularly vulnerable phase for patients, involving nearly all health and social care structures. Yet, little scientific evidence is available that provides insight into the trajectories including the number and types of care setting transitions, transitions into palliative care and the dying phase. Only few studies have focused on difficulties associated with having to move between health and social care settings in the last year of life, although patients face a significant risk of adverse events...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29663865/proactive-prevention-in-occupational-safety-and-health-how-to-identify-tomorrow-s-prevention-priorities-and-preventive-measures
#8
Angelika Hauke, Eva Flaspöler, Dietmar Reinert
INTRODUCTION: Global trends such as digitalisation, globalisation and demographic change are changing workplaces, and accordingly occupational safety and health (OSH) needs. To better prepare for the future and to foster proactive prevention, the German Social Accident Insurance (DGUV) established an OSH risk observatory (RO OSH). METHODS: The RO OSH relies on an online survey and calls upon the expertise of labour inspectors. 398 labour inspectors participated in the first RO OSH enquiry...
April 17, 2018: International Journal of Occupational Safety and Ergonomics: JOSE
https://www.readbyqxmd.com/read/29661233/effectiveness-of-government-strategies-for-financial-protection-against-costs-of-hospitalization-care-in-india
#9
Alok Ranjan, Priyanka Dixit, Indranil Mukhopadhyay, Sundararaman Thiagarajan
BACKGROUND: In the past decade, India has seen the introduction of many 'publicly funded health insurance' schemes (PFHIs) that claim to cover approximately 300 million people and are essentially forms of purchasing care from both public and private providers to reduce out-of-pocket expenditure (OOPE) for hospitalization. METHODS: Data from a recent government-organized nationwide household survey, The National Sample Survey 71st Round, were used to analyse the effectiveness and equity of tax-funded public health services and PFHIs as distinct but overlapping approaches to financial protection for hospitalization across different socio-economic categories...
April 16, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29661191/factors-associated-with-treatment-seeking-for-malaria-in-urban-poor-communities-in-accra-ghana
#10
Raphael Baffour Awuah, Paapa Yaw Asante, Lionel Sakyi, Adriana A E Biney, Mawuli Komla Kushitor, Francis Agyei, Ama de-Graft Aikins
BACKGROUND: In Ghana, about 3.5 million cases of malaria are recorded each year. Urban poor residents particularly have a higher risk of malaria mainly due to poor housing, low socio-economic status and poor sanitation. Alternative treatment for malaria (mainly African traditional/herbal and/or self-medication) is further compounding efforts to control the incidence of malaria in urban poor communities. This study assesses factors associated with seeking alternative treatment as the first response to malaria, relative to orthodox treatment in three urban poor communities in Accra, Ghana...
April 16, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29659722/a-joint-spatial-factor-analysis-model-to-accommodate-data-from-misaligned-areal-units-with-application-to-louisiana-social-vulnerability
#11
Rachel C Nethery, Dale P Sandler, Shanshan Zhao, Lawrence S Engel, Richard K Kwok
With the threat of climate change looming, the public health community has an interest in identifying communities at the highest risk of devastation based not only on geographic features but also on social characteristics. Indices of community social vulnerability can be created by applying a spatial factor analysis to a set of relevant social variables measured for each community; however, current spatial factor analysis methodology is ill-equipped to handle spatially misaligned data. We introduce a joint spatial factor analysis model that can accommodate spatial data from two distinct partitions of a geographic space and identify a common set of latent factors underlying them...
April 5, 2018: Biostatistics
https://www.readbyqxmd.com/read/29656703/the-ethics-of-concurrent-care-for-children-a-social-justice-perspective
#12
Kim Mooney-Doyle, Jessica Keim-Malpass, Lisa C Lindley
Recent estimates indicate that over 40,000 children die annually in the United States and a majority have life-limiting conditions. Children at end of life require extensive healthcare resources, including multiple hospital readmissions and emergency room visits. Yet, many children still suffer from symptoms at end of life-including fatigue, pain, dyspnea, and anxiety-with less than 10% of these children utilizing hospice care services. A critical barrier to pediatric hospice use was the original federal regulations associated with the hospice care that required a diagnosis of 6 months to live and the discontinuation of all curative treatments...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29650871/-a-discussion-of-involvement-of-pharmacists-in-home-medical-care-in-foreign-countries-and-international-comparison-of-medical-care-system
#13
Tokuko Okuda
In an aging society, the sustainability of the public medical system is the most important factor. I surveyed leading cases in Japan, as well as corresponding cases overseas. I also conducted interviews in Britain, North America, and Europe, and these indicated the current trends and issues. The UK has a universal insurance system and, facing a declining birthrate and an aging population, they have adopted a policy of immigration, which has various problems. However, the GP system is highly regarded by the OECD...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650198/analysis-on-the-implementation-of-a-health-improvement-project-garbage-clinical-insurance-in-indonesia-a-literature-review
#14
Efa Apriyanti
OBJECTIVE: Indonesia Medika has established "Garbage Clinical Insurance" (GCI), which enables the population below the poverty line (BPL) to obtain health insurance by donating their garbage to pay the premium. The objective of this paper was to critically examine the implementation of GCI in Indonesia by reviewing the background, effects, and sustainability of this program. METHOD: A literature search of studies related to GCI, other types of micro health insurance, and their applications in developing countries was conducted...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650018/health-conditions-and-lifestyle-risk-factors-of-adults-living-in-puerto-rico-a-cross-sectional-study
#15
Josiemer Mattei, Martha Tamez, Carlos F Ríos-Bedoya, Rui S Xiao, Katherine L Tucker, José F Rodríguez-Orengo
BACKGROUND: Puerto Rico is experiencing an economic and healthcare crisis, yet there are scarce recent and comprehensive reports on the population's health profile. We aimed to describe prevalent risk factors and health conditions of adults living in Puerto Rico and assess their interrelationship. METHODS: Participants (n = 380) aged 30-75y recruited from a 2015 convenience sample in primary care clinics in the San Juan, Puerto Rico metropolitan area answered cross-sectional interviewer-administered questionnaires on sociodemographic characteristics, lifestyle behaviors, self-reported medically-diagnosed diseases, health services, and psychosocial factors...
April 12, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29618962/development-of-hospital-based-data-sets-as-a-vehicle-for-implementation-of-a-national-electronic-health-record
#16
Leila Keikha, Seyede Sedigheh Seied Farajollah, Reza Safdari, Marjan Ghazisaeedi, Niloofar Mohammadzadeh
Background: In developing countries such as Iran, international standards offer good sources to survey and use for appropriate planning in the domain of electronic health records (EHRs). Therefore, in this study, HL7 and ASTM standards were considered as the main sources from which to extract EHR data. Objective: The objective of this study was to propose a hospital data set for a national EHR consisting of data classes and data elements by adjusting data sets extracted from the standards and paper-based records...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29617393/cost-and-economic-burden-of-illness-over-15-years-in-nepal-a-comparative-analysis
#17
Khin Thet Swe, Md Mizanur Rahman, Md Shafiur Rahman, Eiko Saito, Sarah K Abe, Stuart Gilmour, Kenji Shibuya
BACKGROUND: With an increasing burden of non-communicable disease in Nepal and limited progress towards universal health coverage, country- and disease-specific estimates of financial hardship related to healthcare costs need to be evaluated to protect the population effectively from healthcare-related financial burden. OBJECTIVES: To estimate the cost and economic burden of illness and to assess the inequality in the financial burden due to catastrophic health expenditure from 1995 to 2010 in Nepal...
2018: PloS One
https://www.readbyqxmd.com/read/29614528/-the-frequency-of-depression-diagnoses-in-different-groups-of-insured-persons-a-routine-data-analysis-of-the-years-2006-to-2015
#18
Jona Theodor Stahmeyer, Kristina Kuhlmann, Sveja Eberhard
Depressive disorders are one of the most common type of mental disorders and are associated with a significant loss of social functioning and decrease in quality of life. While survey data from the Robert Koch-Institute show no increase in the prevalence of depression during recent years, data from social insurance agencies demonstrate an increasing social significance. Many people argue that changes in working conditions are a major reason for increasing depression diagnoses. Aim of the current study was to analyze the prevalence of depression diagnoses in health insurance data (administrative prevalence) for different types of insured persons and to examine the development over time with particular regard to working and non-working insured people...
April 3, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29611093/nonlinear-predictive-models-for-multiple-mediation-analysis-with-an-application-to-explore-ethnic-disparities-in-anxiety-and-depression-among-cancer-survivors
#19
Qingzhao Yu, Kaelen L Medeiros, Xiaocheng Wu, Roxanne E Jensen
Mediation analysis allows the examination of effects of a third variable (mediator/confounder) in the causal pathway between an exposure and an outcome. The general multiple mediation analysis method (MMA), proposed by Yu et al., improves traditional methods (e.g., estimation of natural and controlled direct effects) to enable consideration of multiple mediators/confounders simultaneously and the use of linear and nonlinear predictive models for estimating mediation/confounding effects. Previous studies find that compared with non-Hispanic cancer survivors, Hispanic survivors are more likely to endure anxiety and depression after cancer diagnoses...
April 2, 2018: Psychometrika
https://www.readbyqxmd.com/read/29609225/social-determinants-of-mortality-in-u-s-lupus-patients
#20
Nitasha Khullar, Johnson Ukken, Mary Froehlich, A Jeff Caseja, Takashi Yamashita, Xibei Liu, Ji Won Yoo
We read with interest the study by Yelin et al.1 that poverty results in higher mortality in lupus patients by increasing disease damage accumulation. We suggest some alternative mechanisms for the contribution of poverty to higher mortality. First, cardiovascular disease (CVD) is the leading cause of death in lupus patients, and lupus itself is an independent CVD risk factor.2 Risk of CVD-specific death has declined and is projected to continue declining due to better control of risk factors such as hypertension and diabetes...
April 2, 2018: Arthritis Care & Research
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