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Health services

David W Donnelly, Therese Kearney, Eilis McCaughan, Amy Downing, David Weller, Adam W Glaser, Anna Gavin
BACKGROUND: Erectile dysfunction is common among older men; however, diagnosis and treatment compared to reported prevalence is low. We aim to identify the degree to which older men are offered treatment for the condition and determine the level of unmet need within Northern Ireland (NI). METHODOLOGY: Analysis of data collected using a cross-sectional survey was conducted for men aged ≥60 years with data weighted to the NI population by age and deprivation. Respondents answered questions on sociodemographic factors, health-related characteristics, ability to function sexually, level of sexual interest and activity, and any treatment offered to improve erections in the last 3 years...
September 17, 2018: International Journal of Clinical Practice
Abigail Ross, Janis Arnold, Allyson Gormley, Susanna Locke, Susan Shanske, Christine Tardiff
BACKGROUND: Care coordination (CC) is integral to improving health care quality. Research on CC by health care social workers (HSWs) in pediatric health care settings is limited. This paper aims to operationalize and quantify CC functions fulfilled by HSWs in one large urban pediatric hospital. METHODS: Twenty-three discrete CC tasks across four categories of assessment, meetings, consultations, and facilitation were identified and operationalized by an HSW CC committee through a consensus-driven decision-making process...
September 17, 2018: Social Work in Health Care
Christy Weaver, Karen Rogers, Michael Gomez, Richard Gilder, Patricia S Yoder-Wise
The number of children diagnosed with mental and behavioral health issues is increasing each year. Early identification and intervention for these issues are vital to improving long-term outcomes. School nurses are among the frontline healthcare providers for school-age children, screening and coordinating care for multiple physical and mental health conditions. This article describes the implementation of a national mental health online training program at a local district. Outcomes of the implementation project and implications for school nurses are discussed...
September 15, 2018: NASN School Nurse
Reut Oren, Hod Orkibi, Cochavit Elefant, Maayan Salomon-Gimmon
OBJECTIVE: Despite the increase in arts-based programs in community rehabilitation services in many countries, little is known about how these programs are perceived by health professionals who can refer individuals with mental health conditions to community-based psychiatric rehabilitation services. This study examined how senior professionals with key positions in the public health system perceive the integration of the arts in community-based psychiatric rehabilitation services in Israel...
September 17, 2018: Psychiatric Rehabilitation Journal
Jaclyn P Maher, Chaelin K Ra, Adam M Leventhal, Donald Hedeker, Jimi Huh, Chih-Ping Chou, Genevieve F Dunton
Affective volatility (i.e., variability) is typically conceptualized as a marker of poor mental and behavioral health. The current research challenges this notion. Among individuals who typically experience low positive affect (PA), vacillation between bouts of joy and marked anhedonia may be associated with better behavioral health relative to a restricted range of PA experience. We therefore tested the hypothesis that mean levels of PA captured via an 8-day intensive repeated Ecological Momentary Assessment (EMA) would moderate the association of EMA-measured PA variability with behavioral health measured at intake among working mothers (N = 202) with young children-a population at risk for experiencing repeated stress- and reward-induced PA changes...
September 17, 2018: Journal of Abnormal Psychology
Shirley M Glynn, Linda M Richardson
The new Chief Executive Officer of the American Psychological Association (APA) Arthur C. Evans, Jr., Ph.D., has a long-standing career in public service and an ongoing commitment to public service psychology. Leadership of APA Division 18 (Psychologists in Public Service) recently interviewed Dr. Evans about his position at APA and his vision for public service psychology and its role in the U.S. health care system. Issues for discussion were selected by the Division's sections on community and state hospitals; criminal justice; police and public safety; psychologists in Indian country; serious mental illness/severe emotional disturbance; students; and veterans affairs...
September 17, 2018: Psychological Services
Joseph Mergui, David Raveh-Brawer, Meydan Ben-Ishai, Sarah Prijs, Cornelius Gropp, Igor Barash, Jean-Louis Golmard, Sol Jaworowski
BACKGROUND: There is scant research on the psychopathology of Israeli soldiers who present to a general hospital emergency department (ED). OBJECTIVES: To assess the psychopathology among a cohort of Israeli soldiers who presented to a general hospital ED for mental health assessment. METHODS: The demographic and clinical characteristics of 124 consecutive soldiers who presented to the ED for psychiatric assessment between January 2008 and September 2012 were reviewed...
September 2018: Israel Medical Association Journal: IMAJ
Alexandre Baumgarten, Juliana B Hilgert, Ione C Pinto, Fabiana C M Zacharias, Alexandre F Bulgarelli
BACKGROUND: Tuberculosis (TB) is still a major public health problem in many countries, including Brazil. Primary health care (PHC) services are a set of important services with infrastructure and resources to diagnose, treat, and cure several diseases, including the TB.AimThe aim of this study is to analyse aspects of the facility infrastructure of Brazilian PHC, regarding the control and treatment of TB from a countrywide perspective. METHODS: This is a cross-sectional study based on PHC services...
September 17, 2018: Primary Health Care Research & Development
Abirami Kirubarajan, Stephen Puntis, Devon Perfect, Marc Tarbit, Mary Buckman, Andrew Molodynski
Aims and methodStreet triage services are increasingly common and part of standard responses to mental health crises in the community, but little is understood about them. We conducted a national survey of mental health trusts to gather detailed information regarding street triage services alongside a survey of Thames Valley police officers to ascertain their views and experiences. RESULTS: Triage services are available in most areas of the country and are growing in scope. There is wide variation in levels of funding and modes of operation, including hours covered...
September 17, 2018: BJPsych Bulletin
Mick James, Bill Buckingham, Gary Cheung, Roderick McKay, Jon Painter, Malcom W Stewart
Aims and methodThe Health of the Nation Outcome Scales for Elderly People (HoNOS65+) has been used widely for 20 years, but has not been updated to reflect contemporary clinical practice. The Royal College of Psychiatrists convened an advisory board, with expertise from the UK, Australia and New Zealand, to propose amendments. The aim was to improve rater experience when using the HoNOS65+ glossary by removing ambiguity and inconsistency, rather than a more radical revision. RESULTS: Views and experience from the countries involved were used to produce a series of amendments intended to improve intra- and interrater reliability and improve validity...
September 17, 2018: BJPsych Bulletin
G Glover, R Williams, G Tompkins, J Oyinlola
INTRODUCTION: Providing safe, high-quality admitted-patient care for people with intellectual disabilities (IDs) requires consideration for their special needs particularly in relation to communication and consent. To make allowance for these special requirements, it would be helpful for hospitals to know how often they are likely to arise. This study set out to identify the amount and patterns of use of acute, non-psychiatric hospital admitted-patient care in England by people with ID...
September 16, 2018: Journal of Intellectual Disability Research: JIDR
Penelope Abbott, Ron Brooker, Jennifer Reath
ISSUE ADDRESSED: Housing renewal is a common urban housing and development strategy internationally. An intended result is increased social inclusion and wellbeing of residents through public housing de-concentration. In this study we examined challenges encountered during the process of housing renewal from the perspectives of community-based staff and volunteers. METHODS: We conducted semi-structured qualitative interviews with housing and community workers, service managers and community volunteers who were working with residents experiencing housing renewal in an outer metropolitan estate in New South Wales...
September 16, 2018: Health Promotion Journal of Australia
Lotta Lempinen, Terhi Luntamo, Andre Sourander
The use of children's mental health services has increased, but most children with psychiatric problems are still not in contact with these services. This time-trend study assessed changes in considered and reported service use over a 24-year period and studied the factors associated with it using four cross-sectional studies. Information was gathered on 8-year-old children living in the area covered by Turku University Hospital, Finland, at four time points: 986 children in 1989, 891 in 1999, 930 in 2005, and 942 in 2013...
September 15, 2018: European Child & Adolescent Psychiatry
Shivani Padmanabhan, Lucy Carty, Ellen Cameron, Rebecca E Ghosh, Rachael Williams, Helen Strongman
Record linkage is increasingly used to expand the information available for public health research. An understanding of record linkage methods and the relevant strengths and limitations is important for robust analysis and interpretation of linked data. Here, we describe the approach used by Clinical Practice Research Datalink (CPRD) to link primary care data to other patient level datasets, and the potential implications of this approach for CPRD data analysis. General practice electronic health record software providers separately submit de-identified data to CPRD and patient identifiers to NHS Digital, excluding patients who have opted-out from contributing data...
September 15, 2018: European Journal of Epidemiology
P J F Turner, A G Siddall, R D M Stevenson, M Standage, J L J Bilzon
Background: Aspects of the work environment influence employee well-being. However, it is unclear how employee lifestyle behaviours, health characteristics and well-being may differ within a broader occupational sector. Aims: To investigate the health characteristics, lifestyle behaviours and well-being of three Fire and Rescue Service (FRS) occupational groups that differ in shift work and occupational demands: operational firefighters (FF), emergency control (EC) and administrative support (AS) workers...
September 14, 2018: Occupational Medicine
Ricardo Batista, Kevin C Pottie, Simone Dahrouge, Douglas G Manuel, Peter Tanuseputro, Amy E Mark, Edward Ng
Objectives: In 2003, Ontario introduced a patient enrolment system as part of health care reforms, aimed at enhancing primary health care services, but it is unclear whether immigrants have benefited from this health care reform. Therefore, we studied whether this reform changed the extent of immigrants' enrolment in primary care services in Ontario between 2003 and 2012. Methods: This is a population-based retrospective cohort study, in which a closed cohort of 9231840 Ontario residents between 1985 and 2003 was created, using linked health administrative and immigration databases...
September 14, 2018: Family Practice
Kathryn Lacey O'Connor
No abstract text is available yet for this article.
September 15, 2018: British Journal of Sports Medicine
Victoria Vorholt, Neal W Dickert
Clinical trials in emergency situations present unique challenges, because they involve enrolling individuals who lack capacity to consent in the context of acute illness or injury. The US Department of Health and Human Services and Food and Drug Administration regulations allowing an Exception from Informed Consent (EFIC) in these circumstances contain requirements for community consultation, public disclosure and restrictions on study risks and benefits. In this paper, we analyse an issue raised in the regulations that has received little attention or analysis but is ethically complex...
September 15, 2018: Journal of Medical Ethics
James McDermott, Alexander Zeymo, Kitty Chan, Afshin Ehsan, Andrew Crocker, David Xiao, Jasjit S Ahluwalia, Thomas DeLeire, Nawar Shara, Waddah Al-Refaie
BACKGROUND: The Affordable Care Act (ACA)'s Medicaid expansion has increased access to surgical care overall. Whether it was associated with reduced disparities in utilization of regionalized surgery at high volume hospitals (HVH) remains unknown. Quasi-experimental evaluations of this expansion were performed to examine the utilization of regionalized surgery at HVH among racial/ethnic minorities and low-income populations. STUDY DESIGN: Data from State Inpatient Databases (2012-2014), American Hospital Association Annual Survey Database, and Area Resource File from Health Resources and Services Administration, were used to examine 166,558 non-elderly (ages 18-64) adults at 468 hospitals who underwent one of four regionalized surgical procedures in three expansion (KY, MD, NJ) and two non-expansion states (NC, FL)...
September 6, 2018: Journal of the American College of Surgeons
Samantha Hurst, Meghan Maiya, Danielle Casteel, Andrew J Sarkin, Salvatore Libretto, A Rani Elwy, Crystal L Park, Erik J Groessl
OBJECTIVE: Millions of military personnel and veterans live with chronic mental and physical health conditions that often do not respond well to pharmacological treatments. Serious side effects and lack of treatment response have led to widespread efforts to study and promote non-pharmacological and behavioral health treatments for many chronic health conditions. Yoga is an increasingly popular mind-body intervention that has growing research support for its efficacy and safety. Our objective was to explore the attitudes, perspectives, and preferences of military personnel and veterans toward yoga as a therapeutic modality, thus providing needed information for designing and promoting yoga interventions for this population...
October 2018: Complementary Therapies in Medicine
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