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https://www.readbyqxmd.com/read/29667167/out-of-home-placement-to-age-18-years-in-children-exposed-to-a-postpartum-mental-disorder
#1
Simone N Vigod, Thomas Munk Laursen, Anne Ranning, Merete Nordentoft, Trine Munk-Olsen
OBJECTIVES: Little is known about risk of custody loss or out-of-home placement among children whose mothers experience postpartum mental disorders, and whether this risk differs from that of children whose mothers had earlier onset of their mental disorder. METHODS: National Danish registers comprising 1 868 467 births (1982-2012) were used to determine how the timing of maternal illness onset influences out-of-home placement risk up to age 18 years among children exposed to a maternal mental disorder...
April 17, 2018: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/29650883/-cancer-disease-trajectory-and-the-contribution-of-artistic-outreach-activity-to-palliative-care
#2
Hisako Oshiro, Tatsuo Oshiro, Masahito Tanimizu
The purpose of this article is to show some unintentional aspects of palliative supports offered by the community. The activities of the Opera Ehime, an amateur opera group, play an important role in palliative and grief care. This community is also committed to providing supportive care for home hospice cancer patients through an outreach music program that offers patients connection with others and reduces isolation. Assessment by the coordinator includes determiningthe patients' preferences and the relevance of music throughout their lives...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29626051/access-to-palliative-care-by-disease-trajectory-a-population-based-cohort-of-ontario-decedents
#3
Hsien Seow, Erin O'Leary, Richard Perez, Peter Tanuseputro
OBJECTIVES: To examine access to palliative care between different disease trajectories and compare to other geographic areas. DESIGN: A retrospective population-based decedent cohort study using linked administrative data. SETTING: Ontario, Canada. PARTICIPANTS: Ontario decedents between 1 April 2010 and 31 December 2012. Patients were categorised into disease trajectories: terminal illness (eg, cancer), organ failure (eg, chronic heart failure), frailty (eg, dementia), sudden death or other...
April 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29613958/the-impact-of-age-on-the-innate-immune-response-and-outcomes-after-severe-sepsis-septic-shock-in-trauma-and-surgical-intensive-care-unit-patients
#4
Scott C Brakenridge, Philip A Efron, Julie A Stortz, Teczan Ozrazgat-Baslanti, Gabriela Ghita, Zhongkai Wang, Azra Bihorac, Alicia M Mohr, Babette A Brumback, Lyle L Moldawer, Frederick A Moore
INTRODUCTION: Advancing age is a strong risk factor for adverse outcomes across multiple disease processes. However, septic surgical and trauma patients are unique in they incur two or more inflammatory insults. The effects of advanced age on sepsis pathophysiology and outcomes remain unclear. METHODS: We performed a single center, prospective observational cohort study of Surgical ICU patients with severe sepsis/septic shock. Peripheral blood was collected for genomic, cytokine and biomarker analysis at 0...
April 2, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29590692/-return-to-work-from-vocational-retraininga-long-term-analysis-of-individual-trajectories-biografical-and-structural-conditions-of-success-and-failure
#5
Alexander Meschnig, Ernst von Kardorff, Sebastian Klaus
BACKGROUND AND AIMS: The study aimed at the reconstruction of the trajectories of participants of a two-year vocational-retraining into new workplaces thereby identifying favourable and risky conditions of the return-to-work process. From a practical point of view the study identified special needs and necessities for after-care facilities. METHODS: A Mixed-Method-Design was used. Quantitatively the follow-up-study included 214 persons who participated for three times on filling out a questionnaire over a period of eighteen months after the end of the vocational retraining...
March 28, 2018: Die Rehabilitation
https://www.readbyqxmd.com/read/29589687/-user-associations-and-multiple-sclerosis-impact-of-neoliberalism-in-france-on-the-trajectory-of-life
#6
Séverine Colinet
INTRODUCTION: Multiple sclerosis is a neurological disease that induces limitation of bodily performance. It has a major impact on the work and social life of affected persons because the patient's disability, often in the absence of visible symptoms, is o source of incomprehension in a society marked by the neoliberal dogma of performance. Patient associations often provide support for patients in their trajectory. OBJECTIVE: The aim of this research was to identify how the principles of neoliberalism manifest themselves in the discourse of multiple sclerosis subjects, to understand the effects of neoliberal integration, and to clarify the role played by the association involvement in the trajectories of life...
January 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/29588325/delineating-the-trajectories-of-social-and-occupational-functioning-of-young-people-attending-early-intervention-mental-health-services-in-australia-a-longitudinal-study
#7
Frank Iorfino, Daniel F Hermens, Shane Pm Cross, Natalia Zmicerevska, Alissa Nichles, Caro-Anne Badcock, Josine Groot, Elizabeth M Scott, Ian B Hickie
OBJECTIVES: Mental disorders typically emerge during adolescence and young adulthood and put young people at risk for prolonged socioeconomic difficulties. This study describes the longitudinal course of social and occupational functioning of young people attending primary care-based, early intervention services. DESIGN: A longitudinal study of young people receiving mental healthcare. SETTING: Data were collected between January 2005 and August 2017 from a designated primary care-based mental health service...
March 27, 2018: BMJ Open
https://www.readbyqxmd.com/read/29588278/a-single-cell-hematopoietic-landscape-resolves-eight-lineage-trajectories-and-defects-in-kit-mutant-mice
#8
Joakim S Dahlin, Fiona K Hamey, Blanca Pijuan-Sala, Mairi Shepherd, Winnie W Y Lau, Sonia Nestorowa, Caleb Weinreb, Samuel Wolock, Rebecca Hannah, Evangelia Diamanti, David G Kent, Berthold Göttgens, Nicola K Wilson
Hematopoietic stem and progenitor cells (HSPCs) maintain the adult blood system and their dysregulation causes a multitude of diseases. However, the differentiation journeys towards specific hematopoietic lineages remain ill defined, and system-wide disease interpretation remains challenging. Here, we have profiled 44 802 mouse bone marrow HSPCs using single cell RNA-Sequencing to provide a comprehensive transcriptional landscape with entry points to eight different blood lineages (lymphoid, megakaryocyte, erythroid, neutrophil, monocyte, eosinophil, mast cell, and basophil progenitors)...
March 27, 2018: Blood
https://www.readbyqxmd.com/read/29577779/a-review-in-gait-rehabilitation-devices-and-applied-control-techniques
#9
Silvia L Chaparro-Cárdenas, Alejandro A Lozano-Guzmán, Julian Andres Ramirez-Bautista, Antonio Hernández-Zavala
PURPOSE: The aim of this review is to analyse the different existing technologies for gait rehabilitation, focusing mainly in robotic devices. Those robots help the patient to recover a lost function due to neurological gait disorders, accidents or after injury. Besides, they facilitate the identification of normal and abnormal features by registering muscle activity providing the doctor important data where he can observe the evolution of the patient. METHOD: A deep literature review was realized using selected keywords considering not only the most common medical and engineering databases, but also other available sources that provide information on commercial and scientific gait rehabilitation devices...
March 25, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29574916/determinants-of-change-in-home-participation-among-critically-ill-children
#10
Mary A Khetani, Erin C Albrecht, Jessica M Jarvis, David Pogorzelski, Emmy Cheng, Karen Choong
AIM: To estimate changes in home participation among critically ill children in the first 6 months after discharge from a pediatric intensive care unit (PICU), and to explore the effect of child, service, and environmental factors on change in home participation. METHOD: This was a prospective bi-center, longitudinal cohort study. Caregivers of 180 children, aged 1 to 17 years, who were admitted into the PICU for at least 48 hours were included. Patient-reported outcomes were used to capture caregivers' perspectives of their child's participation and environmental supports for participation in home activities...
March 25, 2018: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29571567/palliative-care-for-people-with-hepatocellular-carcinoma-and-specific-benefits-for-older-adults
#11
REVIEW
Christopher D Woodrell, Lissi Hansen, Thomas D Schiano, Nathan E Goldstein
PURPOSE: Hepatocellular carcinoma (HCC), the most common type of primary liver cancer, has a rapidly rising prevalence in the United States and a very poor overall rate of survival. This epidemic is driven by the cohort of aging Baby Boomers with hepatitis C viral infection and the increasing prevalence of cirrhosis as a result of nonalcoholic steatohepatitis. Because curative options are limited, the disease course creates, in patients and their families, distressing uncertainty around prognosis and treatment decisions...
March 20, 2018: Clinical Therapeutics
https://www.readbyqxmd.com/read/29564902/-palliative-care-in-cardiology
#12
Martin Gřiva, Jiří Šťastný, Marie Lazárová, Helena Krejčíková
Chronic heart failure is a progressive disease with an increasing prevalence. In spite of all medical progress (or thanks to it), it is finally one of the most common causes of death. Palliative care is an approach aimed to improve the quality of life of patients and their families in cases of life-threatening illness. Therefore, the use of palliative care in cardiology is entirely relevant. Estimating the course and prognosis of a patient with chronic heart failure is difficult despite many prognostic tools...
2018: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/29561455/major-depression-disorder-trajectories-and-hiv-disease-progression-results-from-a-6-year-outpatient-clinic-cohort
#13
Arthur H Owora
Contradictory evidence exists on the role of Major depression disorder (MDD) as a predictor of human immunodeficiency virus (HIV) disease progression, particularly regarding the effect of MDD presence versus pattern of illness. The objective of this study was to examine whether MDD status and pattern of illness differentially predict HIV disease progression. Retrospective cohort data from a six-year follow-up of HIV patients at an outpatient clinic were analyzed. MDD trajectories were identified by latent class growth analysis and generalized linear mixed models were used to examine their relation to low CD4+ T-lymphocyte counts (<200 cells/μL) during follow-up...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29553787/qualitative-exploration-of-traumatic-brain-injury-related-beliefs-among-u-s-military-veterans
#14
Paul R King, Gregory P Beehler, Bonnie M Vest, Kerry Donnelly, Laura O Wray
PURPOSE/OBJECTIVE: Explore cognitive, affective, and experiential factors that inform veterans' traumatic brain injury (TBI)-related beliefs. Research Method/Design: Qualitative descriptive study of 22 veterans who received care for TBI at a VA Medical Center in the Northeastern United States using directed content analysis. Measures included a semistructured interview, demographic survey, the Alcohol Use Disorders Identification Test-Consumption Items (AUDIT-C), Patient Health Questionnaire-9 (PHQ-9), PTSD Checklist (PCL), Neurobehavioral Symptom Inventory (NSI), and Insomnia Severity Index (ISI)...
February 2018: Rehabilitation Psychology
https://www.readbyqxmd.com/read/29546788/effectively-assessing-treatment-needs-in-incarcerated-seriously-mentally-ill-individuals-the-utility-of-the-personality-assessment-inventory-level-of-care-index
#15
Corey M Leidenfrost, Matthew D Scalco, Elizabeth Randall, Peter S Martin, Samuel J Sinclair, Travis J Stewart, Ronald Schoelerman, Daniel Antonius
Early identification of treatment needs in incarcerated individuals with serious mental illness has significant implications. Validated assessment instruments to guide treatment are lacking in correctional settings. Hierarchical linear modeling was used to examine the predictive validity of the Level of Care Index (LOCI) in 35 inmates admitted to a specialized treatment unit. The LOCI score was predictive of levels of depressogenic psychopathology and psychological well-being as well as changes in these constructs over time...
January 1, 2018: Journal of Correctional Health Care
https://www.readbyqxmd.com/read/29545065/distinct-patterns-of-conjoint-symptom-distress-and-functional-impairment-in-the-last-year-of-life-predict-terminally-ill-cancer-patients-survival
#16
Fur-Hsing Wen, Jen-Shi Chen, Wen-Chi Chou, Chia-Hsun Hsieh, Wen-Cheng Chang, Ming-Mo Hou, Siew Tzuh Tang
CONTEXT/OBJECTIVES: Our study addressed important knowledge gaps about trajectories of distinct conjoint symptom-functional states, i.e., patterns for different levels of combined symptom distress and functional impairment, over cancer patients' last year and their ability to predict survival. METHODS: We identified distinct symptom-functional states and explored their changes over 317 terminally ill cancer patients' last year by a transition model using hidden Markov modeling...
March 12, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29530909/understanding-the-role-of-health-information-in-patients-experiences-secondary-analysis-of-qualitative-narrative-interviews-with-people-diagnosed-with-cancer-in-germany
#17
Susanne Blödt, Maleen Kaiser, Yvonne Adam, Sandra Adami, Martin Schultze, Jacqueline Müller-Nordhorn, Christine Holmberg
OBJECTIVE: To analyse the role and meaning of health information in individuals' experiences with either breast, colorectal or prostate cancer in order to better understand unmet information needs of people with a cancer diagnosis. DESIGN: This is a secondary analysis of data from a qualitative interview study including narrative interviews and maximum variation sampling. A thematic analysis was conducted, followed by an in-depth analysis based on the principles of grounded theory...
March 12, 2018: BMJ Open
https://www.readbyqxmd.com/read/29528975/reduction-in-mortality-following-pediatric-rapid-response-team-implementation
#18
Nikoleta S Kolovos, Jeff Gill, Peter H Michelson, Allan Doctor, Mary E Hartman
OBJECTIVE: To evaluate the effectiveness of a physician-led rapid response team program on morbidity and mortality following unplanned admission to the PICU. DESIGN: Before-after study. SETTING: Single-center quaternary-referral PICU. PATIENTS: All unplanned PICU admissions from the ward from 2005 to 2011. INTERVENTIONS: The dataset was divided into pre- and post-rapid response team groups for comparison...
March 9, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29526815/weight-loss-trajectories-and-adverse-childhood-experience-among-obese-adolescents-with-polycystic-ovary-syndrome
#19
D L Rofey, N E El Nokali, L J Jackson Foster, E Seiler, H L McCauley, E Miller
STUDY OBJECTIVE: To examine the impact of childhood trauma and family history of psychiatric illness on weight loss trajectories of obese, adolescent females with PCOS. DESIGN: Prospective Study SETTING: PCOS and Adolescent Medicine Outpatient Clinics PATIENTS: Participants were, on average, 15.8 years, 80% Caucasian, and had a BMI of 36.8 ± 8.8 kg/m2 . INTERVENTIONS: Healthy Bodies, Healthy Minds is an evidence-based one-on-one intervention consisting of four weekly sessions, four bi-weekly sessions, and three monthly booster sessions...
March 8, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29518277/the-meaning-of-living-with-uncertainty-for-people-with-motor-neurone-disease
#20
Denise Andrea Harris, Kirsten Jack, Christopher Wibberley
AIM: The aim of this study was to explore the meaning of living with uncertainty for people diagnosed with motor neurone disease (MND). BACKGROUND: MND is a progressive neurodegenerative condition resulting in multiple needs, arising from the complex nature of the disease trajectory. People with MND are often required to make decisions for symptom management and end-of-life care. Research into the lived experience of MND has previously highlighted: the shock of receiving such a diagnosis and prognosis; subsequent concerns relating to the future and loss; and the existential suffering for a person with MND...
March 8, 2018: Journal of Clinical Nursing
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