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https://www.readbyqxmd.com/read/29769017/a-cross-sectional-investigation-of-the-health-needs-of-asylum-seekers-in-a-refugee-clinic-in-germany
#1
Laura F Goodman, Guy W Jensen, Joseph M Galante, Diana L Farmer, Stephanie Taché
BACKGROUND: Over one million asylum seekers were registered in Germany in 2016, most from Syria and Afghanistan. The Refugee Convention guarantees access to healthcare, however delivery mechanisms remain heterogeneous. There is an urgent need for more data describing the health conditions of asylum seekers to guide best practices for healthcare delivery. In this study, we describe the state of health of asylum seekers presenting to a multi-specialty primary care refugee clinic. METHODS: Demographic and medical diagnosis data were extracted from the electronic medical records of patients seen at the ambulatory refugee clinic in Dresden, Germany between 15 September 2015 and 31 December 2016...
May 16, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29766260/supportive-care-priorities-of-low-income-latina-breast-cancer-survivors
#2
Alix G Sleight, Kathleen Doyle Lyons, Cheryl Vigen, Heather Macdonald, Florence Clark
PURPOSE: This study investigated the supportive care needs of a sample of low-income Latina breast cancer survivors. METHODS: Ninety-nine Spanish-speaking breast cancer survivors who self-identified as Latina and reported an income below the US Census Bureau low-income threshold were recruited from the oncology clinic of a major public safety net hospital. Eligible participants completed the supportive care needs survey (SCNS-SF34) and a demographic questionnaire...
May 16, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29757929/transitioning-bodies-the-case-of-self-prescribing-sexual-hormones-in-gender-affirmation-in-individuals-attending-psychiatric-services
#3
Antonio Metastasio, Attilio Negri, Giovanni Martinotti, Ornella Corazza
Self-prescribing of sexual hormones for gender affirmation is a potentially widespread and poorly studied phenomenon that many clinicians are unaware of. The uncontrolled use of hormones poses significant health hazards, which have not been previously reported in the literature. We have collected seven clinical cases in general adult psychiatry settings (both inpatient and outpatients), describing transgender and gender non-conforming individuals' (TGNC) self-prescribing and self-administering hormones bought from the Internet without any medical consultation...
May 14, 2018: Brain Sciences
https://www.readbyqxmd.com/read/29754408/the-impact-of-early-psychosocial-intervention-on-self-efficacy-of-care-recipient-carer-dyads-living-with-early-stage-dementia-a-mixed-methods-study
#4
G Stockwell-Smith, W Moyle, U Kellett
AIM: To evaluate the effect of a targeted community-based psychosocial intervention on self-efficacy outcomes for care recipient/carer dyads living with early-stage dementia. BACKGROUND: There is increasing interest in the role of self-efficacy and self-management structures in determining positive outcomes for people with dementia. The assumption is that care recipient/carer dyads who receive early support to identify and adjust to dementia related changes will cope better in the long-term...
May 13, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29741267/health-care-providers-perspectives-on-health-insurance-access-waiving-procedures-and-hospital-detention-practices-in-kenya
#5
Saskia Mostert, Festus Njuguna, Renske H M van der Burgt, Joyce Musimbi, Sandra Langat, Jodi Skiles, Anneloes Seijffert, Mei N Sitaresmi, Terry A Vik, Peter M van de Ven, Gertjan J L Kaspers
BACKGROUND: Patients at Kenyan public hospitals are detained if their families cannot pay their medical bills. Access to health insurance and waiving procedures to prevent detention may be limited. This study explores the perspectives of health-care providers (HCP) on health-insurance access, waiving procedures, and hospital detention practices. PROCEDURE: A self-administered structured questionnaire was completed by 104 HCP (response rate 78%) involved in childhood cancer care...
May 9, 2018: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/29731234/effective-contraception-use-by-usual-source-of-care-an-opportunity-for-prevention
#6
Martina T Caldwell, Hwajung Choi, Phillip Levy, Vanessa K Dalton, Dawn Phillips Misra
INTRODUCTION: Women using emergency departments (ED) or urgent care facilities for their usual care may lack access to contraception. This study examined the relationship between effectiveness of current contraception use (highly effective/effective methods vs. less effective/no method) and usual source of care in the clinic (referent group), urgent care, ED or none among U.S. reproductive-aged females at risk for unintended pregnancy. METHODS: Using the National Survey of Family Growth, we conducted logistic regression analyses using pooled, as well as age- and insurance-stratified data...
May 3, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29724108/wiisokotaatiwin-development-and-evaluation-of-a-community-based-palliative-care-program-in-naotkamegwanning-first-nation
#7
Shevaun Nadin, Maxine Crow, Holly Prince, Mary Lou Kelley
INTRODUCTION: Approximately 474 000 Indigenous people live in 617 First Nations communities across Canada; 125 of those communities are located in Ontario, primarily in rural and remote areas. Common rural health challenges, including for palliative care, involve quality and access. The need for culturally relevant palliative care programs in First Nations communities is urgent because the population is aging with a high burden of chronic and terminal disease. Because local palliative care is lacking, most First Nations people now leave their culture, family and community to receive care in distant hospitals or long-term care homes...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29716787/management-of-acute-retinal-ischemia-follow-the-guidelines
#8
REVIEW
Valérie Biousse, Fadi Nahab, Nancy J Newman
Acute retinal arterial ischemia, including vascular transient monocular vision loss (TMVL) and branch (BRAO) and central retinal arterial occlusions (CRAO), are ocular and systemic emergencies requiring immediate diagnosis and treatment. Guidelines recommend the combination of urgent brain magnetic resonance imaging with diffusion-weighted imaging, vascular imaging, and clinical assessment to identify TMVL, BRAO, and CRAO patients at highest risk for recurrent stroke, facilitating early preventive treatments to reduce the risk of subsequent stroke and cardiovascular events...
April 28, 2018: Ophthalmology
https://www.readbyqxmd.com/read/29695297/better-governance-better-access-practising-responsible-data-sharing-in-the-metadac-governance-infrastructure
#9
Madeleine J Murtagh, Mwenza T Blell, Olly W Butters, Lorraine Cowley, Edward S Dove, Alissa Goodman, Rebecca L Griggs, Alison Hall, Nina Hallowell, Meena Kumari, Massimo Mangino, Barbara Maughan, Melinda C Mills, Joel T Minion, Tom Murphy, Gillian Prior, Matthew Suderman, Susan M Ring, Nina T Rogers, Stephanie J Roberts, Catherine Van der Straeten, Will Viney, Deborah Wiltshire, Andrew Wong, Neil Walker, Paul R Burton
BACKGROUND: Genomic and biosocial research data about individuals is rapidly proliferating, bringing the potential for novel opportunities for data integration and use. The scale, pace and novelty of these applications raise a number of urgent sociotechnical, ethical and legal questions, including optimal methods of data storage, management and access. Although the open science movement advocates unfettered access to research data, many of the UK's longitudinal cohort studies operate systems of managed data access, in which access is governed by legal and ethical agreements between stewards of research datasets and researchers wishing to make use of them...
April 26, 2018: Human Genomics
https://www.readbyqxmd.com/read/29688823/analysis-of-a-pediatric-telemedicine-program
#10
Shayan Vyas, Joanne Murren-Boezem, Patricia Solo-Josephson
BACKGROUND: Telemedicine serves millions of patients and is transforming healthcare delivery worldwide. In October of 2015, Nemours Children's Health System began offering direct-to-consumer (DTC) pediatric telemedicine on the Nemours CareConnect (NCC) platform. INTRODUCTION: Currently, there are no descriptive data available on pediatric-specific DTC 24/7 programs. This is the first article to our knowledge that provides data on such a program. MATERIALS AND METHODS: A retrospective data analysis of the first 1,000 visits was conducted...
April 24, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29669496/presentations-to-nsw-emergency-departments-with-self-harm-suicidal-ideation-or-intentional-poisoning-2010-2014
#11
Jayashanki Perera, Timothy Wand, Kendall J Bein, Dane Chalkley, Rebecca Ivers, Katharine S Steinbeck, Robyn Shields, Michael M Dinh
OBJECTIVE: To evaluate population trends in presentations for mental health problems presenting to emergency departments (EDs) in New South Wales during 2010-2014, particularly patients presenting with suicidal ideation, self-harm, or intentional poisoning. DESIGN, SETTING AND PARTICIPANTS: This was a retrospective, descriptive analysis of linked Emergency Department Data Collection registry data for presentations to NSW public hospital EDs over five calendar years, 2010-2014...
April 23, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29664697/best-practices-for-reducing-unplanned-acute-care-for-patients-with-cancer
#12
Nathan R Handley, Lynn M Schuchter, Justin E Bekelman
Variation and cost in oncology care represent a large and growing burden for the US health care system, and acute hospital care is one of the single largest drivers. Reduction of unplanned acute care is a major priority for clinical transformation in oncology; proposed changes to Medicare reimbursement for patients with cancer who suffer unplanned admissions while receiving chemotherapy heighten the need. We conducted a review of best practices to reduce unplanned acute care for patients with cancer. We searched PubMed for articles published between 2000 and 2017 and reviewed guidelines published by professional organizations...
April 17, 2018: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29626312/experiences-of-stigma-and-health-care-engagement-among-black-msm-newly-diagnosed-with-hiv-sti
#13
Lisa A Eaton, Valerie A Earnshaw, Jessica L Maksut, Katherine R Thorson, Ryan J Watson, Jose A Bauermeister
Rates of HIV/STI transmission among Black men who have sex with men (BMSM) are alarmingly high and demand urgent public health attention. Stigma related concerns are a key barrier to accessing health care and prevention tools, yet limited research has been focused in this area. Experiences of stigma related to health care were evaluated among 151 BMSM residing in the Atlanta, GA area, both prior to and post HIV or STI diagnosis in a longitudinal study (data collected from 2014 to 2016). Findings demonstrated that inadequate health care engagement is associated with post-diagnosis anticipated stigma (b = - 0...
April 6, 2018: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/29621841/australian-bat-lyssavirus
#14
Tony Merritt, Kathryn Taylor, Keren Cox-Witton, Hume Field, Kate Wingett, Diana Mendez, Michelle Power, David Durrheim
BACKGROUND: Australian bat lyssavirus (ABLV) causes human illness that is indistinguishable from classical rabies. All Australian bats have the potential to carry and transmit ABLV, and potentially risky human exposures to bats are common. ABLV infection has resulted in three human deaths in Australia since 1996. OBJECTIVE: The aim of this article is to equip general practitioners (GPs) to assist in the prevention and management of potential ABLV exposures in Australia, including complex clinical scenarios that are not fully addressed in current national guidelines...
March 2018: Australian journal of general practice
https://www.readbyqxmd.com/read/29608545/adherence-to-20-emergency-general-surgery-best-practices-results-of-a-national-survey
#15
Angela M Ingraham, M Didem Ayturk, Catarina I Kiefe, Heena P Santry
OBJECTIVE: To examine national adherence to emergency general surgery (EGS) best practices. BACKGROUND: There is a national crisis in access to high-quality care for general surgery emergencies. Acute care surgery (ACS), a specialty leveraging strengths of trauma systems, may ameliorate this crisis. A critical component of trauma care is adherence to clinical guidelines. We previously established best practices for EGS using RAND Appropriateness Methodology and pilot data...
March 30, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29606141/-researchers-have-love-for-life-opportunities-and-barriers-to-engage-pregnant-women-in-malaria-research-in-post-ebola-liberia
#16
Guillermo Martínez Pérez, Christine K Tarr-Attia, Bondey Breeze-Barry, Adelaida Sarukhan, Dawoh Peter Lansana, Ana Meyer García-Sípido, Anna Rosés, María Maixenchs, Quique Bassat, Alfredo Mayor
BACKGROUND: Adoption of prevention and therapeutic innovations to ensure that National Malaria Control Programmes meet their incidence reduction targets is highly dependent on the conduct of rigorous clinical trials. In Liberia, malaria control virtually halted during the recent Ebola epidemic, and could enormously benefit from innovations to protect its most vulnerable populations, including pregnant women, against malaria. Health policy-planners could feel more inclined to adopt novel interventions with demonstrated safety and efficacy when trialled among their women population...
April 2, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29596100/determination-of-geolocations-for-anesthesia-specialty-coverage-and-standby-call-allowing-return-to-the-hospital-within-a-specified-amount-of-time
#17
Richard H Epstein, Franklin Dexter, Christian Diez, Paul Potnuru
BACKGROUND: For emergent procedures, in-house teams are required for immediate patient care. However, for many procedures, there is time to bring in a call team from home without increasing patient morbidity. Anesthesia providers taking subspecialty or backup call from home are required to return to the hospital within a designated number of minutes. Driving times to the hospital during the hours of call need to be considered when deciding where to live or to visit during such calls. Distance alone is an insufficient criterion because of variable traffic congestion and differences in highway access...
March 27, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29592990/management-of-a-rhegmatogenous-retinal-detachment-in-a-low-resource-setting-treatment-options-when-there-is-no-vitreoretinal-surgeon
#18
Elizabeth Emsley, P J Steptoe, Sunildath Cazabon
We discuss the case of a 49-year-old soldier with a macula-on rhegmatogenous retinal detachment in Sierra Leone. The case highlights the challenge of accessing visually preserving ophthalmic specialist care in sub-Saharan Africa (SSA) for vitreoretinal (VR) disease. It highlights a shortage of VR surgeons in SSA, limited examination facilities, the larger issue of accessing specialist care urgently and the costs associated with accessing surgery out-of-country. It also identifies a shortage in epidemiological data on the issue which limits the assessment of the scale of the problem...
March 28, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29588630/how-to-improve-integrated-care-for-people-with-chronic-conditions-key-findings-from-eu-fp-7-project-integrate-and-beyond
#19
Liesbeth Borgermans, Yannick Marchal, Loraine Busetto, Jorid Kalseth, Frida Kasteng, Kadri Suija, Marje Oona, Olena Tigova, Magda Rösenmuller, Dirk Devroey
Background: Political and public health leaders increasingly recognize the need to take urgent action to address the problem of chronic diseases and multi-morbidity. European countries are facing unprecedented demand to find new ways to deliver care to improve patient-centredness and personalization, and to avoid unnecessary time in hospitals. People-centred and integrated care has become a central part of policy initiatives to improve the access, quality, continuity, effectiveness and sustainability of healthcare systems and are thus preconditions for the economic sustainability of the EU health and social care systems...
September 25, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29584794/occupational-tuberculosis-in-south-africa-are-health-care-workers-adequately-protected
#20
M M Malotle, J M Spiegel, A Yassi, D Ngubeni, L M O'Hara, P A Adu, E A Bryce, N Mlangeni, G S M Gemell, M Zungu
Setting: A provincial tertiary hospital in Gauteng province, South Africa, with a high burden of tuberculosis (TB) patients and high risk of TB exposure among health care workers (HCWs). Objective: To determine HCWs' adherence to recommended TB infection prevention and control practices, TB training and access to health services and HCW TB rates. Design: Interviews with 285 HCWs using a structured questionnaire as part of a large, international mixed-methods study. Results: Despite 10 HCWs (including seven support HCWs) acquiring clinical TB during their period of employment, 62...
December 21, 2017: Public Health Action
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