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Home health assessment

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https://www.readbyqxmd.com/read/29235927/risk-factors-for-hospital-death-in-conditions-needing-palliative-care-nationwide-population-based-death-certificate-study
#1
Barbara Gomes, Maria João Pinheiro, Sílvia Lopes, Maja de Brito, Vera P Sarmento, Pedro Lopes Ferreira, Henrique Barros
BACKGROUND: Most people would prefer to die at home as opposed to hospital; therefore, understanding mortality patterns by place of death is essential for health resources allocation. AIM: We examined trends and risk factors for hospital death in conditions needing palliative care in a country without integrated palliative care. DESIGN: This is a death certificate study. We examined factors associated with hospital death using logistic regression...
November 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/29235452/comparison-of-external-doses-between-radio-contaminated-areas-and-areas-with-high-natural-terrestrial-background-using-the-individual-dosimeter-d-shuttle-75-months-after-the-fukushima-daiichi-nuclear-power-plant-accident
#2
Masaharu Tsubokura, Shuhei Nomura, Izumi Yoshida, Toyoaki Sawano, Makoto Miyazaki, Satoru Tomita, Tomoyoshi Oikawa, Masami Watanabe
After the Fukushima Daiichi nuclear power plant accident, the air dose gradually decreases every year due to the physical decay of radioactive materials and environmental changes as well as countermeasures. However, there is little information on personal behavioral patterns and individual dose from external exposure among the inhabitants around the nuclear power plant. To evaluate the dose from external exposure in Minamisoma city and compare the differences with outside of Fukushima, we started the external dose assessment project in cooperation with city officials in Minamisoma as well as other three cities in Japan, where the natural terrestrial background radiation level is relatively high...
December 13, 2017: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/29235237/community-based-preventive-activities-in-the-public-dental-service-in-norway
#3
E Widström, A Tillberg, L I Byrkjeflot, L Stein, R Skudutyte-Rysstad
OBJECTIVES: The purpose of this study was to describe community-based preventive interventions undertaken by the dental team outside the dental clinics in Norway, from the dental hygienists' and the dentists' perspective, with the main focus on target groups and existing guidelines and routines for these activities. A secondary aim was to identify the personnel responsible for developing the local guidelines and the knowledge sources for the guidelines. METHODS: With the assistance of the Chief Dental Officers in 15 Public Dental Service (PDS) regions, questionnaires were emailed to the local clinics (n = 421)...
December 13, 2017: International Journal of Dental Hygiene
https://www.readbyqxmd.com/read/29235172/scaling-up-child-development-centres-in-bangladesh
#4
N Z Khan, R Sultana, F Ahmed, A B Shilpi, N Sultana, G L Darmstadt
BACKGROUND: Child Development Centres (CDCs) have been established within government medical college tertiary hospitals across Bangladesh. Services entail a parent-professional partnership in a child and family friendly environment with a focus on assessment, diagnosis, and management of a range of neurodevelopmental disorders in children and adolescents 0-16 years of age. Services are provided by a multidisciplinary team of professionals (child health physician, child psychologist, and developmental therapist) who emphasize quality of services over the numbers of children seen...
January 2018: Child: Care, Health and Development
https://www.readbyqxmd.com/read/29235034/assessment-of-the-health-status-and-risk-of-genotoxic-and-cytotoxic-damage-in-argentinian-adolescents-living-near-horticultural-crops
#5
Fabián Martínez-Perafán, María Fernanda Santoli, Marcela López-Nigro, Marta Ana Carballo
In some rural areas in Argentina, adolescents may be considered as a group indirectly exposed to agrochemicals because their parents plant small crops near their homes. This could become a health risk to children and adolescents who may be more sensitive to exposure to chemicals than adults. The objective of this study was to evaluate the health status of two different groups of Argentinian adolescents using biochemical parameters, dietary information, and cytogenetic biomarkers of genotoxicity and cytotoxicity...
December 13, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29233087/stroke-prevention-rehabilitation-intervention-trial-of-exercise-sprite-a-randomised-feasibility-study
#6
Neil Heron, Frank Kee, Jonathan Mant, Philip M Reilly, Margaret Cupples, Mark Tully, Michael Donnelly
BACKGROUND: The value of cardiac rehabilitation (CR) after a transient ischaemic attack (TIA) or minor stroke is untested despite these conditions sharing similar pathology and risk factors to coronary heart disease. We aimed to evaluate the feasibility of conducting a trial of an adapted home-based CR programme, 'The Healthy Brain Rehabilitation Manual', for patients following a TIA/minor stroke, participants' views on the intervention and, to identify the behaviour change techniques (BCTs) used...
December 12, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29232827/setting-housing-standards-to-improve-global-health
#7
Philippa Howden-Chapman, Nathalie Roebbel, Elinor Chisholm
Developing World Health Organization international guidelines is a highly formal process. Yet the resulting guidelines, which Member States are encouraged, but not required to adopt, are a powerful way of developing rigorous policy and fostering implementation. Using the example of the housing and health guidelines, which are currently being finalised, this paper outlines the process for developing WHO guidelines. This includes: forming a Guidelines Review Group that represents all regions of the world, and ensures gender balance and technical expertise; identifying key health outcomes of interest; commissioning systematic reviews of the evidence; assessing the evidence; and formulating recommendations...
December 9, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29230919/parents-pain-medication-underdosing-is-associated-with-more-emergency-department-visits-in-sickle-cell-disease
#8
Andrea K Morrison, Matthew P Myrvik, David C Brousseau, Amy L Drendel, J Paul Scott, Alexis Visotcky, Julie A Panepinto
OBJECTIVE: To determine the association between health literacy, medication knowledge, and pain treatment skills with emergency department (ED) use of parents of children with sickle cell disease (SCD). METHODS: Parents of children 1- to 12-years-old with SCD were enrolled. Health literacy was assessed using the Newest Vital Sign. Parents completed a structured interview assessing knowledge of the dosage and frequency of home pain medications and an applied skills task requiring them to dose a prescribed pain medication...
December 12, 2017: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/29229079/city-housing-atmospheric-pollutant-impact-on-emergency-visit-for-asthma-a-classification-and-regression-tree-approach
#9
Julie Mazenq, Jean-Christophe Dubus, Jean Gaudart, Denis Charpin, Gilles Viudes, Guilhem Noel
INTRODUCTION: Particulate matter, nitrogen dioxide (NO2) and ozone are recognized as the three pollutants that most significantly affect human health. Asthma is a multifactorial disease. However, the place of residence has rarely been investigated. We compared the impact of air pollution, measured near patients' homes, on emergency department (ED) visits for asthma or trauma (controls) within the Provence-Alpes-Côte-d'Azur region. METHODS: Variables were selected using classification and regression trees on asthmatic and control population, 3-99 years, visiting ED from January 1 to December 31, 2013...
November 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29228050/birth-preparedness-and-complication-readiness-bpcr-among-pregnant-women-in-hard-to-reach-areas-in-bangladesh
#10
Md Moinuddin, Aliki Christou, Dewan Md Emdadul Hoque, Tazeen Tahsina, Shumona Sharmin Salam, Sk Masum Billah, Lianne Kuppens, Md Ziaul Matin, Shams El Arifeen
BACKGROUND: Birth preparedness and complication readiness aims to reduce delays in care seeking, promote skilled birth attendance, and facility deliveries. Little is known about birth preparedness practices among populations living in hard-to-reach areas in Bangladesh. OBJECTIVES: To describe levels of birth preparedness and complication readiness among recently delivered women, identify determinants of being better prepared for birth, and assess the impact of greater birth preparedness on maternal and neonatal health practices...
2017: PloS One
https://www.readbyqxmd.com/read/29227517/intimate-partner-violence-and-pediatric-practice
#11
M Denise Dowd
Millions of parents, most of them mothers, are abused by an intimate partner each year in the United States. Intimate partner violence is all too common in homes with children; it's estimated that 15 million children are exposed each year. The short- and long-term impacts to child health and well-being are profound. Pediatric clinical practice represents an underutilized venue for assessment and intervention in the abuse of parents. This article summarizes the basic elements of an approach in practice. [Pediatr Ann...
December 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/29226458/communicating-risk-in-dementia-care-survey-of-health-and-social-care-professionals
#12
Brian J Taylor, Mabel Stevenson, Michelle McDowell
Supporting people to live at home in line with community care policies requires increasing attention to assessing, communicating and managing risks. There is a challenge in supporting client choices that include risk-taking while demonstrating professional accountability. Risk communication becomes increasingly important with the need to engage clients and families in meaningful shared decision-making. This presents particular challenges in dementia services. This survey of risk communication in dementia care was administered to all health and social care professionals in community dementia services in Northern Ireland: June-September 2016...
December 11, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29226282/feasibility-of-conducting-a-6-month-long-home-based-exercise-program-with-protein-supplementation-in-elderly-community-dwelling-individuals-with-heart-failure
#13
Masil George, Gohar Azhar, Amanda Pangle, Eric Peeler, Amanda Dawson, Robert Coker, Kellie S Coleman, Amy Schrader, Jeanne Wei
Objective: Cardiac cachexia is a condition associated with heart failure, particularly in the elderly, and is characterized by loss of muscle mass with or without the loss of fat mass. Approximately 15% of elderly heart failure patients will eventually develop cardiac cachexia; such a diagnosis is closely associated with high morbidity and increased mortality. While the mechanism(s) involved in the progression of cardiac cachexia is incompletely established, certain factors appear to be contributory...
2017: Journal of Physiotherapy & Physical Rehabilitation
https://www.readbyqxmd.com/read/29225927/institutionalising-health-technology-assessment-establishing-the-medical-technology-assessment-board-in-india
#14
REVIEW
Laura E Downey, Abha Mehndiratta, Ashoo Grover, Vijay Gauba, Kabir Sheikh, Shankar Prinja, Ravinder Singh, Francoise A Cluzeau, Saudamini Dabak, Yot Teerawattananon, Sanjiv Kumar, Soumya Swaminathan
India is at crossroads with a commitment by the government to universal health coverage (UHC), driving efficiency and tackling waste across the public healthcare sector. Health technology assessment (HTA) is an important policy reform that can assist policy-makers to tackle inequities and inefficiencies by improving the way in which health resources are allocated towards cost-effective, appropriate and feasible interventions. The equitable and efficient distribution of health budget resources, as well as timely uptake of good value technologies, are critical to strengthen the Indian healthcare system...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29224641/design-of-a-bilevel-clinical-trial-targeting-adherence-in-heart-failure-patients-and-their-providers-the-congestive-heart-failure-adherence-redesign-trial-chart
#15
Ashvarya Mangla, Rami Doukky, DeJuran Richardson, Elizabeth F Avery, Rebecca Dawar, James E Calvin, Lynda H Powell
BACKGROUND: Socioeconomically disadvantaged patients are at an increased risk for adverse heart failure (HF) outcomes based upon nonadherence to medications and diet. Physicians are also suboptimally adherent to prescribing evidence-based therapy for HF. METHODS: Congestive Heart Failure Adherence Redesign Trial (CHART) (NCT01698242) is a multicenter, bilevel, cluster randomized behavioral efficacy trial designed to assess the impact of intervening simultaneously on physicians and their socioeconomically disadvantaged patients (annual income <$30,000) having HF with reduced ejection fraction...
January 2018: American Heart Journal
https://www.readbyqxmd.com/read/29223321/is-there-value-in-retrospective-90-day-bundle-payment-models-for-shoulder-arthroplasty-procedures
#16
Susan M Odum, Nady Hamid, Bryce A Van Doren, Leo R Spector
BACKGROUND: The Centers for Medicare & Medicaid Services Bundled Payments for Care Improvement (BPCI) initiative was implemented as part of the Affordable Care Act. We implemented a retrospective payment model 2 for a 90-day total shoulder arthroplasty (TSA) episode to assess the value of TSA BPCI at our private practice. METHODS: Expenditures and postacute event rates of 132 fee-for-service (FFS) patients who underwent a TSA operation between 2009 and 2012 were compared with 333 BPCI patients who had a TSA operation in 2015...
December 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29220629/personal-emergency-alarms-do-health-outcomes-differ-for-purchasers-and-nonpurchasers
#17
Kristen De San Migue, Gill Lewin, Elissa Burton, Peter Howat, Duncan Boldy, Christine Toye
The objective of this study was to assess whether purchasing a personal alarm service makes a difference in a range of health outcomes for community dwelling older adults. The prospective cohort study involved 295 individuals for whom data on emergencies experienced at home were collected over a period of 12 months. Purchasers of alarms, compared to nonpurchasers, benefitted in terms of feeling more safe and secure and being more active around their home. Outcomes experienced after an emergency were similar for both groups with no differences found in terms of time spent on floor, or hospitalizations...
December 8, 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29220589/first-year-internal-medicine-residents-reflections-on-nonmedical-home-visits-to-high-risk-patients
#18
Stephanie K Nothelle, Colleen Christmas, Laura A Hanyok
PROBLEM: Patients who are high utilizers of care often experience health-related challenges that are not readily visible in an office setting but paramount for residents to learn. A nonmedical home visit performed at the beginning of residency training may help residents better understand social underpinnings related to their patient's health and place subsequent care within the context of the patient's life. INTERVENTION: First-year internal medicine residents completed a nonmedical home visit to an at-risk patient prior to seeing the patient in the office for his or her first medical visit...
December 8, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29220378/predisposing-factors-to-the-practice-of-self-medication-in-brazil-results-from-the-national-survey-on-access-use-and-promotion-of-rational-use-of-medicines-pnaum
#19
Emilia da Silva Pons, Daniela Riva Knauth, Álvaro Vigo, Sotero Serrate Mengue
OBJECTIVE: To understand the predisposing factors that lead to the practice of self-medication and the factors associated with the use of medicines via self-medication in the adult population of Brazil. METHODS: The analyzed data are part of the National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM), a survey whose population consisted of individual residents permanently domiciled in urban areas in Brazil. In this work, the data references the 31 573 respondents aged 20 or higher (76...
2017: PloS One
https://www.readbyqxmd.com/read/29217958/assessment-of-barriers-to-reproductive-health-service-utilization-among-bench-maji-zone-pastoralist-communities
#20
Andualem Henok, Emwodish Takele
Background: The reproductive health (RH) needs and challenges in pastoralist area are different from elsewhere. People in this area live in very traditional settings and adhere strongly to traditional cultural values and beliefs. Some of these beliefs are known to lead to poor sexual and RH outcomes. Thus, the objective of the study was to identify barriers of RH service utilization among pastoralist communities of Bench Maji zone. Methods: This study was conducted in pastoralist communities of 5 woredas in Bench Maji zone...
September 2017: Ethiopian Journal of Health Sciences
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