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https://www.readbyqxmd.com/read/28820339/emergence-of-visceral-leishmaniasis-in-sri-lanka-a-newly-established-health-threat
#1
H V Y D Siriwardana, P Karunanayake, L Goonerathne, N D Karunaweera
BACKGROUND: Sri Lanka is a new focus of human cutaneous leishmaniasis caused by a genetic variant of usually visceralizing parasite Leishmania donovani. Over 3000 cases have been reported to our institution alone, during the past two decades. Recent emergence of visceral leishmaniasis is of concern. METHODS: Patients suspected of having visceral leishmaniasis (n = 120) fulfilling at least two of six criteria (fever > 2 weeks, weight loss, tiredness affecting daily functions, splenomegaly, hepatomegaly and anemia) were studied using clinic-epidemiological, immunological and haematological parameters...
August 18, 2017: Pathogens and Global Health
https://www.readbyqxmd.com/read/28819982/hiv-testing-in-the-dental-setting-perspectives-and-practices-of-experienced-dental-professionals
#2
Carrigan L Parish, Karolynn Siegel, Terri Liguori, Stephen N Abel, Harold A Pollack, Margaret R Pereyra, Lisa R Metsch
The dental setting is a largely untapped venue to identify patients with undiagnosed HIV infection. Yet, uptake of rapid HIV testing within the dental community remains low. This study sought to better understand the experiences of dental professionals who have administered the test and how these experiences might inform efforts to promote greater uptake of rapid HIV testing in dental settings. Qualitative interviews were conducted with United States dentists (N = 37) and hygienists (N = 5) who offered rapid HIV testing in their practices...
August 18, 2017: AIDS Care
https://www.readbyqxmd.com/read/28799890/country-wide-distance-training-for-delivery-of-screening-and-brief-intervention-for-problematic-substance-use-a-pilot-evaluation-of-participant-experiences-and-patient-outcomes
#3
Ana Paula Leal Carneiro, Maria Lucia Oliveira Souza-Formigoni
BACKGROUND: In this study, we evaluated if the 120-hour distance-learning (DL) course SUPERA (an acronym in Portuguese meaning: System for detection of excessive use or dependence on psychoactive substances: brief Intervention, social reinsertion and follow-up) was an effective way to train health professionals and social workers to apply screening and brief intervention (SBI) for patients with substance use disorders. METHODS: In the first phase, 2,420 health professionals or social workers, who had completed the course, answered an online survey about their use of the SBI...
August 11, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28795383/integrated-imaginative-distention-therapy-to-cope-with-fatigue-dimmi-si-study-the-first-randomized-controlled-trial-in-multiple-sclerosis
#4
Annalisa Sgoifo, Angelo Bignamini, Loredana La Mantia, Maria G Celani, Piero Parietti, Maria A Ceriani, Maria R Marazzi, Paola Proserpio, Lino Nobili, Alessandra Protti, Elio C Agostoni
INTRODUCTION: Fatigue is a frequent, disabling, and difficult to treat symptom in neurological disease and in other stress-related conditions; Integrated Imaginative Distention (IID) is a therapy combining muscular and imaginative relaxation, feasible also in disabled subjects; the DIMMI SI trial was planned to evaluate IID efficacy on fatigue. METHODS: The design was a parallel, randomised 1:1 (intervention:waiting list), controlled, open-label trial. Participants were persons with multiple sclerosis (pwMS), persons with insomnia (pwINS), and health professionals (HP) as conditions related to fatigue and stress...
August 9, 2017: Neurology and Therapy
https://www.readbyqxmd.com/read/28793369/mental-health-work-in-school-health-services-and-school-nurses-involvement-and-attitudes-in-a-norwegian-context
#5
Hege Skundberg-Kletthagen, Øyfrid Larsen Moen
The aim of the study was to explore school nurses' experiences with and attitudes towards working with young people with mental health problem in the school health services. BACKGROUND: Worldwide, 10-20% of children and adolescents are affected by mental health problems. When these occur during youth, they constitute a considerable burden and are one of the main causes of disability among adolescents. School nurses are at the forefront of care for children and adolescents, identifying pupils struggling with physical, mental, psychosocial, or emotional issues...
August 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28790545/smoking-cessation-advisory-intervention-in-patients-with-cardiovascular-disease
#6
Ioannis Vogiatzis, Alexandra Pantzartzidou, Sarantis Pittas, Eleutherios Papavasiliou
INTRODUCTION: Several studies have examined the efficacy of smoking cessation therapies in the general population. However little is known about the efficacy of these advisory methods in cardiovascular patients. AIM: The aim of the study is to determine the prevalence and the characteristics of smoking abstinence in cardiovascular patients, after a smoking intervention during hospitalization. METHODS: The study involved 442 patients, smokers admitted for cardiovascular disease to the Department of Cardiology...
April 2017: Medical Archives
https://www.readbyqxmd.com/read/28789725/demoralization-in-medical-illness-feasibility-and-acceptability-of-a-pilot-educational-intervention-for-inpatient-oncology-nurses
#7
Benjamin W Brewer, Jennifer M Caspari, Jean Youngwerth, Leigh Nathan, Izaskun Ripoll, Alison Heru
OBJECTIVE: Demoralization is a common problem among medical inpatients with such serious health problems as cancer. An awareness of this syndrome, a knowledge of what defines it, and a plan for how to intervene are limited among nursing teams. Nurses are uniquely poised to efficiently provide brief interventions that address demoralization in their patients. To our knowledge, there are no interventions that train nurses to distinguish and treat demoralization in their patients. The objective of the present study was to determine the acceptability, feasibility, and impact of a novel educational intervention for nurses...
August 9, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28782162/markers-of-nutritional-status-and-mortality-in-older-adults-the-role-of-anemia-and-hypoalbuminemia
#8
Ligiana Pires Corona, Yeda Aparecida de Oliveira Duarte, Maria Lúcia Lebrão
AIM: The aim of the present study was to analyze the impact of anemia and hypoalbuminemia on mortality in a 5-year period. METHODS: This was longitudinal population-based observational survey part of the Saúde, Bem-Estar e Envelhecimento study (Health, Well-being and Aging), carried out with 1256 older adults from the third wave of the cohort, followed for 5 years, when they were contacted for the fourth wave, in Sao Paulo, Brazil. Anemia was defined when hemoglobin was <12 g/dL for women and <13 g/dL for men, and hypoalbuminemia when serum albumin was <3...
August 6, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28780551/the-indigenous-counselling-and-nicotine-ican-quit-in-pregnancy-pilot-study-protocol-a-feasibility-step-wedge-cluster-randomised-trial-to-improve-health-providers-management-of-smoking-during-pregnancy
#9
Yael Bar-Zeev, Billie Bonevski, Michelle Bovill, Maree Gruppetta, Chris Oldmeadow, Kerrin Palazzi, Lou Atkins, Jennifer Reath, Gillian S Gould
INTRODUCTION: Indigenous women have the highest smoking prevalence during pregnancy (47%) in Australia. Health professionals report lack of knowledge, skills and confidence to effectively manage smoking among pregnant women in general. We developed a behaviour change intervention aimed to improve health professionals' management of smoking in Indigenous pregnant women-the Indigenous Counselling And Nicotine (ICAN) QUIT in Pregnancy. This intervention includes webinar training for health professionals, an educational resources package for health professionals and pregnant women, free oral nicotine replacement therapy (NRT) for pregnant women, and audit and feedback on health professionals' performance...
August 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28780213/effectiveness-of-mindfulness-intervention-in-reducing-stress-and-burnout-for-mental-health-professionals-in-singapore
#10
Yang Suyi, Pamela Meredith, Asaduzzaman Khan
INTRODUCTION: Stress and burnout have been shown to be a concern among mental health professionals in several countries including Singapore, and can affect quality of care and staff turnover. The aim of this study was to examine the effectiveness of a mindfulness program in increasing mindfulness and compassion, and reducing stress and burnout, among mental health professionals in Singapore. METHODS: The study utilized data from a prospective pre-post study design with follow-up...
July 1, 2017: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/28780144/report-on-the-midwives-experiences-in-the-brazilian-national-health-system-a-qualitative-research
#11
Nádia Zanon Narchi, Cláudia Medeiros de Castro, Cintia de Freitas Oliveira, Fernanda Tambellini
OBJECTIVE: to describe the experiences of midwives who graduated from the University of São Paulo's midwifery program and the characteristics of their work within the Brazilian National Health System (SUS). DESIGN: a descriptive, qualitative field study. SETTING: interviews were scheduled by telephone or e-mail and were held with the midwives outside their work environment. Interviews lasted for up to one hour and were recorded. PARTICIPANTS: ten midwives who had graduated from the University of São Paulo's midwifery program and were working or had worked in the SUS at the time of the study...
July 20, 2017: Midwifery
https://www.readbyqxmd.com/read/28771857/reduced-employment-and-financial-hardship-among-middle-aged-individuals-with-colorectal-cancer
#12
Louisa G Gordon, Vanessa L Beesley, Gabor Mihala, Bogda Koczwara, Brigid M Lynch
Financial hardship may affect up to 30% of cancer survivors, however, little research has addressed the effect of employment change on financial hardship. This study compared the self-reported financial hardship of middle-aged (45-64 years) colorectal cancer survivors (n = 187) at 6 and 12 months following diagnosis with that of a matched general population group (n = 355). Colorectal cancer survivors were recruited through the Queensland Cancer Registry, Australia; data from the Household Income and Labour Dynamics in Australia (HILDA) Survey were used for the general population group...
August 3, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28770973/schedules-for-home-visits-in-the-early-postpartum-period
#13
REVIEW
Naohiro Yonemoto, Therese Dowswell, Shuko Nagai, Rintaro Mori
BACKGROUND: Maternal complications including psychological and mental health problems and neonatal morbidity have been commonly observed in the postpartum period. Home visits by health professionals or lay supporters in the weeks following the birth may prevent health problems from becoming chronic with long-term effects on women, their babies, and their families. OBJECTIVES: To assess outcomes for women and babies of different home-visiting schedules during the early postpartum period...
August 2, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28768270/the-integrated-care-of-asthma-in-switzerland-incas-study-changes-in-asthma-control-and-perception-of-health-care-through-asthma-education
#14
Selina Dürr, Kurt E Hersberger, Andreas Zeller, Jonas Scheuzger, David Miedinger, Claudia Gregoriano, Ladina Joos Zellweger, Claudia Steurer-Stey, Jörg Daniel Leuppi
BACKGROUND: Despite great efforts in establishing optimal asthma management, asthma may remain uncontrolled. To effectively manage chronic diseases, such as asthma, it is important to train patients in self-management skills. OBJECTIVES: The aim of this study was to assess the potential benefit of standardised asthma education in Switzerland for asthma control and patients' perception of received asthma care and of self-management support. METHODS: For this multicentre longitudinal controlled study, asthma patients were recruited in Switzerland...
August 3, 2017: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/28764806/the-relationship-of-primary-care-providers-to-dental-practitioners-in-rural-and-remote-australia
#15
Tony Barnett, Ha Hoang, Jackie Stuart, Len Crocombe
BACKGROUND: Rural residents have poorer oral health and more limited access to dental services than their city counterparts. In rural communities, health care professionals often work in an extended capacity due to the needs of the community and health workforce shortages in these areas. Improved links and greater collaboration between resident rural primary care and dental practitioners could help improve oral health service provision such that interventions are both timely, effective and lead to appropriate follow-up and referral...
August 1, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28763676/impact-of-intervention-on-metabolic-outcomes-among-dropouts-with-type-2-diabetes
#16
Merja K Laine, Timo Kauppila, Mikko Honkasalo, Marko Raina, Johan G Eriksson
PURPOSE: The aim of this study was to evaluate the effect of an individual intervention given by health care professionals to dropouts with type 2 diabetes (T2D) on their metabolic profile. MATERIALS/METHODS: In 2010, we identified 356 T2D dropouts in Vantaa Health Centre, Finland. At the baseline visit the participants' status was assessed including laboratory tests. Diabetes counseling was given, and drug treatment was enhanced when needed. The follow-up visit was performed 13 to 30 months later including the same assessments as performed at the baseline visit...
July 29, 2017: Advances in Medical Sciences
https://www.readbyqxmd.com/read/28762873/management-of-hot-flushes-in-uk-breast-cancer-patients-clinician-and-patient-perspectives
#17
Deborah Fenlon, Adrienne Morgan, Priya Khambaita, Pankaj Mistry, Janet Dunn, Mei-Lin Ah-See, Emma Pennery, Myra S Hunter
INTRODUCTION: Menopausal problems are among the most prevalent and distressing problems following breast cancer treatment, with 70% women experiencing hot flushes and night sweats (HFNS). A working party was set up to support the development of new research into the management of these problems. METHODS: We conducted surveys to explore the need as perceived by women with breast cancer and establish current UK management practices. A patient survey was conducted through a charity, Breast Cancer Care, and a health professional survey via the UK Breast Intergroup...
August 1, 2017: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28760141/pharmacovigilance-in-israel-tools-processes-and-actions
#18
Eyal Schwartzberg, Matitiahu Berkovitch, Dorit Dil Nahlieli, Joseph Nathan, Einat Gorelik
BACKGROUND: Due to the limited safety data available at the time that a new medication is first marketed, it is essential to continue the collection and monitoring of safety data about adverse drug reactions (ADRs) during the medication's life cycle. This activity, known as pharmacovigilance (PV), is performed worldwide by the pharmaceutical industry as well as by regulatory agencies. In 2012, the Israeli Ministry of Health (MOH) established a Pharmacovigilance and Drug Information Department...
August 1, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28754653/integrated-care-in-prostate-cancer-icare-p-nonrandomized-controlled-feasibility-study-of-online-holistic-needs-assessment-linking-the-patient-and-the-health-care-team
#19
Veronica Nanton, Rebecca Appleton, Jeremy Dale, Julia Roscoe, Thomas Hamborg, Sam H Ahmedzai, Theodoros N Arvanitis, Douglas Badger, Nicholas James, Richard Mendelsohn, Omar Khan, Deepak Parashar, Prashant Patel
BACKGROUND: The potential of technology to aid integration of care delivery systems is being explored in a range of contexts across a variety of conditions in the United Kingdom. Prostate cancer is the most common cancer in UK men. With a 10-year survival rate of 84%, there is a need to explore innovative methods of care that are integrated between primary health care providers and specialist teams in order to address long-term consequences of the disease and its treatment as well as to provide continued monitoring for recurrence...
July 28, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28754067/using-virtual-patient-simulations-to-prepare-primary-health-care-professionals-to-conduct-substance-use-and-mental-health-screening-and-brief-intervention
#20
Glenn Albright, Craig Bryan, Cyrille Adam, Jeremiah McMillan, Kristen Shockley
BACKGROUND: Primary health care professionals are in an excellent position to identify, screen, and conduct brief interventions for patients with mental health and substance use disorders. However, discomfort in initiating conversations about behavioral health, time concerns, lack of knowledge about screening tools, and treatment resources are barriers. OBJECTIVE: This study examines the impact of an online simulation where users practice role-playing with emotionally responsive virtual patients to learn motivational interviewing strategies to better manage screening, brief interventions, and referral conversations...
July 1, 2017: Journal of the American Psychiatric Nurses Association
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