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https://www.readbyqxmd.com/read/28426522/patient-safety-culture-survey-in-pediatric-complex-care-settings-a-factor-analysis
#1
Amanda J Hessels, Meghan Murray, Bevin Cohen, Elaine L Larson
OBJECTIVES: Children with complex medical needs are increasing in number and demanding the services of pediatric long-term care facilities (pLTC), which require a focus on patient safety culture (PSC). However, no tool to measure PSC has been tested in this unique hybrid acute care-residential setting. The objective of this study was to evaluate the psychometric properties of the Nursing Home Survey on Patient Safety Culture tool slightly modified for use in the pLTC setting. METHODS: Factor analyses were performed on data collected from 239 staff at 3 pLTC in 2012...
April 19, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28424088/research-exploring-physical-activity-in-care-homes-reach-study-protocol-for-a-randomised-controlled-trial
#2
Anne Forster, Jennifer Airlie, Karen Birch, Robert Cicero, Bonnie Cundill, Alison Ellwood, Mary Godfrey, Liz Graham, John Green, Claire Hulme, Rebecca Lawton, Vicki McLellan, Nicola McMaster, Amanda Farrin
BACKGROUND: As life expectancy increases and the number of older people, particularly those aged 85 years and over, expands there is an increase in demand for long-term care. A large proportion of people in a care home setting spend most of their time sedentary, and this is one of the leading preventable causes of death. Encouraging residents to engage in more physical activity could deliver benefits in terms of physical and psychological health, and quality of life. This study is the final stage of a programme of research to develop and preliminarily test an evidence-based intervention designed to enhance opportunities for movement amongst care home residents, thereby increasing levels of physical activity...
April 19, 2017: Trials
https://www.readbyqxmd.com/read/28419708/willingness-to-pay-for-a-maternity-waiting-home-stay-in-zambia
#3
Taryn Vian, Emily E White, Godfrey Biemba, Kaluba Mataka, Nancy Scott
INTRODUCTION: Complications of pregnancy and childbirth can pose serious risks to the health of women, especially in resource-poor settings. Zambia has been implementing a program to improve access to emergency obstetric and neonatal care, including expansion of maternity waiting homes-residential facilities located near a qualified medical facility where a pregnant woman can wait to give birth. Yet it is unclear how much support communities and women would be willing to provide to help fund the homes and increase sustainability...
March 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28418685/does-a-physical-activity-program-in-the-nursing-home-impact-on-depressive-symptoms-a-generalized-linear-mixed-model-approach
#4
Mona Diegelmann, Carl-Philipp Jansen, Hans-Werner Wahl, Oliver K Schilling, Eva-Luisa Schnabel, Klaus Hauer
OBJECTIVES: Physical activity (PA) may counteract depressive symptoms in nursing home (NH) residents considering biological, psychological, and person-environment transactional pathways. Empirical results, however, have remained inconsistent. Addressing potential shortcomings of previous research, we examined the effect of a whole-ecology PA intervention program on NH residents' depressive symptoms using generalized linear mixed-models (GLMMs). METHOD: We used longitudinal data from residents of two German NHs who were included without any pre-selection regarding physical and mental functioning (n = 163, Mage = 83...
April 18, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28417644/does-social-interaction-matter-psychological-well-being-in-persons-with-dementia
#5
Kyung Hee Lee, Marie Boltz, Hana Lee, Donna L Algase
BACKGROUND: Social interaction between residents and staff is an important factor influencing sense of well-being. This study examined the relationship between staff-resident interactions and psychological well-being of persons with dementia. METHODS: A total of 831 observations of 110 persons with dementia in 17 nursing homes and 6 assisted living facilities were included. Psychological well-being was measured by observed displays of positive and negative emotional expressions...
January 1, 2017: American Journal of Alzheimer's Disease and Other Dementias
https://www.readbyqxmd.com/read/28416498/deprescribing-anticholinergic-and-sedative-medicines-protocol-for-a-feasibility-trial-defeat-polypharmacy-in-residential-aged-care-facilities
#6
Nagham Ailabouni, Dee Mangin, Prasad S Nishtala
INTRODUCTION: Targeted deprescribing of anticholinergic and sedative medicines can lead to positive health outcomes in older people; as they have been associated with cognitive and physical functioning decline. This study will examine whether the proposed intervention is feasible at reducing the prescription of anticholinergic and sedative medicines in older people. METHODS AND ANALYSIS: The Standard Protocol Items: Recommendations for Interventional trials (SPIRIT checklist) was used to develop and report the protocol...
April 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/28403888/the-relationship-between-ethnic-composition-of-the-residential-environment-and-self-reported-health-among-turks-and-moroccans-in-amsterdam
#7
Eleonore M Veldhuizen, Umar Z Ikram, Sjoerd de Vos, Anton E Kunst
BACKGROUND: Previous studies from the US and UK suggest that neighbourhood ethnic composition is associated with health, positive or negative, depending on the health outcome and ethnic group. We examined the association between neighbourhood ethnic composition and self-reported health in these groups in Amsterdam, and we aimed to explore whether there is spatial variation in this association. METHODS: We used micro-scale data to describe the ethnic composition in buffers around the home location of 2701 Turks and 2661 Moroccans...
April 12, 2017: International Journal of Health Geographics
https://www.readbyqxmd.com/read/28403172/a-first-estimate-of-the-structure-and-density-of-the-populations-of-pet-cats-and-dogs-across-great-britain
#8
James Aegerter, David Fouracre, Graham C Smith
Policy development, implementation, and effective contingency response rely on a strong evidence base to ensure success and cost-effectiveness. Where this includes preventing the establishment or spread of zoonotic or veterinary diseases infecting companion cats and dogs, descriptions of the structure and density of the populations of these pets are useful. Similarly, such descriptions may help in supporting diverse fields of study such as; evidence-based veterinary practice, veterinary epidemiology, public health and ecology...
2017: PloS One
https://www.readbyqxmd.com/read/28401142/comprehensive-survey-of-household-radon-gas-levels-and-risk-factors-in-southern-alberta
#9
Fintan K T Stanley, Siavash Zarezadeh, Colin D Dumais, Karin Dumais, Renata MacQueen, Fiona Clement, Aaron A Goodarzi
BACKGROUND: The inhalation of naturally occurring radon (222Rn) gas from indoor air exposes lung tissue to α-particle bombardment, a highly mutagenic form of ionizing radiation that damages DNA and increases the lifetime risk of lung cancer. We analyzed household radon concentrations and risk factors in southern Alberta, including Calgary, the third-largest Canadian metropolis. METHODS: A total of 2382 residential homes (2018 in Calgary and 364 in surrounding townships) from an area encompassing 82% of the southern Alberta population were tested for radon, per Health Canada guidelines, for at least 90 days (median 103 d) between 2013 and 2016...
January 2017: CMAJ Open
https://www.readbyqxmd.com/read/28400891/family-health-conversations-have-positive-outcomes-on-families-a-mixed-method-research-study
#10
Åsa Dorell, Ulf Isaksson, Ulrika Östlund, Karin Sundin
BACKGROUND: Having a family member living in a residential home affects the entire family and can be hard to handle. Family members require encouraging and open communication support from nurses during and after relocation to a residential home. A Family Systems Nursing intervention, "Family Health Conversations" (FamHC) was conducted in order to strengthen the health of families having relatives at residential home for older people. OBJECTIVES: The aims of this study were to evaluate the responses to the Family Health Conversations in families with a member living at a residential home for older people and to integrate the empirical results with a theoretical assumption upon which the intervention was based...
2017: Open Nursing Journal
https://www.readbyqxmd.com/read/28391129/are-buffers-around-home-representative-of-physical-activity-spaces-among-adults
#11
Katelyn M Holliday, Annie Green Howard, Michael Emch, Daniel A Rodríguez, Kelly R Evenson
Residential buffers are frequently used to assess built environment characteristics relevant to physical activity (PA), yet little is known about how well they represent the spatial areas in which individuals undertake PA. We used System for Observing Play and Recreation in Communities data for 217 adults from five US states who wore an accelerometer and a GPS for three weeks to create newly defined PA-specific activity spaces. These PA spaces were based on PA occurring in bouts of ≥10min and were defined as 1) the single minimum convex polygon (MCP) containing all of a participant's PA bout minutes and 2) the combination of many MCPs constructed using each PA bout independently...
April 6, 2017: Health & Place
https://www.readbyqxmd.com/read/28386706/residential-and-gps-defined-activity-space-neighborhood-noise-complaints-body-mass-index-and-blood-pressure-among-low-income-housing-residents-in-new-york-city
#12
Kosuke Tamura, Brian Elbel, Basile Chaix, Seann D Regan, Yazan A Al-Ajlouni, Jessica K Athens, Julie Meline, Dustin T Duncan
Little is known about how neighborhood noise influences cardiovascular disease (CVD) risk among low-income populations. The aim of this study was to investigate associations between neighborhood noise complaints and body mass index (BMI) and blood pressure (BP) among low-income housing residents in New York City (NYC), including the use of global positioning system (GPS) data. Data came from the NYC Low-Income Housing, Neighborhoods and Health Study in 2014, including objectively measured BMI and BP data (N = 102, Black = 69%), and 1 week of GPS data...
April 6, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28385034/voices-of-spouses-living-with-partners-with-neuropsychiatric-symptoms-related-to-dementia
#13
Marie Tyrrell, Pernilla Hillerås, Kirsti Skovdahl, Bjöörn Fossum, Dorota Religa
Persons with dementia, who reside in their own homes, are often cared for by family members. The presence of a family career is said to have a protective effect, postponing admissions to residential care. The majority of persons with dementia develop behavioural and personality changes during the disease trajectory also known as neuropsychiatric symptoms. Quality of life for both the person with neuropsychiatric symptoms and their careers are affected, increasing suffering and risk for hospitalisation and admission to long-term residential care...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/28384145/prevalence-of-enduring-power-of-attorney-and-barriers-towards-it-in-community-geriatric-population-in-counties-manukau-health
#14
So-Jung Park, Heather Astell
AIM: Enduring power of attorney (EPA) is a simple and easy-to-set-up legal document which protects the wishes of the donor, as well as preventing significant psychological and social cost for the patient and their family when long-term residential care needs to be arranged due to the patient's increasing care requirements. It also reduces the significant cost in hospital beds days for the district health board involved while awaiting the Protection of Personal and Property Rights order...
April 7, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28377378/evaluation-of-racial-and-socioeconomic-disparities-in-medication-pricing-and-pharmacy-access-and-services
#15
Marie A Chisholm-Burns, Christina A Spivey, Justin Gatwood, Adam Wiss, Kenneth Hohmeier, Steven R Erickson
PURPOSE: Results of a study to determine if disparities in drug pricing, pharmacy services, and community pharmacy access exist in a Tennessee county with a predominantly minority population are reported. METHODS: A cross-sectional survey of community pharmacies in Shelby County, a jurisdiction with a total population more than 60% composed of racial and ethnic minority groups, was conducted. Data collection included "out-of-pocket" (i.e., cash purchase) prices for generic levothyroxine, methylphenidate, and hydrocodone-acetaminophen; pharmacy hours of operation; availability of selected pharmacy services; and ZIP code-level data on demographics and crime risk...
April 4, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28370397/facilitators-and-barriers-influencing-the-readiness-to-receive-dental-implants-in-a-geriatric-institutionalised-population-a-randomized-non-invasive-interventional-study
#16
Miriam A Merz, Hendrik Terheyden, Christian G Huber, Azizi A Seixas, Andreas Schoetzau, Andres R Schneeberger
OBJECTIVE: Although elderly people have many serious dental issues and are in need of prosthesis, few opt for dental implants. The aim of this study was to investigate barriers that prevent elderly people from receiving dental implants. Specifically, we examined (i) whether the message was delivered before or after the interview had an impact, and (ii) whether it did matter who delivered the message. MATERIALS AND METHODS: Sixty-six residents from seven residential homes in the Canton of Grisons, Switzerland were included...
March 28, 2017: Gerodontology
https://www.readbyqxmd.com/read/28369113/a-pilot-study-to-assess-residential-noise-exposure-near-natural-gas-compressor-stations
#17
Meleah D Boyle, Sutyajeet Soneja, Lesliam Quirós-Alcalá, Laura Dalemarre, Amy R Sapkota, Thurka Sangaramoorthy, Sacoby Wilson, Donald Milton, Amir Sapkota
BACKGROUND: U.S. natural gas production increased 40% from 2000 to 2015. This growth is largely related to technological advances in horizontal drilling and high-volume hydraulic fracturing. Environmental exposures upon impacted communities are a significant public health concern. Noise associated with natural gas compressor stations has been identified as a major concern for nearby residents, though limited studies exist. OBJECTIVES: We conducted a pilot study to characterize noise levels in 11 homes located in Doddridge County, West Virginia, and determined whether these levels differed based on time of day, indoors vs...
2017: PloS One
https://www.readbyqxmd.com/read/28366958/back-and-neck-pain-disability-and-upper-limb-symptoms-of-home-healthcare-workers-a-case-control-study-from-northern-italy
#18
Matteo Riccò, Federica Pezzetti, Carlo Signorelli
OBJECTIVES: Work-related musculoskeletal disorders (MSD) are quite frequent in healthcare workers (HCWs), but data about MSD in home-based healthcare workers (HHWs) are lacking. In this study we describe the prevalence of MSD among Italian HHWs. MATERIAL AND METHODS: A case-control study was carried out among 300 random-selected female HCWs, the sample comprising 100 HHWs, 100 HCWs with a low exposure to patient handling (MAPO - Movimentazione e Assistenza Pazienti Ospedalizzati - Movement and Assistance of Hospital Patients index 0-5) and 100 HCWs with high exposure to patient handling (MAPO index ≥ 5...
March 30, 2017: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28366565/development-of-a-short-path-thermal-desorption-gas-chromatography-mass-spectrometry-method-for-the-determination-of-polycyclic-aromatic-hydrocarbons-in-indoor-air
#19
Yingjie Li, Qiming Xian, Li Li
Polycyclic aromatic hydrocarbons (PAHs) are present in petroleum based products and are combustion by-products of organic matters. Determination of levels of PAHs in the indoor environment is important for assessing human exposure to these chemicals. A new short path thermal desorption (SPTD) gas chromatography/mass spectrometry (GC/MS) method for determining levels of PAHs in indoor air was developed. Thermal desorption (TD) tubes packed with glass beads, Carbopack C, and Carbopack B in sequence, were used for sample collection...
March 27, 2017: Journal of Chromatography. A
https://www.readbyqxmd.com/read/28349854/an-economic-analysis-of-a-community-based-model-for-dementia-care-in-ireland-a-balance-of-care-approach
#20
Eamon O'Shea, Christine Monaghan
BACKGROUND: This study examined resource utilization, cost of care, and balance of care relationships for people with dementia on the boundary of community and residential care in Ireland. METHODS: A balance of care approach was used to examine how investment in personalized community care impacted on measured formal and informal costs, care relationships, and potential admission to long-stay care facilities for people with dementia over a three year period. RESULTS: 181 people with dementia on the boundary of community and residential care received additional personalized care supports to help them remain living at home in the community...
March 28, 2017: International Psychogeriatrics
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