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https://www.readbyqxmd.com/read/27917617/chronic-oedema-a-prevalent-health-care-problem-for-uk-health-services
#1
Christine J Moffatt, Vaughan Keeley, Peter J Franks, Anna Rich, Lorraine L Pinnington
Chronic oedema (CO) is a major clinical problem worldwide, which has many important secondary consequences for health, activity and participation. Effective treatment planning and organisation of services is dependent on an understanding of the condition and its epidemiology. This cross-sectional study was designed to estimate the point prevalence of CO within the health services of one UK urban population and to determine the proportions that have concurrent leg ulceration. Patients with CO in all anatomic sites were ascertained by health care professionals in one acute and one community hospital, all relevant outpatient and community nursing services, general practices and all nursing/residential homes in one urban catchment area (Derby City)...
December 4, 2016: International Wound Journal
https://www.readbyqxmd.com/read/27912955/we-think-you-can-dance-a-pilot-randomised-controlled-trial-of-dance-for-nursing-home-residents-with-moderate-to-severe-dementia
#2
L F Low, S Carroll, D Merom, J R Baker, N Kochan, F Moran, H Brodaty
OBJECTIVES: To evaluate the feasibility of a dance program for people with moderate to severe dementia living in nursing homeswith regards to recruitment and retention, assessment tools, intervention safety, attendance and engagement. DESIGN: Pilot randomised controlled trial with assessments at weeks 0, 16 and 32. SETTING: A nursing home in Sydney, Australia. INTERVENTIONS: Experienced dance teachers conducted dance groups (intervention) or music appreciation and socialisation groups (control) for 45min, three times a week for 16 weeks...
December 2016: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/27911013/the-cost-of-care-homes-for-people-with-dementia-in-england-a-modelling-approach
#3
Renee Romeo, Martin Knapp, Suzanne Salverda, Martin Orrell, Jane Fossey, Clive Ballard
OBJECTIVES: To examine the cost of care for people with dementia in institutional care settings, to understand the major cost drivers and to highlight opportunities for service development. METHODS: Data on 277 residents with dementia in 16 UK residential or nursing homes were collected. We estimated care and support costs and fitted models to the data. Sensitivity analyses were also conducted. RESULTS: Care home residents cost £792 weekly: 95% of the costs accounted for by direct fees...
December 2, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27906996/reach-the-person-behind-the-dementia-physical-therapists-reflections-and-strategies-when-composing-physical-training
#4
Anncristine Fjellman-Wiklund, Ellinor Nordin, Dawn A Skelton, Lillemor Lundin-Olsson
Dementia is a disease characterized by cognitive impairment and physical decline that worsens over time. Exercise is one lifestyle factor that has been identified as a potential means of reducing or delaying progression of the symptoms of dementia, maximizing function and independence. The purpose of this study was to explore physical therapists' (PTs) experiences and reflections on facilitating high-intensity functional exercise with older people living with dementia, in residential care home settings. The study used a qualitative design based on interviews, individually or in small groups, with seven PTs engaged as leaders in the training of older people with dementia...
2016: PloS One
https://www.readbyqxmd.com/read/27888837/changes-in-the-profile-of-australians-in-77-residential-aged-care-facilities-across-new-south-wales-and-the-australian-capital-territory
#5
Robert Borotkanics, Cassandra Rowe, Andrew Georgiou, Heather Douglas, Meredith Makeham, Johanna Westbrook
Objective Government expenditure on and the number of aged care facilities in Australia have increased consistently since 1995. As a result, a range of aged care policy changes have been implemented. Data on demographics and utilisation are important in determining the effects of policy on residential aged care services. Yet, there are surprisingly few statistical summaries in the peer-reviewed literature on the profile of Australian aged care residents or trends in service utilisation. Therefore, the aim of the present study was to characterise the demographic profile and utilisation of a large cohort of residential aged care residents, including trends over a 3-year period...
November 28, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27884131/improvement-of-pressure-ulcer-prevention-care-in-private-for-profit-residential-care-homes-an-action-research-study
#6
Enid Wy Kwong, Maria Sy Hung, Kevin Woo
BACKGROUND: A need exits to develop a protocol for preventing pressure ulcers (PUs) in private for-profit nursing homes in Hong Kong, where the incidence of PUs is relatively high and which have high proportion of non-professional care staff. The implementation of such protocol would involve changes in the practice of care, likely evoking feelings of fear and uncertainty that may become a barrier to staff adherence. We thus adopted the Systems Model of Action Research in this study to manage the process of change for improving PU prevention care and to develop a pressure ulcer prevention protocol for private for-profit nursing homes...
November 25, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27876338/should-you-screen-nursing-home-residents-for-cancer
#7
REVIEW
Miriam B Rodin
When considering screening for early cancer detection physicians should anticipate how they plan to follow up a screen detected cancer. Geriatric oncology research has developed validated functional assessments to estimate the balance of risk and benefit for treating cancers in the elderly. Robust elderly can benefit from treatment and therefore might benefit from screening. However the majority of elderly in long term residential care (LTC, or "the nursing home") would not benefit from cancer screening. The 1...
November 18, 2016: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/27876227/phthalate-levels-and-related-factors-in-children-aged-6-12-years
#8
Wei Wu, Feng Zhou, Yue Wang, Yong Ning, Jian-Ye Yang, Yi-Kai Zhou
Although previous studies showed that children are widely exposed to phthalates, the sources of phthalate exposure for school-aged children in China are not well understood. This study aimed to assess phthalate metabolite levels and explore the factors influencing exposure in children. We collected demographic data and biological samples from 336 children aged 6-12 years. We calculated urinary concentrations of 14 mono-phthalate metabolites and conducted chi-square (χ(2)) tests and logistic regression analysis to determine the variables associated with phthalate levels...
January 2017: Environmental Pollution
https://www.readbyqxmd.com/read/27869994/neighborhood-disadvantage-and-life-space-mobility-are-associated-with-incident-falls-in-community-dwelling-older-adults
#9
Alexander X Lo, Andrew G Rundle, David Buys, Richard E Kennedy, Patricia Sawyer, Richard M Allman, Cynthia J Brown
OBJECTIVES: To determine the relationship between neighborhood-level socioeconomic characteristics, life-space mobility, and incident falls in community-dwelling older adults. DESIGN: Prospective, observational cohort study with a baseline in-home assessment and 6-month telephone follow-up. SETTING: Central Alabama. PARTICIPANTS: Community-dwelling adults aged 65 and older recruited from a random sample of Medicare beneficiaries (N = 1,000)...
November 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27865527/pathways-of-inhalation-exposure-to-manganese-in-children-living-near-a-ferromanganese-refinery-a-structural-equation-modeling-approach
#10
Florence Fulk, Paul Succop, Timothy J Hilbert, Caroline Beidler, David Brown, Tiina Reponen, Erin N Haynes
Manganese (Mn) is both essential element and neurotoxicant. Exposure to Mn can occur from various sources and routes. Structural equation modeling was used to examine routes of exposure to Mn among children residing near a ferromanganese refinery in Marietta, Ohio. An inhalation pathway model to ambient air Mn was hypothesized. Data for model evaluation were obtained from participants in the Communities Actively Researching Exposure Study (CARES). These data were collected in 2009 and included levels of Mn in residential soil and dust, levels of Mn in children's hair, information on the amount of time the child spent outside, heat and air conditioning in the home and level of parent education...
November 17, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/27863516/residential-neighbourhood-greenspace-is-associated-with-reduced-risk-of-incident-diabetes-in-older-people-a-prospective-cohort-study
#11
Alice M Dalton, Andrew P Jones, Stephen J Sharp, Andrew J M Cooper, Simon Griffin, Nicholas J Wareham
BACKGROUND: Three cross sectional studies suggest that neighbourhood greenspace may protect against incident diabetes. This study uses data from a longitudinal study with a large sample size to investigate the association between greenspace and the occurrence of incident diabetes over time. METHODS: Data was from the European Prospective Investigation of Cancer Norfolk, UK, cohort, recruitment 1993-2007 (N = 23,865). Neighbourhoods were defined as 800 m circular buffers around participants' home locations, according to their home postcode (zip code)...
November 18, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27860170/variation-across-u-s-assisted-living-facilities-admissions-resident-care-needs-and-staffing
#12
Kihye Han, Alison M Trinkoff, Carla L Storr, Nancy Lerner, Bo Kyum Yang
PURPOSE: Though more people in the United States currently reside in assisted living facilities (ALFs) than nursing homes, little is known about ALF admission policies, resident care needs, and staffing characteristics. We therefore conducted this study using a nationwide sample of ALFs to examine these factors, along with comparison of ALFs by size. DESIGN: Cross-sectional secondary data analysis using data from the 2010 National Survey of Residential Care Facilities...
November 10, 2016: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/27859762/death-wishes-among-older-people-assessed-for-home-support-and-long-term-aged-residential-care
#13
Gary Cheung, Siobhan Edwards, Frederick Sundram
OBJECTIVE: Death wishes in older people are common and may progress to suicidal ideation and attempts. This study used routinely collected data from the interRAI Home Care assessment to examine the prevalence and clinical predictors of death wishes in older New Zealanders assessed for home support and long-term aged residential care. METHODS: Data were collected from 35 734 people aged over 65 during 2012-2014. Chi-squared analyses were used to determine significant relationships between the presence of death wishes and demographic factors, health and functional status, and emotional and psychosocial well-being...
November 17, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27859488/first-report-of-amitraz-and-cypermethrin-resistance-in-rhipicephalus-sanguineus-sensu-lato-infesting-dogs-in-mexico
#14
R I Rodriguez-Vivas, M M Ojeda-Chi, I Trinidad-Martinez, M E Bolio-González
Engorged female Rhipicephalus sanguineus sensu lato (Ixodida: Ixodidae) were collected from dogs in the state of Yucatán, Mexico. Fourteen tick populations were collected from dogs at seven veterinary clinics, four residential homes and three cattle farms. The larval immersion test was used in the progeny of collected adult females to test susceptibility to amitraz and cypermethrin. Dose-mortality regressions, 50% lethal concentrations (LC50 ), confidence intervals and slope were estimated by probit analysis...
November 11, 2016: Medical and Veterinary Entomology
https://www.readbyqxmd.com/read/27856530/diagnostic-conundrum-lessons-from-the-man-who-accidently-set-fire-to-his-home
#15
Sahan Benedict Mendis, Victoria Lukats
A 62-year-old man presented to psychiatric services with a 3-month history of a range of symptoms which included obsessional thoughts, self-neglect, lack of mental flexibility, reduced ability to plan, organise and follow instructions, reduced capacity to empathise and disinhibition. He also accidently set fire to his house. Overall these findings are compatible with a dysexecutive syndrome. This man has a significant history of polysubstance misuse and chronic hepatitis C infection. Neuroimaging revealed an acquired traumatic brain injury which could account for his dysexecutive syndrome...
November 17, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27852640/janus-at-the-crossroads-perspectives-on-long-term-care-trajectories-for-older-women-with-dementia-in-a-canadian-context
#16
Denise S Cloutier, Margaret J Penning
PURPOSE OF THE STUDY: Janus, the two-faced, Roman god of beginnings and transitions, is used as a metaphor to explore our personal narratives and our quantitative research on the experiences of older women with dementia in long-term care (LTC). Two research questions are addressed: (a) How do our quantitative data map onto our mothers' experiences? (b) What lessons do our mothers' experiences offer for the care of older women with dementia? DESIGN AND METHODS: Informed by a life-course perspective, we triangulate administrative data on 3,717 women with dementia receiving LTC in British Columbia, Canada, with personal narratives-the stories of our mothers who made the transition from home care into residential (nursing home) care...
November 16, 2016: Gerontologist
https://www.readbyqxmd.com/read/27843759/exploring-associations-between-perceived-home-and-work-neighborhood-environments-diet-behaviors-and-obesity-results-from-a-survey-of-employed-adults-in-missouri
#17
Rachel Tabak, J Aaron Hipp, Elizabeth A Dodson, Lin Yang, Deepti Adlakha, Ross C Brownson
Dietary behaviors are associated with obesity, and may be influenced by the environment. The objective of the current work was to investigate whether perceptions of built environment factors related to eating in the residential neighborhood will have different, independent associations with BMI and dietary behaviors than perceived built environment factors in the worksite neighborhood. In 2012-2013, a cross-sectional telephone-survey of Missouri adults (n = 2015) assessed perceptions of home and workplace built environment factors related to eating, dietary behaviors, and height and weight...
December 2016: Preventive Medicine Reports
https://www.readbyqxmd.com/read/27843509/association-between-health-symptoms-and-particulate-matter-from-traffic-and-residential-heating-results-from-rhine-iii-in-tartu
#18
Mihkel Pindus, Hans Orru, Marek Maasikmets, Marko Kaasik, Rain Jõgi
BACKGROUND: Traffic and residential heating are the main sources of particulate matter (PM) in Northern Europe. Wood is widely used for residential heating and vehicle numbers are increasing. Besides traffic exhaust, studded tires produce road dust that is the main source of traffic-related PM10. Several studies have associated total PM mass with health symptoms; however there has been little research on the effects of PM from specific sources. OBJECTIVE: To study the health effects resulting from traffic and local heating PM...
2016: Open Respiratory Medicine Journal
https://www.readbyqxmd.com/read/27836956/an-association-of-particulate-air-pollution-and-traffic-exposure-with-mortality-after-lung-transplantation-in-europe
#19
David Ruttens, Stijn E Verleden, Esmée M Bijnens, Ellen Winckelmans, Jens Gottlieb, Gregor Warnecke, Federica Meloni, Monica Morosini, Wim Van Der Bij, Erik A Verschuuren, Urte Sommerwerck, Gerhard Weinreich, Markus Kamler, Antonio Roman, Susana Gomez-Olles, Cristina Berastegui, Christian Benden, Are Martin Holm, Martin Iversen, Hans Henrik Schultz, Bart Luijk, Erik-Jan Oudijk, Johanna M Kwakkel-van Erp, Peter Jaksch, Walter Klepetko, Nikolaus Kneidinger, Claus Neurohr, Paul Corris, Andrew J Fisher, James Lordan, Gerard Meachery, Davide Piloni, Elly Vandermeulen, Hannelore Bellon, Barbara Hoffmann, Danielle Vienneau, Gerard Hoek, Kees de Hoogh, Benoit Nemery, Geert M Verleden, Robin Vos, Tim S Nawrot, Bart M Vanaudenaerde
Air pollution from road traffic is a serious health risk, especially for susceptible individuals. Single-centre studies showed an association with chronic lung allograft dysfunction (CLAD) and survival after lung transplantation, but there are no large studies.13 lung transplant centres in 10 European countries created a cohort of 5707 patients. For each patient, we quantified residential particulate matter with aerodynamic diameter ≤10 µm (PM10) by land use regression models, and the traffic exposure by quantifying total road length within buffer zones around the home addresses of patients and distance to a major road or freeway...
November 11, 2016: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/27836082/trends-and-changes-in-home-deliveries-in-kassena-nankana-districts-in-northern-ghana-results-from-repeated-cross-sectional-surveys
#20
Tieba Millogo, Eustasius Musenge, Daniel K Azongo, Seni Kouanda, Abraham Rexford Oduro
OBJECTIVE: To investigate trends and changes in home deliveries in northern Ghana following the implementation of interventions targeting common barriers to utilization of health services. METHODS: Data collected through repeated cross-sectional surveys conducted in the Kassena-Nankana east and west districts from 2003-2009 were used in a secondary analysis. All childbirths that occurred in this period were included. Univariate time series were used to describe trends in home deliveries...
November 2016: International Journal of Gynaecology and Obstetrics
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