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https://www.readbyqxmd.com/read/28086869/evaluation-of-an-aged-care-nurse-practitioner-service-quality-of-care-within-a-residential-aged-care-facility-hospital-avoidance-service
#1
Trudy Dwyer, Alison Craswell, Dolene Rossi, Darren Holzberger
BACKGROUND: Reducing avoidable hospitialisation of aged care facility (ACF) residents can improve the resident experience and their health outcomes. Consequently many variations of hospital avoidance (HA) programs continue to evolve. Nurse practitioners (NP) with expertise in aged care have the potential to make a unique contribution to hospital avoidance programs. However, little attention has been dedicated to service evaluation of this model and the quality of care provided. The purpose of this study was to evaluate the quality of an aged care NP model of care situated within a HA service in a regional area of Australia...
January 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28070674/-care-of-korean-elderly-in-need-of-care-tendency-to-strengthen-the-role-of-integrated-care-for-the-elderly-in-communities
#2
Hyun Joo Nam
Since the introduction of long-term nursing care insurance in 2008, the Korean elderly in need of care are entitled to residential care or home based care services, as in the other welfare states. This article initially introduces the Korean nursing care insurance (PfV) for the elderly to give an overview of the healthcare system. Subsequently, the latest model project "Community based comprehensive care system" is introduced. The confusing care and social services should be networked and provided in a manner customized to the needs of the elderly, so that home based care before residential care can be realized...
January 9, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28068988/disability-support-and-long-term-social-care-of-an-elderly-spanish-population-2008-2009-an-epidemiologic-analysis
#3
J Almazán-Isla, M Comín-Comín, E Alcalde-Cabero, C Ruiz, E Franco, R Magallón, J Damián, J de Pedro-Cuesta, L A Larrosa-Montañes
BACKGROUND: Though poorly known, relationships between disability, need of help (dependency) and use of social services are crucial aspects of public health. The objective of this study was to describe the links between disability, officially assessed dependency, and social service use by an industrial population, and identify areas of inequity. METHODS: We took advantage of a door-to-door survey conducted in the Cinco Villas district, Spain, in 2008-2009, which provided data on disability, morbidity, and service use among 1216 residents aged ≥50 years, and officially assessed dependency under the 2006 Dependency Act (OAD)...
January 9, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28065451/home-remodeling-and-risk-of-childhood-leukemia
#4
Todd P Whitehead, Praphopphat Adhatamsoontra, Yang Wang, Elisa Arcolin, Leonard Sender, Steve Selvin, Catherine Metayer
PURPOSE: We investigated the relationship between the risk of childhood leukemia and home remodeling, a surrogate for indoor chemical exposures. METHODS: We collected information on remodeling activities carried out between birth and diagnosis in homes of 609 acute lymphoblastic leukemia (ALL) cases, 89 acute myeloid leukemia (AML) cases, and 893 matched controls participating in the California Childhood Leukemia Study (1995-2008). We used multivariable logistic regression to estimate the risk of ALL and AML associated with six remodeling activities: construction, painting, recarpeting, reflooring, roofing, and weatherproofing...
December 9, 2016: Annals of Epidemiology
https://www.readbyqxmd.com/read/28049482/influence-of-exposure-differences-on-city-to-city-heterogeneity-in-pm2-5-mortality-associations-in-us-cities
#5
Lisa K Baxter, James L Crooks, Jason D Sacks
BACKGROUND: Multi-city population-based epidemiological studies have observed heterogeneity between city-specific fine particulate matter (PM2.5)-mortality effect estimates. These studies typically use ambient monitoring data as a surrogate for exposure leading to potential exposure misclassification. The level of exposure misclassification can differ by city affecting the observed health effect estimate. METHODS: The objective of this analysis is to evaluate whether previously developed residential infiltration-based city clusters can explain city-to-city heterogeneity in PM2...
January 4, 2017: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/28045938/exposure-to-indoor-allergens-in-different-residential-settings-and-its-influence-on-ige-sensitization-in-a-geographically-confined-austrian-cohort
#6
Teresa Stemeseder, Bettina Schweidler, Patrick Doppler, Eva Klinglmayr, Stephanie Moser, Lisa Lueftenegger, Martin Himly, Roland Lang, Joerg Zumbach, Gertie J Oostingh, Thomas Hawranek, Arne C Bathke, Gabriele Gadermaier
BACKGROUND: Exposure to indoor allergens is crucial for IgE sensitization and development of allergic symptoms. Residential settings influence the allergen amount in house dust and hence allergic sensitization. Within this study, we investigated allergen exposure and molecule-based IgE levels in a geographically confined region and evaluated the impact of housing, pets and cleaning. METHODS: 501 adolescents from Salzburg, Austria participated in this cross-sectional study...
2017: PloS One
https://www.readbyqxmd.com/read/28045779/predictors-of-participation-in-a-fire-department-community-canvassing-program
#7
Beata Debinski, Eileen McDonald, Shannon Frattaroli, Wendy Shields, Elise Omaki, Andrea C Gielen
An urban fire department has been distributing free smoke alarms for more than 30 years. A community-academic partnership was developed to conduct a community intervention trial as part of the fire department's home visiting program. The trial comprised 170 canvassing events held across 12 census tracts; half of the census tracts were assigned to the treatment condition and received prepromotion of the home visit events. The objectives of this analysis were to identify environmental and programmatic predictors of 1) whether someone would be at home at the time of a visit, and 2) if at home, whether the resident would participate...
December 30, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/28040577/activity-spaces-of-men-who-have-sex-with-men-an-initial-exploration-of-geographic-variation-in-locations-of-routine-potential-sexual-risk-and-prevention-behaviors
#8
Adam S Vaughan, Michael R Kramer, Hannah L F Cooper, Eli S Rosenberg, Patrick S Sullivan
Theory and research on HIV and among men who have sex with men (MSM) have long suggested the importance of non-residential locations in defining structural exposures. Despite this, most studies within these fields define place as a residential context, neglecting the potential influence of non-residential locations on HIV-related outcomes. The concept of activity spaces, defined as a set of locations to which an individual is routinely exposed, represents one theoretical basis for addressing this potential imbalance...
December 24, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/28038876/exposure-estimation-errors-to-nitrogen-oxides-on-a-population-scale-due-to-daytime-activity-away-from-home
#9
Rakefet Shafran-Nathan, Yuval, Ilan Levy, David M Broday
Accurate estimation of exposure to air pollution is necessary for assessing the impact of air pollution on the public health. Most environmental epidemiology studies assign the home address exposure to the study subjects. Here, we quantify the exposure estimation error at the population scale due to assigning it solely at the residence place. A cohort of most schoolchildren in Israel (~950,000), age 6-18, and a representative cohort of Israeli adults (~380,000), age 24-65, were used. For each subject the home and the work or school addresses were geocoded...
December 27, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/28029709/increasing-role-of-nurse-practitioners-in-house-call-programs
#10
Nengliang Aaron Yao, Karen Rose, Virginia LeBaron, Fabian Camacho, Peter Boling
OBJECTIVES: Residence-based primary care provides homebound frail patients with a care plan that is individually tailored to manage multiple chronic conditions and functional limitations using a variety of resources. We (1) examine the visit volume and Medicare payments for residence-based health care provided by nurse practitioners (NPs) in the Medicare fee-for-service environment; (2) compare NP's residential visits to those of internists and family physicians; and (3) compare the geographical service area of full-time house call NPs versus NPs who make nursing facility visits a major portion of their work...
December 28, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28027776/vegesafe-a-community-science-program-measuring-soil-metal-contamination-evaluating-risk-and-providing-advice-for-safe-gardening
#11
Marek Rouillon, Paul J Harvey, Louise J Kristensen, Steven G George, Mark P Taylor
The extent of metal contamination in Sydney residential garden soils was evaluated using data collected during a three-year Macquarie University community science program called VegeSafe. Despite knowledge of industrial and urban contamination amongst scientists, the general public remains under-informed about the potential risks of exposure from legacy contaminants in their home garden environment. The community was offered free soil metal screening, allowing access to soil samples for research purposes. Participants followed specific soil sampling instructions and posted samples to the University for analysis with a field portable X-ray Fluorescence (pXRF) spectrometer...
December 24, 2016: Environmental Pollution
https://www.readbyqxmd.com/read/28017415/comparison-of-industrial-emissions-and-carpet-dust-concentrations-of-polychlorinated-dibenzo-p-dioxins-and-polychlorinated-dibenzofurans-in-a-multi-center-u-s-study
#12
Nicole C Deziel, John R Nuckols, Rena R Jones, Barry I Graubard, Anneclaire J De Roos, Anjoeka Pronk, Chris Gourley, Joanne S Colt, Mary H Ward
Proximity to facilities emitting polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/F) has been associated with increased risk of non-Hodgkin lymphoma (NHL). There is limited information about whether proximity to industrial sources leads to indoor PCDD/F contamination of homes. We measured carpet dust concentrations (pg/g) of 17 toxic PCDD/F congeners and calculated their toxic equivalence (TEQ) in 100 homes in a population-based case-control study of NHL in Detroit, Los Angeles, Seattle, and Iowa (1998-2000)...
December 22, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/28010179/investigation-and-modelling-the-residential-infiltration-of-fine-particulate-matter-in-beijing
#13
Chunyu Xu, Na Li, Yibing Yang, Yunpu Li, Zhe Liu, Qin Wang, Tongzhang Zheng, Anna Civitarese, Dongqun Xu
Failure to consider the differences between indoor and outdoor PM2.5 may contribute to exposure misclassification in epidemiological studies estimating exposure from a central site measurement. This study was conducted in Beijing to investigate residential PM2.5 infiltration factor and to develop a localized predictive model in both non-heating and heating seasons. High variations of PM2.5 infiltration factor between the two seasons and across homes within each season were found, highlighting the importance of including infiltration factor into assessment of exposure to PM2...
December 23, 2016: Journal of the Air & Waste Management Association
https://www.readbyqxmd.com/read/28009676/effectiveness-of-meaningful-occupation-interventions-for-people-living-with-dementia-in-residential-aged-care-a-systematic-review
#14
Catherine Travers, Deborah Brooks, Sonia Hines, Maria O'Reilly, Mitchell McMaster, Wei He, Margaret MacAndrew, Elaine Fielding, Lina Karlsson, Elizabeth Beattie
BACKGROUND: The ability to participate in valued activities, whether for work, leisure or family, is an important aspect of personal identity. In dementia, progressive memory loss means that abilities developed over a lifetime begin to be lost as well, contributing to the loss of self and identity. Some studies have reported that activities or interventions tailored to be meaningful to the person with dementia (defined as any activity important to the individual) are more effective in addressing behavioral and psychological symptoms of dementia (BPSD) and improving quality of life (QoL) than those that are not so tailored...
December 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27996091/finding-home-a-qualitative-approach-to-understanding-adolescent-mothers-housing-instability
#15
Margaret C Elliott, Elizabeth A Shuey, Natalya Zaika, Lauren Mims, Tama Leventhal
Many low-income Latina adolescent mothers face instability in their housing circumstances, which has implications for their long-term prospects and that of their children. This study used longitudinal, ethnographic data from Welfare, Children, and Families: A Three City Study to explore experiences of low-income, Latina adolescent mothers (N = 15) with unstable housing who primarily rely on their families or the families of their significant others for housing support. Results of analysis employing grounded theory and narrative approaches suggested two types of instability: "Horizontal moves" between family homes and "vertical moves" between family homes and independent living...
December 20, 2016: American Journal of Community Psychology
https://www.readbyqxmd.com/read/27986540/the-physical-environment-of-positive-places-exploring-differences-between-age-groups
#16
Tiina E Laatikainen, Anna Broberg, Marketta Kyttä
Features of the physical environment have an impact on the human behaviour. Thus, planners and policymakers around the world should aim at providing environments that are perceived as being of good quality, in which the residents enjoy spending time and moving around in. It is widely acknowledged that urban environmental quality associates with well-being, but there is currently very little research examining which features of urban environments people of different ages perceive as appealing in their living environments...
December 13, 2016: Preventive Medicine
https://www.readbyqxmd.com/read/27968883/auriculotherapy-for-lower-urinary-tract-symptoms-in-older-men-a-4-week-randomised-controlled-pilot-study
#17
Lorna Suen, Wai Hon, Kai Wang Yeung, Chao Hsing Yeh, Hon Fat Wong
BACKGROUND: Lower urinary tract symptoms, which commonly occur among older men, include urinary retention, voiding difficulty, frequent feeling of urinary urgency, and nocturia. Auriculotherapy, a Chinese medicine approach, is a therapeutic method in which specific points in the auricle are stimulated to achieve specific therapeutic purposes. This randomised controlled pilot study aimed to determine whether magneto-auriculotherapy alone or in combination with laser auriculotherapy is more effective than placebo for symptom relief and enhancement of quality of life...
October 2016: Lancet
https://www.readbyqxmd.com/read/27966669/asthma-diagnosis-in-a-child-and-cessation-of-smoking-in-the-child-s-home-the-piama-birth-cohort
#18
Alet H Wijga, Maarten Schipper, Bert Brunekreef, Gerard H Koppelman, Ulrike Gehring
Second hand smoke (SHS) exposure is associated with increased incidence and severity of childhood asthma. We investigated whether, in turn, asthma diagnosis in a child is associated with cessation of smoking exposure in the child's home. In the PIAMA birth cohort (n=3963), parents reported on smoking in their home and on asthma diagnosis in their child, annually from birth to 8 years. We used generalized estimating equations to assess the association between asthma diagnosis in a child and cessation of smoking in the child's home...
December 14, 2016: Journal of Exposure Science & Environmental Epidemiology
https://www.readbyqxmd.com/read/27966006/medical-record-keeping-in-the-summer-camp-setting
#19
Laura Kaufman, Jaycelyn Holland, Stuart Weinberg, S Trent Rosenbloom
BACKGROUND: Approximately one fifth of school-aged children spend a significant portion of their year at residential summer camp, and a growing number have chronic medical conditions. Camp health records are essential for safe, efficient care and for transitions between camp and home providers, yet little research exists regarding these systems. OBJECTIVE: To survey residential summer camps for children to determine how camps create, store, and use camper health records...
December 14, 2016: Applied Clinical Informatics
https://www.readbyqxmd.com/read/27941588/cardiac-rehabilitation-after-transcatheter-aortic-valve-implantation-compared-to-patients-after-valve-replacement
#20
Franco Tarro Genta, Massimo Tidu, Zoia Bouslenko, Francesca Bertolin, Ilaria Salvetti, Fabio Comazzi, Pantaleo Giannuzzi
AIMS: To evaluate feasibility, safety, and outcome of an exercise-based residential cardiac rehabilitation program in transcatheter aortic valve implantation (TAVI) patients compared to elderly patients after surgical valve replacement (sAVR). METHODS: From January 2010 to January 2013, 65 consecutive TAVI and 70 sAVR older than 70 years were enrolled. Six-min walk test (6MWT) distance, Barthel index, Morse Fall Scale (MFS) on admission and discharge, Cumulative Illness Rated State-Comorbidity Index (CIRS-CI), and echocardiography were assessed...
February 2017: Journal of Cardiovascular Medicine
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