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https://www.readbyqxmd.com/read/29928292/a-patient-perspective-on-recurrent-or-prolonged-contact-with-psychiatric-inpatient-care-for-affective-disorder
#1
Emil Brännström, Jennifer Strand, Peter Sand
Background: The aim of this qualitative study was to explore why some patients receive recurrent or prolonged psychiatric inpatient care, based on the experiences of the patients themselves. Methods: The participants were recruited at an outpatient clinic at the department of psychiatry for patients with affective disorders at Sahlgrenska University Hospital, Sweden. Ten patients, nine women and one man, aged 22-61 years, agreed to participate. A semi-structured interview guide was used during the interviews, which were audiotaped, transcribed, and analyzed using interpretative phenomenological analysis...
2018: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29928257/innovation-in-systems-of-care-in-acute-phase-of-ischemic-stroke-the-experience-of-the-catalan-stroke-programme
#2
REVIEW
Rosa M Vivanco-Hidalgo, Sònia Abilleira, Mercè Salvat-Plana, Aida Ribera, Guillem Gallofré, Miquel Gallofré
Stroke, and mainly ischemic stroke, is the second cause of death and disability. To confront the huge burden of this disease, innovative stroke systems of care are mandatory. This requires the development of national stroke plans to offer the best treatment to all patients eligible for reperfusion therapies. Key elements for success include a high level of organization, close cooperation with emergency medical services for prehospital assessment, an understanding of stroke singularity, the development of preassessment tools, a high level of commitment of all stroke teams at Stroke Centres, the availability of a disease-specific registry, and local government involvement to establish stroke care as a priority...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29927908/strategic-response-to-an-outbreak-of-circulating-vaccine-derived-poliovirus-type-2-syria-2017-2018
#3
Chukwuma Mbaeyi, Zubair Mufti Wadood, Thomas Moran, Fazal Ather, Tasha Stehling-Ariza, Joanna Nikulin, Mohammad Al Safadi, Jane Iber, Laurel Zomahoun, Nidal Abourshaid, Hong Pang, Nikki Collins, Humayun Asghar, Obaid Ul Islam Butt, Cara C Burns, Derek Ehrhardt, Magdi Sharaf
Since the 1988 inception of the Global Polio Eradication Initiative (GPEI), progress toward interruption of wild poliovirus (WPV) transmission has occurred mostly through extensive use of oral poliovirus vaccine (OPV) in mass vaccination campaigns and through routine immunization services (1,2). However, because OPV contains live, attenuated virus, it carries the rare risk for reversion to neurovirulence. In areas with very low OPV coverage, prolonged transmission of vaccine-associated viruses can lead to the emergence of vaccine-derived polioviruses (VDPVs), which can cause outbreaks of paralytic poliomyelitis...
June 22, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29926792/a-paradigm-shift-in-the-provision-of-improved-critical-care-in-the-emergency-department
#4
K M Yim, H F Ko, M Lc Yang, T Y Li, S Ip, J Tsui
With Hong Kong's ageing population, advancement of medical technologies and hospital congestion, it is not uncommon for emergency physicians to encounter complicated critically ill patients in daily practice. It becomes a fundamental role of emergency physicians to initiate timely diagnostic and therapeutic interventions to save a patient's life and improve their prognosis. It is the reason a critical care service has been developed in emergency departments worldwide over the last decade. This article shares how emergency department intensivists can contribute to this novel model of care with some illustrative cases...
June 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29926473/nurse-led-versus-doctor-led-care-for-bronchiectasis
#5
REVIEW
Kathryn Lawton, Karen Royals, Kristin V Carson-Chahhoud, Fiona Campbell, Brian J Smith
BACKGROUND: Specialist nursing roles to manage stable disease populations are being used to meet the needs of both patients and health services. With increasing cost pressures on health departments, alternative models such as nurse-led care are gaining momentum as a substitute for traditional doctor-led care. This review evaluates the safety, effectiveness, and health outcomes of nurses practising in autonomous roles while using advanced practice skills, within the context of bronchiectasis management in subacute, ambulatory, and/or community care...
June 20, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29925460/the-symptomatology-of-psychological-trauma-in-the-aftermath-of-war-1945-1980-uk-army-veterans-civilians-and-emergency-responders
#6
Alberta Engelbrecht, Howard Burdett, Maria João Silva, Kamaldeep Bhui, Edgar Jones
BACKGROUND: UK veterans suffering from a psychological or psychiatric illness as a consequence of service in the Second World War were entitled to a war pension. Their case files, which include regular medical assessments, are a valuable resource to investigate the nature, distribution and duration of symptoms. METHODS: A standardised form was used to collect data from pension records of a random sample of 500 UK army veterans from the first presentation in the 1940s until 1980...
June 21, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29925369/use-of-participatory-visual-narrative-methods-to-explore-older-adults-experiences-of-managing-multiple-chronic-conditions-during-care-transitions
#7
Chantal Backman, Dawn Stacey, Michelle Crick, Danielle Cho-Young, Patricia B Marck
BACKGROUND: Older adults with multiple chronic conditions typically have more complex care needs that require multiple transitions between healthcare settings. Poor care transitions often lead to fragmentation in care, decreased quality of care, and increased adverse events. Emerging research recommends the strong need to engage patients and families to improve the quality of their care. However, there are gaps in evidence on the most effective approaches for fully engaging patients/clients and families in their transitional care...
June 20, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29925251/-meet-me-where-i-am-removing-barriers-to-end-of-life-care-for-homeless-veterans-and-veterans-without-stable-housing
#8
David A Gruenewald, Daniel Doan, Anne Poppe, Jacqueline Jones, Evelyn Hutt
OBJECTIVE: To describe the barriers and facilitators of end-of-life (EOL) care for Veterans without stable housing (VWSH) as perceived by Veterans at 1 VA medical center and EOL care staff. DESIGN: Qualitative descriptive study. Secondary applied content analysis of data from interviews and focus groups in our parent study. SETTING/PARTICIPANTS: VA Puget Sound Health Care System and VWSH. RESULTS: The core emergent theme in the words of Veterans and health-care workers was "meet me where I am," a statement of what many Veterans want most from their health care...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29924893/reliability-of-heartsmap-as-a-tool-for-evaluating-psychosocial-assessment-documentation-practices-in-emergency-departments-for-pediatric-mental-health-complaints
#9
Carson Gill, Brendan Arnold, Sean Nugent, Alykhan Rajwani, Michael Xu, Tyler Black, Quynh Doan
OBJECTIVES: The goal of this study was to assess the reliability of HEARTSMAP as a standardized tool for evaluating the quality of psychosocial assessment documentation of pediatric mental health presentations to the emergency department. In addition, we report on current documentation practices. METHODS: We conducted a retrospective cross-sectional study of pediatric (up to age 17) mental health-related visits to four emergency departments between April 1, 2013 and March 31, 2014...
June 20, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29924663/emergency-department-visits-by-adolescent-and-young-adult-cancer-patients-compared-with-pediatric-cancer-patients-in-the-united-states
#10
Sapna Kaul, Heidi Russell, John A Livingston, Anne C Kirchhoff, Daniel Jupiter
PURPOSE: Limited information exists on emergency department (ED) visits for adolescent and young adult (AYA) patients with cancer. We examined the clinical reasons for ED visits, and outcomes, for AYAs with cancer compared to pediatric cancer patients. METHODS: The 2013 Nationwide Emergency Department Sample data were used to identify 53,274 AYA (ages 15-39) and 6952 pediatric (ages 0-14) cancer ED visits. We evaluated patient (i.e., demographic and diagnosis) and hospital characteristics, and the ED event outcome (admitted to the same hospital or treated/released)...
June 20, 2018: Journal of Adolescent and Young Adult Oncology
https://www.readbyqxmd.com/read/29924151/structuring-methodology-of-the-computerized-nursing-process-in-emergency-care-units
#11
Fernanda Paese, Grace Teresinha Marcon Dal Sasso, Gabriela Winter Colla
OBJECTIVE: To structure the Computerized Nursing Process using the International Classification for Nursing Practice (ICNP®) version 2.0 to emergency care units in a computerized structure. METHOD: This is a methodological and technological research that followed the stages: (1) establishment of the development team and resources; (2) adequacy of clinical situations, diagnoses and nursing interventions for the emergency area; (3) association of diagnoses and interventions based on ICNP®; (4) organization and codification of clinical evaluation, diagnoses and nursing interventions; (5) transfer of data to the a computerized platform...
May 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29923604/incidence-and-prevalence-of-antibody-to-hepatitis-c-virus-in-fdny-first-responders-before-and-after-work-at-the-world-trade-center-disaster-site
#12
Mayris P Webber, Yang Liu, Hillel W Cohen, Theresa Schwartz, Michael D Weiden, Kerry Kelly, Viola Ortiz, Rachel Zeig-Owens, Nadia Jaber, Hilary L Colbeth, David J Prezant
BACKGROUND: The goals of this study were to assess the impact of work at the World Trade Center (WTC) site in relation to new, post-9/11/2001 (9/11) antibody to hepatitis C Virus (anti-HCV); and, evaluate secular trends in WTC-exposed male Fire Department of New York City (FDNY) Firefighters and Emergency Medical Services (EMS) responders. METHODS: FDNY monitors responder health through physical exams and routine blood work. We used descriptive statistics to compare trans-9/11 and post-9/11 incidence and to assess trends in prevalence from 2000 to 2012...
June 20, 2018: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/29922900/the-economic-burden-of-disease-of-epithelial-ovarian-cancer-in-spain-the-ovarcost-study
#13
Laura Delgado-Ortega, Almudena González-Domínguez, Josep María Borrás, Juan Oliva-Moreno, Eva González-Haba, Salomón Menjón, Pedro Pérez, David Vicente, Luis Cordero, Margarita Jiménez, Susana Simón, Álvaro Hidalgo-Vega, Carlota Moya-Alarcón
OBJECTIVE: To assess the economic burden of epithelial ovarian cancer (EOC) in incident patients and the burden by disease stage in Spain. METHODS: We developed a Markov model from a social perspective simulating the natural history of EOC and its four stages, with a 10-year time horizon, 3-week cycles, 3% discount rate, and 2016 euros. Healthcare resource utilization and costs were estimated by disease stage. Direct healthcare costs (DHC) included early screening, genetic counselling, medical visits, diagnostic tests, surgery, chemotherapy, hospitalizations, emergency services, and palliative care...
June 19, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29922198/the-importance-of-culture-in-addressing-domestic-violence-for-first-nation-s-women
#14
Donna M Klingspohn
Indigenous women in Canada face a range of health and social issues including domestic violence. Indigenous women (First Nations, Inuit and Métis) are six times more likely to be killed than non-Aboriginal women (Homicide in Canada, 2014; Miladinovic and Mulligan, 2015). Aboriginal women are 2.5 times more likely to be victims of violence than non-Aboriginal women (Robertson, 2010). These and other statistics highlight a significant difference in the level of violence experienced by Indigenous women to that experienced by women in the mainstream population in Canada...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29921680/contribution-of-physician-assistants-associates-to-secondary-care-a-systematic-review
#15
Mary Halter, Carly Wheeler, Ferruccio Pelone, Heather Gage, Simon de Lusignan, Jim Parle, Robert Grant, Jonathan Gabe, Laura Nice, Vari M Drennan
OBJECTIVE: To appraise and synthesise research on the impact of physician assistants/associates (PA) in secondary care, specifically acute internal medicine, care of the elderly, emergency medicine, trauma and orthopaedics, and mental health. DESIGN: Systematic review. SETTING: Electronic databases (Medline, Embase, ASSIA, CINAHL, SCOPUS, PsycINFO, Social Policy and Practice, EconLit and Cochrane), reference lists and related articles. INCLUDED ARTICLES: Peer-reviewed articles of any study design, published in English, 1995-2017...
June 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/29921342/decentralised-clinical-training-in-optometry-a-developmental-strategy-for-eye-health-in-kwazulu-natal
#16
Diane van Staden
BACKGROUND: Decentralised clinical training (DCT) in optometry is an emerging concept in South Africa. In 2016, the University of KwaZulu Natal (UKZN) implemented this adaptive model of clinical training for undergraduate health professions. The initiative, which emanated through an agreement between UKZN's College of Health Sciences and the KwaZulu Natal Department of Health, centres on the placement of undergraduate optometry students within public health facilities for clinical training purposes...
June 20, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29921277/being-pragmatic-about-healthcare-complexity-our-experiences-applying-complexity-theory-and-pragmatism-to-health-services-research
#17
Katrina M Long, Fiona McDermott, Graham N Meadows
BACKGROUND: The healthcare system has proved a challenging environment for innovation, especially in the area of health services management and research. This is often attributed to the complexity of the healthcare sector, characterized by intersecting biological, social and political systems spread across geographically disparate areas. To help make sense of this complexity, researchers are turning towards new methods and frameworks, including simulation modeling and complexity theory...
June 20, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29921272/studying-complexity-in-health-services-research-desperately-seeking-an-overdue-paradigm-shift
#18
EDITORIAL
Trisha Greenhalgh, Chrysanthi Papoutsi
Complexity is much talked about but sub-optimally studied in health services research. Although the significance of the complex system as an analytic lens is increasingly recognised, many researchers are still using methods that assume a closed system in which predictive studies in general, and controlled experiments in particular, are possible and preferred. We argue that in open systems characterised by dynamically changing inter-relationships and tensions, conventional research designs predicated on linearity and predictability must be augmented by the study of how we can best deal with uncertainty, unpredictability and emergent causality...
June 20, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29921263/case-fatality-ratios-for-serious-emergency-conditions-in-the-republic-of-ireland-a-longitudinal-investigation-of-trends-over-the-period-2002-2014-using-joinpoint-analysis
#19
Brenda Lynch, Anthony P Fitzgerald, Paul Corcoran, Orla Healy, Claire Buckley, Conor Foley, John Browne
BACKGROUND: In the past decade, the Republic of Ireland has undertaken significant reconfiguration programmes to improve emergency services. During this time the public healthcare system experienced a large real decrease in resources. This study assesses national and regional population outcomes over the period 2002-2014, and whether changes coincide with system reconfiguration and the financial restrictions imposed by the 2008 recession. METHODS: Case fatality ratios (CFRs) were constructed for emergency conditions for 2002-2014...
June 19, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29921257/missed-treatment-opportunities-and-barriers-to-comprehensive-treatment-for-sexual-violence-survivors-in-kenya-a-mixed-methods-study
#20
Anne Gatuguta, Katherine G Merrill, Manuela Colombini, Seyi Soremekun, Janet Seeley, Isaac Mwanzo, Karen Devries
BACKGROUND: In Kenya, most sexual violence survivors either do not access healthcare, access healthcare late or do not complete treatment. To design interventions that ensure optimal healthcare for survivors, it is important to understand the characteristics of those who do and do not access healthcare. In this paper, we aim to: compare the characteristics of survivors who present for healthcare to those of survivors reporting violence on national surveys; understand the healthcare services provided to survivors; and, identify barriers to treatment...
June 19, 2018: BMC Public Health
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