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https://www.readbyqxmd.com/read/28426857/spectacle-wear-among-children-in-a-school-based-program-for-ready-made-vs-custom-made-spectacles-in-india-a-randomized-clinical-trial
#1
Priya Morjaria, Jenifer Evans, Kaushik Murali, Clare Gilbert
Importance: Uncorrected refractive errors are the most common cause of visual impairment in children despite correction being highly cost-effective. Objective: To determine whether less expensive ready-made spectacles produce rates of spectacle wear at 3 to 4 months comparable to those of more expensive custom-made spectacles among eligible school-aged children. Design, Setting, and Participants: This noninferiority, double-masked, randomized clinical trial recruited children aged 11 to 15 years from January 12 through July 31, 2015, from government schools in urban and periurban areas surrounding Bangalore, India...
April 20, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/28417456/interventions-to-improve-adherence-to-inhaled-steroids-for-asthma
#2
REVIEW
Rebecca Normansell, Kayleigh M Kew, Elizabeth Stovold
BACKGROUND: Despite its proven efficacy in improving symptoms and reducing exacerbations, many patients with asthma are not fully adherent to their steroid inhaler. Suboptimal adherence leads to poorer clinical outcomes and increased health service utilisation, and has been identified as a contributing factor to a third of asthma deaths in the UK. Reasons for non-adherence vary, and a variety of interventions have been proposed to help people improve treatment adherence. OBJECTIVES: To assess the efficacy and safety of interventions intended to improve adherence to inhaled corticosteroids among people with asthma...
April 18, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28415973/effect-of-the-prepare-intervention-on-sexual-initiation-and-condom-use-among-adolescents-aged-12-14-a-cluster-randomised-controlled-trial-in-dar-es-salaam-tanzania
#3
Elia John Mmbaga, Lusajo Kajula, Leif Edvard Aarø, Mrema Kilonzo, Annegreet Gera Wubs, Sander Matthijs Eggers, Hein de Vries, Sylvia Kaaya
BACKGROUND: Unsafe sexual practices continue to put adolescents at risk for a number of negative health outcomes in Tanzania. While there are some effective theory-based intervention packages with positive impact on important mediators of sexual behaviours, a context specific and tested intervention is urgently needed in Tanzania. PURPOSE: To develop and evaluate an intervention that will have a significant effect in reducing sexual initiation and promoting condom use among adolescents aged 12-14 in Dar es Salaam, Tanzania...
April 17, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28406884/use-of-video-directly-observed-therapy-for-treatment-of-latent-tuberculosis-infection-johnson-county-kansas-2015
#4
Elizabeth Lawlor Holzschuh, Stacie Province, Krystle Johnson, Caitlin Walls, Cathy Shemwell, Gary Martin, Amy Showalter, Jennifer Dunlay, Andrew Conyers, Phil Griffin, Nancy Tausz
Tuberculosis (TB) is caused by the bacterium Mycobacterium tuberculosis and is spread from person to person through the air. TB can be spread in congregate settings, such as school environments, to varying degrees, based on factors including duration of contact and air ventilation (1); therefore, evaluating potential contacts and exposures can be challenging. In February 2015, a student at a Kansas high school received a diagnosis of active pulmonary TB disease. Screening of 385 (91%) school contacts, four (100%) household contacts, and 19 (90%) social contacts resulted in the identification of 50 persons with latent TB infection...
April 14, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28397640/school-based-disaster-recovery-promotion-of-children-s-mental-health-over-the-long-haul
#5
Elizabeth Peacock-Chambers, Pilar Del Canto, Douglas Ahlers, Mario Valdivia Peralta, Judith Palfrey
The February 2010 earthquake and tsunamis destroyed 80% of the coastal town of Dichato, Chile, displacing over 400 families for nearly 4 years. The coalition Recupera Chile (RC) participated in the town's integrated recovery process from January 2011 to the present with a focus on children's mental health. The multidisciplinary RC coalition emphasized community-led post-disaster recovery, economic capacity rebuilding, and community health promotion (www.recuperachile.org). RC's child health team fostered partnerships between the local elementary school, health clinic, Universidad de Concepcion, and Boston Children's Hospital...
April 11, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28395588/health-promotion-in-medical-education-lessons-from-a-major-undergraduate-curriculum-implementation
#6
Ann Wylie, Kathleen Leedham-Green
Despite the economic, environmental and patient-related imperatives to prepare medical students to become health promoting doctors, health promotion remains relatively deprioritised in medical curricula. This paper uses an in-depth case study of a health promotion curriculum implementation at a large UK medical school to provide insights into the experiences of teachers and learners across a range of topics, pedagogies, and teaching & assessment modalities. Topics included smoking cessation, behavioural change approaches to obesity, exercise prescribing, social prescribing, maternal and child health, public and global health; with pedagogies ranging from e-learning to practice-based project work...
April 10, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28394709/fissure-seal-or-fluoride-varnish-a-randomized-trial-of-relative-effectiveness
#7
I G Chestnutt, R Playle, S Hutchings, S Morgan-Trimmer, D Fitzsimmons, N Aawar, L Angel, S Derrick, C Drew, C Hoddell, K Hood, I Humphreys, N Kirby, T M M Lau, C Lisles, M Z Morgan, S Murphy, J Nuttall, K Onishchenko, C Phillips, T Pickles, C Scoble, J Townson, B Withers, B L Chadwick
Fissure sealant (FS) and fluoride varnish (FV) are effective in preventing dental caries when compared with a no-treatment control. However, the relative clinical effectiveness of these interventions is uncertain. The objective of the study was to compare the clinical effectiveness of FS and FV in preventing dental caries in first permanent molars (FPMs) in 6- to 7-y-olds. The study design was a randomized clinical trial, with 2 parallel arms. The setting was a targeted-population program that used mobile dental clinics in schools located within areas of high social and economic deprivation in South Wales...
March 1, 2017: Journal of Dental Research
https://www.readbyqxmd.com/read/28392599/a-call-to-promote-healthcare-justice-a-summary-of-integrated-outpatient-clinics-exemplifying-principles-of-catholic-social-teaching
#8
Nicole P Waters, Trenton Schmale, Allison Goetz, Jason T Eberl, Jessica H Wells
There is an urgent need to promote healthcare justice for patients as well as members of the healthcare team including physicians. In this article, we explain how principles of Catholic social teaching (i.e., dignity of the individual, common good, destination of goods, solidarity, and subsidiarity) are applied to health care, by featuring various types of outpatient clinics including free, charitable-direct primary care, hybrid, federally qualified health center, and rural health clinic. We describe how attempts have been made to improve the quality and access of health care by creating new medical schools (i...
February 2017: Linacre Quarterly
https://www.readbyqxmd.com/read/28382831/psychometric-properties-of-the-five-item-version-of-the-mindful-awareness-attention-scale-maas-in-norwegian-adolescents
#9
Otto R F Smith, Ole Melkevik, Oddrun Samdal, Torill M Larsen, Ellen Haug
OBJECTIVES: The aim of the present study was to examine the factor structure, model-based reliability, measurement invariance and concurrent validity of the five-item version of the Mindfulness Attention Awareness Scale (MAAS) in Norwegian adolescents. METHODS: An initial pilot study was carried out using a sample of 77 fifteen year olds. For the main analyses, a sample of 2140 Norwegian adolescents was used who participated in the cross-sectional Health Behaviour in School-Aged Children (HBSC) study...
April 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/28381246/-fit-for-school-a-school-based-water-sanitation-and-hygiene-programme-to-improve-child-health-results-from-a-longitudinal-study-in-cambodia-indonesia-and-lao-pdr
#10
Denise Duijster, Bella Monse, Jed Dimaisip-Nabuab, Pantjawidi Djuharnoko, Roswitha Heinrich-Weltzien, Martin Hobdell, Katrin Kromeyer-Hauschild, Yung Kunthearith, Maria Carmela Mijares-Majini, Nicole Siegmund, Panith Soukhanouvong, Habib Benzian
BACKGROUND: The Fit for School (FIT) programme integrates school health and Water, Sanitation and Hygiene interventions, which are implemented by the Ministries of Education in four Southeast Asian countries. This paper describes the findings of a Health Outcome Study, which aimed to assess the two-year effect of the FIT programme on the parasitological, weight, and oral health status of children attending schools implementing the programme in Cambodia, Indonesia and Lao PDR. METHODS: The study was a non-randomized clustered controlled trial with a follow-up period of two years...
April 5, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28377916/empowering-the-physiotherapy-profession-in-ethiopia-through-leadership-development-within-the-doctoring-process
#11
Cheryl Burditt Footer, Hailu Seifu Tsegaye, Tesfaye Asnake Yitnagashaw, Wintana Mekonnen, Tizita Destaw Shiferaw, Endashaw Abera, Alice Davis
Ethiopia recently introduced the Doctor of Physiotherapy (DPT) degree at Addis Ababa University as a mechanism to increase the work force capacity of primary care providers in the health sector. The DPT program was supported by an international academic partnership and was designed to empower physiotherapists as leaders to move the profession forward. The curriculum was framed by core pedagogical principles and strategies and was phased into two programs. First, the 4-year Advanced Standing DPT program focused on developing registered Ethiopian physiotherapists with Bachelor of Science degrees as academic faculty...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28368272/consensus-statement-of-the-indian-academy-of-pediatrics-on-evaluation-and-management-of-autism-spectrum-disorder
#12
Samir Dalwai, Shabina Ahmed, Vrajesh Udani, Nandini Mundkur, S S Kamath, M K C Nair
JUSTIFICATION: Autism Spectrum Disorder (ASD) is a clinically heterogenous condition with a wide range of etiological factors and causing significant public health burden. ASD poses a serious developmental disadvantage to the child in the form of poor schooling, social function and adult productivity. Thus, framing evidence-based national guidelines is a pressing need. PROCESS: The meeting on formulation of national consensus guidelines on neurodevelopmental disorders was organized by Indian Academy of Paediatrics in Mumbai on 18th and 19th December 2015...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28367719/high-burden-of-mental-illness-and-low-utilization-of-care-among-school-going-youth-in-central-haiti-a-window-into-the-youth-mental-health-treatment-gap-in-a-low-income-country
#13
Eddy Eustache, Margaret E Gerbasi, Mary C Smith Fawzi, J Reginald Fils-Aimé, Jennifer Severe, Giuseppe J Raviola, Rupinder Legha, Sarah Darghouth, David J Grelotti, Tatiana Thérosmé, Ermaze L Pierre, Emmeline Affricot, Yoldie Alcindor, Anne E Becker
BACKGROUND: The mental health treatment gap for youth in low- and middle-income countries (LMICs) is substantial; strategies for redress are urgently needed to mitigate the serious health and social consequences of untreated mental illness in youth. AIMS: To estimate the burden of major depressive episode (MDE) and posttraumatic stress disorder (PTSD) as well as utilization of care among Haitian youth in order to describe the mental health treatment gap in a LMIC setting...
March 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28363879/get-connected-development-and-pilot-testing-of-an-intervention-to-improve-computer-and-internet-attitudes-and-internet-use-among-women-living-with-hiv
#14
Gabriela Seplovich, Keith J Horvath, Lorlette J Haughton, Oni J Blackstock
BACKGROUND: For persons living with chronic medical conditions, the Internet can be a powerful tool for health promotion, and allow for immediate access to medical information and social support. However, women living with human immunodeficiency virus (HIV) in the United States face numerous barriers to computer and Internet use. Health behavior change models suggest that the first step towards adopting a new health behavior is to improve attitudes towards that behavior. OBJECTIVE: To develop and pilot test Get+Connected, an intervention to improve computer and Internet attitudes and Internet use among women living with HIV...
March 31, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28359680/assessment-of-youtube-content-for-distal-radius-fracture-immobilization
#15
Abdullah Addar, Yousef Marwan, Nizar Algarni, Gregory Berry
OBJECTIVE: Distal radius fractures (DRFs) are the most common orthopedic fractures, with >70% of cases treated by closed immobilization using a short arm cast or a sugar tong splint. However, inadequate immobilization is a risk factor for loss of reduction requiring repeat reduction or surgical treatment. Therefore, education of clinical skills for appropriate immobilization of DRFs is important. With the increasing use of web-based information by medical learners, our aim was to assess the quality and quantity of videos regarding closed immobilization of DRFs on YouTube...
March 27, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28356149/disparities-in-receipt-of-recommended-care-among-younger-versus-older-medicare-beneficiaries-a-cohort-study
#16
Ling Na, Joel E Streim, Liliana E Pezzin, Jibby E Kurichi, Dawei Xie, Hillary R Bogner, Pui L Kwong, Steven M Asch, Sean Hennessy
BACKGROUND: Although health disparities have been documented between Medicare beneficiaries based on age (<65 years vs. older age groups), underuse of recommended medical care in younger beneficiaries has not been thoroughly investigated. In this study, we aim to identify and characterize vulnerabilities of the younger Medicare age group (aged <65 years) in relation to older age groups (aged 65-74 years and ≥75 years) and to explore age group as a determinant of use of recommended care among Medicare beneficiaries...
March 29, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28353500/how-can-medical-students-add-value-identifying-roles-barriers-and-strategies-to-advance-the-value-of-undergraduate-medical-education-to-patient-care-and-the-health-system
#17
Jed D Gonzalo, Michael Dekhtyar, Richard E Hawkins, Daniel R Wolpaw
PURPOSE: As health systems evolve, the education community is seeking to reimagine student roles that combine learning with meaningful contributions to patient care. The authors sought to identify potential stakeholders regarding the value of student work, and roles and tasks students could perform to add value to the health system, including key barriers and associated strategies to promote value-added roles in undergraduate medical education. METHOD: In 2016, 32 U...
March 28, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28351374/working-memory-training-in-children-with-neuropsychiatric-disorders-and-mild-to-borderline-intellectual-functioning-the-role-of-coaching-a-double-blind-randomized-controlled-trial
#18
Sammy Roording-Ragetlie, Helen Klip, Jan Buitelaar, Dorine Slaats-Willemse
BACKGROUND: Working memory training (WMT) has been shown to offer therapeutic benefits to both patients with Attention-Deficit Hyperactivity Disorder (ADHD) and patients with mild to borderline Intellectual Disabilities (MBID; 60 < IQ < 85). However, robust evidence for transfer effects and treatment benefits of WMT over placebo training are lacking. Owing to the nature of double-blind research designs in RCTs, children have received non-specific coaching not based on their actual training performance...
March 28, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28349174/effects-of-a-long-term-lifestyle-modification-programme-on-peripheral-neuropathy-in-overweight-or-obese-adults-with-type-2-diabetes-the-look-ahead-study
#19
(no author information available yet)
AIMS/HYPOTHESIS: The aim of this study was to evaluate the effects on diabetic peripheral neuropathy (DPN) of a long-term intensive lifestyle intervention (ILI) programme designed to achieve and maintain weight loss. METHODS: Beginning in 2001, a total of 5145 overweight or obese people with type 2 diabetes, aged 45-76 years, participating in the multicentre Look AHEAD (Action for Health in Diabetes) study were randomised to ILI (n = 2570) or to a diabetes support and education (DSE) control group (n = 2575) using a web-based management system at the study coordinating centre at Wake Forest School of Medicine (Winston-Salem, NC, USA)...
March 27, 2017: Diabetologia
https://www.readbyqxmd.com/read/28346758/commentary-distillation-and-element-based-design-of-psychological-treatments-in-global-mental-health-a-commentary-on-brown-et%C3%A2-al-2017
#20
Daniel Michelson, Vikram Patel
This commentary reflects on the "elements" approach in psychological treatment research, and its specific application to a systematic review of psychosocial interventions for youth in conflict-affected areas. We discuss three key questions for the field. First, what psychological treatment elements are necessary and/or sufficient to achieve clinically significant change for a given population? Second, how should elements be sequenced to achieve optimal outcomes? Third, what might account for the large heterogeneity observed in psychological treatment trials, other than the constituent practice elements? We conclude by describing a new research programme that aims to develop a transdiagnostic intervention targeting common mental health difficulties among school-going adolescents in India...
April 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
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