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https://www.readbyqxmd.com/read/29471438/development-of-a-health-assessment-instrument-for-people-with-intellectual-disabilities-a-delphi-study
#1
Esther J Bakker-van Gijssel, Peter L B J Lucassen, Tim C Olde Hartman, Willem J J Assendelft, Henny M J van Schrojenstein Lantman-de Valk
Background: People with intellectual disabilities (IDs) experience health inequalities. Applying health assessments is one way of diminishing these inequalities. A health assessment instrument can support general practitioners (GPs) in providing better medical care to people with ID. Objectives: The aim of this study was to determine which items should be part of a health assessment instrument for people with ID to be used in primary care. Methods: This Delphi consensus study was conducted among 24 GP experts and 21 ID physicians...
February 17, 2018: Family Practice
https://www.readbyqxmd.com/read/29470112/cumulative-prevalence-of-maltreatment-among-new-zealand-children-1998-2015
#2
Bénédicte Rouland, Rhema Vaithianathan
OBJECTIVES: To document, via linked administrative data, the cumulative prevalence among New Zealand children of notifications to child protective services (CPS), substantiated maltreatment cases, and out-of-home placements. METHODS: We followed all children born in New Zealand in 1998 until the end of 2015 (an overall sample of 55 443 children). We determined the cumulative frequencies of notifications, substantiated maltreatment cases (by subtype), and first entries into foster care from birth through the age of 17 years...
February 22, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29469672/va-staff-perceptions-of-barriers-and-facilitators-to-home-and-community-based-placement-post-hospital-discharge
#3
Edward Alan Miller, Orna Intrator, Emily Gadbois, Stefanie Gidmark, James L Rudolph
This study identifies factors VA staff perceived to promote or impede home and community-based services (HCBS) placement post-hospital discharge among Veterans cared for within the U.S. Department of Veterans Affairs (VA). Data derive from 35 semi-structured interviews with staff from 12 VA Medical Centers from around the country. VA staff reported that Veterans' care needs and social and financial resources influence HCBS placement. They also reported prerequisites for successful placement, including housing, unpaid informal care, and non-VA services funded privately and by public programs such as Medicaid and the Older Americans Act...
February 22, 2018: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/29469551/don%C3%A2-t-try-this-at-home-the-fda%C3%A2-s-restrictive-regulation-of-home-testing-devices
#4
Shelby Baird
Over the past forty years, the Food and Drug Administration (FDA) has successfully restricted consumers' access to home-testing applications based on the notion that it should protect individuals from their own reactions to test results. In the 1970s, the FDA briefly denied women access to home pregnancy tests that were identical to those used in laboratories. In the late 1980s and early 1990s, it relied on concerns about consumer responses to HIV status results to justify a categorical ban on applications for HIV home-testing technology...
November 2017: Duke Law Journal
https://www.readbyqxmd.com/read/29468198/paraganglioma-of-urinary-bladder-managed-by-laparoscopic-partial-cystectomy-in-conjunction-with-flexible-cystoscopy-a-case-report
#5
Hossam S El-Tholoth, Sami Al Rasheedi, Faris Alharbi, Waleed Alshammari, Tarek Alzahrani, Ahmed Al Zahrani
Background: Paraganglioma of the urinary bladder (PUB) is exceedingly rare, accounting for <0.1% of all urinary bladder tumors. Various challenging treatment options are available. Case Presentation: A 67-year-old female presented with malignant hypertension on four medications for which investigation was done. An observation of having functioning PUB was noted. She was admitted and laparoscopic partial cystectomy was done with the guidance of flexible cystoscopy. She had a smooth postoperative course and was discharged home, then catheter was removed after cystogram...
2018: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29466814/-dgp-interstitial-lung-disease-patient-questionnaire
#6
M Kreuter, U Ochmann, D Koschel, J Behr, F Bonella, M Claussen, U Costabel, S Jungmann, M Kolb, D Nowak, F Petermann, M Pfeiffer, M Polke, A Prasse, J Schreiber, J Wälscher, H Wirtz, D Kirsten
BACKGROUND:  Interstitial lung diseases (ILD) encompass different heterogeneous, mainly chronic diseases of the pulmonary interstitium and/or alveoli with known and unknown reasons. The diagnostic of ILD is challenging and should be performed interdisciplinary. The medical history is of major importance and therefore, in German-speaking countries the Frankfurter Bogen (published in 1985) was utilised to scrutinise the medical history of the patient. This by now more than 30-years-old questionnaire requires a revision with regard to content and language...
February 21, 2018: Pneumologie
https://www.readbyqxmd.com/read/29466524/-social-determinants-of-intestinal-parasitism-malnutrition-and-anemia-systematic-review
#7
Jaiberth Antonio Cardona-Arias
OBJECTIVE: Characterize the publications on social determinants of intestinal parasitism, malnutrition, and anemia at the global level. METHODS: A systematic review was conducted of the scientific literature in Pubmed, Science Direct, SciELO, LILACS, and Google Scholar with eight search strategies, guaranteeing completeness and replicability, following the phases of the PRISMA guidelines. RESULTS: The review included 18 studies on malnutrition, three on parasitism, three on anemia, and two on both parasitism and malnutrition; 65...
February 19, 2018: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/29466262/post-hospital-medication-discrepancies-at-home-risk-factor-for-90-day-return-to-emergency-department
#8
Linda L Costa, Ha Do Byon
The purpose of this study was to evaluate the occurrence of medication discrepancies during transitional care home visits and the association with emergency department (ED) visits. Using secondary data analysis, the relationships between in-home medication discrepancies and 30- and 90-day ED utilization were examined. For every in-home medication discrepancy, the odds of being admitted to the ED within 90 days increased by 31%. This brief intervention could add a valuable component to post-hospital transition management...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29466230/linkage-of-1999-2012-national-health-interview-survey-and-national-health-and-nutrition-examination-survey-data-to-u-s-department-of-housing-and-urban-development-administrative-records
#9
Patricia C Lloyd, Veronica E Helms, Alan E Simon, Cordell Golden, James Brittain, Eileen Call, Lisa B Mirel, Barry L Steffen, Jon Sperling, Elizabeth C Rudd, Jennifer D Parker, Carol S Star
Objectives This report presents the development, plan, and operation of the 2011-2012 National Survey of Children's Health, a module of the State and Local Area Integrated Telephone Survey, conducted by the National Center for Health Statistics. Funding was provided by the Maternal and Child Health Bureau, Health Resources and Services Administration. The survey was designed to produce national and state prevalence estimates of the physical and emotional health of children aged 0-17 years, as well as factors that may relate to child well-being including medical homes, family interactions, parental health, school and after-school experiences, and neighborhood characteristics...
October 2017: Vital and Health Statistics. Ser. 1, Programs and Collection Procedures
https://www.readbyqxmd.com/read/29464773/thinking-with-care-infrastructures-people-devices-and-the-home-in-home-blood-pressure-monitoring
#10
Kate Weiner, Catherine Will
The growing consumer market in health monitoring devices means that technologies that were once the preserve of the clinic are moving into spaces such as homes and workplaces. We consider how one such device, blood pressure monitors, comes to be integrated into everyday life. We pursue the concept of 'care infrastructure', drawing on recent scholarship in STS and medical sociology, to illuminate the work and range of people, things and spaces involved in self-monitoring. Drawing on a UK study involving observations and interviews with 31 people who have used a consumer blood pressure monitor, we apply the concept beyond chronic illness, to practices involving consumer devices - and develop a critical account of its value...
February 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29463382/clinical-and-non-clinical-factors-that-predict-discharge-disposition-after-a-fall
#11
Melissa K James, R Jonathan Robitsek, Syed M Saghir, Patricia A Gentile, Marylin Ramos, Frances Perez
BACKGROUND: Falls can result in injuries that require rehabilitation and long-term care after hospital discharge. Identifying factors that contribute to prediction of discharge disposition is crucial for efficient resource utilization and reducing cost. Several factors may influence discharge location after hospitalization for a fall. The aim of this study was to examine clinical and non-clinical factors that may predict discharge disposition after a fall. We hypothesized that age, injury type, insurance type, and functional status would affect discharge location...
February 14, 2018: Injury
https://www.readbyqxmd.com/read/29463211/team-up-for-quality-a-cluster-randomized-controlled-trial-protocol-focused-on-preventing-pressure-ulcers-through-repositioning-frequency-and-precipitating-factors
#12
Tracey L Yap, Susan M Kennerly, Susan D Horn, Nancy Bergstrom, Santanu Datta, Cathleen Colon-Emeric
BACKGROUND: Pressure ulcers/injuries (PrUs), a critical concern for nursing homes (NH), are responsible for chronic wounds, amputations, septic infections, and premature deaths. PrUs occur most commonly in older adults and NH residence is a risk factor for their development, with at least one of every nine U.S. NH residents experiencing a PrU and many NHs having high incidence and prevalence rates, in some instances well over 20%. PrU direct treatment costs are greater than prevention costs, making prevention-focused protocols critical...
February 20, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29463192/home-based-exercise-for-elderly-patients-with-intermittent-claudication-limited-by-osteoarticular-disorders-feasibility-and-effectiveness-of-a-low-intensity-programme
#13
Nicola Lamberti, Sofia Straudi, Efisio Lissia, Lorenza Cavazzini, Sergio Buja, Roberto Manfredini, Nino Basaglia, Fabio Manfredini
BACKGROUND: Peripheral arterial disease (PAD) is a common cardiovascular pathology affecting mobility in elderly. Osteoarticular diseases (ODs), responsible for functional limitations and confounding leg symptoms, may interfere with exercise therapy. This study evaluates the feasibility and effectiveness of a structured home-based exercise programme on rehabilitative outcomes in a cohort of elderly PAD patients with and without coexisting ODs. PATIENTS AND METHODS: Patients were enrolled from 2002 to 2016 in an exercise programme prescribed and controlled at the hospital and based on two daily 10-minute home walking sessions below the self-selected speed...
February 21, 2018: VASA. Zeitschrift Für Gefässkrankheiten
https://www.readbyqxmd.com/read/29463169/clinical-outcomes-of-student-pharmacist-driven-medication-histories-at-an-academic-medical-center
#14
Justine S Gortney, Lynette R Moser, Priyasha Patel, Joshua N Raub
BACKGROUND: Many studies have shown the positive impact that student pharmacists have on patients' health; however, no studies have been published evaluating student pharmacists' impact on direct patient outcomes (ie, readmission, emergency department [ED] visits, length of stay) related to the medication history process. OBJECTIVE: To evaluate the impact of student pharmacist-obtained medication histories on identification of medication discrepancies and clinical outcomes...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29462078/the-impact-of-a-health-information-technology-focused-patient-centered-medical-neighborhood-program-among-medicare-beneficiaries-in-primary-care-practices-the-effect-on-patient-outcomes-and-spending
#15
Sean Orzol, Rosalind Keith, Mynti Hossain, Michael Barna, G Greg Peterson, Timothy Day, Boyd Gilman, Laura Blue, Keith Kranker, Kate A Stewart, Sheila Hoag, Lorenzo Moreno
BACKGROUND: The Center for Medicare & Medicaid Innovation (CMMI) tests new models of paying for or delivering health care services and expands models that improve health outcomes while lowering medical spending. CMMI gave TransforMED, a national learning and dissemination contractor, a 3-year Health Care Innovation Award (HCIA) to integrate health information technology systems into physician practices. This paper estimates impacts of TransforMED's HCIA-funded program on patient outcomes and Medicare parts A and B spending...
February 16, 2018: Medical Care
https://www.readbyqxmd.com/read/29462077/maryland-multipayor-patient-centered-medical-home-program-a-4-year-quasiexperimental-evaluation-of-quality-utilization-patient-satisfaction-and-provider-perceptions
#16
Jill A Marsteller, Yea-Jen Hsu, Christine Gill, Zippora Kiptanui, Oludolapo A Fakeye, Lilly D Engineer, Donna Perlmutter, Niharika Khanna, Gail B Rattinger, Donald Nichols, Ilene Harris
OBJECTIVE: To evaluate impact of the Maryland Multipayor Patient-centered Medical Home Program (MMPP) on: (1) quality, utilization, and costs of care; (2) beneficiaries' experiences and satisfaction with care; and (3) perceptions of providers. DESIGN: 4-year quasiexperimental design with a difference-in-differences analytic approach to compare changes in outcomes between MMPP practices and propensity score-matched comparisons; pre-post design for patient-reported outcomes among MMPP beneficiaries...
February 16, 2018: Medical Care
https://www.readbyqxmd.com/read/29462050/acute-heart-failure-at-the-time-of-transcatheter-aortic-valve-replacement-does-not-increase-mortality
#17
William T Burke, Jaimin R Trivedi, Michael P Flaherty, Kendra J Grubb
OBJECTIVE: Patients presenting for transcatheter aortic valve replacement are often in acute on chronic heart failure, as indicated by elevated N-terminal pro-B-type natriuretic peptide. Many believe that elevated N-terminal pro-B-type natriuretic peptide is an indication to treat medically, reserving surgery until the patient is medically optimized. METHODS: A single-center transcatheter aortic valve replacement database was queried from December 2015 to November 2016 to identify patients undergoing transcatheter aortic valve replacement...
February 17, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29461630/factors-affecting-discharge-to-home-of-geriatric-intermediate-care-facility-residents-in-japan
#18
Kojiro Morita, Sachiko Ono, Miho Ishimaru, Hiroki Matsui, Takashi Naruse, Hideo Yasunaga
OBJECTIVES: To investigate factors associated with lower likelihood of discharge to home from geriatric intermediate care facilities in Japan. DESIGN: Retrospective cohort study. SETTING: We used data from the nationwide long-term care (LTC) insurance claims database (April 2012-March 2014). PARTICIPANTS: Study participants were 342,758 individuals newly admitted to 3,459 geriatric intermediate care facilities during the study period...
February 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29461278/home-inotropes-in-patients-supported-with-left-ventricular-assist-devices
#19
Emeka C Anyanwu, Viktoriya Kagan, Ankit Bhatia, David M Tehrani, Sirtaz Adatya, Gene Kim, Nitasha Sarswat, Valluvan Jeevanandam, Gabriel Sayer, Nir Uriel
There is little data outlining the use of outpatient inotropic medications in patients with existing left ventricular assist devices (LVADs). This case series explores this patient population and seeks to define the indications, complications, and safety of dual support. A retrospective chart review was conducted for all patients on LVAD and then subsequently started on home inotropes post device implant. Eight patients met inclusion criteria. The indications for inotropes were right ventricular failure, aortic insufficiency with biventricular failure, LVAD thrombosis with contraindication to device exchange, and cannula malposition with elevated pulmonary vascular resistance...
February 15, 2018: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/29460766/go-home-med-student-comics-as-visual-media-for-students-traumatic-medical-education-experiences
#20
Jeffrey Monk
A comic created by a medical student allows the reader to share the student's own unique perception of the medical education experience. Through the process of comic creation, medical students have opportunities to gain insight into how their relationships with patients and supervising physicians have shaped the physician they will become. The comic itself can be a safe space for expression and provides an opportunity for students and educators to share experiences.
February 1, 2018: AMA Journal of Ethics
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