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https://www.readbyqxmd.com/read/29914417/improved-rates-of-exclusive-breastfeeding-at-14-weeks-of-age-in-kwazulu-natal-south-africa-what-are-the-challenges-now
#1
C Horwood, L Haskins, I M Engebretsen, S Phakathi, C Connolly, A Coutsoudis, L Spies
BACKGROUND: Increasing the rate of exclusive breastfeeding (EBF) to 50% in the first six months of life is one of six major global targets set by the United Nations Decade of Nutrition, and is essential to achieve the sustainable development goals to eradicate hunger and end malnutrition by 2030. METHODS: A survey using multistage random sampling design included 99 primary health care (PHC) clinics in all 11 districts in KwaZulu-Natal (KZN). All mothers and caregivers of infants 14 weeks of age attending the clinics in the study period were requested to participate in a structured interview to explore feeding practices since birth...
June 19, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29907335/trial-protocol-the-use-of-mindfulness-based-intervention-for-improving-bracing-compliance-for-adolescent-idiopathic-scoliosis-patients-protocol-for-a-randomised-controlled-trial
#2
Benjamin Hon Kei Yip, Xue Li, Christine Hiu Yan Leung, Ting Gao, Vincent Chi Ho Chung, Fiona Wai Ping Yu, Tsz Ping Lam, Jack Chun Yiu Cheng, Samuel Yeung Shan Wong
INTRODUCTION: Adolescent idiopathic scoliosis (AIS) is the most prevalent deforming orthopaedic condition; it causes significant disability when spinal curves progress beyond 45deg. Bracing is the primary treatment prescribed for adolescents with an immature skeleton who have spinal curves between 25 and 45deg. New evidence suggests that compliance with bracing significantly decreases the progression of high-risk curves to the threshold for surgery. Nonetheless, bracing is a stressful experience...
June 12, 2018: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29905621/early-life-somatic-complaints-longitudinal-associations-with-maternal-and-child-psychopathology
#3
Melissa L Engel, Dominika A Winiarski, Brooke L Reidy, Patricia A Brennan
OBJECTIVE: Somatic complaints, often associated with concurrent and future internalizing symptoms and disorders in adult samples, were examined longitudinally from preschool to school age in a sample of children at an increased familial risk for psychopathology. The behavioral correlates and sex differences of somatic complaints and the persistence of these complaints across early childhood were examined. METHOD: A longitudinal sample of 185 mothers completed a laboratory visit when children were preschool aged and an online follow-up when children were school aged...
June 13, 2018: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/29871619/suubi4her-a-study-protocol-to-examine-the-impact-and-cost-associated-with-a-combination-intervention-to-prevent-hiv-risk-behavior-and-improve-mental-health-functioning-among-adolescent-girls-in-uganda
#4
Fred M Ssewamala, Laura Gauer Bermudez, Torsten B Neilands, Claude A Mellins, Mary M McKay, Irv Garfinkel, Ozge Sensoy Bahar, Gertrude Nakigozi, Miriam Mukasa, Lindsay Stark, Christopher Damulira, Jennifer Nattabi, Apollo Kivumbi
BACKGROUND: Asset-based economic empowerment interventions, which take an integrated approach to building human, social, and economic capital, have shown promise in their ability to reduce HIV risk for young people, including adolescent girls, in sub-Saharan Africa. Similarly, community and family strengthening interventions have proven beneficial in addressing mental health and behavioral challenges of adolescents transitioning to adulthood. Yet, few programs aimed at addressing sexual risk have applied combination interventions to address economic stability and mental health within the traditional framework of health education and HIV counseling/testing...
June 5, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29851732/the-impact-of-worksite-clinics-on-teacher-healthcare-utilization-and-cost-self-reported-health-status-and-student-academic-achievement-growth-in-a-public-school-district
#5
John B Engberg, Jon Harris-Shapiro, David Hines, Patti McCarver, Harry H Liu
OBJECTIVE: To examine the impact of worksite clinics on healthcare utilization and cost, self-reported health status, and student achievement growth in a public school district. METHODS: We used insurance claims, health risk assessment, and student achievement growth data for active teachers during 2007-2015. A difference-in-differences approach was applied to measure the impact of worksite clinics. RESULTS: Compared to using a community-based clinic as the usual source of primary care, using a worksite clinic was associated with significantly lower inpatient admissions (53 vs...
May 29, 2018: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29806197/prevalence-of-youth-gambling-and-potential-influence-of-substance-use-and-other-risk-factors-across-33-european-countries-first-results-from-the-2015-espad-study
#6
Sabrina Molinaro, Elisa Benedetti, Marco Scalese, Luca Bastiani, Loredana Fortunato, Sonia Cerrai, Natale Canale, Pavla Chomynova, Zsuzsanna Elekes, Fernanda Feijão, Anastasios Fotiou, Anna Kokkevi, Ludwig Kraus, Liudmila Rupšienė, Karin Monshouwer, Alojz Nociar, Julian Strizek, Tanja Urdih Lazar
BACKGROUND AND AIMS: Although generally prohibited by national regulations, underage gambling has become popular in Europe, with relevant cross-country prevalence variability. This study aimed to estimate the prevalence of underage gambling in Europe stratified by type of game and on-line/off-line mode and to examine the association with individual and family characteristics and substance use. DESIGN: Our study used data from the 2015 ESPAD cross-sectional study, a survey using self-administered anonymous questionnaires...
May 28, 2018: Addiction
https://www.readbyqxmd.com/read/29801061/interest-and-uptake-of-mc1r-testing-for-melanoma-risk-in-a-diverse-primary-care-population-a-randomized-clinical-trial
#7
Jennifer L Hay, Kate Zielaskowski, Kirsten Meyer White, Kimberly Kaphingst, Erika Robers, Dolores Guest, Andrew Sussman, Yvonne Talamantes, Matthew Schwartz, Vivian M Rodríguez, Yuelin Li, Elizabeth Schofield, Jessica Bigney, Keith Hunley, David Buller, Marianne Berwick
Importance: Germline variants in the MC1R gene are common and confer moderate melanoma risk in those with varied skin types. Approaches to precision skin cancer prevention that include genetic information may promote risk awareness and risk reduction in the general population, including Hispanics. Objective: To examine prevalence of interest in and uptake of MC1R testing in the general population and examine patterns across demographic and skin cancer risk factors...
May 9, 2018: JAMA Dermatology
https://www.readbyqxmd.com/read/29773778/a-collaboration-to-teach-us-mph-students-about-cuba-s-health-care-system
#8
Joan O'Connell, Ana María Gálvez-González, Jean Scandlyn, María R Sala-Adam, Xiomara Martín-Linares
In 2011, the US Department of the Treasury changed its regulations to allow US students to participate in short-term education programs in Cuba. Beginning in 2012, and each year thereafter, Cuba's National School of Public Health and the Colorado School of Public Health have jointly taught a class on the Cuban public health system. The program goals are to provide US students with an opportunity to learn about the Cuban national health system's focus on 1) prevention and primary health care services; 2) financial and geographic access to services and health equity; 3) continuum of care across the home, family doctor-and-nurse offices, polyclinics and hospitals; 4) data collection at all levels to understand health risks, including outbreaks, and to guide resource allocation; 5) assessing patients' health and risks using a comprehensive definition of health; 6) multisectoral collaborations between the Ministry of Public Health and other Cuban agencies and organizations to address population health risks; 7) disaster preparedness, response and recovery; and 8) provision of international health assistance...
April 2018: MEDICC Review
https://www.readbyqxmd.com/read/29759055/results-of-a-coordinated-specialty-care-program-for-early-psychosis-and-predictors-of-outcomes
#9
Ilana Nossel, Melanie M Wall, Jennifer Scodes, Leslie A Marino, Sacha Zilkha, Iruma Bello, Igor Malinovsky, Rufina Lee, Marleen Radigan, Thomas E Smith, Lloyd Sederer, Gyojeong Gu, Lisa Dixon
OBJECTIVE: This study prospectively evaluated outcomes of OnTrackNY, a statewide coordinated specialty care (CSC) program for treatment of early psychosis in community settings, as well as predictors of outcomes. METHODS: The sample included 325 individuals ages 16-30 with recent-onset nonaffective psychosis who were enrolled in OnTrackNY and who had at least one three-month follow-up. Clinicians provided data at baseline and quarterly up to one year. Domains assessed included demographic and clinical characteristics, social and occupational functioning, medications, suicidality and violence, hospitalization, and time to intervention...
May 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29750825/cyclamen-europaeum-extract-for-acute-sinusitis
#10
REVIEW
Anca Zalmanovici Trestioreanu, Ankur Barua, Barak Pertzov
BACKGROUND: Acute sinusitis is a common reason for primary care encounters. It causes significant symptoms including facial pain, congested nose, headache, thick nasal mucus, fever, and cough and often results in time off work or school. Sinusitis treatment focuses on eliminating causative factors and controlling the inflammatory and infectious components. The frozen, dried, natural fluid extract of the Cyclamen europaeum plant delivered intranasally is thought to have beneficial effects in relieving congestion by facilitating nasal drainage, and has an anti-inflammatory effect...
May 11, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29746622/socioeconomic-factors-and-mortality-in-patients-with-atrial-fibrillation-a-cohort-study-in-swedish-primary-care
#11
Per Wändell, Axel C Carlsson, Danijela Gasevic, Martin J Holzmann, Johan Ärnlöv, Jan Sundquist, Kristina Sundquist
Background: Preventing ischaemic stroke attracts significant focus in atrial fibrillation (AF) cases. Less is known on the association between socioeconomic factors and mortality and cardiovascular outcomes in patients with AF. Methods: Our study population included adults (n=12 283) ≥45 years diagnosed with AF at 75 primary care centres in Sweden 2001-07. Cox regression was used to calculate hazard ratios (HRs) with 95% confidence intervals (CIs) for the association between the exposures educational level, marital status, neighbourhood socioeconomic status and the outcomes all-cause mortality, after adjustment for age, and comorbid cardiovascular conditions...
May 9, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29743105/implementation-of-the-good-school-toolkit-in-uganda-a-quantitative-process-evaluation-of-a-successful-violence-prevention-program
#12
Louise Knight, Elizabeth Allen, Angel Mirembe, Janet Nakuti, Sophie Namy, Jennifer C Child, Joanna Sturgess, Nambusi Kyegombe, Eddy J Walakira, Diana Elbourne, Dipak Naker, Karen M Devries
BACKGROUND: The Good School Toolkit, a complex behavioural intervention designed by Raising Voices a Ugandan NGO, reduced past week physical violence from school staff to primary students by an average of 42% in a recent randomised controlled trial. This process evaluation quantitatively examines what was implemented across the twenty-one intervention schools, variations in school prevalence of violence after the intervention, factors that influence exposure to the intervention and factors associated with students' experience of physical violence from staff at study endline...
May 9, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29720469/do-schoolbags-cause-back-pain-in-children-and-adolescents-a-systematic-review
#13
REVIEW
Tiê Parma Yamato, Chris G Maher, Adrian C Traeger, Christopher M Wiliams, Steve J Kamper
OBJECTIVE: To investigate whether characteristics of schoolbag use are risk factors for back pain in children and adolescents. DATA SOURCES: Electronic searches of MEDLINE, EMBASE and CINAHL databases up to April 2016. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Prospective cohort studies, cross-sectional and randomised controlled trials conducted with children or adolescents. The primary outcome was an episode of back pain and the secondary outcomes were an episode of care seeking and school absence due to back pain...
May 2, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29690829/psychosocial-characteristics-of-primary-care-seeking-long-distance-truck-drivers-in-kenya-and-associations-with-hiv-testing
#14
Matthew L Romo, Gavin George, Joanne E Mantell, Eva Mwai, Eston Nyaga, Jacob O Odhiambo, Kaymarlin Govender, Elizabeth A Kelvin
The 90-90-90 strategy from the Joint United Nations Programme on HIV/AIDS (UNAIDS) to end the AIDS epidemic by 2020 includes, as its first goal, to have 90% of all people living with HIV to know their status. Achieving this goal will depend on effectively reaching high risk populations, which include mobile populations such as truck drivers. This study aimed to characterise a sample of 305 truck drivers recruited from 2 roadside wellness clinics in Kenya in terms of anticipated HIV stigma, self-efficacy, fatalism, gender equity, sensation seeking, and self-esteem, and then determine the association of these psychosocial characteristics with HIV testing behaviour...
April 24, 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29677364/long-anterior-lens-zonules-and-intraocular-pressure
#15
Daniel K Roberts, Tricia L Newman, Mary Flynn Roberts, Bruce A Teitelbaum, Janis E Winters
Purpose: To investigate the relation between intraocular pressure (IOP) and the idiopathic long anterior zonule (LAZ) trait. Methods: Patients presenting for primary eye care were examined for LAZ, identified as radially oriented zonular fibers with central extension >1.0 mm beyond the normal anterior lens insertion zone (estimated via slit lamp beam length). Ocular, systemic health, and lifestyle data were collected via comprehensive exam and questionnaire. Multivariate regression was used to assess the relationship between IOP (Goldmann) and LAZ...
April 1, 2018: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/29671913/measuring-the-financial-and-productivity-burden-of-paediatric-hospitalisation-on-the-wider-family-network
#16
Virginia Mumford, Melissa T Baysari, Djala Kalinin, Magdalena Z Raban, Cheryl McCullagh, Jonathon Karnon, Johanna I Westbrook
AIM: To estimate the non-medical out-of-pocket costs for families with a child in hospital. METHODS: This study was a survey of 225 parents of paediatric inpatients on nine wards of an Australian public paediatric teaching hospital on two separate days. Our primary outcomes were the costs associated with: (i) time taken off work to care for the child in hospital; (ii) time off work or contributed by family and friends to care for other dependents; and (iii) travel, meals, accommodation and incidental expenses during the child's stay...
April 19, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29661635/assessment-of-community-level-effects-of-intermittent-preventive-treatment-for-malaria-in-schoolchildren-in-jinja-uganda-start-ipt-trial-a-cluster-randomised-trial
#17
Sarah G Staedke, Catherine Maiteki-Sebuguzi, Andrea M Rehman, Simon P Kigozi, Samuel Gonahasa, Jaffer Okiring, Steve W Lindsay, Moses R Kamya, Clare I R Chandler, Grant Dorsey, Chris Drakeley
BACKGROUND: Intermittent preventive treatment (IPT) is a well established malaria control intervention. Evidence that delivering IPT to schoolchildren could provide community-level benefits is limited. We did a cluster-randomised controlled trial to assess the effect of IPT of primary schoolchildren with dihydroartemisinin-piperaquine (DP) on indicators of malaria transmission in the community, in Jinja, Uganda. METHODS: We included 84 clusters, each comprising one primary school and the 100 closest available households...
June 2018: Lancet Global Health
https://www.readbyqxmd.com/read/29660593/factors-associated-with-hazardous-alcohol-use-and-motivation-to-reduce-drinking-among-hiv-primary-care-patients-baseline-findings-from-the-health-motivation-study
#18
Michael J Silverberg, Wendy A Leyden, Amy Leibowitz, C Bradley Hare, Hannah J Jang, Stacy Sterling, Sheryl L Catz, Sujaya Parthasarathy, Michael A Horberg, Derek D Satre
BACKGROUND: Limited primary care-based research has examined hazardous drinking risk factors and motivation to reduce use in persons with HIV (PWH). METHODS: We computed prevalence ratios (PR) for factors associated with recent (<30 days) hazardous alcohol use (i.e., 4+/5+ drinks in a single day for women/men), elevated Alcohol Use Disorders Identification Test (AUDIT) scores, and importance and confidence (1-10 Likert scales) to reduce drinking among PWH in primary care...
September 2018: Addictive Behaviors
https://www.readbyqxmd.com/read/29650310/electronic-health-record-with-computerized-decision-support-tools-for-the-purposes-of-a-pediatric-cardiovascular-heart-disease-screening-program-in-crete
#19
Ilias Chatzakis, Kostas Vassilakis, Christos Lionis, Ioannis Germanakis
BACKGROUND AND OBJECTIVE: Early detection of cardiovascular (CV) disease or associated risk factors during childhood is of paramount importance, allowing for early treatment or lifestyle modifications, respectively. The objective of this study was to describe the development of an electronic health record (EHR), with integrated computerized decision support system (CDSS), specifically designed for supporting the needs of a pilot pediatric CV disease screening program applied on primary school students of a Mediterranean island...
June 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29649631/simultaneous-risk-factor-control-using-telehealth-to-slow-progression-of-diabetic-kidney-disease-stop-dkd-study-protocol-and-baseline-characteristics-of-a-randomized-controlled-trial
#20
Clarissa J Diamantidis, Hayden B Bosworth, Megan M Oakes, Clemontina A Davenport, Jane F Pendergast, Sejal Patel, Jivan Moaddeb, Huiman X Barnhart, Peter D Merrill, Khaula Baloch, Matthew J Crowley, Uptal D Patel
Diabetic kidney disease (DKD) is the leading cause of end-stage kidney disease (ESKD) in the United States. Multiple risk factors contribute to DKD development, yet few interventions target more than a single DKD risk factor at a time. This manuscript describes the study protocol, recruitment, and baseline participant characteristics for the Simultaneous Risk Factor Control Using Telehealth to slOw Progression of Diabetic Kidney Disease (STOP-DKD) study. The STOP-DKD study is a randomized controlled trial designed to evaluate the effectiveness of a multifactorial behavioral and medication management intervention to mitigate kidney function decline at 3 years compared to usual care...
June 2018: Contemporary Clinical Trials
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