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primary care and school-age risk

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https://www.readbyqxmd.com/read/29437489/controller-adherence-following-hospital-discharge-in-high-risk-children-a-pilot-randomized-trial-of-text-message-reminders
#1
Chén C Kenyon, Siobhan M Gruschow, William O Quarshie, Heather Griffis, Michelle C Leach, Joseph J Zorc, Tyra C Bryant-Stephens, Victoria A Miller, Chris Feudtner
OBJECTIVE: To assess the feasibility of a mobile health, inhaled corticosteroid (ICS) adherence reminder intervention and to characterize adherence trajectories immediately following severe asthma exacerbation in high-risk urban children with persistent asthma. METHODS: Children aged 2-13 with persistent asthma were enrolled in this pilot randomized controlled trial during an asthma emergency department (ED) visit or hospitalization. Intervention arm participants received daily text message reminders for 30 days, and both arms received electronic sensors to measure ICS use...
February 13, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/29404716/oral-health-training-knowledge-attitudes-and-practices-of-primary-care-paediatricians-a-european-survey
#2
Adamos Hadjipanayis, Zachi Grossman, Stefano Del Torso, Kyriaki Michailidou, Diego Van Esso, Rita Cauwels
Oral health is an essential component of children's general health. The aim of this study is to evaluate the training, knowledge, attitudes and practices of primary care paediatricians in oral health in Europe. Paediatricians were invited to complete a survey on the web. There was a 54.3% response rate. The oral health education of the responders was received mainly through continuing medical education and practical experience (51%) rather than in medical school or during paediatric residency training (33%)...
February 5, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29384911/association-between-parents-attitudes-and-behaviors-toward-children-s-visual-care-and-myopia-risk-in-school-aged-children
#3
Shuang Zhou, Lihua Yang, Benlin Lu, Hexin Wang, Ting Xu, Dandan Du, Shiqing Wu, Xiuxiu Li, Meixia Lu
The purpose of this survey was to determine the association of parents' attitudes and behaviors toward children's visual care with myopia risk in school-aged children.A total of 894 parents of school-aged children were investigated in primary and middle schools in the central and noncentral urban area in Wuhan through stratified cluster random sampling on July, 2015. We analyzed the association by the generalized linear mixed model.The results indicated that children with parents' high expectations of 1.5 or higher on their vision exhibited a decreased risk of myopia compared with 1...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29376563/physical-activity-diet-and-other-behavioural-interventions-for-improving-cognition-and-school-achievement-in-children-and-adolescents-with-obesity-or-overweight
#4
REVIEW
Anne Martin, Josephine N Booth, Yvonne Laird, John Sproule, John J Reilly, David H Saunders
BACKGROUND: The global prevalence of childhood and adolescent obesity is high. Lifestyle changes towards a healthy diet, increased physical activity and reduced sedentary activities are recommended to prevent and treat obesity. Evidence suggests that changing these health behaviours can benefit cognitive function and school achievement in children and adolescents in general. There are various theoretical mechanisms that suggest that children and adolescents with excessive body fat may benefit particularly from these interventions...
January 29, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29353708/adolescents-experiences-of-living-with-sickle-cell-disease-an-integrative-narrative-review-of-the-literature
#5
REVIEW
Brenda Agyeiwaa Poku, Ann-Louise Caress, Susan Kirk
BACKGROUND: Sickle Cell Disease is the commonest monogenic haemoglobinopathy worldwide. Living with a long-term condition such as sickle cell disease during adolescence constitutes a significant challenge for the key stakeholders due to the combined effects of chronic illness and adolescent development. For adolescents with sickle cell disease to be cared for and supported appropriately and effectively, it is crucial that health professionals have a comprehensive knowledge and understanding of how adolescents experience living with the condition...
December 27, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29284807/a-clinical-study-of-opioid-substitution-therapy-in-a-tertiary-care-center-of-eastern-india
#6
Satyakam Mohapatra, Mihir Ranjan Nayak, Manaswini Dash
Background: Opioid substitution therapy (OST) is an evidence-based intervention for opiate-dependent persons that replaces illicit drug use with medically prescribed, orally administered opiates such as buprenorphine and methadone. OST reduces HIV risk behaviors and harms associated with injecting opioid. Most of the evidence for OST effectiveness has been generated in middle- and high-income countries where programs are mostly located in dedicated health-care settings; evidence regarding the outcomes of OST programs in low-income countries where OST is often provided in grassroots settings such as drop-in centers is limited...
November 2017: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/29258790/the-allergist-s-role-in-anaphylaxis-and-food-allergy-management-in-the-school-and-childcare-setting
#7
Julie Wang, Theresa Bingemann, Anne F Russell, Michael C Young, Scott H Sicherer
Anaphylaxis and food allergy management in childcare facilities and schools are growing challenges. An increasing number of children experience severe allergic reactions on school grounds as evidenced by reports of epinephrine use. Data also suggest that the prevalence of food allergy may be increasing, with a large percentage of school-aged children at risk for anaphylaxis. Moreover, anaphylaxis may occur for the first time in a previously undiagnosed child at school or childcare setting, suggesting that general preparedness is essential...
December 16, 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/29241717/provider-discussions-of-genetic-tests-with-u-s-women-at-risk-for-a-brca-mutation
#8
Leland E Hull, Jennifer S Haas, Steven R Simon
INTRODUCTION: The U.S. Preventive Services Task Force recommends that primary care providers screen unaffected women with a family history of BRCA mutation-associated cancers, but without a personal history of BRCA-related cancer, for referral to genetic counseling and potential genetic testing. METHODS: The 2015 National Health Interview Survey was analyzed in January 2017 to determine the rates at which unaffected adult women with a positive family history of BRCA-related cancers, assessed using the Family History Screen-7, reported discussing genetic testing with a provider, using genetic counseling services, and having genetic testing for increased cancer risk...
February 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29187075/retention-in-care-among-patients-with-early-hiv-disease-in-haiti
#9
Kelly A Hennessey, Taina Dadaille Leger, Vanessa R Rivera, Adias Marcelin, Margaret L McNairy, Colette Guiteau, Jessy G Devieux, Yvel Marcelin, Benedict Charles, Pierre-Yves Cremieux, Serena P Koenig, Jean W Pape
In September 2015, the World Health Organization updated their guidelines to recommend antiretroviral therapy (ART) for all people living with HIV. Countries are now in the process of implementing strategies to provide universal HIV treatment. We analyzed the rate of retention and time to ART eligibility (according to 2013 WHO guidelines) among 3,345 adult patients receiving positive HIV test results between February 1, 2003 and March 31, 2013 at the GHESKIO Clinic in Haiti, with WHO stage 1 or 2 disease and initial CD4 cell count >500 cells/mm3...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/29183178/health-providers-communication-skills-training-affects-hypertension-outcomes
#10
Seyedeh Belin Tavakoly Sany, Nooshin Peyman, Fatemeh Behzhad, Habibollah Esmaeily, Ali Taghipoor, Gordon Ferns
OBJECTIVE: Hypertension is a common cardiovascular risk factor within the Iranian population, and this may be improved through changes in lifestyle. We aimed at improving hypertension outcomes and health literacy skills among hypertensive patients through communication skills training targeting health providers. METHODS: A randomized controlled trial method was used to enroll 35 health providers and 240 hypertensive patients attending community-based healthcare practices in the Mashhad, Iran...
November 28, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29181091/parenting-and-child-mental-health
#11
Rachael Ryan, Christine O'Farrelly, Paul Ramchandani
This paper reviews parenting programmes and their effectiveness with families of young children and highlights additional resources for primary care practitioners. Typically, 30% of GP consultations concern child behaviour problems and established behaviour problems can have lasting effects on children's life chances. These problems can be identified in infancy and toddlerhood.Parenting is a key risk factor in their development and maintenance, yet is also amenable to change. In this paper we consider six parenting programmes that are widely evaluated and/or available in the U...
November 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/29167086/outcomes-of-depression-screening-among-adolescents-accessing-school-based-pediatric-primary-care-clinic-services
#12
Sarmila Bhatta, Jane Dimmitt Champion, Cara Young, Elizabeth Loika
PURPOSE: Implementation of routine Patient Health Questionnaires (PHQ-9) screening among adolescents aged 12-18year, accessing school-based pediatric primary care clinic services for identification of adolescents at potential risk for Major Depressive disorder (MDD). DESIGN AND METHODS: Retrospective chart review (N=256 cases) documented PHQ-9 depression screening outcomes among adolescents accessing school-based pediatric primary care clinic services for episodic illness and wellness visits...
October 13, 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29165143/characteristics-of-stepfamilies-and-maternal-mental-health-compared-with-non-stepfamilies-in-japan
#13
Masako Sugimoto, Yoshie Yokoyama
BACKGROUND: Stepfamilies remain poorly understood in Japanese society, and the support needs of stepfamily mothers are unclear. This study aimed to identify characteristics of stepfamilies and maternal mental health as compared with non-stepfamilies in Japan to utilize as a primary resource for providing effective support through community-based health care for stepfamilies. METHODS: From December 2011 to July 2012, we conducted this questionnaire survey with mothers at 3- and 4-month checkups for infants...
May 18, 2017: Environmental Health and Preventive Medicine
https://www.readbyqxmd.com/read/29139110/unconditional-cash-transfers-for-reducing-poverty-and-vulnerabilities-effect-on-use-of-health-services-and-health-outcomes-in-low-and-middle-income-countries
#14
REVIEW
Frank Pega, Sze Yan Liu, Stefan Walter, Roman Pabayo, Ruhi Saith, Stefan K Lhachimi
BACKGROUND: Unconditional cash transfers (UCTs; provided without obligation) for reducing poverty and vulnerabilities (e.g. orphanhood, old age or HIV infection) are a type of social protection intervention that addresses a key social determinant of health (income) in low- and middle-income countries (LMICs). The relative effectiveness of UCTs compared with conditional cash transfers (CCTs; provided so long as the recipient engages in prescribed behaviours such as using a health service or attending school) is unknown...
November 15, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29128586/contraception-pregnancy-and-peripartum-experiences-among-women-with-epilepsy-in-bhutan
#15
Sheliza Halani, Lhab Tshering, Esther Bui, Sarah J Clark, Sara J Grundy, Tandin Pem, Sonam Lhamo, Ugyen Dema, Damber K Nirola, Chencho Dorji, Farrah J Mateen
INTRODUCTION: Reports on the reproductive health of women with epilepsy (WWE) in low- and middle-income countries (LMICs) are limited. Bhutan is a lower income country with a high estimated prevalence of epilepsy and no out-of-pocket payment requirements for health visits or medications. METHODS: We developed a 10-category survey to interview WWE ages 20-59 years in the Kingdom of Bhutan to understand their contraceptive use and peripartum experiences. WWE were recruited from 2016-2017 from an existing epilepsy cohort and their reproductive health data were merged with epilepsy and socioeconomic data obtained from initial clinical evaluations performed between 2014 and 2016...
December 2017: Epilepsy Research
https://www.readbyqxmd.com/read/29105728/tests-for-detecting-strabismus-in-children-aged-1-to-6-years-in-the-community
#16
REVIEW
Sarah Hull, Vijay Tailor, Sara Balduzzi, Jugnoo Rahi, Christine Schmucker, Gianni Virgili, Annegret Dahlmann-Noor
BACKGROUND: Strabismus (misalignment of the eyes) is a risk factor for impaired visual development both of visual acuity and of stereopsis. Detection of strabismus in the community by non-expert examiners may be performed using a number of different index tests that include direct measures of misalignment (corneal or fundus reflex tests), or indirect measures such as stereopsis and visual acuity. The reference test to detect strabismus by trained professionals is the cover‒uncover test...
November 6, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29063585/early-8-days-systemic-postnatal-corticosteroids-for-prevention-of-bronchopulmonary-dysplasia-in-preterm-infants
#17
REVIEW
Lex W Doyle, Jeanie L Cheong, Richard A Ehrenkranz, Henry L Halliday
BACKGROUND: Bronchopulmonary dysplasia remains a major problem in neonatal intensive care units. Persistent inflammation in the lungs is the most likely underlying pathogenesis. Corticosteroids have been used to prevent or treat bronchopulmonary dysplasia because of their potent anti-inflammatory effects. OBJECTIVES: To examine the relative benefits and adverse effects of systemic postnatal corticosteroids commenced within the first seven days of life for preterm infants at risk of developing bronchopulmonary dysplasia...
October 24, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29058313/the-role-of-social-risk-in-an-early-preventative-care-programme-for-infants-born-very-preterm-a-randomized-controlled-trial
#18
Alicia J Spittle, Karli Treyvaud, Katherine J Lee, Peter J Anderson, Lex W Doyle
AIM: To examine the differential effects of an early intervention programme for infants born preterm on neurodevelopment and parental mental health according to family social risk. METHOD: One hundred and twenty infants born earlier than 30 weeks' gestation were randomized to early intervention (n=61) or control groups (n=59). Cognitive, language, and motor outcomes were assessed by blinded assessors at 2 years, 4 years, and 8 years, and primary caregivers completed questionnaires on their anxiety and depression...
October 23, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29046025/-asthma-associated-oral-and-dental-health-repercussions-in-children-aged-6-to-12-years
#19
Juana Angélica Ramos-Ríos, Esperanza Ramírez-Hernández, Eliza Mireya Vázquez-Rodríguez, Francisco Vázquez-Nava
BACKGROUND: Asthma, which is characterized by mouth breathing and by the use of drugs for its treatment, affects between 1 and 30% of children and adolescents. There are only few studies reporting its impact on the oral cavity. OBJECTIVE: To find out the most common asthma-associated repercussions in 6 to 12-year-old children. METHODS: Cross-sectional, comparative, analytical study carried out in 2 primary schools from Coclique, Veracruz, Mexico, in 6 to 12-year-old children...
July 2017: Revista Alergia Mexico: Organo Oficial de la Sociedad Mexicana de Alergia e Inmunología, A.C
https://www.readbyqxmd.com/read/28841845/sociodemographic-factors-and-pregnancy-outcomes-associated-with-prepregnancy-obesity-effect-modification-of-parity-in-the-nationwide-epifane-birth-cohort
#20
Julie Boudet-Berquier, Benoit Salanave, Jean-Claude Desenclos, Katia Castetbon
BACKGROUND: In light of the adverse outcomes for mothers and offspring related to maternal obesity, identification of subgroups of women at risk of prepregnancy obesity and its related-adverse issues is crucial for optimizing antenatal care. We aimed to identify sociodemographic factors and maternal and neonatal outcomes associated with prepregnancy obesity, and we tested the effect modification of parity on these associations. METHODS: In 2012, 3368 mothers who had delivered in 136 randomly selected maternity wards were included just after birth in the French birth cohort, Epifane...
August 25, 2017: BMC Pregnancy and Childbirth
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