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https://www.readbyqxmd.com/read/27930803/pulmonary-rehabilitation-following-exacerbations-of-chronic-obstructive-pulmonary-disease
#1
REVIEW
Milo A Puhan, Elena Gimeno-Santos, Christopher J Cates, Thierry Troosters
BACKGROUND: Guidelines have provided positive recommendations for pulmonary rehabilitation after exacerbations of chronic obstructive pulmonary disease (COPD), but recent studies indicate that postexacerbation rehabilitation may not always be effective in patients with unstable COPD. OBJECTIVES: To assess effects of pulmonary rehabilitation after COPD exacerbations on hospital admissions (primary outcome) and other patient-important outcomes (mortality, health-related quality of life (HRQL) and exercise capacity)...
December 8, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27915432/social-learning-in-a-longitudinal-integrated-clinical-placement
#2
Chris Roberts, Michele Daly, Fabian Held, David Lyle
Recent research has demonstrated that longitudinal integrated placements (LICs) are an alternative mode of clinical education to traditional placements. Extended student engagement in community settings provide the advantages of educational continuity as well as increased service provision in underserved areas. Developing and maintaining LICs require a differing approach to student learning than that for traditional placements. There has been little theoretically informed empirical research that has offered explanations of which are the important factors that promote student learning in LICs and the relationships between those factors...
December 3, 2016: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/27915137/parental-health-shocks-and-schooling-the-impact-of-mutual-health-insurance-in-rwanda
#3
Maame Esi Woode
The goal of this study was to look at the educational spill-over effects of health insurance on schooling with a focus on the Rwandan Community Based Health Insurance Programme, the Mutual Health Insurance scheme. Using a two-person general equilibrium overlapping generations model, this paper theoretically analyses the possible effect of health insurance on the relationship between parental health shocks and child schooling. Individuals choose whether or not they want to incur a medical cost by seeking care in order to reduce the effect of health shocks on their labour market availability and productivity...
November 17, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27909208/evaluation-of-a-national-telemedicine-initiative-in-the-veterans-health-administration-factors-associated-with-successful-implementation
#4
Lauren Stevenson, Sherry Ball, Leah M Haverhals, David C Aron, Julie Lowery
BACKGROUND: The Consolidated Framework for Implementation Research was used to evaluate implementation facilitators and barriers of Specialty Care Access Network-Extension for Community Healthcare Outcomes (SCAN-ECHO) within the Veterans Health Administration. SCAN-ECHO is a video teleconferencing-based programme where specialist teams train and mentor remotely-located primary care providers in providing routine speciality care for common chronic illnesses. The goal of SCAN-ECHO was to improve access to speciality care for Veterans...
November 30, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27903561/keeping-weight-off-study-protocol-of-an-rct-to-investigate-brain-changes-associated-with-mindfulness-based-stress-reduction
#5
Carl Fulwiler, Julia A Siegel, Jeroan Allison, Milagros C Rosal, Judson Brewer, Jean A King
INTRODUCTION: Obesity is a growing epidemic fuelled by unhealthy behaviours and associated with significant comorbidities and financial costs. While behavioural interventions produce clinically meaningful weight loss, weight loss maintenance is challenging. This may partially be due to failure to target stress and emotional reactivity. Mindfulness-based stress reduction (MBSR) reduces stress and emotional reactivity and may be a useful tool for behaviour change maintenance. This study seeks to provide a mechanistic understanding for clinical trials of the benefits of MBSR for weight loss maintenance by examining changes in functional connectivity (FC) and the association of these changes with clinical outcomes...
November 30, 2016: BMJ Open
https://www.readbyqxmd.com/read/27897406/integrated-care-for-geriatric-frailty-and-sarcopenia-a-randomized-control-trial
#6
Ding-Cheng Derrick Chan, Hsiao-Hui Tsou, Chirn-Bin Chang, Rong-Sen Yang, Jau-Yih Tsauo, Ching-Yu Chen, Chin-Fu Hsiao, Ya-Ting Hsu, Chia-Hui Chen, Shu-Fang Chang, Chao Agnes Hsiung, Ken N Kuo
BACKGROUND: Exercise, nutrition, and psychological interventions may all have positive impacts on frailty and sarcopenia. However, it is not known whether an integrated care programme with all three components can be beneficial and the intensity of such programme is also not certain. In this study, we aim to determine the effectiveness of two levels of integrated care on frailty and sarcopenia. METHODS: A randomized control trial was conducted at two community hospitals in Taiwan...
August 26, 2016: Journal of Cachexia, Sarcopenia and Muscle
https://www.readbyqxmd.com/read/27876018/social-norms-and-family-planning-decisions-in-south-sudan
#7
Sumit Kane, Maryse Kok, Matilda Rial, Anthony Matere, Marjolein Dieleman, Jacqueline Ew Broerse
BACKGROUND: With a maternal mortality ratio of 789 per 100,000 live births, and a contraceptive prevalence rate of 4.7%, South Sudan has one of the worst reproductive health situations in the world. Understanding the social norms around sexuality and reproduction, across different ethnic groups, is key to developing and implementing locally appropriate public health responses. METHODS: A qualitative study was conducted in the state of Western Bahr el Ghazal (WBeG) in South Sudan to explore the social norms shaping decisions about family planning among the Fertit community...
November 22, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27863508/the-effects-of-mch-insurance-cards-on-improving-equity-in-access-and-use-of-maternal-and-child-health-care-services-in-tanzania-a-mixed-methods-analysis
#8
August Kuwawenaruwa, Gemini Mtei, Jitihada Baraka, Kassimu Tani
BACKGROUND: Inequity in access and use of child and maternal health services is impeding progress towards reduction of maternal mortality in low-income countries. To address low usage of maternal and newborn health care services as well as financial protection of families, some countries have adopted demand-side financing. In 2010, Tanzania introduced free health insurance cards to pregnant women and their families to influence access, use, and provision of health services. However, little is known about whether the use of the maternal and child health cards improved equity in access and use of maternal and child health care services...
November 18, 2016: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/27855297/evaluation-of-a-nurse-led-dementia-education-and-knowledge-translation-programme-in-primary-care-a-cluster-randomized-controlled-trial
#9
Yao Wang, Lily Dongxia Xiao, Shahid Ullah, Guo-Ping He, Anita De Bellis
BACKGROUND: The lack of dementia education programmes for health professionals in primary care is one of the major factors contributing to the unmet demand for dementia care services. AIMS: To determine the effectiveness of a nurse-led dementia education and knowledge translation programme for health professionals in primary care; participants' satisfaction with the programme; and to understand participants' perceptions of and experiences in the programme. DESIGN: A cluster randomized controlled trial was used as the main methodology to evaluate health professionals' knowledge, attitudes and care approach...
November 11, 2016: Nurse Education Today
https://www.readbyqxmd.com/read/27844200/-education-within-the-dutch-national-care-for-the-elderly-programme
#10
Barth Oeseburg, Jos Schols, Marcel Olde Rikkert, Henriëtte van der Horst, Dini Smilde-van den Doel, Sophia de Rooij, Bianca Buurman-van Es, Marieke Schuurmans, Jacobijn Gussekloo
The Netherlands Organisation of Health Research and Development started in 2008 the Dutch National Care for the Elderly Programme (in Dutch abbreviated as NPO) with the aim to improve the quality of life for the frail older people through better quality of care (health, social, community) which is tailored to the needs and wants of older people. The delivery of good care is related with competent professional behaviour which is inextricably linked to the education of professionals. This article presents an overview of 32 educational programmes developed within the NPO...
December 2016: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/27814763/scaling-up-the-use-of-sulfadoxine-pyrimethamine-for-the-preventive-treatment-of-malaria-in-pregnancy-results-and-lessons-on-scalability-costs-and-programme-impact-from-three-local-government-areas-in-sokoto-state-nigeria
#11
Nosa Orobaton, Anne M Austin, Dele Abegunde, Mohammed Ibrahim, Zainab Mohammed, Jumare Abdul-Azeez, Hakeem Ganiyu, Zwalle Nanbol, Bolaji Fapohunda, Katherine Beal
BACKGROUND: Intermittent preventive treatment of malaria in pregnancy with 3+ doses of sulfadoxine-pyrimethamine (IPTp-SP) reduces maternal mortality and stillbirths in malaria endemic areas. Between December 2014 and December 2015, a project to scale up IPTp-SP to all pregnant women was implemented in three local government areas (LGA) of Sokoto State, Nigeria. The intervention included community education and mobilization, household distribution of SP, and community health information systems that reminded mothers of upcoming SP doses...
November 4, 2016: Malaria Journal
https://www.readbyqxmd.com/read/27812053/developing-management-capacity-building-package-to-district-health-manager-in-northwest-of-iran-a-sequential-mixed-method-study
#12
Jafar Sadegh Tabrizi, Kamal Gholipour, Mostafa Farahbakhsh, Hasan Jahanbin, Majid Karamuz
OBJECTIVE: To assess districts health managers educational needs and develop management training programmes. METHODS: This mixed-method study was carried out between August 2014 and August 2015 in Tabriz, Iran. Four focus group discussion sessions and three semi-structured face-to-face interviews were conducted among district health managers and experts of a health centre. Besides, 52 questionnaires were completed to weigh and finalise management education module and courses...
November 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27806717/community-engagement-and-population-coverage-in-mass-anti-malarial-administrations-a-systematic-literature-review
#13
REVIEW
Bipin Adhikari, Nicola James, Gretchen Newby, Lorenz von Seidlein, Nicholas J White, Nicholas P J Day, Arjen M Dondorp, Christopher Pell, Phaik Yeong Cheah
BACKGROUND: Mass anti-malarial administration has been proposed as a key component of the malaria elimination strategy in South East Asia. The success of this approach depends on the local malaria epidemiology, nature of the anti-malarial regimen and population coverage. Community engagement is used to promote population coverage but little research has systematically analysed its impact. This systematic review examines population coverage and community engagement in programmes of mass anti-malarial drug administration...
November 2, 2016: Malaria Journal
https://www.readbyqxmd.com/read/27801375/prevalence-and-predictors-of-hepatitis-b-in-jeddah-city-saudi-arabia-a-population-based-seroprevalence-study
#14
Rajaa M Al-Raddadi, Noha A Dashash, Hani A Alghamdi, Hanan S Alzahrani, Abdullah J Alsahafi, Abdullah M Algarni, Zeyad M AlRaddadi, Majed M Alghamdi, Raghad F Hakim, Abdulmohsen Hamdan Al-Zalabani
INTRODUCTION: Despite solid preventive strategies to reduce the risk of hepatitis B virus (HBV) infection, recent reports about its prevalence and predictors are lacking in several Saudi cities at the community level. This study aimed to assess the seroprevalence of HBV and to identify the most important predictors among the Saudi population in Jeddah city, Saudi Arabia. METHODOLOGY: A cross-sectional study was conducted among 5,584 Saudi people attending primary health-care centers in Jeddah city during 2012/2013...
October 31, 2016: Journal of Infection in Developing Countries
https://www.readbyqxmd.com/read/27793065/success-rates-in-a-diabetes-specialist-nurse-led-education-programme-re-setting-the-glucostat
#15
A H Heald, S G Anderson, A Khan, J Stocker, S Davies, K Bliss, M Livingston, P Donnelly
Background: Analysis of National Diabetes Audit data from 2011-2012 of newly diagnosed people with type 1 diabetes mellitus (DM) found low initial success rates in much of the UK at 20% on initial training, while an unusually high success rate of 75% achieving target HbA1C<58 mmol/mol (< 7.5%) was found in Cheshire (England average=40.8%). We present a review of the approach taken by the Cheshire Diabetes team in the 12 months following diagnosis. Methods: Between 2012 and 2013, 15 consecutive newly diagnosed people with type 1 DM were followed up for 18 months...
October 28, 2016: Experimental and Clinical Endocrinology & Diabetes
https://www.readbyqxmd.com/read/27762010/host-community-perspectives-on-trainees-participating-in-short-term-experiences-in-global-health
#16
Tiffany H Kung, Eugene T Richardson, Tarub S Mabud, Catherine A Heaney, Evaleen Jones, Jessica Evert
CONTEXT: High-income country (HIC) trainees are undertaking global health experiences in low- and middle-income country (LMIC) host communities in increasing numbers. Although the benefits for HIC trainees are well described, the benefits and drawbacks for LMIC host communities are not well captured. OBJECTIVES: This study evaluated the perspectives of supervising physicians and local programme coordinators from LMIC host communities who engaged with HIC trainees in the context of the latter's short-term experiences in global health...
November 2016: Medical Education
https://www.readbyqxmd.com/read/27746619/tackling-the-hepatitis-c-disease-burden-in-punjab-india
#17
REVIEW
Radha K Dhiman, Sandeep Satsangi, Gagandeep S Grover, Pankaj Puri
Hepatitis C virus (HCV) is a globally prevalent pathogen and is a major cause of healthcare burden in India. HCV poses a significant problem in the state of Punjab, India owing to the higher prevalence of risk factors like unsafe medical practices (including unsafe injections and dental procedures) and intravenous drug use. The reported prevalence of HCV in this part of the country was 5.2% in 2012, while a recent study has shown the prevalence to be 3.2% in 2016. Similar to the other geographic belts in India, genotype 3 predominates in the state of Punjab...
September 2016: Journal of Clinical and Experimental Hepatology
https://www.readbyqxmd.com/read/27703548/a-methodological-approach-to-the-analysis-of-egocentric-social-networks-in-public-health-research-a-practical-example
#18
Janet Klara Djomba, Lijana Zaletel-Kragelj
INTRODUCTION: Research on social networks in public health focuses on how social structures and relationships influence health and health-related behaviour. While the sociocentric approach is used to study complete social networks, the egocentric approach is gaining popularity because of its focus on individuals, groups and communities. METHODS: One of the participants of the healthy lifestyle health education workshop 'I'm moving', included in the study of social support for exercise was randomly selected...
December 1, 2016: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/27696328/determinants-of-voluntary-national-health-insurance-drop-out-in-eastern-sudan
#19
Chantal Herberholz, Wael Ahmed Fakihammed
BACKGROUND: Low enrolment and high drop-out rates are common problems in voluntary health insurance schemes. Yet, most studies in this research area focus on community-based health insurance and enrolment, rather than drop-out. OBJECTIVE: This study examines what causes informal sector families not to renew their voluntary National Health Insurance Fund (NHIF) health insurance membership in Eastern Sudan. METHODS: Primary data from about 600 informal sector households that dropped out or remained insured, collected through a household survey conducted in March 2014, were used...
October 1, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27696137/cross-sectional-survey-on-the-dengue-knowledge-attitudes-and-preventive-practices-among-students-and-staff-of-a-public-university-in-malaysia
#20
H Lugova, S Wallis
Behavioural impact programmes are especially effective for dengue control and prevention. Universities are key settings for health promotion, so understanding factors that influence the practice of dengue prevention within a university community becomes important. This study aimed to examine the factors affecting dengue knowledge, attitude and preventive practices amongst students and staff of a public university. A cross-sectional survey study was conducted in Kuala Lumpur, Malaysia. A total of 372 students and staff of the NDUM were recruited by stratified sampling method...
October 1, 2016: Journal of Community Health
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