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https://www.readbyqxmd.com/read/29242996/personalized%C3%A2-health-monitoring%C3%A2-system-for-managing-well-being-in-rural-areas
#1
Prema Nedungadi, Akshay Jayakumar, Raghu Raman
Rural India lacks easy access to health practitioners and medical centers, depending instead on community health workers. In these areas, common ailments that are easy to manage with medicines, often lead to medical escalations and even fatalities due to lack of awareness and delayed diagnosis. The introduction of wearable health devices has made it easier to monitor health conditions and to connect doctors and patients in urban areas. However, existing initiatives have not succeeded in providing adequate health monitoring to rural and low-literate patients, as current methods are expensive, require consistent connectivity and expect literate users...
December 14, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/29233408/structured-academic-discussions-through-an-online-education-specific-platform-to-improve-pharm-d-students-learning-outcomes
#2
Srikanth Kolluru, James T Varughese
OBJECTIVE: To facilitate active academic discussions using an online, education-centered platform and reinforce concepts, in order to improve overall course outcomes. MATERIALS AND METHODS: A third year integrated pharmacotherapy course was enrolled on an online searchable platform, Piazza®, to facilitate academic discussions. Students could ask, answer, and explore content, and build on submitted answers in wiki style in collaboration. Instructor posted learning objectives, endorsed student responses with correct answers and led follow-up discussions...
March 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29229587/myvoice-national-text-message-survey-of-youth-aged-14-to-24-years-study-protocol
#3
Melissa DeJonckheere, Lauren P Nichols, Michelle H Moniz, Kendrin R Sonneville, V G Vinod Vydiswaran, Xinyan Zhao, Timothy C Guetterman, Tammy Chang
BACKGROUND: There has been little progress in adolescent health outcomes in recent decades. Researchers and youth-serving organizations struggle to accurately elicit youth voice and translate youth perspectives into health care policy. OBJECTIVE: Our aim is to describe the protocol of the MyVoice Project, a longitudinal mixed methods study designed to engage youth, particularly those not typically included in research. Text messaging surveys are collected, analyzed, and disseminated in real time to leverage youth perspectives to impact policy...
December 11, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29225582/significant-need-for-a-french-network-of-expert-centers-enabling-a-better-characterization-and-management-of-treatment-resistant-depression-fondation-fondamental
#4
Antoine Yrondi, Djamila Bennabi, Emmanuel Haffen, Marion Garnier, Frank Bellivier, Thierry Bourgerol, Vincent Camus, Thierry D'Amato, Olivier Doumy, Frédéric Haesebaert, Jérôme Holtzmann, Christophe Lançon, Philippe Vignaud, Fanny Moliere, Isabel Nieto, Raphaëlle Marie Richieri, Philippe Domenech, Corentin Rabu, Luc Mallet, Liova Yon, Laurent Schmitt, Florian Stephan, Guillaume Vaiva, Michel Walter, Pierre-Michel Llorca, Philippe Courtet, Marion Leboyer, Wissam El-Hage, Bruno Aouizerate
Background: Major depression is characterized by (i) a high lifetime prevalence of 16-17% in the general population; (ii) a high frequency of treatment resistance in around 20-30% of cases; (iii) a recurrent or chronic course; (iv) a negative impact on the general functioning and quality of life; and (v) a high level of comorbidity with various psychiatric and non-psychiatric disorders, high occurrence of completed suicide, significant burden along with the personal, societal, and economic costs...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29223191/iterating-a-framework-for-the-prevention-of-caregiver-depression-in-dementia-a-multi-method-approach
#5
Jiangbo Ying, Philip Yap, Mihir Gandhi, Tau Ming Liew
BACKGROUND: Dementia caregiving is often stressful and depression in family caregivers is not uncommon. As caregiver depression can have significant effects, there is a need for preventive efforts which are consistent with the extensive literature. We sought to consolidate the wide range of evidence (using a multi-method approach) into a simple framework that can guide the prevention of caregiver depression. METHODS: Using multiple logistic regression, we derived the predictors of caregiver depression from an empirical dataset containing key information and depression scores (based on the Center-for-Epidemiological-Studies-Depression-Scale) of 394 family caregivers...
December 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29222075/examining-tensions-that-affect-the-evaluation-of-technology-in-health-care-considerations-for-system-decision-makers-from-the-perspective-of-industry-and-evaluators
#6
Laura Desveaux, James Shaw, Ross Wallace, Onil Bhattacharyya, R Sacha Bhatia, Trevor Jamieson
Virtual technologies have the potential to mitigate a range of challenges for health care systems. Despite the widespread use of mobile devices in everyday life, they currently have a limited role in health service delivery and clinical care. Efforts to integrate the fast-paced consumer technology market with health care delivery exposes tensions among patients, providers, vendors, evaluators, and system decision makers. This paper explores the key tensions between the high bar for evidence prior to market approval that guides health care regulatory decisions and the "fail fast" reality of the technology industry...
December 8, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29208589/development-of-an-index-of-engagement-in-hiv-care-an-adapted-internet-based-delphi-process
#7
Mallory O Johnson, Kimberly A Koester, Troy Wood, Torsten B Neilands, Jamie L Pomeranz, Katerina A Christopoulos
BACKGROUND: Improving engagement in medical care among persons living with human immunodeficiency virus (HIV) is critical to optimizing clinical outcomes and reducing onward transmission of HIV. However, a clear conceptualization of what it means to be engaged in HIV care is lacking, and thus efforts to measure and enhance engagement in care are limited. OBJECTIVE: This paper describes the use of a modified online Delphi process of consensus building to solicit input from a range of HIV and non-HIV researchers and providers, and to integrate that input with focus group data conducted with HIV-infected patients...
December 5, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29191763/reliability-and-validity-of-the-care-plan-checklist-for-evidence-of-person-centered-approaches-for-behavioral-and-psychological-symptoms-associated-with-dementia
#8
Barbara Resnick, Elizabeth Galik, Ann Kolanowski, Kimberly Van Haitsma, Jeanette Ellis, Liza Behrens, Nina M Flanagan, Caroline McDermott
PURPOSE: The purpose of this study was to test the reliability and validity of the Care Plan Checklist for Evidence of Person-Centered Approaches for Behavioral and Psychological Symptoms Associated with Dementia (BPSD). METHODS: This study used baseline data from the first cohort of a larger randomized clinical trial testing the implementation of the Evidence of Integration Triangle for BPSD. Fourteen settings volunteered to participate, 8 from Maryland and 6 from Pennsylvania, and a total of 137 residents were recruited...
November 28, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29172597/-a-longitudinal-person-centered-perspective-on-youth-social-support-relations-with-psychological-wellbeing-correction-to-ciarrochi-et-al-2017
#9
(no author information available yet)
Reports an error in "A longitudinal person-centered perspective on youth social support: Relations with psychological wellbeing" by Joseph Ciarrochi, Alexandre J. S. Morin, Baljinder K. Sahdra, David Litalien and Philip D. Parker (Developmental Psychology, 2017[Jun], Vol 53[6], 1154-1169). In the article, the approach utilized (and illustrated in the authors' online supplements) for tests of distributional similarity conducted in the context of Latent Transition Analyses (LTA) is suboptimal, and has been recently optimized in a webnote prepared by Morin and Litalien (2017)...
December 2017: Developmental Psychology
https://www.readbyqxmd.com/read/29168653/utilizing-biomarkers-in-colorectal-cancer-an-interview-with-ajay-goel
#10
Ajay Goel
Ajay Goel, PhD, is a Professor and Director, Center for Gastrointestinal Research, and Director, Center for Translational Genomics and Oncology, at the Baylor Scott & White Research Institute, Baylor University Medical Center in Dallas, Texas. Dr Goel has spent more than 20 years researching cancer and has been the lead author or contributor to over 240 scientific articles published in peer-reviewed international journals and several book chapters. He is also a primary inventor on more than 15 international patents aimed at developing various biomarkers for the diagnosis, prognosis and prediction of gastrointestinal cancers...
November 23, 2017: Future Oncology
https://www.readbyqxmd.com/read/29163774/integrative-analysis-of-novel-hypomethylation-and-gene-expression-signatures-in-glioblastomas
#11
Anan Yin, Amandine Etcheverry, Yalong He, Marc Aubry, Jill Barnholtz-Sloan, Luhua Zhang, Xinggang Mao, Weijun Chen, Bolin Liu, Wei Zhang, Jean Mosser, Xiang Zhang
Molecular and clinical heterogeneity critically hinders better treatment outcome for glioblastomas (GBMs); integrative analysis of genomic and epigenomic data may provide useful information for improving personalized medicine. By applying training-validation approach, we identified a novel hypomethylation signature comprising of three CpGs at non-CpG island (CGI) open sea regions for GBMs. The hypomethylation signature consistently predicted poor prognosis of GBMs in a series of discovery and validation datasets...
October 27, 2017: Oncotarget
https://www.readbyqxmd.com/read/29157230/barriers-and-facilitators-to-implementing-an-evidence-based-woman-focused-intervention-in-south-african-health-services
#12
Brittni N Howard, Richard Van Dorn, Bronwyn J Myers, William A Zule, Felicia A Browne, Tara Carney, Wendee M Wechsberg
BACKGROUND: Since the beginning of the HIV epidemic, numerous behavior change, risk-reduction, and biomedical interventions have been developed and tested. While some of these interventions have shown to be efficacious in randomized trials, it often takes almost two decades for an intervention to be translated into practice. Meanwhile, South Africa continues to have among the highest prevalence of HIV globally, with women of childbearing age bearing the burden of the epidemic. Given the urgency of the HIV epidemic among vulnerable women in South Africa, it is imperative that evidence-based interventions be implemented rapidly into practice...
November 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29155653/enhancing-laboratory-response-network-capacity-in-south-korea
#13
J Todd Parker, Ann-Christian Juren, Luis Lowe, Scott Santibañez, Gi-Eun Rhie, Toby L Merlin
Laboratory Response Network (LRN) laboratories help protect populations from biological and chemical public health threats. We examined the role of LRN biological laboratories in enhancing capacity to detect and respond to public health infectious disease emergencies in South Korea. The model for responding to infectious disease emergencies leverages standardized laboratory testing procedures, a repository of standardized testing reagents, laboratory testing cooperation among hospital sentinel laboratories and reference laboratories, and maintenance of a trained workforce through traditional and on-demand training...
October 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29154890/relating-to-the-experience-of-contingency-in-patients-with-advanced-cancer-an-interview-study-in-american-patients
#14
Renske Kruizinga, Najmeh Jafari, Michael Scherer-Rath, Hans Schilderman, Jennifer Bires, Christina Puchalski, Hanneke van Laarhoven
INTRODUCTION: Being diagnosed with incurable cancer can be a life changing experience, evoking different spiritual questions and needs. Confronting a serious life-threatening event that occurs not only often unexpected but can also disrupt a person's self-image and ideals of their personhood. This confrontation makes it difficult for people to integrate it into their personal life story - otherwise referred to as an experience of contingency. Different modes of relating to the contingent life event of having cancer have been studied in a Dutch patient population...
November 14, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29141681/patient-influence-in-home-based-reablement-for-older-persons-qualitative-research
#15
Aud Moe, Kari Ingstad, Hildfrid V Brataas
BACKGROUND: Reablement services are rehabilitation for older people living at home, being person-centered in information, mapping and the goal-setting conversation. The purpose of this study was to gain knowledge about conversation processes and patient influence in formulating the patients' goals. There are two research questions: How do conversation theme, structure and processes appear in interactions aiming to decide goals of home-based reablement rehabilitation for the elderly? How professionals' communication skills do influence on patients' participation in conversation about everyday life and goals of home-based reablement? METHODS: A qualitative field study explored eight cases of naturally occurring conversations between patients and healthcare professionals in a rehabilitation team...
November 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29140483/integrative-whole-person-oncology-care-in-the-uk
#16
Catherine Zollman, Axel Walther, Helen E Seers, Rachel C Jolliffe, Marie J Polley
The term "whole-person cancer care"-an approach that addresses the needs of the person as well as treating the disease-is more widely understood in the United Kingdom than its synonym "integrative oncology." The National Health Service (NHS) provides free access to care for all, which makes it harder to prioritize NHS funding of whole-person medicine, where interventions may be multimodal and lacking in cost-effectiveness data. Despite this, around 30% of cancer patients are known to use some form of complementary or alternative medicine (CAM)...
November 1, 2017: Journal of the National Cancer Institute. Monographs
https://www.readbyqxmd.com/read/29128470/is-it-worth-it-or-possible-to-measure-what-matters-to-patients-with-epilepsy-and-their-caregivers
#17
Maria Grazia Celani, Teresa Anna Cantisani, Angelo Bignamini, Sara Macone, Rossella Papetti, Luisa Baiocco
OBJECTIVE: The objective of this study was to collect perspectives, ideas, and values of people affected by epilepsy and their carer to include them in new research in this area. DESIGN: This is a semiquantitative study analyzing needs, emotions, and medical issues emerging from focus groups with patients and carers divided in three severity levels of disease. PARTICIPANTS: The participants were 25 patients and 36 carers attending outpatients' service of tertiary epilepsy center in Umbria, Italy...
November 8, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29105151/the-importance-of-ethical-aspects-when-implementing-ehealth-services-in-healthcare-a-discussion-paper
#18
Lisa Skär, Siv Söderberg
AIM: The aim of this paper is to discuss the importance of ethical aspects when implementing eHealth services in healthcare. BACKGROUND: Challenges in healthcare today include a growing older population and, as a consequence, an increased need for healthcare services. One possible solution is the use of eHealth services. DESIGN: Discussion paper. DATA SOURCES: Research literature published from 2000 - 2017 in CINAHL, PubMed and Scopus...
November 3, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29102089/managing-multimorbidity-profiles-of-integrated-care-approaches-targeting-people-with-multiple-chronic-conditions-in-europe
#19
Mieke Rijken, Anneli Hujala, Ewout van Ginneken, Maria Gabriella Melchiorre, Peter Groenewegen, Franζois Schellevis
In response to the growing populations of people with multiple chronic diseases, new models of care are currently being developed in European countries to better meet the needs of these people. This paper aims to describe the occurrence and characteristics of various types of integrated care practices in European countries that target people with multimorbidity. Data were analysed from multimorbidity care practices participating in the Innovating care for people with multiple chronic conditions (ICARE4EU) project, covering all 28EU Member States, Iceland, Norway and Switzerland...
October 19, 2017: Health Policy
https://www.readbyqxmd.com/read/29096412/stakeholder-perspectives-on-optimizing-communication-in-a-school-centered-asthma-program
#20
Hylke M Snieder, Sarah Nickels, Melanie Gleason, Arthur McFarlane, Stanley J Szefler, Mandy A Allison
BACKGROUND: School-centered asthma programs (SAPs) can be an effective intervention to improve asthma control for underserved populations but little is known about how key stakeholders communicate within these programs. Therefore, our aim was to identify key components of effective communication in a SAP. METHODS: Primary care providers (PCPs), parents and school nurses associated with a SAP in Denver, Colorado participated in interviews and focus groups about their views on effective communication...
December 2017: Journal of School Health
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