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https://www.readbyqxmd.com/read/29773935/factors-contributing-to-appropriate-sharps-disposal-in-the-community-among-patients-with-diabetes
#1
Li Huang, Svetlana Katsnelson, Jie Yang, Charalambos Argyrou, Marina M Charitou
Background: Proper disposal of sharps has been well studied in hospital settings but not often addressed in the home setting. This lack of attention has resulted in erratic use of proper sharps disposal techniques and thus increased risk of needle-stick injuries and infections. This study aimed to evaluate methods of disposal and patient demographic factors associated with correct disposal of diabetes-related sharps in the community. Methods: A survey was administered to diabetes patients at an endocrinology clinic of an academic tertiary care center...
May 2018: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29764447/efficacy-of-intra-articular-hypertonic-dextrose-prolotherapy-versus-normal-saline-for-knee-osteoarthritis-a-protocol-for-a-triple-blinded-randomized-controlled-trial
#2
Regina Wing Shan Sit, Ricky Wing Keung Wu, Kenneth Dean Reeves, David Rabago, Dicken Cheong Chun Chan, Benjamin Hon Kei Yip, Vincent Chi Ho Chung, Samuel Yeung Shan Wong
BACKGROUND: Knee Osteoarthritis (KOA) is a very common condition with prevalence rising with age. It is a major contributor to global disability and has a large socioeconomic burden worldwide. Conservative therapies have marginal effectiveness, and surgery is reserved for severe symptomatic KOA. Dextrose Prolotherapy (DPT) is an evidence-based injection-based therapy for chronic musculoskeletal conditions including KOA. The standard "whole joint" injection method includes intra-articular injection and multiple extra-articular injections at soft tissue bony attachments...
May 15, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29764178/compassionate-communities-in-canada-it-is-everyone-s-responsibility
#3
Bonnie Tompkins
Prof. Allan Kellehear first developed a contemporary public health approach to palliative and end-of-life care. Countries around the world have since adopted the theory of practice that mobilizes palliative care as a public health issue-particularly the Compassionate Communities (CC) model. In the wake of Canada's Medical Assistance in Dying (MAiD) legislation and its growing senior population, quality palliative care has enjoyed a renewed focus. Pallium Canada is helping communities across the country understand and adopt the CC model, through education, knowledge mobilization, project facilitation, and leadership...
April 2018: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29764173/developing-palliative-care-programs-in-indigenous-communities-using-participatory-action-research-a-canadian-application-of-the-public-health-approach-to-palliative-care
#4
Mary Lou Kelley, Holly Prince, Shevaun Nadin, Kevin Brazil, Maxine Crow, Gaye Hanson, Luanne Maki, Lori Monture, Christopher J Mushquash, Valerie O'Brien, Jeroline Smith
BACKGROUND: The Indigenous people of Canada include First Nations, Inuit and Metis. This research focused on four diverse First Nations communities located in Ontario and Manitoba. First Nations communities have well-established culturally-based social processes for supporting their community members experiencing dying, loss, grief and bereavement. However, communities do not have formalized local palliative care (PC) programs and have limited access to medical services, especially pain and symptom management...
April 2018: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29762799/integrated-behavioral-health-care-in-family-medicine-residencies-a-cera-survey
#5
Christine Jacobs, Jay A Brieler, Joanne Salas, Renée M Betancourt, Peter F Cronholm
BACKGROUND AND OBJECTIVES: Behavioral health integration (BHI) in primary care settings is critical to mental health care in the United States. Family medicine resident experience in BHI in family medicine residency (FMR) continuity clinics is essential preparation for practice. We surveyed FMR program directors to characterize the status of BHI in FMR training. METHODS: Using the Council of Academic Family Medicine Educational Research Alliance (CERA) 2017 survey, FMR program directors (n=478, 261 respondents, 54...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29755046/the-church-bridge-project-an-academic-community-perspective-of-a-church-based-weight-management-pilot-intervention-among-young-adult-african-americans
#6
Jennifer L Lemacks, Robert E James, Laurie Abbott, Hwanseok Choi, Ashley Parker, Ashley Bryant, Penny A Ralston, Annither Gilner Rigsby, Patricia Gilner
BACKGROUND: Churches are effective community partners and settings to address weight management among African Americans. There is limited information on the use of churches to reach young adult populations and church collaborations with primary care clinics. OBJECTIVES: The Church Bridge Project represents a community-academic partnership that presents the recruitment process of a church-based weight management intervention and describes baseline data of participants recruited from churches and primary care providers...
2018: Progress in Community Health Partnerships: Research, Education, and Action
https://www.readbyqxmd.com/read/29752908/implementation-of-pre-scheduled-follow-ups-with-education-improve-post-stroke-depression-screening-compliance-in-routine-clinical-practice
#7
Anu Berg, Maija Hujala, Pirkko Kari, Tero Tapiola
OBJECTIVE: To investigate the extent to which the mood of stroke patients is assessed and what kind of assessment methods are used in routine clinical practice, and whether pre-scheduled follow-ups with education provided to health care professionals can improve the detection of depression. DESIGN: Before-after trial with an 18-month follow-up and a review of medical records. SETTING: Acute-care hospital and community. PARTICIPANTS: Consecutive acute stroke patients from a health care district with a population of 132 000 during the first half of 2010 and, after the implementation of the follow-up system, during the first half of 2012 were screened for the study...
May 9, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29747564/reduse-reducing-antipsychotic-and-benzodiazepine-prescribing-in-residential-aged-care-facilities
#8
Juanita L Westbury, Peter Gee, Tristan Ling, Donnamay T Brown, Katherine H Franks, Ivan Bindoff, Aidan Bindoff, Gregory M Peterson
OBJECTIVE: To assess the impact of a multi-strategic, interdisciplinary intervention on antipsychotic and benzodiazepine prescribing in residential aged care facilities (RACFs). Design, setting: Prospective, longitudinal intervention in Australian RACFs, April 2014 - March 2016. PARTICIPANTS: 150 RACFs (with 12 157 residents) comprised the main participant group; two further groups were consultant pharmacists (staff education) and community pharmacies (prescribing data)...
May 14, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29744539/community-based-pre-pregnancy-care-programme-improves-pregnancy-preparation-in-women-with-pregestational-diabetes
#9
Jennifer M Yamamoto, Deborah J F Hughes, Mark L Evans, Vithian Karunakaran, John D A Clark, Nicholas J Morrish, Gerry A Rayman, Peter H Winocour, Clare Hambling, Amanda W Harries, Michael J Sampson, Helen R Murphy
AIMS/HYPOTHESIS: Women with diabetes remain at increased risk of adverse pregnancy outcomes associated with poor pregnancy preparation. However, women with type 2 diabetes are less aware of and less likely to access pre-pregnancy care (PPC) compared with women with type 1 diabetes. We developed and evaluated a community-based PPC programme with the aim of improving pregnancy preparation in all women with pregestational diabetes. METHODS: This was a prospective cohort study comparing pregnancy preparation measures before and during/after the PPC intervention in women with pre-existing diabetes from 1 June 2013 to 28 February 2017...
May 9, 2018: Diabetologia
https://www.readbyqxmd.com/read/29743018/exploring-current-and-potential-roles-of-australian-community-pharmacists-in-gout-management-a-qualitative-study
#10
Allyce B Counsell, Amy D Nguyen, Melissa T Baysari, Diluk R W Kannangara, Andrew J McLachlan, Richard O Day
BACKGROUND: Gout is an increasingly prevalent form of inflammatory arthritis. Although effective treatments for gout exist, current management is suboptimal due to low medication adherence rates and treatments that are non-concordant with guidelines. Medications are the mainstay and most effective form of gout management. Thus, there is potential for community pharmacists to play an important primary health care role in gout management, however their current role and their potential to improve management of gout treatment is currently unclear...
May 9, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29736115/developing-a-training-course-for-spiritual-counselors-in-health-care-evidence-from-iran
#11
Behzad Damari, Ahmad Hajebi, Jafar Bolhari, Alireza Heidari
Background: Spiritual health can cause mental health promotion and well-being of the people's lives but it is still neglected in practice so that there is no trace of spiritual training in medical education in Iran. This study was conducted to develop a training course for spiritual counselors in the Iranian health-care system. Methods: In this qualitative study, senior managers of the Ministry of Health (MOH) and experts in the related fields were purposively selected as the participants...
April 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29735474/the-detroit-young-adult-asthma-project-proposal-for-a-multicomponent-technology-intervention-for-african-american-emerging-adults-with-asthma
#12
Karen MacDonell, Sylvie Naar, Wanda Gibson-Scipio, Jean-Marie Bruzzese, Bo Wang, Aaron Brody
BACKGROUND: Racial and ethnic minority youth have poorer asthma status than white youth, even after controlling for socioeconomic variables. Proper use of asthma controller medications is critical in reducing asthma mortality and morbidity. The clinical consequences of poor asthma management include increased illness complications, excessive functional morbidity, and fatal asthma attacks. There are significant limitations in research on interventions to improve asthma management in racial minority populations, particularly minority adolescents and young adults, although illness management tends to deteriorate after adolescence during emerging adulthood, the unique developmental period beyond adolescence but before adulthood...
May 7, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29729662/child-abuse-and-neglect-in-the-jaffna-district-of-sri-lanka-a-study-on-knowledge-attitude-practices-and-behavior-of-health-care-professionals
#13
M G Sathiadas, Arunath Viswalingam, Karunya Vijayaratnam
BACKGROUND: Victims and perpetrators of child abuse do not typically self-report to child protection services, therefore responsibility of detection and reporting falls on the others. Knowledge on child protection is essential for the first contact person and such information is sparse in research literature originally coming from Sri Lanka. Anecdotally, several cases of child abuse have been missed out at the first contact level. Therefore we undertook this survey to assess the knowledge, attitudes towards child protection and the experiences of medical officers, nursing officers and social workers on child protection...
May 5, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29728090/what-can-we-learn-from-problem-based-learning-tutors-at-a-graduate-entry-medical-school-a-mixed-method-approach
#14
Diane O Doherty, Helena Mc Keague, Sarah Harney, Gerard Browne, Deirdre McGrath
Problem-based learning (PBL) has been adopted by many medical schools as an innovative method to deliver an integrated medical curriculum since its inception at McMaster University (Dornan et al., Med Educ 39(2):163-170, 2005; Finucane et al., Med Educ 35(1):56-61, 2001; Barrows, Tutorials in problem-based learning: A new direction in teaching the health professions, 1984). The student experience in PBL has been explored in detail (Merriam, New Directions for Adult and Continuing Education 89: 3-13, 2001; Azer, Kaohsiung J Med Sci 25(5): 240-249, 2009; Boelens et al...
May 4, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29728078/emotional-intelligence-among-medical-students-a-mixed-methods-study-from-chennai-india
#15
Subashini Sundararajan, Vijayaprasad Gopichandran
BACKGROUND: Emotional Intelligence is the ability of a person to understand and respond to one's own and others' emotions and use this understanding to guide one's thoughts and actions. To assess the level of emotional intelligence of medical students in a medical college in Chennai and to explore their understanding of the role of emotions in medical practice. METHODS: A quantitative, cross sectional, questionnaire based, survey was conducted among 207 medical students in a college in Chennai, India using the Quick Emotional Intelligence Self Assessment Test and some hypothetical emotional clinical vignettes...
May 4, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29724984/a-study-on-the-korean-medicine-education-and-the-changes-in-the-traditional-korean-medicine-during-the-japanese-colonial-era-focused-on-the-korean-medicine-training-schools
#16
Yongyuan Huang
The modern education institutes play an important role in fostering professional talents, reproducing knowledge and studies, and forming the identities of certain academic fields and vocational communities. It is a matter of common knowledge that the absence of an official Korean medicine medical school during the Japanese colonial era was a severely disadvantageous factor in the aspects of academic progress, fostering follow-up personnel, and establishment of social capability. Therefore, the then Korean medicine circle put emphasis on inadequate official education institutes as the main factor behind oppression...
April 2018: Ŭi Sahak
https://www.readbyqxmd.com/read/29723288/food-hygiene-and-safety-measures-among-food-handlers-in-street-food-shops-and-food-establishments-of-dessie-town-ethiopia-a-community-based-cross-sectional-study
#17
Metadel Adane, Brhanu Teka, Yirga Gismu, Goitom Halefom, Muluneh Ademe
INTRODUCTION: In sub-Saharan Africa foodborne disease and foodborne disease outbreaks are frequently ascribed to poor personal hygiene of street food vendors and food handlers in food establishments. Evidence on the level of food hygiene practices and food safety measures among food handlers is required for proper planning and implementation of targeted interventions. In this study, we aimed to determine the level of food hygiene and safety measures among street food vendors and food handlers in food establishments of Dessie Town, Ethiopia...
2018: PloS One
https://www.readbyqxmd.com/read/29721738/patient-pharmacist-communication-during-a-post-discharge-pharmacist-home-visit
#18
Hendrik T Ensing, Marcia Vervloet, Ad A van Dooren, Marcel L Bouvy, Ellen S Koster
Background With the shifting role of community pharmacists towards patient education and counselling, they are well-positioned to conduct a post-discharge home visit which could prevent or solve drug-related problems. Gaining insight into the communication during these home visits could be valuable for optimizing and consequently improving patient safety at readmission to primary care. Objective To assess patient-pharmacist communication during a post-discharge home visit. Setting The homes of patients recently discharged from a single general hospital in the Netherlands...
May 2, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29719986/linking-the-medical-and-educational-home-to-support-children-with-autism-spectrum-disorder-practice-recommendations
#19
Jeffrey D Shahidullah, Gazi Azad, Katherine R Mezher, Maryellen Brunson McClain, Laura Lee McIntyre
Children with autism spectrum disorder (ASD) present with complex medical problems that are often exacerbated by a range of other intellectual and psychiatric comorbidities. These children receive care for their physical and mental health from a range of providers within numerous child-serving systems, including their primary care clinic, school, and the home and community. Given the longitudinal nature in which care is provided for this chronic disorder, it is particularly necessary for services and providers to coordinate their care to ensure optimal efficiency and effectiveness...
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29713272/credibility-replicability-and-reproducibility-in-simulation-for-biomedicine-and-clinical-applications-in-neuroscience
#20
REVIEW
Lealem Mulugeta, Andrew Drach, Ahmet Erdemir, C A Hunt, Marc Horner, Joy P Ku, Jerry G Myers, Rajanikanth Vadigepalli, William W Lytton
Modeling and simulation in computational neuroscience is currently a research enterprise to better understand neural systems. It is not yet directly applicable to the problems of patients with brain disease. To be used for clinical applications, there must not only be considerable progress in the field but also a concerted effort to use best practices in order to demonstrate model credibility to regulatory bodies, to clinics and hospitals, to doctors, and to patients. In doing this for neuroscience, we can learn lessons from long-standing practices in other areas of simulation (aircraft, computer chips), from software engineering, and from other biomedical disciplines...
2018: Frontiers in Neuroinformatics
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