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https://www.readbyqxmd.com/read/28944991/a-qualitative-study-exploring-midwives-perceptions-and-knowledge-of-maternal-obesity-reflecting-on-their-experiences-of-providing-healthy-eating-and-weight-management-advice-to-pregnant-women
#1
Mary T McCann, Lisa Newson, Catriona Burden, Jane S Rooney, Margaret S Charnley, Julie C Abayomi
Midwives are responsible for providing advice regarding the complex issues of healthy eating and weight management during pregnancy. This study utilised an inductive data-driven thematic approach in order to determine midwives' perceptions, knowledge, and experiences of providing healthy eating and weight management advice to pregnant women. Semistructured interviews with 17 midwives were transcribed verbatim and data subjected to thematic analysis. The findings offer insight into the challenges facing midwives in their role trying to promote healthy eating and appropriate weight management to pregnant women...
September 25, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28944601/an-advanced-multifunctional-hydrogel-based-dressing-for-wound-monitoring-and-drug-delivery
#2
Bahram Mirani, Erik Pagan, Barbara Currie, Mohammad Ali Siddiqui, Reihaneh Hosseinzadeh, Pooria Mostafalu, Yu Shrike Zhang, Aziz Ghahary, Mohsen Akbari
Wound management is a major global challenge and poses a significant financial burden to the healthcare system due to the rapid growth of chronic diseases such as diabetes, obesity, and aging population. The ability to detect pathogenic infections and release drug at the wound site is of the utmost importance to expedient patient care. Herein, this study presents an advanced multifunctional dressing (GelDerm) capable of colorimetric measurement of pH, an indicator of bacterial infection, and release of antibiotic agents at the wound site...
September 25, 2017: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/28944595/transition-care-in-anorexia-nervosa-through-guidance-online-from-peer-and-carer-expertise-triangle-study-protocol-for-a-randomised-controlled-trial
#3
Valentina Cardi, Suman Ambwani, Emily Robinson, Gaia Albano, Pamela MacDonald, Viviana Aya, Katie Rowlands, Gill Todd, Ulrike Schmidt, Sabine Landau, Jon Arcelus, Jennifer Beecham, Janet Treasure
TRIANGLE is a multicentre trial investigating whether the addition of a novel intervention for patients and carers (ECHOMANTRA) to treatment as usual (TAU) improves outcomes for people with anorexia nervosa (AN). ECHOMANTRA is based on the cognitive interpersonal model of AN and includes assessments, workbooks, videos, online groups and joint Skype sessions for patients and carers. People receiving intensive hospital treatment (N = 380) will be randomised to TAU or TAU plus ECHOMANTRA. Participants will be assessed over an 18-month period following randomisation...
September 24, 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28944075/efficacy-of-switching-to-dolutegravir-plus-rilpivirine-the-small-tablet-regimen-in-patients-with-dysphagia-two-case-reports
#4
Takefumi Suzuki, Nobuko Hara, Morichika Osa, Kazuhisa Misawa, Kazuo Imai, Yuji Fujikura, Takuya Maeda, Wataru Sonehara, Akihiko Kawana
BACKGROUND: The advent of well-tolerated and effective anti-retroviral drugs against human immunodeficiency virus-1 (HIV-1) infection has been a major step forward that has achieved long-term survival in recent years. The number of HIV-1 infected patients who experience difficulty in swallowing tablets is expected to increase as the HIV-infected population advances in age or develops comorbidities or treatment sequelae affecting the central nervous system. CASE PRESENTATION: Here, we describe two HIV-1-infected patients who experienced progressive dysphagia leading to inability to swallow the antiretroviral tablets included in the standard regimen...
2017: Journal of Pharmaceutical Health Care and Sciences
https://www.readbyqxmd.com/read/28943422/epidemiology-management-and-functional-outcomes-of-traumatic-brain-injury-in-sub-saharan-africa
#5
Jessica Eaton, Asma Bilal Hanif, Joanna Grudziak, Anthony Charles
BACKGROUND: Trauma accounts for 4.7 million deaths each year, with an estimated 90% of these occurring in LMICs. Approximately half of trauma-related deaths are due to central nervous system injury. OBJECTIVE: Because a thorough understanding of TBI in LMICs is essential to mitigate TBI-related mortality, we established a clinical and radiographic database to characterize TBI in our low-income setting. METHODS: This is a review of prospectively collected data from Kamuzu Central Hospital, a tertiary care center in the capital of Malawi...
September 21, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28943200/determinants-of-the-overuse-of-imaging-in-low-risk-prostate-cancer-a-systematic-review
#6
REVIEW
Allison H Oakes, Ritu Sharma, Madeline Jackson, Jodi B Segal
BACKGROUND: The overuse of radiologic services, where imaging tests are provided in circumstances where the propensity for harm exceeds the propensity for benefit, comprises a risk to patient safety and a burden on health care systems. Advanced imaging in the staging of low-risk prostate cancer is considered an overused procedure by many professional societies, yet the determinants that drive this phenomenon are not fully appreciated. METHODS: We systematically searched published literature within MEDLINE and Embase from January 1998 to March 2017...
September 21, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/28943118/roles-of-clinical-research-networks-in-pediatric-drug-development
#7
REVIEW
Mark A Turner, Sabah Attar, Saskia N de Wildt, Gilles Vassal, Laura Mangiarini, Carlo Giaquinto
The evaluation of drugs that are used in children has been neglected historically but is now well established as an essential part of clinical drug development. The increase in pediatric activity among industry, and other sectors, has highlighted the importance of joint working. All participants in pediatric drug development need to be aware of the "big picture." An increasingly important part of this big picture in pediatrics, as in other populations, is the design and conduct of clinical trials in networks...
September 21, 2017: Clinical Therapeutics
https://www.readbyqxmd.com/read/28942855/a-systematic-review-and-meta-analysis-of-factors-for-delirium-in-vascular-surgical-patients
#8
REVIEW
Christopher Oldroyd, Anna F M Scholz, Robert J Hinchliffe, Kathryn McCarthy, Jonathan Hewitt, Terrence J Quinn
BACKGROUND: Delirium is a common syndrome responsible for a large burden of morbidity and mortality. In surgical settings, research into risk factors for postoperative delirium has largely focused on elective orthopedic patients. We performed a systematic review and meta-analysis to evaluate the evidence surrounding risk factors for delirium in vascular surgical populations. METHODS: Two independent reviewers searched five databases (MEDLINE, Web of Science, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycINFO) from January 1987 to December 2015...
October 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28942581/minimally-disruptive-medicine-for-patients-with-diabetes
#9
REVIEW
Valentina Serrano, Gabriela Spencer-Bonilla, Kasey R Boehmer, Victor M Montori
PURPOSE OF REVIEW: Patients with diabetes must deal with the burden of symptoms and complications (burden of illness). Simultaneously, diabetes care demands practical and emotional work from patients and their families, work to access and use healthcare and to enact self-care (burden of treatment). Patient work must compete with the demands of family, job, and community life. Overwhelmed patients may not have the capacity to access care or enact self-care and will thus experience suboptimal diabetes outcomes...
September 23, 2017: Current Diabetes Reports
https://www.readbyqxmd.com/read/28942485/crowdsourcing-and-automated-retinal-image-analysis-for-diabetic-retinopathy
#10
REVIEW
Lucy I Mudie, Xueyang Wang, David S Friedman, Christopher J Brady
PURPOSE OF REVIEW: As the number of people with diabetic retinopathy (DR) in the USA is expected to increase threefold by 2050, the need to reduce health care costs associated with screening for this treatable disease is ever present. Crowdsourcing and automated retinal image analysis (ARIA) are two areas where new technology has been applied to reduce costs in screening for DR. This paper reviews the current literature surrounding these new technologies. RECENT FINDINGS: Crowdsourcing has high sensitivity for normal vs abnormal images; however, when multiple categories for severity of DR are added, specificity is reduced...
September 23, 2017: Current Diabetes Reports
https://www.readbyqxmd.com/read/28941964/unmet-palliative-care-needs-among-patients-with-end-stage-kidney-disease-a-national-registry-study-about-the-last-week-of-life
#11
Lena Axelsson, Anette Alvariza, Jenny Lindberg, Joakim Öhlén, Cecilia Håkanson, Helene Reimertz, Carl-Johan Fürst, Kristofer Årestedt
CONTEXT: End-stage kidney disease (ESKD) is characterized by high physical and psychological burden and therefore, more knowledge about the palliative care provided close to death is needed. OBJECTIVES: To describe symptom prevalence, relief and management during the last week of life, as well as end-of-life communication, in patients with ESKD. METHODS: This study was based on data from the Swedish Register of Palliative Care. Patients aged 18 or older who died from a chronic kidney disease, with or without dialysis treatment (ICD-10-SE; N18...
September 20, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28941671/outcomes-of-emergency-department-anaphylaxis-visits-from-2005-to-2014
#12
Megan S Motosue, M Fernanda Bellolio, Holly K Van Houten, Nilay D Shah, James T Li, Ronna L Campbell
BACKGROUND: Although the incidence of anaphylaxis appears to be increasing, trends in anaphylaxis-related health care utilization are not well understood. OBJECTIVE: To better understand the potential increasing health care burden, we analyzed the changes in anaphylaxis-related health care utilization, including emergency department (ED) discharges, observation stays, inpatient admissions, intensive care unit admissions, and endotracheal intubations. METHODS: We conducted an observational study examining outcomes of anaphylaxis-related ED visits between January 1, 2005, and December 31, 2014...
September 20, 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/28941622/epidemiology-of-childhood-intussusception-in-bangladesh-findings-from-an-active-national-hospital-based-surveillance-system-2012-2016
#13
Syed M Satter, Negar Aliabadi, Catherine Yen, Paul A Gastañaduy, Makhdum Ahmed, Abdullah Mamun, Khaleda Islam, Meerjady S Flora, Mahmudur Rahman, K Zaman, Mustafizur Rahman, James D Heffelfinger, Stephen P Luby, Emily S Gurley, Umesh D Parashar
INTRODUCTION: Rotavirus vaccines have significantly decreased the burden of diarrheal diseases in countries that have introduced them into their immunization programs. In some studies, there has been a small association between rotavirus vaccines and intussusception in post-marketing surveillance, highlighting the importance of tracking incidence before and after vaccine introduction. The objective of this study was to describe the epidemiology of intussusception among Bangladeshi children pre-vaccine introduction...
September 20, 2017: Vaccine
https://www.readbyqxmd.com/read/28941169/three-dimensional-image-analysis-for-staging-chronic-rhinosinusitis
#14
Sooyoung Lim, Michael V Ramirez, Jonathan C Garneau, Megan K Ford, Katherine McKeough, Daniel T Ginat, Fuad M Baroody, Samuel G Armato, Jayant M Pinto
BACKGROUND: Traditional methods of staging chronic rhinosinusitis (CRS) through imaging do not differentiate between degrees of partial mucosal sinus inflammation, thus limiting their utility as imaging biomarkers. We hypothesized that software-aided, quantitative measurement of sinus inflammation would generate a metric of disease burden that would correlate with clinical parameters in patients with suspected sinus disease. METHODS: Adults with rhinologic complaints undergoing computed tomography imaging were recruited at an urban, academic, tertiary care center (n = 45 with Lund-Mackay [LM] scores ≥4)...
September 22, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28941089/improving-outcomes-of-first-episode-psychosis-an-overview
#15
Paolo Fusar-Poli, Patrick D McGorry, John M Kane
Outcomes of psychotic disorders are associated with high personal, familiar, societal and clinical burden. There is thus an urgent clinical and societal need for improving those outcomes. Recent advances in research knowledge have opened new opportunities for ameliorating outcomes of psychosis during its early clinical stages. This paper critically reviews these opportunities, summarizing the state-of-the-art knowledge and focusing on recent discoveries and future avenues for first episode research and clinical interventions...
October 2017: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/28940936/screening-and-support-for-emotional-burdens-of-youth-with-type-1-diabetes-strategies-for-diabetes-care-providers
#16
Marisa E Hilliard, Maartje De Wit, Rachel M Wasserman, Ashley M Butler, Meredyth Evans, Jill Weissberg-Benchell, Barbara J Anderson
Multiple sources of burden for youth with type 1 diabetes (T1D) impact key outcomes including quality of life, self-management, and glycemic control. Professional diabetes organizations recommend diabetes care providers screen for psychosocial and behavioral challenges and implement strategies to support youth with T1D. The purpose of this article is to review the literature and recommend practical strategies medical providers can use for screening and behavioral support for youth with diabetes and their families...
September 22, 2017: Pediatric Diabetes
https://www.readbyqxmd.com/read/28940618/predictors-and-moderators-of-quality-of-life-in-caregivers-of-amputee-patients-by-type-2-diabetes
#17
Maria Suely Alves Costa, Maria Graça Pereira
BACKGROUND: The amputation of a foot or a leg is one of the complications caused by diabetes that creates fear. After the amputation, the patient becomes dependent on a caregiver, who is often not prepared for this new phase of life. Knowing the factors that influence care delivery in caregivers of amputee type 2 diabetes patients is important from an heuristic point of view, since very few studies have focused on this population. OBJECTIVES: This study analysed the predictors and moderators of quality of life, in caregivers of amputee patients due to type 2 diabetes...
September 22, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28940346/the-pluralism-of-coherent-approaches-to-global-health
#18
Alex John London
Stakeholders in global health, including governments, international and nongovernmental organizations, and corporations, face complex decisions about how to help improve the lives of those most burdened by sickness and disease while upholding their rights and facilitating the transition to a more just social and political order. In "The Case for Resource-Sensitivity: Why It Is Ethical to Provide Cheaper, Less Effective Treatments in Global Health," Govind Persad and Ezekiel Emanuel argue that "[t]he provision of health care in developing countries should reflect what best balances utility, equality, and priority to the least advantaged in those countries...
September 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28940133/ethical-design-of-intelligent-assistive-technologies-for-dementia-a-descriptive-review
#19
REVIEW
Marcello Ienca, Tenzin Wangmo, Fabrice Jotterand, Reto W Kressig, Bernice Elger
The use of Intelligent Assistive Technology (IAT) in dementia care opens the prospects of reducing the global burden of dementia and enabling novel opportunities to improve the lives of dementia patients. However, with current adoption rates being reportedly low, the potential of IATs might remain under-expressed as long as the reasons for suboptimal adoption remain unaddressed. Among these, ethical and social considerations are critical. This article reviews the spectrum of IATs for dementia and investigates the prevalence of ethical considerations in the design of current IATs...
September 22, 2017: Science and Engineering Ethics
https://www.readbyqxmd.com/read/28939708/the-decisions-interventions-and-goals-in-implantable-cardioverter-defibrillator-therapy-dignity-pilot-study
#20
Daniel B Kramer, Daniel Habtemariam, Yaw Adjei-Poku, Michelle Samuel, Diane Engorn, Matthew R Reynolds, Susan L Mitchell
BACKGROUND: Implantable cardioverter-defibrillators (ICDs) are commonly implanted in older patients, including those with multiple comorbidities. There are few prospective studies assessing the clinical course and end-of-life circumstances for these patients. METHODS AND RESULTS: We prospectively followed 51 patients with ICDs for up to 18 months to longitudinally assess in terms of (1) advance care planning, (2) health status, (3) healthcare utilization, and (4) end-of-life circumstances through quarterly phone interviews and electronic medical record review...
September 22, 2017: Journal of the American Heart Association
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