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https://www.readbyqxmd.com/read/29668143/-care-for-unaccompanied-minor-migrant-adolescents-at-the-youth-health-consultation-support-psychotherapy-and-resilience
#1
Cédric Devillé, Nelle Lambert
The Unité Santé Jeunes of the Geneva University Hospitals offers multidisciplinary care to young people between the ages of 12 years and 25 years, including unaccompanied minor migrant adolescents. The psychiatrist and child psychiatrist of the unit participate actively. These young people are primarily teenagers, but it is clear from our experience that their care has some specificities and require an adaptation of the framework. The aim of this article is to open the reflection on socio-legal-educational support and the care to offer them to help them feeling secure and a different psychotherapeutic space...
April 18, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29665698/caregiver-adolescent-disagreement-on-the-mental-health-of-youth-in-foster-care-the-moderating-role-of-the-caregiver-relationship
#2
Lenore M McWey, Ming Cui, Ashley N Cooper, Thomas Ledermann
It is not uncommon for caregivers and adolescents to provide different perspectives of adolescents' mental health symptoms; however, few studies have examined these discrepancies, especially between foster parents and adolescents in the child welfare system. The goal of this study was to investigate the levels of disagreement on adolescent mental health symptoms among caregivers and adolescents in foster care, to examine factors associated with caregiver-adolescent discrepancies, and the potential moderating role of caregiver-child closeness on the link between the length of time the youth lived with caregivers and discrepancies regarding adolescent mental health symptoms...
January 1, 2018: Child Maltreatment
https://www.readbyqxmd.com/read/29661260/implementing-routine-blood-borne-virus-testing-for-hcv-hbv-and-hiv-at-a-london-emergency-department-uncovering-the-iceberg
#3
S Parry, N Bundle, S Ullah, G R Foster, K Ahmad, C Y W Tong, S Balasegaram, C Orkin
UK guidelines recommend routine HIV testing in high prevalence emergency departments (ED) and targeted testing for HBV and HCV. The 'Going Viral' campaign implemented opt-out blood-borne virus (BBV) testing in adults in a high prevalence ED, to assess seroprevalence, uptake, linkage to care (LTC) rates and staff time taken to achieve LTC. Diagnosis status (new/known/unknown), current engagement in care, and severity of disease was established. LTC was defined as patient informed plus ⩾1 clinic visit. A total of 6211/24 981 ED attendees were tested (uptake 25%); 257 (4...
April 17, 2018: Epidemiology and Infection
https://www.readbyqxmd.com/read/29661247/informing-implementation-of-quality-improvement-in-australian-primary-care
#4
Charlotte Hespe, Lucie Rychetnik, David Peiris, Mark Harris
BACKGROUND: Quality Improvement (QI) initiatives in primary care are effective at improving uptake of evidence based guidelines, but are difficult to implement and sustain. In Australia meso-level health organisations such as Primary health care Organisations (PHCO) offer new opportunities to implement area-wide QI programs. This study sought to identify enablers and barriers to implementation of an existing Australian QI program and to identify strategic directions that PHCOs can use in the ongoing development of QI in this environment...
April 16, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29661022/low-rates-of-vaccination-for-herpes-zoster-in-older-people-living-with-hiv
#5
Kristine M Erlandson, Amber Streifel, Alexander Novin, Kellie Hawkins, Clayton Foster, Jacob Langness, Mary Bessesen, Julian Falutz, Abeer Moanna, David Looney, Scott Johns, Joseph Nguyen, Michael Oxman, Myron Levin
BACKGROUND: Herpes zoster (HZ) occurs at a higher age-specific rate in people living with HIV (PLWH) than in the general population. We implemented a quality improvement study to assess herpes zoster vaccine (HZV) usage among PLWH, assess HZV usage after additional reminders/prompts, and identify barriers to HZV among older PLWH. METHODS: HZV rates in PLWH were determined in six institutions with varying payment structures. For the intervention, Part 1, PLWH eligible for HZV at the University of Colorado were identified, and providers were notified of patient eligibility...
April 17, 2018: AIDS Research and Human Retroviruses
https://www.readbyqxmd.com/read/29659597/measuring-movement-into-residential-care-institutions-in-haiti-after-hurricane-matthew-a-pilot-study
#6
Beth L Rubenstein, Matthew MacFarlane, Celina Jensen, Lindsay Stark
BACKGROUND: Governments have an ethical imperative to safeguard children in residential care institutions at all times, including in the aftermath of an emergency. Yet, a lack of accurate data about how the magnitude and characteristics of this population may change due to an emergency impedes leaders' ability to formulate responsive policies and services, mobilize resources and foster accountability. The purpose of this study was therefore to determine the feasibility of evaluating movement of children into residential care following an emergency...
2018: PloS One
https://www.readbyqxmd.com/read/29658382/the-impact-of-digital-technologies-on-point-of-care-diagnostics-in-resource-limited-settings
#7
Natasha Gous, Debrah I Boeras, Ben Cheng, Jeff Takle, Brad Cunningham, Rosanna W Peeling
Simple, rapid tests that can be used at the point-of-care (POC) can improve access to diagnostic services and overall patient management in resource-limited settings where laboratory infrastructure is limited. Implementation of POC tests places tremendous strain on already fragile health systems as the demand for training, supply management and quality assurance are amplified. Digital health has a major role to play in ensuring effective delivery and management of POC testing services. Area covered: The ability to digitise laboratory and POC platforms, including lateral flow rapid diagnostic test results, can standardize the interpretation of results and allows data to be linked to proficiency testing to ensure testing quality, reducing interpretation and transcription errors...
April 2018: Expert Review of Molecular Diagnostics
https://www.readbyqxmd.com/read/29656384/supporting-mentoring-relationships-of-youth-in-foster-care-do-program-practices-predict-match-length
#8
Rebecca L Stelter, Janis B Kupersmidt, Kathryn N Stump
Implementation of research- and safety-based program practices enhance the longevity of mentoring relationships, in general; however, little is known about how mentoring programs might support the relationships of mentees in foster care. Benchmark program practices and Standards in the Elements of Effective Practice for Mentoring, 3rd Edition (MENTOR, 2009) were assessed in the current study as predictors of match longevity. Secondary data analyses were conducted on a national agency information management database from 216 Big Brothers Big Sisters agencies serving 641 youth in foster care and 70,067 youth not in care from across the United States (Mean = 11...
April 15, 2018: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29650209/reducing-neglect-and-improving-social-support-for-older-people-following-a-self-help-group-in-the-poor-urban-community-of-jakarta-indonesia
#9
Junaiti Sahar, Ni Made Riasmini, Dwi Nurviyandari
Increasing age has an impact on the decline of organ function and results in increasing dependence on others, including family. Efforts must be made to increase older adult's' independence to help them overcome naturally occurring changes and health problems. This research aims to determine the effects of the self-help groups as nursing interventions using guidelines of selfhealth monitoring and management on the incidence of neglecting and the social support of older people. A quasi-experimental design was used on a total sample of 208 people, consisting of 103 in the intervention group and 105 in the control group...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29649846/-palliative-home-care-teams-in-germany
#10
Friedemann Nauck, Maximiliane Jansky
Since 2007, patients with severe advanced life-limiting illnesses and high, complex symptom burdens have a right to receive specialized outpatient palliative care (SAPV). Multi-professional teams with heterogeneous organizational structures provide care in cooperation with primary care givers, not limited to cancer patients. The aim of SAPV is to foster patient's autonomy and quality of life. SAPV can be provided as counseling of patient and care givers, coordination of care, additional supportive and full care provision...
April 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29649672/leading-up-to-saying-yes-a-qualitative-study-on-the-experience-of-patients-with-refractory-epilepsy-regarding-presurgical-investigation-for-resective-surgery
#11
Patti Shih, Armin Nikpour, Andrew Bleasel, Geoffrey Herkes, Rebecca Mitchell, Rebecca Seah, Virginia Mumford, Jeffrey Braithwaite, Sanjyot Vagholkar, Frances Rapport
OBJECTIVES: Adult patients with refractory epilepsy who are potential candidates for resective surgery undergo a period of presurgical investigation in tertiary epilepsy centers (TECs), where they engage extensively with healthcare professionals and receive a range of treatment-related information. This qualitative study aimed to examine the experiences of adult patients with refractory epilepsy leading up to and during presurgical investigation and how their perceptions of resective surgery are shaped...
April 9, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29629934/faculty-mentorship-making-it-work-across-the-career-continuum-through-development-implementation-and-evaluation-of-a-formal-mentorship-program
#12
Jennifer B Martin, Dianna H Douglas
Mentoring is a way to foster personal and professional career development within professional disciplines such as nursing. The National League for Nursing has described the nurse faculty role as multidimensional and difficult to balance. A school of nursing implemented a faculty mentorship program focused on the school's core values: caring, professionalism, respect, integrity, diversity, and excellence (CPRIDE). This program combines traditional and nontraditional mentoring models to create an environment in which junior faculty form relationships with senior faculty who possess expertise in a particular field...
April 6, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29627748/the-social-integration-of-healthcare-agency-workers-in-long-term-care-facilities-a-cross-sectional-study
#13
Marie-Ève Lapalme, Olivier Doucet
BACKGROUND: Patient care quality is a key concern for long-term care facilities and is directly related to effective collaboration between healthcare professionals. The use of agency staff in long-term care facilities creates important challenges in terms of coordination and communication within work units. OBJECTIVES: The purpose of this study is to assess the mediating effect of common in-group identity in the relationship between permanent employees' perceptions regarding the use of agency workers -namely distributive justice, perceptions of threat, perceived similarities with agency workers, and leader inclusiveness toward agency staff- and the permanent employees' adoption of collaborative behaviours...
March 17, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29627267/self-management-education-for-rehabilitation-inpatients-a-cluster-randomized-controlled-trial
#14
Karin Meng, Andrea Reusch, Gunda Musekamp, Bettina Seekatz, Bettina Zietz, Gero Steimann, Robert Altstidl, Günter Haug, Ulrike Worringen, Hermann Faller
OBJECTIVE: To evaluate generic self-management modules (SelMa) as an adjunct to disease-specific educational programs during inpatient medical rehabilitation. METHODS: A bi-center cluster-randomized controlled trial with 698 patients with coronary artery disease, metabolic syndrome, or inflammatory bowel disease was conducted. We compared two versions of SelMa, a group with 3 h or a lecture with 1 h, respectively, in addition to disease-related patient education, to usual care (only disease-related education)...
March 30, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29626260/clinical-utility-of-pharmacogenetic-testing-in-children-and-adolescents-with-severe-mental-disorders
#15
Hilario Blasco-Fontecilla
This is a retrospective cohort study of 20 children and adolescents to evaluate the clinical utility of a pharmacogenetic decision support tool. Twenty children and adolescents underwent pharmacogenetic testing between June 2014 and May 2017. All children and adolescents were evaluated at Puerta de Hierro University Hospital-Majadahonda (Madrid, Spain). We report the proportion of patients achieving clinical improvement, amelioration of side effects, and changes in number of drugs. Data normality was assessed with the Shapiro-Wilk test, and changes of pre- and post-pharmacogenetic testing were analyzed with the Wilcoxon test for paired samples...
April 6, 2018: Journal of Neural Transmission
https://www.readbyqxmd.com/read/29625734/the-significance-of-digital-citizenship-in-the-well-being-of-older-migrants
#16
A Millard, L Baldassar, R Wilding
OBJECTIVES: To understand the increasingly important role of digital citizenship (the ability to participate in society online) in supporting the well-being of ageing migrants. STUDY DESIGN: Participant observation, social network mapping, ethnographic and life-history interviews. METHODS: Fifteen in-depth case studies examined the role of online participation in fostering the well-being and care of older migrants in Perth, Western Australia...
April 3, 2018: Public Health
https://www.readbyqxmd.com/read/29625568/consensus-clinical-management-guidelines-for-niemann-pick-disease-type-c
#17
REVIEW
Tarekegn Geberhiwot, Alessandro Moro, Andrea Dardis, Uma Ramaswami, Sandra Sirrs, Mercedes Pineda Marfa, Marie T Vanier, Mark Walterfang, Shaun Bolton, Charlotte Dawson, Bénédicte Héron, Miriam Stampfer, Jackie Imrie, Christian Hendriksz, Paul Gissen, Ellen Crushell, Maria J Coll, Yann Nadjar, Hans Klünemann, Eugen Mengel, Martin Hrebicek, Simon A Jones, Daniel Ory, Bruno Bembi, Marc Patterson
Niemann-Pick Type C (NPC) is a progressive and life limiting autosomal recessive disorder caused by mutations in either the NPC1 or NPC2 gene. Mutations in these genes are associated with abnormal endosomal-lysosomal trafficking, resulting in the accumulation of multiple tissue specific lipids in the lysosomes. The clinical spectrum of NPC disease ranges from a neonatal rapidly progressive fatal disorder to an adult-onset chronic neurodegenerative disease. The age of onset of the first (beyond 3 months of life) neurological symptom may predict the severity of the disease and determines life expectancy...
April 6, 2018: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/29624190/hospitalist-value-in-an-aco-world
#18
Jing Li, Mark J Williams
The accountable care organization (ACO) concept is advocated as a promising value-based payment model that could successfully realign the current payment system to financially reward improvements in quality and efficiency. Focusing on the care of hospitalized patients and controlling a substantive portion of variable hospital expenses, hospitalists are poised to play an essential role in system-level transformational change to achieve clinical integration. Especially through hospital and health system quality improvement (QI) initiatives, hospitalists can directly impact and share accountability for measures ranging from care coordination to implementation of evidence-based care and the patient and family caregiver experience...
April 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29624140/population-health-management-guiding-principles-to-stimulate-collaboration-and-improve-pharmaceutical-care
#19
Betty Steenkamer, Caroline Baan, Kim Putters, Hans van Oers, Hanneke Drewes
Purpose A range of strategies to improve pharmaceutical care has been implemented by population health management (PHM) initiatives. However, which strategies generate the desired outcomes is largely unknown. The purpose of this paper is to identify guiding principles underlying collaborative strategies to improve pharmaceutical care and the contextual factors and mechanisms through which these principles operate. Design/methodology/approach The evaluation was informed by a realist methodology examining the links between PHM strategies, their outcomes and the contexts and mechanisms by which these strategies operate...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29623526/what-is-the-impact-of-placement-type-on-educational-and-health-outcomes-of-unaccompanied-refugee-minors-a-systematic-review-of-the-evidence
#20
REVIEW
Aoife O'Higgins, Eleanor Marie Ott, Michael William Shea
Record numbers of unaccompanied refugee minors have been arriving in high-income countries since 2015. Child welfare agencies and non-governmental organisations tasked with providing services have struggled to cope with demands on their services as a result. Despite this, there is little research on how best to meet their needs and in particular what services can mitigate the psychological difficulties they face. As a result, the evidence base for social services for refugee children remains very limited. This paper is a systematic review and meta-analysis of the evidence on the relationship between care placement type and the educational, mental health and physical health outcomes of unaccompanied refugee minors...
April 5, 2018: Clinical Child and Family Psychology Review
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