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https://www.readbyqxmd.com/read/29783981/implementing-integrated-services-for-people-with-epilepsy-in-primary-care-in-ethiopia-a-qualitative-study
#1
Raquel Catalao, Tigist Eshetu, Ruth Tsigebrhan, Girmay Medhin, Abebaw Fekadu, Charlotte Hanlon
BACKGROUND: In order to tackle the considerable treatment gap for epilepsy in many low- and middle-income countries (LMICs), a task sharing model is recommended whereby care is integrated into primary health services. However, there are limited data on implementation and impact of such services in LMICs. Our study aimed to explore the perspectives of service users and caregivers on the accessibility, experience and perceived impact of epilepsy treatment received in a task-shared model in a rural district of Ethiopia...
May 21, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29754528/canadian-patients-preferences-in-topical-psoriasis-care-insights-from-the-propel-surveys
#2
Ronald Vender, Melinda J Gooderham, Lyn C Guenther, Dimitrios Kyritsis, Jaggi Rao, Alice Kowalczyk, John Ashkenas
BACKGROUND: Patients with psoriasis of all severities employ topical treatment, either alone or in combination. Promoting Patient Engagement at the Leading Edge of Topical Psoriasis Treatment (PROPEL) surveyed Canadian dermatologists and their patients about their attitudes toward topical care. OBJECTIVES: To identify gaps between patients and dermatologists regarding the burden of psoriasis, the burden of treatment, and priorities for topical care to Canadian patients with psoriasis...
May 1, 2018: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/29740312/emotion-detection-deficits-and-decreased-empathy-in-patients-with-alzheimer-s-disease-and-parkinson-s-disease-affect-caregiver-mood-and-burden
#3
Maria Martinez, Namita Multani, Cassandra J Anor, Karen Misquitta, David F Tang-Wai, Ron Keren, Susan Fox, Anthony E Lang, Connie Marras, Maria C Tartaglia
Background : Changes in social cognition occur in patients with Alzheimer's disease (AD) and Parkinson's disease (PD) and can be caused by several factors, including emotion recognition deficits and neuropsychiatric symptoms (NPS). The aims of this study were to investigate: (1) group differences on emotion detection between patients diagnosed with AD or PD and their respective caregivers; (2) the association of emotion detection with empathetic ability and NPS in individuals with AD or PD; (3) caregivers' depression and perceived burden in relation to patients' ability to detect emotions, empathize with others, presence of NPS; and (4) caregiver's awareness of emotion detection deficits in patients with AD or Parkinson...
2018: Frontiers in Aging Neuroscience
https://www.readbyqxmd.com/read/29696357/stigma-experiences-and-perceived-stigma-in-patients-with-first-episode-schizophrenia-in-the-course-of-1-year-after-their-first-in-patient-treatment
#4
Harald Zäske, Michael Linden, Detlef Degner, Maria Jockers-Scherübl, Stefan Klingberg, Joachim Klosterkötter, Wolfgang Maier, Hans-Jürgen Möller, Heinrich Sauer, Andrea Schmitt, Wolfgang Gaebel
Patients with schizophrenia suffer from stigma and discrimination due to their illness. Yet it is not well examined how experiences of stigma and discrimination express at the early illness stage and how they develop subsequently. Therefore, clinical and psycho-social correlates of stigma experiences and perceived stigma are analyzed in patients with first-episode schizophrenia over the course of 1 year after their first in-patient treatment. Questionnaire data assessed within the multi-centre-RCT "First-Episode Study" of the German Research Network on Schizophrenia were analyzed...
April 25, 2018: European Archives of Psychiatry and Clinical Neuroscience
https://www.readbyqxmd.com/read/29614987/the-silent-burden-of-stigmatisation-a-qualitative-study-among-dutch-people-with-a-low-socioeconomic-position
#5
Audrey M W Simons, Inge Houkes, Annemarie Koster, Daniëlle A I Groffen, Hans Bosma
BACKGROUND: In-depth qualitative research into perceived socioeconomic position-related stigmatisation among people living at the lower end of our socioeconomic hierarchy is necessary for getting more insight in the possible downside of living in an increasingly meritocratic and individualistic society. METHODS: Seventeen interviews were conducted among a group of Dutch people with a low socioeconomic position to examine their experiences with stigmatisation, how they coped with it and what they perceived as consequences...
April 3, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29504503/managing-hiv-positive-sero-status-in-ghana-s-most-hiv-concentrated-district-self-perceived-explanations-and-theoretical-discourse
#6
Adobea Y Owusu, Amos Laar
As of December 2015 there were 37 million persons living with HIV/AIDS (PLWHAs), 70% of whom are in sub-Saharan Africa. Ghana, which contributes a relatively small number to Africa's HIV burden, has a generalised HIV epidemic. The current national prevalence is 1.47%. Agormanya, one of the HIV sentinel sites in the county and where this study was conducted, has current prevalence of 11.6%. This makes it critical to explore how persons infected with HIV manage their lives, especially in the midst of entrenched stigma and discrimination...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29353626/hearing-loss-and-tinnitus-in-survivors-with-chemotherapy-induced-neuropathy
#7
Christine Miaskowski, Steven M Paul, Judy Mastick, Mark Schumacher, Yvette P Conley, Betty Smoot, Gary Abrams, Kord M Kober, Steven Cheung, Jennifer Henderson-Sabes, Margaret Chesney, Melissa Mazor, Margaret Wallhagen, Jon D Levine
PURPOSE: The purpose of this study was to evaluate for differences in demographic, clinical, and pain characteristics, as well as measures of sensation, balance, perceived stress, symptom burden, and quality of life (QOL) among survivors who received neurotoxic chemotherapy (CTX) and who reported only chemotherapy-induced neuropathy (CIN, n = 217), CIN and hearing loss (CIN/HL, n = 69), or CIN, hearing loss, and tinnitus (CIN/HL/TIN, n = 85). We hypothesized that as the number of neurotoxicities increased, survivors would have worse outcomes...
February 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/29324562/effectiveness-of-interventions-to-prevent-pre-frailty-and-frailty-progression-in-older-adults-a-systematic-review
#8
João Apóstolo, Richard Cooke, Elzbieta Bobrowicz-Campos, Silvina Santana, Maura Marcucci, Antonio Cano, Miriam Vollenbroek-Hutten, Federico Germini, Barbara D'Avanzo, Holly Gwyther, Carol Holland
OBJECTIVE: To summarize the best available evidence regarding the effectiveness of interventions for preventing frailty progression in older adults. INTRODUCTION: Frailty is an age-related state of decreased physiological reserves characterized by an increased risk of poor clinical outcomes. Evidence supporting the malleability of frailty, its prevention and treatment, has been presented. INCLUSION CRITERIA: The review considered studies on older adults aged 65 and over, explicitly identified as pre-frail or frail, who had been undergoing interventions focusing on the prevention of frailty progression...
January 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29306605/online-training-and-support-programs-designed-to-improve-mental-health-and-reduce-burden-among-caregivers-of-people-with-dementia-a-systematic-review
#9
REVIEW
Kieren J Egan, Ángel C Pinto-Bruno, Irene Bighelli, Marla Berg-Weger, Annemieke van Straten, Emiliano Albanese, Anne-Margriet Pot
INTRODUCTION: Dementia poses a considerable socioeconomic burden to society. On a global scale, family and other unpaid care predominates. Supporting caregivers is crucial, but scalable interventions are currently lacking. Because a growing number of studies have suggested that online training and support programs hold considerable promise for scaling up, we reviewed existing literature. METHODS: We systematically searched 6 databases to identify studies of Internet-based interventions designed to train and support caregivers of people with dementia, and we formally assessed risk of bias...
March 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29237487/adolescent-coordinated-transition-act-to-improve-health-outcomes-among-young-people-living-with-hiv-in-nigeria-study-protocol-for-a-randomized-controlled-trial
#10
Nadia A Sam-Agudu, Jennifer R Pharr, Tamara Bruno, Chad L Cross, Llewellyn J Cornelius, Prosper Okonkwo, Bolanle Oyeledun, Hadiza Khamofu, Ayodotun Olutola, Salome Erekaha, William Nii Ayitey Menson, Echezona E Ezeanolue
BACKGROUND: Adolescents living with HIV (ALHIV) have worse health outcomes than other populations of people living with HIV. Contributing factors include lack of standard and comprehensive procedures for ALHIV transitioning from pediatric to adult care. This has contributed to poor retention at, and following transition, which is problematic especially in high ALHIV-burden, resource-limited settings like Nigeria. METHODS: Using a two-arm cluster randomized control design, the Adolescent Coordinated Transition (ACT) trial will measure the comparative effectiveness of a graduated transition and organized support group intervention against the usual practice of abrupt transfer of Nigerian ALHIV from pediatric to adult care...
December 14, 2017: Trials
https://www.readbyqxmd.com/read/29235418/dying-persons-perspectives-on-or-experiences-of-participating-in-research-an-integrative-review
#11
Melissa J Bloomer, Alison M Hutchinson, Laura Brooks, Mari Botti
BACKGROUND: Conducting research with dying persons can be controversial and challenging due to concerns for the vulnerability of the dying and the potential burden on those who participate with the possibility of little benefit. AIM: To conduct an integrative review to answer the question 'What are dying persons' perspectives or experiences of participating in research? DESIGN: A structured integrative review of the empirical literature was undertaken...
November 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/29224552/factors-influencing-the-eating-practices-of-hospital-nurses-during-their-shifts
#12
Tina Monaghan, Lauren Dinour, Doreen Liou, Melanie Shefchik
The purpose of this study was to identify factors influencing hospital nurses' dietary practices during their shifts. Semistructured interviews grounded in the Social Ecological Model focused on individual, interpersonal, organizational, and public policy factors affecting intake. Responses from 20 female nurses were qualitatively coded and categorized based on common themes. Four major themes emerged: occupational characteristics, hesitation to take breaks, influence of unhealthy food, and organizational and industry policies...
December 1, 2017: Workplace Health & Safety
https://www.readbyqxmd.com/read/29215576/fasting-plasma-glucose-self-appraised-diet-quality-and-depressive-symptoms-a-us-representative-cross-sectional-study
#13
Erin Hoare, Sarah R Dash, Pia Varsamis, Garry L Jennings, Bronwyn A Kingwell
Depression and type 2 diabetes (T2D) contribute significantly to global burden of disease and often co-occur. Underpinning type 2 diabetes is poor glycaemic control and glucose is also an obligatory substrate for brain metabolism, with potential implications for cognition, motivation and mood. This research aimed to examine the relationships between fasting plasma glucose and depressive symptoms in a large, population representative sample of US adults, controlling for other demographic and lifestyle behavioural risk factors...
December 7, 2017: Nutrients
https://www.readbyqxmd.com/read/29143216/self-perception-and-determinants-of-color-vision-in-parkinson-s-disease
#14
Alexander U Brandt, Hanna G Zimmermann, Timm Oberwahrenbrock, Justine Isensee, Thomas Müller, Friedemann Paul
Visual dysfunction is common in patients with Parkinson's disease (PD). The objective of this study was to investigate the perceived impact of visual dysfunction and especially color vision loss on PD patients, and to identify retinal and disease factors associated with color vision. Thirty PD patients and thirty-four healthy controls were included. Participants performed the Farnsworth-Munsell Hue-100 test (FMT). Patients answered the National Eye Institute Visual Function Questionnaire (NEI-VFQ), Unified Parkinson's Disease Rating Scale (UPDRS) assessment, and underwent optical coherence tomography with measurement of retinal nerve fiber layer, ganglion cell layer + inner plexiform layer (GCIPL), and outer nuclear and photoreceptor layer...
February 2018: Journal of Neural Transmission
https://www.readbyqxmd.com/read/29112317/-prostate-cancer-is-far-more-hidden%C3%A2-perceptions-of-stigma-social-isolation-and-help-seeking-among-men-with-prostate-cancer
#15
K A Ettridge, J A Bowden, S K Chambers, D P Smith, M Murphy, S M Evans, D Roder, C L Miller
The purpose of this study was to provide in-depth insight into men's experiences of prostate cancer, specifically: perceived stigma and self-blame, social isolation, unmet need and help-seeking. A qualitative descriptive approach was used. Semi-structured interviews were undertaken with 20 men diagnosed with prostate cancer, and thematic analysis was undertaken. Some participants perceived a stigma associated with prostate cancer and cancer in general, which sometimes acted as a barrier to disclosure. Self-blame and internalisation of cause was not a prominent issue...
November 7, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/29096591/comparison-between-flipped-classroom-and-lecture-based-classroom-in-ophthalmology-clerkship
#16
Fen Tang, Chuan Chen, Yi Zhu, Chengguo Zuo, Yimin Zhong, Nan Wang, Lijun Zhou, Yuxian Zou, Dan Liang
BACKGROUND: In recent years, the flipped classroom method of teaching has received much attention in health sciences education. However, the application of flipped classrooms in ophthalmology education has not been well investigated. OBJECTIVE: The goal of this study was to investigate the effectiveness and acceptability of the flipped classroom approach to teaching ophthalmology at the clerkship level. DESIGN: Ninety-five fourth year medical students in an ophthalmology clerkship were randomly divided into two groups...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28945782/why-wait-the-social-determinants-underlying-tuberculosis-diagnostic-delay
#17
Lily Victoria Bonadonna, Matthew James Saunders, Roberto Zegarra, Carlton Evans, Kei Alegria-Flores, Heinner Guio
BACKGROUND: Early detection and diagnosis of tuberculosis remain major global priorities for tuberculosis control. Few studies have used a qualitative approach to investigate the social determinants contributing to diagnostic delay and none have compared data collected from individual, community, and health-system levels. We aimed to characterize the social determinants that contribute to diagnostic delay among persons diagnosed with tuberculosis living in resource-constrained settings...
2017: PloS One
https://www.readbyqxmd.com/read/28883742/somatic-symptom-profiles-in-the-general-population-a-latent-class-analysis-in-a-danish-population-based-health-survey
#18
Marie Eliasen, Torben Jørgensen, Andreas Schröder, Thomas Meinertz Dantoft, Per Fink, Chalotte Heinsvig Poulsen, Nanna Borup Johansen, Lene Falgaard Eplov, Sine Skovbjerg, Svend Kreiner
PURPOSE: The aim of this study was to identify and describe somatic symptom profiles in the general adult population in order to enable further epidemiological research within multiple somatic symptoms. METHODS: Information on 19 self-reported common somatic symptoms was achieved from a population-based questionnaire survey of 36,163 randomly selected adults in the Capital Region of Denmark (55.4% women). The participants stated whether they had been considerably bothered by each symptom within 14 days prior to answering the questionnaire...
2017: Clinical Epidemiology
https://www.readbyqxmd.com/read/28852868/prevalence-and-predictors-of-anxiety-disorders-amongst-low-income-pregnant-women-in-urban-south-africa-a-cross-sectional-study
#19
Thandi van Heyningen, Simone Honikman, Landon Myer, Michael N Onah, Sally Field, Mark Tomlinson
Anxiety is highly prevalent in many populations; however, the burden of anxiety disorders amongst pregnant women in low-resource settings is not well documented. We investigated the prevalence and predictors of antenatal anxiety disorders amongst low-income women living with psychosocial adversity. Pregnant women were recruited from an urban, primary level clinic in Cape Town, South Africa. The Mini-International Neuropsychiatric Interview diagnostic interview assessed prevalence of anxiety disorders. Four self-report questionnaires measured psychosocial characteristics...
December 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/28807140/acute-psychological-trauma-in-the-critically-ill-patient-and-family-perspectives
#20
Volha Dziadzko, Mikhail A Dziadzko, Margaret M Johnson, Ognjen Gajic, Lioudmila V Karnatovskaia
OBJECTIVE: Post-intensive care syndrome (PICS), which encompasses profound psychological morbidity, affects many survivors of critical illness. We hypothesize that acute psychological stress during the intensive care unit (ICU) confinement likely contributes to PICS. In order to develop strategies that mitigate PICS associated psychological morbidity, it is paramount to first characterize acute ICU psychological stress and begin to understand its causative and protective factors. METHODS: A structured interview study was administered to adult critical illness survivors who received ≥48h of mechanical ventilation in medical and surgical ICUs of a tertiary care center, and their families...
July 2017: General Hospital Psychiatry
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