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https://www.readbyqxmd.com/read/28830027/factors-influencing-use-of-family-planning-in-women-living-in-crisis-affected-areas-of-sub-saharan-africa-a-review-of-the-literature
#1
REVIEW
Kelly Ackerson, Ruth Zielinski
BACKGROUND: far too many women continue to die from pregnancy and childbirth related causes. While rates have decreased in the past two decades, some areas of the world such as sub-Saharan Africa continue to have very high maternal mortality rates. One intervention that has been demonstrated to decrease maternal mortality is use of family planning and modern contraception, yet rates of use in sub-Saharan countries with the highest rates of maternal death remain very low. AIM: to review available research and summarize the factors that inhibit or promote family planning and contraceptive use among refugee women and women from surrounding areas living in Sub-Saharan Africa...
August 1, 2017: Midwifery
https://www.readbyqxmd.com/read/28829912/biomolecular-steric-hindrance-effects-are-enhanced-on-nanostructured-microelectrodes
#2
Sahar Sadat Mahshid, Alexis Vallée-Bélisle, Shana O Kelley
The availability of rapid approaches for quantitative detection of biomarkers would drastically impact global health by enabling decentralized disease diagnosis anywhere that patient care is administered. A promising new approach, the electrochemical steric hindrance hybridization assay (eSHHA) has been introduced for quantitative detection of large proteins (e.g. antibodies) with a low nano-molar detection limit within 10 minutes. Here, we report the use of a nanostructured microelectrode (NME) platform for eSHHA that improves the performance of this approach by increasing the efficiency and kinetics of DNA hybridization...
August 22, 2017: Analytical Chemistry
https://www.readbyqxmd.com/read/28829828/choosing-the-right-rehabilitation-setting-after-herniated-disc-surgery-motives-motivations-and-expectations-from-the-patients-perspective
#3
Margrit Löbner, Janine Stein, Melanie Luppa, Alexander Konnopka, Hans Jörg Meisel, Lutz Günther, Jürgen Meixensberger, Katarina Stengler, Matthias C Angermeyer, Hans-Helmut König, Steffi G Riedel-Heller
OBJECTIVES: This study aims to investigate (1) motives, motivations and expectations regarding the choice for a specific rehabilitation setting after herniated disc surgery and (2) how rehabilitation-related motivations and expectations are associated with rehabilitation outcome (ability to work, health-related quality of life and satisfaction with rehabilitation) three months after disc surgery. METHODS: The longitudinal cohort study refers to 452 disc surgery patients participating in a subsequent rehabilitation...
2017: PloS One
https://www.readbyqxmd.com/read/28829284/the-psychenet-public-health-intervention-for-anorexia-nervosa-a-pre-post-evaluation-study-in-a-female-patient-sample
#4
Antje Gumz, Angelika Weigel, Karl Wegscheider, Georg Romer, Bernd Löwe
Aim This non-randomized pre-post-intervention study investigated the effect of a systemic public health intervention on the length of time between anorexia nervosa symptom onset and contact with the health care system as well as the initiation of treatment. BACKGROUND: Although systemic public health interventions have successfully been implemented in physical and mental health fields, their effect on the early treatment of patients with anorexia nervosa remains unclear. METHODS: In total, 59 anorexia nervosa patients (mean age=21...
August 22, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28829159/early-onset-bipolar-disorder-characteristics-and-outcomes-in-the-clinic
#5
Daniel F Connor, Julian D Ford, Geraldine S Pearson, Victoria L Scranton, Asha Dusad
OBJECTIVE: To assess patient characteristics and clinician-rated outcomes for children diagnosed with early-onset bipolar disorder in comparison to a depressive disorders cohort from a single clinic site. To assess predictors of bipolar treatment response. METHODS: Medical records from 714 consecutive pediatric patients evaluated and treated at an academic tertiary child and adolescent psychiatry clinic between 2006 and 2012 were reviewed. Charts of bipolar children (n = 49) and children with depressive disorders (n = 58) meeting study inclusion/exclusion criteria were compared on variables assessing clinical characteristics, treatments, and outcomes...
August 22, 2017: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/28829002/supporting-wellbeing-in-motor-neurone-disease-for-patients-carers-social-networks-and-health-professionals-a-scoping-review-and-synthesis
#6
Melanie Harris, Geoff Thomas, Mary Thomas, Paul Cafarella, Allegra Stocks, Julia Greig, R Doug McEvoy
OBJECTIVE: Disease management in motor neurone disease (MND) is focused on preserving quality of life. However, the emphasis has so far been on physical symptoms and functioning and not psychosocial wellbeing. MND affects the wellbeing of carers, of family and social network members, and of healthcare providers, as well as of the patients. We therefore aimed to assess and synthesize the knowledge about maximizing MND-related psychosocial wellbeing across all these groups. METHOD: We used a systematic search and selection process to assess the scope of the literature along with a narrative synthesis of recent high-quality reviews...
August 22, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28828879/social-support-and-coping-in-adults-with-type-2-diabetes
#7
Samantha Ramkisson, Basil J Pillay, Wilbert Sibanda
BACKGROUND: The diagnosis of diabetes has been described as a lifelong psychological burden on the patient and his or her family. Social support plays a pivotal role in patients with diabetes and is important in enabling them to cope effectively with the disease. There is a dearth of research on social support and coping in patients with diabetes in South Africa. OBJECTIVES: The aim of this study was to explore whether patients with poor perceived social support have lower levels of well-being and coping than patients with good social support...
July 31, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28828878/determining-the-efficacy-of-national-strategies-aimed-at-addressing-the-challenges-facing-health-personnel-working-in-rural-areas-in-kwazulu-natal-south-africa
#8
Grace Mburu, Gavin George
BACKGROUND: Shortages of Human Resources for Health (HRH) in rural areas are often driven by poor working and living conditions, inadequate salaries and benefits, lack of training and career development opportunities amongst others. The South African government has adopted a human resource strategy for the health sector in 2011 aimed at addressing these challenges. AIM: This study reviews the challenges faced by health personnel against government strategies aimed at attracting and retaining health personnel in these underserved areas...
July 31, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28828877/stigma-and-discrimination-within-the-ethiopian-health-care-settings-views-of-inpatients-living-with-human-immunodeficiency-virus-and-acquired-immune-deficiency-syndrome
#9
Befekadu S Wodajo, Gloria Thupayagale-Tshweneagae, Oluwaseyi A Akpor
BACKGROUND: Stigma and discrimination attached to human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) have been recognised as a major obstacle to HIV prevention, treatment, care and support throughout the world. Stigma and discrimination are more devastating when they occur in health care settings where it is least expected. AIM: To explore the factors attributable to stigma and discrimination of people living with HIV in two Ethiopian rural hospitals on what they thought of health care professionals (HCPs) attending to them...
July 31, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28828869/utilisation-of-the-partogram-among-nurses-and-midwives-in-selected-health-facilities-in-the-eastern-province-of-rwanda
#10
Oliva Bazirete, Nomafrench Mbombo, Oluyinka Adejumo
BACKGROUND: Maternal mortality continues to be a global burden, with more than 200 million women becoming pregnant each year and a large number dying as a result of complications of pregnancy or childbirth. The World Health Organisation has recommended use of the partogram to monitor labour and delivery in order to improve healthcare and reduce maternal and foetal mortality rates. OBJECTIVE: This study described factors affecting utilisation of the partogram among nurses and midwives in selected health facilities of Rwanda...
August 3, 2017: Curationis
https://www.readbyqxmd.com/read/28828479/development-and-validation-of-a-tool-to-identify-patients-with-type-2-diabetes-at-high-risk-of-hypoglycemia-related-emergency-department-or-hospital-use
#11
Andrew J Karter, E Margaret Warton, Kasia J Lipska, James D Ralston, Howard H Moffet, Geoffrey G Jackson, Elbert S Huang, Donald R Miller
Importance: Hypoglycemia-related emergency department (ED) or hospital use among patients with type 2 diabetes (T2D) is clinically significant and possibly preventable. Objective: To develop and validate a tool to categorize risk of hypoglycemic-related utilization in patients with T2D. Design, Setting, and Participants: Using recursive partitioning with a split-sample design, we created a classification tree based on potential predictors of hypoglycemia-related ED or hospital use...
August 21, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28828389/barriers-of-adherence-and-possible-solutions-to-nonadherence-to-antidiabetic-therapy-in-women-with-diabetes-in-pregnancy-patients-perspective
#12
Doreen Mukona, Stephen Peter Munjanja, Mathilda Zvinavashe, Babil Stray-Pederson
Diabetes in pregnancy contributes to maternal mortality and morbidity though it receives little attention in developing countries. The purpose of the study was to explore the barriers to adherence and possible solutions to nonadherence to antidiabetic therapy in women with diabetes in pregnancy. Antidiabetic therapy referred to diet, physical activity, and medications. Four focus group discussions (FGDs), each with 7 participants, were held at a central hospital in Zimbabwe. Included were women with a diagnosis of diabetes in pregnancy, aged 18 to 49 years, and able to speak Shona or English...
2017: Journal of Diabetes Research
https://www.readbyqxmd.com/read/28828373/digital-immunization-registry-evidence-for-the-impact-of-mhealth-on-enhancing-the-immunization-system-and-improving-immunization-coverage-for-children-under-one-year-old-in-vietnam
#13
Nga Tuyet Nguyen, Huong Minh Vu, Sang Dinh Dao, Hieu Trung Tran, Tu Xuan Cam Nguyen
BACKGROUND: The Vietnam National Expanded Program on Immunization (NEPI) has been successfully implementing a nationwide immunization system since 1985. From the start, the program has increased the immunization coverage rate; however, data on immunization coverage in Vietnam are gathered and aggregated from commune health centers in routine, paper-based reports, which have shortcomings. Also, calculations of coverage are inconsistent at subnational levels, which lead to uncertainty about the size of the target population used as the denominator in coverage calculations...
2017: MHealth
https://www.readbyqxmd.com/read/28828309/adverse-drug-reactions-reporting-by-undergraduate-medical-students-in-a-tertiary-care-teaching-hospital-of-india-content-and-quality-analysis-in-comparison-to-physician-reporting
#14
Parvati B Patel, Tejas K Patel, Snehal Anturlikar, Sahila Khatun, Prakash Bhabhor, Manoj Kumar Saurabh
BACKGROUND: An important challenge to spontaneous reporting system is underreporting. The sensitization and involvement of undergraduate medical students can reduce underreporting in pharmacovigilance program. OBJECTIVE: To analyze the clinical characteristics and reporting quality of adverse drug reactions (ADRs) by undergraduate medical students in comparison with physicians' reporting. METHODS: We sensitized the second professional year undergraduate medical students about pharmacovigilance and asked them to submit reports of ADR observed during their clinical posting from January to December 2015...
July 2017: Perspectives in Clinical Research
https://www.readbyqxmd.com/read/28828226/serum-galectin-3-levels-and-delirium-among-postpartum-intensive-care-unit-women
#15
Ying Zhu, Wei Hu, Ming-Li Zhu, Ting Yin, Jun Su, Jian-Rong Wang
OBJECTIVE: Inflammation correlates with delirium. Galectin-3 is a proinflammatory protein. This study aimed to determine relation of serum galectin-3 levels to delirium of postpartum intensive care unit (ICU) women. MATERIALS AND METHODS: In this prospective observational study, serum galectin-3, S100B, and C-reactive protein levels of 412 postpartum ICU women and 412 healthy women were measured. Delirium and Acute Physiology and Chronic Health Care Evaluation II (APCHCE II) scores were recorded...
August 2017: Brain and Behavior
https://www.readbyqxmd.com/read/28828206/care-pathways-models-and-clinical-outcomes-in-disorders-of-consciousness
#16
Davide Sattin, Laura Morganti, Laura De Torres, Giuliano Dolce, Francesco Arcuri, Anna Estraneo, Viviana Cardinale, Roberto Piperno, Elena Zavatta, Rita Formisano, Mariagrazia D'Ippolito, Claudio Vassallo, Barbara Dessi, Gianfranco Lamberti, Elena Antoniono, Crocifissa Lanzillotti, Jorge Navarro, Placido Bramanti, Francesco Corallo, Mauro Zampolini, Federico Scarponi, Renato Avesani, Luca Salvi, Salvatore Ferro, Luigi Mazza, Paolo Fogar, Sandro Feller, Fulvio De Nigris, Andrea Martinuzzi, Mara Buffoni, Adriano Pessina, Paolo Corsico, Matilde Leonardi
OBJECTIVE: Patients with Disorders of consciousness, are persons with extremely low functioning levels and represent a challenge for health care systems due to their high needs of facilitating environmental factors. Despite a common Italian health care pathway for these patients, no studies have analyzed information on how each region have implemented it in its welfare system correlating data with patients' clinical outcomes. MATERIALS AND METHODS: A multicenter observational pilot study was realized...
August 2017: Brain and Behavior
https://www.readbyqxmd.com/read/28828197/transition-care-in-inflammatory-bowel-disease-a-needs-assessment-survey-of-quebec-gastroenterologists-and-allied-nurses
#17
Matthew Strohl, Xun Zhang, Dominique Lévesque, Talat Bessissow
AIM: To determine the tools needed and problems encountered during the transition of inflammatory bowel disease (IBD) patients from pediatric to adult gastroenterologists (GIs) in Québec, Canada. METHODS: We conducted a needs assessment survey of Quebec health care professionals (HCPs). The survey was handed out to 136 Québec HCPs at a local conference in 2013. Additionally, it was emailed to any other HCPs in Quebec involved in caring for IBD patients. The completed surveys were compiled to derive descriptive data...
August 6, 2017: World Journal of Gastrointestinal Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/28828036/lack-of-access-to-mental-health-services-contributing-to-the-high-suicide-rates-among-veterans
#18
Ronald D Hester
The United States has become a country that is constantly at war. This situation has created a crisis amongst our veterans. The current uneven access to appropriate mental health services that returning U.S. veterans encounter echoes the disparities in access to quality mental health services for the general population. The information presented here shows that the shortcomings of our health care system in addressing the mental health needs for our returning veterans may lead to the high suicide rates. Addressing the problem of inadequate access to quality mental health services is critical in any efforts to reforming the U...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28827963/investigation-of-effect-of-1-8-cineole-on-antimicrobial-activity-of-chlorhexidine-gluconate
#19
Merih Şimşek, Reşat Duman
BACKGROUND: Chlorhexidine belongs to a group of medicines called antiseptic antibacterial agents. Chlorhexidine is commonly used for the care and clean off the skin, hands, and wounds. In recent years, medicinal and aromatic plants have been used for prevention of disease, maintaining health, and improving disease in traditional and modern medicine as a medicament. According to recent research, cineole is the isolated active agent of eucalyptus oil and possesses antimicrobial activity...
July 2017: Pharmacognosy Research
https://www.readbyqxmd.com/read/28827940/assessment-of-private-homes-as-spaces-for-the-dying-elderly
#20
Tulika Bhattacharyya, Suhita Chopra Chatterjee, Dipannita Chand, Debolina Chatterjee, Jaydeep Sengupta
AIM: This study makes an assessment of end-of-life care of the elderly in private homes in Kolkata, West Bengal, India. PARTICIPANTS AND METHODS: Primary data were collected from private homes which supported elder care through observation and semi-structured interviews with primary family caregivers of the elderly. RESULTS: The study finds that the major factors preventing private homes from providing adequate care to the elderly were architecturally inadequate housing conditions, paucity of financial support, and scarcity of skilled caregivers...
July 2017: Indian Journal of Palliative Care
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