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https://www.readbyqxmd.com/read/29353396/the-differences-in-the-assessments-of-side-effects-at-an-oncology-outpatient-clinic
#1
A Bayraktar-Ekincioglu, E Kucuk
Background There is a growing interest in the use of targeted and immunotherapies in oncology. However, the assessment of side effects can be different due to interpretation of patients' health status by healthcare professionals in oncology outpatient clinics. Objective To demonstrate the differences in the assessments of side effects conducted independently by a clinical pharmacist and nurses in patients who receive targeted therapies at an oncology outpatient clinic. Setting The study was conducted at the University Oncology Hospital in an outpatient clinic from October 2015 to March 2016...
January 20, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29352579/informed-consent-in-physiotherapy-practice-it-is-not-what-is-said-but-how-it-is-said
#2
G Copnell
This paper discusses the concept of informed consent in the context of contemporary biomedical ethics. A change in UK law regarding what information should be provided to patients has brought to the fore the role of physiotherapists in the process of gaining informed consent. It is important that physiotherapists are aware of how this change in the law will affect their practice. For an individual to consent, they need to have both the capacity and freedom to exercise rational thought. These concepts are challenged in contemporary biomedical ethics...
August 7, 2017: Physiotherapy
https://www.readbyqxmd.com/read/29352280/leisure-time-physical-activity-and-prevalence-of-non-communicable-pathologies-and-prescription-medication-in-spain
#3
Pablo Fernandez-Navarro, María Teresa Aragones, Victoria Ley
Our aims were to describe physical activity (PA) behaviour in Spain and to examine its association with the prevalence of some of the major non-communicable diseases and with the use of prescription medication. Individualized secondary data retrieved from the 2014 European Health Interview Survey (EHIS) for Spain were used to conduct a cross-sectional epidemiological study (n = 18926). PA was assessed by two different measures: a specific designed variable for EHIS and a leisure time PA frequency-based query of the national survey...
2018: PloS One
https://www.readbyqxmd.com/read/29352076/intestinal-dysbiosis-and-permeability-the-yin-and-yang-in-alcohol-dependence-and-alcoholic-liver-disease
#4
REVIEW
Peter Stärkel, Sophie Leclercq, Philippe de Timary, Bernd Schnabl
Alcohol dependence and alcoholic liver disease represent a major public health problem with substantial morbidity and mortality. By yet incompletely understood mechanisms, chronic alcohol abuse is associated with increased intestinal permeability and alterations of the gut microbiota composition, allowing bacterial components, bacteria, and metabolites to reach the portal and the systemic circulation. These gut-derived bacterial products are recognized by immune cells circulating in the blood or residing in remote organs such as the liver leading to the release of pro-inflammatory cytokines which are considered important mediators of the liver-gut-brain communication...
January 31, 2018: Clinical Science (1979-)
https://www.readbyqxmd.com/read/29351712/-immigrated-physicians-chances-and-challenges
#5
Isabel Hohmann, Heide Glaesmer, Yuriy Nesterko
BACKGROUND AND OBJECTIVE: In the health care infrastructure of Germany a demand for physicians with immigrant background exists. The situation of immigrated physicians is largely unexplored so far. In the framework of a pilot study stressors and resources of physicians with immigrant background have been explored concerning their migration-related experiences at German hospitals, and within the medical team. METHODS: As part of a qualitative analysis 8 physicians with immigrant background have been interviewed (problem-centered interview) from July to September 2014...
January 19, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29351607/sector-wide-or-disease-specific-implications-of-trends-in-development-assistance-for-health-for-the-sdg-era
#6
Anne L Buffardi
The record of the Millennium Development Goals broadly reflects the trade-offs of disease-specific financing: substantial progress in particular areas, facilitated by time-bound targets that are easy to measure and communicate, which shifted attention and resources away from other areas, masked inequalities and exacerbated fragmentation. In many ways, the Sustainable Development Goals reflect a profound shift towards a more holistic, system-wide approach. To inform responses to this shift, this article builds upon existing work on aggregate trends in donor financing, bringing together what have largely been disparate analyses of sector-wide and disease-specific financing approaches...
January 16, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29351574/self-reported-knowledge-correct-knowledge-and-use-of-uk-drinking-guidelines-among-a-representative-sample-of-the-english-population
#7
Penny Buykx, Jessica Li, Lucy Gavens, Lucie Hooper, Elena Gomes de Matos, John Holmes
Aims: Promotion of lower risk drinking guidelines is a commonly used public health intervention with various purposes, including communicating alcohol consumption risks, informing drinkers' decision-making and, potentially, changing behaviour. UK drinking guidelines were revised in 2016. To inform potential promotion of the new guidelines, we aimed to examine public knowledge and use of the previous drinking guidelines, including by population subgroup. Methods: A demographically representative, cross-sectional online survey of 2100 adults living in England in July 2015 (i...
January 17, 2018: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
https://www.readbyqxmd.com/read/29351520/beyond-clinical-complexity-non-medical-barriers-to-nursing-home-care-for-rural-residents
#8
Carrie Henning-Smith, Katy B Kozhimannil, Michelle M Casey, Shailendra Prasad
We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around non-medical barriers to rural nursing home placement with particular salience in rural areas: financial issues; transportation; nursing home availability and infrastructure; and timeliness. We also identified policy and programmatic interventions across four themes: loosen bureaucratic requirements; improve communication between facilities; increase rural long-term care capacity; and address underlying social determinants of health...
January 19, 2018: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/29351195/seeing-context-through-metaphor-using-communications-research-to-bring-a-social-determinants-perspective-to-public-thinking-about-child-abuse-and-neglect
#9
Nathaniel Kendall-Taylor, Kate Stanley
Human beings think in metaphor and reason through analogy. The metaphors through which we think influence how we understand and feel about social issues as well as the actions that we see as appropriate and important. Metaphors can be used to increase understanding of how issues work and increase the salience of a given issue, build support for programs and policies necessary to address the issue, and instigate demand for change and civic action. In this paper, we use a mixed methods research design, including brief qualitative interviews, experimental surveys, and focus groups, to test the ability of different metaphors to influence public understanding of the social determinants of child abuse and neglect in the UK...
January 19, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29351109/coordination-of-the-environmental-influences-on-child-health-outcomes-program-so-the-whole-is-greater-than-the-sum-of-its-parts
#10
Brian Smith, Susan Knox, Daniel K Benjamin
PURPOSE OF REVIEW: The Environmental influences on Child Health Outcomes (ECHO) program's mission is to enhance the health of children for generations to come. In this manuscript, we describe the structure of the ECHO Coordinating Center (ECHO-CC) and its role in developing the infrastructure for the ECHO program. RECENT FINDINGS: The ECHO-CC supports ECHO's mission by developing the framework of the ECHO program, coordinating multiple levels of membership in the ECHO community, developing ECHO policies and procedures, and fostering communication and engagement inside and outside of ECHO...
January 17, 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29350714/health-literacy-exploring-nursing-challenges-to-providing-support-and-understanding%C3%A2
#11
Elaine Wittenberg, Betty Ferrell, Elisa Kanter, Haley Buller
BACKGROUND: As patient advocates, oncology nurses must attend to varying levels of health literacy among patients and families. However, little is known about nurses' experiences and comfort with health literacy assessment and providing health literacy support.
. OBJECTIVES: The purpose of this study is to explore nurse communication and patient health literacy.
. METHODS: A cross-sectional survey design (N = 74) was used to explore nurse communication challenges with low-literacy patients and to measure nurses' frequency of assisting with patient literacy needs, perceived degree of difficulty communicating with low-literacy populations, and perceived comfort with health literacy support...
February 1, 2018: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29350552/role-strain-part-2-perceptions-among-athletic-trainers-employed-in-the-professional-practice-setting
#12
Manual G Romero, William A Pitney, Stephanie M Mazerolle, Kirk Brumels
CONTEXT:   Athletic trainers (ATs) employed in the professional sports setting (ATPSSs) demonstrate moderate to high degrees of role strain. The experiences and perceptions of these ATs provide insight regarding the sources of role strain as well as ways to reduce it. OBJECTIVE:   To investigate the perceptions of ATPSSs regarding role strain. DESIGN:   Qualitative study. PATIENTS OR OTHER PARTICIPANTS:   From a purposeful sampling of 389 ATs employed in the 5 major sport leagues (Major League Baseball, Major League Soccer, National Basketball Association, National Football League, and National Hockey League), we identified 34 participants willing to participate in a phone interview...
January 19, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29350514/hospitalized-patients-and-family-members-preferences-for-real-time-transparent-access-to-their-hospital-records
#13
Michael J Waxman, Kurt Lozier, Lana Vasiljevic, Kira Novakofski, James Desemone, John O'Kane, Elizabeth M Dufort, David Wood, Ashar Ata, Louis Filhour, Richard J Blinkhorn
OBJECTIVES: To better understand patient satisfaction and perceived engagement with traditional hospital-based communication and to elicit patient preferences for health information technologies that would lead to improved satisfaction and engagement. STUDY DESIGN: We performed a mixed-methods study involving qualitative interviews followed by a survey of hospitalized patients and their family members at a single large academic medical center. METHODS: We conducted semi-structured interviews with 41 patients and surveyed 267 patients or family members to elicit their perspectives on satisfaction with traditional hospital communication methods, information needed to more fully engage in the patients' medical care, and potential solutions for improved hospital-based communication...
January 1, 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29350511/a-cost-effectiveness-analysis-of-cardiology-econsults-for-medicaid-patients
#14
Daren Anderson, Victor Villagra, Emil N Coman, Ianita Zlateva, Alex Hutchinson, Jose Villagra, J Nwando Olayiwola
OBJECTIVES: To evaluate the cost-effectiveness of electronic consultations (eConsults) for cardiology compared with traditional face-to-face consults. STUDY DESIGN: Cost-effectiveness analysis for a subset of Medicaid-insured patients in a cluster-randomized trial of eConsults versus the traditional face-to-face consultation process in a statewide federally qualified health center. METHODS: A total of 369 Medicaid patients were referred for cardiology consultations by primary care providers who were randomly assigned to use either eConsults or their usual face-to-face referral process...
January 1, 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29350510/electronic-sharing-of-diagnostic-information-and-patient-outcomes
#15
Darwyyn Deyo, Amir Khaliq, David Mitchell, Danny R Hughes
OBJECTIVES: Hospital sharing of electronic health record (EHR) diagnostic data has the potential to improve communication across providers and improve patient outcomes. However, implementing EHR systems can be difficult for hospitals. This study uses Hospital Compare (HC) and American Hospital Association (AHA) Annual Information Technology Survey data to estimate the association between sharing EHR data and patient outcomes. STUDY DESIGN: Descriptive and multivariate linear regression analyses...
January 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29350454/patterns-of-internet-based-health-information-seeking-in-adult-survivors-of-childhood-cancer
#16
Mechelle D Claridy, Melissa M Hudson, Lee Caplan, Pauline A Mitby, Wendy Leisenring, Selina A Smith, Leslie L Robison, Ann C Mertens
BACKGROUND: To assess where, when, and why survivors of childhood cancer seek health information. PROCEDURE: Data from the Childhood Cancer Survivor Study (CCSS) cohort (n = 1386) and Health Information National Trends Survey (n = 2385) were analyzed to determine the health information seeking strategies of childhood cancer survivors. Descriptive frequencies, χ2 analyses, t-tests, and multivariable logistic regression models were used. RESULTS: To seek health-related information for themselves, 54% (n = 742) of the childhood survivors reported using the Internet in the past 12 months, compared to 45% of the general population (adjusted OR: 2...
January 19, 2018: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/29350312/genesurance-counseling-patient-perspectives
#17
Chelsea Wagner, Lauren Murphy, Jacqueline Harkenrider, Sandra Darilek, Eleazar Soto-Torres, Quinn Stein, Jennifer Hoskovec
Genetic counselors (GCs) have reported an increase in discussion of insurance-related, or "genesurance," topics during genetic counseling sessions. Despite increasing frequency, there have been no studies examining patient expectations of GCs in these discussions. This study aimed to explore patient expectations of GCs in these discussions, as well as examine factors that may impact expectations. A 38-item survey was administered prior to patients receiving prenatal or cancer genetic counseling at 11 clinic sites across UTHealth, Baylor College of Medicine, and Sanford Health, with 360 responses analyzed...
January 19, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29349882/short-communication-persistent-socio-economic-inequality-in-frequent-headache-among-danish-adolescents-from-1991-to-2014
#18
B E Holstein, A Andersen, A M Denbaek, A Johansen, S I Michelsen, P Due
BACKGROUND: The association between socio-economic status (SES) and headache among adolescents is an understudied issue, and no study has examined whether such an association changes over time. The aim was to examine trends in socio-economic inequality in frequent headache among 11- to 15-year-olds in Denmark from 1991 to 2014, using occupational social class (OSC) as indicator of SES. METHODS: The study applies data from the Danish part of the international Health Behaviour in School-aged Children (HBSC) study...
January 19, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29349282/does-non-standard-work-mean-non-standard-health-exploring-links-between-non-standard-work-schedules-health-behavior-and-well-being
#19
Megan R Winkler, Susan Mason, Melissa N Laska, Mary J Christoph, Dianne Neumark-Sztainer
The last century has seen dramatic shifts in population work circumstances, leading to an increasing normalization of non-standard work schedules (NSWSs), defined as non-daytime, irregular hours. An ever-growing body of evidence links NSWSs to a host of non-communicable chronic conditions; yet, these associations primarily concentrate on the physiologic mechanisms created by circadian disruption and insufficient sleep. While important, not all NSWSs create such chronobiologic disruption, and other aspects of working time and synchronization could be important to the relationships between work schedules and chronic disease...
April 2018: SSM—Population Health
https://www.readbyqxmd.com/read/29349217/the-mothers-on-respect-mor-index-measuring-quality-safety-and-human-rights-in-childbirth
#20
Saraswathi Vedam, Kathrin Stoll, Nicholas Rubashkin, Kelsey Martin, Zoe Miller-Vedam, Hermine Hayes-Klein, Ganga Jolicoeur
Background: Abuse of human rights in childbirth are documented in low, middle and high resource countries. A systematic review across 34 countries by the WHO Research Group on the Treatment of Women During Childbirth concluded that there is no consensus at a global level on how disrespectful maternity care is measured. In British Columbia, a community-led participatory action research team developed a survey tool that assesses women's experiences with maternity care, including disrespect and discrimination...
December 2017: SSM—Population Health
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