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https://www.readbyqxmd.com/read/29454821/mortality-in-single-fathers-compared-with-single-mothers-and-partnered-parents-a-population-based-cohort-study
#1
Maria Chiu, Farah Rahman, Simone Vigod, Cindy Lau, John Cairney, Paul Kurdyak
BACKGROUND: Single parent families, including families headed by single fathers, are becoming increasingly common around the world. Previous evidence suggests that single parenthood is associated with adverse health outcomes and increased mortality; however, most studies have focused on single mothers, with little known about the health of single fathers. This study aimed to examine mortality in a large population-based sample of Canadian single fathers compared with single mothers and partnered fathers and mothers...
February 14, 2018: Lancet. Public Health
https://www.readbyqxmd.com/read/29454309/perceptions-about-screening-for-prostate-cancer-using-genetic-lifetime-risk-assessment-a-qualitative-study
#2
Pia Kirkegaard, Adrian Edwards, Trine Laura Overgaard Nielsen, Torben Falck Ørntoft, Karina Dalsgaard Sørensen, Michael Borre, Flemming Bro
BACKGROUND: Most health authorities do not recommend screening for prostate cancer with PSA tests in asymptomatic patients who are not at increased risk. However, opportunistic screening for prostate cancer is still wanted by many patients and it is widely used in primary care clinics, with potential for overdiagnosis and overtreatment. Better tools for risk assessment have been called for, to better target such opportunistic screening. Our aim was to explore perceptions about prostate cancer risk and subsequent opportunistic screening among patients who were not at increased risk of prostate cancer after a first PSA test plus a genetic lifetime risk assessment...
February 17, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29453158/female-perpetrated-sexual-offences-reported-to-a-london-sexual-assault-referral-centre
#3
Louise Morgan, Lisa Long
A gender specific approach to understanding female sex offenders is important for developing prevention and treatment strategies, yet research to date is limited. While it is recognised that females often offend with another person, there has been little attempt to look beyond the two groupings of solo and co-offending and study females who offend in larger groups. Furthermore, very few studies have looked at the victims of these crimes and all of these have focussed on child victims only. The present work describes demographic and assault related characteristics of victims of all ages reporting a sexual assault by a female perpetrator to the Havens sexual assault referral centres in London, UK, in a five year period, with the aim of identifying victim, perpetrator and offence patterns in solo, pair and group sexual assaults...
February 2, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29452768/qualitative-study-of-challenges-of-caring-for-a-person-with-heart-failure
#4
Lauren R Bangerter, Joan M Griffin, Shannon M Dunlay
Heart failure (HF) is a chronic health condition that causes significant morbidity among older adults, many of whom receive support and care from an informal caregiver. Caregiving is a difficult role with many responsibilities and challenges. An in-depth understanding of these challenges is necessary to develop services, resources, and interventions for HF caregivers. The goal of this study was to qualitatively ascertain the most significant challenges facing HF caregivers. We conducted semi-structured interviews with 16 caregivers of a person with HF (PHF)...
February 14, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/29452052/agency-and-fatalism-in-older-appalachian-women-s-information-seeking-about-gynecological-cancer
#5
Emma C Potter, Katherine R Allen, Karen A Roberto
Researchers consider older women in rural Appalachia to have low levels of agency and high levels of fatalism regarding decision making about cancer treatment. Using the life course perspective, we examined older women's agency with information seeking about gynecological cancer. Semistructured interviews with 20 White women living in central Appalachia revealed four trajectories: Surrendering Control, Accepting Death, Self-Care, and Advocacy, each with its own forms of agency. Some women experienced personal transformation, increased self-efficacy, and a passion for community empowerment...
February 16, 2018: Journal of Women & Aging
https://www.readbyqxmd.com/read/29451843/caregiver-reactions-to-dementia-symptoms-effects-on-coping-repertoire-and-mental-health
#6
Jaclene A Zauszniewski, Nirmala Lekhak, Carol M Musil
Currently, 15 million informal caregivers, most of whom are women, provide care for older adults with dementia (Alzheimer's Disease Association, 2016). Caregiving for these individuals often creates distress and may adversely affect female caregivers' psychosocial and spiritual well-being. Approximately 35% of dementia caregivers complain of health deterioration after initiating caregiving responsibilities as compared to 19% of caregivers of older adults who do not have dementia (Alzheimer's Disease Association, 2016)...
February 16, 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29451587/diagnosing-dementia-in-lower-educated-older-persons-validation-of-a-brazilian-portuguese-version-of-the-rowland-universal-dementia-assessment-scale-rudas
#7
Narahyana B de Araujo, Thomas R Nielsen, Knut Engedal, Maria L Barca, Evandro S Coutinho, Jerson Laks
OBJECTIVE: To validate the Rowland Universal Dementia Assessment Scale for use in Brazil (RUDAS-BR). METHODS: We first completed an English-Brazilian Portuguese translation and back-translation of the RUDAS. A total of 135 subjects over 60 years of age were included: 65 cognitively healthy and 70 with Alzheimer's disease (AD) according to the DSM-IV and Neurological and Communicative Disorders and Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria...
February 15, 2018: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/29450465/pediatric-inspired-treatment-regimens-for-adolescents-and-young-adults-with-philadelphia-chromosome-negative-acute-lymphoblastic-leukemia-a-review
#8
Stuart E Siegel, Wendy Stock, Rebecca H Johnson, Anjali Advani, Lori Muffly, Dan Douer, Damon Reed, Mark Lewis, David R Freyer, Bijal Shah, Selina Luger, Brandon Hayes-Lattin, Jerry J Jaboin, Peter F Coccia, Daniel J DeAngelo, Nita Seibel, Archie Bleyer
Importance: The incidence of acute lymphoblastic leukemia (ALL) and lymphoblastic lymphoma (LBL) in adolescent and young adult (AYA) patients (age range, 15-39 years) in the United States is increasing at a greater rate than in younger or older persons. Their optimal treatment has been increasingly debated as pediatric regimens have become more widely used in the age group. This review compares the basic features of pediatric and adult chemotherapy regimens for ALL and LBL, recognizes and describes the challenges of the pediatric regimen, and suggests strategies to facilitate its adoption for AYAs with ALL and LBL...
February 15, 2018: JAMA Oncology
https://www.readbyqxmd.com/read/29447588/psychotherapy-termination-practices-with-older-adults-impact-of-patient-and-therapist-characteristics
#9
Daniel J Sullivan, Patricia Zeff, Richard A Zweig
OBJECTIVES: The aims of this study were to survey clinicians' opinions regarding psychotherapy practices in mutual termination with a specified population (depressed older adult outpatients) and to examine the patient and therapist characteristics that may influence such practices. METHODS: We surveyed psychologists' (N = 96) psychotherapy termination practices, using a hypothetical depressed older adult as a referent, to assess consensus on the appropriateness of various guidelines to termination and to examine whether these differ as a function of patient and therapist characteristics...
February 6, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29447190/the-incidence-and-factors-of-hip-fractures-and-subsequent-morbidity-in-taiwan-an-11-year-population-based-cohort-study
#10
Kai-Biao Lin, Nan-Ping Yang, Yi-Hui Lee, Chien-Lung Chan, Chi-Hsu Wu, Hou-Chuan Chen, Nien-Tzu Chang
Hip fractures are a major problem to elder population, but subsequent morbidity is unclear about environmental factors and socioeconomic conditions. The study aims to investigate the incidence of hip fractures treated by the surgery; to compare the sequelae and temporal trends of hip fractures; to evaluate the seasonal effects in the subsequent short-term and long-term morbidities after hip fractures. A cohort study design is conducted using national health research datasets between 2000 and 2010. The ICD-9-CM diagnostic codes were utilized to investigate the incidence of hip fractures and the corresponding treatments...
2018: PloS One
https://www.readbyqxmd.com/read/29446993/pre-icu-cognitive-status-subsequent-disability-and-new-nursing-home-admission-among-critically-ill-older-adults
#11
Lauren E Ferrante, Terrence E Murphy, Evelyne A Gahbauer, Linda S Leo-Summers, Margaret A Pisani, Thomas M Gill
RATIONALE: Cognitive impairment is common among older adults, yet little is known about the association of pre-ICU cognitive status with outcomes relevant to older adults maintaining independence after a critical illness. OBJECTIVE: To evaluate whether pre-ICU cognitive status is associated with post-ICU disability, new nursing home admission, and mortality following a critical illness among older adults. METHODS: In this prospective cohort study, 754 persons aged ≥70 years were followed from March 1998 to December 2013 with monthly assessments of disability...
February 15, 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29446969/age-related-changes-in-emotional-qualities-of-the-social-network-from-middle-adulthood-into-old-age-how-do-they-relate-to-the-experience-of-loneliness
#12
Anne Böger, Oliver Huxhold
Research shows that people maintain fewer social ties and social activities when they grow older. There appears, however, to be little variation in the average loneliness level from middle adulthood into old age. In this study we investigate to what extent beneficial changes in emotional qualities of the social network (SNW; number of distressing relationships, number of pleasant relationships, relationship satisfaction) may help to prevent an age-related increase in loneliness. We concentrate in particular on the question as to whether these emotional qualities become more relevant for predicting loneliness when people grow older...
February 15, 2018: Psychology and Aging
https://www.readbyqxmd.com/read/29446967/perceived-control-and-frailty-the-role-of-affect-and-perceived-health
#13
Ari J Elliot, Christopher J Mooney, Frank J Infurna, Benjamin P Chapman
Mechanisms underlying prospective associations of perceived control with frailty and other health outcomes are not well understood. In the present study we used 3 waves of data from the Health and Retirement Study (N = 2,127) to test potential psychological and biological pathways linking perceived control with frailty over an 8-year period, and whether 4-year change in control predicts frailty independent of initial control. Lower odds of increasing frailty were associated with higher initial levels of perceived control (odds ratio [OR] = ...
February 15, 2018: Psychology and Aging
https://www.readbyqxmd.com/read/29445940/differences-in-breast-cancer-incidence-among-young-women-aged-20-49-years-by-stage-and-tumor-characteristics-age-race-and-ethnicity-2004-2013
#14
Meredith L Shoemaker, Mary C White, Manxia Wu, Hannah K Weir, Isabelle Romieu
PURPOSE: Younger women diagnosed with breast cancer have poorer prognoses and higher mortality compared to older women. Young black women have higher incidence rates of breast cancer and more aggressive subtypes than women of other races/ethnicities. In this study, we examined recent trends and variations in breast cancer incidence among young women in the United States. METHODS: Using 2004-2013 National Program of Cancer Registries and Surveillance, Epidemiology, and End Results Program data, we calculated breast cancer incidence rates and trends and examined variations in stage, grade, and tumor subtype by age and race/ethnicity among young women aged 20-49 years...
February 14, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29444881/ischaemic-stroke-haemorrhage-and-mortality-in-older-patients-with-chronic-kidney-disease-newly-started-on-anticoagulation-for-atrial-fibrillation-a-population-based-study-from-uk-primary-care
#15
Shankar Kumar, Simon de Lusignan, Andrew McGovern, Ana Correa, Mariya Hriskova, Piers Gatenby, Simon Jones, David Goldsmith, A John Camm
OBJECTIVE: To assess the association between anticoagulation, ischaemic stroke, gastrointestinal and cerebral haemorrhage, and all cause mortality in older people with atrial fibrillation and chronic kidney disease. DESIGN: Propensity matched, population based, retrospective cohort analysis from January 2006 through December 2016. SETTING: The Royal College of General Practitioners Research and Surveillance Centre database population of almost 2...
February 14, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29444759/current-management-of-pelvic-organ-prolapse-in-aging-women
#16
Andrea Giannini, Eleonora Russo, Antonio Cano, Peter Chedraui, Dimitrios G Goulis, Irene Lambrinoudaki, Patrice Lopes, Gita Mishra, Alfred Mueck, Margaret Rees, Levent M Senturk, John C Stevenson, Petra Stute, Pauliina Tuomikoski, Tommaso Simoncini
Management of pelvic organ prolapse (POP) is a common and challenging task. Nowadays older women are more active than they were in the past, and the development of POP disrupts quality of life and impairs social and personal activities. The menopausal transition is a time of vulnerability, during which many women start experiencing symptoms and signs of POP. The role of hormonal changes or of hormonal therapies in influencing the development or progression of POP has been explored extensively. The management of POP requires considerable clinical skills...
February 6, 2018: Maturitas
https://www.readbyqxmd.com/read/29444642/income-inequality-in-uptake-of-voluntary-versus-organised-breast-cancer-screening-evidence-from-the-british-household-panel-survey
#17
Patricia Carney, Ciaran O'Neill
BACKGROUND: This paper measures income-related inequality in uptake of breast cancer screening among women before and after a policy change to extend the screening programme to women aged 65 to 70. Prior to programme expansion women aged 50 to 64 were invited for screening under the national cancer screening programme in England and Wales whereas women in the 65 to 70 age cohort could elect to be screened by personally organising a screen. This will give a deeper insight into the nature of inequality in screening and the impact of policies aimed at widening the access related to age on inequality of uptake...
February 14, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29442099/prescribing-or-deprescribing-in-older-persons-what-are-the-real-life-concerns-in-geriatric-practice
#18
Barbara Bień, Katarzyna Bień-Barkowska
INTRODUCTION Multimorbidity in older adults leads to polypharmacy with all its hazardous outcomes and drug related problems. OBJECTIVES We assess the difference in the number of drugs between admission to and discharge from a geriatric ward and identify the patient-related factors associated with changes in the drug regimen. PATIENTS AND METHODS This retrospective cross-sectional study covered 301 geriatric patients who underwent drug optimization in line with the Beers and STOPP/START criteria. The numbers of drugs per individual at hospital admission and discharge were compared using the Wilcoxon signed-rank test...
February 14, 2018: Polish Archives of Internal Medicine
https://www.readbyqxmd.com/read/29440184/household-air-pollution-and-measures-of-blood-pressure-arterial-stiffness-and-central-haemodynamics
#19
Jill Baumgartner, Ellison Carter, James J Schauer, Majid Ezzati, Stella S Daskalopoulou, Marie-France Valois, Ming Shan, Xudong Yang
OBJECTIVE: We evaluated the exposure-response associations between personal exposure to air pollution from biomass stoves and multiple vascular and haemodynamic parameters in rural Chinese women. METHODS: We analysed the baseline information from a longitudinal study in southwestern China. Women's brachial and central blood pressure and pulse pressure, carotid-femoral pulse wave velocity and augmentation index, and their 48-hour personal exposures to fine particulate matter (PM 2...
February 9, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29439733/measuring-empathy-in-pediatrics-validation-of-the-visual-care-measure
#20
Michele Arigliani, Luigi Castriotta, Anna Pusiol, Annachiara Titolo, Enrico Petoello, Alberto Brun Peressut, Elisabetta Miorin, Iana Elkina, Federico Marzona, Davide Cucchiaro, Elisa Spanghero, Matteo Pavan, Raffaele Arigliani, Stewart W Mercer, Paola Cogo
BACKGROUND: Empathy is a key element of "Patient and Family Centered Care", a clinical approach recommended by the American Academy of Pediatrics. However, there is a lack of validated tools to evaluate paediatrician empathy. This study aimed to validate the Visual CARE Measure, a patient rated questionnaire measuring physician empathy, in the setting of a Pediatric Emergency Department (ED). METHODS: The empathy of physicians working in the Pediatric ED of the University Hospital of Udine, Italy, was assessed using an Italian translation of the Visual Care Measure...
February 13, 2018: BMC Pediatrics
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