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https://www.readbyqxmd.com/read/29473030/public-health-investment-in-team-care-increasing-access-to-clinical-preventive-services-in-los-angeles-county
#1
Tony Kuo, Noel C Barragan, Heather Readhead
As part of federal and local efforts to increase access to high quality, clinical preventive services (CPS) in underserved populations, the Los Angeles County Department of Public Health (DPH) partnered with six local health system and community organization partners to promote the use of team care for CPS delivery. Although these partners were at different stages of organizational capacity, post-program review suggests that each organization advanced team care in their clinical or community environments, potentially affecting >250,000 client visits per year...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29472251/secondary-stroke-prevention-services-in-canada-a-cross-sectional-survey-and-geospatial-analysis-of-resources-capacity-and-geographic-access
#2
Lauren Jewett, Adil Harroud, Michael D Hill, Robert Côté, Theodore Wein, Eric E Smith, Gord Gubitz, Andrew M Demchuk, Demetrios J Sahlas, David J Gladstone, M Patrice Lindsay
BACKGROUND: Rapid assessment and management of transient ischemic attacks and nondisabling strokes by specialized stroke prevention services reduces the risk of recurrent stroke and improves outcomes. In Canada, with its vast geography and with 16.8% of the population living in rural areas, access to these services is challenging, and considerable variation in access to care exists. The purpose of this multiphase study was to identify sites across Canada providing stroke prevention services, evaluate resource capacity and determine geographic access for Canadians...
February 21, 2018: CMAJ Open
https://www.readbyqxmd.com/read/29471904/completion-of-isoniazid-preventive-therapy-among-human-immunodeficiency-virus-positive-adults-in-urban-malawi
#3
D Thindwa, P MacPherson, A T Choko, M Khundi, R Sambakunsi, L G Ngwira, T Kalua, E L Webb, E L Corbett
SETTING: Despite worldwide scale-up of human immunodeficiency virus (HIV) care services, relatively few countries have implemented isoniazid preventive therapy (IPT). Among other programmatic concerns, IPT completion tends to be low, especially when not fully integrated into HIV care clinics. OBJECTIVE: To estimate non-completion of 6-month IPT and its predictors among HIV-positive adults aged 16 years. DESIGN: A prospective cohort study nested within a cluster-randomised trial of TB prevention was conducted between February 2012 and June 2014...
March 1, 2018: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/29471181/clinic-access-and-teenage-birth-rates-racial-ethnic-and-spatial-disparities-in-houston-tx
#4
Megan M Wisniewski, Heather A O'Connell
Teenage motherhood is a pressing issue in the United States, and one that is disproportionately affecting racial/ethnic minorities. In this research, we examine the relationship between the distance to the nearest reproductive health clinic and teenage birth rates across all zip codes in Houston, Texas. Our primary data come from the Texas Department of State Health Services. We use spatial regression analysis techniques to examine the link between clinic proximity and local teenage birth rates for all females aged 15 to 19, and separately by maternal race/ethnicity...
February 14, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29470854/the-cost-effectiveness-of-screening-in-the-community-to-reduce-osteoporotic-fractures-in-older-women-in-the-uk-economic-evaluation-of-the-scoop-study
#5
David A Turner, Rebekah Fong Soe Khioe, Lee Shepstone, Elizabeth Lenaghan, Cyrus Cooper, Neil Gittoes, Nicholas C Harvey, Richard Holland, Amanda Howe, Eugene McCloskey, Terence W O'Neill, David Torgerson, Richard Fordham
The SCOOP study was a two-arm randomized controlled trial conducted in the UK in 12,483 eligible women aged 70 to 85 years. It compared a screening program using the FRAX® risk assessment tool in addition to bone mineral density (BMD) measures versus usual management. The SCOOP study found a reduction in the incidence of hip fractures in the screening arm, but there was no evidence of a reduction in the incidence of all osteoporosis-related fractures. To make decisions about whether to implement any screening program, we should also consider whether the program is likely to be a good use of health care resources, ie, is it cost-effective? The cost per gained quality adjusted life year of screening for fracture risk has not previously been demonstrated in an economic evaluation alongside a clinical trial...
February 22, 2018: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/29470115/older-adults-social-relationships-and-health-care-utilization-a-systematic-review
#6
Nicole K Valtorta, Danielle Collingridge Moore, Lynn Barron, Daniel Stow, Barbara Hanratty
BACKGROUND: Deficiencies in older people's social relationships (including loneliness, social isolation, and low social support) have been implicated as a cause of premature mortality and increased morbidity. Whether they affect service use is unclear. OBJECTIVES: To determine whether social relationships are associated with older adults' use of health services, independently of health-related needs. SEARCH METHODS: We searched 8 electronic databases (MEDLINE, Embase, CINAHL, Web of Science, PsycINFO, Scopus, the Cochrane Library, and the Centre for Reviews and Dissemination) for data published between 1983 and 2016...
February 22, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29468708/development-and-clinical-application-of-an-evidence-based-pharmaceutical-care-service-algorithm-in-acute-coronary-syndrome
#7
J E Kang, J M Yu, J H Choi, I-M Chung, W B Pyun, S A Kim, E K Lee, N Y Han, J-H Yoon, J M Oh, S J Rhie
WHAT IS KNOWN AND OBJECTIVE: Drug therapies are critical for preventing secondary complications in acute coronary syndrome (ACS). The purpose of this study was to develop and apply a pharmaceutical care service (PCS) algorithm for ACS and confirm that it is applicable through a prospective clinical trial. METHODS: The ACS-PCS algorithm was developed according to extant evidence-based treatment and pharmaceutical care guidelines. Quality assurance was conducted through two methods: literature comparison and expert panel evaluation...
February 21, 2018: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/29466493/preventable-adverse-drug-events-in-critically-ill-hiv-patients-is-the-detection-of-potential-drug-drug-interactions-a-useful-tool
#8
Grazielle Viana Ramos, André Miguel Japiassú, Fernando Augusto Bozza, Lusiele Guaraldo
OBJECTIVES: The aim of this study was to develop a strategy to identify adverse drug events associated with drug-drug interactions by analyzing the prescriptions of critically ill patients. METHODS: This retrospective study included HIV/AIDS patients who were admitted to an intensive care unit between November 2006 and September 2008. Data were collected in two stages. In the first stage, three prescriptions administered throughout the entire duration of these patients' hospitalization were reviewed, with the Micromedex database used to search for potential drug-drug interactions...
February 19, 2018: Clinics
https://www.readbyqxmd.com/read/29465703/an-exploration-of-factors-impacting-pre-exposure-prophylaxis-eligibility-and-access-among-syringe-exchange-users
#9
A M Roth, B Aumaier, M Felsher, S L Welles, A P Donate-Martinez, M Chavis, B Van Der Pol
BACKGROUND: In 2015 approximately 50,000 new HIV infections occurred in the United States, 2,400 of which were attributable to injection drug use in. Pre-exposure prophylaxis (PrEP) has the potential to curb HIV acquisition, however, uptake remains low among persons who inject drugs (PWID). The purpose of the study is to describe PrEP eligibility, willingness to use PrEP, and ability to access PrEP among PWID recruited from a pilot program that paired screening and treatment for sexually transmitted infections with mobile syringe exchange program (SEP) services...
October 4, 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/29465643/hiv-partner-notification-services-among-a-representative-sample-of-young-black-men-who-have-sex-with-men-demonstrates-limited-service-offering-and-potential-benefits-of-clinic-involvement
#10
Daniel Gore, Matthew Ferreira, Aditya S Khanna, John Schneider
BACKGROUND: Partner Notification (PN) is commonly offered to persons recently diagnosed with HIV to improve linkage to care and prevent onward transmission. Yet, much remains unknown about factors associated with successful PN participation in populations at highest risk. METHODS: Data were collected during the first two waves (2013-2015) of "uConnect", a population-based cohort study of young Black men who have sex with men (YBMSM) in Chicago (N=618)...
February 13, 2018: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/29465277/what-is-the-impact-of-targeted-health-education-for-mental-health-nurses-in-the-provision-of-physical-health-care-an-integrated-literature-review
#11
Sinead Hennessy, Angela M Cocoman
Individuals with a severe mental illness have a gap in life expectancy of up to twenty years in comparison to the general population. Nurses who work in mental health services have been identified as best placed to improve the physical health outcomes of individuals with mental illness. The literature identifies a lack of nursing knowledge related to physical health care and the presence of metabolic syndrome which is impeding nurses in providing essential physical health care to patients. An integrated literature review was carried out due to the dearth of research evidence pertaining to the impact of targeted education specifically with psychiatric/mental health nurses in the provision of physical healthcare...
February 21, 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29463684/strategy-to-reduce-e-coli-bacteraemia-based-on-cohort-data-from-a-london-teaching-hospital
#12
Desmond Hsu, Mark Melzer
BACKGROUND AND AIM: In 2017, National Health Service Improvement set a 10% reduction target for Escherichia coli bacteraemia by 2018, followed by a 50% reduction in healthcare-associated Gram-negative bacteraemias by 2022. We analysed consecutive cases of E. coli bacteraemia and devised a strategy to achieve these targets. METHODS: From December 2012 to November 2013, demographic, clinical and microbiological data were prospectively collected on all patients with bacteraemia at the Royal London Hospital in East London, UK...
February 20, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29463297/implementation-of-a-competency-based-medical-education-approach-in-public-health-and-epidemiology-training-of-medical-students
#13
Rachel Dankner, Uri Gabbay, Leonard Leibovici, Maya Sadeh, Siegal Sadetzki
BACKGROUND: There is increasing agreement among medical educators regarding the importance of improving the integration between public health and clinical education, understanding and implementation of epidemiological methods, and the ability to critically appraise medical literature. The Sackler School of Medicine at Tel-Aviv University revised its public health and preventive medicine curriculum, during 2013-2014, according to the competency-based medical education (CBME) approach in training medical students...
February 20, 2018: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29463286/bronchopulmonary-dysplasia-clinical-aspects-and-preventive-and-therapeutic-strategies
#14
REVIEW
Nicola Principi, Giada Maria Di Pietro, Susanna Esposito
BACKGROUND: Bronchopulmonary dysplasia (BPD) is the result of a complex process in which several prenatal and/or postnatal factors interfere with lower respiratory tract development, leading to a severe, lifelong disease. In this review, what is presently known regarding BPD pathogenesis, its impact on long-term pulmonary morbidity and mortality and the available preventive and therapeutic strategies are discussed. MAIN BODY: Bronchopulmonary dysplasia is associated with persistent lung impairment later in life, significantly impacting health services because subjects with BPD have, in most cases, frequent respiratory diseases and reductions in quality of life and life expectancy...
February 20, 2018: Journal of Translational Medicine
https://www.readbyqxmd.com/read/29460959/identifying-and-prioritizing-topics-for-evidence-based-geriatric-nursing-practice-guidelines-in-korea
#15
S Kim, K Kim, S J Kim
BACKGROUND: Despite the increasing population of elderly individuals in Korea, there are no evidence-based geriatric nursing practice guidelines. AIM: This study aimed to identify and prioritize topics related to the development of evidence-based geriatric nursing practice guidelines in long-term care facilities in Korea. METHODS: To identify potential topics, 89 nurses responded to a questionnaire on activities that require further evidence and/or standardization in the long-term care facility setting...
February 20, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29458335/integrated-children-s-clinic-care-iccc-versus-a-self-directed-care-pathway-for-children-with-a-chronic-health-condition-a-multi-centre-randomised-controlled-trial-study-protocol
#16
Thuy Thanh Frakking, John Waugh, Hsien-Jin Teoh, Doug Shelton, Susan Moloney, Donna Ward, Michael David, Matthew Barber, Hannah Carter, Sharon Mickan, Kelly Weir
BACKGROUND: Children with chronic health conditions have better health-related outcomes when their care is managed in a personalised and coordinated way. However, increased demand on Australian ambulatory care hospital services has led to longer waitlist times to access specialists and appropriate intervention services; placing vulnerable children at increased risk of poorer short-term (e.g. social difficulties) and long-term (e.g. convictions) health and social outcomes. Traditional approaches to increasing frequency and service of delivery are expensive and can have minimal impact on caregiver burden...
February 19, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29457868/exploring-acceptability-of-oral-prep-prior-to-implementation-among-female-sex-workers-in-south-africa
#17
Robyn Eakle, Adam Bourne, Judie Mbogua, Nyaradzo Mutanha, Helen Rees
INTRODUCTION: Female sex workers (FSWs) are at high-risk for HIV acquisition in South Africa, where the advent of new HIV prevention and treatment interventions represent the potential to significantly impact the epidemic. This paper focuses on aspects of PrEP acceptability as a new intervention within the context of a larger service delivery programme including the simultaneous rollout of early ART. This paper explores PrEP acceptability among the FGD participants as future potential users...
February 2018: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29457001/control-of-infectious-diseases-in-the-era-of-european-clinical-microbiology-laboratory-consolidation-new-challenges-and-opportunities-for-the-patient-and-for-public-health-surveillance
#18
Olivier Vandenberg, Zisis Kozlakidis, Jacques Schrenzel, Marc Jean Struelens, Judith Breuer
Many new innovative diagnostic approaches have been made available during the last 10 years with major impact on patient care and public health surveillance. In parallel, to enhance the cost-effectiveness of the clinical microbiology laboratories (CMLs), European laboratory professionals have streamlined their organization leading to amalgamation of activities and restructuring of their professional relationships with clinicians and public health specialists. Through this consolidation process, an operational model has emerged that combines large centralized clinical laboratories performing most tests on one high-throughput analytical platform connected to several distal laboratories dealing locally with urgent analyses at near point of care...
2018: Frontiers in Medicine
https://www.readbyqxmd.com/read/29456928/behavioural-and-emotional-disorders-in-childhood-a-brief-overview-for-paediatricians
#19
REVIEW
Michael O Ogundele
Mental health problems in children and adolescents include several types of emotional and behavioural disorders, including disruptive, depression, anxiety and pervasive developmental (autism) disorders, characterized as either internalizing or externalizing problems. Disruptive behavioural problems such as temper tantrums, attention deficit hyperactivity disorder, oppositional, defiant or conduct disorders are the commonest behavioural problems in preschool and school age children. The routine Paediatric clinic or Family Medicine/General Practitioner surgery presents with several desirable characteristics that make them ideal for providing effective mental health services to children and adolescents...
February 8, 2018: World Journal of Clinical Pediatrics
https://www.readbyqxmd.com/read/29455724/adolescent-and-young-adult-male-mental-health-transforming-system-failures-into-proactive-models-of-engagement
#20
REVIEW
Simon M Rice, Rosemary Purcell, Patrick D McGorry
Adolescent and young adult men do poorly on indicators of mental health evidenced by elevated rates of suicide, conduct disorder, substance use, and interpersonal violence relative to their female peers. Data on global health burden clearly demonstrate that young men have a markedly distinct health risk profile from young women, underscoring different prevention and intervention needs. Evidence indicates that boys disconnect from health-care services during adolescence, marking the beginning of a progression of health-care disengagement and associated barriers to care, including presenting to services differently, experiencing an inadequate or poorly attuned clinical response, and needing to overcome pervasive societal attitudes and self-stigma to access available services...
March 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
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