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https://www.readbyqxmd.com/read/29655984/motor-affordance-at-home-for-infants-living-in-poverty-a-feasibility-study
#1
Andrea Baraldi Cunha, Audrei Fortunato Miquelote, Denise Castilho Cabrera Santos
PURPOSE: To determine the feasibility of completing a randomized clinical trial of motor affordance program at home for infants living in poverty. METHODS: Fourteen infants living in poverty were randomized assigned to groups: intervention at 1st month (G-1), and at 2nd month (G-2). They were assessed into 3 visits: Visit 1 (baseline), Visit 2 (after 4 weeks), and Visit 3 (after 8 weeks). The motor affordance program was provided at home by parents/caregivers. To determine feasibility of the program, descriptive data was used...
April 12, 2018: Infant Behavior & Development
https://www.readbyqxmd.com/read/29652938/cost-of-malaria-treatment-and-health-seeking-behaviour-of-children-under-five-years-in-the-upper-west-region-of-ghana
#2
Maxwell Ayindenaba Dalaba, Paul Welaga, Abraham Oduro, Laata Latif Danchaka, Chieko Matsubara
BACKGROUND: There is limited knowledge on cost of treating malaria in children under-five years in northern Ghana which poses a challenge in determining whether interventions such as the National Health Insurance Scheme (NHIS) and Community-based Health Planning and Services (CHPS) have reduced the economic burden of malaria to households or not. This study examined the malaria care seeking and cost of treatment in children under-five years in the Upper West Region of Ghana. METHODS: The study used a cross-sectional, quantitative design and data were collected between July and August 2016 in three districts in the Upper West Region of Ghana...
2018: PloS One
https://www.readbyqxmd.com/read/29652733/circumstances-and-signs-of-approaching-death-in-patients-with-amyotrophic-lateral-sclerosis-undergoing-noninvasive-ventilation-in-home-care-settings
#3
Mitsuko Ushikubo
The purpose of this study was to elucidate the circumstances and symptoms of patients with amyotrophic lateral sclerosis (ALS) using noninvasive positive pressure ventilation (NPPV) in whom death was approaching, to understand how to provide palliative care to dying patients with ALS receiving NPPV management. The participants were 6 home visiting nurses who were head or subhead nurses of a home visiting nursing agency. Data were collected data conducting individual semistructured interviews and then group interviews...
April 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29652166/ambulance-use-distance-and-outcomes-in-patients-with-suspected-cardiovascular-disease-a-registry-based-geographic-information-system-study
#4
Nariman Sepehrvand, Wendimagegn Alemayehu, Padma Kaul, Rick Pelletier, Aminu K Bello, Robert C Welsh, Paul W Armstrong, Justin A Ezekowitz
BACKGROUND: Despite guideline recommendations, the majority of patients with symptoms suggestive of acute coronary syndrome do not use emergency medical services to reach the emergency department (ED). The aim of this study was to investigate the factors associated with EMS utilisation and subsequent patient outcomes. METHODS: Using administrative data, all patients who presented to an ED in the metropolitan areas of Edmonton and Calgary in the years of 2007-2013 with main ED diagnosis of acute coronary syndrome, stable angina or chest pain were included...
April 1, 2018: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/29652098/monitoring-progress-towards-the-first-unaids-target-understanding-the-impact-of-people-living-with-hiv-who-re-test-during-hiv-testing-campaigns-in-rural-mozambique
#5
Laura Fuente-Soro, Elisa Lopez-Varela, Orvalho Augusto, Charfudin Sacoor, Ariel Nhacolo, Nely Honwana, Esmeralda Karajeanes, Paula Vaz, Denise Naniche
INTRODUCTION: Awareness of HIV-infection goes beyond diagnosis, and encompasses understanding, acceptance, disclosure and initiation of the HIV-care. We aimed to characterize the HIV-positive population that underwent repeat HIV-testing without disclosing their serostatus and the impact on estimates of the first UNAIDS 90 target. METHODS: This analysis was nested in a prospective cohort established in southern Mozambique which conducted three HIV-testing modalities: voluntary counselling and testing (VCT), provider-initiated counselling and testing (PICT) and home-based testing (HBT)...
April 2018: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29650913/-a-case-of-laparoscopic-hartmann-s-operation-for-perforation-of-rectal-cancer-in-superior-elderly-people
#6
Tomohito Sakai, Koji Soga, Toru Mizutani, Shunji Kato, Shouji Hirashima, Minoru Nishio, Toshimori Koh, Atsushi Oguro, Noboru Nakagawa
We report a case where home discharge was possible after laparoscopic Hartmann's operation for superior elderly perforation of rectal cancer. The patient was 91-year-old, a woman. She was delivered to the emergency room complaining of weakness. We diagnosed rectal perforation and started emergency laparoscopic surgery. Rectal cancer perforation was observed during surgery and laparoscopic Hartmann's operation plus D2 lymph node dissection was performed. The operation time was 3 hours 21 minutes, the blood loss was 10 g...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650884/-role-of-pharmacists-in-the-care-of-pediatric-patients-needing-home-visiting-intervention-for-pharmaceutical-management-and-their-life-depending-on-medical-care
#7
Michiyo Kawana, Minoru Hatsuta, Yoichi Ishikawa, Masayoshi Hirohara, Kazuki Kushida
Medical advances have made it possible to save lives of children with severe refractory diseases. As a result, the number of children who need continuous medical care at home has increased. However, currently, few medical personnel of both medical institutions and pharmacies are aware of home visiting intervention for pharmaceutical management. Home visiting intervention should be utilized more for severely impaired children who are highly dependent on medical care to effectively reduce the nursing care burden of the family and to secure pharmaceutical supply path...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650879/-a-study-on-designs-and-achievements-of-trainings-for-enhancing-the-self-help-ability-of-home-cared-persons-in-preparing-for-disasters-review-of-disaster-drills-with-cared-persons-and-their-families
#8
Kayo Shirai, Mieko Ito, Kiyomi Hata
After the Great East Japan Earthquake, we re-recognized the importance of self-help efforts of home-cared persons and their families and the necessity of advanced measures. In 2013, we designed a disaster drill to enhance the self-help ability of home-cared persons and their families in a stepwise fashion. In 2016, for the purpose of reviewing the achievements of the designed drill and its contents, the disaster drill was conducted on 21 users of our home-visit nursing station, followed by a questionnaire survey regarding the training contents, date/time, documents used, change in awareness, disaster-preventive actions, etc...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650878/-balance-in-disaster-preparedness-between-public-self-and-mutual-help-for-home-cared-individuals
#9
Kiyomi Hata, Masao Hata
At present, when it is predicted that large-scale disasters may occur, repletion and reinforcement of disaster preparedness are required. For disaster preparedness, a balance between public, self-, and mutual help is important. However, designated hospitals and their support systems were placed importance in medical care during disasters, and preparedness in regard to home care has not been discussed sufficiently. The purpose of this study is to clarify preparations that home-visit nursing stations may implement, states of support for self-help of cared persons and their families and mutual help such as of communities, in home-visit nursing stations in the areas where large-scale damages by Tokyo Inland Earthquake and Nankai Trough Earthquake are assumed...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650877/-activity-report-and-future-prospects-of-the-medical-and-nursing-care-cooperation-desk-in-koshigaya-city
#10
Megumi Nogami, Yoji Sato, Akihiko Okano, Kyoji Ohkoshi
The "medical and nursing care cooperation desk" was established within the Koshigaya Medical Association in April 2016 in and began operating in Koshigaya City. There were 243 consultation cases during the 17 months from April 1, 2016 to August 31, 2017. Consultation with medical institutions and visiting nursing stations accounted for 42%of cases and nursing-related personnel accounted for 40%. Regarding consultation contents, transition to home medical care accounted for 50%of cases. We publish a monthly information magazine, "Cooperation Between Medical Care and Nursing Care,"with information on the contents of consultation, and multidisciplinary information sharing is being planned...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650874/-findings-from-actual-situation-of-cooperation-between-discharge-nurses-and-home-visiting-nurses-from-shifting-to-home-care-through-terminal-phase-in-terminal-cancer-patients
#11
Satomi Konno, Hamae Nagai
We conducted questionnaire surveys focusing on the"actual situation of cooperation between discharge nurses and homevisiting nurses etc. from transition to home-care through the terminal phase in terminal cancer patients."As a result,discharge nurses were employed at acute-stage hospitals to practice discharge adjustment. Medical staff in home care and home care workers continuously supported the patients and their families in managing difficulties such as changes in pathological conditions and care-related anxiety after the patient was discharged...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650872/-examination-of-patients-that-died-within-48-hours-after-urgent-hospitalization
#12
Kazuhiro Kawada, Ryota Yanaizumi, Osamu Takahashi
We offer inpatient support for end-stage cancer patients, not only in palliative care units, but also in general medical and long-term care units. We also provide outpatient palliative care and offer emergent backup for the regional home care clinics. From January 2014 to December 2016, 1,832 patients were hospitalized, and among them, 983 patients visited our hospital on an emergency basis. Among the urgent hospitalized patients, 378 patients returned home after adequate palliative care. But 605 patients had to stay admitted in the hospital until their time of death...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650868/-present-status-and-problems-of-management-and-guidance-for-visiting-pharmacy-service-to-in-home-patients-by-hospital-pharmacists
#13
Masumi Nakamura, Yoshie Kishita, Miyako Asada, Megumi Otsuka, Sachiko Takeshita, Norihisa Hama, Seigo Hayashi, Tomoki Ito, Masayuki Nishio, Masaki Nakamura
We conducted a survey of the background of 41 patients who received management and guidance from an in-home visiting pharmacy service and of the contents of support by the pharmacist, using patients' medical records from May 2016 to March 2017. Support comprised delivery of medicine to alleviate a burden to caregiver, suggesting medication, adjusting remaining medicines, and providing support during hospitalization. Out of 285 visits, there were 32 visits for which a medical fee could not be claimed. The main reasons for this were delivery of medicine on the day of visiting medical care, management of prescribed medicine at home, and delivery of temporal medicines...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650867/-a-study-on-the-number-of-offices-for-home-visit-outpatient-day-long-term-care-in-noto-area-based-on-estimated-population-analysis-using-the-geographic-information-system
#14
Tomoya Itatani, Ryo Horiike, Hisao Nakai, Kaoru Kyota, Keiko Tsukasaki
There has been a noticeable population decline in the Noto area. The Ministry of Land, Infrastructure, Transport and Tourism has determined the population size necessary for the establishment of daily living-related service businesses and, if the population falls below this, there is a possibility of businesses withdrawing from the area. In this research, we examine the number of home visit and daycare businesses established in the Noto area in 2025, using the geographic information system (GIS). The number of sites of businesses established was calculated using data published by the National Institute of Population and Social Security Research, and the Ministry of Land, Infrastructure, Transport and Tourism...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650863/-problems-of-home-visiting-speech-language-hearing-therapists-in-dysphagia-management
#15
Kaori Kojima, Ryota Mori, Takashi Nishizawa, Hiroyuki Fujii
There are fewer reports by speech-language-hearing therapists than those by physical therapists or occupational therapists for visiting rehabilitation. Therefore, we examined the present situation with emphasis on professional roles of speech-language- hearing therapists working in visiting rehabilitation, patient tendency, and dysphagia rehabilitation. A questionnaire survey and interview survey were conducted on 6 speech-language-hearing therapists working in visiting rehabilitation. In the questionnaire, personal attributes, subject area, details of dysphagia rehabilitation, professional duties, and tendency of patient in charge were collected...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650212/the-experience-of-older-people-living-in-an-elderly-residential-home-panti-sosial-tresna-werdha-a-phenomenology
#16
Septirina Rahayu, Novy Helena Catharina Daulima, Yossie Susanti Eka Putri
OBJECTIVE: The aim of this study was to gain an overview of the experiences of older people living in an elderly residential home (Panti Sosial Tresna Werdha [PSTW]). METHOD: The study used qualitative method with the descriptive phenomenology approach. The participants consisted of six older people who live in institutions. Data were collected through in-depth interviews in accordance with the purpose of the research, and an analysis of the data from the interviews was performed using the analysis stage by Collaizi...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29649845/-early-palliative-care-in-emergency-medicine
#17
Maximilian Spickermann, Philipp Lenz
At the end of life patients with a life-limiting disease are often admitted to emergency departments (ED). Mostly, in the setting of an ED there may not be enough time to meet the needs for palliative care (PC) of these patients. Therefore, integration of PC into the ED offers a solution to improve their treatment. In the outpatient setting a cooperation between prehospital emergency services, the patient's general practitioner and specialized outpatient PC teams may allow the patient to die at home - this is what most patients prefer at the end of life...
April 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29649400/impact-of-inpatient-palliative-care-on-quality-of-end-of-life-care-and-downstream-acute-and-postacute-care-utilization
#18
Peter S Khang, Susan E Wang, In-Lu Amy Liu, Heather L Watson, Sandra Y Koyama, Dan N Huynh, Janet S Lee, Huong Q Nguyen
BACKGROUND: Additional evidence is needed regarding the impact of inpatient palliative care (IPC) on the quality of end-of-life care and downstream utilization. AIM: Examine the effects of IPC on quality of end-of-life care and acute and postacute care use in a large integrated system. DESIGN: Retrospective cohort design. SETTING/PARTICIPANTS: Adult decedents from January 1, 2012, to December 31, 2014, who had at least one hospitalization at 11 Kaiser Permanente Southern California medical centers in the 12 months before death and not hospitalized for a trauma-related condition or receiving home-based PC or hospice were included in the cohort...
March 13, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29648576/life-space-mobility-in-parkinson-s-disease-associations-with-motor-and-non-motor-symptoms
#19
Merja Rantakokko, Susanne Iwarsson, Björn Slaug, Maria H Nilsson
Background: To describe life-space mobility and explore associations of motor and non-motor symptoms with life-space mobility in people with Parkinson's disease (PD). Methods: 164 community-dwelling persons with PD (mean age 71.6 years, 64.6% men) received a postal survey and a subsequent home visit. Motor assessments included perceived walking difficulties (Walk-12G), mobility (Timed Up and Go test), motor symptoms (UPDRS-III) and freezing of gait (item 3, FOG-Qsa)...
April 10, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29644807/factors-influencing-the-uptake-of-a-mass-media-intervention-to-improve-child-feeding-in-bangladesh
#20
Sunny S Kim, Terry Roopnaraine, Phuong H Nguyen, Kuntal K Saha, Mahbubul I Bhuiyan, Purnima Menon
Mass media are increasingly used to deliver health messages to promote social and behaviour change, but there has been little evidence of mass media use for improving a set of child feeding practices, other than campaigns to promote breastfeeding. This study aimed to examine the factors influencing the uptake of infant and young child feeding messages promoted in TV spots that were launched and aired nationwide in Bangladesh. We conducted a mixed-methods study, using household surveys (n = 2,000) and semistructured interviews (n = 251) with mothers of children 0-23...
April 11, 2018: Maternal & Child Nutrition
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