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https://www.readbyqxmd.com/read/29475120/infant-fatality-case-with-excessive-chylous-ascites
#1
Nozomi Idota, Mami Nakamura, Misa Tojo, Hiroaki Ichioka, Kaori Shintani-Ishida, Hiroshi Ikegaya
An 11-month-old boy with marked abdominal distension was found dead in the prone position at home. Since there were many bruises in the non-protruding regions of the head, face, and abdomen, a medicolegal autopsy was performed the following day. The boy was smaller than average (height: 68.5 cm; weight: 7.8 kg); his extremities were thin; and his abdomen was remarkably bulging. Chylous ascites (1600 mL) was observed in the peritoneal cavity and chylous pleural effusion (left: 5 mL; right: 10 mL) in the thoracic cavity...
February 16, 2018: Legal Medicine
https://www.readbyqxmd.com/read/29474806/factors-that-influence-parents-adherence-to-safe-sleep-guidelines
#2
Deborah A Raines
OBJECTIVE: To explore factors that influence parental behaviors related to newborn sleep positions and environments in the home after hospital discharge. DESIGN: A descriptive qualitative study conducted by telephone. SETTING: A 290-bed academic teaching hospital in an urban setting with a Level 3 perinatal center and approximately 4,500 births per year. PARTICIPANTS: Participants (N = 60) were recruited from the patient population of the mother-baby unit...
February 20, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29473945/home-based-primary-care-beyond-extension-of-the-independence-at-home-demonstration
#3
James Rotenberg, Bruce Kinosian, Peter Boling, George Taler
The Independence at Home (IAH) Demonstration Year 2 results confirmed that the first-year savings were 10 times as great as those of the pioneer accountable care organizations during their initial 2 years. We update projected savings from nationwide conversion of the IAH demonstration, incorporating Year 2 results and improving attribution of IAH-qualified (IAH-Q) Medicare beneficiaries to home-based primary care (HBPC) practices. Applying IAH qualifying criteria to beneficiaries in the Medicare 5% claims file, the effect of expanding HBPC to the 2...
February 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29473399/-introduction-the-great-majority-of-french-people-express-their-desire-to-receive-palliative-care-at-home-the-objective-of-this-study-was-to-describe-the-clinical-care-pathways-and-characteristics-of-patient-receiving-hospital-at-home-palliative-care-methods
#4
Laure Boisserie-Lacroix, Odile Marquestaut, Matthieu de Stampa
INTRODUCTION: The great majority of French people express their desire to receive palliative care at home. The objective of this study was to describe the clinical care pathways and characteristics of patient receiving hospital at home palliative care. METHODS: This study compared the care pathways and clinical characteristics of patients receiving palliative care at home in the Ile-de-France region in 2014. Retrospective data were extracted from the French medical information systems programme...
January 30, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/29473243/development-and-validation-of-an-algorithm-for-the-study-of-sleep-using-a-biometric-shirt-in-young-healthy-adults
#5
Joëlle Pion-Massicotte, Roger Godbout, Pierre Savard, Jean-François Roy
Portable polysomnography is often too complex and encumbering for recording sleep at home. We recorded sleep using a biometric shirt (electrocardiogram sensors, respiratory inductance plethysmography bands and an accelerometer) in 21 healthy young adults recorded in a sleep laboratory for two consecutive nights, together with standard polysomnography. Polysomnographic recordings were scored using standard methods. An algorithm was developed to classify the biometric shirt recordings into rapid eye movement sleep, non-rapid eye movement sleep and wake...
February 23, 2018: Journal of Sleep Research
https://www.readbyqxmd.com/read/29471438/development-of-a-health-assessment-instrument-for-people-with-intellectual-disabilities-a-delphi-study
#6
Esther J Bakker-van Gijssel, Peter L B J Lucassen, Tim C Olde Hartman, Willem J J Assendelft, Henny M J van Schrojenstein Lantman-de Valk
Background: People with intellectual disabilities (IDs) experience health inequalities. Applying health assessments is one way of diminishing these inequalities. A health assessment instrument can support general practitioners (GPs) in providing better medical care to people with ID. Objectives: The aim of this study was to determine which items should be part of a health assessment instrument for people with ID to be used in primary care. Methods: This Delphi consensus study was conducted among 24 GP experts and 21 ID physicians...
February 17, 2018: Family Practice
https://www.readbyqxmd.com/read/29470220/teaching-wound-care-to-family-caregivers
#7
Holly Kirkland-Kyhn, Stephanie Anne Generao, Oleg Teleten, Heather M Young
: This article is part of a series, Supporting Family Caregivers: No Longer Home Alone, published in collaboration with the AARP Public Policy Institute. Results of focus groups, conducted as part of the AARP Public Policy Institute's No Longer Home Alone video project, supported evidence that family caregivers aren't given the information they need to manage the complex care regimens of family members. This series of articles and accompanying videos aims to help nurses provide caregivers with the tools they need to manage their family member's health care at home...
March 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29470094/accuracy-user-acceptability-and-safety-evaluation-for-the-freestyle-libre-flash-glucose-monitoring-system-when-used-by-pregnant-women-with-diabetes
#8
Eleanor M Scott, Rudy W Bilous, Alexandra Kautzky-Willer
BACKGROUND: Accuracy of the FreeStyle Libre™ Flash Glucose Monitoring System has not been evaluated in pregnant women with diabetes. The aim of this study was to determine accuracy (compared to self-monitoring of blood glucose [SMBG]), clinical safety, and acceptability of the FreeStyle Libre System when used at home by this population. MATERIALS AND METHODS: Seventy-four participants, with type 1 (T1D, n = 24), type 2 (T2D, n = 11), or gestational (n = 39) diabetes, were enrolled across 13 sites (9 in United Kingdom, 4 in Austria)...
February 22, 2018: Diabetes Technology & Therapeutics
https://www.readbyqxmd.com/read/29469672/va-staff-perceptions-of-barriers-and-facilitators-to-home-and-community-based-placement-post-hospital-discharge
#9
Edward Alan Miller, Orna Intrator, Emily Gadbois, Stefanie Gidmark, James L Rudolph
This study identifies factors VA staff perceived to promote or impede home and community-based services (HCBS) placement post-hospital discharge among Veterans cared for within the U.S. Department of Veterans Affairs (VA). Data derive from 35 semi-structured interviews with staff from 12 VA Medical Centers from around the country. VA staff reported that Veterans' care needs and social and financial resources influence HCBS placement. They also reported prerequisites for successful placement, including housing, unpaid informal care, and non-VA services funded privately and by public programs such as Medicaid and the Older Americans Act...
February 22, 2018: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/29469551/don%C3%A2-t-try-this-at-home-the-fda%C3%A2-s-restrictive-regulation-of-home-testing-devices
#10
Shelby Baird
Over the past forty years, the Food and Drug Administration (FDA) has successfully restricted consumers' access to home-testing applications based on the notion that it should protect individuals from their own reactions to test results. In the 1970s, the FDA briefly denied women access to home pregnancy tests that were identical to those used in laboratories. In the late 1980s and early 1990s, it relied on concerns about consumer responses to HIV status results to justify a categorical ban on applications for HIV home-testing technology...
November 2017: Duke Law Journal
https://www.readbyqxmd.com/read/29468771/home-blood-pressure-monitoring-in-a-hypertensive-pregnant-population
#11
H Perry, E Sheehan, B Thilaganathan, A Khalil
OBJECTIVE: The majority of patients with chronic or gestational hypertension do not develop pre-eclampsia. Home blood-pressure monitoring (HBPM) has the potential to offer a more accurate and acceptable means of monitoring hypertensive patients during pregnancy compared with traditional pathways of frequent outpatient monitoring. The aim of this study was to determine whether HBPM reduces visits to antenatal services and is safe in pregnancy. METHODS: This was a case-control study of 166 hypertensive pregnant women, which took place at St George's Hospital, University of London...
February 22, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29468084/a-development-study-and-randomised-feasibility-trial-of-a-tailored-intervention-to-improve-activity-and-reduce-falls-in-older-adults-with-mild-cognitive-impairment-and-mild-dementia
#12
Rowan H Harwood, Veronika van der Wardt, Sarah E Goldberg, Fiona Kearney, Pip Logan, Vicky Hood-Moore, Vicky Booth, Jennie E Hancox, Tahir Masud, Zoe Hoare, Andrew Brand, Rhiannon Tudor Edwards, Carys Jones, Roshan das Nair, Kristian Pollock, Maureen Godfrey, John R F Gladman, Kavita Vedhara, Helen Smith, Martin Orrell
Background: People with dementia progressively lose abilities and are prone to falling. Exercise- and activity-based interventions hold the prospect of increasing abilities, reducing falls, and slowing decline in cognition. Current falls prevention approaches are poorly suited to people with dementia, however, and are of uncertain effectiveness. We used multiple sources, and a co-production approach, to develop a new intervention, which we will evaluate in a feasibility randomised controlled trial (RCT), with embedded adherence, process and economic analyses...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29466814/-dgp-interstitial-lung-disease-patient-questionnaire
#13
M Kreuter, U Ochmann, D Koschel, J Behr, F Bonella, M Claussen, U Costabel, S Jungmann, M Kolb, D Nowak, F Petermann, M Pfeiffer, M Polke, A Prasse, J Schreiber, J Wälscher, H Wirtz, D Kirsten
BACKGROUND:  Interstitial lung diseases (ILD) encompass different heterogeneous, mainly chronic diseases of the pulmonary interstitium and/or alveoli with known and unknown reasons. The diagnostic of ILD is challenging and should be performed interdisciplinary. The medical history is of major importance and therefore, in German-speaking countries the Frankfurter Bogen (published in 1985) was utilised to scrutinise the medical history of the patient. This by now more than 30-years-old questionnaire requires a revision with regard to content and language...
February 21, 2018: Pneumologie
https://www.readbyqxmd.com/read/29466262/post-hospital-medication-discrepancies-at-home-risk-factor-for-90-day-return-to-emergency-department
#14
Linda L Costa, Ha Do Byon
The purpose of this study was to evaluate the occurrence of medication discrepancies during transitional care home visits and the association with emergency department (ED) visits. Using secondary data analysis, the relationships between in-home medication discrepancies and 30- and 90-day ED utilization were examined. For every in-home medication discrepancy, the odds of being admitted to the ED within 90 days increased by 31%. This brief intervention could add a valuable component to post-hospital transition management...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29464769/becoming-at-home-in-residential-care-for-older-people-a-material-culture-perspective
#15
Melanie Lovatt
Residential homes encourage new residents to bring belongings with them, so that they can personalise their room and 'feel at home'. Existing literature on material culture in residential homes views objects as symbols and repositories of home and identity, which can facilitate a sense of belonging in residents through their display in residents' rooms. I suggest that this both misunderstands the processual and fluid nature of home and identity, and conceptualises objects as essentially passive. This article uses ethnographic data and theories of practice and relationality to argue that rather than the meaning of home being inherent in objects, or felt subjectively by residents, meaning is generated through ongoing, everyday interactions between the two...
February 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29462156/preferences-for-hiv-test-characteristics-among-young-black-men-who-have-sex-with-men-msm-and-transgender-women-implications-for-consistent-hiv-testing
#16
Victoria Frye, Leo Wilton, Sabina Hirshfield, Mary Ann Chiasson, Debbie Lucy, DaShawn Usher, Jermaine McCrossin, Emily Greene, Beryl Koblin
BACKGROUND: Promoting consistent HIV testing is critical among young, Black Men Who Have Sex With Men (MSM) and transgender women who are overrepresented among new HIV cases in the United States. New HIV test options are available, including mobile unit testing, one-minute testing, at home or self-testing and couples HIV testing and counseling (CHTC). In the context of these newer options, the objective of this study was to explore whether and how preferences for specific characteristics of the tests acted as barriers to and/or facilitators of testing in general and consistent testing specifically among young Black MSM and transgender women aged 16 to 29...
2018: PloS One
https://www.readbyqxmd.com/read/29462152/distance-accessibility-and-costs-decision-making-during-childbirth-in-rural-sierra-leone-a-qualitative-study
#17
Laura Treacy, Håkon A Bolkan, Mette Sagbakken
BACKGROUND: Sierra Leone has one of the highest maternal mortality ratios in the world. Efforts to reduce maternal mortality have included initiatives to encourage more women to deliver at health facilities. Despite the introduction of the free health care initiative for pregnant women, many women still continue to deliver at home, with few having access to a skilled birth attendant. In addition, inequalities between rural and urban areas in accessing and utilising health facilities persist...
2018: PloS One
https://www.readbyqxmd.com/read/29460648/telemonitoring-and-home-hospitalization-in-patients-with-chronic-obstructive-pulmonary-disease-study-telepoc
#18
Manuel Mirón Rubio, Rocío Ceballos Fernández, Inmaculada Parras Pastor, Amaya Palomo Iloro, Borja Manuel Fernández Félix, Jenifer Medina Miralles, Esther Zamudio López, Javier González Pastor, Caridad Amador Lorente, Nazaret Mena Hortelano, Alejandro Domínguez Sánchez, Soledad Alonso-Viteri
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a major consumer of healthcare resources, with most costs related to disease exacerbations. Telemonitoring of patients with COPD may help to reduce the number of exacerbations and/or the related costs. On the other hand, home hospitalization is a cost-saving alternative to inpatient hospitalization associated with increased comfort for patients. The results are reported regarding using telemonitoring and home hospitalization for the management of patients with COPD...
February 20, 2018: Expert Review of Respiratory Medicine
https://www.readbyqxmd.com/read/29460330/prospective-evaluation-of-an-indwelling-esophageal-balloon-dilatation-feeding-tube-for-treatment-of-benign-esophageal-strictures-in-dogs-and-cats
#19
Desmond K Tan, Chick Weisse, Allyson Berent, Kenneth E Lamb
BACKGROUND: Despite multiple dilatation procedures, benign esophageal strictures (BES) remain a recurring cause of morbidity and mortality in dogs and cats. OBJECTIVE: Investigate the use of an indwelling Balloon Dilatation esophagostomy tube (B-Tube) for treatment of BES in dogs and cats. ANIMALS: Nine dogs and 3 cats. METHODS: Animals with BES were recruited for our prospective study. Endoscopic and fluoroscopic evaluation of the esophagus and balloon dilatation were performed under general anesthesia, followed by placement of an indwelling B-Tube...
February 20, 2018: Journal of Veterinary Internal Medicine
https://www.readbyqxmd.com/read/29458514/caregiver-daily-experiences-associated-with-child-asthma-symptoms
#20
Robin S Everhart, Adrienne P Borschuk, Samantha A Miadich, Jeremy Barsell, Kristin E Heron
OBJECTIVE: In this study, we used ecological momentary assessment (EMA) delivered via smart- phones to determine how the daily experiences (comfort in neighborhood, ability to manage child's asthma, positive/negative affect) of 59 caregivers (90% African-American/black) living in an urban setting are associated with asthma symptoms in children ages 7-12 years (M = 9.56 years). METHODS: Caregivers and their children with asthma completed a baseline research ses- sion, followed by 14 days of EMA surveys completed on smartphones...
March 1, 2018: American Journal of Health Behavior
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