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https://www.readbyqxmd.com/read/29684654/epidemiology-of-out-of-hospital-cardiac-arrest-a-french-national-incidence-and-mid-term-survival-rate-study
#1
Gérald Luc, Valentine Baert, Joséphine Escutnaire, Michael Genin, Christian Vilhelm, Christophe Di Pompéo, Carlos El Khoury, Nicolas Segal, Eric Wiel, Frédéric Adnet, Karim Tazarourte, Pierre-Yves Gueugniaud, Hervé Hubert
Out-of-hospital cardiac arrest (OHCA) is considered an important public health issue but its incidence has not been examined in France. The aim of this study is to define the incidence of OHCA in France and to compare this to other neighbouring countries. Data were extracted from the French OHCA registry. Only exhaustive centres during the period from January 1, 2013, to September 30, 2014 were included. All patients were included, regardless of their age and cause of OHCA. The participating centres covered about 10% of the French population...
April 20, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29683283/the-background-and-philosophy-behind-daylight-photodynamic-therapy
#2
Hans C Wulf
BACKGROUND: Conventional photodynamic therapy (PDT) is associated with side effects, primarily related to the waiting time between pre-treatment with application of photosensitizer and illumination. Pain during illumination is a major issue for the patients and options for effective pain relief are limited. Post-treatment inflammation can often be severe and cause inconvenient down-time for the patients and their employers. METHODS: To avoid the problems of pain and patients crowding in the clinic we eliminated red light treatment of high PpIX concentration and introduced illumination in daylight which may be performed at home...
April 19, 2018: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
https://www.readbyqxmd.com/read/29683042/factors-affecting-continuation-of-clean-intermittent-catheterisation-in-people-with-multiple-sclerosis-results-of-the-cosmos-mixed-methods-study
#3
Doreen McClurg, Carol Bugge, Andrew Elders, Tasneem Irshad, Suzanne Hagen, Katherine N Moore, Brian Buckley, Mandy Fader
BACKGROUND: Clean intermittent catheterisation (CIC) is often recommended for people with multiple sclerosis (MS). OBJECTIVE: To determine the variables that affect continuation or discontinuation of the use of CIC. METHODS: A three-part mixed-method study (prospective longitudinal cohort ( n = 56), longitudinal qualitative interviews ( n = 20) and retrospective survey ( n = 456)) was undertaken, which identified the variables that influenced CIC continuation/discontinuation...
April 1, 2018: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/29682719/-evolution-and-prospect-of-colorectal-anastomosis
#4
Qi Liu, Xinxiang Li
Colorectal cancer is the third most common malignant tumor among men, and the second most common malignant tumor among women worldwide. As one of the most common malignant tumor, colorectal cancer has a great threat to the health of people. Although the development of radiotherapy and chemotherapy could improve the prognosis of colorectal cancer, surgery, the complete resection of the tumor, remains the only chance for the cure of this disease. Over the past hundred years, surgical oncology went in the direction of protecting organ function and improving quality of life...
2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29682690/priorities-of-a-good-death-according-to-cancer-patients-their-family-caregivers-physicians-and-the-general-population-a-nationwide-survey
#5
Young Ho Yun, Kyoung-Nam Kim, Jin-Ah Sim, EunKyo Kang, Jihye Lee, Jiyeon Choo, Shin Hye Yoo, Miso Kim, Young Ae Kim, Beo Deul Kang, Hyun-Jeong Shim, Eun-Kee Song, Jung Hun Kang, Jung Hye Kwon, Jung Lim Lee, Soon Nam Lee, Chi Hoon Maeng, Eun Joo Kang, Young Rok Do, Yoon Seok Choi, Kyung Hae Jung
PURPOSE: Understanding the concept of a "good death" is crucial to end-of-life care, but our current understanding of what constitutes a good death is insufficient. Here, we investigated the components of a good death that are important to the general population, cancer patients, their families, and physicians. METHODS: We conducted a stratified nationwide cross-sectional survey of cancer patients and their families from 12 hospitals, physicians from 12 hospitals and the Korean Medical Association, and the general population, investigating their attitudes toward 10 good-death components...
April 22, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29681248/effectiveness-of-a-parental-school-based-intervention-to-improve-young-children-s-eating-patterns-a-pilot-study
#6
Ana Isabel Gomes, Luisa Barros, Ana Isabel Pereira, Magda Sofia Roberto
OBJECTIVE: To evaluate the effectiveness of a pilot study of a parental school-based intervention to promote healthy eating behaviours in young children. DESIGN: A quasi-experimental longitudinal design with three conditions (complete intervention (CIG), minimal intervention (MIG), control (CG)), with repeated measures at baseline, immediately after the intervention, 6 months and 1 year after intervention. SETTING: Fourteen public and state-funded kindergartens near Lisbon, Portugal...
April 23, 2018: Public Health Nutrition
https://www.readbyqxmd.com/read/29680821/home-treatment-of-copd-exacerbation-selected-by-decaf-score-a-non-inferiority-randomised-controlled-trial-and-economic-evaluation
#7
Carlos Echevarria, Joanne Gray, Tom Hartley, John Steer, Jonathan Miller, A John Simpson, G John Gibson, Stephen C Bourke
BACKGROUND: Previous models of Hospital at Home (HAH) for COPD exacerbation (ECOPD) were limited by the lack of a reliable prognostic score to guide patient selection. Approximately 50% of hospitalised patients have a low mortality risk by DECAF, thus are potentially suitable. METHODS: In a non-inferiority randomised controlled trial, 118 patients admitted with a low-risk ECOPD (DECAF 0 or 1) were recruited to HAH or usual care (UC). The primary outcome was health and social costs at 90 days...
April 21, 2018: Thorax
https://www.readbyqxmd.com/read/29680402/respiratory-rate-of-clinically-healthy-cats-measured-in-veterinary-consultation-rooms
#8
E Dijkstra, E Teske, V Szatmári
Respiratory rate is commonly recorded during physical examinations. However, reference intervals are only available for resting and sleeping respiratory rates in cats at home. This observational study aimed to establish reference intervals for the respiratory rate in clinically healthy adult cats at primary-care veterinary clinics. Respiratory rates were recorded from 131 cats, in 6 primary-care veterinary clinics, by observation under four circumstances: by the investigator in the consultation room prior to and during a physical examination, by the owner at home when the cat was resting or sleeping, and by the investigator when watching a video-film of the cat recorded by the owner at home...
April 2018: Veterinary Journal
https://www.readbyqxmd.com/read/29680130/-clinical-characteristics-of-patients-with-als-hospitalised-at-home
#9
REVIEW
Catherine Nativel, Odile Marquestaut
A study was carried out in 2013 in order to describe, using data from the programme for a medicalised information system, the population of patients with amyotrophic lateral sclerosis (ALS) cared for through the hospital at home service of the AP-HP Paris hospital group. This study highlights the highly technical nature of the care, in a context of palliative care and patient dependency. Patient care needs to be coordinated, preferably within a network.
April 2018: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29679459/exploring-the-meaning-of-home-and-its-implications-for-the-care-of-older-people
#10
Michele Board, Brendan McCormack
AIMS AND OBJECTIVES: To explore the meaning of home for six baby boomers and consider how this insight can be used when caring for older people in hospital or residential settings. BACKGROUND: Feeling at home is important to help retain a sense of autonomy, security and well-being, but home is a complex concept to understand. The baby boomers are a large cohort entering later life and understanding their sense of home is not only an example of anticipatory gerontology but it could also provide the tools to explore home with the current older population, who may be in a variety of care settings...
April 20, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29679418/family-involvement-in-rehabilitation-coronary-artery-disease-patients-perspectives
#11
Sonja Tuomisto, Meeri Koivula, Päivi Åstedt-Kurki, Mika Helminen
AIMS AND OBJECTIVES: The aim of this paper is to describe CAD -patients' perceptions of family involvement in rehabilitation and the connection between background factors and family involvement. BACKGROUND: CAD-patients hospital stays can be very concise. Family members can support rehabilitation, but many challenges can emerge. There is a need to nurture patients and family members in an individual way and to recognize their concerns. More accurate patient education should be available for patients and their family members...
April 21, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29678985/impact-of-tailored-falls-prevention-education-for-older-adults-at-hospital-discharge-on-engagement-in-falls-prevention-strategies-postdischarge-protocol-for-a-process-evaluation
#12
Chiara Naseri, Steven M McPhail, Julie Netto, Terrence P Haines, Meg E Morris, Christopher Etherton-Beer, Leon Flicker, Den-Ching A Lee, Jacqueline Francis-Coad, Anne-Marie Hill
INTRODUCTION: Older adults recently discharged from hospital have greater incidence of adverse events, functional decline, falls and subsequent readmission. Providing education to hospitalised patients on how to prevent falls at home could reduce postdischarge falls. There has been limited research investigating how older adults respond to tailored falls prevention education provided at hospital discharge. The aim of this study is to evaluate how providing tailored falls prevention education to older patients at the point of, and immediately after hospital discharge in addition to usual care, affects engagement in falls prevention strategies in the 6-months postdischarge period, including their capability and motivation to engage in falls prevention strategies...
April 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29678970/feasibility-of-personalised-remote-long-term-follow-up-of-people-with-cochlear-implants-a-randomised-controlled-trial
#13
Helen Cullington, Padraig Kitterick, Mark Weal, Magdalena Margol-Gromada
INTRODUCTION: Substantial resources are required to provide lifelong postoperative care to people with cochlear implants. Most patients visit the clinic annually. We introduced a person-centred remote follow-up pathway, giving patients telemedicine tools to use at home so they would only visit the centre when intervention was required. OBJECTIVES: To assess the feasibility of comparing a remote care pathway with the standard pathway in adults using cochlear implants...
April 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29678184/perceptions-on-male-involvement-in-pregnancy-and-childbirth-in-masasi-district-tanzania-a-qualitative-study
#14
Stephen Oswald Maluka, Apollonia Kasege Peneza
BACKGROUND: Despite the efforts to promote male involvement in maternal and child health, studies in low and middle income countries have reported that male participation is still low. While factors that hinder male partners from participating in maternal and child healthcare are well documented, there is dearth of studies on local perceptions about male involvement in pregnancy and delivery care. The main objective of this study was to explore local perceptions about male involvement in pregnancy and childbirth in Tanzania...
April 20, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29678096/developing-an-ehealth-tool-to-support-patient-empowerment-at-home
#15
Kristina Schildmeijer, Carolina Wannheden, Lina Nilsson, Oscar Frykholm, Amanda Hellström, Maria Flink, Mirjam Ekstedt
In previous research we have learned that patients with chronic or complex diseases often experience difficulties when transitioning from hospital care to self-care in their home. We address these difficulties by developing an eHealth tool for patients - ePATH (electronic Patient Activation in Treatment at Home) - intended to empower each patient to manage their individual situation. We have employed a user-centered design process involving both patients and healthcare personnel to specify the content and functionality of ePATH...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29678068/a-mobile-early-stimulation-program-to-support-children-with-developmental-delays-in-brazil
#16
Raquel da Luz Dias, Kátia Cristina Correa Guimarães Silva, Marcela Raquel de Oliveira Lima, João Guilherme Bezerra Alves, Syed Sibte Raza Abidi
Developmental delay is a deviation development from the normative milestones during the childhood and it may be caused by neurological disorders. Early stimulation is a standardized and simple technique to treat developmental delays in children (aged 0-3 years), allowing them to reach the best development possible and to mitigate neuropsychomotor sequelae. However, the outcomes of the treatment depending on the involvement of the family, to continue the activities at home on a daily basis. To empower and educate parents of children with neurodevelopmental delays to administer standardized early stimulation programs at home, we developed a mobile early stimulation program that provides timely and evidence-based clinical decision support to health professionals and a personalized guidance to parents about how to administer early stimulation to their child at home...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29678004/user-evaluation-of-a-smartphone-application-for-anticoagulation-therapy
#17
Berglind Smaradottir, Santiago Martinez, Elizabeth Borycki, Gareth Loudon, Andre Kushniruk, Jarle Jortveit, Rune Fensli
Anticoagulation therapy with Warfarin is used for specific cardiovascular diseases to control the ability of blood clotting. Traditional ways of self-management therapy are based on paper forms and procedures. This paper presents an evaluation of the smartphone application Warfarin Guide, a computer-assisted decision-support system used to help patients in their management of anticoagulation therapy related to International Normalized Ratio (INR) values. The evaluation consisted of a usability test with 4 participants and a field test with 14 participants who used the application at home during four months...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29676979/effectiveness-of-and-dental-sensitivity-to-at-home-bleaching-with-4-and-10-hydrogen-peroxide-a-randomized-triple-blind-clinical-trial
#18
K Chemin, M Rezende, A D Loguercio, A Reis, S Kossatz
OBJECTIVES: To evaluate the risk for and intensity of tooth sensitivity and color change of at-home dental bleaching with 4% and 10% hydrogen peroxide (HP). METHODS: For this study, 78 patients were selected according to the inclusion and exclusion criteria and randomized into two groups: HP 4 (White Class 4%, FGM) and HP 10 (White Class 10%, FGM). In both groups, the at-home bleaching was performed for a period of 30 minutes twice a day for two weeks. The color was assessed by Vita Classical, Vita Bleachedguide 3D-MASTER and spectrophotometer Vita Easyshade (Vita Zahnfabrik) at baseline, during bleaching (first and second weeks) and after bleaching (one month)...
May 2018: Operative Dentistry
https://www.readbyqxmd.com/read/29676782/evaluation-of-the-cincinnati-veterans-affairs-medical-center-hospital-in-home-program
#19
Shubing Cai, Andrew Grubbs, Rajesh Makineni, Bruce Kinosian, Ciaran S Phibbs, Orna Intrator
OBJECTIVES: To examine hospital readmissions, costs, mortality, and nursing home admissions of veterans who received Hospital-in-Home (HIH) services. DESIGN: Retrospective cohort study. SETTING: Cincinnati Veterans Affairs Medical Center (VAMC). PARTICIPANTS: Study cohort included veterans who received HIH services as an alternative to inpatient care between October 1, 2012, and November 30, 2015, and non-HIH veterans who were hospitalized for similar conditions in the Cincinnati VAMC during the same period...
April 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29676636/observed-home-dampness-and-mold-are-associated-with-sustained-spikes-in-personal-exposure-to-particulate-matter-less-than-10-%C3%AE-m-in-diameter-in-exacerbation-prone-children-with-asthma
#20
Cullen M Dutmer, Allison M Schiltz, Kristy L Freeman, Matthew J Christie, Juana A Cerna, Seung-Hyun Cho, Ryan T Chartier, Jonathan W Thornburg, Katharine L Hamlington, James L Crooks, Tasha E Fingerlin, David A Schwartz, Andrew H Liu
RATIONALE: Home dampness and mold are associated with asthma severity and exacerbations, but little is known about the nature of these exposures in at-risk children. OBJECTIVES: To test the hypothesis that observed dampness, water damage, and mold in the home are associated with higher exposure to particulate matter less than 10 μm in diameter in a cohort of at-risk children with asthma. METHODS: We performed a pilot study in 8- to 16-year-old children with exacerbation-prone asthma (n = 29; Denver Asthma Panel Study)...
April 2018: Annals of the American Thoracic Society
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