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https://www.readbyqxmd.com/read/28929097/integrated-clinical-decision-support-systems-promote-absolute-cardiovascular-risk-assessment-an-important-primary-prevention-measure-in-aboriginal-and-torres-strait-islander-primary-health-care
#1
Veronica Matthews, Christopher P Burgess, Christine Connors, Elizabeth Moore, David Peiris, David Scrimgeour, Sandra C Thompson, Sarah Larkins, Ross Bailie
BACKGROUND: Aboriginal and Torres Strait Islander Australians experience a greater burden of disease compared to non-Indigenous Australians. Around one-fifth of the health disparity is caused by cardiovascular disease (CVD). Despite the importance of absolute cardiovascular risk assessment (CVRA) as a screening and early intervention tool, few studies have reported its use within the Australian Indigenous primary health care (PHC) sector. This study utilizes data from a large-scale quality improvement program to examine variation in documented CVRA as a primary prevention strategy for individuals without prior CVD across four Australian jurisdictions...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28924500/comparison-of-polybrominated-diphenyl-ethers-pbdes-and-polychlorinated-biphenyls-pcbs-in-the-serum-of-hypothyroxinemic-and-euthyroid-dogs
#2
Grace Lau, Kyla Walter, Philip Kass, Birgit Puschner
OBJECTIVE: To determine the profile of 14 polybrominated diphenyl ethers (PBDEs) and 23 polychlorinated biphenyls (PCBs) in serum of domestic canines and whether this was predictive of thyroid hormone status. SAMPLES: Serum samples were collected from 51 client-owned dogs visiting the University of California Davis William R. Pritchard Veterinary Medical Teaching Hospital during 2012 to 2016 for routine appointments. Fifteen dogs were diagnosed with hypothyroxinemia while 36 were euthyroid...
2017: PeerJ
https://www.readbyqxmd.com/read/28891431/therapist-strategies-early-in-therapy-associated-with-good-or-poor-outcomes-among-clients-with-low-proactive-agency
#3
Anna Louise von der Lippe, Hanne Weie Oddli, Margrethe Seeger Halvorsen
OBJECTIVE: Within a mixed methods program of research the present study aimed at expanding knowledge about interactions in the initial therapeutic collaboration by combining focus on client interpersonal style and therapist contribution. METHOD: The study involves in-depth analyses of therapist-client interactions in the initial two sessions of good and poor outcome therapies. Based on interpersonal theory and previous research, the Inventory of Interpersonal Problems (IIP-64-C) was used to define poor outcome cases, that is, low proactive agency cases...
September 10, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28889059/implicit-and-explicit-internalized-stigma-relationship-with-risky-behaviors-psychosocial-functioning-and-healthcare-access-among-people-who-inject-drugs
#4
Courtney von Hippel, Loren Brener, Robyn Horwitz
INTRODUCTION: People who inject drugs (PWID) are stigmatized by society. Over time people may begin to internalize the stigma about their group. This research examines how implicit and explicit internalized stigma among PWID relates to health care and treatment access, psychosocial functioning, and engagement in risky behaviors. METHODS: PWID were recruited from a needle and syringe program (NSP) located in Sydney, Australia. Participants completed a survey examining explicit and implicit internalized stigma, risky behaviors (e...
September 1, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28862475/a-survey-of-canadian-interprofessional-student-run-free-clinics
#5
Enoch Ng, Tina Hu
Student-run free clinics (SRFCs) have existed in Canada since 1971, providing interprofessional healthcare to underserved populations. SRFCs are seen as vehicles for socially accountable health professional education. Literature on how Canadian SRFC function is lacking. Web-based surveys were sent to student leaders from Canadian SRFCs regarding their 2014 activities. All six fully-functioning SRFCs responded reporting on the following: services provided, professions involved, governing structure, funding sources, clients seen, types of care sought, students and preceptors involved, as well as perceived strengths, weaknesses, opportunities and threats...
September 1, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28859652/ready-for-goal-setting-process-evaluation-of-a-patient-specific-goal-setting-method-in-physiotherapy
#6
Anita Stevens, Albère Köke, Trudy van der Weijden, Anna Beurskens
BACKGROUND: Patient participation and goal setting appear to be difficult in daily physiotherapy practice, and practical methods are lacking. An existing patient-specific instrument, Patient-Specific Complaints (PSC), was therefore optimized into a new Patient Specific Goal-setting method (PSG). The aims of this study were to examine the feasibility of the PSG in daily physiotherapy practice, and to explore the potential impact of the new method. METHODS: We conducted a process evaluation within a non-controlled intervention study...
August 31, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28858167/medical-aesthetics-training-shifting-to-collective-competence
#7
Iris Epstein, Eva Peisachovich, Celina Da Silva, Charlotte Lee, Philip Solomon
With increased demands for medical aesthetics procedures and the sudden profusion of newly licensed, and unlicensed, providers who are performing these medical aesthetics procedures also comes the responsibility to shift to collective competence. Collective competence refers to what occurs among professionals in action, emphasizing the sharing of experiences, knowledge, and perceptions among those who are providing services to the medical aesthetics client. Registered nurses and medical students are not taught to perform cosmetic procedures in basic nursing or medical programs and thus require a post-entry-level education to validate their competency...
July 2017: Plastic Surgical Nursing
https://www.readbyqxmd.com/read/28856559/introducing-motivational-interviewing-in-a-sickness-insurance-context-translation-and-implementation-challenges
#8
Christian Ståhl, Maria Gustavsson
Purpose Motivational interviewing (MI) is a conversational method to support clients in need of behavioral change. In an organizational reform, most Swedish sickness insurance officials were trained in MI to promote clients' return to work (RTW) after sick leave. The aim of this article is to investigate experiences of introducing MI as a tool to promote clients' RTW within a sickness insurance context, with special focus on the translation and implementation of the method. Methods A qualitative approach, comprising 69 interviews with officials, managers, and regional coordinators on two occasions...
August 30, 2017: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/28854930/sex-workers-as-peer-health-advocates-community-empowerment-and-transformative-learning-through-a-canadian-pilot-program
#9
Cecilia Benoit, Lynne Belle-Isle, Michaela Smith, Rachel Phillips, Leah Shumka, Chris Atchison, Mikael Jansson, Charlotte Loppie, Jackson Flagg
BACKGROUND: Social marginalization and criminalization create health and safety risks for sex workers and reduce their access to health promotion and prevention services compared to the general population. Community empowerment-based interventions that prioritize the engagement of sex workers show promising results. Peer-to-peer interventions, wherein sex workers act as educators of their colleagues, managers, clients and romantic partners, foster community mobilization and critical consciousness among sex workers and equip them to exercise agency in their work and personal lives...
August 30, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28846025/indicators-to-estimate-the-appropriateness-of-activating-interventions-for-people-living-with-dementia-and-for-their-informal-caregivers
#10
Netta Van't Leven, Eva Van der Ploeg, Jacomine de Lange, Anne Margriet Pot
OBJECTIVES: Dyadic activating interventions support both people with dementia and their informal caregivers to maintain activities. For a person-centered approach referrers need insight in how specific interventions might meet individual needs, characteristics, and preferences of a dyad. This study aimed to develop a set of indicators for three psychosocial dyadic, activating interventions. METHOD: We used the 'RAND Appropriateness Method' directed at agreement on indicators within a panel of experts...
August 28, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28838080/core-themes-in-music-therapy-clinical-improvisation-an-arts-informed-qualitative-research-synthesis
#11
Anthony Meadows, Katherine Wimpenny
Background: Although clinical improvisation continues to be an important focus of music therapy research and practice, less attention has been given to integrating qualitative research in this area. As a result, this knowledge base tends to be contained within specific areas of practice rather than integrated across practices and approaches. Objective: This qualitative research synthesis profiles, integrates, and re-presents qualitative research focused on the ways music therapists and clients engage in, and make meaning from, clinical improvisation...
July 1, 2017: Journal of Music Therapy
https://www.readbyqxmd.com/read/28833761/generalized-papillomatosis-in-three-horses-associated-with-a-novel-equine-papillomavirus-ecpv8
#12
Keith E Linder, Petra Bizikova, Jennifer Luff, Dan Zhou, Hang Yuan, Babetta Breuhaus, Elizabeth Nelson, Robert Mackay
BACKGROUND: Currently, seven equine papillomaviruses (PV) are known and are associated with one of three different and distinct clinical presentations. HYPOTHESIS/OBJECTIVES: To report the clinical, histopathological and immunohistochemical findings in horses with generalized papillomatosis associated with a novel equine PV, Equus caballus papillomavirus 8 (EcPV8). ANIMALS: Three client-owned quarter horses. METHODS: Case report, retrospective...
August 22, 2017: Veterinary Dermatology
https://www.readbyqxmd.com/read/28816524/from-the-abstract-to-the-concrete-implementation-of-an-innovative-tool-in-home-care
#13
Anu Kajamaa, Klaus-Peter Schulz
Background The implementation of innovations in practice is a critical factor for change and development processes in health and home care. We therefore analyze how an innovative tool - a mobility agreement to maintain physical mobility of home care clients - was implemented in Finnish home care. Methods Our study involves ethnographic research of 13 home care visits, two years after the mobility agreement was implemented. We analyze the emergence of contradictions, the motives of the actors and the use of artifacts supporting or inhibiting the implementation...
January 1, 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28809657/everyday-technology-use-related-to-activity-involvement-among-people-in-cognitive-decline
#14
Annicka Hedman, Louise Nygård, Anders Kottorp
OBJECTIVE: We investigated how everyday technology use related to activity involvement over 5 yr in people with mild cognitive impairment. METHOD: Thirty-seven older adults with mild cognitive impairment were evaluated regarding everyday technology use and involvement in activities over time. Information on diagnostic changes was collected from medical files. Linear mixed-effects models were used in data analysis. RESULTS: Ability to use everyday technology showed a significant effect on activity involvement (p = ...
September 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28789595/personal-narrative-approaches-in-rehabilitation-following-traumatic-brain-injury-a-synthesis-of-qualitative-research
#15
Kate D'Cruz, Jacinta Douglas, Tanya Serry
Although narrative storytelling has been found to assist identity construction, there is little direct research regarding its application in rehabilitation following traumatic brain injury (TBI). The aim of this review was to identify published evidence on the use of personal narrative approaches in rehabilitation following TBI and to synthesise the findings across this literature. A systematic search of four databases was conducted in December 2016. No limit was set on the start date of the search. Personal narrative approaches were defined as direct client participation in sharing personal stories using written, spoken or visual methods...
August 9, 2017: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/28767302/real-world-challenges-in-delivering-person-centred-care-a-community-based-case-study
#16
Sylvia Riding, Nikki Glendening, Vanessa Heaslip
Community nurses face many challenges when trying to practice evidence-based, person-centred care. Ongoing concerns regarding the impact of the 2013 Francis Report ( Ford and Lintern, 2017 ) suggest that individualised and holistic care is an impossible dream, one made harder when the client appears uncooperative. This paper presents a case study that sets out how some of these challenges were met in a potentially difficult situation experienced by a student nurse and her mentor in practice, in which the student was supported to further examine and explore issues that may have influenced the situation...
August 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28766091/maximizing-opportunities-family-planning-and-maternal-infant-and-young-child-nutrition-integration-in-bondo-sub-county-kenya
#17
Chelsea M Cooper, Angella Ogutu, Everlyn Matiri, Hannah Tappis, Devon Mackenzie, Anne Pfitzer, Rae Galloway
Purpose This article shares learning from an innovative demonstration program integrating maternal, infant, and young child nutrition (MIYCN) and family planning (FP) services in western Kenya, providing recommendations for future work to expand MIYCN and FP integration. Description Six health facilities reorganized to integrate MIYCN and FP services and community health volunteers (CHVs) promoted MIYCN and FP in adjacent communities in Bondo Sub-County over a 1-year period. At the facility level, each provider was directed to provide both sets of services in a single room during FP, antenatal care, postnatal care, or child consultation visits (a "one stop shop" approach)...
August 1, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28754104/syphilis-and-hiv-prevalence-and-associated-factors-to-their-co-infection-hepatitis-b-and-hepatitis-c-viruses-prevalence-among-female-sex-workers-in-rwanda
#18
Mwumvaneza Mutagoma, Laetitia Nyirazinyoye, Dieudonné Sebuhoro, David J Riedel, Joseph Ntaganira
BACKGROUND: Human Immunodeficiency Virus (HIV), syphilis, Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) are sexually transmitted infections (STIs) and share modes of transmission. These infections are generally more prevalent among female sex workers (FSWs). METHODS: This is a cross-sectional study conducted among female sex workers (FSWs) in Rwanda in 2015. Venue-Day-Time (VDT) sampling method was used in recruiting participants. HIV, syphilis, HBV, and HCV testing were performed...
July 28, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28752808/decision-making-in-audiology-balancing-evidence-based-practice-and-patient-centered-care
#19
Isabelle Boisvert, Jennifer Clemesha, Erik Lundmark, Erica Crome, Caitlin Barr, Catherine M McMahon
Health-care service delivery models have evolved from a practitioner-centered approach toward a patient-centered ideal. Concurrently, increasing emphasis has been placed on the use of empirical evidence in decision-making to increase clinical accountability. The way in which clinicians use empirical evidence and client preferences to inform decision-making provides an insight into health-care delivery models utilized in clinical practice. The present study aimed to investigate the sources of information audiologists use when discussing rehabilitation choices with clients, and discuss the findings within the context of evidence-based practice and patient-centered care...
January 2017: Trends in Hearing
https://www.readbyqxmd.com/read/28742763/implementation-of-a-national-workplace-wellness-program-for-health-workers-in-botswana
#20
Jenny H Ledikwe, Bazghina-Werq Semo, Miram Sebego, Maureen Mpho, Heather Mothibedi, Shreshth Mawandia, Gabrielle O'Malley
: The Botswana workplace wellness program (WWP) for health care workers (HCWs) was initiated in 2007. WWP implementation was assessed using a sequential, explanatory, mixed methods design including a national implementation assessment (27 health districts) and in-depth interviews (n = 38). Level of implementation varied across districts with health screening, therapeutic recreation, and health promotion implemented more frequently than occupational health activities and psychosocial services. Facilitators to WWP implementation included establishment of a dedicated, diverse WWP committee; provision of administrative support, and integration of activities into organizational culture...
July 24, 2017: Journal of Occupational and Environmental Medicine
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