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https://www.readbyqxmd.com/read/29356438/impact-of-tobacco-alcohol-and-cannabis-use-on-treatment-outcomes-among-patients-experiencing-first-episode-psychosis-data-from-the-national-raise-etp-study
#1
Oladunni Oluwoye, Maria Monroe-DeVita, Ekaterina Burduli, Lydia Chwastiak, Sterling McPherson, Jon M McClellan, Michael G McDonell
AIM: The primary aim of this study was to examine the effect of recent tobacco, alcohol and cannabis use on treatment outcomes among participants experiencing first episode psychosis (FEP). METHODS: Secondary data analyses were conducted on 404 participants enrolled in the Recovery After an Initial Schizophrenia Episode-Early Treatment Program (RAISE-ETP) study. RAISE-ETP investigated the effectiveness of a coordinated specialty care (CSC) intervention for FEP in community mental health agencies in the United States...
January 22, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29356356/phase-angle-measured-by-electrical-bioimpedance-and-global-cardiovascular-risk-in-older-adults
#2
Maria An Saad, Antonio Jl Jorge, Wolney de Andrade Martins, Gilberto P Cardoso, Marcia Ms Dos Santos, Maria Lg Rosa, Giovanna Ab Lima, Rafaela Q de Moraes, Rubens A da Cruz Filho
AIM: Population aging is a worldwide phenomenon associated with physiological and metabolic changes that contribute to the increased prevalence of risk factors for cardiovascular disease. The phase angle (PA) is a variable calculated by bioelectrical impedance analysis, interpreted as a direct measure of cell stability. The objective of the present study was to investigate the correlation of PA with the anthropometric measures, metabolic profile and the cardiovascular risk estimated by the Global Cardiovascular Risk Score in the elderly population...
January 22, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29356339/caregiver-active-participation-in-psychoeducational-intervention-improved-caregiving-skills-and-competency
#3
Sai-Hung Tang, Oi-I Chio, Ling-Hui Chang, Hui-Fen Mao, Li-Hua Chen, Ping-Keung Yip, Jen-Ping Hwang
AIM: To determine whether giving dementia caregivers active psychoeducational intervention is more efficacious than passive intervention for improving their caregiving skills and reducing their caregiving burden. METHODS: This study was a prospective, single-blinded, controlled trial with 43 caregiver/person-with-dementia dyads. The dyads were randomly assigned to the active psychoeducational intervention (AP) group, which used role-play, discussion, and development of problem-solving capacity to build up their caregiving skills and competence, or the passive psychoeducational intervention (PP) group, which gave caregivers educational materials on common caregiving strategies...
January 22, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29356314/plasma-metabolome-analysis-of-patients-with-major-depressive-disorder
#4
Noriyuki Kawamura, Kosaku Shinoda, Hajime Sato, Kazunori Sasaki, Makoto Suzuki, Kumi Yamaki, Tamaki Fujimori, Hiroyuki Yamamoto, Douglas Osei-Hyiaman, Yoshiaki Ohashi
AIM: This study sought to characterize the plasma metabolite profiling of patients with major depressive disorder (MDD). METHODS: Psychiatric assessments were made with the Structured Clinical Interview for Diagnosis. In the exploratory cohort, plasma metabolite profiles of 34 MDD patients and 31 mentally healthy controls were compared using capillary electrophoresis-mass spectrometry. Among the candidate metabolites, we focused on a metabolite showing the largest difference...
January 22, 2018: Psychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/29356255/development-of-an-online-universal-utstein-registry-based-care-practice-report-card-to-improve-out-of-hospital-resuscitation-practices
#5
Valentine Baert, Joséphine Escutnaire, Ziad Nehme, Pierre Mols, Steven Lagadec, Christian Vilhelm, Line Jacob, Eric Wiel, Frédéric Adnet, Hervé Hubert
RATIONALE, AIMS AND OBJECTIVES: Care quality is a primary concern in health field. In France, the care practice report card (CPRC) is compulsory for practitioners. It is the first step towards the culture of excellence. In this context, practitioners have to assess and improve their practices. Competent authorities define registries as reliable sources for CPRC. The first aim of this work is to describe how we designed and built a universally transposable CPRC model based on an Utstein-style cardiac arrest registry...
January 22, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29356210/clinical-course-and-prognostic-factors-across-different-musculoskeletal-pain-sites-a-secondary-analysis-of-individual-patient-data-from-randomised-clinical-trials
#6
D J Green, M Lewis, G Mansell, M Artus, K S Dziedzic, E M Hay, N E Foster, D A van der Windt
BACKGROUND: Previous research has identified similar prognostic factors in patients with musculoskeletal (MSK) conditions regardless of pain presentation, generating opportunities for management based on prognosis rather than specific pain presentation. METHODS: Data from seven RCTs (2,483 participants) evaluating a range of primary care interventions for different MSK pain conditions were used to investigate the course of symptoms and explore similarities and differences in predictors of outcome...
January 22, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29356080/striving-to-meet-targets-for-ideal-treatment-of-acute-myocardial-infarction-in-brazil-data-from-the-midwest-region
#7
Gustavo Carvalho, Salvador Rassi, Enio Guérios, Fernando A M Curado, Ana Tereza Bastos
OBJECTIVES: To evaluate the systematic chain of care for patients with acute ST-elevation myocardial infarction (STEMI) referred for primary angioplasty in a capital city in Midwestern Brazil. BACKGROUND: Acute myocardial infarction is recognized as an important cause of morbidity and mortality and as a public health problem worldwide. Early specialized care is crucial for a good prognosis. METHODS: All STEMI patients receiving care through the public health system at two tertiary care centers from March 2012 to June 2014 were retrospectively analyzed...
January 21, 2018: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/29355982/ipad-applications-that-required-a-range-of-motor-skills-promoted-motor-coordination-in-children-commencing-primary-school
#8
Caitlin Axford, Annette V Joosten, Courtenay Harris
BACKGROUND/AIM: Children are reported to spend less time engaged in outdoor activity and object-related play than in the past. The increased use and mobility of technology, and the ease of use of tablet devices are some of the factors that have contributed to these changes. Concern has been raised that the use of such screen and surface devices in very young children is reducing their fine motor skill development. We examined the effectiveness of iPad applications that required specific motor skills designed to improve fine motor skills...
January 21, 2018: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/29355969/primary-liver-sarcomas-in-the-modern-era-resection-or-transplantation
#9
Ioannis T Konstantinidis, Carolijn Nota, Zeljka Jutric, Philip Ituarte, Warren Chow, Peiguo Chu, Gagandeep Singh, Susanne G Warner, Laleh G Melstrom, Yuman Fong
BACKGROUND AND OBJECTIVES: Primary liver sarcomas (PLS) are rare. Published series are limited by small numbers of patients. METHODS: We reviewed the National Cancer Database (2004-2014) for patients who underwent surgical resection of PLS. RESULTS: Of 237 patients identified, the majority were female (60.8%), with median age of 52 years. Histologies were: epithelioid hemangioendothelioma (n = 67), angiosarcoma (n = 64), leiomyosarcoma (n = 33), embryonal rhabdomyosarcoma (n = 31), carcinosarcoma (n = 16), giant cell sarcoma (n = 14), spindle cell sarcoma (n = 12)...
January 22, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29355934/cross-sector-collaboration-in-the-high-poverty-setting-qualitative-results-from-a-community-based-diabetes-intervention
#10
Elizabeth L Tung, Kathryn E Gunter, Nyahne Q Bergeron, Stacy Tessler Lindau, Marshall H Chin, Monica E Peek
OBJECTIVE: To characterize the motivations of stakeholders from diverse sectors who engaged in cross-sector collaboration with an academic medical center. DATA SOURCE: Primary qualitative data (2014-2015) were collected from 22 organizations involved in a cross-sector diabetes intervention on the South Side of Chicago. STUDY DESIGN: In-depth, semistructured interviews; participants included leaders from all stakeholder organization types (e...
January 22, 2018: Health Services Research
https://www.readbyqxmd.com/read/29355891/where-are-antipsychotics-prescribed-in-nursing-homes-initiated
#11
Yan Zhang, Elena M Letuchy, Ryan M Carnahan
OBJECTIVES: To describe the settings of care in which antipsychotics that nursing home (NH) residents received were likely to have been initiated. DESIGN: Cross-sectional. SETTING: Iowa NHs. PARTICIPANTS: Fee-for-service Medicare beneficiaries who had NH stays between January 1, 2011, and December 31, 2014, and had new use of antipsychotics during their NH stays, defined as no antipsychotic use in NHs in the last 6 months...
January 22, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29355811/preoperative-hemoglobin-level-is-associated-with-increased-healthcare-utilization-after-elective-spinal-fusion-%C3%A2-3-levels-in-elderly-male-spine-deformity-patients
#12
Aladine A Elsamadicy, Owoicho Adogwa, Michael Ongele, Amanda R Sergesketter, Aaron Tarnasky, David E T Lubkin, Nicolas Drysdale, Joseph Cheng, Carlos A Bagley, Isaac O Karikari
BACKGROUND: Measures of healthcare utilization such as length of hospital stay (LOS) are used as proxies for quality of care after spine surgery. Accordingly, hospitals and health systems are investing considerable resources into the pre-operative identification of patients at risk for prolonged LOS. This study aims to investigate the impact of preoperative hemoglobin on outcomes and LOS after spinal fusion. METHODS: The medical records of 204 elderly (≥60 years) male patients undergoing elective spinal fusion (≥3 levels) at a major academic institution from 2005 to 2015 were reviewed...
January 17, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29355778/qualitative-evaluation-of-individual-and-group-well-child-care
#13
Cynthia DeLago, Brittany Dickens, Etienne Phipps, Andrew Paoletti, Magdelena Kazmierczak, Matilde Irigoyen
OBJECTIVE: Individual primary care (IWC) is the standard delivery model for well-child care in the U.S. Alternative models, such as group care (GWC), may create opportunities to enhance care for babies. The purpose of this study is to evaluate parents' perceptions of social/wellness benefits and system challenges of IWC and GWC. METHODS: Since 2014, we have provided both IWC and GWC at an urban, academic practice serving a low-income, minority community. We conducted a mixed method study involving surveys and 18 focus groups (11 IWC groups, n=32 parents; 7 GWC groups, n=33 parents)...
January 18, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29355727/one-year-follow-up-of-a-randomized-controlled-trial-of-sertraline-and-cognitive-behavior-group-therapy-in-depressed-primary-care-patients-mind-study
#14
Roland Mergl, Antje-Kathrin Allgaier, Martin Hautzinger, James C Coyne, Ulrich Hegerl, Verena Henkel
BACKGROUND: The long-term course of symptoms in patients with mild-to-moderate depression is not well understood. A 12-month-follow-up analysis was performed on those participants from a randomized controlled 10-week trial (RCT, MIND-study), who had received either treatment with an antidepressant (sertraline) or a psychotherapeutic intervention (group cognitive-behavioral therapy (CBT)). METHODS: The longitudinal interval follow-up evaluation (LIFE) was applied to 77 patients with mild-to moderate depression...
January 2, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29355509/severe-asthma-in-primary-care-identification-and-management
#15
REVIEW
Jennifer L Trevor, Bradley E Chipps
Most patients with asthma are managed by primary care providers. Severe asthma is associated with substantial morbidity and health care resource use, and long-term sequelae of severe asthma include airway remodeling and a greater risk of developing chronic obstructive pulmonary disease. These consequences highlight the importance of early identification and improved management of patients with severe asthma. Although treatment guidelines can be confusing and it can be difficult to keep abreast of updates, routine assessments of lung function, frequency and severity of exacerbations, symptom control, and medication adherence in the primary care setting provide the necessary information for identifying severe asthma and determining appropriate management strategies...
January 16, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29355448/seven-day-access-to-nhs-primary-care-how-does-england-compare-with-europe
#16
Sarah Rosenberg-Wohl, Geva Greenfield, Azeem Majeed, Benedict Hayhoe
Political pressure to increase access to primary care is growing. In the face of ever increasing demand for healthcare, this increase in primary care aims to reduce the burden on urgent and secondary care services. Also part of a broader driver towards establishing a seven-day NHS service, this would require general practice surgeries to extend their opening hours beyond their current obligatory 52.5 h per week. However, benchmarking with other European systems demonstrates that normal in-hours general practice provision in England already exceeds that of most other European countries...
January 1, 2018: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/29355441/ntprobnp-and-st2-as-predictors-for-all-cause-and-cardiovascular-mortality-in-elderly-patients-with-symptoms-suggestive-for-heart-failure
#17
Kurt Boman, Finn Thormark Fröst, Ann-Charlotte R Bergman, Mona Olofsson
BACKGROUND: A new biomarker, suppression of tumorigenicity 2 (ST2) has been introduced as a marker for fibrosis and hypertrophy. Its clinical value in comparison with NTproBNP in predicting mortality in elderly patients with symptoms of heart failure (HF) is still unclear. AIM: To evaluate the prognostic value for all-cause- and cardiovascular mortality of ST2 or NTproBNP and secondly; the combination of these biomarkers. PATIENTS AND METHODS: 170 patients with clinical symptoms of HF of whom 77 (45%) with verified HF were recruited from one selected primary health care centre (PHC) in Sweden and echocardiography was performed in all patients...
January 22, 2018: Biomarkers: Biochemical Indicators of Exposure, Response, and Susceptibility to Chemicals
https://www.readbyqxmd.com/read/29355428/silver-fluoride-as-a-treatment-for-dental-caries
#18
J A Horst
Medical management of caries is a distinct treatment philosophy that employs topical minimally invasive therapies that treat the disease and is not merely prevention. This strategy is justified as an alternative or supplement to traditional care by significant disease recurrence rates following comprehensive operative treatment under general anesthesia. Silver diamine fluoride (SDF) is one agent to enable effective noninvasive treatment. The announcement of breakthrough therapy designation by the Food and Drug Administration (FDA) suggests that SDF may become the first FDA-approved drug for treating caries...
February 2018: Advances in Dental Research
https://www.readbyqxmd.com/read/29355412/fluoride-use-in-health-care-settings-association-with-children-s-caries-risk
#19
M Fontana, G J Eckert, M A Keels, R Jackson, B Katz, B T Levy, S M Levy
Expanded partnership with the medical community is an important strategy for reducing dental caries disparities. The purpose of this study was to assess the relationship between fluoride (F) "in office" (drops/tablets and/or varnish), as prescribed or applied by a health care professional by age 1 y, and 1) caries development and 2) presence of other caries risk factors or mediators (e.g., socioeconomic status). Child-primary caregiver (PCG) pairs ( N = 1,325) were recruited in Indiana, Iowa, and North Carolina as part of a longitudinal cohort study to validate a caries risk tool for primary health care settings...
February 2018: Advances in Dental Research
https://www.readbyqxmd.com/read/29355409/changes-in-caries-risk-in-a-practice-based-randomized-controlled-trial
#20
P Rechmann, B W Chaffee, B M T Rechmann, J D B Featherstone
To demonstrate that Caries Management by Risk Assessment (CAMBRA) can be successfully implemented in dental practice, 30 dentists were recruited to perform a 2-y CAMBRA trial. Twenty-one dentists (18 private practices, 3 community clinics) participated in a randomized, controlled, parallel-arm, double-blind clinical trial with individual-level assignment of 460 participants to standard of care (control) versus active CAMBRA treatment (intervention). Control or active antimicrobial and remineralizing agents were dispensed at baseline and 6-, 12-, 18-, and 24-mo recall visits according to risk level and assigned treatment arm...
February 2018: Advances in Dental Research
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