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longitudinal and data and quality and assessment

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https://www.readbyqxmd.com/read/28425896/a-longitudinal-cohort-study-examining-determinants-of-overweight-and-obesity-in-adulthood
#1
Caroline Barakat-Haddad, Usman Saeed, Susan Elliott
OBJECTIVES: Adulthood overweight and obesity are multifaceted conditions influenced by a combination of biological, environmental and socio-cultural factors across the lifespan. Using a longitudinal study design, we aimed to identify determinants of adulthood overweight and obesity, in relation to: 1) childhood and life course factors, 2) geographical differences in air quality, and 3) gender-specific factors, in a cohort followed from childhood into adulthood. METHODS: Childhood data were acquired (1978-1986) from children residing in four distinct Hamilton neighbourhoods (Ontario, Canada), including air-quality assessments...
April 20, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28424921/evolution-of-psychological-condition-in-caregivers-of-patients-with-disorders-of-consciousness-a-longitudinal-study
#2
Francesco Corallo, Lilla Bonanno, Viviana Lo Buono, Simona De Salvo, Cettina Allone, Rosanna Palmeri, Elena La Gattuta, Carmela Rifici, Antonella Alagna, Antonino Todaro, Placido Bramanti, Silvia Marino
The aim of this study is to evaluate mood disorders and needs in caregivers of disorders of consciousness (DOC) patients during the admission to Neurorehabilitation Unit. A total of 80 caregivers was enrolled and divided in two groups (caregivers of vegetative state-VS patients and caregivers of minimally conscious state-MCS patients). Paired sample t tests were carried out to test differences between baseline observation (T0) and after 6 months (T1). Caregivers of VS patients showed an improvement between T0 and T1 especially, in vitality, mean health, Beck Depression Inventory (BDI-II), Spielberger State-Trait Anxiety Inventory-Y (STAI-Y), Prolonged Grief Disorder (PG 12) and Caregiver Needs Assessment (CNA)...
April 19, 2017: Neurological Sciences
https://www.readbyqxmd.com/read/28424059/insight-into-human-pubertal-growth-by-applying-the-qeps-growth-model
#3
Anton Holmgren, Aimon Niklasson, Lars Gelander, A Stefan Aronson, Andreas F M Nierop, Kerstin Albertsson-Wikland
BACKGROUND: Computerized mathematical models describing absolute and relative individual growth during puberty in both cm and standard deviation (SD)-scores are lacking. The present study aimed to fill this gap, by applying the QEPS-model that delineates mathematically the specific pubertal functions of the total growth curve. METHODS: Study population used was the individual growth curves of the longitudinally followed cohort GrowUp1974 Gothenburg (n = 2280)...
April 19, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28416144/feasibility-of-spirography-features-for-objective-assessment-of-motor-function-in-parkinson-s-disease
#4
Aleksander Sadikov, Vida Groznik, Martin Možina, Jure Žabkar, Dag Nyholm, Mevludin Memedi, Dejan Georgiev
OBJECTIVE: Parkinson's disease (PD) is currently incurable, however proper treatment can ease the symptoms and significantly improve the quality of life of patients. Since PD is a chronic disease, its efficient monitoring and management is very important. The objective of this paper was to investigate the feasibility of using the features and methodology of a spirography application, originally designed to detect early Parkinson's disease (PD) motoric symptoms, for automatically assessing motor symptoms of advanced PD patients experiencing motor fluctuations...
March 31, 2017: Artificial Intelligence in Medicine
https://www.readbyqxmd.com/read/28414494/discrimination-daily-stress-sleep-and-mexican-origin-adolescents-internalizing-symptoms
#5
Katharine H Zeiders
OBJECTIVE: Using diary and longitudinal data, the current study examined the relations between Mexican-origin youths' ethnic discrimination, daily sleep and stress processes, and internalizing symptoms. METHOD: Adolescents (N = 113; 49.6% female, Mage = 15.73 years) participated in an initial in-home interview and reported on ethnic discrimination and internalizing symptoms. They then completed a 3-day diary study and reported on their daily stress and sleep behaviors (i...
April 17, 2017: Cultural Diversity & Ethnic Minority Psychology
https://www.readbyqxmd.com/read/28411585/the-association-between-air-pollution-and-type-2-diabetes-in-a-large-cross-sectional-study-in-leicester-the-champions-study
#6
Gary O'Donovan, Yogini Chudasama, Samuel Grocock, Roland Leigh, Alice M Dalton, Laura J Gray, Thomas Yates, Charlotte Edwardson, Sian Hill, Joe Henson, David Webb, Kamlesh Khunti, Melanie J Davies, Andrew P Jones, Danielle H Bodicoat, Alan Wells
BACKGROUND: Observational evidence suggests there is an association between air pollution and type 2 diabetes; however, there is high risk of bias. OBJECTIVE: To investigate the association between air pollution and type 2 diabetes, while reducing bias due to exposure assessment, outcome assessment, and confounder assessment. METHODS: Data were collected from 10,443 participants in three diabetes screening studies in Leicestershire, UK. Exposure assessment included standard, prevailing estimates of outdoor nitrogen dioxide and particulate matter concentrations in a 1×1km area at the participant's home postcode...
April 12, 2017: Environment International
https://www.readbyqxmd.com/read/28407601/changes-in-household-food-insecurity-are-related-to-changes-in-bmi-and-diet-quality-among-michigan-head-start-preschoolers-in-a-sex-specific-manner
#7
Erica C Jansen, Nicole Kasper, Julie C Lumeng, Holly E Brophy Herb, Mildred A Horodynski, Alison L Miller, Dawn Contreras, Karen E Peterson
Children living in households that have recently become food insecure may be particularly vulnerable to adverse weight and dietary changes, but longitudinal studies examining these associations are lacking. Using data from 501 Head Start preschoolers from Michigan (48% male) who were followed during one school year as a part of a randomized obesity prevention trial, we examined changes in children's adiposity indices and dietary quality according to changes in household food insecurity. Household food insecurity change status was categorized as persistently food secure, became food secure, persistently food insecure, or became food insecure...
April 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28406656/is-pre-k-classroom-quality-associated-with-kindergarten-and-middle-school-academic-skills
#8
Sara Anderson, Deborah Phillips
We employed data from a longitudinal investigation of over 1,000 children who participated in Tulsa's universal school-based pre-K program in 2005, and path modeling techniques, to examine the contribution of pre-K classroom quality to both kindergarten- and middle-school academic skills. We also examined gender and income-related differences in quality-outcome associations. Both Instructional and Emotional Support in pre-K classrooms, but not Classroom Management, assessed with the Classroom Assessment Scoring System (CLASS), were associated with kindergarten academic skills and, modestly indirectly associated through these immediate impacts, to middle-school test scores...
April 13, 2017: Developmental Psychology
https://www.readbyqxmd.com/read/28402013/the-relevance-of-context-in-understanding-health-literacy-skills-findings-from-a-qualitative-study
#9
Verna B McKenna, Jane Sixsmith, Margaret M Barry
BACKGROUND: Conceptualizing health literacy as a relational concept, which involves how individuals interact with complex health and social systems, requires a greater understanding of the context of people's health experiences. OBJECTIVES: To describe individuals' experiences of accessing, understanding, appraising and applying health information; explore the barriers and facilitators to using these skills; and to describe the experience of information exchange in health consultations...
April 12, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28398525/a-longitudinal-analysis-of-data-quality-in-a-large-pediatric-data-research-network
#10
Ritu Khare, Levon Utidjian, Byron J Ruth, Michael G Kahn, Evanette Burrows, Keith Marsolo, Nandan Patibandla, Hanieh Razzaghi, Ryan Colvin, Daksha Ranade, Melody Kitzmiller, Daniel Eckrich, L Charles Bailey
Objective: PEDSnet is a clinical data research network (CDRN) that aggregates electronic health record data from multiple children's hospitals to enable large-scale research. Assessing data quality to ensure suitability for conducting research is a key requirement in PEDSnet. This study presents a range of data quality issues identified over a period of 18 months and interprets them to evaluate the research capacity of PEDSnet. Materials and Methods: Results were generated by a semiautomated data quality assessment workflow...
April 8, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28395931/impact-of-abiraterone-acetate-and-enzalutamide-on-symptom-burden-of-patients-with-chemotherapy-naive-metastatic-castration-resistant-prostate-cancer
#11
S Salem, M Komisarenko, N Timilshina, L Martin, R Grewal, S Alibhai, A Finelli
AIMS: Treatments and disease burden of metastatic castration-resistant prostate cancer (mCRPC) considerably affect a patient's quality of life. However, patient-reported symptom burden data are still largely insufficient. This study sought to compare the self-reported symptom burden of men with chemotherapy-naive (CN) mCRPC treated with abiraterone acetate (AA) or enzalutamide (EZ) in routine clinical practice. MATERIALS AND METHODS: Between 2011 and 2015, 189 CN-mCRPC patients who had received AA (n = 76) or EZ (n = 113) at the Princess Margaret Cancer Centre were included...
April 8, 2017: Clinical Oncology: a Journal of the Royal College of Radiologists
https://www.readbyqxmd.com/read/28395660/incentivised-chronic-disease-management-and-the-inverse-equity-hypothesis-findings-from-a-longitudinal-analysis-of-scottish-primary-care-practice-level-data
#12
Richard Lowrie, Alex McConnachie, Andrea E Williamson, Evangelos Kontopantelis, Marie Forrest, Norman Lannigan, Stewart W Mercer, Frances S Mair
BACKGROUND: The inverse equity hypothesis asserts that new health policies initially widen inequality, then attenuate inequalities over time. Since 2004, the UK's pay-for-performance scheme for chronic disease management (CDM) in primary care general practices (the Quality and Outcomes Framework) has permitted practices to except (exclude) patients from attending annual CDM reviews, without financial penalty. Informed dissent (ID) is one component of exception rates, applied to patients who have not attended due to refusal or non-response to invitations...
April 11, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28395006/association-between-hospitals-engagement-in-value-based-reforms-and-readmission-reduction-in-the-hospital-readmission-reduction-program
#13
Andrew M Ryan, Sam Krinsky, Julia Adler-Milstein, Cheryl L Damberg, Kristin A Maurer, John M Hollingsworth
Importance: Medicare is experimenting with numerous concurrent reforms aimed at improving quality and value for hospitals. It is unclear if these myriad reforms are mutually reinforcing or in conflict with each other. Objective: To evaluate whether hospital participation in voluntary value-based reforms was associated with greater improvement under Medicare's Hospital Readmission Reduction Program (HRRP). Design, Setting, and Participants: Retrospective, longitudinal study using publicly available national data from Hospital Compare on hospital readmissions for 2837 hospitals from 2008 to 2015...
April 10, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28394022/limited-versus-full-sternotomy-for-aortic-valve-replacement
#14
REVIEW
Bilal H Kirmani, Sion G Jones, S C Malaisrie, Darryl A Chung, Richard Jnn Williams
BACKGROUND: Aortic valve disease is a common condition that is easily treatable with cardiac surgery. This is conventionally performed by opening the sternum longitudinally down the centre ("median sternotomy") and replacing the valve under cardiopulmonary bypass. Median sternotomy is generally well tolerated, but as less invasive options have become available, the efficacy of limited incisions has been called into question. In particular, the effects of reducing the visibility and surgical access has raised safety concerns with regards to the placement of cannulae, venting of the heart, epicardial wire placement, and de-airing of the heart at the end of the procedure...
April 10, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28393064/exploring-systems-that-support-good-clinical-care-in-indigenous-primary-health-care-services-a-retrospective-analysis-of-longitudinal-systems-assessment-tool-data-from-high-improving-services
#15
Cindy Woods, Karen Carlisle, Sarah Larkins, Sandra Claire Thompson, Komla Tsey, Veronica Matthews, Ross Bailie
BACKGROUND: Continuous Quality Improvement is a process for raising the quality of primary health care (PHC) across Indigenous PHC services. In addition to clinical auditing using plan, do, study, and act cycles, engaging staff in a process of reflecting on systems to support quality care is vital. The One21seventy Systems Assessment Tool (SAT) supports staff to assess systems performance in terms of five key components. This study examines quantitative and qualitative SAT data from five high-improving Indigenous PHC services in northern Australia to understand the systems used to support quality care...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28390403/farm-fresh-foods-for-healthy-kids-f3hk-an-innovative-community-supported-agriculture-intervention-to-prevent-childhood-obesity-in-low-income-families-and-strengthen-local-agricultural-economies
#16
Rebecca A Seguin, Emily H Morgan, Karla L Hanson, Alice S Ammerman, Stephanie B Jilcott Pitts, Jane Kolodinsky, Marilyn Sitaker, Florence A Becot, Leah M Connor, Jennifer A Garner, Jared T McGuirt
BACKGROUND: Childhood obesity persists in the United States and is associated with serious health problems. Higher rates of obesity among children from disadvantaged households may be, in part, attributable to disparities in access to healthy foods such as fruits and vegetables. Community supported agriculture can improve access to and consumption of fresh produce, but the upfront payment structure, logistical barriers, and unfamiliarity with produce items may inhibit participation by low-income families...
April 8, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28383343/improving-culture-one-quality-improvement-project-at-a-time
#17
Emily B Vander Schaaf, Amanda C Cornett, Greg D Randolph
CONTEXT: A culture of quality improvement (QI) values collaboration, transparency, and staff empowerment. Organizations exhibiting a culture of QI are more likely to engage in QI. OBJECTIVE: We examined whether local health departments' (LHDs') participation in a longitudinal, experiential QI training program changes QI culture. DESIGN: Prior to and following participation in a QI training program, all employees of participating LHDs were asked to complete an 8-item survey assessing components of QI culture on a 5-point scale...
April 4, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28383334/advancing-nursing-practice-management-of-neuropathic-pain-with-capsaicin-8-without-physician-supervision
#18
Joanne O'Brien, Joseph Keaveny, Valerie Pollard, Linda Elizabeth Nugent
PURPOSE/AIMS: The purpose of this study was to examine the management of patient's neuropathic pain with capsaicin 8% in a nurse-led clinic when administered by 1 registered advanced nurse practitioner without physician supervision. DESIGN: A longitudinal, single-group, descriptive research design was used to assess pain scores and quality of life 3 times over 3 months after treatment. METHODS: Patients with a diagnosis of neuropathic pain were assessed and treated with capsaicin 8% by 1 advanced nurse practitioner with prescriptive authority in a nurse-led clinic...
May 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/28382891/longitudinal-study-of-diet-quality-and-change-in-asthma-symptoms-in-adults-according-to-smoking-status
#19
Zhen Li, Emmanuelle Kesse-Guyot, Orianne Dumas, Judith Garcia-Aymerich, Bénédicte Leynaert, Christophe Pison, Nicole Le Moual, Isabelle Romieu, Valérie Siroux, Carlos A Camargo, Rachel Nadif, Raphaëlle Varraso
It has been hypothesised that increased asthma prevalence in westernised countries is associated with changes in lifestyle factors, including a poorer diet. However, little is known regarding the association between diet quality and asthma. In the diet-asthma association, the role of BMI as a potential mediator needs clarification; moreover, potential effect modification by non-diet sources of oxidants, such as smoking, merits investigation. We investigated the association between diet quality and change in asthma symptoms, as well as assessed effect modification by smoking, while accounting for BMI as a potential mediator...
February 2017: British Journal of Nutrition
https://www.readbyqxmd.com/read/28381529/lean-season-food-transfers-affect-children-s-diets-and-household-food-security-evidence-from-a-quasi-experiment-in-malawi
#20
Aulo Gelli, Noora-Lisa Aberman, Amy Margolies, Marco Santacroce, Bob Baulch, Ephraim Chirwa
Background: There is evidence that social transfers increase food consumption, improving the quantity and quality of food consumed by poor households. Questions remain on how to improve the effectiveness of social programs.Objective: The aim was to assess the impact of a lean-season food transfer on household food security, diet, and nutrition status of young children during the lean season in Malawi and to understand processes through which transfers operated.Methods: This was a longitudinal, quasi-experimental study based on 2 survey rounds in the Zomba district in Malawi...
April 5, 2017: Journal of Nutrition
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