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https://www.readbyqxmd.com/read/29663951/active-case-finding-and-treatment-adherence-in-risk-groups-in-the-tuberculosis-pre-elimination-era
#1
R K Gupta, M Lipman, A Story, A Hayward, G de Vries, R van Hest, C Erkens, M X Rangaka, I Abubakar
Vulnerable populations, including homeless persons, high-risk drug and alcohol users, prison inmates and other marginalised populations, contribute a disproportionate burden of tuberculosis (TB) cases in low-incidence settings. Drivers of this disease burden include an increased risk of both TB transmission in congregate settings, and progression from infection to active disease. Late diagnosis and poor treatment completion further propagate the epidemic and fuel the acquisition of drug resistance. These groups are therefore a major priority for TB control programmes in low-incidence settings...
May 1, 2018: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/29645319/it-saved-my-life
#2
Nancy Lutwak
After being appointed the Women's Health Emergency Department Champion at our Veterans Administration (VA) Hospital, I became aware of the large number of veterans who experienced military sexual trauma (MST). I realized coming to our medical center for care could be daunting for many women. The expansive main lobby is a bustling place where many male veterans congregate speaking in loud voices causing them to seem frightening and aggressive. The men may sometimes approach women to chat, but I have been told by female veterans this act, although seemingly benign, causes anxiety and discomfort...
April 12, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29530026/factors-associated-with-seeking-preventive-dental-care-an-integrative-model-exploration-of-behaviors-in-mexican-immigrants-in-midwest-america
#3
Jonathan T Macy, Elizabeth A S Moser, Adam T Hirsh, Patrick O Monahan, George J Eckert, Gerardo Maupomé
BACKGROUND: Mexican immigrants in the United States suffer from poor oral health. The objective of the current study was to explore the utility of applying theory-based factors associated with seeking preventive dental care in a sample of Mexican American adults. METHODS: Data were collected from a cross-sectional survey of a sample of 157 people of Mexican origin (64% female; age 34 ± 11 years) recruited primarily from church congregations and lay community organizations in Central Indiana...
March 12, 2018: BMC Oral Health
https://www.readbyqxmd.com/read/29522583/-the-recovery-model-one-paradigm-two-conceptions
#4
Paula Garber-Epstein, David Roe
In recent decades, new models of recovery have been developed in the feld of mental health, based on the transfer of hospital treatment to the community. Community mental health became the standard of care and treatment, and people with mental illness were able to freely congregate and support each other. The new recovery model includes broad aspects of the person and recovery became the "guiding vision" of mental health services. New defnitions of recovery were developed that focus on the difference between recovering from an illness and being in recovering, or in other words, "clinical recovery" versus "personal recovery...
September 2017: Vertex: Revista Argentina de Psiquiatriá
https://www.readbyqxmd.com/read/29424014/irish-persons-with-intellectual-disability-moving-from-family-care-to-residential-accommodation-in-a-period-of-austerity
#5
Roy McConkey, Fionnola Kelly, Sarah Craig, Fiona Keogh
BACKGROUND: Ireland has a growing population of adult persons living with family carers, thereby increasing the demand for residential places. Simultaneously, government policy aimed to reprovision residents living in congregated settings but at a time when funding was curtailed due to the economic crisis. This study examines the movements of people into and among three types of residential options between 2009 and 2014. METHOD: A cohort of 20,163 persons recorded on the National Intellectual Disability Database in 2009 was identified and tracked to the 2014 database...
February 9, 2018: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/29383967/developing-faithh-methods-to-develop-a-faith-based-hiv-stigma-reduction-intervention-in-the-rural-south
#6
Erin L P Bradley, Madeline Y Sutton, Eric Cooks, Brittney Washington-Ball, Zaneta Gaul, Susan Gaskins, Pamela Payne-Foster
Human immunodeficiency virus (HIV) disproportionately affects Blacks/African Americans, particularly those residing in the southern United States. HIV-related stigma adversely affects strategies to successfully engage people in HIV education, prevention, and care. Interventions targeting stigma reduction are vital as additional tools to move toward improved outcomes with HIV prevention and care, consistent with national goals. Faith institutions in the South have been understudied as partners in HIV stigma-reduction efforts, and some at-risk, Black/African American communities are involved with southern faith institutions...
January 1, 2018: Health Promotion Practice
https://www.readbyqxmd.com/read/29288876/epidemiologic-patterns-of-influenza-outbreaks-in-institutional-settings
#7
M Šubelj
OBJECTIVES: Congregate environments facilitate spread of influenza viruses and could result in serious outcomes among residents. METHODS: We reviewed the epidemiology and identified factors that affect outbreak outcomes, using descriptive statistics and generalized estimating equations (GEE) regression. Outbreak duration, attack rate, hospitalization rate, case fatality rate, and the proportion of laboratory tests performed among infected residents were calculated by viral etiology, time to notification, and facility type and size...
February 2018: Public Health
https://www.readbyqxmd.com/read/29224600/evaluation-of-an-integrated-housing-and-recovery-model-for-people-with-severe-and-persistent-mental-illnesses-the-doorway-program
#8
David R Dunt, Andrew W Benoy, Andrea Phillipou, Laura L Collister, Elizabeth M Crowther, Julian Freidin, David J Castle
Objective The Doorway program is a 3-year pilot integrated housing and recovery support program aimed at people with a severe and persistent mental illness who are 'at risk' or actually homeless. Participants source and choose properties through the open rental market, with appropriate rental subsidy and brokerage support. This arrangement is highly innovative, differing from widely favoured arrangements internationally involving congregate and scattered-site housing owned or managed by the support program...
October 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29144977/birthplace-in-australia-processes-and-interactions-during-the-intrapartum-transfer-of-women-from-planned-homebirth-to-hospital
#9
Deborah Fox, Athena Sheehan, Caroline Homer
OBJECTIVE: the aim of the study was to explore the views and experiences of women, midwives and obstetricians on the intrapartum transfer of women from planned homebirth to hospital in Australia. DESIGN: a Constructivist Grounded Theory approach was taken, to conceptualise the social interactions and processes grounded in the data. SETTING: urban and regional areas in four states of south-eastern Australia. PARTICIPANTS: semi-structured qualitative interviews were conducted with 36 women, midwives and obstetricians who had experienced an intrapartum homebirth transfer within three years prior to the interview...
February 2018: Midwifery
https://www.readbyqxmd.com/read/29118278/oral-health-status-of-independent-older-adults-in-texas-an-observational-study-comparing-urban-and-rural-areas
#10
Julie L Martin, Linda D Boyd, Helena Tapias-Perdigón, Lisa M LaSpina
Purpose: The purpose of this study was to assess the oral health needs of community-dwelling older adults participating in congregate meal centers and to determine whether differences exist in the oral health needs of older adult populations residing in urban versus rural communities in the state of Texas.Methods: Study participants were recruited at 6 congregate meal centers located in identified rural and urban communities in the greater metropolitan area of Austin, Texas. (N=78) Participants completed a validated, modified questionnaire containing 20 items on the following topics: self-reported oral health, tooth loss, dental insurance, frequency of dental visits, time since last dental visit, access to dental care, dry mouth, and oral cancer screening...
October 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29097857/like-the-eye-of-the-tiger-inpatient-psychiatric-facility-exclusionary-criteria-and-its-knockout-of-the-emergency-psychiatric-patient
#11
Veronica Tucci, John Liu, Anu Matorin, Asim Shah, Nidal Moukaddam
Context: Over 6% of all emergency department (ED) visits in the United States involve primary mental health or behavioral issues. The patients are stabilized in the ED but frequently require admission to an inpatient psychiatric unit or institution for longer term treatment and management. To facilitate this process, an emergency physician (EP) must first "medically clear" the patient as stable for transfer. At present, there is no interdisciplinary consensus regarding the necessary elements of the medical clearance or stability assessment process...
October 2017: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29048239/community-priorities-for-healthy-eating-in-older-adults
#12
Qianzhi Jiang, Nancy L Cohen, Melissa Ventura Marra, Kathleen Woolf, Judith Gilbride, Sarah L Francis
Community planners such as policymakers and health care and nutrition service providers can create an "age-friendly" environment to support healthy eating in older residents by addressing the highest priorities that enable older adults to improve their dietary intake through different food-related community settings. To identify and prioritize these factors that facilitate behavioral change (enablers) and behavioral settings important for older adult nutrition based on the social ecological model, nutrition and aging professionals (n = 30) from two rural (West Virginia, Iowa) and two urban (Massachusetts, New York) city/county regions (communities) participated in an online or live focus group discussion and completed an analytic hierarchy process survey online...
April 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28981469/foster-care-dynamics-and-system-science-implications-for-research-and-policy
#13
Fred Wulczyn, John Halloran
Although system is a word frequently invoked in discussions of foster care policy and practice, there have been few if any attempts by child welfare researchers to understand the ways in which the foster care system is a system. As a consequence, insights from system science have yet to be applied in meaningful ways to the problem of making foster care systems more effective. In this study, we draw on population biology to organize a study of admissions and discharges to foster care over a 15-year period. We are interested specifically in whether resource constraints, which are conceptualized here as the number of beds, lead to a coupling of admissions and discharges within congregate care...
October 5, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28945177/prevalence-and-predictors-of-mental-health-programming-among-u-s-religious-congregations
#14
Eunice C Wong, Brad R Fulton, Kathryn P Derose
OBJECTIVE: This study assessed the prevalence of and factors associated with congregation-based programming in support of people with mental illness. METHODS: To estimate the proportion of congregations that provide mental health programming, this study reports analyses of survey responses from the 2012 National Congregations Study, a nationally representative survey of religious congregations in the United States (N=1,327). The analysis used multivariate logistic regression to identify congregational characteristics associated with the provision of mental health programming...
February 1, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28929615/what-activities-might-facilitate-personal-recovery-for-adults-who-continue-to-self-harm-a-meta-synthesis-employing-the-connectedness-hope-and-optimism-identity-meaning-empowerment-framework
#15
REVIEW
Kris Deering, Jo Williams
Self-harm is an international concern. While treatment in health care focusses on methods to reduce the act, there is less exploration in how to assist adults who are unable to minimize their self-harm. In order to aid these people, in the present systematic review, we employed a qualitative meta-synthesis to explore the lived experience of what activities might facilitate personal recovery for adults who continue to self-harm. Findings were interpreted by drawing on the CHIME framework; a taxonomy of personal recovery comprising of connectedness, hope and optimism, identity, meaning and purpose, and empowerment...
September 19, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28929483/peer-effects-on-aggressive-behavior-in-norwegian-child-care-centers
#16
Luisa A Ribeiro, Henrik D Zachrisson
This study examined whether exposure to changes in peer aggression predicted changes in child physical aggression (PA) in preschool children attending Norwegian Early Childhood Education and Care (ECEC) centers. Data from the Behavior Outlook Norwegian Developmental Study were used, including 956 children. In fixed effects models, within-child changes in exposure to peer aggression predicted changes in teacher-rated child PA across ages 2, 3, and 4. Moreover, changes in exposure to a peer group with two or more externalizing children increased teacher-rated child PA over time, but only for boys...
September 20, 2017: Child Development
https://www.readbyqxmd.com/read/28854570/involving-mosques-in-health-promotion-programmes-a-qualitative-exploration-of-the-mclass-intervention-on-smoking-in-the-home
#17
R King, S Warsi, A Amos, S Shah, G Mir, A Sheikh, K Siddiqi
Second-hand smoke (SHS) exposure is high among UK Bangladeshi and Pakistani populations, reflecting higher male smoking prevalence and fewer home smoking restrictions than the general population. The Muslim Communities Learning About Second-hand Smoke (MCLASS) study explored the feasibility and acceptability of implementing SHS education in 14 UK mosques. Religious teachers (RTs) in seven intervention mosques were trained and provided with a culturally appropriate educational package. After the intervention, mosque leaders, RTs and congregants' experiences and perceptions of the intervention were explored through interviews and focus group discussions...
August 1, 2017: Health Education Research
https://www.readbyqxmd.com/read/28825850/community-engagement-with-african-american-clergy-faith-based-model-for-culturally-competent-practice
#18
Kim L Stansbury, Gillian L Marshall, Jodi Hall, Gaynell M Simpson, Karen Bullock
OBJECTIVE: The intent of this exploratory qualitative study was to examine African American Baptist clergy's pastoral care to older congregants with mental disorders. Critical Race Theory was the guiding framework in this study. METHOD: A purposive sample of 18 African American clergy participated in one-on-one interviews. RESULTS: Collectively, all participants were active in the provision of mental health to older congregants with mental disorders...
August 21, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28724682/from-the-memphis-model-to-the-north-carolina-way-lessons-learned-from-emerging-health-system-and-faith-community-partnerships
#19
Teresa Cutts, Gary Gunderson, Dean Carter, Melanie Childers, Phillip Long, Lisa Marisiddaiah, Helen Milleson, Dennis Stamper, Annika Archie, Jeremy Moseley, Emily Viverette, Bobby Baker
National health care policy has encouraged health systems to develop community partnerships designed to decrease costs and readmissions, particularly for underserved populations. This commentary describes and compares the Congregational Health Network's Memphis Model to early local efforts at clinical-faith community partnerships in North Carolina, which we call "The North Carolina Way." Necessary components for building robust health system and congregational partnerships to address social determinants of health and impact health care utilization include partnership growth, allocation of health system resources, community trust, and time...
July 2017: North Carolina Medical Journal
https://www.readbyqxmd.com/read/28646952/drug-resistant-tuberculosis-primary-transmission-and-management
#20
Alexander C Outhred, Philip N Britton, Ben J Marais
The DOTS strategy assisted global tuberculosis (TB) control, but was unable to prevent the emergence and spread of drug-resistant strains. Genomic evidence confirms the transmission of drug-resistant Mycobacterium tuberculosis strains in many different settings, indicative of epidemic spread. These findings emphasise the need for enhanced infection control measures in health care and congregate settings. Young children in TB endemic areas are particularly vulnerable. Although advances in TB drug and vaccine development are urgently needed, improved access to currently available preventive therapy and treatment for drug resistant TB could reduce the disease burden and adverse outcomes experienced by children...
June 2017: Journal of Infection
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