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https://www.readbyqxmd.com/read/29793149/educational-and-emotional-health-outcomes-in-adolescence-following-maltreatment-in-early-childhood-a-population-based-study-of-protective-factors
#1
Nisreen Khambati, Liam Mahedy, Jon Heron, Alan Emond
Although childhood maltreatment is associated with long-term impairment, some children function well despite this adversity. This study aimed to identify the key protective factors for good educational attainment and positive emotional health in adolescents who experienced maltreatment in early childhood. Data were analyzed from the Avon Longitudinal Study of Parents and Children, a large UK prospective cohort study. The sample was defined by maternally reported exposure to physical or emotional maltreatment by a parent prior to 5 years...
May 21, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29792549/analysis-of-the-effects-of-individual-and-community-level-predictors-on-migrant-children-s-primary-immunization-in-yiwu-city-east-china
#2
Yu Hu, Yaping Chen, Liang Hui, Ying Wang
BACKGROUND: To evaluate the effects of a wide range of individual- and community-level factors on migrant children's primary immunization. METHODS: Migrant children aged 13-24 months (born from 1 June 2013 to 31 May 2014) were surveyed in Yiwu city, in June 2015. Social-demographic factors and vaccination records were collected. Five factors at community-level including community wealth, distance to the nearest immunization clinic, maternal education, antenatal clinic (ANC) visits, and hospital delivery were constructed...
May 24, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29792063/integrating-childhood-obesity-resources-into-the-patient-centered-medical-home-provider-perspectives-in-the-united-states
#3
Samareh G Hill, Thao-Ly T Phan, George A Datto, Jobayer Hossain, Lloyd N Werk, Diane Abatemarco
Pediatric primary care providers play a critical role in managing obesity yet often lack the resources and support systems to provide effective care to children with obesity. The objective of this study was to identify system-level barriers to managing obesity and resources desired to better managing obesity from the perspective of pediatric primary care providers. A 64-item survey was electronically administered to 159 primary care providers from 26 practices within a large pediatric primary care network. Bivariate analyses were performed to compare survey responses based on provider and practice characteristics...
January 1, 2018: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/29792039/identifying-palliative-care-needs-among-older-adults-in-nonclinical-settings
#4
Elissa Kozlov, Anna Cai, Jo Anne Sirey, Angela Ghesquiere, M Carrington Reid
Though palliative care is appropriate for patients with serious illness at any stage of the illness and treatment process, the vast majority of palliative care is currently delivered in inpatient medical settings in the past month of life during an acute hospitalization. Palliative care can have maximal benefit to patients when it is integrated earlier in the illness trajectory. One possible way to increase earlier palliative care use is to screen for unmet palliative care needs in community settings. The goal of this study was to assess the rates of unmet palliative care needs in older adults who attend New York City-based senior centers...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29791726/building-capacity-in-health-and-education-systems-to-deliver-interventions-that-strengthen-early-child-development
#5
Milagros Nores, Camila Fernandez
Building capacity within health and education systems of low- and middle-income countries in order to deliver high-quality early childhood services requires coordinated efforts across sectors, effective governance, sufficient funding, an adequate workforce, reliable data systems, and continuous monitoring, evaluation, and improvement cycles; it also requires partnerships with the private sector, communities, and parents. In addition, building capacity requires leadership, innovation of strategies to fit into existing structures, evidence-based intervention models, and effective partnerships that help make interventions more culturally relevant, help finance them, and help create institutional long-term support and sustainability for them...
May 2018: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29790942/exposing-the-science-in-citizen-science-fitness-to-purpose-and-intentional-design
#6
Julia K Parrish, Hillary Burgess, Jake F Weltzin, Lucy Fortson, Andrea Wiggins, Brooke Simmons
Citizen science is a growing phenomenon. With millions of people involved and billions of in-kind dollars contributed annually, this broad extent, fine grain approach to data collection should be garnering enthusiastic support in the mainstream science and higher education communities. However, many academic researchers demonstrate distinct biases against the use of citizen science as a source of rigorous information. To engage the public in scientific research, and the research community in the practice of citizen science, a mutual understanding is needed of accepted quality standards in science, and the corresponding specifics of project design and implementation when working with a broad public base...
May 21, 2018: Integrative and Comparative Biology
https://www.readbyqxmd.com/read/29790826/free-clinics-and-the-need-for-nursing-action-in-uncertain-political-times
#7
Marie Ghazal, Betty Rambur
Free clinics have been a source of health care for uninsured and low-income Americans for half a century and serve some of the nation's most vulnerable within their home community. Despite parallels to nursing's significant involvement in the formation of free public clinics and commitment to care for all, there is paucity of nursing literature about free clinics. This article details the history of U.S. free clinics and the intersections among free clinics and value-based care, health reform, and tax reform, including the Patient Protection and Affordable Care Act of 2010 and the Tax Cuts and Jobs Act of 2017...
January 1, 2018: Policy, Politics & Nursing Practice
https://www.readbyqxmd.com/read/29790658/faculty-development-for-junior-health-professionals
#8
Annette Burgess, Christie van Diggele, Craig Mellis
BACKGROUND: The need for faculty development programmes designed to help junior health professionals fulfill their multiple roles, across various institutions, is widely acknowledged. Such programmes are usually logistically difficult for hospital clinicians to access, however, and are discipline based. In 2017, we collaborated with four health care faculties to develop a blended learning, interprofessional faculty development programme that was up to date, relevant, and accessible to clinicians working in the hospital and university settings...
May 23, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29789257/hiv-pre-exposure-prophylaxis-exploring-the-potential-for-expanding-the-role-of-pharmacists-in-public-health
#9
Olihe Okoro, Lisa Hillman
OBJECTIVES: The study objectives were to a) assess knowledge and experience; b) describe perceptions and attitudes; and c) identify training needs of community-based pharmacists regarding HIV pre-exposure prophylaxis (PrEP). DESIGN: This was a cross-sectional survey study. SETTING AND PARTICIPANTS: The survey was administered online to pharmacists practicing in a community setting in the state of Minnesota. OUTCOME MEASURES: Measures included knowledge of and experience with HIV PrEP, perceptions and attitudes towards pharmacists' involvement, and HIV PrEP-specific training needs for pharmacists...
May 19, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29789030/yes-not-now-or-never-an-analysis-of-reasons-for-refusing-or-accepting-emergency-department-based-take-home-naloxone
#10
Andrew Kestler, Amanda Giesler, Jane Buxton, Gray Meckling, Michelle Lee, Garth Hunte, Jacob Wilkins, Dalya Marks, Frank Scheuermeyer
CLINICIAN'S CAPSULE What is known about the topic? Not all patients at risk of opioid overdose accept emergency department (ED)-based take-home naloxone (THN). What did this study ask? Why do at-risk ED patients refuse or accept THN? What did this study find? Those refusing THN felt: 1) not at risk of overdose; or 2) their ED visit was not the right time or place for THN. Those accepting THN wanted to save the lives of others. Why does this study matter to clinicians? Those refusing ED THN may accept THN elsewhere if referred to appropriate community services for overdose risk education and THN distribution...
May 23, 2018: CJEM
https://www.readbyqxmd.com/read/29788977/exposure-to-a-multi-level-multi-component-childhood-obesity-prevention-community-randomized-controlled-trial-patterns-determinants-and-implications
#11
Angela Cristina Bizzotto Trude, Anna Yevgenyevna Kharmats, Jessica C Jones-Smith, Joel Gittelsohn
BACKGROUND: For community interventions to be effective in real-world conditions, participants need to have sufficient exposure to the intervention. It is unclear how the dose and intensity of the intervention differ among study participants in low-income areas. We aimed to understand patterns of exposure to different components of a multi-level multi-component obesity prevention program to inform our future impact analyses. METHODS: B'more Healthy Communities for Kids (BHCK) was a community-randomized controlled trial implemented in 28 low-income zones in Baltimore in two rounds (waves)...
May 22, 2018: Trials
https://www.readbyqxmd.com/read/29788972/inequity-in-the-utilization-of-antenatal-and-delivery-care-in-yangon-region-myanmar-a-cross-sectional-study
#12
Aye Nyein Moe Myint, Tippawan Liabsuetrakul, Thein Thein Htay, Myint Myint Wai, Johanne Sundby, Espen Bjertness
BACKGROUND: Equity of access to and utilization of healthcare across socio-economic groups is important to achieve universal health coverage. Although the utilization of antenatal and delivery care has been increasing in low- and middle-income countries, inequities in the utilization of antenatal and delivery care have been reported in many countries, but have not yet been studied in Myanmar. This study aimed to determine whether inequities in the utilization of antenatal and delivery care existed in Yangon region, Myanmar...
May 22, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29787587/application-of-individual-behavioral-models-to-predict-willingness-to-use-modern-contraceptives-among-pastoralist-women-in-afar-region-northern-ethiopia
#13
Znabu Hadush Kahsay, Dessie Tegegne, Ebrahim Mohammed, Getachew Kiros
BACKGROUND: Use of modern contraceptive methods reduces the risk of unwanted pregnancy, and is influenced by individual-level factors. Willingness to use modern contraceptive methods maybe a useful metric when considering health outcomes as it could predict health behaviors. Therefore, the current study aimed to assess the willingness of women to use modern contraceptives in Afar pastoralist communities. METHODS: A community-based cross-sectional study was conducted from May 1 to 30, 2016...
2018: PloS One
https://www.readbyqxmd.com/read/29786503/relationships-between-theoretically-derived-short-term-outcomes-and-support-for-policy-among-the-public-and-decision-makers
#14
Carol L Schmitt, Laurel Curry, Vanessa Boudewyns, Pamela A Williams, LaShawn Glasgow, Deanna Van Hersh, Jeffrey Willett, Todd Rogers
PURPOSE AND OBJECTIVES: Policy change is a lengthy and complex process. Thus, it is important to articulate hypothesized causal pathways between advocacy activities and policy change outcomes and to identify and monitor early indicators of progress toward policy change. INTERVENTION APPROACH: The Kansas Health Foundation supports grantee efforts to address the public health effects of obesity through evidence-based policy, systems, and environmental change interventions...
May 17, 2018: Preventing Chronic Disease
https://www.readbyqxmd.com/read/29786028/evaluation-of-a-distance-learning-academic-support-program-for-medical-graduates-during-rural-hospital-service-in-india
#15
Rashmi Vyas, Anand Zachariah, Isobel Swamidasan, Priya Doris, Ilene Harris
Background: Christian Medical College (CMC), Vellore, India, a tertiary care hospital, designed a year-long Fellowship in Secondary Hospital Medicine (FSHM) for CMC graduates, with the aim to support them during rural service and be motivated to consider practicing in these hospitals. The FSHM was a blend of 15 paper-based distance learning modules, 3 contact sessions, community project work, and networking. This paper reports on the evaluation of the FSHM program. Methods: The curriculum development process for the FSHM reflected the six-step approach including problem identification, needs assessment, formulating objectives, selecting educational strategies, implementation, and evaluation...
September 2017: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/29786024/needs-assessment-of-ophthalmology-education-for-undergraduate-medical-students-a-study-from-a-medical-college-in-south-india
#16
Karuppannasamy Divya, Kannappan Suvetha, Alo Sen, Devisundaram Sundar
Background: Adequate ophthalmic diagnostic and clinical skills are essential for practitioners in primary care settings as well as specialty care physicians. The objectives of this study were to assess the adequacy of ophthalmology teaching in undergraduate medical education and to evaluate the comfort of medical students in diagnosing common eye problems and performing ophthalmic skills. Methods: A questionnaire based, cross-sectional survey was conducted among third-year undergraduate students from a medical college in South India at the end of ophthalmology training from February 2014 to December 2014...
September 2017: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/29785142/misoprostol-for-the-prevention-of-postpartum-hemorrhage-during-home-births-in-rural-lao-pdr-establishing-a-pilot-program-for-community-distribution
#17
Jo Durham, Alongkone Phengsavanh, Vanphanom Sychareun, Isaac Hose, Viengnakhone Vongxay, Douangphachanh Xaysomphou, Keith Rickart
Purpose: The purpose of this study was to gather the necessary data to support the design and implementation of a pilot program for women who are unable to deliver in a healthcare facility in the Lao People's Democratic Republic (PDR), by using community distribution of misoprostol to prevent postpartum hemorrhage (PPH). The study builds on an earlier research that demonstrated both support and need for community-based distribution of misoprostol in Lao PDR. Methods: This qualitative study identified acceptability of misoprostol and healthcare system needs at varying levels to effectively distribute misoprostol to women with limited access to facility-based birthing...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29784163/significant-disparities-in-eyeglass-insurance-coverage-in-canada
#18
Gordon Ngo, Graham Trope, Yvonne Buys, Ya-Ping Jin
OBJECTIVE: To describe patterns of access to eyeglass insurance by Canadians. DESIGN: A population-based, cross-sectional survey. PARTICIPANTS: A total of 134 072 respondents to the Canadian Community Health Survey 2003 who were aged ≥12 years. METHODS: We compared self-reported insurance coverage for eyeglasses or contact lenses provided by private, government, or employer-paid plans. RESULTS: Overall, 55...
June 2018: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/29783966/perceptions-and-attitudes-toward-performing-risk-assessment-for-periodontal-disease-a-focus-group-exploration
#19
Thankam Thyvalikakath, Mei Song, Titus Schleyer
BACKGROUND: Currently, many risk assessment tools are available for clinicians to assess a patient's periodontal disease risk. Numerous studies demonstrate the potential of these tools to promote preventive management and reduce morbidity due to periodontal disease. Despite these promising results, solo and small group dental practices, where most people receive care, have not adopted risk assessment tools widely, primarily due to lack of studies in these settings. The objective of this study was to explore the knowledge, attitudes, and beliefs of dental providers in these settings toward risk-based care through focus groups...
May 21, 2018: BMC Oral Health
https://www.readbyqxmd.com/read/29783961/diabetes-management-training-for-female-community-health-volunteers-in-western-nepal-an-implementation-experience
#20
Bishal Gyawali, Shiva Raj Mishra, Dinesh Neupane, Abhinav Vaidya, Annelli Sandbæk, Per Kallestrup
BACKGROUND: In the backdroup of a rapidly increasing burden of diabetes in Nepal, a community-based diabetes management program is implemented involving female community health volunteers (FCHVs) under the government run FCHVs program. FCHVs received an intensive one-week training workshop on prevention, control and management of diabetes. The training program was implemented and evaluated to enhance diabetes knowledge of FCHVs and matched according to their literacy level. METHODS: A range of teaching methods were applied, including desk review, active participation, lectures, presentations, discussions, role plays, demonstration and field test...
May 21, 2018: BMC Public Health
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