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https://www.readbyqxmd.com/read/29276716/lived-experiences-of-adolescent-athletes-following-sport-related-concussion
#1
Tamara C Valovich McLeod, Alyssa J Wagner, Cailee E Welch Bacon
Background: Previous studies have identified the effect of sport-related concussion on health-related quality of life through the use of patient-reported outcome measures. However, there has been little research exploring the underlying mechanisms that influence these perceptions of health-related quality of life among adolescent athletes who have sustained a sport-related concussion. Purpose: To explore the psychosocial aspects of concussion among adolescent athletes...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29249505/early-life-epilepsies-are-a-comorbidity-of-developmental-brain-disorders
#2
Anne T Berg, Daniel Tarquinio, Sookyong Koh
Early-life epilepsies are a series of disorders frequently accompanied by a broad range of morbidities that include cognitive, behavioral, neuromuscular, and sleep disturbances; enteric and other forms of autonomic dysfunction; sensory processing difficulties; and other issues. Usually these morbidities cluster together in a single patient. Rather than these being separate conditions, all, including the seizures, are manifestations or coexpressions of developmental brain disorders. Instead of viewing epilepsy as the disease and the other features as comorbidities, approaching early-life epilepsies as part of the spectrum of developmental brain disorders could have implications for multidisciplinary care models, anticipatory guidance, and counseling of parents, as well as the design of randomized trials and targeting important outcomes...
November 2017: Seminars in Pediatric Neurology
https://www.readbyqxmd.com/read/29248033/practicing-safety-a-quality-improvement-intervention-to-test-tools-to-enhance-pediatric-psychosocial-care-for-children-0-3-years
#3
Diane J Abatemarco, Ruth S Gubernick, Marianna D LaNoue, Ryan T Pohlig, Sara R Slovin, Jill A Healy, Steven Kairys
BACKGROUND: Child maltreatment is a significant public health issue in the United States. Yet, fewer than half of pediatricians discuss behavioral, developmental, or parenting issues with parents. OBJECTIVE: This paper describes the testing of bundles of tools and processes, part of a larger intervention, Practicing Safety, targeted at changing physician and staff behavior to identify families at risk for child maltreatment, provide anticipatory guidance, refer to community resources, and follow-up and track at-risk families...
December 18, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29215906/parental-perspectives-of-screening-for-adverse-childhood-experiences-in-pediatric-primary-care
#4
Anne-Marie Conn, Moira A Szilagyi, Sandra H Jee, Jody T Manly, Rahil Briggs, Peter G Szilagyi
INTRODUCTION: Pediatricians recognize a need to mitigate the negative impact that adverse childhood experiences (ACEs) can have on health and development. However, ACEs screening and interventions in primary care pediatrics may be inhibited by concerns about parental perceptions. We assessed parent perspectives of screening for ACEs in the pediatric primary care setting, to understand their views on the potential impact of their ACEs on their parenting and to identify opportunities for pediatric anticipatory guidance...
December 7, 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29206726/standardization-of-pediatric-interfacility-transport-handover-measuring-the-development-of-a-shared-mental-model
#5
Anthony A Sochet, Kelsey S Ryan, Jennifer L Bartlett, Thomas A Nakagawa, Ladonna Bingham
OBJECTIVES: To determine if standardization of pediatric interfacility transport handover is associated with the development of a prototypical shared mental model between healthcare providers. DESIGN: A single center, prepost, retrospective cohort study. SETTINGS: A 259-bed, tertiary care, pediatric referral center. PATIENTS: Children 0 to 18 years old transferred to our critical care units or emergency center from October 2016 to February 2017...
December 4, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29206700/caregiver-anticipatory-grief-phenomenology-assessment-and-clinical-interventions
#6
Alexandra Coelho, Maja de Brito, António Barbosa
PURPOSE OF REVIEW: This review aims to synthesize recent findings on anticipatory grief in caregivers, referring to its phenomenology, assessment and clinical interventions. RECENT FINDINGS: Recent literature illustrates the wide scope of the current use of the term anticipatory grief, reflecting caregivers' experiences in different end-of-life trajectories. The anticipation of death is the distinctive aspect of anticipatory grief in the predeath grief continuum, encompassing several progressive losses, past and future...
December 4, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29200089/designing-a-new-model-for-clinical-education-an-innovative-approach
#7
Kathryn Shaffer, Beth Ann Swan, Mary Bouchaud
To keep pace with the ever-changing health care delivery system, it is important to transform the way future nurses are educated, both in classroom and in clinical settings, to care for people along the life and care continuum, not only in acute-care settings. The purpose of this article is to describe a new approach to educating baccalaureate nursing students using immersion practicums that expose students to population health, transitions of care, care coordination, and the multiple roles a nurse engages in along the continuum...
December 1, 2017: Nurse Educator
https://www.readbyqxmd.com/read/29198191/diet-and-anthropometry-at-2-years-of-age-following-an-oral-health-promotion-programme-for-australian-aboriginal-children-and-their-carers-a-randomised-controlled-trial
#8
Lisa G Smithers, John Lynch, Joanne Hedges, Lisa M Jamieson
There are marked disparities between indigenous and non-indigenous children's diets and oral health. Both diet and oral health are linked to longer-term health problems. We aimed to investigate whether a culturally appropriate multi-faceted oral health promotion intervention reduced Aboriginal children's intake of sugars from discretionary foods at 2 years of age. We conducted a single-blind, parallel-arm randomised controlled trial involving women who were pregnant or had given birth to an Aboriginal child in the previous 6 weeks...
December 4, 2017: British Journal of Nutrition
https://www.readbyqxmd.com/read/29182196/-attributes-and-features-of-a-community-health-model-from-the-perspective-of-practitioners
#9
Angelina Dois, Paulina Bravo, Gabriela Soto
BACKGROUND: The Family and Community Health Model is based on three essential principles: user-centered care, comprehensive care and continuity of care. AIM: To describe the attributes and characteristics of the guiding principles of the Family and Community Health Model (FHM) from the perspective of primary care experts. MATERIAL AND METHODS: This was a qualitative study. An electronic Delphi was conducted with 29 national experts on primary care...
July 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/29171355/overweight-adult-cats-have-significantly-lower-voluntary-physical-activity-than-adult-lean-cats
#10
Maria Rc de Godoy, Anna K Shoveller
Objectives The objectives of the current pilot study were to evaluate whether body condition score (BCS) and body weight are significantly related to physical activity counts, and to evaluate potential interaction between BCS and voluntary physical activity measured over a 14 day period. Methods Ten (five lean, five overweight), neutered, adult American Shorthair cats were selected for this study (median age 4 ± 0.5 years). Cats with a BCS of ⩽3.0 were considered lean, whereas cats with a BCS >3.0 were considered overweight, using a 5-point scale...
December 2017: Journal of Feline Medicine and Surgery
https://www.readbyqxmd.com/read/29170321/24%C3%A2-an-audit-into-the-number-of-patients-suffering-out-of-hospital-cardiac-arrest-that-are-resuscitated-despite-a-high-likelihood-of-futility
#11
Mia Cokljat, Gareth Clegg, Scott Clarke
BACKGROUND: For a significant number of patients suffering out-of-hospital cardiac arrest (OHCA) cardiopulmonary resuscitation (CPR) is likely to be futile and attempting it may be the wrong thing to do. Anticipatory care plans with do-not-attempt cardiopulmonary resuscitation (DNACPR) instructions exist to prevent this. Anecdotally we felt that many patients present to our Emergency Department (ED) with ongoing resuscitation which was not in their best interests. The aim of this study was to establish the proportion of patients arriving in our ED with ongoing CPR who had low, intermediate or high risk of futility...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29155486/toxic-stress-and-child-refugees
#12
John S Murray
The purpose of this article was to describe the phenomenon of toxic stress and its impact on the physical and mental health of child refugees. Almost two decades ago, researchers found that recurring adverse childhood events (ACEs; e.g., physical, psychological, and sexual abuse, neglect, and household dysfunction such as substance abuse, mental illness, and criminal behavior) were associated with a significant increase in serious illnesses during adulthood. Illnesses include heart, lung, and liver disease, cancer, and bone fractures...
November 20, 2017: Journal for Specialists in Pediatric Nursing: JSPN
https://www.readbyqxmd.com/read/29143629/from-erasure-to-opportunity-a-qualitative-study-of-the-experiences-of-transgender-men-around-pregnancy-and-recommendations-for-providers
#13
Alexis Hoffkling, Juno Obedin-Maliver, Jae Sevelius
BACKGROUND: Some transgender men retain their uterus, get pregnant, and give birth. However, societal attitudes about gender have erected barriers to openly being pregnant and giving birth as a transgender man. Little research exists regarding transgender men's reproductive needs. Anecdotal observations suggest that social change and increasing empowerment of transgender men may result in increasing frequency and openness about pregnancy and birth. Specific needs around conception, pregnancy, and newborn care may arise from transphobia, exogenous testosterone exposure, or from having had (or desiring) gender-affirming surgery...
November 8, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29127099/individualised-advance-care-planning-in-children-with-life-limiting-conditions
#14
Erik A H Loeffen, Wim J E Tissing, Meggi A Schuiling-Otten, Chris C de Kruiff, Leontien C M Kremer, A A Eduard Verhagen
INTRODUCTION: In 2013, the Pediatric Association of the Netherlands launched an evidence-based guideline 'Palliative care for children'. To promote implementation in daily practice and hereby improve quality of paediatric palliative care, we aimed to develop a functional individualised paediatric palliative care plan (IPPCP) that covers physical, psychological, spiritual and social functioning, with great emphasis on the guideline's recommendations, advance care planning and patients' and parents' preferences and desires...
November 10, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29094863/effectiveness-of-a-clinic-based-early-literacy-program-in-changing-parent-child-early-literacy-habits
#15
Jonathan Fricke, Dipesh Navsaria, Karin Mahony
BACKGROUND: Reach Out and Read (ROR) improves children's development and kindergarten readiness by encouraging parents to routinely share books with their children. Primary care providers give age-appropriate books and anticipatory guidance on reading at each well-child visit. This study evaluated parent attitudes and behaviors of early literacy related to ROR participation in Wisconsin clinics. METHODS: A survey of early literacy attitudes and behaviors was administered to parents of children ages 6 months to 5 years in 36 Wisconsin clinics...
December 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29091501/effective-change-management-within-an-australian-community-palliative-care-service
#16
Angie Dredge, Lyle Oates, Heidi Gregory, Scott King
This article attempts to examine and explore the change management process that was undertaken by the community palliative care service at Calvary Health Care Bethlehem, Australia, to challenge the historical practice of prescribing 'emergency subcutaneous medications' for all patients admitted to the service. It discusses how, using a team approach, change management was effectively facilitated to ultimately enhance service provision and consumer satisfaction. Literature (both national and international) was examined to identify the use of emergency medications in the community palliative care setting...
November 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29068755/caregiver-self-esteem-as-a-predictor-of-patient-relationship-satisfaction-a-longitudinal-study
#17
Emily L Mroz, Michael J Poulin, Pei C Grant, Rachel M Depner, Jennifer Breier, David J Byrwa, Scott T Wright
OBJECTIVE: Longitudinal assessment of patient-caregiver relationships will determine whether caregiver self-esteem determines patient relationship satisfaction at end of life. BACKGROUND: Research on close relationships and caregiving supports the idea that informal caregivers' self-esteem may influence their relationships with their terminally ill loved ones. However, this connection has not yet been investigated longitudinally, nor has it been applied specifically to care recipients' relationship satisfaction...
October 25, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29017263/progress-in-the-fight-against-multidrug-resistant-bacteria-2005-2016-modern-noninferiority-trial-designs-enable-antibiotic-development-in-advance-of-epidemic-bacterial-resistance
#18
John H Rex, George H Talbot, Mark J Goldberger, Barry I Eisenstein, Roger M Echols, John F Tomayko, Michael N Dudley, Aaron Dane
From a public health perspective, new antibacterial agents should be evaluated and approved for use before widespread resistance to existing agents emerges. However, for multidrug-resistant pathogens, demonstration of superior efficacy of a new agent over a current standard-of-care agent is routinely feasible only when epidemic spread of these dangerous organisms has already occurred. One solution to enable proactive drug development is to evaluate new antibiotics with improved in vitro activity against MDR pathogens using recently updated guidelines for active control, noninferiority trials of selected severe infections caused by more susceptible pathogens...
July 1, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28984406/early-death-and-causes-of-death-of-people-with-intellectual-disabilities-a-systematic-review
#19
Lisa O'Leary, Sally-Ann Cooper, Laura Hughes-McCormack
BACKGROUND: Death of people with intellectual disabilities is considered to be earlier than for the general population. METHODS: Databases were searched for key words on intellectual disabilities and death. Strict inclusion/exclusion criteria were used. Information was extracted from selected papers, tabulated and synthesized. Prospero registration number: CRD42015020161. RESULTS: Of 19,111 retrieved articles, 27 met criteria. Death was earlier by 20 years...
October 6, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28976481/family-members-and-intensive-care-unit-nurses-response-to-the-ecg-memento%C3%A2-during-the-bereavement-period
#20
Mary Beiermann, Peggy Kalowes, Melissa Dyo, Amanda Mondor
BACKGROUND: In the United States, 20% of patients die in the intensive care unit (ICU), yet little is known about bereavement strategies to aid grieving families. OBJECTIVE: The primary aim was to study the bereavement experience for families in the ICU; secondary aim was to measure nurses' perception of end-of-life care, and a third was to evaluate the impact of the ECG Memento by families and nurses. METHODS: A prospective, descriptive study design was used, with a postsurvey methodology...
November 2017: Dimensions of Critical Care Nursing: DCCN
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