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https://www.readbyqxmd.com/read/28944553/outcomes-for-bipolar-patients-assessed-in-the-french-expert-center-network-a-2-year-follow-up-observational-study-fondamental-advanced-centers-of-expertise-for-bipolar-disorder-face-bd
#1
Chantal Henry, Ophelia Godin, Philippe Courtet, Jean-Michel Azorin, Sébastien Gard, Frank Bellivier, Mircea Polosan, Jean-Pierre Kahn, Paul Roux, Valerie Aubin, Dominique Costagliola, Marion Leboyer, Bruno Etain
OBJECTIVE: A new health care system for patients with bipolar disorders was established in France under the auspices of Fondation FondaMental, based on thorough clinical assessment of patients and on close collaborations between expert centers and referring practitioners. We report the results of outcomes after 2 years of observational follow-up of adult patients assessed within the network. METHOD: A total of 984 patients were included in the study. We compared several parameters (e...
September 12, 2017: Bipolar Disorders
https://www.readbyqxmd.com/read/28944498/immigrant-health-through-the-lens-of-home-visitors-supervisors-and-administrators-the-florida-maternal-infant-and-early-childhood-home-visiting-program
#2
Esther Jean-Baptiste, Paige Alitz, Pamela C Birriel, Siobhan Davis, Rema Ramakrishnan, Leandra Olson, Jennifer Marshall
OBJECTIVE: The Florida Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program aims to minimize the occurrence of adverse maternal and child health outcomes for mothers deemed at-risk during pregnancy or shortly after childbirth. This study sought to understand the needs of and challenges faced by immigrant families in accessing health care through the perspective of Florida MIECHV home visitors, supervisors, and administrators. DESIGN AND SAMPLE: In this exploratory qualitative study, focus groups were held at each of the Florida MIECHV-funded program sites with a total of 81 MIECHV staff to discuss how the program addresses a range of participant needs...
September 25, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/28944292/early-head-start-pediatric-dental-use-and-oral-health-related-quality-of-life
#3
J M Burgette, J S Preisser, M Weinberger, R S King, R G Rozier
The objective of the study was to examine the mediating effect of child dental use on the effectiveness of North Carolina Early Head Start (EHS) in improving oral health-related quality of life (OHRQoL). In total, 479 parents of children enrolled in EHS and 699 parents of Medicaid-matched children were interviewed at baseline when children were approximately 10 mo old and 24 mo later. In this quasi-experimental study, mediation analysis was performed using the counterfactual framework analysis, which employed 2 logit models with random effects: 1) for the mediator as a function of the treatment and covariates and 2) for the outcome as a function of the treatment, mediator, and covariates...
October 2017: JDR Clinical and Translational Research
https://www.readbyqxmd.com/read/28944226/a-prospective-analysis-of-risk-factors-for-pediatric-burn-mortality-at-a-tertiary-burn-center-in-north-india
#4
Amol Dhopte, Rahul Bamal, Vinay Kumar Tiwari
BACKGROUND: None of the available mortality predicting models in pediatric burns precisely predicts outcomes in every population. Mortality rates as well as their risk factors vary with regions and among different centers within the regions. The aim of this study was to identify socio-demographic and clinical risk factors for mortality in pediatric burns in an effort to decrease the mortality in these patients. METHODS: A prospective analytical study was conducted in patients up to the age of 18 years admitted for burn injuries in a tertiary care burn center in India from January to December 2014...
2017: Burns and trauma
https://www.readbyqxmd.com/read/28944055/understanding-the-links-between-resilience-and-type-2-diabetes-self-management-a-qualitative-study-in-south-australia
#5
A L Wilson, D McNaughton, S B Meyer, P R Ward
BACKGROUND: Research conducted by Ward, Muller, Tsourtos, et al. (Soc Sci Med 72(7):1140-1148, 2011) has led to the development of the psycho-social interactive model of resilience, which reveals the interaction between individual resilience factors (i.e. coping, confidence and self esteem) and external resilience environments (i.e. employment, supportive family environments and health promoting policies) in facilitating the development of resilience. This present study explored the utility of this model of resilience for understanding how people self-manage type-2 diabetes...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/28944044/shifting-paradigm-of-maternal-and-perinatal-death-review-system-in-bangladesh-a-real-time-approach-to-address-sustainable-developmental-goal-3-by-2030
#6
REVIEW
Animesh Biswas
Recently, Bangladesh has made remarkable progress in reducing maternal and neonatal morality, even though the millennium developmental goal to reduce maternal and neonatal mortality was not achieved. Sustainable Developmental Goal (SDG) 3 has already been set for a new target to reduce maternal and neonatal deaths by 2030. The country takes this timely initiative to introduce a maternal and perinatal death review system. This review will discuss the shifting paradigm of the maternal and perinatal death review system in Bangladesh and its challenges in reaching the SDG on time...
2017: F1000Research
https://www.readbyqxmd.com/read/28943958/value-of-the-level-of-methylation-of-rassf1a-and-wif-1-in-tissue-and-serum-in-neoadjuvant-chemotherapeutic-assessment-for-advanced-breast-cancer
#7
Zhong-Hua Han, Chun-Sen Xu, Hui Han, Chuan Wang, Shun-Guo Lin
This study assessed the clinical efficacy of the neoadjuvant chemotherapy TAC scheme in treatment of patients with locally advanced breast cancer, and the value of the level of Ras association domain family 1A (RASSF1A) gene methylation and the Wnt inhibitory factor (WIF)-1 gene in tissue and serum of patients in clinical outcome prediction. In total, 126 patients were consecutively selected to receive TAC scheme (docetaxel, pirarubicin/epirubicin and cyclophosphamide) for at least four cycles with the total effective rate...
October 2017: Oncology Letters
https://www.readbyqxmd.com/read/28943885/decision-trees-in-epidemiological-research
#8
Ashwini Venkatasubramaniam, Julian Wolfson, Nathan Mitchell, Timothy Barnes, Meghan JaKa, Simone French
BACKGROUND: In many studies, it is of interest to identify population subgroups that are relatively homogeneous with respect to an outcome. The nature of these subgroups can provide insight into effect mechanisms and suggest targets for tailored interventions. However, identifying relevant subgroups can be challenging with standard statistical methods. MAIN TEXT: We review the literature on decision trees, a family of techniques for partitioning the population, on the basis of covariates, into distinct subgroups who share similar values of an outcome variable...
2017: Emerging Themes in Epidemiology
https://www.readbyqxmd.com/read/28943690/intimate-partner-violence-maternal-gatekeeping-and-child-conduct-problems
#9
Bharathi J Zvara, W Roger Mills-Koonce, Martha Cox
We examined the mediating role of parenting behavior on the relationship between intimate partner violence and child conduct problems, as well as the moderating role of maternal gatekeeping to these associations. The sample (N = 395) is from a longitudinal study of rural poverty in the eastern United States, exploring the ways in which child, family, and contextual factors shape child development over time. Study findings indicate that a father's harsh-intrusive parenting behavior may be a key mediating pathway linking intimate partner violence and child conduct problems...
December 2016: Family Relations
https://www.readbyqxmd.com/read/28942731/factors-influencing-trainee-doctor-emigration-in-a-high-income-country-a-mixed-methods-study
#10
Nicholas Clarke, Sophie Crowe, Niamh Humphries, Ronan Conroy, Simon O'Hare, Paul Kavanagh, Ruairi Brugha
BACKGROUND: The Global Code of Practice on the International Recruitment of Health Personnel focuses particularly on migration of doctors from low- and middle-income countries. Less is understood about migration from high-income countries. Recession has impacted several European countries in recent years, and in some cases emigration has reached unprecedented levels. This study measures and explores the predictors of trainee doctor emigration from Ireland. METHODS: Using a partially mixed sequential dominant (quantitative) study design, a nationally representative sample of 893 trainee doctors was invited to complete an online survey...
September 25, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28942581/minimally-disruptive-medicine-for-patients-with-diabetes
#11
REVIEW
Valentina Serrano, Gabriela Spencer-Bonilla, Kasey R Boehmer, Victor M Montori
PURPOSE OF REVIEW: Patients with diabetes must deal with the burden of symptoms and complications (burden of illness). Simultaneously, diabetes care demands practical and emotional work from patients and their families, work to access and use healthcare and to enact self-care (burden of treatment). Patient work must compete with the demands of family, job, and community life. Overwhelmed patients may not have the capacity to access care or enact self-care and will thus experience suboptimal diabetes outcomes...
September 23, 2017: Current Diabetes Reports
https://www.readbyqxmd.com/read/28942565/relationship-of-adverse-family-experiences-to-resilience-and-school-engagement-among-vermont-youth
#12
Laurin Kasehagen, Laurel Omland, Melissa Bailey, Charlie Biss, Breena Holmes, Patsy Tassler Kelso
INTRODUCTION: Adverse childhood experiences (ACEs) are associated with a range of health outcomes and risk behaviors. In 2011-2012, the National Survey of Children's Health (NSCH) included questions about adverse family experiences (AFEs). AFE survey questions are similar to ACE questions, except there are no questions about emotional/physical/sexual trauma, and questions are asked of parents rather than children. Although the relationship between ACEs and work/school absenteeism has been studied, the relationships between AFEs of school-aged children, school performance, and buffering behaviors have not been explored in depth...
September 23, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28942099/clinical-characteristics-of-breast-cancer-patients-with-mental-disorders
#13
Yoshiaki Shinden, Yuko Kijima, Munetsugu Hirata, Akihiro Nakajo, Kiyonori Tanoue, Takaaki Arigami, Hiroshi Kurahara, Kosei Maemura, Shoji Natsugoe
BACKGROUND: Severe mental disorders are thought to affect the diagnosis and treatment of breast cancer because of their lower awareness and understanding of the disease and their reduced ability to cooperate with medical staff. We analyzed the clinical features of patients with breast cancer and pre-existing mental disorders such as schizophrenia, dementia, and intellectual disability. PATIENTS AND METHODS: We reviewed the records of 46 patients who were diagnosed with schizophrenia, dementia, or intellectual disability, before being diagnosed with breast cancer...
September 20, 2017: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/28942055/delivering-social-work-services-in-collaboration-with-the-legal-representation-for-individual-clients-an-effective-ethical-and-economical-approach-to-supporting-families-in-child-abuse-and-neglect-legal-proceedings
#14
Robbin Pott
This article discusses the need to improve the quality of helping relationships between families and social workers in the child protection system and the growing body of evidence that teams of social workers and lawyers are effective at improving outcomes in child protection legal proceedings. The author presents an alternative structure of delivering social work services within the child protection systems once a court gets involved with a family, proposing that social workers should focus on individual clients in collaboration with their legal representation, rather than the traditional model of a governmental agency social worker serving the family as a unit as it also determines placement of the children...
September 20, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28941736/a-prognostic-tool-to-predict-outcomes-in-children-undergoing-the-norwood-operation
#15
Punkaj Gupta, Avishek Chakraborty, Jeffrey M Gossett, Mallikarjuna Rettiganti
OBJECTIVES: To create and validate a prediction model to assess outcomes associated with the Norwood operation. METHODS: The public-use dataset from a multicenter, prospective, randomized single-ventricle reconstruction trial was used to create this novel prediction tool. A Bayesian lasso logistic regression model was used for variable selection. We used a hierarchical framework by representing discrete probability models with continuous latent variables that depended on the risk factors for a particular patient...
August 30, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28941160/household-material-hardship-in-families-of-children-post-chemotherapy
#16
Madeline Bilodeau, Clement Ma, Hasan Al-Sayegh, Joanne Wolfe, Kira Bona
Poverty is an important patient-reported outcome of therapy and a potential predictor of outcome disparities in pediatric cancer. We previously identified that nearly 30% of pediatric cancer families experience household material hardship (HMH), a concrete measure of poverty including food, energy, or housing insecurity, during the first 6 months of chemotherapy. We conducted a follow-up survey in a subcohort of these families at least 1 year off-therapy and found that 32% reported HMH in early survivorship...
September 20, 2017: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/28941098/comparing-three-year-extension-of-early-intervention-service-to-regular-care-following-two-years-of-early-intervention-service-in-first-episode-psychosis-a-randomized-single-blind-clinical-trial
#17
Ashok Malla, Ridha Joober, Srividya Iyer, Ross Norman, Norbert Schmitz, Thomas Brown, Danyael Lutgens, Eric Jarvis, Howard C Margolese, Nicola Casacalenda, Amal Abdel-Baki, Eric Latimer, Sally Mustafa, Sherezad Abadi
This study aimed to determine if, following two years of early intervention service for first-episode psychosis, three-year extension of that service was superior to three years of regular care. We conducted a randomized single blind clinical trial using an urn randomization balanced for gender and substance abuse. Participants were recruited from early intervention service clinics in Montreal. Patients (N=220), 18-35 years old, were randomized to an extension of early intervention service (EEIS; N=110) or to regular care (N=110)...
October 2017: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/28941089/improving-outcomes-of-first-episode-psychosis-an-overview
#18
Paolo Fusar-Poli, Patrick D McGorry, John M Kane
Outcomes of psychotic disorders are associated with high personal, familiar, societal and clinical burden. There is thus an urgent clinical and societal need for improving those outcomes. Recent advances in research knowledge have opened new opportunities for ameliorating outcomes of psychosis during its early clinical stages. This paper critically reviews these opportunities, summarizing the state-of-the-art knowledge and focusing on recent discoveries and future avenues for first episode research and clinical interventions...
October 2017: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/28940936/screening-and-support-for-emotional-burdens-of-youth-with-type-1-diabetes-strategies-for-diabetes-care-providers
#19
Marisa E Hilliard, Maartje De Wit, Rachel M Wasserman, Ashley M Butler, Meredyth Evans, Jill Weissberg-Benchell, Barbara J Anderson
Multiple sources of burden for youth with type 1 diabetes (T1D) impact key outcomes including quality of life, self-management, and glycemic control. Professional diabetes organizations recommend diabetes care providers screen for psychosocial and behavioral challenges and implement strategies to support youth with T1D. The purpose of this article is to review the literature and recommend practical strategies medical providers can use for screening and behavioral support for youth with diabetes and their families...
September 22, 2017: Pediatric Diabetes
https://www.readbyqxmd.com/read/28940536/patient-value-perspectives-from-the-advocacy-community
#20
REVIEW
Bonnie J Addario, Ana Fadich, Jesme Fox, Linda Krebs, Deborah Maskens, Kathy Oliver, Erin Schwartz, Gilliosa Spurrier-Bernard, Timothy Turnham
All health-care systems are under financial pressure and many have therefore developed value frameworks to assist decision making regarding access to treatment. Unfortunately, many frameworks simply reflect the clinically focused values held by health-care professionals rather than outcomes that also matter to patients. It is difficult to define one single homogeneous set of patient values as these are shaped by social, religious and cultural factors, and health-care environment, as well as many factors such as age, gender, education, family and friends and personal finances...
September 20, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
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