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https://www.readbyqxmd.com/read/29753159/defining-incidence-and-risk-factors-for-catheter-associated-bloodstream-infections-in-an-outpatient-adult-hematopoietic-cell-transplant-program
#1
Marissa K McDonald, Kathryn A Culos, Katie S Gatwood, Caleb Prow, Heidi Chen, Bipin N Savani, Michael Byrne, Adetola A Kassim, Brian G Engelhardt, Madan Jagasia, Gowri Satyanarayana
BACKGROUND: Allogeneic hematopoietic cell transplant (HCT) patients are at an increased risk of developing central line-associated bloodstream infections (CLABSIs) due to prolonged periods of myelosuppression, immunosuppression, and indwelling catheter days. CLABSIs are among the most serious complications in HCT recipients and can lead to prolonged hospitalizations, intensive care unit (ICU) admissions, lengthy antimicrobial therapies, and increased mortality. There is a lack of data regarding the incidence and risk factors associated with the development of CLABSIs in the HCT population undergoing outpatient transplantation...
May 9, 2018: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/29705487/a-preliminary-investigation-of-the-effects-of-one-yoga-session-for-service-recipients-in-a-behavioral-health-intensive-outpatient-program
#2
Kendahl M Shortway, Sejal Prajapati, Brooke Donald, Stephanie St Onge
This was an investigation of the feasibility and effectiveness of a brief yoga intervention (one session) within an intensive outpatient program (IOP) for service recipients diagnosed with various psychiatric disorders. Participants (N = 26) completed the Toronto Mindfulness Scale (TMS) and the Positive and Negative Affect Schedule (PANAS). Data was collected before and after one yoga session and follow-up data was collected via mail after discharge from the IOP. Scores indicated that negative affect significantly decreased and positive affect significantly increased from pre to post yoga session...
May 2018: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/29696156/methodology-of-a-multispecialty-outpatient-obesity-treatment-research-program
#3
Dalia S Mikhail, Teresa B Jensen, Todd W Wade, Jane F Myers, Jennifer M Frank, Mark Wieland, Don Hensrud, M Molly McMahon, Maria L Collazo-Clavell, Haitham Abu-Lebdeh, Kurt A Kennel, Daniel L Hurley, Karen Grothe, Michael D Jensen
Despite the large number of U.S. adults who overweight or obese, few providers have ready access to comprehensive lifestyle interventions, the cornerstone of medical obesity management. Our goal was to establish a research infrastructure embedded in a comprehensive lifestyle intervention treatment for obesity. The Obesity Treatment Research Program (OTRP) is a multi-specialty project at Mayo Clinic in Rochester, Minnesota designed to provide a high intensity, year-long, comprehensive lifestyle obesity treatment...
June 2018: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29663349/longitudinal-model-predicting-self-concept-in-pediatric-chronic-illness
#4
Natacha D Emerson, Holly E R Morrell, Cameron Neece, Daniel Tapanes, Brian Distelberg
Although self-concept has been identified as salient to the psychosocial adjustment of adolescents dealing with a chronic illness (CI), little research has focused on its predictors it. Given that depression and parent-child attachment have been linked to self-concept in the population at large, the goal of this study was to evaluate these relationships longitudinally in a sample of adolescents with CI. Using participant data from the Mastering Each New Direction (MEND) program, a 3-month psychosocial, family based intensive outpatient program for adolescents with CI, we employed multilevel modeling to test longitudinal changes in self-concept, as predicted by depressive symptoms and parent-child attachment, in a sample of 50 youths (Mage  = 14...
April 16, 2018: Family Process
https://www.readbyqxmd.com/read/29661150/a-moderate-500-m-treadmill-walk-for-estimating-peak-oxygen-uptake-in-men-with-nyha-class-i-ii-heart-failure-and-reduced-left-ventricular-ejection-fraction
#5
Gianni Mazzoni, Biagio Sassone, Giovanni Pasanisi, Jonathan Myers, Simona Mandini, Stefano Volpato, Francesco Conconi, Giorgio Chiaranda, Giovanni Grazzi
BACKGROUND: Maximal cardiopulmonary exercise testing (CPX) is the gold-standard for cardiorespiratory fitness assessment in chronic heart failure (CHF) patients. However, high costs, required medical supervision, and safety concerns make maximal exercise testing impractical for evaluating mobility-impaired adults. Thus, several submaximal walking protocols have been developed and currently used to estimate peak oxygen consumption (VO2 peak) in CHF patients. However, these tests have to be performed at close to maximum exercise intensity...
April 16, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29649710/psychometric-properties-of-the-concise-health-risk-tracking-chrt-in-adolescents-with-suicidality
#6
REVIEW
Taryn L Mayes, Betsy D Kennard, Michael Killian, Thomas Carmody, Bruce D Grannemann, A John Rush, Manish K Jha, Jennifer Hughes, Graham J Emslie, Madhukar H Trivedi
BACKGROUND: Several self-report rating scales have been developed to assess suicidal ideation, yet few examine other factors related to increased suicidal risk, and even fewer have been validated in both adolescents and adults. We evaluate the 14-item Concise Health Risk Tracking - Self Report (CHRT-SR), a measure previously validated in adults, in a sample of adolescents at risk for suicide. METHOD: Data are from a retrospective chart review of adolescents treated in an intensive outpatient program for youth with severe suicidality...
March 26, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29625603/postural-awareness-and-its-relation-to-pain-validation-of-an-innovative-instrument-measuring-awareness-of-body-posture-in-patients-with-chronic-pain
#7
Holger Cramer, Wolf E Mehling, Felix J Saha, Gustav Dobos, Romy Lauche
BACKGROUND: Habitual postural patterns are associated with musculoskeletal pain, and improving a maladaptive posture requires postural awareness in order to lead to clinical improvements. This study aimed to develop and evaluate the psychometric properties of an innovative postural awareness scale. METHODS: A 12-item Postural Awareness Scale (PAS) was developed and administered to 512 chronic pain patients (50.3 ± 11.4 years, 91.6% female, 37.1% spinal/shoulder pain) to assess its factor structure and reliability...
April 6, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29596648/quantification-of-an-exercise-rehabilitation-program-for-severely-burned-children-the-standard-of-care-at-shriners-hospitals-for-children%C3%A2-galveston
#8
Eric Rivas, David N Herndon, Janos Cambiaso-Daniel, Victoria G Rontoyanni, Craig Porter, Shauna Glover, Oscar E Suman
Introduction: Currently, there are no clear guidelines for the implementation of rehabilitative exercise training (RET) in burned individuals. Therefore, we quantified the training logs for exercise intensity, frequency, and duration of 6 weeks of this program in order to develop a basic framework for outpatient RET in patients recovering from severe burns. Methods: Thirty-three children (11 female, [mean±SD] 12±3 years, 145±18 cm, 40±11 kg, 49±31 BMI percentile) with severe burns (49±15% total body surface area burned, with 35±22% third-degree burns) completed our 6-week resistance and aerobic exercise training program...
January 25, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29558338/integration-of-a-clinical-pharmacy-specialist-into-a-substance-use-disorder-intensive-outpatient-treatment-program-to-improve-prescribing-rates-of-alcohol-use-disorder-pharmacotherapy
#9
Erica Dimitropoulos, Stephanie Bertucci, Kara Wong
BACKGROUND: Research has demonstrated that the combination of pharmacotherapy and psychological interventions in alcohol use disorder (AUD) treatment is superior to either alone. Despite this, medications remain highly underutilized in many outpatient treatment facilities. Pharmacists can serve as an excellent resource to aid in improving access to medications. METHODS: This study was a prospective, longitudinal evaluation of a pharmacist's role in a substance use disorder (SUD) clinic, specifically an intensive outpatient program (IOP)...
March 20, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29557570/the-measure-of-effectiveness-of-a-short-term-2-week-intensive-cardiac-rehabilitation-program-in-decreasing-levels-of-anxiety-and-depression
#10
Floriana Caccamo, Simone Saltini, Enrico Carella, Roberto Carlon, Cristina Marogna, Vito Sava
Research on heart disease have found a strong and consistent evidence of association between some psychosocial risk factors, including depression, anxiety, self-efficacy, lack of social support and outcome of disease. Depression increases the risk of cardiac death and is highly predictive of reduced adherence to recommended treatments; anxiety appears to be linked to adverse cardiac outcomes. It was demonstrated that Cardiac Rehabilitation (CR) leads to substantial improvements and positive outcomes because combines the prescription of physical activity with the modification of risk factors and aims to reduce symptoms related to the disease and the risk of new cardiovascular events...
January 29, 2018: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/29553223/the-effect-of-different-foot-orthoses-on-pain-and-health-related-quality-of-life-in-painful-flexible-flat-foot-a-randomized-controlled-trial
#11
Yasin Yurt, Gül Şener, Yavuz Yakut
BACKGROUND: Foot orthoses are widely used in conservative treatment of painful flexible flatfoot however research is limited to choose the best option in orthotic treatment. AIM: We aimed to compare the effects of computer-aided design/computer-aided manufacturing (CAD-CAM) and conventional insole types in comparison with sham insole, on pain and health related quality of life in patients with painful flexible flatfoot. DESIGN: Randomized controlled trial...
March 16, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29550408/myocardial-infarction-injury-in-patients-with-chronic-lung-disease-entering-pulmonary-rehabilitation-frequency-and-association-with-heart-rate-parameters
#12
Carmen A Sima, Benny C Lau, Carolyn M Taylor, Stephan F van Eeden, W Darlene Reid, Andrew W Sheel, Ashley R Kirkham, Pat G Camp
BACKGROUND: Myocardial infarction (MI) remains under-recognized in chronic lung disease (CLD) patients. Rehabilitation health professionals need accessible clinical measurements to identify the presence of prior MI in order to determine appropriate training prescription. OBJECTIVES: To estimate prior MI in CLD patients entering a pulmonary rehabilitation program, as well as its association with heart rate parameters such as resting heart rate and chronotropic response index...
March 14, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29510968/technology-and-social-media-use-among-patients-enrolled-in-outpatient-addiction-treatment-programs-cross-sectional-survey-study
#13
Robert D Ashford, Kevin Lynch, Brenda Curtis
BACKGROUND: Substance use disorder research and practice have not yet taken advantage of emerging changes in communication patterns. While internet and social media use is widespread in the general population, little is known about how these mediums are used in substance use disorder treatment. OBJECTIVE: The aims of this paper were to provide data on patients' with substance use disorders mobile phone ownership rates, usage patterns on multiple digital platforms (social media, internet, computer, and mobile apps), and their interest in the use of these platforms to monitor personal recovery...
March 6, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29474648/an-integrated-quantitative-index-for-measuring-chronic-multisite-pain-the-multiple-areas-of-pain-map-study
#14
Mark S Wallace, James North, Eric J Grigsby, Leonardo Kapural, Mahendra R Sanapati, Stephen G Smith, Channing Willoughby, Patrick J McIntyre, Steven P Cohen, Richard M Rosenthal, Shaik Ahmed, Ricardo Vallejo, Farshad M Ahadian, Thomas L Yearwood, Allen W Burton, Edward J Frankoski, Jai Shetake, Sherry Lin, Brad Hershey, Benjamin Rogers, Nitzan Mekel-Bobrov
Objective: Despite the high prevalence of chronic multisite pain, there is little consensus on methods to characterize it. Commonly used assessments report only one dimension of pain, that is, intensity, thus ignoring the spatial aspect of pain. We developed a novel pain quantification index, the Integrated Pain Quantification Index (IPQI), on a scale of 0 to 1 that integrates multiple distinct pain measures into a single value, thus representing multidimensional pain information with a single value...
February 21, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29460440/effect-of-continuing-care-for-people-with-cocaine-dependence-on-criminal-justice-sentences
#15
Alexandra S Wimberly, Jordan M Hyatt, James R McKay
While continuing care for substance use treatment has been associated with reduced involvement in the criminal justice system, much of this research lacks random assignment to continuing care and so is limited by self-selection bias. This study sought to determine the impact of adding telephone-based continuing care to intensive outpatient programs on criminal justice outcomes for people with cocaine dependence. In three continuing care studies, spanning 1998-2008, participants were randomly assigned to an intensive outpatient program or an intensive outpatient program plus a telephone-based continuing care intervention...
January 2018: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/29458404/a-novel-integrated-care-concept-nicc-versus-standard-care-in-the-treatment-of-chronic-cardiovascular-diseases-protocol-for-the-randomized-controlled-trial-cardiocare-mv
#16
Christian Schmidt, Alper Öner, Miriam Mann, Katja Krockenberger, Melanie Abbondanzieri, Bernard Brandewiede, Armin Brüge, Gisela Hostenkamp, Axel Kaiser, Henriette Neumeyer, Andreas Ziegler
BACKGROUND: Cardiovascular diseases are the major cause of death globally and represent a major economic burden on health care systems. Positive effects of disease management programs have been shown for patients with heart failure (HF). Remote monitoring and telemonitoring with active intervention are beneficial in atrial fibrillation (AF) and therapy-resistant hypertension (TRH), respectively. For these patients, we have developed a novel integrated care concept (NICC) which combines telemedicine with intensive support by a care center, including a call center, an integrated care network including inpatient and outpatient care providers and guideline therapy for patients...
February 20, 2018: Trials
https://www.readbyqxmd.com/read/29419948/treatment-refractory-obsessive-compulsive-disorder-in-adults-a-cost-effectiveness-analysis-of-treatment-strategies
#17
Sean T Gregory, Brian Kay, Joseph Smith, Kristin Hall, Alessandro S De Nadai, Troy Quast, Bradley C Riemann, Eric A Storch
OBJECTIVE: This study sought to assess the cost-effectiveness of 7 treatment strategies for treatment-refractory obsessive-compulsive disorder (OCD) in adults. METHODS: A model was developed to evaluate treatment alternatives for adults (18-64 years old) that consisted of 2 parts: a decision analytic model and a Markov model. The decision analytic model stratified 7 outpatient treatment strategies, and the Markov model accumulated benefits and costs across the life expectancy of a simulated cohort of individuals...
March 2018: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/29388927/-the-comparative-analysis-of-the-influence-of-the-supervised-exercise-training-and-home-based-exercise-training-on-the-psychological-status-of-the-following-coronary-artery-bypass-grafting
#18
S A Pomeshkina, E B Loktionova, V A Bezzubova, N V Arkhipova, I М Borovik, O L Barbarash
This article was designed to report the results of the comparative analysis of the influence of the home-based exercise training (HBT) and the supervised exercise training in the form of the controlled training (CVT) under conditions of outpatient rehabilitative treatment on the patients' quality of life (QoL) and psychological status (including manifestations of anxiety and depression) following coronary artery bypass grafting (CABG). AIM: The objective of the present study was to evaluate the consequences of the application of different programs of physical rehabilitation under the outpatient conditions on the psychoemotional status and quality of life of the patients who had undergone coronary artery bypass grafting...
December 28, 2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29382367/effects-of-automated-smartphone-mobile-recovery-support-and-telephone-continuing-care-in-the-treatment-of-alcohol-use-disorder-study-protocol-for-a-randomized-controlled-trial
#19
James R McKay, David H Gustafson, Megan Ivey, Fiona McTavish, Klaren Pe-Romashko, Brenda Curtis, David A Oslin, Daniel Polsky, Andrew Quanbeck, Kevin G Lynch
BACKGROUND: New smartphone communication technology provides a novel way to provide personalized continuing care support following alcohol treatment. One such system is the Addiction version of the Comprehensive Health Enhancement Support System (A-CHESS), which provides a range of automated functions that support patients. A-CHESS improved drinking outcomes over standard continuing care when provided to patients leaving inpatient treatment. Effective continuing care can also be delivered via telephone calls with a counselor...
January 30, 2018: Trials
https://www.readbyqxmd.com/read/29373984/the-effect-of-targeted-exercise-on-knee-muscle-function-in-patients-with-persistent-hamstring-deficiency-following-acl-reconstruction-study-protocol-for-a-randomized-controlled-trial
#20
Bo Bregenhof, Uffe Jørgensen, Per Aagaard, Nis Nissen, Mark W Creaby, Jonas Bloch Thorlund, Carsten Jensen, Trine Torfing, Anders Holsgaard-Larsen
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction, using hamstring auto-graft is a common surgical procedure, which often leads to persistent hamstring muscle-strength deficiency and reduced function. The purpose of this randomized controlled trial (RCT) is to investigate the effect of a combined, progressive, strength and neuromuscular exercise intervention on knee muscle strength, functional capacity and hamstring muscle-tendon morphology in ACL-reconstructed patients with persistent hamstring muscle-strength deficiency compared with controls...
January 26, 2018: Trials
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