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National Health Service

Wen-Chen Tsai, Pei-Tseng Kung, Yueh-Hsin Wang, Wei-Yin Kuo, Ya-Hsin Li
OBJECTIVES: Liver cancer is the fifth most common cancer in men and the ninth most common cancer in women, and the WHO expects that there will be 1,341,344 cases in 2034 worldwide. Liver cancer also has the second-highest cancer death rate, accounting for 7% of all cancers. The study is going to explore the relationship between time interval from diagnosis to treatment and survival status of early-stage liver cancer patients. MATERIALS AND METHODS: This is a retrospective cohort study using the national database from Taiwan...
2018: PloS One
Abigail Naana Osei Agyemang, Kingsley Badu, Sandra Baffour-Awuah, Ellis Owusu-Dabo, Nana-Kwadwo Biritwum, Rolf Garms, Thomas Florian Kruppa
The African Programme for Onchocerciasis Control (APOC), which focused on annual mass treatment with ivermectin, was launched in 1995 and was replaced by the Expanded Special Project for Neglected Tropical Diseases (ESPEN) by the end of 2015. In Ghana, the Community Directed Treatment with Ivermectin (CDTI) was introduced in 1999. After a decade, biannual reinforcement was introduced during which the Ghana Health Service (GHS) recorded coverage rates through routine data collection. Transmission studies conducted in the Upper Denkyira East Municipal (UDEM) of the forest zone of Ghana in 2002 and 2006 had shown that annual treatments with ivermectin had hardly any effect on the transmission of Onchocerca volvulus by the vector Simulium sanctipauli...
June 19, 2018: Acta Tropica
Noelle E Carlozzi, Phillip A Ianni, David S Tulsky, Tracey A Brickell, Rael T Lange, Louis M French, David Cella, Michael A Kallen, Jennifer A Miner, Anna L Kratz
OBJECTIVE: To examine the reliability and validity of Patient Reported Outcomes Measurement Information System (PROMIS) measures of sleep disturbance and fatigue in TBI caregivers and to determine the severity of fatigue and sleep disturbance in these caregivers. DESIGN: Cross-sectional survey data collected through an online data capture platform. SETTING: Four rehabilitation hospitals and Walter Reed National Military Medical Center. PARTICIPANTS: Caregivers (N=560) of civilians (n=344) and service member/veterans (n=216) with TBI...
June 19, 2018: Archives of Physical Medicine and Rehabilitation
Clinton Burnside, Tamaro Hudson, Carla Williams, William Lawson, Adeyinka O Laiyemo
OBJECTIVE: Cancer imposes higher burden on men. Sex differences in healthcare utilization may contribute to this problem. We compared healthcare utilization among adults with and without a history of cancer as measured by having at least one physician visit within the previous 12 months. MATERIAL AND METHODS: We analyzed data from 7,229 responders (weighted population size=211,722,892) enrolled in the 2007 Health Information and National Trends Survey (HINTS), a nationally representative sample of non-institutionalized adults in the United States...
July 2018: Turkish Journal of Urology
Agnus M Kim, Seongcheol Cho, Hyun Joo Kim, Min-Woo Jo, Sang Jun Eun, Jin Yong Lee
Korea has experienced an overall expansion of access to care in the past few decades, which necessitated the reconsideration of the role of the public health clinics (PHC) as a primary care provider. The recent controversy about the outpatient copayment waiver for the elderly in the PHC is in the same vein. This study compared the outpatient utilization of the PHC and private clinics, and investigated its factors. Data were acquired from the National Patient Sample in 2013. Compared with private clinics, the patients in the PHC were more elderly and had less severe conditions...
June 22, 2018: International Journal of Environmental Research and Public Health
Charles Mak, Kok Kah Tan, Song Guo
Background : There is relatively little research examining the relationship between Attention-Deficit/Hyperactivity Disorder (ADHD) and gambling addiction. This study seeks to explore for ADHD symptoms in adult gambling addiction patients and to evaluate their gambling-related cognitions. Materials and Methods : A cross-sectional survey was conducted at National Addictions Management Service, Institute of Mental Health, in Singapore. Patients presenting for gambling treatment were screened for ADHD symptoms and assessed for severity of gambling-related cognitions...
June 22, 2018: International Journal of Environmental Research and Public Health
Alana Cordeiro, Renee Krysko Davis, Richard Antonelli, Hannah Rosenberg, John Kim, Zekarias Berhane, Renee Turchi
We analyzed findings from the 2009-2010 National Survey of Children with Special Health Care Needs to identify associations between families with children and youth with special health care needs (CYSHCN) reporting adequate care coordination (CC) with family-provider relations, shared decision making (SDM), and child outcomes. Eligible subjects were the 98% of families asked about CC, service use, and communication. Bivariate analysis using χ2 tests were performed on binary outcome variables to determine the strength of the associations between CC and independent and dependent variables...
June 1, 2018: Clinical Pediatrics
David A Marker, Russ Mardon, Frank Jenkins, Joanne Campione, Jennifer Nooney, Jane Li, Sharon Saydeh, Xuanping Zhang, Sundar Shrestha, Deborah Rolka
Many statisticians and policy researchers are interested in using data generated through the normal delivery of health care services, rather than carefully designed and implemented population-representative surveys, to estimate disease prevalence. These larger databases allow for the estimation of smaller geographies, for example, states, at potentially lower expense. However, these health care records frequently do not cover all of the population of interest and may not collect some covariates that are important for accurate estimation...
June 22, 2018: Statistics in Medicine
Matthias Knefel, Brigitte Lueger-Schuster, Thanos Karatzias, Mark Shevlin, Phil Hyland
OBJECTIVE: Complex post-traumatic stress disorder (CPTSD) will be introduced in ICD-11 and comprises symptoms of PTSD and disturbances in self-organisation (DSO). The association of trauma with PTSD and DSO is not yet fully understood. We investigated the path from child maltreatment to PTSD and DSO and examined the mediating role of emotion regulation (ER) and adult interpersonal re-victimisation. METHOD: Adult patients (N = 193) from a Scottish National Health Service clinic participated in the project...
June 22, 2018: Journal of Clinical Psychology
Ashley Walker, John G Peden, Morgan Emter, Gavin Colquitt
The purpose of this study was to examine predictors of coordinated and comprehensive care within a medical home among children with special health care needs (CSHCN). The latest version of the National Survey of Children with Special Health Care Needs (NS-CSHCN) employed a national random-digit-dial sample whereby US households were screened, resulting in 40,242 eligible respondents. Logistic regression analyses were performed modeling the probability of coordinated, comprehensive care in a medical home based on shared decision-making and other factors...
2018: Frontiers in Public Health
James F Phillips, John Koku Awoonor-Williams, Ayaga A Bawah, Belinda Afriyie Nimako, Nicholas S Kanlisi, Mallory C Sheff, Patrick O Asuming, Pearl E Kyei, Adriana Biney, Elizabeth F Jackson
BACKGROUND: The completion of an implementation research project typically signals the end of research. In contrast, the Ghana Health Service has embraced a continuous process of evidence-based programming, wherein each research episode is followed by action and a new program of research that monitors and guides the utilization of lessons learned. This paper reviews the objectives and design of the most recent phase in this process, known as a National Program for Strengthening the Implementation of the Community-based Health Planning and Services (CHPS) Initiative in Ghana (CHPS+)...
June 22, 2018: BMC Health Services Research
Susan Young, Rafael A González, Moshe Fridman, Paul Hodgkins, Keira Kim, Gisli H Gudjonsson
BACKGROUND: Attention-deficit hyperactivity disorder (ADHD) and head injury (including traumatic brain injury (TBI)) manifest in high levels across prison samples and guidance from the National Institute for Health and Care Excellence notes that people with acquired brain injury may have increased prevalence of ADHD. We aimed to examine the association of ADHD with TBI and the impact of the association upon health-related quality of life (HRQoL) and service use among imprisoned adults...
June 22, 2018: BMC Psychiatry
Paula C Lamb, Christine Norton
Nurses working in haemodialysis units are expected to demonstrate competency and understanding of the technical processes involved in supporting patients undergoing haemodialysis treatment. In 2012 the nursing education team within a large acute National Health Service (NHS) London Hospital Group updated and standardised haemodialysis clinical competencies to assist junior haemodialysis nurses develop their clinical skills and knowledge in delivering nursing care to patients receiving haemodialysis treatment...
June 12, 2018: Nurse Education in Practice
Abhishek Goyal, Howard A Cooper, Wilbert S Aronow, Prashant Nagpal, Sriktanth Yandrapalli, Christopher C Nabors, William F Frishman
BACKGROUND: The 2016 US Preventive Services Task Force (USPSTF) guidelines for primary prevention statin therapy are more restrictive than the 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines. There are important differences in how application of the risk thresholds from these guidelines would impact particular segments of the US population. METHODS: Data from the National Health and Nutrition Examination Surveys (NHANES - 2005-14) were used to determine statin eligibility across age, gender and racial/ethnic groups using criteria from the 2013 ACC/AHA and 2016 USPSTF guidelines...
June 18, 2018: American Journal of Medicine
Louise McCulloch, Alan Borthwick, Anthony Redmond, Katherine Edwards, Rafael Pinedo-Villanueva, Daniel Prieto-Alhambra, Andrew Judge, Nigel K Arden, Catherine J Bowen
Background: Provision of podiatry services, like other therapies in the UK, is an area that lacks guidance by the National Institute for Health and Care Excellence. Many individuals living with arthritis in the UK are not eligible to access NHS podiatry services. The primary aim of this investigation was to understand the views of podiatry clinicians on their experiences of referral, access, provision and treatment for foot problems for patients who have arthritis. Methods: Focus groups were undertaken to explore, in-depth, individual views of podiatrists working in the UK to gain feedback on experiences of barriers and facilitators to referral, access, provision and treatment for foot problems for individuals living with arthritis...
2018: Journal of Foot and Ankle Research
Minah Ha, Anand Gangji
AIMS: This clinical audit aimed to review the Faster Cancer Tract pathway in Northland patients with gynaecological cancers to evaluate whether there has been an improvement since the previous audit in 2014-2015. METHODS: There were 46 patients who were discussed at the gynaecological oncology multidisciplinary meeting between January 2016 and December 2016 with confirmed gynaecological malignancy. Information regarding the time taken for various investigations, referrals, decisions and treatment to be completed for each patient was obtained from clinical records and compared against the Ministry of Health faster cancer treatment targets, standards of service provision and data from the previous audit...
June 22, 2018: New Zealand Medical Journal
Kevin A Kovach, Christina R Welter, Steven M Seweryn, Griselle Torres
OBJECTIVES: Collaboration between local health departments (LHDs) and schools and programs of public health (SPPH) may be a way to improve practice, education, and research. However, little is known about why LHDs and SPPH collaborate. This mixed-methods study addressed this issue by exploring what LHDs and SPPH perceive to be beneficial about their collaboration. METHODS: A mixed-methods study using quantitative and qualitative data was conducted. A survey of 2000 LHDs that completed the 2013 National Profile of LHDs measured how important and effective LHDs perceived 30 indicators of the 10 essential public health services to be for collaboration with SPPH...
June 20, 2018: Journal of Public Health Management and Practice: JPHMP
A R Giuliani, A Mattei, A Appetiti, D Pompei, F Di Donna, F Fiasca, L Fabiani
When the meningococcus B vaccine was introduced into Italy in 2017, it was recommended for newborns based on national epidemiological data indicating that they were at greater risk. However, the vaccination service of the local health authority of L'Aquila had already been receiving spontaneous parental requests to provide vaccination for children in lower-risk age groups from the beginning of 2016. We therefore decided to use a self-administered questionnaire in order to investigate the parents' socio-demographic data; their children's history of other recommended vaccinations (against measles, mumps and rubella, varicella, meningococcus C and, for females, human papilloma virus); the information sources concerning meningococcal vaccination; and the timing of its administration...
June 21, 2018: Human Vaccines & Immunotherapeutics
Molly Allison, Brynne Musser, Catherine Satterwhite, Kevin Ault, Patricia Kelly, Megha Ramaswamy
OBJECTIVES: To assess human papillomavirus (HPV) knowledge and vaccine awareness, intention, and uptake among adult inmates in Kansas jails. METHODS: We administered a survey with questions adapted from the US National Cancer Institute's Health Information National Trends Survey to 571 adult inmates in 3 Kansas jails from October 10 to 12, 2016, and January 25 to 27, 2017, to assess HPV knowledge and vaccine awareness, intention, and uptake. RESULTS: Although most adults across demographic groups recognized HPV as causing cervical cancer, knowledge was lower about other HPV-related cancers...
June 21, 2018: American Journal of Public Health
Lauren P Cleveland, Denise Simon, Jason P Block
OBJECTIVES: To examine early compliance with the delayed federal calorie labeling regulation that requires posting calories on menus and menu boards at retail food chains with 20 or more establishments nationally. METHODS: We explored implementation of calorie labeling at 90 of the largest US chain restaurants and the 10 highest-grossing supermarket chains from May to December 2017. We contacted corporate offices and at least 2 locations for each chain, made site visits when possible, and supplemented these efforts with targeted Internet searches...
June 21, 2018: American Journal of Public Health
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