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https://www.readbyqxmd.com/read/27903561/keeping-weight-off-study-protocol-of-an-rct-to-investigate-brain-changes-associated-with-mindfulness-based-stress-reduction
#1
Carl Fulwiler, Julia A Siegel, Jeroan Allison, Milagros C Rosal, Judson Brewer, Jean A King
INTRODUCTION: Obesity is a growing epidemic fuelled by unhealthy behaviours and associated with significant comorbidities and financial costs. While behavioural interventions produce clinically meaningful weight loss, weight loss maintenance is challenging. This may partially be due to failure to target stress and emotional reactivity. Mindfulness-based stress reduction (MBSR) reduces stress and emotional reactivity and may be a useful tool for behaviour change maintenance. This study seeks to provide a mechanistic understanding for clinical trials of the benefits of MBSR for weight loss maintenance by examining changes in functional connectivity (FC) and the association of these changes with clinical outcomes...
November 30, 2016: BMJ Open
https://www.readbyqxmd.com/read/27903282/start-now-a-comprehensive-skills-training-programme-for-female-adolescents-with-oppositional-defiant-and-conduct-disorders-study-protocol-for-a-cluster-randomised-controlled-trial
#2
Linda Kersten, Martin Prätzlich, Sandra Mannstadt, Katharina Ackermann, Gregor Kohls, Helena Oldenhof, Daniel Saure, Katrin Krieger, Beate Herpertz-Dahlmann, Arne Popma, Christine M Freitag, Robert L Trestman, Christina Stadler
BACKGROUND: In Europe, the number of females exhibiting oppositional defiant disorder (ODD) and conduct disorder (CD) is growing. Many of these females live in youth welfare institutions. Consequently, there is a great need for evidence-based interventions within youth welfare settings. A recently developed approach targeting the specific needs of girls with ODD and CD in residential care is START NOW. The aim of this group-based behavioural skills training programme is to specifically enhance emotional regulation capacities to enable females with CD or ODD to appropriately deal with daily-life demands...
December 1, 2016: Trials
https://www.readbyqxmd.com/read/27898736/long-term-antiretroviral-treatment-adherence-in-hiv-infected-adolescents-and-adults-in-uganda-a-qualitative-study
#3
Seth C Inzaule, Raph L Hamers, Cissy Kityo, Tobias F Rinke de Wit, Maria Roura
BACKGROUND: Long-term success of HIV antiretroviral therapy requires near-perfect adherence, maintained throughout one's lifetime. However, perceptions towards ART and patterns of adherence may change during the life course. We assessed challenges to long-term adherence in adolescents and adults in three regional HIV treatment centers in Uganda. METHODS: We conducted 24 in-depth interviews and 2 focus group discussions with a total of 33 health-care providers and expert clients (HIV patients on long-term ART who assist with adherence support of fellow patients)...
2016: PloS One
https://www.readbyqxmd.com/read/27893060/association-between-allergen-exposure-in-inner-city-schools-and-asthma-morbidity-among-students
#4
William J Sheehan, Perdita Permaul, Carter R Petty, Brent A Coull, Sachin N Baxi, Jonathan M Gaffin, Peggy S Lai, Diane R Gold, Wanda Phipatanakul
Importance: Home aeroallergen exposure is associated with increased asthma morbidity in children, yet little is known about the contribution of school aeroallergen exposures to such morbidity. Objective: To evaluate the effect of school-specific aeroallergen exposures on asthma morbidity among students, adjusting for home exposures. Design, Setting, and Participants: The School Inner-City Asthma Study was a prospective cohort study evaluating 284 students aged 4 to 13 years with asthma who were enrolled from 37 inner-city elementary schools in the northeastern United States between March 1, 2008, and August 31, 2013...
November 21, 2016: JAMA Pediatrics
https://www.readbyqxmd.com/read/27884719/systematic-review-and-meta-analysis-of-randomised-controlled-trials-on-the-effectiveness-of-school-based-dental-screening-versus-no-screening-on-improving-oral-health-in-children
#5
REVIEW
Easter Joury, Eduardo Bernabe, Wael Sabbah, Kamal Nakhleh, Kurinchi Gurusamy
OBJECTIVES: The current study aimed to evaluate the effectiveness of school-based dental screening versus no screening on improving oral health in children aged 3-18 years by a systematic review and meta-analysis of randomised controlled trials. SOURCES AND STUDY SELECTION: Three sets of independent reviewers searched MEDLINE, EMBASE, Web of Science and other sources through April 2016 to identify published and nonpublished studies without language restrictions and extracted data...
November 21, 2016: Journal of Dentistry
https://www.readbyqxmd.com/read/27882650/a-qualitative-assessment-of-west-virginia-pharmacist-activities-and-attitude-in-diabetes-management
#6
Aymen Shatnawi, David A Latif
AIMS AND OBJECTIVES: The role of pharmacists in chronic disease state management has been shown to significantly improve patient health outcomes and reduce overall health care costs. The current study is designed to assess the roles and attitudes of West Virginia (WV) pharmacists toward diabetes, evaluate services provided, address pharmacist clinical understanding and training, and demonstrate the challenges that limit pharmacists ability to deliver an efficient disease state management...
November 24, 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27876685/efficacy-of-mobile-serious-games-in-increasing-hiv-risk-perception-in-swaziland-a-randomized-control-trial-sgprev-trial-research-protocol
#7
Bhekumusa Wellington Lukhele, Patou Musumari, Christina El-Saaidi, Teeranee Techasrivichien, S Pilar Suguimoto, Masako Ono Kihara, Masahiro Kihara
BACKGROUND: The human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) continue to be a major public health problem in Sub-Saharan Africa (SSA), particularly in Swaziland, which has the highest HIV prevalence in this region. A wide range of strategies and interventions have been used to promote behavior change, though almost all such interventions have involved mass media. Therefore, innovative behavior change strategies beyond mass media communication are urgently needed...
November 22, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27875057/national-athletic-trainers-association-position-statement-preventing-and-managing-sport-related-dental-and-oral-injuries
#8
Trenton E Gould, Scott G Piland, Shane V Caswell, Dennis Ranalli, Stephen Mills, Michael S Ferrara, Ron Courson
OBJECTIVE:  To provide athletic trainers, health care professionals, and all those responsible for the care of athletes with clinical recommendations for preventing and managing sport-related dental and oral injuries. BACKGROUND:  Participation in competitive sports continues to grow at both the interscholastic and intercollegiate levels. Therefore, exposure to, and the incidence of athletic-related injury, including orofacial injury, will also likely increase...
November 22, 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27875052/the-role-of-academic-institutions-in-fostering-interprofessional-educational-models
#9
Romesh P Nalliah, Lisa A Thompson, Lee A Wellman, Brian J Swann
Dentistry is much broader than the conditions it treats. In 2014, the Harvard School of Dental Medicine convened a leadership forum, "Put Your Money Where Your Mouth Is: The Economic Imperative of Oral Health." Based on the goals of that initiative to advocate for an integrated healthcare system, the authors have presented pertinent information from two major research projects and two major clinical programs, which, collectively, aim to bring oral health into primary care and raise the awareness of the connections between oral health and systemic health...
November 2016: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/27866245/the-impact-of-socioeconomic-status-on-perioperative-complications-and-oncologic-outcomes-in-patients-undergoing-radical-cystectomy
#10
David M Golombos, Padraic O'Malley, Patrick Lewicki, Daniel P Nguyen, Benjamin V Stone, Bashir Al Hussein Al Awamlh, Douglas S Scherr
PURPOSE: To examine if patients of lower socioeconomic status (SES) are at higher risk of perioperative complications and experience different oncologic outcomes after radical cystectomy (RC). METHODS: Retrospective review was performed on 383 consecutive non-metastatic patients who underwent definitive RC at a tertiary referral center. Along with clinical and pathologic parameters traditionally utilized for risk stratification, potential social determinants of health were estimated using US Census data...
November 19, 2016: World Journal of Urology
https://www.readbyqxmd.com/read/27866161/self-administered-assessment-of-health-literacy-in-adolescents-using-the-newest-vital-sign
#11
Lauren A Linnebur, Sunny A Linnebur
The "Newest Vital Sign" (NVS) is a validated health literacy assessment tool typically administered by clinicians. The objective of this study was to assess if the NVS could be self-administered in adolescents to measure health literacy. Sixth graders in a Colorado middle school were provided a self-administered survey containing the NVS, a section for parent permission, and a section for the student's age, gender, grade, and previous elementary school. In all, 167 sixth graders returned usable surveys (45% return rate), and the average health literacy score was 3...
November 18, 2016: Health Promotion Practice
https://www.readbyqxmd.com/read/27864799/primordial-prevention-of-cardiometabolic-risk-in-childhood
#12
Meryem A Tanrikulu, Mehmet Agirbasli, Gerald Berenson
Fetal life and childhood are important in the development of cardiometabolic risk and later clinical disease of atherosclerosis, hypertension and diabetes mellitus. Molecular and environmental conditions leading to cardiometabolic risk in early life bring us a challenge to develop effective prevention and intervention strategies to reduce cardiovascular (CV) risk in children and later disease. It is important that prevention strategies begin at an early age to reduce future CV morbidity and mortality. Pioneering work from longitudinal studies such as Bogalusa Heart Study (BHS), the Finnish Youth Study and other programs provide an awareness of the need for public and health services to begin primordial prevention...
November 19, 2016: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/27864012/toolbox-of-multiple-item-measures-aligning-with-the-icf-core-sets-for-children-and-youth-with-cerebral-palsy
#13
REVIEW
Verónica Schiariti, Sandy Tatla, Karen Sauve, Maureen O'Donnell
Selecting appropriate measure(s) for clinical and/or research applications for children and youth with Cerebral Palsy (CP) poses many challenges. The newly developed International Classification of Functioning, Disability and Health (ICF) Core Sets for children and youth with CP serve as universal guidelines for assessment, intervention and follow-up. The aims of this study were: 1) to identify valid and reliable measures used in studies with children and youth with CP, 2) to characterize the content of each measure using the ICF Core Sets for children and youth with CP as a framework, and finally 3) to create a toolbox of psychometrically sound measures covering the content of each ICF Core Set for children and youth with CP...
November 4, 2016: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/27861917/saskatchewan-s-school-based-dental-program-staffed-by-dental-therapists-a-retrospective-case-study
#14
Kavita R Mathu-Muju, Jay W Friedman, David A Nash
OBJECTIVES: The poor oral health of Saskatchewan's children, in concert with a significant shortage of dentists, prompted the province in the early 1970s to seek an alternative method of addressing the oral health care needs of children. The result was the Saskatchewan Health Dental Plan (SHDP), which trained and employed dental therapists in school-based clinics to provide basic dental care to all children. The program was initiated over the opposition of Saskatchewan's dentists. The purpose of this research was to provide information and data previously not documented in the refereed dental literature regarding the only school-based program staffed by dental therapists to ever exist in North America...
November 12, 2016: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/27855685/understanding-the-barriers-to-successful-adoption-and-use-of-a-mobile-health-information-system-in-a-community-health-center-in-s%C3%A3-o-paulo-brazil-a-cohort-study
#15
Jayant V Rajan, Juliana Moura, Gato Gourley, Karina Kiso, Alexandre Sizilio, Ana Maria Cortez, Lee W Riley, Maria Amelia Veras, Urmimala Sarkar
BACKGROUND: Mobile technology to support community health has surged in popularity, yet few studies have systematically examined usability of mobile platforms for this setting. METHODS: We conducted a mixed-methods study of 14 community healthcare workers at a public healthcare clinic in São Paulo, Brazil. We held focus groups with community healthcare workers to elicit their ideas about a mobile health application and used this input to build a prototype app. A pre-use test survey was administered to all participants, who subsequently use-tested the app on three different devices (iPhone, iPad mini, iPad Air)...
November 17, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27849672/beyond-infrastructure-understanding-why-patients-decline-surgery-in-the-developing-world-an-observational-study-in-cameroon
#16
Benjamin J Lerman, Marcella Alsan, Ngew J Chia, James A Brown, Sherry M Wren
OBJECTIVE: The aim of this study was to quantify and describe a population of patients in rural Cameroon who present with a surgically treatable illness but ultimately decline surgery, and to understand the patient decision-making process and identify key socioeconomic factors that result in barriers to care. BACKGROUND: An estimated 5 billion people lack access to safe, affordable surgical care and anesthesia when needed, and this unmet need resides disproportionally in low-income countries (LICs)...
November 15, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27848220/evolocumab-for-treating-primary-hypercholesterolaemia-and-mixed-dyslipidaemia-an-evidence-review-group-perspective-of-a-nice-single-technology-appraisal
#17
REVIEW
Christopher Carroll, Paul Tappenden, Rachid Rafia, Jean Hamilton, Duncan Chambers, Mark Clowes, Paul Durrington, Nadeem Qureshi, Anthony S Wierzbicki
As part of its Single Technology Appraisal (STA) process, the National Institute for Health and Care Excellence (NICE) invited the manufacturer of evolocumab (Amgen) to submit evidence on the clinical and cost effectiveness of evolocumab. The appraisal assessed evolocumab as monotherapy or in combination with a statin (HMG-CoA reductase inhibitor) with or without ezetimibe, or in combination with ezetimibe (without statin therapy), in adult patients with primary hypercholesterolaemia (which includes mixed dyslipidaemia), for whom statins do not provide optimal control of their low-density lipoprotein cholesterol (LDL-C) levels and/or for whom statins are contraindicated or not tolerated...
November 16, 2016: PharmacoEconomics
https://www.readbyqxmd.com/read/27833512/impact-of-sociodemographic-attributes-and-dental-caries-on-quality-of-life-of-intellectual-disabled-children-using-ecohis
#18
Vikram Pal Aggarwal, Anmol Mathur, C L Dileep, Manu Batra, Diljot Kaur Makkar
OBJECTIVES: To assess the impact of oral health outcomes on Oral Health-Related Quality of Life (OHRQoL) among intellectual disabled children and their families. METHODOLOGY: OHRQoL based study was conducted among 150 intellectual disabled children students in the North West part of the country, Rajasthan, India. Guardians were asked to complete questionnaire on socioeconomic status and the Early Childhood Oral Health Impact Scale (ECOHIS) on their perception of the children's OHRQoL...
October 2016: International Journal of Health Sciences
https://www.readbyqxmd.com/read/27832209/handgrip-strength-and-factors-associated-in-poor-elderly-assisted-at-a-primary-care-unit-in-rio-de-janeiro-brazil
#19
Valéria Teresa Saraiva Lino, Nádia Cristina Pinheiro Rodrigues, Gisele O'Dwyer, Mônica Kramer de Noronha Andrade, Inês Echenique Mattos, Margareth Crisóstomo Portela
INTRODUCTION: Sarcopenia is a condition diagnosed when the patient presents low muscle mass, plus low muscle strength or low physical performance. Muscle weakness in the oldest (dynapenia) is a major public health concern because it predicts future all-cause mortality and is associated with falls, disability, cardiovascular mortality and morbidity. Grip strength is a simple method for assessment of muscle function in clinical practice. OBJECTIVE: To estimate the grip strength and identify factors associated with handgrip strength variation in elderly people with low socioeconomic status...
2016: PloS One
https://www.readbyqxmd.com/read/27826413/parental-regret-regarding-children-s-vaccines-the-correlation-between-anticipated-regret-altruism-coping-strategies-and-attitudes-toward-vaccines
#20
Yaira Hamama-Raz, Eyal Ginossar-David, Menachem Ben-Ezra
BACKGROUND: Parental hesitancy for recommended childhood vaccines is a growing public health concern influenced by various factors. This study aimed to explore regret regarding parental decisions to vaccinate their children via possible correlations between anticipated regret, altruism, coping strategies, and parents' attitudes toward the vaccination of their children. METHODS: The study was conducted during 2014 in Israel. Data were collected via snowballing methodology (i...
2016: Israel Journal of Health Policy Research
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