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https://www.readbyqxmd.com/read/28812502/post-discharge-care-for-patients-following-stoma-formation-what-the-nurse-needs-to-know
#1
Jennie Burch
Rationale and key points This article discusses post-discharge care for patients following stoma formation. While the patient is taught the practicalities of managing the stoma appliance in hospital, this learning should be integrated into their daily life following discharge from hospital. Nurses are required to consider and address any issues that might affect the patient in the long term. These include changes in body image, adapting to having a stoma, preventing or treating complications associated with a stoma, and long-term follow-up...
August 16, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28810814/acceptability-of-a-vocational-advice-service-for-patients-consulting-in-primary-care-with-musculoskeletal-pain-a-qualitative-exploration-of-the-experiences-of-general-practitioners-vocational-advisers-and-patients
#2
Tom Sanders, Gwenllian Wynne-Jones, Bie Nio Ong, Majid Artus, Nadine Foster
AIMS: Using qualitative interviews, this study explored the experiences of GPs, vocational advisers and patients towards a new vocational advice (VA) service in primary care. METHODS: This study was nested within the Study of Work and Pain (SWAP) cluster randomised controlled trial. The SWAP trial located a VA service within three general practices in Staffordshire. Interviews took place with 10 GPs 12 months after the introduction of the VA service, four vocational advisers whilst the VA service was running and 20 patients on discharge from the VA service...
August 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/28808588/appropriate-weaning-practice-and-associated-factors-among-infants-and-young-children-in-northwest-ethiopia
#3
Liknaw Bewket Zeleke, Mengistu Welday Gebremichael, Yohannes Mehretie Adinew, Kelemeu Abebe Gelaw
BACKGROUND: The right nutrition from the start of a pregnancy to the child's second birthday has a profound impact on the future health, wellbeing, and success of a child. This can be achieved through proper maternal nutrition during pregnancy, exclusive breastfeeding, and appropriate weaning practice. OBJECTIVE: This study was aimed at assessing appropriate weaning practice and associated factors among infants and young children aged 6-23 months in Feres Bet Town, Northwest Ethiopia...
2017: Journal of Nutrition and Metabolism
https://www.readbyqxmd.com/read/28808077/gps-knowledge-use-and-confidence-in-national-physical-activity-and-health-guidelines-and-tools-a-questionnaire-based-survey-of-general-practice-in-england
#4
Robin Chatterjee, Tim Chapman, Mike Gt Brannan, Justin Varney
BACKGROUND: Physical activity (PA) brief advice in health care is effective at getting individuals active. It has been suggested that one in four people would be more active if advised by a GP or nurse, but as many as 72% of GPs do not discuss the benefits of physical activity with patients. AIM: To assess the knowledge, use, and confidence in national PA and Chief Medical Officer (CMO) health guidelines and tools among GPs in England. DESIGN AND SETTING: Online questionnaire-based survey of selfselecting GPs in England that took place over a 10-day period in March 2016...
August 14, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28807977/can-secure-patient-provider-messaging-improve-diabetes-care
#5
Sukyung Chung, Laura Panattoni, Jeffrey Chi, Latha Palaniappan
OBJECTIVE: Internet-based secure messaging between patients and providers through a patient portal is now common in the practice of modern medicine. There is limited evidence on how messaging is associated with use and clinical quality measures among patients with type 2 diabetes. We examine whether messaging with physicians for medical advice is associated with fewer face-to-face visits and better diabetes management. RESEARCH DESIGN AND METHODS: Patients with diabetes who were enrolled in an online portal of an outpatient health care organization in 2011-2014 were studied (N = 37,762 patient-years)...
August 14, 2017: Diabetes Care
https://www.readbyqxmd.com/read/28805068/medication-errors-and-trainees-advice-for-learners-and-organizations
#6
James S Wheeler, Rosemary Duncan, Kenneth Hohmeier
Limited information exists regarding medication errors and trainees (students or residents). Yet during the experiential education component of their training, learners are expected to assume significant responsibilities in the medication use process. This commentary addresses both trainees and organization leaders on medication safety practices and the incorporation of learners into the organization's medication safety culture.
August 1, 2017: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/28804929/factors-moderating-the-relative-effectiveness-of-varenicline-and-nicotine-replacement-therapy-in-clients-using-smoking-cessation-services
#7
Neil Walker, Heather Gainforth, Vasiliki Kiparoglou, Hayley Robinson, Hugo van Woerden, Robert West
AIMS: To assess how far the greater effectiveness of varenicline over nicotine replacement therapy (NRT) is moderated by characteristics of the smokers or setting in clinical practice. DESIGN: We used observational data from 22,472 treatment episodes between 2013 and 2016 from smoking cessation services in England to assess whether differences between varenicline and NRT were moderated by a set of smoker and setting characteristics: these included level of social deprivation, age, gender, ethnic group, nicotine dependence, and treatment context...
August 13, 2017: Addiction
https://www.readbyqxmd.com/read/28802284/simple-questions-in-salt-intake-behavior-assessment-comparison-with-urinary-sodium-excretion-in-japanese-adults
#8
Ken Uechi, Keiko Asakura, Yuki Sasaki, Shizuko Masayasu, Satoshi Sasaki
BACKGROUND AND OBJECTIVES: To clarify whether six conventional 'high-risk' behaviors toward excess salt intake captured by simple questions such as frequency of salty food consumption are related to actual salt intake. Also, to examine the relationship of nutrition knowledge, food label use, and food preparation with actual salt intake. METHODS AND STUDY DESIGN: Study participants were 742 subjects (370 men and 372 women) aged 20-69 years from 20 areas of Japan...
2017: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28800337/the-new-zealand-neuromuscular-disease-patient-registry-five-years-and-a-thousand-patients
#9
Miriam J Rodrigues, Gina L O'Grady, Graeme Hammond-Tooke, Alexa Kidd, Donald O Love, Ronelle K Baker, Richard H Roxburgh
The New Zealand Neuromuscular Disease Patient Registry has been recruiting for five years. Its primary aim is to enable people with neuromuscular disease to participate in research including clinical trials. It has contributed data to large anonymised cohort studies and many feasibility studies, and has provided practical information and advice to researchers wanting to work with people with neuromuscular conditions. 1019 people have enrolled since the Registry's launch in August 2011 with over 70 different diagnoses...
August 11, 2017: Journal of Neuromuscular Diseases
https://www.readbyqxmd.com/read/28796578/sharing-sex-secrets-on-facebook-a-content-analysis-of-youth-peer-communication-and-advice-exchange-on-social-media-about-sexual-health-and-intimate-relations
#10
Tien Ee Dominic Yeo, Tsz Hang Chu
Social media present opportunities and challenges for sexual health communication among young people. This study is one of the first to examine the actual use of Facebook for peer communication of sexual health and intimate relations. Content analysis of 2186 anonymous posts in a "sex secrets" Facebook page unofficially affiliated with a Hong Kong University shows gender balance among posters, inclusiveness of sexual minorities, and frequent sharing of personal experiences in storytelling or advice seeking...
August 10, 2017: Journal of Health Communication
https://www.readbyqxmd.com/read/28795893/editor-s-advice-for-new-manuscripts-extending-knowledge-and-transforming-practice-with-families
#11
Janice M Bell
No abstract text is available yet for this article.
May 2017: Journal of Family Nursing
https://www.readbyqxmd.com/read/28792580/-mental-health-in-primary-care-applying-psychiatric-knowledge-to-primary-care-or-a-whole-different-practice
#12
Philippe Karazivan, Marie Leclaire, Cédric Andres
BACKGROUND: In Canada and several other countries, large cohorts of patients who used to be followed in psychiatric clinics are now steered toward primary care. To support this new reality, measures have been taken and investments made in service organization, collaborative work arrangements, and teaching geared toward primary care clinicians. However, these initiatives were implemented when little was known about GPs' needs. METHODS: Using a qualitative approach, we analyzed the content of GPs' statements to explore when, why, and for what concerns GPs are inclined to collaborate with or seek advice from psychiatrists...
2017: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/28792336/gps-anticoagulant-prescribing-is-not-always-best-practice
#13
(no author information available yet)
GPs are prescribing anticoagulants to people with an irregular heartbeat against official advice, which can affect patient safety, a study has found.
August 9, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28781150/2016-guidelines-for-the-use-of-antifungal-agents-in-patients-with-invasive-fungal-diseases-in-taiwan
#14
REVIEW
Hsiang-Chi Kung, Po-Yen Huang, Wei-Ting Chen, Bor-Sheng Ko, Yee-Chun Chen, Shan-Chwen Chang, Yin-Ching Chuang
The Infectious Diseases Society of Taiwan, Medical Foundation in Memory of Dr. Deh-Lin Cheng, Foundation of Professor Wei-Chuan Hsieh for Infectious Diseases Research and Education, and CY Lee's Research Foundation for Pediatric Infectious Diseases and Vaccines have updated the guidelines for the use of antifungal agents in adult patients with invasive fungal diseases in Taiwan. This guideline replaces the 2009 version. Recommendations are provided for Candida, Cryptococcus, Aspergillus and Mucormycetes. The focus is based on up-to-date evidence on indications for treatment or prophylaxis of the most common clinical problems...
July 25, 2017: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
https://www.readbyqxmd.com/read/28776481/tobacco-cessation-in-vietnam-exploring-the-role-of-village-health-workers
#15
Nam Nguyen, Trang Nguyen, Jessica Chapman, Linh Nguyen, Pritika Kumar, Nancy VanDevanter, Donna Shelley
The purpose of this study was to explore current tobacco use treatment (TUT) practice patterns, and attitudes and beliefs among Village Health Workers (VHWs) about expanding their role to include delivering smoking cessation interventions and the perceived barriers. We conducted a survey of 449 VHWs from 26 communes in Thai Nguyen province, Vietnam. We assessed TUT practice patterns including asking about tobacco use, advising smokers to quit, offering assistance (3As) and attitudes, self-efficacy, and norms related to TUT...
August 4, 2017: Global Public Health
https://www.readbyqxmd.com/read/28776437/warfarin-monitoring-in-nursing-homes-assessed-by-case-histories-do-recommendations-and-electronic-alerts-affect-judgements
#16
Reyes Serrano Teruel, Geir Thue, Svein Ivar Fylkesnes, Sverre Sandberg, Ann Helen Kristoffersen
PURPOSE: Older adults treated with warfarin are prone to complications, and high-quality monitoring is essential. The aim of this case history based study was to assess the quality of warfarin monitoring in a routine situation, and in a situation with an antibiotic-warfarin interaction, before and after receiving an electronic alert. MATERIALS AND METHODS: In April 2014, a national web-based survey with two case histories was distributed among Norwegian nursing home physicians and general practitioners working part-time in nursing homes...
August 4, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28772332/-expert-knowledge-and-supporting-advice-for-the-clinical-use-of-nintedanib-in-patients-with-idiopathic-pulmonary-fibrosis
#17
J Behr, A Günther, M Kreuter, D Koschel, A Prasse, M Pfeifer, U Costabel
In October 2016, a group of German IPF experts were invited by Boehringer Ingelheim to meet in Frankfurt with the aim, (a) to discuss relevant aspects of the management and treatment of idiopathic pulmonary fibrosis (IPF) using nintedanib; and, (b) to provide supportive advice for daily clinical practice with nintedanib. The resulting information compiled in this document is confined to practical issues regarding the use of nintedanib in patients with IPF. Where different therapeutic options were available, the choice of IPF medication was not discussed and the experts alluded to current guidelines for the diagnosis and treatment of IPF...
August 3, 2017: Pneumologie
https://www.readbyqxmd.com/read/28767958/strategic-factors-for-the-sustainability-of-a-health-intervention-at-municipal-level-of-brazil
#18
Sydia Rosana de Araujo Oliveira, Maria Guadalupe Medina, Ana Cláudia Figueiró, Louise Potvin
The present study aims to describe the evolution of an intervention, using a methodology that adopts the critical event as the unit of analysis, and to identify strategic factors that facilitate the continuation of the interventions. Six critical events were identified: dispute care models for health; area of advice: dispute field; change policy; break of interorganizational relations; lack of physical structure and turnover of staff; difficulty in organizing practices in the work process. these are developed into strategic factors: enabling network of allies; meetings and educational activities/building capacity; benefits perceived by community members; mobilization of key actors; intervention's compatibility with the government's vision; restoration of interrelationship; and stability of the workforce...
July 27, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28767299/the-mental-capacity-act-best-interests-a-review-of-the-literature
#19
Helen Marshall, Sally Sprung
The Mental Capacity Act (MCA) is statutory legislation introduced in 2007 in order to provide a consistent, robust framework with the aim to protect and empower people to make decisions themselves. However, an assessment as per the MCA may demonstrate that a person is lacking mental capacity and therefore unable to make an autonomous decision at the time it needs to be made. In this case, a 'best interests' decision may be made on their behalf, ensuring their wishes and beliefs are at the centre of the decision-making process...
August 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28766090/what-do-pediatricians-tell-parents-about-bed-sharing
#20
Paula Schaeffer, Andrea G Asnes
Background and objectives Despite the risks of bed-sharing, little is known about what pediatricians tell parents about bed-sharing with infants and whether pediatricians provide specific recommendations outlined by the American Academy of Pediatrics (AAP). This study aimed to understand pediatricians' opinions about bed-sharing and the advice pediatricians provide to parents about bed sharing. Methods The study employed a qualitative study design and the conceptual framework of the Theory of Planned Behavior...
August 1, 2017: Maternal and Child Health Journal
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