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https://www.readbyqxmd.com/read/28632933/patient-characteristics-associated-with-a-successful-response-to-nurse-led-care-programs-targeting-the-oldest-old-a-comparison-of-two-rcts
#1
Nienke Bleijenberg, Lorenz Imhof, Romy Mahrer-Imhof, Margaret I Wallhagen, Niek J de Wit, Marieke J Schuurmans
BACKGROUND: To improve the effectiveness of community-based care programs, especially those targeting the oldest-old population (80+), data are needed that elucidate those factors associated with a successful response to the intervention. Two comparable nurse-led care programs have been evaluated in two large randomized controlled trials (RCTs), one in Switzerland and one in the Netherlands. AIMS: To identify common patient characteristics that are related to a successful response to proactive nurse-led care, we explored if and to what extent, identical factors were present in both study populations...
June 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28447103/comparison-of-clinical-outcomes-following-head-and-neck-surgery-among-patients-who-contract-to-abstain-from-alcohol-vs-patients-who-abuse-alcohol
#2
Azeem S Kaka, Songzhu Zhao, Enver Ozer, Amit Agrawal, Stephen Kang, James Rocco, Ricardo Carrau, Theodoros Teknos, John D Clapp, Harrison Weed, Matthew O Old
Importance: Alcohol abuse is highly prevalent in the population of patients with head and neck cancer, and active abuse at the time of surgery results in poor postoperative outcomes. Objective: To determine the association of alcohol abstinence with postoperative outcome in alcohol misusers undergoing major surgical procedures of the head and neck. Design, Setting, and Participants: As a case-control study, from July 2013 to August 2015, outcomes were collected in patients at an academic tertiary referral center requiring free flap reconstruction who had undergone an abstinence contract (n = 15) and compared with those who were abusers of alcohol prior to the inception of the protocol (n = 30)...
April 26, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28413803/epidemiology-of-burn-injuries-in-nepal-a-systemic-review
#3
REVIEW
Sanjib Tripathee, Surendra Jung Basnet
Burn is a global public health problem associated with significant morbidity and mortality, mostly in low- and middle-income countries. Southeast-Asian countries share a big burden of burn injuries, and Nepal is not an exception. We performed a systemic review to examine the epidemiological characteristics of burn injures in Nepal. Relevant epidemiological studies were identified through systemic search in PubMed, EMBASE, and Google Scholar. Reference lists from relevant review articles were also searched. Studies were included if they meet our selection criteria...
2017: Burns and trauma
https://www.readbyqxmd.com/read/28395673/rural-community-disaster-preparedness-and-risk-perception-in-trujillo-peru
#4
Matthew Stewart, Bridget Grahmann, Ariel Fillmore, L Scott Benson
Introduction Disasters will continue to occur throughout the world and it is the responsibility of the government, health care systems, and communities to adequately prepare for potential catastrophic scenarios. Unfortunately, low-and-middle-income countries (LMICs) are especially vulnerable following a disaster. By understanding disaster preparedness and risk perception, interventions can be developed to improve community preparedness and avoid unnecessary mortality and morbidity following a natural disaster...
April 11, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28386536/the-otago-exercise-program-innovative-delivery-models-to-maximize-sustained-outcomes-for-high-risk-homebound-older-adults
#5
Tiffany E Shubert, Lavinia Spring Goto, Matthew Lee Smith, Luohua Jiang, Holly Rudman, Marcia G Ory
BACKGROUND: It is estimated one in two adults age 80 and over fall each year, resulting in substantial morbidity and mortality rates among this oldest-old population. The Otago Exercise program (OEP) is an evidence-based fall prevention program shown to reduce falls by 35% among high-risk older adults. The OEP was designed to be delivered in the home by physical therapists. This model has encountered multiple implementation challenges in the United States health-care system, which has resulted in the development and testing of innovative models to support a broader reach and dissemination of this program...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28072669/swimming-pool-electrical-injuries-steps-toward-prevention
#6
Jun Tashiro, Cathy A Burnweit
OBJECTIVE: Electrical injuries in swimming pools are an important pediatric public health concern. We sought to (1) improve our understanding of the clinical presentation and outcomes following and (2) describe the epidemiology of swimming pool electrical injuries in the United States. METHODS: We reviewed 4 cases of pediatric (<18 y old) electrical injury from a single, urban level 1 pediatric trauma center. We also queried the National Electronic Injury Surveillance System (NEISS) for emergency department visits due to electrical injury associated with swimming pools, occurring between 1991 and 2013...
January 9, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27993253/-methodological-aspects-of-the-sampling-design-for-the-2015-national-mental-health-survey
#7
Nelcy Rodríguez, Viviana Alejandra Rodríguez, Eugenia Ramírez, Sandra Cediel, Fabián Gil, Martín Alonso Rondón
INTRODUCTION: The WHO has encouraged the development, implementation and evaluation of policies related to mental health all over the world. In Colombia, within this framework and promoted by the Ministry of Health and Social Protection, as well as being supported by Colciencias, the fourth National Mental Health Survey (NMHST) was conducted using a observational cross sectional study. According to the context and following the guidelines and sampling design, a summary of the methodology used for this sampling process is presented...
December 2016: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/27938363/reasons-for-defaulting-from-childhood-immunization-program-a-qualitative-study-from-hadiya-zone-southern-ethiopia
#8
Asamnew Zewdie, Mekitew Letebo, Tinsae Mekonnen
BACKGROUND: Reduction of mortality and morbidity from vaccine-preventable diseases in developing countries involves successfully implementing strategies that ensure high coverage and minimize drop-outs and missed opportunities. Achieving maximum coverage, however, has been a challenge due to many reasons, including high rates of defaulters from the program. The objective of this study was to explore the reasons behind defaulting from the immunization program. METHODS: A qualitative study was conducted in two districts of Hadiya zone, Southern Ethiopia between November 2014 and April 2015...
December 9, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27853506/household-air-pollution-and-its-effects-on-health
#9
REVIEW
Komalkirti Apte, Sundeep Salvi
Household air pollution is a leading cause of disability-adjusted life years in Southeast Asia and the third leading cause of disability-adjusted life years globally. There are at least sixty sources of household air pollution, and these vary from country to country. Indoor tobacco smoking, construction material used in building houses, fuel used for cooking, heating and lighting, use of incense and various forms of mosquito repellents, use of pesticides and chemicals used for cleaning at home, and use of artificial fragrances are some of the various sources that contribute to household air pollution...
2016: F1000Research
https://www.readbyqxmd.com/read/27836308/targeting-the-underlying-causes-of-undernutrition-cost-effectiveness-of-a-multifactorial-personalized-intervention-in-community-dwelling-older-adults-a-randomized-controlled-trial
#10
Rachel van der Pols-Vijlbrief, Hanneke A H Wijnhoven, Judith E Bosmans, Jos W R Twisk, Marjolein Visser
BACKGROUND & AIMS: Undernutrition in old age is associated with increased morbidity, mortality and health care costs. Treatment by caloric supplementation results in weight gain, but compliance is poor in the long run. Few studies targeted underlying causes of undernutrition in community-dwelling older adults. This study aimed to evaluate the cost-effectiveness of a multifactorial personalized intervention focused on eliminating or managing the underlying causes of undernutrition to prevent and reduce undernutrition in comparison with usual care...
October 15, 2016: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/27717124/is-colorectal-surgery-beyond-the-age-of-80-still-feasible-with-acceptable-mortality-an-analysis-of-the-predictive-value-of-cr-possum-and-life-expectancy-after-hospital-discharge
#11
A de Buck van Overstraeten, J Stijns, A Laenen, S Fieuws, A M Wolthuis, A D'Hoore
AIM: Increased morbidity and mortality could mitigate the positive effect of surgery in elderly patients undergoing colorectal resections. This retrospective study aims to describe early morbidity and mortality together with long-term survival in octogenarians and nonagenarians undergoing colorectal surgery. Predictors for in-hospital mortality are identified. The predictive value of CR-POSSUM is assessed. METHOD: Data on consecutive patients 80 years old or more undergoing a colorectal resection in our centre from 2004 until 2010 were analysed...
January 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27690311/knowledge-about-cervical-cancer-and-associated-factors-among-15-49-year-old-women-in-dessie-town-northeast-ethiopia
#12
Israel Mitiku, Fasika Tefera
BACKGROUND: Cervical cancer is one of the leading causes of morbidity and mortality amongst female cancer worldwide, especially in developing countries, including Ethiopia. The level of women's knowledge about cervical cancer is not well documented in Ethiopia. The current study sought to assess women's knowledge about cervical cancer and associated factors. METHODS: A community based cross-sectional survey was conducted with a sample of 620 women aged 15-49 years residing in Dessie town, Northeast Ethiopia...
2016: PloS One
https://www.readbyqxmd.com/read/27676953/effects-of-brisk-walking-on-autonomic-nervous-system-reactivation-in-nursing-home-residents-additional-effects-of-transcutaneous-vagus-nerve-stimulation
#13
Jérémy Raffin, Jean-Claude Barthelemy, Philippe Terrat, Marie-Christine Diana, Emilie Achour, Paul Calmels, Mathieu Oriol, Thierry Busso, Lallia Hammadi, Claude Montuy-Coquard, Rémi Bouvier, Rémi Poillerat, Frédéric Roche, David Hupin
OBJECTIVE: It is well established that physical activity reduces the physiological effects of ageing. Among them, is the decrease of the autonomic nervous system (ANS) activity, which is associated with the increase of cardiovascular events and morbidities. It has been shown that high intensity cycle training can enhance the ANS activity by 30% in people with the age of 70. However, such trainings were done by old athletes, used to train at intensities that could not be tolerated by sedentary old people, such as nursing home residents...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27489392/a-case-of-may-thurner-syndrome
#14
Emilia Calvaresi, Mahesh Swaminathan, Janet Jokela
May-Thurner syndrome is the condition of the left common iliac vein being compressed between the right common iliac artery and the associated vertebral body. This condition has been linked to spontaneous episodes of deep vein thrombosis (DVT), especially in women aged 20-50, and it may contribute to the slightly higher tendency to develop left-sided (~56%) versus right-sided DVTs. A 50-year-old morbidly obese (BMI 42.7 kg/m(2)) female presented to the emergency room with acute left leg pain. Past medical history included asthma...
2016: Carle Selected Papers
https://www.readbyqxmd.com/read/27485246/functional-independence-measure-for-elderly-patients-undergoing-aortic-valve-replacement
#15
Masaaki Ryomoto, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Shinya Fukui, Tetsuya Kajiyama, Ayaka Satou, Yuji Miyamoto, Domen Kazuhisa
OBJECTIVE: This study aimed to evaluate the efficacy of the Functional Independence Measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement. METHODS: Eighty-five patients >65 years who survived elective isolated aortic valve replacement from January 2008 to October 2015 were included. The mean age at the operation was 78 ± 6 years old (n = 28 males, n = 57 females). The patients were divided into two groups according to their status at discharge: impossible to discharge home or hospitalization for >30 days (compromised group, n = 8), or unaffected (unaffected group, n = 77)...
January 2017: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27449783/do-social-factors-predict-appropriate-treatment-of-child-diarrheal-disease-in-peru
#16
Kathryn Volpicelli, Alison M Buttenheim
Objectives Diarrheal disease is a significant cause of morbidity among children in Peru. Oral rehydration therapy (ORT) is a cost-effective evidence-based approach to treat diarrhea in young children, yet many Peruvian children in poorer households do not receive this life-saving treatment. This study investigates the social determinants of care-seeking behavior and utilization of appropriate home treatment for diarrheal episodes. Methods We used the nationally-representative 2008 Peru Demographic and Health Survey to: (1) describe the burden of non-bloody diarrheal disease among children <5 years old; and (2) identify socioeconomic correlates of care-seeking behavior and utilization/appropriateness of treatment among mothers of children with recent non-bloody diarrheal episodes (N = 1365)...
July 23, 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/27355291/prevalence-and-factors-associated-with-frailty-in-non-institutionalized-older-adults
#17
Jair Almeida Carneiro, Gizele Carmem Fagundes Ramos, Ana Teresa Fernandes Barbosa, José Marcio Girardi de Mendonça, Fernanda Marques da Costa, Antônio Prates Caldeira
OBJECTIVE: to investigate the prevalence and factors associated with frailty in non-institutionalized older adults living in northern Minas Gerais, Brazil. METHOD: data were collected in their homes, in 2013, based on a census cluster sampling. Demographic and socioeconomic variables, morbidities, utilization of health care services, and scores on the Edmonton Fragility Scale were analyzed. The adjusted prevalence ratios were obtained using the Poisson regression multiple analysis with robust variance...
June 2016: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/27313923/acute-intestinal-obstruction-complicating-abdominal-pregnancy-conservative-management-and-successful-outcome
#18
Gerald Okanandu Udigwe, George Uchenna Eleje, Eric Chukwudi Ihekwoaba, Onyebuchi Izuchukwu Udegbunam, Richard Obinwanne Egeonu, Ayodele Obianuju Okwuosa
Background. Acute intestinal obstruction during pregnancy is a very challenging and unusual nonobstetric surgical entity often linked with considerable fetomaternal morbidity and mortality. When it is synchronous with abdominal pregnancy, it is even rarer. Case Presentation. A 28-year-old lady in her second pregnancy was referred to Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria, at 27 weeks of gestation due to vomiting, constipation, and abdominal pain. Examination and ultrasound scan revealed a single live intra-abdominal extrauterine fetus...
2016: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27260196/co-morbidities-complications-and-causes-of-death-among-people-with-femoral-neck-fracture-a-three-year-follow-up-study
#19
Monica Berggren, Michael Stenvall, Undis Englund, Birgitta Olofsson, Yngve Gustafson
BACKGROUND: The poor outcome after a hip fracture is not fully understood. The aim of the study was to describe the prevalence of co-morbidities, complications and causes of death and to investigate factors that are able to predict mortality in old people with femoral neck fracture. METHODS: Data was obtained from a randomized, controlled trial with a 3-year follow-up at Umeå University Hospital, Sweden, which included 199 consecutive patients with femoral neck fracture, aged ≥70 years...
2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27255923/a-cluster-randomized-controlled-trial-of-nutritional-supplementation-and-promotion-of-responsive-parenting-in-madagascar-the-mahay-study-design-and-rationale
#20
Lia C H Fernald, Emanuela Galasso, Jumana Qamruddin, Christian Ranaivoson, Lisy Ratsifandrihamanana, Christine P Stewart, Ann M Weber
BACKGROUND: Over half of the world's children suffer from poor nutrition, and as a consequence they experience delays in physical and mental health, and cognitive development. There is little data evaluating the effects of delivery of lipid-based, nutrition supplementation on growth and development during pregnancy and early childhood within the context of a scaled-up program. Furthermore, there is limited evidence on effects of scaled-up, home-visiting programs that focus on the promotion of child development within the context of an existing, national nutrition program...
2016: BMC Public Health
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