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https://www.readbyqxmd.com/read/29232365/monitoring-compliance-with-standards-of-care-for-chronic-diseases-using-healthcare-administrative-databases-in-italy-strengths-and-limitations
#1
Rosa Gini, Martijn J Schuemie, Alessandro Pasqua, Emanuele Carlini, Francesco Profili, Iacopo Cricelli, Patrizio Dazzi, Valentina Barletta, Paolo Francesconi, Francesco Lapi, Andrea Donatini, Giulia Dal Co, Modesta Visca, Mariadonata Bellentani, Miriam Sturkenboom, Niek Klazinga
BACKGROUND: A recent comprehensive report on healthcare quality in Italy published by the Organization of Economic Co-operation and Development (OECD) recommended that regular monitoring of quality of primary care by means of compliance with standards of care for chronic diseases is performed. A previous ecological study demonstrated that compliance with standards of care could be reliably estimated on regional level using administrative databases. This study compares estimates based on administrative data with estimates based on GP records for the same persons, to understand whether ecological fallacy played a role in the results of the previous study...
2017: PloS One
https://www.readbyqxmd.com/read/29232320/the-impact-of-osteoarthritis-on-the-functioning-and-health-status-of-a-low-income-population-an-example-of-a-disability-paradox
#2
Jorge A Esquivel-Valerio, Wendy Marisol Orzua-de la Fuente, Brenda R Vázquez-Fuentes, Mario Alberto Garza-Elizondo, Roberto Negrete-López, Daniel O Treviño-Montes, Rebeca Thelma Martínez-Villarreal, Jaqueline Rodríguez-Amado, Ingris Peláez-Ballestas, Adalberto Loyola-Sánchez
OBJECTIVE: The aim of this study was to measure the impact of osteoarthritis on the functioning and health status of individuals living in a low-income urban community in Mexico. METHODS: We conducted a cross-sectional, community-based study from December 2014 to November 2015, using the Community Oriented Program for Control of Rheumatic Diseases methodology to identify cases of musculoskeletal disease in a sample of adults older than 18 years in Pueblo Nuevo, Apodaca, Mexico...
December 12, 2017: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29232085/use-of-paid-and-unpaid-personal-help-by-medicare-beneficiaries-needing-long-term-services-and-supports
#3
Amber Willink, Karen Davis, John Mulcahy, Jennifer L Wolff
Issue: Older adults who reside in communities, as opposed to nursing homes or other residential institutions, are largely dependent on family and unpaid caregivers for assistance with daily activities, like preparing meals or laundry, and self-care tasks like bathing or dressing. For low-income older adults, assistance with such activities, also known as long-term services and supports (LTSS), can also come from Medicaid. These sources of support will be increasingly inadequate as the population ages...
November 1, 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/29231952/musculoskeletal-symptoms-among-finnish-professional-orchestra-musicians
#4
Katriina Viljamaa, Juha Liira, Seppo Kaakkola, Aslak Savolainen
BACKGROUND: The prevalence of musculoskeletal symptoms is high among professional musicians (73-88%). AIMS: We investigated the prevalence of musculoskeletal symptoms in Finnish symphony orchestra musicians. We compared individual instruments as well as the perceived demands of orchestral programs and difficulties in recovering after performances. METHODS: In this cross-sectional questionnaire 920 of 2,785 members of the Finnish Musicians' Union (33%) completed the questionnaire, including 361 full-time members of symphony orchestras...
December 2017: Medical Problems of Performing Artists
https://www.readbyqxmd.com/read/29231752/differences-between-slovak-and-dutch-patients-scheduled-for-coronary-artery-bypass-graft-surgery-regarding-clinical-and-psychosocial-predictors-of-physical-and-mental-health-related-quality-of-life
#5
Noha El-Baz, Daniela Ondusova, Martin Studencan, Jaroslav Rosenberger, Sijmen A Reijneveld, Jitse P van Dijk, Berrie Middel
BACKGROUND: Differences in health-related quality of life in coronary artery disease patients and associated factors between patients of central and western European descent are rarely investigated. We aim to test differences between Dutch and Slovak health-related quality of life, whether nationality predicted health-related quality of life and if standardised beta weights of health-related quality of life determinants differ across countries. DESIGN: An observational multicentre study at university cardiac centres in the Netherlands and Slovakia...
December 1, 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29231745/persistence-of-social-jetlag-and-sleep-disruption-in-healthy-young-adults
#6
Daria M McMahon, James B Burch, Michael D Wirth, Shawn D Youngstedt, James W Hardin, Thomas G Hurley, Steven N Blair, Gregory A Hand, Robin P Shook, Clemens Drenowatz, Stephanie Burgess, James R Hebert
Sleep disruption has been associated with increased risks for several major chronic diseases that develop over decades. Differences in sleep/wake timing between work and free days can result in the development of social jetlag (SJL), a chronic misalignment between a person's preferred sleep/wake schedule and sleep/wake timing imposed by his/her work schedule. Only a few studies have examined the persistence of SJL or sleep disruption over time. This prospective investigation examined SJL and sleep characteristics over a 2-year period to evaluate whether SJL or poor sleep were chronic conditions during the study period...
December 12, 2017: Chronobiology International
https://www.readbyqxmd.com/read/29231128/exploring-the-experiences-of-persons-who-frequently-visit-the-emergency-department-for-mental-health-related-reasons
#7
Amanda Digel Vandyk, Lisa Young, Colleen MacPhee, Katharine Gillis
In this qualitative study, the experiences of persons who frequently visit the emergency department (ED) for mental health-related reasons were explored. Interpretive Description guided the design, and data were collected through interviews with 10 adults who made 12+ ED visits within a 1-year time frame (2015). Thematic analysis was used to analyze data inductively. The participants' experiences were described with the help of three themes emerging from the data: The Experience, The Providers, and Protective Factors...
December 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/29231071/the-mental-health-of-married-immigrant-women-in-south-korea-and-its-risk-and-protective-factors-a-literature-review
#8
Yeeun Lee, Subin Park
BACKGROUND AND AIMS: Married immigrant women in South Korea undergo a wide array of psychosocial challenges in the process of adapting to a new culture and marriage with a Korean husband. For an integrative understanding of women's mental health status and to determine the key risk and protective factors, we systematically reviewed empirical articles about the mental health of married immigrant women. METHODS: We searched and reviewed articles from nine online databases: PubMed, Scopus, PsycINFO, Embase, DBpia, KISS, KMbase, KoreaMed and RISS, which were published up until January 2017...
December 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29231054/polytobacco-use-and-the-customization-generation-new-perspectives-for-tobacco-control
#9
Kimberly Horn, Jennifer L Pearson, Andrea C Villanti
In recent years, the United States observed a significant uptake in concurrent use of multiple tobacco products and alternative nicotine delivery devices among youth-a phenomenon identified as polytobacco use-making tobacco control efforts more complex for clinicians, policy makers, and scientists, alike.The present commentary stimulates new perspectives on tobacco control in the context of polytobacco use and a youth culture of customization. This culture-based value of today's youth may inform current patterns of tobacco use...
January 1, 2017: Journal of Drug Education
https://www.readbyqxmd.com/read/29231048/development-of-a-computerized-adaptive-test-for-anxiety-based-on-the-dutch-flemish-version-of-the-promis-item-bank
#10
Gerard Flens, Niels Smits, Caroline B Terwee, Joost Dekker, Irma Huijbrechts, Philip Spinhoven, Edwin de Beurs
We used the Dutch-Flemish version of the USA PROMIS adult V1.0 item bank for Anxiety as input for developing a computerized adaptive test (CAT) to measure the entire latent anxiety continuum. First, psychometric analysis of a combined clinical and general population sample ( N = 2,010) showed that the 29-item bank has psychometric properties that are required for a CAT administration. Second, a post hoc CAT simulation showed efficient and highly precise measurement, with an average number of 8.64 items for the clinical sample, and 9...
December 1, 2017: Assessment
https://www.readbyqxmd.com/read/29230472/individualized-glycemic-control-for-u-s-adults-with-type-2-diabetes-a-cost-effectiveness-analysis
#11
Neda Laiteerapong, Jennifer M Cooper, M Reza Skandari, Philip M Clarke, Aaron N Winn, Rochelle N Naylor, Elbert S Huang
Background: Intensive glycemic control in type 2 diabetes (glycated hemoglobin [HbA1c] level <7%) is an established, cost-effective standard of care. However, guidelines recommend individualizing goals on the basis of age, comorbidity, diabetes duration, and complications. Objective: To estimate the cost-effectiveness of individualized control versus uniform intensive control (HbA1c level <7%) for the U.S. population with type 2 diabetes. Design: Patient-level Monte Carlo-based Markov model...
December 12, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29230317/feasibility-and-acceptability-of-a-universal-screening-and-referral-protocol-for-gender-based-violence-with-women-seeking-care-in-health-clinics-in-dadaab-refugee-camps-in-kenya
#12
A Vu, A L Wirtz, S Bundgaard, A Nair, G Luttah, S Ngugi, N Glass
Background: Gender-based violence (GBV) is both a global public health problem and violation of human rights. Refugees and internally displaced persons experience an increased risk of GBV and health outcomes associated with GBV are often exacerbated in conflict settings. Methods: A mixed methods study to examine the feasibility and acceptability of universal screening for GBV in a refugee population in the Dadaab refugee camp of Kenya, using the ASIST-GBV from January to July 2015...
2017: Global Mental Health
https://www.readbyqxmd.com/read/29230115/interval-colorectal-cancers-at-ochsner-medical-center-where-do-we-stand
#13
Felicia Humphrey, Mariella Gastañaduy, James Smith, Charles B Whitlow
Background: An interval colorectal cancer is a cancer diagnosed prior to the recommended follow-up time from a previously negative colonoscopy. These cancers are thought to arise from a rapidly growing cancer, missed cancer, or incompletely resected adenomas. Our study aimed to identify interval cancers diagnosed during a 4-year period and to identify any potential risk factors associated with these cancers. Secondly, we compared our interval colorectal cancer rate with other published rates...
2017: Ochsner Journal
https://www.readbyqxmd.com/read/29229962/reference-and-influential-factors-of-serum-bone-markers-in-chinese-adolescents
#14
Xinyi Wang, Lichao Liu, Ping Li, Jie Ma, Ranhua Jiang, Renee Wang, Ling Li, Haixia Guan
This study aimed to establish reference ranges of bone markers in Chinese adolescents between the age of 12 and 16, and to search these markers' characteristics and influential factors. Personal information and fasting blood samples were collected from 174 healthy adolescents in Northeast China. Serum levels of PINP, ALP, β-CrossLaps, calcium, phosphate, PTH, 25(OH)D and TSH were measured. Reference ranges were established for PINP [(85.55-2,028.75)ng/ml], ALP [(53.88-463.63)U/L], β-CrossLaps [(0.16-1.19)ng/ml], calcium [(2...
December 11, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29229589/the-effect-of-group-support-psychotherapy-delivered-by-trained-lay-health-workers-for-depression-treatment-among-people-with-hiv-in-uganda-protocol-of-a-pragmatic-cluster-randomized-trial
#15
Etheldreda Nakimuli-Mpungu, Seggane Musisi, Kizito Wamala, James Okello, Sheila Ndyanabangi, Ramin Mojtabai, Jean Nachega, Ofir Harari, Edward Mills
BACKGROUND: There is limited information on the effectiveness of task shifting of mental health services in populations with HIV. OBJECTIVE: This trial aims to evaluate the effectiveness of group support psychotherapy delivered by trained lay health workers to persons living with HIV (PLWH) with depression in primary care. METHODS: Thirty eligible primary care health centers across three districts were randomly allocated to have their lay health workers trained to deliver group support psychotherapy (intervention arm) or group HIV education and treatment as usual (control arm) to PLWH with depression...
December 11, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29229271/using-metabolic-equivalents-in-clinical-practice
#16
REVIEW
Barry A Franklin, Jenna Brinks, Kathy Berra, Carl J Lavie, Neil F Gordon, Laurence S Sperling
Metabolic equivalents, or METs, are routinely employed as a guide to exercise training and activity prescription and to categorize cardiorespiratory fitness (CRF). There are, however, inherent limitations to the concept, as well as common misapplications. CRF and the patient's capacity for physical activity are often overestimated and underestimated, respectively. Moreover, frequently cited fitness thresholds associated with the highest and lowest mortality rates may be misleading, as these are influenced by several factors, including age and gender...
October 31, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/29229092/predictors-of-smoking-cessation-a-longitudinal-study-in-a-large-cohort-of-smokers
#17
Mathias Holm, Linus Schiöler, Eva Andersson, Bertil Forsberg, Thorarinn Gislason, Christer Janson, Rain Jogi, Vivi Schlünssen, Cecilie Svanes, Kjell Torén
BACKGROUND: There are few studies on predictors of smoking cessation in general populations. We studied the smoking cessation rate in relation to several potential predictors, with special focus on respiratory and cardiovascular disease. METHODS: Smokers (n = 4636) from seven centres in Northern Europe, born between 1945 and 1973, who answered a questionnaire in 1999-2001 (the RHINE study) were followed up with a new questionnaire in 2010-2012. Altogether 2564 answered the questionnaire and provided complete data on smoking...
November 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29229012/mixed-methods-quantitative-qualitative-study-of-29-nonagenarians-and-centenarians-in-rural-southern-italy-focus-on-positive-psychological-traits
#18
Anna Scelzo, Salvatore Di Somma, Paola Antonini, Lori P Montross, Nicholas Schork, David Brenner, Dilip V Jeste
OBJECTIVE: This was a study of positive psychological traits in a group of rural Italians aged 90 to 101 years, and their children or other family members. DESIGN: Mixed-methods quantitative (standardized rating scales) and qualitative (semi-structured interviews) study. SETTING: Study participants' homes in nine villages in the Cilento region of southern Italy. PARTICIPANTS: Twenty-nine nonagenarians and centenarians and 51 family members aged 51-75 years, selected by their general practitioners as a part of a larger study called CIAO (Cilento Initiative on Aging Outcomes)...
December 12, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29228989/physicians-lack-of-knowledge-a-possible-reason-for-red-blood-cell-transfusion-overuse
#19
Roni Rahav Koren, Celia Suriu, Orly Yakir, Luiza Akria, Masad Barhoum, Andrei Braester
BACKGROUND: A significant percentage of red blood cell transfusions are inappropriately overused. This study investigated physicians from the western Galilee in terms of their knowledge of transfusion medicine as a potential reason for red blood cell overuse, and assessed the influence of personal background characteristics on their knowledge. METHODS: Data were collected via anonymous questionnaires. The questionnaires included a personal background section and a professional section...
December 12, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29228321/a-conceptual-framework-for-understanding-the-mechanism-of-action-of-community-health-workers-services-the-centrality-of-social-support
#20
Beck Taylor, Jonathan Mathers, Jayne Parry
Objective: To propose an empirically derived and theoretically-informed mechanism to explain how Community Health Workers (CHWs) bring about health gain in clients in England. Methods: We undertook in-depth interviews (n = 43) with CHWs and service staff working in four case studies selected using maximum variation sampling. Interviewees were encouraged to talk about the service, how they had become involved with the service, the CHW role and relationship with clients...
December 8, 2017: Journal of Public Health
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