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https://www.readbyqxmd.com/read/29042375/non-invasive-brain-stimulation-interventions-for-management-of-chronic-central-neuropathic-pain-a-scoping-review-protocol
#1
Mei Lin Chen, Lin Yao, Jennifer Boger, Kathryn Mercer, Benjamin Thompson, Ning Jiang
INTRODUCTION: Pain can affect people regardless of age, gender or ethnicity. Chronic central neuropathic pain (CCNP) is a debilitating condition that affects populations such as stroke survivors, amputees, spinal cord injury patients and patients with multiple sclerosis, with prevalence rates between 30% and 80%. This condition can be caused by a lesion or disease affecting the somatosensory system. CCNP is notoriously drug resistant, and few effective CCNP treatment or management strategies exist...
October 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29036381/project-echo-telementoring-intervention-for-managing-chronic-pain-in-primary-care-insights-from-a-qualitative-study
#2
Leslie Carlin, Jane Zhao, Ruth Dubin, Paul Taenzer, Hannah Sidrak, Andrea Furlan
Objective: Family physicians in Canada receive little training in chronic pain management; concomitantly, they face increasing pressure to reduce their prescribing of opioids. Project ECHO Ontario Chronic Pain/Opioid Stewardship (ECHO) is a telementoring intervention for primary care practitioners that enhances their pain management skills. This qualitative study reports participants' experiences and assessment of ECHO. Design: An opportunistic sample of multidisciplinary primary care providers attending one of three residential weekend workshops participated in focus group discussions...
September 27, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29030327/the-effectiveness-of-ehealth-technologies-on-weight-management-in-pregnant-and-postpartum-women-systematic-review-and-meta-analysis
#3
Diana Sherifali, Kara A Nerenberg, Shanna Wilson, Kevin Semeniuk, Muhammad Usman Ali, Leanne M Redman, Kristi B Adamo
BACKGROUND: The emergence and utilization of electronic health (eHealth) technologies has increased in a variety of health interventions. Exploiting the real-time advantages offered by mobile technologies during and after pregnancy has the potential to empower women and encourage behaviors that may improve maternal and child health. OBJECTIVE: The objective of this study was to assess the effectiveness of eHealth technologies for weight management during pregnancy and the postpartum period and to review the efficacy of eHealth technologies on health behaviors, specifically nutrition and physical activity...
October 13, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28994623/exploring-functional-outcomes-and-allied-health-staffing-levels-in-an-inpatient-paediatric-rehabilitation-unit
#4
Penelope J Ireland, Amanda Francis, Shani Jackman, Kim McLennan
PURPOSE: This study provides data from a paediatric tertiary hospital on the length of stay, functional improvement and allied health workload for children and adolescents on active inpatient rehabilitation programs. METHODS: An audit was conducted of records of patients managed through an inpatient rehabilitation program at a 359 bed tertiary children's hospital in Brisbane, Australia between December 2014 and December 2015. Data relating to diagnosis, length of stay, functional change, occasions of allied health service and hours of patient attributable allied health professional time were collected...
October 10, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28986336/defining-information-quality-into-health-websites-a-conceptual-framework-of-health-website-information-quality-for-educated-young-adults
#5
Donghua Tao, Cynthia LeRouge, K Jody Smith, Gianluca De Leo
BACKGROUND: Today's health care environment encourages health care consumers to take an active role in managing their health. As digital natives, young educated adults do much of their health information management through the Internet and consider it a valid source of health advice. However, the quality of information on health websites is highly variable and dynamic. Little is known about the understandings and perceptions that young educated adults have garnered on the quality of information on health websites used for health care-related purposes...
October 6, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/28982837/outcomes-of-disease-prevention-and-management-interventions-in-food-pantries-and-food-banks-protocol-for-a-scoping-review
#6
Christopher R Long, Brett Rowland, Susan C Steelman, Pearl A McElfish
INTRODUCTION: Food insecurity is a difficulty faced in many households. During periods of food insecurity, households often seek food supplied by food pantries and food banks. Food insecurity has been associated with increased risk for several health conditions. For this reason, food pantries and food banks may have great promise as intervention sites, and health researchers have begun targeting food pantries and food banks as sites for disease prevention or management interventions. The aim of the scoping review is to examine disease prevention or management interventions implemented in food pantries and food banks...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28970752/extending-continuity-of-care-to-include-the-contribution-of-family-carers
#7
Cecilia Wong-Cornall, John Parsons, Nicolette Sheridan, Timothy Kenealy, Allie Peckham
BACKGROUND: Family carers, as a "shadow workforce", are foundational to the day-to-day integration of health service delivery for older family members living with complex health needs. This paper utilises Haggerty's model of continuity of care to explore the contribution of family carers' to the provision of care and support for an older family member's chronic condition within the context of health service delivery. METHODS: We analysed data from interviews of 13 family carers in a case study of primary health care in New Zealand - a Maori Provider Organisation - to determine the alignment of family caregiving with the three levels of continuity of care (relational continuity, informational continuity, and management continuity)...
June 27, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28970744/analysing-a-chinese-regional-integrated-healthcare-organisation-reform-failure-using-a-complex-adaptive-system-approach
#8
Wenxi Tang, Lai Wei, Liang Zhang
INTRODUCTION: China's organised health system has remained outdated for decades. Current health systems in many less market-oriented countries still adhere to traditional administrative-based directives and linear planning. Furthermore, they neglect the responsiveness and feedback of institutions and professionals, which often results in reform failure in integrated care. Complex adaptive system theory (CAS) provides a new perspective and methodology for analysing the health system and policy implementation...
June 19, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28967319/integrating-behavioral-health-and-primary-care-in-two-new-jersey-federally-qualified-health-centers
#9
Kristin S Budde, Dovid Friedman, Kemi Alli, Joan Randell, Barbara Kang, Seth D Feuerstein
This column describes a unique model for integrating behavioral health services into two New Jersey federally qualified health centers (FQHCs). The pilot project, funded by a private foundation grant, offers a lens for exploring the distinct challenges and opportunities faced by FQHCs serving diverse populations. The behavioral health services provided through this project were comprehensive, including behavioral health care, chronic disease management, and computerized cognitive-behavioral therapy. Although many changes to health center structure and staffing were required, building on existing infrastructure allowed substantial progress toward implementation of an integrated (and eventually self-sustaining) care system in one year...
October 2, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28963312/differences-in-experiences-of-care-between-patients-diagnosed-with-metastatic-cancer-of-known-and-unknown-primaries-mixed-method-findings-from-the-2013-cancer-patient-experience-survey-in-england
#10
Richard Wagland, Mike Bracher, Allison Drosdowsky, Alison Richardson, John Symons, Linda Mileshkin, Penny Schofield
OBJECTIVES: To explore differences in experiences of care reported in the Cancer Patient Experience Survey (CPES) between patients with cancer of unknown primary (CUP) and those with metastatic disease of known primary (non-CUP); to determine insights pertaining to the experiences of care for CUP respondents from free-text comments. DESIGN: Two separate, but related, studies, involving secondary analysis of existing data. Using frequency matching of CUP and non-CUP patients, statistical comparisons of responses to CPES questions were conducted...
September 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28963091/impact-of-electronic-health-records-on-long-term-care-facilities-systematic-review
#11
Clemens Scott Kruse, Michael Mileski, Alekhya Ganta Vijaykumar, Sneha Vishnampet Viswanathan, Ujwala Suskandla, Yazhini Chidambaram
BACKGROUND: Long-term care (LTC) facilities are an important part of the health care industry, providing care to the fastest-growing group of the population. However, the adoption of electronic health records (EHRs) in LTC facilities lags behind other areas of the health care industry. One of the reasons for the lack of widespread adoption in the United States is that LTC facilities are not eligible for incentives under the Meaningful Use program. Implementation of an EHR system in an LTC facility can potentially enhance the quality of care, provided it is appropriately implemented, used, and maintained...
September 29, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/28959908/a-comparison-of-characteristics-of-patients-seen-in-a-tertiary-hospital-diabetes-telehealth-service-versus-specialist-face-to-face-outpatients
#12
Anish Menon, Leonard C Gray, Farhad Fatehi, Darsy Darssan, Dominique Bird, Denise Bennetts, Anthony W Russell
This study aimed to describe patient-related characteristics of those attending the diabetes telehealth service delivered from a tertiary hospital and compare these with the characteristics of patients attending face-to-face visits at the same hospital's diabetes outpatient service. This analysis could inform diabetes telehealth service improvements. To our knowledge, there has been no prior evaluation of a diabetes telehealth service in Australia. A cross-sectional survey was conducted as part of the Australian National Diabetes Audit in May 2016 for all patients attending the diabetes telehealth service and diabetes outpatient service...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28958318/an-integrative-review-of-postoperative-accelerated-recovery-protocols
#13
Ramon AntÔnio Oliveira, Gabrielle Meriche GalvÃo Bento da Silva Guatura, Aparecida de Cássia Giani Peniche, Ana Lúcia Siqueira Costa, Vanessa de Brito Poveda
We undertook an integrative literature review of articles pertaining to perioperative nursing care provided to patients using postoperative accelerated recovery protocols. To select the articles, we searched the MEDLINE, PubMed, Cumulative Index to Nursing and Allied Health Literature, and LiteraturaLatino-Americana e do Caribe em Ciências da Saúde databases. We identified 329 studies, 13 of which met our inclusion criteria and described perioperative nursing care activities. Nursing activities noted in these articles were hypothermia prevention and maintenance of normothermia, restriction of IV fluids, assessment of vital signs, management of symptoms and pain, support of early ambulation, care for tubes and drains, oral administration of carbohydrate-rich foods, assessment of ability to tolerate diet, and encouragement to resume activities of daily living...
October 2017: AORN Journal
https://www.readbyqxmd.com/read/28952361/implementation-of-an-extended-scope-of-practice-speech-language-pathology-allied-health-practitioner-service-an-evaluation-of-service-impacts-and-outcomes
#14
Marnie Seabrook, Maria Schwarz, Elizabeth C Ward, Bernard Whitfield
PURPOSE: Extended scope of practice roles can address health service challenges and enhance patient services; however there has been limited research of extended scope roles in the discipline of speech-language pathology (SLP). The aim of this study was to examine the clinical outcomes and service impacts of a Speech-Language Pathology Allied Health Practitioner (SLP AHP) led dysphagia and dysphonia service within an Integrated Specialist Ear Nose and Throat (ENT) Service. METHOD: Low risk referrals were triaged by ENT from the waiting list into the SLP AHP dysphagia and dysphonia clinic...
September 27, 2017: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/28941554/an-evaluation-of-dental-antibiotic-prescribing-practices-in-the-united-states
#15
Michael J Durkin, Kevin Hsueh, Ya Haddy Sallah, Qianxi Feng, S Reza Jafarzadeh, Kiraat D Munshi, Peter B Lockhart, Martin H Thornhill, Rochelle R Henderson, Victoria J Fraser
BACKGROUND: Antibiotic prescribing practices among general dentists and dental specialists in the United States remains poorly understood. The purpose of this study was to compare prescribing practices across dental specialties, evaluate the duration of antibiotics dentists prescribed, and determine variation in antibiotic selection among dentists. METHODS: The authors performed a retrospective cross-sectional analysis of dental care provider specialties linked to deidentified antibiotic claims data from a large pharmacy benefits manager during the 2015 calendar year...
September 16, 2017: Journal of the American Dental Association
https://www.readbyqxmd.com/read/28939342/the-effect-of-nurse-prescribers-on-glycaemic-control-in-type-2-diabetes-a-systematic-review-and-meta-analysis
#16
REVIEW
Maryam Tabesh, Dianna J Magliano, Digsu N Koye, Jonathan E Shaw
BACKGROUND: The creation of advanced nursing roles in diabetes management, with specific skills such as nurse prescribing, has resulted in nurses taking on roles that have traditionally been associated with doctors. OBJECTIVES: We aimed to examine the effectiveness of nurse-led clinics, in which nurses were involved in prescribing, on haemoglobin A1c (HbA1c) among people with type 2 diabetes. METHODS: We systematically searched the literature, Medline, the Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE and Allied Health Literature database guide (CINAHL) databases, to identify randomised controlled trials (RCTs) assessing the effect of nurse prescribers on HbA1c...
August 31, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28937068/knowledge-of-acute-kidney-injury-among-nurses-in-two-government-hospitals-in-ondo-city-southwest-nigeria
#17
Oluseyi A Adejumo, Ayodeji A Akinbodewa, Oladimeji E Alli, Olufemi B Pirisola, Olatunji S Abolarin
Adequate knowledge of acute kidney injury (AKI) among all health-care providers is essential for early diagnosis and management to reduce the associated burden. This study determined the knowledge of AKI among nurses in two government hospitals in Ondo City, Southwest Nigeria. This cross-sectional descriptive study was carried out in two government hospitals in Ondo City using a self-administered pretested questionnaire that assessed knowledge of AKI and associated factors. A total of 156 respondents participated in the study...
September 2017: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/28933805/perioperative-administration-of-buffered-versus-non-buffered-crystalloid-intravenous-fluid-to-improve-outcomes-following-adult-surgical-procedures
#18
REVIEW
Sohail Bampoe, Peter M Odor, Ahilanandan Dushianthan, Elliott Bennett-Guerrero, Suzie Cro, Tong J Gan, Michael Pw Grocott, Michael Fm James, Michael G Mythen, Catherine Mn O'Malley, Anthony M Roche, Kathy Rowan, Edward Burdett
BACKGROUND: Perioperative fluid strategies influence clinical outcomes following major surgery. Many intravenous fluid preparations are based on simple solutions, such as normal saline, that feature an electrolyte composition that differs from that of physiological plasma. Buffered fluids have a theoretical advantage of containing a substrate that acts to maintain the body's acid-base status - typically a bicarbonate or a bicarbonate precursor such as maleate, gluconate, lactate, or acetate...
September 21, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28917368/improving-vasomotor-symptoms-psychological-symptoms-and-health-related-quality-of-life-in-peri-or-post-menopausal-women-through-yoga-an-umbrella-systematic-review-and-meta-analysis
#19
REVIEW
M Shepherd-Banigan, K M Goldstein, R R Coeytaux, J R McDuffie, A P Goode, A S Kosinski, M G Van Noord, D Befus, S Adam, V Masilamani, A Nagi, J W Williams
OBJECTIVES: Vasomotor symptoms (VMS), commonly reported during menopausal transition, negatively affect psychological health and health-related quality of life (HRQoL). While hormone therapy is an effective treatment, its use is limited by concerns about possible harms. Thus, many women with VMS seek nonhormonal, nonpharmacologic treatment options. However, evidence to guide clinical recommendations is inconclusive. This study reviewed the effectiveness of yoga, tai chi and qigong on vasomotor, psychological symptoms, and HRQoL in peri- or post-menopausal women...
October 2017: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/28915890/barriers-and-enablers-for-the-development-and-implementation-of-allied-health-clinical-practice-guidelines-in-south-african-primary-healthcare-settings-a-qualitative-study
#20
J M Dizon, K Grimmer, Q Louw, S Machingaidze, H Parker, H Pillen
BACKGROUND: The South African allied health (AH) primary healthcare (PHC) workforce is challenged with the complex rehabilitation needs of escalating patient numbers. The application of evidence-based care using clinical practice guidelines (CPGs) is one way to make efficient and effective use of resources. Although CPGs are common for AH in high-income countries, there is limited understanding of how to do this in low- to middle-income countries. This paper describes barriers and enablers for AH CPG uptake in South African PHC...
September 15, 2017: Health Research Policy and Systems
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