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https://www.readbyqxmd.com/read/28088222/clinical-importance-of-personality-difficulties-diagnostically-sub-threshold-personality-disorders
#1
Max Karukivi, Tero Vahlberg, Kalle Horjamo, Minna Nevalainen, Jyrki Korkeila
BACKGROUND: Current categorical classification of personality disorders has been criticized for overlooking the dimensional nature of personality and that it may miss some sub-threshold personality disturbances of clinical significance. We aimed to evaluate the clinical importance of these conditions. For this, we used a simple four-level dimensional categorization based on the severity of personality disturbance. METHODS: The sample consisted of 352 patients admitted to mental health services...
January 14, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28086813/information-exchange-networks-of-health-care-providers-and-evidence-based-cardiovascular-risk-management-an-observational-study
#2
Naomi Heijmans, Jan van Lieshout, Michel Wensing
BACKGROUND: Although a wide range of preventive and clinical interventions has targeted cardiovascular risk management (CVRM), outcomes remain suboptimal. Therefore, the question is what additional determinants of CVRM and outcomes can be identified and addressed to optimize CVRM. In this study, we aimed to identify new perspectives for improving healthcare delivery and explored associations between information exchange networks of health care providers and evidence-based CVRM. METHODS: This observational study was performed parallel to a randomized clinical trial which aimed to improve professional performance of practice nurses in the Netherlands...
January 13, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28069045/improving-nursing-home-care-through-feedback-on-performance-data-inform-protocol-for-a-cluster-randomized-trial
#3
Matthias Hoben, Peter G Norton, Liane R Ginsburg, Ruth A Anderson, Greta G Cummings, Holly J Lanham, Janet E Squires, Deanne Taylor, Adrian S Wagg, Carole A Estabrooks
BACKGROUND: Audit and feedback is effective in improving the quality of care. However, methods and results of international studies are heterogeneous, and studies have been criticized for a lack of systematic use of theory. In TREC (Translating Research in Elder Care), a longitudinal health services research program, we collect comprehensive data from care providers and residents in Canadian nursing homes to improve quality of care and life of residents, and quality of worklife of caregivers...
January 10, 2017: Trials
https://www.readbyqxmd.com/read/28068978/effectiveness-of-the-yourcall%C3%A2-text-message-intervention-to-reduce-harmful-drinking-in-patients-discharged-from-trauma-wards-protocol-for-a-randomised-controlled-trial
#4
Shanthi Ameratunga, Bridget Kool, Sarah Sharpe, Papaarangi Reid, Arier Lee, Ian Civil, Gordon Smith, Vanessa Thornton, Matthew Walker, Robyn Whittaker
BACKGROUND: Behavioural brief interventions (BI) can support people to reduce harmful drinking but multiple barriers impede the delivery and equitable access to these. To address this challenge, we developed YourCall™, a novel short message service (SMS) text message intervention incorporating BI principles. This protocol describes a trial evaluating the effectiveness of YourCall™ (compared to usual care) in reducing hazardous drinking and alcohol related harm among injured adults who received in-patient care...
January 9, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28045222/correspondent-functional-topography-of-the-human-left-inferior-parietal-lobule-at-rest-and-under-task-revealed-using-resting-state-fmri-and-coactivation-based-parcellation
#5
Jiaojian Wang, Sangma Xie, Xin Guo, Benjamin Becker, Peter T Fox, Simon B Eickhoff, Tianzi Jiang
The human left inferior parietal lobule (LIPL) plays a pivotal role in many cognitive functions and is an important node in the default mode network (DMN). Although many previous studies have proposed different parcellation schemes for the LIPL, the detailed functional organization of the LIPL and the exact correspondence between the DMN and LIPL subregions remain unclear. Mounting evidence indicates that spontaneous fluctuations in the brain are strongly associated with cognitive performance at the behavioral level...
January 3, 2017: Human Brain Mapping
https://www.readbyqxmd.com/read/28033142/sbirt-screening-brief-intervention-and-referral-to-treatment-among-trauma-patients-a-review-of-the-inpatient-process-and-patient-experience
#6
Erin K Gormican, Zahra S Hussein
Screening, brief intervention, and referral to treatment (SBIRT) is an important and effective strategy among injury prevention measures aimed at reducing risky alcohol use (). The trauma patient population is at significant risk for alcohol-related trauma recidivism () and is therefore a priority group in which to implement SBIRT. Vancouver General Hospital (VGH) implemented SBIRT on its 2 inpatient trauma units in the fall of 2014. The alcohol use disorders screening test (AUDIT-C) was chosen as the screening tool for nurses to complete with new patients...
January 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/28027668/social-determinants-of-health-and-retention-in-hiv-care-in-a-clinical-cohort-in-ontario-canada
#7
Beth Rachlis, Ann N Burchell, Sandra Gardner, Lucia Light, Janet Raboud, Tony Antoniou, Jean Bacon, Anita Benoit, Curtis Cooper, Claire Kendall, Mona Loutfy, Wendy Wobeser, Frank McGee, Anita Rachlis, Sean B Rourke
: Continuous HIV care supports antiretroviral therapy initiation and adherence, and prolongs survival. We investigated the association of social determinants of health (SDH) and subsequent retention in HIV care in a clinical cohort in Ontario, Canada. The Ontario HIV Treatment Network Cohort Study is a multi-site cohort of patients at 10 HIV clinics. Data were collected from medical charts, interviews, and via record linkage with the provincial public health laboratory for viral load tests...
December 27, 2016: AIDS Care
https://www.readbyqxmd.com/read/27993259/-alcohol-consumption-in-the-colombian-population-2015-national-mental-health-survey
#8
Ricardo Andrés de la Espriella Guerrero, Viviana Rodriguez, Carlos J Rincón, Diana Cabrera Morales, Sandy Johanna Pérez Rodríguez, Carlos Gómez-Restrepo
INTRODUCTION: National Survey of Mental Health (ENSM) in 2015 in Colombia asks, among other conditions, about alcohol consumption in people 12-17 years old, and 18 and older. Data were presented by age and region, with no cross-references to other categories of mental health problems, disorders, access to services, and health status. OBJECTIVE: To assess alcohol consumption in Colombia, taking into account sociodemographic and clinical screening categories included...
December 2016: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/27982468/lamp-lighters-and-sidewalk-smoothers-how-individual-residents-contribute-to-the-maintenance-of-the-urban-commons
#9
Daniel T O'Brien
Research on collective efficacy in urban neighborhoods has focused predominantly on whether a community can regulate local behavior and spaces and less on how they do so. This study pursues the latter question by examining the social regularities that create collective efficacy, measured as the behavioral composition of a neighborhood (i.e., the extent to which each individual contributes to a social regularity). This perspective is applied to the database of requests for non-emergency government services received by Boston, MA's 311 system in 2011 (>160,000 requests)...
December 2016: American Journal of Community Psychology
https://www.readbyqxmd.com/read/27974915/spatial-distribution-and-the-prevalence-of-speech-disorders-in-the-provinces-of-iran
#10
REVIEW
I Hurjui, S Pete, I Bostan
The paper reveals the presence of certain factors that generate inefficiency - in the area of government programmes for labor market inclusion of persons with disabilities (PWD) -, as outlined by the specific instruments of the (external) public performance audit. The identified causes are mostly related to the fact that the drawing up of the necessary budgets for projects related to the social and professional integration of persons with disabilities was not based on the local needs and, thus, the available material, financial and human resources have been overlooked...
January 2016: Journal of Medicine and Life
https://www.readbyqxmd.com/read/27957661/-it-s-been-an-experience-a-life-learning-experience-a-qualitative-study-of-hospitalized-patients-with-substance-use-disorders
#11
Christine M Velez, Christina Nicolaidis, P Todd Korthuis, Honora Englander
BACKGROUND: Individuals with substance use disorders (SUD) have high rates of chronic illness and readmission, yet few are engaged in addiction treatment. Hospitalization may be a reachable moment for initiating and coordinating addiction care, but little is known about motivation for change in the inpatient setting. OBJECTIVE: To explore the experiences of hospitalized adults with SUD and to better understand patient and system level factors impacting readiness for change...
December 12, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27938644/creating-exclusive-breastfeeding-knowledge-translation-tools-with-first-nations-mothers-in-northwest-territories-canada
#12
Pertice Moffitt, Raissa Dickinson
BACKGROUND: Breastfeeding is an ideal method of infant feeding affecting lifelong health, and yet the uptake of breastfeeding in some Indigenous communities in Canada's north is low. OBJECTIVE: The aims of this project were to determine the rate and determinants of exclusive breastfeeding in a remote community in the Northwest Territories and to create knowledge translation tools to enhance breastfeeding locally. METHODS: The study methodology followed three steps...
2016: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/27937073/social-perception-in-synaesthesia-for-colour
#13
Agnieszka B Janik McErlean, Tirta Susilo, Constantin Rezlescu, Amy Bray, Michael J Banissy
Synaesthesia is a rare phenomenon in which stimulation in one modality (e.g., audition) evokes a secondary percept not associated with the first (e.g., colour). Prior work has suggested links between synaesthesia and other neurodevelopmental conditions that are linked to altered social perception abilities. With this in mind, here we sought to examine social perception abilities in grapheme-colour synaesthesia (where achromatic graphemes evoke colour experiences) by examining facial identity and facial emotion perception in synaesthetes and controls...
December 11, 2016: Cognitive Neuropsychology
https://www.readbyqxmd.com/read/27932343/influence-of-the-day-care-home-and-neighbourhood-environment-on-young-children-s-physical-activity-and-health-protocol-for-the-playce-observational-study
#14
Hayley Christian, Clover Maitland, Stephanie Enkel, Georgina Trapp, Stewart G Trost, Jasper Schipperijn, Bryan Boruff, Leanne Lester, Michael Rosenberg, Stephen R Zubrick
INTRODUCTION: The early years are a critical period in a child's health and development, yet most preschool children fail to meet physical activity guidelines. Outside of the home and neighbourhood, children spend a large proportion of time within early childhood education and care (ECEC) services such as long day care. Research is required to determine how the design of day care outdoor (and indoor) spaces provides opportunities or constraints for physical activity. A significant evidence gap surrounds what objectively measured attributes of the home and neighbourhood environment influence preschoolers' physical activity...
December 8, 2016: BMJ Open
https://www.readbyqxmd.com/read/27931202/use-of-aids-for-smoking-cessation-and-alcohol-reduction-a-population-survey-of-adults-in-england
#15
Emma Beard, Jamie Brown, Susan Michie, Eileen Kaner, Petra Meier, Robert West
BACKGROUND: It is important for policy planning to chart the methods smokers and high-risk drinkers use to help them change their behaviour. This study assessed prevalence of use, and characteristics of users, of support for smoking cessation and alcohol reduction in England. METHODS: Data were used from the Smoking and Alcohol Toolkit Studies, which involve monthly face-to-face computer-assisted interviews of adults aged 16+ in England. We included data collected between June 2014 and July 2015 on 1600 smokers who had made at least one quit attempt and 911 high-risk drinkers (defined as scores >8+ on the full AUDIT or 5+ on questions 1-3 of the AUDIT-C) who had made an attempt to cut down in the past 12 months...
December 8, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27917016/the-portapotty-experiment-neoliberal-approaches-to-the-intertwined-epidemics-of-opioid-related-overdose-and-hiv-hcv-and-why-we-need-cultural-anthropologists-in-the-south-bronx
#16
Brett Wolfson-Stofko, Ric Curtis, Faustino Fuentes, Ed Manchess, Alexis Del Rio-Cumba, Alex S Bennett
The following report from the field focuses on the authors' collective efforts to operate an ad hoc safer injection facility (SIF) out of portapotties (portable toilets) in an area of the South Bronx that has consistently experienced some of the highest overdose morbidity and mortality rates in New York City over the past decade (New York City Department of Health and Mental Hygiene, 2011, 2015, 2016). Safer injection facilities (also known as supervised injection facilities, drug consumption rooms, etc.) operating outside the US provide a legal, hygienic, and supervised environment for individuals to use drugs in order to minimize the likelihood of fatal overdose and the spread of blood-borne infections while reducing public injection...
December 2016: Dialectical Anthropology
https://www.readbyqxmd.com/read/27916111/justification-of-ct-for-individual-health-assessment-of-asymptomatic-persons-a%C3%A2-world-health-organization-consultation
#17
Jim Malone, Maria Del Rosario Perez, Eva Godske Friberg, Mathias Prokop, Seung Eun Jung, Jurgen Griebel, Steve Ebdon-Jackson
An international expert consultation was convened by the World Health Organization (WHO). The purpose of the meeting was to review the use of CT in examining asymptomatic people. This is often referred to as individual health assessment (IHA). IHA was identified as a global phenomenon unenthusiastically tolerated, and not actively promoted, structured, or regulated in most countries. This paper identifies the state of the art for IHA and some considerations in relation to its justification, in different regions of the world...
December 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27909073/accuracy-of-outpatient-service-data-for-activity-based-funding-in-new-south-wales-australia
#18
Esther N Munyisia, David Reid, Ping Yu
BACKGROUND: Despite increasing research on activity-based funding (ABF), there is no empirical evidence on the accuracy of outpatient service data for payment. OBJECTIVE: This study aimed to identify data entry errors affecting ABF in two drug and alcohol outpatient clinic services in Australia. METHODS: An audit was carried out on healthcare workers' (doctors, nurses, psychologists, social workers, counsellors, and aboriginal health education officers) data entry errors in an outpatient electronic documentation system...
December 1, 2016: HIM Journal
https://www.readbyqxmd.com/read/27848403/reasons-for-delayed-patient-discharge-following-day-surgery-a-literature-review
#19
Alison Rae
Aim The aim of this literature review was to explore the reasons why some patients are not suitable for discharge following day surgery. Method A pragmatic, mixed-methods approach was used to undertake a critical evaluation of the literature and current practice to determine what is already known about discharge following day surgery. Thematic analysis was used to identify the main themes and issues, enabling recommendations to be made to reduce the incidence of patients unable to be discharged following day surgery...
November 9, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27844405/geographic-variation-in-condom-availability-and-accessibility
#20
Enbal Shacham, Erik J Nelson, Lauren Schulte, Mark Bloomfield, Ryan Murphy
Identifying predictors that contribute to geographic disparities in sexually transmitted infections (STIs) is necessary in order to reduce disparities. This study assesses the spatial relationship condom availability and accessibility in order to better identify determinants of geographic disparities in STIs. We conducted a telephone-based audit among potential-condom selling establishments. Descriptive analyses were conducted to detect differences in condom-selling characteristics by stores and by store type...
December 2016: AIDS and Behavior
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