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https://www.readbyqxmd.com/read/29151242/a-qualitative-examination-of-increased-alcohol-use-after-bariatric-surgery-among-racially-ethnically-diverse-young-adults
#1
Christine E Spadola, Eric F Wagner, Leah M Varga, Jennifer L Syvertsen, Nestor F De La Cruz Munoz, Sarah E Messiah
INTRODUCTION: Mounting evidence suggests that bariatric surgery, or weight loss surgery (WLS), patients might be vulnerable to developing post-operative alcohol use problems. While the majority of published research offers information concerning the prevalence of problematic alcohol use post-WLS, the literature lacks comprehensive, qualitative explorations examining why alcohol misuse might emerge after WLS. Such data-driven hypotheses are needed to effectively target this emerging concern...
November 19, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29141600/quantifying-the-need-for-enhanced-case-management-for-tb-patients-as-part-of-tb-cohort-audit-in-the-north-west-of-england-a-descriptive-study
#2
Angela Tucker, Jeniffer Mithoo, Paul Cleary, Mark Woodhead, Peter MacPherson, Tom Wingfield, Stefanie Davies, Carolyn Wake, Paddy McMaster, S Bertel Squire
BACKGROUND: Patients with TB have diverse and often challenging clinical and social needs that may hamper successful treatment outcomes. Understanding the need for additional support during treatment (enhanced case management, or ECM) is important for workforce capacity planning. North West England TB Cohort Audit (TBCA) has introduced a 4-level ECM classification system (ECM 0-3) to quantify the need for ECM in the region. This study describes the data from the first 2 years of ECM classification...
November 15, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29131528/the-design-of-a-social-cost-benefit-analysis-of-preventive-interventions-for-toxoplasmosis-an-example-of-the-one-health%C3%A2-approach
#3
A W M Suijkerbuijk, P F van Gils, A A Bonačić Marinović, T L Feenstra, L M Kortbeek, M-J J Mangen, M Opsteegh, G A de Wit, J W B van der Giessen
Toxoplasma gondii infections cause a large disease burden in the Netherlands, with an estimated health loss of 1,900 Disability Adjusted Life Years and a cost-of-illness estimated at €44 million annually. Infections in humans occur via exposure to oocysts in the environment and after eating undercooked meat containing tissue cysts, leading to asymptomatic or mild symptoms, but potentially leading to the development of ocular toxoplasmosis. Infection in pregnant women can lead to stillbirth and disorders in newborns...
November 12, 2017: Zoonoses and Public Health
https://www.readbyqxmd.com/read/29130288/optimising-early-neonatal-nutrition-using-translational-research-methodology
#4
Denise Page, Melissa Gilroy, Elizabeth Hurrion, Lisa Clark, Shelley Wilkinson
AIM: Preterm birth has been described as a 'nutritional emergency', with these infants often born with minimal nutrition reserves. Failure to provide adequate early nutrition jeopardises growth and neurodevelopment. Consensual nutrition guidelines exist for infants who weigh <1500 g; however, audits have identified shortfalls in their adherence, consequently highlighting an evidence-practice gap. This work aimed to identify the barriers to the delivery of early optimal nutrition in a tertiary-level Neonatal Critical Care Unit to inform an implementation project to ensure best practice care...
November 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29128686/when-is-audit-and-feedback-effective-in-dementia-care-a-systematic-review
#5
REVIEW
Michael J Sykes, Jennifer McAnuff, Niina Kolehmainen
BACKGROUND: Evidence-based care for people with dementia is a priority for patients, carers and clinicians and a policy priority. There is evidence that people with dementia do not always receive such care. Audit and feedback, also known as clinical audit, is an extensively-used intervention to improve care. However, there is uncertainty about the best way to use it. OBJECTIVES: To investigate whether audit and feedback is effective for improving health professionals' care of people with dementia...
November 9, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29061189/documentation-of-the-partograph-in-assessing-the-progress-of-labour-by-health-care-providers-in-malawi-s-south-west-zone
#6
Chrispin Mandiwa, Collins Zamawe
BACKGROUND: There is some evidence that appropriate use of partograph in monitoring the progress of labour could decrease delivery related complications. The documentation of parameters of partographs is however, poorly understood. The aim of the present study was to determine the extent to which health care workers are making use of the partograph in monitoring the progress of labour through checking the documentation of the parameters of the partographs. METHODS: A hospital-based descriptive study involving retrospective review of partographs for births that occurred in 2016 was conducted in Malawi's South-West zone...
October 23, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29051028/social-touch-interacts-with-infants-learning-of-auditory-patterns
#7
Casey Lew-Williams, Brock Ferguson, Rana Abu-Zhaya, Amanda Seidl
Infants' experiences are defined by the presence of concurrent streams of perceptual information in social environments. Touch from caregivers is an especially pervasive feature of early development. Using three lab experiments and a corpus of naturalistic caregiver-infant interactions, we examined the relevance of touch in supporting infants' learning of structure in an altogether different modality: audition. In each experiment, infants listened to sequences of sine-wave tones following the same abstract pattern (e...
September 29, 2017: Developmental Cognitive Neuroscience
https://www.readbyqxmd.com/read/29049971/food-addiction-prevalence-psychopathological-correlates-and-associations-with-quality-of-life-in-a-large-sample
#8
Paulo R Nunes-Neto, Cristiano A Köhler, Felipe B Schuch, Marco Solmi, João Quevedo, Michael Maes, Andrea Murru, Eduard Vieta, Roger S McIntyre, Susan L McElroy, Ashley N Gearhardt, Brendon Stubbs, André F Carvalho
OBJECTIVE: To determine the prevalence of food addiction in a large Brazilian non-clinical sample. Sociodemographic and psychopathological correlates of food addiction as well as associations with quality (QoL) domains were also investigated. METHODS: This cross-sectional study obtained data from a Brazilian anonymous web-based research platform (N = 7639; 71.3% females). Participants provided sociodemographic data and completed the modified Yale Food Addiction Scale 2...
October 12, 2017: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/29016980/effectiveness-and-cost-effectiveness-of-opportunistic-screening-and-stepped-care-interventions-for-older-alcohol-users-in-primary-care
#9
Simon Coulton, Martin Bland, Helen Crosby, Veronica Dale, Colin Drummond, Christine Godfrey, Eileen Kaner, Jennifer Sweetman, Ruth McGovern, Dorothy Newbury-Birch, Steve Parrott, Gillian Tober, Judith Watson, Qi Wu
Aims: To compare the clinical effectiveness and cost-effectiveness of a stepped-care intervention versus a minimal intervention for the treatment of older hazardous alcohol users in primary care. Method: Multi-centre, pragmatic RCT, set in Primary Care in UK. Patients aged ≥ 55 years scoring ≥ 8 on the Alcohol Use Disorders Identification Test were allocated either to 5-min of brief advice or to 'Stepped Care': an initial 20-min of behavioural change counselling, with Step 2 being three sessions of Motivational Enhancement Therapy and Step 3 referral to local alcohol services (progression between each Step being determined by outcomes 1 month after each Step)...
September 8, 2017: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
https://www.readbyqxmd.com/read/29016711/personalized-digital-interventions-showed-no-impact-on-risky-drinking-in-young-adults-a-pilot-randomized-controlled-trial
#10
Emma L Davies, Adam J Lonsdale, Sarah E Hennelly, Adam R Winstock, David R Foxcroft
Aim: To assess the effectiveness of two personalized digital interventions (OneTooMany and Drinks Meter) compared to controls. Method: Randomized controlled trial (AEARCTR-0,001,082). Volunteers for the study, aged 18-30, were randomly allocated to one of two interventions or one of two control groups and were followed up 4 weeks later. Primary outcomes were AUDIT-C, drinking harms and pre-loading. Drinks Meter provided participants with brief screening and advice for alcohol in addition to normative feedback, information on calories consumed and money spent...
August 9, 2017: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
https://www.readbyqxmd.com/read/28994623/exploring-functional-outcomes-and-allied-health-staffing-levels-in-an-inpatient-paediatric-rehabilitation-unit
#11
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/28992072/attention-and-motivated-response-to-simulated-male-advertisement-call-activates-forebrain-dopaminergic-and-social-decision-making-network-nuclei-in-female-midshipman-fish
#12
Paul M Forlano, Roshney R Licorish, Zachary N Ghahramani, Miky Timothy, Melissa Ferrari, William C Palmer, Joseph A Sisneros
Little is known regarding the coordination of audition with decision-making and subsequent motor responses that initiate social behavior including mate localization during courtship. Using the midshipman fish model, we tested the hypothesis that the time spent by females attending and responding to the advertisement call is correlated with the activation of a specific subset of catecholaminergic (CA) and social decision-making network (SDM) nuclei underlying auditory- driven sexual motivation. In addition, we quantified the relationship of neural activation between CA and SDM nuclei in all responders with the goal of providing a map of functional connectivity of the circuitry underlying a motivated state responsive to acoustic cues during mate localization...
July 20, 2017: Integrative and Comparative Biology
https://www.readbyqxmd.com/read/28976926/environmental-influences-on-physical-activity-among-rural-adults-in-montana-united-states-views-from-built-environment-audits-resident-focus-groups-and-key-informant-interviews
#13
Brian K Lo, Emily H Morgan, Sara C Folta, Meredith L Graham, Lynn C Paul, Miriam E Nelson, Nicolette V Jew, Laurel F Moffat, Rebecca A Seguin
Rural populations in the United States have lower physical activity levels and are at a higher risk of being overweight and suffering from obesity than their urban counterparts. This paper aimed to understand the environmental factors that influence physical activity among rural adults in Montana. Eight built environment audits, 15 resident focus groups, and 24 key informant interviews were conducted between August and December 2014. Themes were triangulated and summarized into five categories of environmental factors: built, social, organizational, policy, and natural environments...
October 4, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28970034/diabetes-structured-self-management-education-programmes-a-narrative-review-and-current-innovations
#14
REVIEW
Sudesna Chatterjee, Melanie J Davies, Simon Heller, Jane Speight, Frank J Snoek, Kamlesh Khunti
Both type 1 and type 2 diabetes are associated with long-term complications that can be prevented or delayed by intensive glycaemic management. People who are empowered and skilled to self-manage their diabetes have improved health outcomes. Over the past 20 years, diabetes self-management education programmes have been shown to be efficacious and cost-effective in promotion and facilitation of self-management, with improvements in patients' knowledge, skills, and motivation leading to improved biomedical, behavioural, and psychosocial outcomes...
September 29, 2017: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/28962632/advancing-the-literature-on-designing-audit-and-feedback-interventions-identifying-theory-informed-hypotheses
#15
Heather L Colquhoun, Kelly Carroll, Kevin W Eva, Jeremy M Grimshaw, Noah Ivers, Susan Michie, Anne Sales, Jamie C Brehaut
BACKGROUND: Audit and feedback (A&F) is a common strategy for helping health providers to implement evidence into practice. Despite being extensively studied, health care A&F interventions remain variably effective, with overall effect sizes that have not improved since 2003. Contributing to this stagnation is the fact that most health care A&F interventions have largely been designed without being informed by theoretical understanding from the behavioral and social sciences. To determine if the trend can be improved, the objective of this study was to develop a list of testable, theory-informed hypotheses about how to design more effective A&F interventions...
September 29, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28960392/rn4cast-it-ped-nurse-staffing-and-children-s-safety
#16
EDITORIAL
Loredana Sasso, Annamaria Bagnasco, Paolo Petralia, Silvia Scelsi, Milko Zanini, Gianluca Catania, Giuseppe Aleo, Nicoletta Dasso, Silvia Rossi, Roger Watson, Walter Sermeus, Giancarlo Icardi, Linda H Aiken
Some authors argue that it is not longer ethically correct to expose hospitalized patients to death risks associated with understaffing (Nickitas, 2014). Also the Care Quality Commission (CQC, an independent regulator of all health and social care services in England) has included staffing levels as one of the auditing quality standards when inspecting hospitals and health centres. The Royal College of Nursing, in its document Mandatory Nurse Staffing Levels (RCN, 2012), clearly defined which nurse staffing levels should be adopted by policy makers to ensure the provision of safe care...
September 27, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28958205/considerations-for-using-data-envelopment-analysis-for-the-assessment-of-radiotherapy-treatment-plan-quality
#17
John Simpson, Andrea Raith, Paul Rouse, Matthias Ehrgott
Purpose The operations research method of data envelopment analysis (DEA) shows promise for assessing radiotherapy treatment plan quality. The purpose of this paper is to consider the technical requirements for using DEA for plan assessment. Design/methodology/approach In total, 41 prostate treatment plans were retrospectively analysed using the DEA method. The authors investigate the impact of DEA weight restrictions with reference to the ability to differentiate plan performance at a level of clinical significance...
October 9, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28923064/investigating-the-importance-of-the-local-food-environment-for-fruit-and-vegetable-intake-in-older-men-and-women-in-20-uk-towns-a-cross-sectional-analysis-of-two-national-cohorts-using-novel-methods
#18
S Hawkesworth, R J Silverwood, B Armstrong, T Pliakas, K Nanchahal, C Sartini, A Amuzu, G Wannamethee, J Atkins, S E Ramsay, J P Casas, R W Morris, P H Whincup, Karen Lock
BACKGROUND: Local neighbourhood environments can influence dietary behavior. There is limited evidence focused on older people who are likely to have greater dependence on local areas and may suffer functional limitations that amplify any neighbourhood impact. METHODS: Using multi-level ordinal regression analysis we investigated the association between multiple dimensions of neighbourhood food environments (captured by fine-detail, foot-based environmental audits and secondary data) and self-reported frequency of fruit and vegetable intake...
September 18, 2017: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/28898239/sustained-effectiveness-and-cost-effectiveness-of-counselling-for-alcohol-problems-a-brief-psychological-treatment-for-harmful-drinking-in-men-delivered-by-lay-counsellors-in-primary-care-12-month-follow-up-of-a-randomised-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Abhijit Nadkarni, Helen A Weiss, Benedict Weobong, David McDaid, Daisy R Singla, A-La Park, Bhargav Bhat, Basavaraj Katti, Jim McCambridge, Pratima Murthy, Michael King, G Terence Wilson, Betty Kirkwood, Christopher G Fairburn, Richard Velleman, Vikram Patel
BACKGROUND: Counselling for Alcohol Problems (CAP), a brief intervention delivered by lay counsellors, enhanced remission and abstinence over 3 months among male primary care attendees with harmful drinking in a setting in India. We evaluated the sustainability of the effects after treatment termination, the cost-effectiveness of CAP over 12 months, and the effects of the hypothesized mediator 'readiness to change' on clinical outcomes. METHODS AND FINDINGS: Male primary care attendees aged 18-65 years screening with harmful drinking on the Alcohol Use Disorders Identification Test (AUDIT) were randomised to either CAP plus enhanced usual care (EUC) (n = 188) or EUC alone (n = 189), of whom 89% completed assessments at 3 months, and 84% at 12 months...
September 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28892892/antibiotic-screening-of-urine-culture-for-internal-quality-audit-at-amrita-hospital-kochi
#20
Aswathy Suresh, Anusha Gopinathan, Kavitha R Dinesh, Anil Kumar
INTRODUCTION: Urine antimicrobial activity is a seldom analysed laboratory test which greatly impacts the quantification of urine specimens. Presence of antimicrobial activity in the urine reduces the bacterial load in these specimens. Hence, the chances of erroneously reporting insignificant bacteriuria can be reduced on analysis of the antimicrobial activity in urine. AIM: The aim of the study was to measure the antimicrobial activity of urine samples obtained from patients in a tertiary care hospital...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
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