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https://www.readbyqxmd.com/read/29932017/potential-interventions-for-preventing-pesticide-self-poisoning-by-restricting-access-through-vendors-in-sri-lanka
#1
Manjula Weerasinghe, Flemming Konradsen, Michael Eddleston, Melissa Pearson, Shaluka Jayamanne, David Gunnell, Keith Hawton, Suneth Agampodi
BACKGROUND: In South Asia, up to one in five individuals who use pesticides for self-harm purchase them immediately prior to the event. AIMS: From reviewing the literature we proposed four interventions: (a) farmer identification cards (ID); (b) prescriptions; (c) cooling-off periods; and (d) training pesticide vendors. We aimed to identify the most promising intervention. METHOD: The study was conducted in Sri Lanka. We mapped stakeholders' interest and power in relation to each intervention, and followed this by a ranking exercise...
June 21, 2018: Crisis
https://www.readbyqxmd.com/read/29929858/primary-care-provider-management-of-patients-with-obesity-at-an-integrated-health-network-a-survey-of-practices-views-and-knowledge
#2
Alexandra M Falvo, Frances Hite Philp, George M Eid
BACKGROUND: Obesity is a serious health problem that affects a wide range of patients and disease processes. OBJECTIVE: The purpose of this study is to evaluate perceptions, knowledge, and practice habits of primary care providers (PCPs) regarding the care of patients with obesity, including barriers to effective care and their experience with bariatric surgery in our integrated health network. SETTING: Integrated health network. METHODS: A 16-question survey was distributed electronically to 160 PCPs at our integrated health network...
June 5, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29929511/developing-an-emotional-coping-skills-workbook-for-inpatient-psychiatric-settings-a-focus-group-investigation
#3
Molly Sharp, Anu Gulati, Chris Barker, Kirsten Barnicot
BACKGROUND: Evidence suggests an unmet need for provision of psychological interventions in inpatient psychiatric settings. However, inpatient wards can present a challenging environment in which to implement interventions. The authors developed the Emotional Coping Skills workbook, a psychosocial intervention designed to overcome these challenges and provide inpatients with an opportunity for psychologically-informed therapeutic engagement. The workbook includes information and exercises to empower inpatients to understand their emotions and learn to cope with their distress...
June 22, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29925098/design-and-testing-of-a-smartphone-application-for-real-time-self-tracking-diabetes-self-management-behaviors
#4
Danielle Groat, Hiral Soni, Maria Adela Grando, Bithika Thompson, David Kaufman, Curtiss B Cook
BACKGROUND:  Type 1 diabetes (T1D) care requires multiple daily self-management behaviors (SMBs). Preliminary studies on SMBs rely mainly on self-reported survey and interview data. There is little information on adult T1D SMBs, along with corresponding compensation techniques (CTs), gathered in real-time. OBJECTIVE:  The article aims to use a patient-centered approach to design iDECIDE, a smartphone application that gathers daily diabetes SMBs and CTs related to meal and alcohol intake and exercise in real-time, and contrast patients' actual behaviors against those self-reported with the app...
April 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29924404/areas-for-improvement-in-community-optometry-flashes-and-floaters-take-priority
#5
Eilidh M Duncan, Heather Cassie, Janet Pooley, Paula Elouafakoui, Maria Prior, Elizabeth Gibb, Craig Ramsay, Linda Young
PURPOSE: A common response to rising demand for healthcare is to extend the role of health professionals and the range of their service provision. Community optometry in Scotland is a recent example of this. Within this context of innovation and change there are challenges to ensuring quality in optometry practice. The purpose of this research is to establish what the priorities are for practice improvement within community optometry and to start a programme to inform strategies to improve practice...
July 2018: Ophthalmic & Physiological Optics: the Journal of the British College of Ophthalmic Opticians (Optometrists)
https://www.readbyqxmd.com/read/29922009/simulation-training-improves-team-dynamics-and-performance-in-a-low-resource-cardiac-intensive-care-unit
#6
Sivaram Subaya Emani, Catherine K Allan, Tess Forster, Anna C Fisk, Christine Lagrasta, Bistra Zheleva, Peter Weinstock, Ravi R Thiagarajan
Introduction: Although simulation training has been utilized quite extensively in highincome medical environments, its feasibility and effect on team performance in lowresource pediatric Cardiac Intensive Care Unit (CICU) environments has not been demonstrated. We hypothesized that lowfidelity simulationbased crisis resource management training would lead to improvements in team performance in such settings. Methods: In this prospective observational study, the effect of simulation on team dynamics and performance was assessed in 23 healthcare providers in a pediatric CICU in Southeast Asia...
May 2018: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/29920972/physical-activity-intervention-in-primary-care-and-rheumatology-for-the-management-of-knee-osteoarthritis-a-review
#7
Esther Waugh, Lauren King, Natasha Gakhal, Gillian Hawker, Fiona Webster, Daniel White
Physical activity (PA) is recommended by osteoarthritis (OA) international organizations as an essential component of first-line management of knee OA. Primary care physicians (PCP) and rheumatologists can play a key role in promoting PA but the extent that PA recommendation is occurring in primary and rheumatology care is unclear. This review provides an overview of current practice of PCP- and rheumatology-delivered PA intervention in the United States, Canada and Europe for the management of knee OA and explores barriers to implementing PA intervention in primary and rheumatology care...
June 19, 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29914467/exercise-and-physical-activity-in-asylum-seekers-in-northern-england-using-the-theoretical-domains-framework-to-identify-barriers-and-facilitators
#8
Melanie Haith-Cooper, Catherine Waskett, Jane Montague, Maria Horne
BACKGROUND: Many asylum seekers have complex mental health needs which can be exacerbated by the challenging circumstances in which they live and difficulties accessing health services. Regular moderate physical activity can improve mental health and would be a useful strategy to achieve this. Evidence suggests there are barriers to engaging black and minority ethnic groups in physical activity, but there is little research around asylum seekers to address the key barriers and facilitators in this group...
June 19, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29914436/treatment-in-the-stampede-era-for-castrate-resistant-prostate-cancer-in-the-uk-ongoing-challenges-and-underappreciated-clinical-problems
#9
Rosa U Greasley, Rebecca Turner, Karen Collins, Janet Brown, Liam Bourke, Derek J Rosario
BACKGROUND: This study aimed to explore the opinions of healthcare professionals regarding the management of men with advanced prostate cancer with particular emphasis on treatment timing and sequencing; treatment adverse-effects and exercise a supportive therapy. METHODS: Semi-structured interviews with a purposively selected group of healthcare professionals involved in prostate cancer care within the NHS, conducted over the phone or face to face. A total of 37 healthcare professionals participated in the interviews including urologists, clinical oncologists, medical oncologists, clinical nurse specialists, general practitioners, physiotherapists, exercise specialists, service managers, clinical commissioners and primary care physicians...
June 19, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29912419/-i-m-not-a-real-boozer-a-qualitative-study-of-primary-care-patients-views-on-drinking-and-its-consequences
#10
Z Khadjesari, F Stevenson, P Toner, S Linke, J Milward, E Murray
Background: The public health message around alcohol is complex, with benefits versus harms, the confusing concept of risk and drinking guidance changing over time. This provides a difficult context for alcohol screening in primary care, with established barriers from the practitioner perspective, but less is known about the patients' perspective. This study explores patients' views on drinking. Methods: Eligible participants were recorded as drinking above low risk levels in primary care...
April 18, 2018: Journal of Public Health
https://www.readbyqxmd.com/read/29909966/we-can-work-it-out-together-type-1-diabetes-boot-camp-for-adult-patients-and-providers-improves-exercise-self-efficacy
#11
Rebecca A Dyck, Nora J Kleinman, Deanna Raelene Funk, Roseanne O Yeung, Peter Senior, Jane Elizabeth Yardley
OBJECTIVES: This project aimed to use education sessions and exercise classes to improve exercise self-efficacy in individuals with type 1 diabetes and in diabetes care providers (DCPs). METHODS: We recruited 12 adults with type 1 diabetes and 12 DCPs who participated in 4 weekly group sessions to learn about exercise physiology and to experience various exercise types. We provided participants who had type 1 diabetes with real-time continuous glucose monitors and heart rate monitors to enhance experiential learning...
February 21, 2018: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/29908140/cryptosporidium-genotyping-in-europe-the-current-status-and-processes-for-a-harmonised-multi-locus-genotyping-scheme
#12
Rachel M Chalmers, Gregorio Pérez-Cordón, Simone M Cacció, Christian Klotz, Lucy J Robertson
Due to the occurrence of genetic recombination, a reliable and discriminatory method to genotype Cryptosporidium isolates at the intra-species level requires the analysis of multiple loci, but a standardised scheme is not currently available. A workshop was held at the Robert Koch Institute, Berlin in 2016 that gathered 23 scientists with appropriate expertise (in either Cryptosporidium genotyping and/or surveillance, epidemiology or outbreaks) to discuss the processes for the development of a robust, standardised, multi-locus genotyping (MLG) scheme and propose an approach...
June 13, 2018: Experimental Parasitology
https://www.readbyqxmd.com/read/29907494/what-prevents-youth-at-clinical-high-risk-for-psychosis-from-engaging-in-physical-activity-an-examination-of-the-barriers-to-physical-activity
#13
Raeana E Newberry, Derek J Dean, Madison D Sayyah, Vijay A Mittal
BACKGROUND: Exercise has increasingly been proposed as a healthful intervention prior to and after the onset of psychosis. There is some evidence to suggest that youth at clinical high risk (CHR) for psychosis are less physically active and report more barriers to engaging in exercise; however, there has been relatively limited empirical work documenting this phenomenon, and to date, relationships between physical activity, barriers, and clinical phenomenology have been unclear. METHODS: CHR (N = 51) and healthy control (N = 37) participants completed a structured clinical interview assessing attenuated psychotic symptoms and substance use, and an exercise survey that assessed current exercise practices, perceived physical fitness, and barriers related to engaging in exercise...
June 13, 2018: Schizophrenia Research
https://www.readbyqxmd.com/read/29903643/the-use-of-neuromuscular-electrical-stimulation-nmes-for-managing-the-complications-of-ageing-related-to-reduced-exercise-participation
#14
REVIEW
Dominic O'Connor, Louise Brennan, Brian Caulfield
Exercise participation and activity levels are low in many older adults, and when paired with the multi-systemic effects of ageing, such as sarcopenia and decreased cardiovascular function, can result in a loss of functional independence. Voluntary exercise may not always be feasible for these individuals, highlighting a need for alternative therapies. There is a growing body of literature that recognises the positive effects of neuromuscular electrical stimulation (NMES) on muscle strength, muscle mass and cardiorespiratory function in older adults...
July 2018: Maturitas
https://www.readbyqxmd.com/read/29902469/acceptance-of-tele-rehabilitation-by-stroke-patients-perceived-barriers-and-facilitators
#15
Shilpa Tyagi, Daniel Sy Lim, Wilbert Hh Ho, Yun Qing Koh, Vincent Cai, Gerald Ch Koh, Helena Legido-Quigley
OBJECTIVE: To explore the perceived barriers and facilitators of tele-rehabilitation by stroke patients, caregivers and rehabilitation therapists in an Asian setting. DESIGN: Qualitative study involving semi-structured in-depth interviews and focus group discussions. SETTING: General community PARTICIPANTS: 37 participants including stroke patients, their caregivers and tele-therapists selected by purposive sampling. INTERVENTIONS: STARS trial...
June 11, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29895181/physical-activity-correlates-in-middle-school-adolescents-perceived-benefits-and-barriers-and-their-determinants
#16
Sarah E Roth, Monique Gill, Alec M Chan-Golston, Lindsay N Rice, Catherine M Crespi, Deborah Koniak-Griffin, Brian L Cole, Dawn M Upchurch, Michael L Prelip
The purpose of this study was to examine the determinants of benefits and barriers and their relationship with physical activity (PA) among predominantly Latino middle school students. Data were collected in a cross-sectional survey of 4,773 seventh-grade students recruited from a large, urban school district in Los Angeles. Hierarchical logistic regression models were used to assess determinants of benefits and barriers as well as their association with self-reported PA. Differences in benefits and barriers were observed by gender, ethnicity, and body size...
January 1, 2018: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/29889948/physical-activity-among-navajo-cancer-survivors-a-qualitative-study
#17
Jennifer W Bea, Hendrik Dirk de Heer, Luis Valdez, Brian Kinslow, Etta Yazzie, Mark C Lee, Pearl Nez, Shelby Dalgai, Anna Schwartz
Physical activity (PA) may improve quality of life and survival among cancer survivors; however, little is known about Navajo cancer survivor PA. We evaluated Navajo cancer survivor PA habits, barriers, and preferences through focus groups and interviews (n = 32). Transcripts were coded in NVivo and major themes summarized by consensus. Survivor exercise guidelines were largely unknown, but movement, resilience and life balance were valued. Most participants reported at ≥1 mode of current PA (n = 24; 71% walking, 46% work/homesteading)...
2018: American Indian and Alaska Native Mental Health Research: the Journal of the National Center
https://www.readbyqxmd.com/read/29889174/lessons-learned-from-an-epidemiologist-led-countywide-community-assessment-for-public-health-emergency-response-casper-in-oregon
#18
Kimberly K Repp, Eva Hawes, Kathleen J Rees, Beth Vorderstrasse, Sue Mohnkern
CONTEXT: Conducting a large-scale Community Assessment for Public Health Emergency Response (CASPER) in a geographically and linguistically diverse county presents significant methodological challenges that require advance planning. PROGRAM: The Centers for Disease Control and Prevention (CDC) has adapted methodology and provided a toolkit for a rapid needs assessment after a disaster. The assessment provides representative data of the sampling frame to help guide effective distribution of resources...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/29889141/interaction-between-foods-and-nonsteroidal-anti-inflammatory-drugs-and-exercise-in-the-induction-of-anaphylaxis
#19
Joan Bartra, Giovanna Araujo, Rosa Muñoz-Cano
PURPOSE OF REVIEW: To assess the studies that focus on the study of food-dependent exercise-induced anaphylaxis (FDEIA) and food-dependent NSAID-induced anaphylaxis (FDNIA). RECENT FINDINGS: Cofactors, as exercise and nonsteroidal anti-inflammatory drugs (NSAIDs), are relevant in up to 30% of episodes of anaphylaxis. Gliadin and lipid transfer proteins are the main allergens involved. The attempts to reproduce FDEIA and FDNIA in a controlled setting have an important failure rate...
June 7, 2018: Current Opinion in Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/29881639/physical-activity-referral-to-cardiac-rehabilitation-leisure-centre-or-telephone-delivered-consultations-in-post-surgical-people-with-breast-cancer-a-mixed-methods-process-evaluation
#20
Gill Hubbard, Anna Campbell, Abi Fisher, Michelle Harvie, Wendy Maltinsky, Russell Mullen, Elspeth Banks, Jackie Gracey, Trish Gorely, Julie Munro, Gozde Ozakinci
Background: Physical activity (PA) programmes effective under 'research' conditions may not be effective under 'real-world' conditions. A potential solution is to refer patients to existing PA community-based PA services. Methods: A process evaluation of referral of post-surgical patients with early-stage breast cancer to cardiac rehabilitation exercise classes, leisure centre with 3-month free leisure centre membership or telephone-delivered PA consultations for 12 weeks...
2018: Pilot and Feasibility Studies
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