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https://www.readbyqxmd.com/read/29029068/considering-health-equity-when-moving-from-evidence-based-guideline-recommendations-to-implementation-a-case-study-from-an-upper-middle-income-country-on-the-grade-approach
#1
Javier Eslava-Schmalbach, Paola Mosquera, Juan Pablo Alzate, Kevin Pottie, Vivian Welch, Elie A Akl, Janet Jull, Eddy Lang, Srinivasa Vittal Katikireddi, Rachel Morton, Lehana Thabane, Bev Shea, Airton T Stein, Jasvinder Singh, Ivan D Florez, Gordon Guyatt, Holger Schünemann, Peter Tugwell
The availability of evidence-based guidelines does not ensure their implementation and use in clinical practice or policy making. Inequities in health have been defined as those inequalities within or between populations that are avoidable, unnecessary and also unjust and unfair. Evidence-based clinical practice and public health guidelines ('guidelines') can be used to target health inequities experienced by disadvantaged populations, although guidelines may unintentionally increase health inequities. For this reason, there is a need for evidence-based clinical practice and public health guidelines to intentionally target health inequities experienced by disadvantaged populations...
October 3, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29028800/spatial-distribution-of-extensively-drug-resistant-tuberculosis-xdr-tb-patients-in-kwazulu-natal-south-africa
#2
Thandi Kapwata, Natashia Morris, Angela Campbell, Thuli Mthiyane, Primrose Mpangase, Kristin N Nelson, Salim Allana, James C M Brust, Pravi Moodley, Koleka Mlisana, Neel R Gandhi, N Sarita Shah
BACKGROUND: KwaZulu-Natal province, South Africa, has among the highest burden of XDR TB worldwide with the majority of cases occurring due to transmission. Poor access to health facilities can be a barrier to timely diagnosis and treatment of TB, which can contribute to ongoing transmission. We sought to determine the geographic distribution of XDR TB patients and proximity to health facilities in KwaZulu-Natal. METHODS: We recruited adults and children with XDR TB diagnosed in KwaZulu-Natal...
2017: PloS One
https://www.readbyqxmd.com/read/29028579/the-views-of-first-time-mothers-completing-an-intervention-to-reduce-postpartum-weight-retention-a-qualitative-evaluation-of-the-mums-online-study
#3
Paige van der Pligt, Kylie Ball, Kylie D Hesketh, David Crawford, Megan Teychenne, Karen Campbell
BACKGROUND: maternal postpartum weight retention (PPWR) has implications for short and long term weight-related health of both the mother and child. Little is known about how mothers perceive they may be best supported to achieve a healthy postpartum weight and healthy lifestyle behaviours. Evaluating existing postpartum weight focussed intervention strategies is an important step in the planning of future programs aimed at supporting new mothers. AIM: to describe the perspectives of women who completed the mums OnLiNE pilot intervention, regarding the acceptability and effectiveness of a program which aimed to limit PPWR and promote healthy diet and physical activity behaviours in new mothers...
September 21, 2017: Midwifery
https://www.readbyqxmd.com/read/29028567/accessibility-of-prison-healthcare-for-elderly-inmates-a-qualitative-assessment
#4
Raheleh Heidari, Tenzin Wangmo, Serena Galli, David M Shaw, Bernice S Elger
Aging in custody and the rising population of elderly prisoners are creating compelling challenges for criminal justice, prison and public healthcare systems. Geriatric syndrome and higher prevalence of co-morbidities amongst older inmates result in heightened vulnerability in prison environments. Empirical research addressing older adults' access to medical care in detention is scarce; therefore, this study assessed access to medical care in prison from the perspective of older prisoners in Switzerland. We interviewed a sample of 35 older inmates (average age 61 years) on their experience of healthcare accessibility in prison; data were qualitatively analysed and major themes regarding evaluation of their access to medical services were extracted...
October 4, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29028232/towards-an-overarching-european-health-information-system
#5
Marieke Verschuuren, Annemiek van Bolhuis, Nicole Rosenkötter, Mariken Tijhuis, Hans van Oers
A European health information system (HIS) supports mutual learning between member states through international comparisons. In addition, it informs international policy agendas. Collaboration between the major stakeholders, most importantly the World Health Organization Regional Office for Europe (WHO-Euro), the European Commission and OECD, is important for member states, as this will contribute to better and more efficiently produced health intelligence. This paper focuses on this 'supra-international' collaboration...
October 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29028227/a-strong-tb-programme-embedded-in-a-developing-primary-healthcare-system-is-a-lose-lose-situation-insights-from-patient-and-community-perspectives-in-cambodia
#6
Neisha Sundaram, Richard James, Um Sreynimol, Pen Linda, Joanne Yoong, Saint Saly, Pichenda Koeut, Mao Tan Eang, Richard Coker, Mishal S Khan
As exemplified by the situation in Cambodia, disease specific (vertical) health programmes are often favoured when the health system is fragile. The potential of such an approach to impede strengthening of primary healthcare services has been studied from a health systems perspective in terms of access and quality of care. In this bottom-up, qualitative study we investigate patient and community member experiences of health services when a strong tuberculosis (TB) programme is embedded into a relatively underutilized primary healthcare system...
October 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29028151/delirium-care-real-world-solutions-to-real-world-problems
#7
Eamonn Eeles, Judy McCrow, Andrew Teodorczuk, Gideon A Caplan
OBJECTIVES: Implementation research into delirium care is lacking. Exploiting known practice barriers to understand what management strategies work best in delirium is a means of prioritising care interventions. A consensus approach to determining priority interventions in delirium was derived and related to reference standards in health-care practice. METHODS: A workshop of 20 experts was held at the Australasian Delirium Association conference 2016. Structured small group work, iterative ranking and a 21-member check were undertaken to (i) explore research barriers in delirium care; (ii) explore how barriers related to individual items of multicomponent interventions; and (iii) rank multicomponent interventions in relation to each statement within the newly released Australian Commission on Safety and Quality in Health Care delirium standard...
October 13, 2017: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/29027814/short-chain-fatty-acids-a-link-between-prebiotics-and-microbiota-in-chronic-kidney-disease
#8
Marta Esgalhado, Julie A Kemp, Nagila Rt Damasceno, Denis Fouque, Denise Mafra
Under physiologic conditions, the human gut microbiota performs several activities essential to the body health. In contrast, their imbalances exacerbate some actions which can promote a cascade of metabolic abnormalities, and vice versa. Numerous diseases, including chronic kidney disease, are associated with gut microbiota imbalance, and among several strategies to re-establish gut symbiosis, prebiotics seem to represent an effective nonpharmacological approach. Prebiotics fermentation by gut microbiota produce short-chain fatty acids, which improve the gut barrier integrity and function, and modulate the glucose and lipid metabolism as well as the inflammatory response and immune system...
October 13, 2017: Future Microbiology
https://www.readbyqxmd.com/read/29027479/understanding-barriers-to-literacy-promotion-among-new-jersey-general-pediatricians
#9
Julia Mayne, Shilpa Pai, Lesley Morrow, Daniel Lima, Manuel E Jimenez
Low literacy is associated with poor health. We sought to examine pediatricians' attitudes and practices regarding literacy promotion in early childhood. We distributed a self-administered 23-item survey to a random sample of 500 board certified or eligible New Jersey primary care pediatricians. 134 surveys were returned, 25 of which were excluded. In all, 91% of pediatricians in our sample agreed that literacy promotion was an essential aspect of practice, and two-thirds agreed that they conduct activities to promote literacy...
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29026438/mental-health-assessments-in-refugees-and-asylum-seekers-evaluation-of-a-tablet-assisted-screening-software
#10
Naser Morina, Simon M Ewers, Sandra Passardi, Ulrich Schnyder, Christine Knaevelsrud, Julia Müller, Richard A Bryant, Angela Nickerson, Matthis Schick
BACKGROUND: Mental health problems resulting from persecution and forced migration are very common among refugees and asylum seekers and evolve into a major public health challenge in hosting societies. Language barriers often prevent timely access to appropriate health care, leading to chronic trajectories and abortive social integration. Tools for multilingual screening and assessment could be of great benefit for this particularly vulnerable population as well as for policy makers...
2017: Conflict and Health
https://www.readbyqxmd.com/read/29026431/enablers-and-barriers-to-success-among-mothers-planning-to-exclusively-breastfeed-for-six-months-a-qualitative-prospective-cohort-study-in-kwazulu-natal-south-africa
#11
Ngcwalisa Amanda Jama, Aurene Wilford, Zandile Masango, Lyn Haskins, Anna Coutsoudis, Lenore Spies, Christiane Horwood
BACKGROUND: Exclusive breastfeeding (EBF) for the first six months of life is the most important determinant of child health and development, and is the recommended feeding practice for all mothers. However, EBF rates remain low in South Africa. This study aimed to prospectively explore enablers or barriers to success among mothers who planned to exclusively breastfeed their infants for the first six months of life, in KwaZulu-Natal, South Africa. METHODS: A qualitative, longitudinal cohort design was adopted...
2017: International Breastfeeding Journal
https://www.readbyqxmd.com/read/29026396/willingness-by-people-living-with-hiv-aids-to-utilize-hiv-services-provided-by-village-health-team-workers-in-kalungu-district-central-uganda
#12
Mutaawe Lubogo, Ronald Anguzu, Humphrey Wanzira, Irene Namugwanya, Oliver Namuddu, Denis Ssali, Sylivia Nanyonga, Josephine Ssentongo, Janet Seeley
BACKGROUND: Less than one quarter of people in need have access to HIV services in Uganda. This study assessed willingness of people living with HIV/AIDS (PLWHAs) to utilize HIV services provided by Village Health Teams (VHTs) in Kalungu district, central Uganda. METHODS: A cross-sectional study conducted in two health facilities providing anti-retroviral therapy enrolled 312 PLWHAs. Pre-tested semi-structured questionnaires were administered to participants at household level...
March 2017: African Health Sciences
https://www.readbyqxmd.com/read/29026338/utilization-of-healthcare-services-in-postpartum-women-in-the-philippines-who-delivered-at-home-and-the-effects-on-their-health-a-cross-sectional-analytical-study
#13
Tadashi Yamashita, Maria Teresa Reyes Tuliao, Magdalena Concel Meana, Sherri Ann Suplido, Cecilia L Llave, Yuko Tanaka, Hiroya Matsuo
BACKGROUND: A low ratio of utilization of healthcare services in postpartum women may contribute to maternal deaths during the postpartum period. The maternal mortality ratio is high in the Philippines. The aim of this study was to examine the current utilization of healthcare services and the effects on the health of women in the Philippines who delivered at home. METHODS: This was a cross-sectional analytical study, based on a self-administrated questionnaire, conducted from March 2015 to February 2016 in Muntinlupa, Philippines...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/29025827/influence-of-social-deprivation-on-provision-of-bariatric-surgery-10-year-comparative-ecological-study-between-two-uk-specialist-centres
#14
Shivam Bhanderi, Mushfique Alam, Jacob Henry Matthews, Gavin Rudge, Hamish Noble, David Mahon, Martin Richardson, Richard Welbourn, Paul Super, Rishi Singhal
OBJECTIVE: To investigate the effect of residential location and socioeconomic deprivation on the provision of bariatric surgery. DESIGN: Retrospective cross-sectional ecological study. SETTING: Patients resident local to one of two specialist bariatric units, in different regions of the UK, who received obesity surgery between 2003 and 2013. METHODS: Demographic data were collected from prospectively collected databases...
October 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29025788/brief-mindfulness-meditation-for-depression-and-anxiety-symptoms-in-patients-undergoing-hemodialysis-a-pilot-feasibility-study
#15
Zoë Thomas, Marta Novak, Susanna Gabriela Torres Platas, Maryse Gautier, Angela Potes Holgin, Rebecca Fox, Marilyn Segal, Karl J Looper, Mark Lipman, Steven Selchen, Istvan Mucsi, Nathan Herrmann, Soham Rej
BACKGROUND AND OBJECTIVES: Up to 50% of patients undergoing hemodialysis suffer from symptoms of depression and/or anxiety. Access to traditional pharmacotherapies and psychotherapies for depression or anxiety in this patient population has been inadequate. The objective of this study was to investigate the feasibility and effectiveness of brief mindfulness meditation intervention for patients on hemodialysis with depression and anxiety symptoms. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: This study was a randomized, controlled, assessor-blinded trial conducted in an urban hemodialysis unit...
October 12, 2017: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/29025496/the-perceived-impact-of-i-am-moving-i-am-learning-on-physical-activity-and-family-involvement-a-preliminary-investigation
#16
Ishonté Allar, Emily Jones, Eloise Elliott, Alfgeir Kristjansson, Andrea Taliaferro, Michael Mann, Sean Bulger
OBJECTIVES: The purpose of this study was to determine the perceived impact of I am Moving, I am Learning (IMIL) on physical activity (PA) levels, along with family and community involvement in a Head Start program in Illinois. METHODS: Employing qualitative methods, data were collected via a parent/caregiver survey and program staff focus groups in Rock Island, Illinois. RESULTS: IMIL was perceived to have made an impact in several areas including knowledge, health-related behaviors, and supportive school and home environments...
November 1, 2017: American Journal of Health Behavior
https://www.readbyqxmd.com/read/29025488/stigma-as-a-barrier-to-the-use-of-occupational-health-units-for-tuberculosis-services-in-south-africa
#17
N Sommerland, E Wouters, C Masquillier, M Engelbrecht, G Kigozi, K Uebel, A Janse van Rensburg, A Rau
SETTING: Tuberculosis (TB) is the leading cause of death in South Africa, and health care workers (HCWs) are disproportionally affected. The resulting absenteeism strains the already overburdened health system. Although hospital occupational health care units (OHUs) are cost-effective and of crucial importance in tackling the TB epidemic, the fear of being stigmatised by other colleagues might lead HCWs to avoid using OHUs. OBJECTIVE: To investigate whether the perception of TB stigma among colleagues has a negative effect on the willingness to use OHUs for TB services...
November 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/29025484/-it-makes-the-patient-s-spirit-weaker-tuberculosis-stigma-and-gender-interaction-in-dar-es-salaam-tanzania
#18
C Miller, J Huston, L Samu, S Mfinanga, P Hopewell, E Fair
SETTING: Dar es Salaam, Tanzania. OBJECTIVES: To describe tuberculosis (TB) related stigma and to understand how it interacts with gender to affect access to care. DESIGN: Eight focus group discussions were held among 48 TB patients and their household members, and a thematic content analysis was carried out. RESULTS: The main components of stigma were fear, self-isolation, ostracization, loss of status in the community, and discrimination by providers...
November 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/29025481/measuring-hiv-and-tb-related-stigma-among-health-care-workers-in-south-africa-a-validation-and-reliability-study
#19
E Wouters, C Masquillier, N Sommerland, M Engelbrecht, A J Van Rensburg, G Kigozi, A Rau
SETTING: Recent evidence indicates that human immunodeficiency virus (HIV) and tuberculosis (TB) related stigma act as a key barrier to the utilisation of associated occupational health services by South African health care workers (HCWs). It also highlights a dearth of appropriate tools to measure HIV and TB stigma among HCWs. OBJECTIVE: To test four scales measuring different aspects of stigma: respondent's external stigma (RES) and others' external stigma (OES) towards TB as well as HIV across different professional categories of HCWs...
November 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/29025453/interprofessional-communication-in-organ-transplantation-in-gauteng-province-south-africa
#20
Harriet Rosanne Etheredge, Claire Penn, Jennifer Watermeyer
BACKGROUND: Communication is essential to the transplant process, but it is challenging in South Africa (SA) because of the complexity of the country and the health system, the nature of transplantation as a technical procedure with inherent psychological considerations, and the large number of professionals involved. Transplant communication has not been explored in SA, and this study was the first to use health communication methods to generate empirical evidence relating to it. OBJECTIVE: To explore communication in transplant settings in Gauteng Province, SA...
June 30, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
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