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https://www.readbyqxmd.com/read/29677210/provider-reported-barriers-and-solutions-to-improve-testing-among-tuberculosis-patients-eligible-for-drug-susceptibility-test-a-qualitative-study-from-programmatic-setting-in-india
#1
Hemant Deepak Shewade, Arun M Kokane, Akash Ranjan Singh, Malik Parmar, Manoj Verma, Prabha Desikan, Sheeba Naz Khan, Ajay M V Kumar
BACKGROUND: In a study conducted in Bhopal district (a setting with facility for molecular drug susceptibility testing (DST)) located in central India in 2014-15, we found high levels of pre-diagnosis attrition among patients with presumptive multi drug-resistant tuberculosis (MDR-TB)-meaning TB patients who were eligible for DST, were not being tested. OBJECTIVES: In this study, we explored the health care provider perspectives into barriers and suggested solutions for improving DST...
2018: PloS One
https://www.readbyqxmd.com/read/29677158/reformulation-as-an-integrated-approach-of-four-disciplines-a-qualitative-study-with-food-companies
#2
Annelies van Gunst, Annet J C Roodenburg, Ingrid H M Steenhuis
In 2014, the Dutch government agreed with the food sector to lower salt, sugar, saturated fat and energy in foods. To reformulate, an integrated approach of four disciplines (Nutrition & Health, Food Technology, Legislation, and Consumer Perspectives) is important for food companies (Framework for Reformulation). The objective of this study was to determine whether this framework accurately reflects reformulation processes in food companies. Seventeen Dutch food companies in the bakery, meat and convenience sector were interviewed with a semi-structured topic list...
April 20, 2018: Foods (Basel, Switzerland)
https://www.readbyqxmd.com/read/29677044/practice-makes-perfect-integrating-technology-to-teach-language-barrier-solutions
#3
Brenda Pavill
This article highlights how academia and industry leaders in health care communication can partner to provide students practice caring for individuals who are limited English proficient and how such practice opportunities can be integrated into academic programs. Highlighted are key elements to consider when partnering with industry leaders to develop a program for students. A course exemplar provides a comprehensive description of a practice exercise integrated in a nursing physical assessment course. Students obtain hands-on experiences caring for limited English proficient standardized patients using state-of-the-art digital video interpreting technology...
April 19, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29676966/an-alternative-perspective-on-assistive-technology-the-person-environment-tool-pet-model
#4
Gustav Jarl, Lars-Olov Lundqvist
The medical and social models of disability are based on a dichotomy that categorizes people as able-bodied or disabled. In contrast, the biopsychosocial model, which forms the basis for the International Classification of Functioning, Disability and Health (ICF), suggests a universalistic perspective on human functioning, encompassing all human beings. In this article we argue that the artificial separation of function-enhancing technology into assistive technology (AT) and mainstream technology might be one of the barriers to a universalistic view of human functioning...
April 20, 2018: Assistive Technology: the Official Journal of RESNA
https://www.readbyqxmd.com/read/29676215/being-and-becoming-a-helper-illness-disclosure-and-identity-transformations-among-indigenous-people-living-with-hiv-or-aids-in-saskatoon-saskatchewan
#5
Andrew R Hatala, Kelley Bird-Naytowhow, Tamara Pearl, Jen Peterson, Sugandhi Del Canto, Eddie Rooke, Stryker Calvez, Ryan Meili, Michael Schwandt, Jason Mercredi, Patti Tait
Saskatoon has nearly half of the diagnoses of HIV in Saskatchewan, Canada, with an incidence rate among Indigenous populations within inner-city contexts that is 3 times higher than national rates. Previous research does not adequately explore the relations between HIV vulnerabilities within these contexts and the experiences of illness disclosure that are informed by identity transformations, experiences of stigma, and social support. From an intersectionality framework and a constructivist grounded theory approach, this research involved in-depth, semistructured interviews with 21 Indigenous people living with HIV and/or AIDS in Saskatoon, both male and female...
April 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29675995/bridging-the-hiv-treatment-gap-in-nigeria-examining-community-antiretroviral-treatment-models
#6
Edward A Oladele, Okikiolu A Badejo, Christopher Obanubi, Emeka F Okechukwu, Ezekiel James, Golden Owhonda, Onuche I Omeh, Moyosola Abass, Olubunmi R Negedu-Momoh, Norma Ojehomon, Dorothy Oqua, Satish Raj-Pandey, Hadiza Khamofu, Kwasi Torpey
INTRODUCTION: Significant gaps persist in providing HIV treatment to all who are in need. Restricting care delivery to healthcare facilities will continue to perpetuate this gap in limited resource settings. We assessed a large-scale community-based programme for effectiveness in identifying people living with HIV and linking them to antiretroviral treatment. METHODS: A retrospective secular trend study of 14 high burden local government areas of Nigeria was conducted in which two models of community antiretroviral treatment delivery were implemented: Model A (on-site initiation) and Model B (immediate referral) clusters...
April 2018: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29675644/pediatrician-experienced-barriers-in-the-medical-care-for-refugee-children-in-the-netherlands
#7
A Baauw, S Rosiek, B Slattery, M Chinapaw, M Boele van Hensbroek, J B van Goudoever, J Kist-van Holthe
Pediatricians in the Netherlands have been confronted with high numbers of refugee children in their daily practice. Refugee children have been recognized as an at-risk population because they may have an increased burden of physical and mental health conditions, and their caretakers may experience barriers in gaining access to the Dutch health care system. The aim of the study was to gain insight into the barriers in the health care for refugee children perceived by pediatricians by analyzing logistical problems reported through the Dutch Pediatric Surveillance Unit, an online system where pediatricians can report predefined conditions...
April 20, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29675047/menstrual-hygiene-management-and-waste-disposal-practices-and-challenges-faced-by-girls-women-of-developing-countries
#8
REVIEW
Rajanbir Kaur, Kanwaljit Kaur, Rajinder Kaur
Menstruation and menstrual practices still face many social, cultural, and religious restrictions which are a big barrier in the path of menstrual hygiene management. In many parts of the country especially in rural areas girls are not prepared and aware about menstruation so they face many difficulties and challenges at home, schools, and work places. While reviewing literature, we found that little, inaccurate, or incomplete knowledge about menstruation is a great hindrance in the path of personal and menstrual hygiene management...
2018: Journal of Environmental and Public Health
https://www.readbyqxmd.com/read/29674162/institutionalizing-health-impact-assessment-a-consultation-with-experts-on-the-barriers-and-facilitators-to-implementing-hia-in-italy
#9
Nunzia Linzalone, Adele Ballarini, Cristiano Piccinelli, Francesca Viliani, Fabrizio Bianchi
A Health Impact Assessment (HIA) is an evidence-based methodology that includes health promotion and protection goals in decision-making. HIA has been introduced and/or institutionalized to various extents in different countries. In order to promote HIA and preventive health assessments in Italy, a research methodology was followed to identify specific obstacles or facilitators. The experiences of various countries reported in the literature were analyzed in terms of facilitating or hindering the introduction and institutionalization of HIA...
April 16, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29674147/degradation-of-2-4-dichlorophenol-in-aqueous-solution-by-dielectric-barrier-discharge-effects-of-plasma-working-gases-degradation-pathways-and-toxicity-assessment
#10
Hong Zhang, Qifu Zhang, Chunguang Miao, Qing Huang
Chlorinated phenols are a class of contaminants found in water and have been regarded as a great potential risk to environment and human health. It is thus urgent to develop effective techniques to remove chlorinated phenols in wastewater. For this purpose, we employed dielectric barrier discharge (DBD) in this work and studied the efficiency of DBD for the degradation of 2,4-dichlorophenol (2,4-DCP), one of the most typical chlorophenols in the environment. The effects of pH value, applied voltage and plasma-working gases on the dichlorophenol-removal efficiency were investigated...
April 11, 2018: Chemosphere
https://www.readbyqxmd.com/read/29674132/racial-disparity-in-mental-disorder-diagnosis-and-treatment-between-non-hispanic-white-and-asian-american-patients-in-a-general-hospital
#11
Carrie Wu, Mathew Chiang, Amy Harrington, Sun Kim, Douglas Ziedonis, Xiaoduo Fan
PURPOSE: The present study sought to examine the diagnosis and treatment of mental disorders comparing Asian American (AA) and non-Hispanic Whites (WNH) drawn from a population accessing a large general hospital for any reason. Socio-demographic predictors of diagnosis and treatment were also explored. METHODS: Data were obtained from de-identified medical records in the Partner Health Care System's Research Patient Data Registry. RESULTS: The final sample included 345,070 self-identified WNH and 16,418 self-identified AA's between January 1, 2009 and December 31, 2009...
April 9, 2018: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29673903/integration-of-clinical-pharmacy-services-into-the-brazlian-health-system-using-problematization-with-maguerez-arc
#12
Genival Araujo Dos Santos Júnior, Thelma Onozato, Kérilin Stancine Santos Rocha, Sheila Feitosa Ramos, André Mascarenhas Pereira, Carla Francisca Dos Santos Cruz, Giselle Carvalho Brito, Divaldo Pereira de Lyra-Jr
BACKGROUND: Clinical pharmacy services (CPS) have been evolving worldwide. However, it is estimated that CPS are not yet integrated into the Brazilian healthcare system. Thus, the objective of this study is to identify factors that influence the integration of CPS into the healthcare system and propose strategies for this integration. METHODS: A methodological development study was conducted from August 2016 to September 2017. Thus, interviews were conducted with key informants to identify barriers, facilitators, and strategies for CPS integration...
April 12, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29673606/aging-barriers-influencing-mobile-health-usability-for-older-adults-a-literature-based-framework-mold-us
#13
REVIEW
G A Wildenbos, Linda Peute, Monique Jaspers
BACKGROUND: With the growing population of older adults as a potential user group of mHealth, the need increases for mHealth interventions to address specific aging characteristics of older adults. The existence of aging barriers to computer use is widely acknowledged. Yet, usability studies show that mHealth still fails to be appropriately designed for older adults and their expectations. To enhance designs of mHealth aimed at older adult populations, it is essential to gain insight into aging barriers that impact the usability of mHealth as experienced by these adults...
June 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29673404/contraception-determinants-in-youths-of-sierra-leone-are-largely-behavioral
#14
Aline Labat, Marta Medina, Mohammed Elhassein, Afrina Karim, Mohammad B Jalloh, Michèle Dramaix, Wei-Hong Zhang, Sophie Alexander, Kim E Dickson
BACKGROUND: Sexual initiation occurs early in Sierra Leone. This study aims to analyze the determinants of condom and/or contraceptive use among a representative sample of young persons (10 to 24 years) in Sierra Leone. METHODS: This is a secondary analysis of data from a study conducted to monitor the implementation of a UNFPA package of interventions directed to improve SRH in young people of Sierra Leone. This assessment was conducted in 2016 at the end of the Ebola outbreak...
April 19, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29673333/protocol-for-the-chord-project-community-health-outreach-to-reduce-diabetes-a-cluster-randomized-community-health-worker-trial-to-prevent-diabetes
#15
Nadia Islam, Thomas Gepts, Isaac Lief, Radhika Gore, Natalie Levy, Michael Tanner, Yixin Fang, Scott E Sherman, Mark D Schwartz
BACKGROUND: Type 2 diabetes mellitus (DM) affects 9.4% of US adults and children, while another 33.9% of Americans are at risk of DM. Health care institutions face many barriers to systematically delivering the preventive care needed to decrease DM incidence. Community health workers (CHWs) may, as frontline public health workers bridging clinic and community, help overcome these challenges. This paper presents the protocol for a pragmatic, cluster-randomized trial integrating CHWs into two primary care clinics to support DM prevention for at-risk patients...
April 19, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29673269/dual-diagnosis-a-problematic-construct-when-applied-to-persons-with-intellectual-disabilities
#16
John D McLennan
The term dual diagnosis can refer to the co-occurrence of an intellectual disability and a mental disorder. While such a term may have some advocacy rationale aimed at facilitating improved mental health care for those with intellectual disabilities, it is proposed that the construct has flawed underpinnings, and its application may problematize mental health service delivery. A core concern is the promotion of categorical diagnostic models, whereas dimensional models may more accurately reflect underlying continuums for both cognitive and mental health challenges...
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29673268/integration-of-pediatric-behavioral-health-services-in-primary-care-improving-access-and-outcomes-with-collaborative-care
#17
John V Campo, Rose Geist, David J Kolko
OBJECTIVE: To examine collaborative care interventions to integrate pediatric mental health services into primary care as a means of addressing barriers to mental health service delivery, improving access to care, and improving health outcomes. METHOD: Selective review of published literature addressing structural and attitudinal barriers to behavioural health service delivery and the integration of behavioural health services for pediatric mental problems and disorders into primary care settings, with a special focus on Canadian and U...
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29673255/reducing-muslim-mammography-disparities-outcomes-from-a-religiously-tailored-mosque-based-intervention
#18
Aasim I Padela, Sana Malik, Syeda Akila Ally, Michael Quinn, Stephen Hall, Monica Peek
OBJECTIVE: To describe the design of, and participant-level outcomes related to, a religiously tailored, peer-led group education program aimed at enhancing Muslim women's mammography intention. METHOD: Using a community-engaged approach and mixed methods, we identified and addressed barrier beliefs impeding mammography screening among Muslim American women. Our religiously tailored, mosque-based, peer-led intervention involved facilitated discussions and expert-led didactics conveying health-related religious teachings, and information about the benefits and process of mammography...
April 1, 2018: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/29673143/injection-molding-and-mechanical-properties-of-bio-based-polymer-nanocomposites
#19
Maria Chiara Mistretta, Luigi Botta, Marco Morreale, Sebastiano Rifici, Manuela Ceraulo, Francesco Paolo La Mantia
The use of biodegradable/bio-based polymers is of great importance in addressing several issues related to environmental protection, public health, and new, stricter legislation. Yet some applications require improved properties (such as barrier or mechanical properties), suggesting the use of nanosized fillers in order to obtain bio-based polymer nanocomposites. In this work, bionanocomposites based on two different biodegradable polymers (coming from the Bioflex and MaterBi families) and two different nanosized fillers (organo-modified clay and hydrophobic-coated precipitated calcium carbonate) were prepared and compared with traditional nanocomposites with high-density polyethylene (HDPE) as matrix...
April 17, 2018: Materials
https://www.readbyqxmd.com/read/29672772/key-barriers-to-gout-care-a-systematic-review-and-thematic-synthesis-of-qualitative-studies
#20
Sharan K Rai, Hyon K Choi, Sally H J Choi, Anne F Townsend, Kam Shojania, Mary A De Vera
Objectives: Gout care remains highly suboptimal, contributing to an increased global disease burden. To understand barriers to gout care, our aim was to provide a systematic review and thematic synthesis of qualitative studies worldwide reporting provider and patient perspectives and experiences with management. Methods: We conducted a mapped search of MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature, and Social Sciences Citation Index databases and selected qualitative studies of provider and patient perspectives on gout management...
April 17, 2018: Rheumatology
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