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Healthcare (Basel, Switzerland)

Zohre Rahmani Vasokolaei, Nahid Rejeh, Majideh Heravi-Karimooi, Seyed Davood Tadrisi, Kiarash Saatchi, Zahra Poshtchaman, Christina Sieloff, Mojtaba Vaismoradi
Hospitalization in the cardiac care unit can increase anxiety in patients. This study aimed to compare hand reflexology versus acupressure on anxiety and vital signs in female patients with coronary artery diseases. This double-blinded randomized placebo-controlled trial with a pre- and post-intervention design was conducted on 135 female patients with coronary artery diseases. Female patients hospitalized in a cardiac care unit were randomly divided into three groups of hand reflexology, acupressure and placebo ( n = 45 patients in each group) using blocking and a table of random numbers...
February 11, 2019: Healthcare (Basel, Switzerland)
Sarah Prior, Nicole Reeves, Gregory Peterson, Linda Jaffray, Steven Campbell
Sexual dysfunction is common but often under-recognised or neglected after stroke. This study sought to identify the existing methods for providing information and discussion on post-stroke sexual activity, and perceived gaps from the patient perspective. A sample of 1265 participants who had been admitted to any of the four major public hospitals in Tasmania, Australia, with stroke (International Classification of Diseases (ICD-10) group B70) were mailed a survey assessing their experiences with, and opinions about, receipt of post-stroke sexual activity education...
February 5, 2019: Healthcare (Basel, Switzerland)
Gerard Carroll, Katelyn Levy, Richard Pescatore, Rick Hong
Widespread use of Emergency Medicine Services (EMS) for non-emergency care has increased recently, causing overcrowding of the Emergency Department (ED). The increased availability of urgent care centers (UCCs), with their ability to see large numbers of unscheduled patients with more acute presentations, may offer a viable option for many EMS systems to divert non-emergent cases. Using a survey-based study combined with retrospective chart review, EMS provider ability to determine patient suitability for diversion to UCCs was assessed...
February 2, 2019: Healthcare (Basel, Switzerland)
Diana M Layne, Lynne S Nemeth, Martina Mueller, Mary Martin
Behaviors that undermine a culture of safety within hospitals threaten overall wellbeing of healthcare workers as well as patient outcomes. Existing evidence suggests negative behaviors adversely influence patient outcomes, employee satisfaction, retention, productivity, absenteeism, and employee engagement. Our objective was to examine the presence of negative behaviors within a healthcare system and the influence of negative behaviors among healthcare workers on perceptions of patient safety culture. Using a cross-sectional design, the negative behaviors in healthcare survey (NBHC) and selected composites of the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPS) were combined within an electronic survey which was administered to physicians, clinical and managerial staff...
February 1, 2019: Healthcare (Basel, Switzerland)
Laura Finn, Sonia Malhotra
Palliative Care and its medical subspecialty, known as Palliative Medicine, is the care of anyone with a serious illness. This emerging field includes Hospice and comfort care, however, it is not limited to end-of-life care. Examples of the types of serious illness that Palliative Medicine clinicians care for include and are not limited to hematologic and oncologic diseases, such as cancer, advanced heart and lung diseases (e.g., congestive heart failure and chronic obstructive pulmonary disorder), advanced liver and kidney diseases, and advanced neurologic illnesses (e...
February 1, 2019: Healthcare (Basel, Switzerland)
Stephanie Clarke, Prue E Munro, Annemarie L Lee
Chronic obstructive pulmonary disease (COPD) is a respiratory condition associated with altered chest wall mechanics and musculoskeletal changes. In this narrative review, we describe the underlying musculoskeletal abnormalities in COPD, the reasons for applying manual therapy techniques, their method of application and clinical effects. A variety of manual therapy techniques have been applied in individuals with COPD, including soft tissue therapy, spinal and joint manipulation and mobilisation, and diaphragmatic release techniques...
February 1, 2019: Healthcare (Basel, Switzerland)
Lauren T Williams, Katelyn Barnes, Lauren Ball, Lynda J Ross, Ishtar Sladdin, Lana J Mitchell
Effective, evidence-based strategies to prevent and treat obesity are urgently required. Dietitians have provided individualized weight management counselling for decades, yet evidence of the effectiveness of this intervention has never been synthesized. The aim of this study was to examine the effectiveness of individualized nutrition care for weight management provided by dietitians to adults in comparison to minimal or no intervention. Databases (Cochrane, CINAHL plus, MedLine ovid, ProQuest family health, PubMed, Scopus) were searched for terms analogous with patient, dietetics and consultation with no date restrictions...
February 1, 2019: Healthcare (Basel, Switzerland)
Georg Bollig, Frans Brandt, Marius Ciurlionis, Boris Knopf
Due to demographic changes, the need for palliative care in the community and at home is expected to rise in the coming years. The care that is given by family members and general practitioners plays a vital role in basic palliative care. Knowledge in palliative care is very limited or totally absent in most communities, and information about the effects of educational procedures in teaching non-professionals in basic palliative care is sparse. In the Last Aid course, the public knowledge approach and the initial experiences from the implementation process are described...
January 28, 2019: Healthcare (Basel, Switzerland)
Katharine M Mark, Dominic Murphy, Sharon A M Stevelink, Nicola T Fear
Little is known about ex-serving military personnel who access secondary mental health care. This narrative review focuses on studies that quantitatively measure secondary mental health care utilisation in ex-serving personnel from the United States. The review aimed to identify rates of mental health care utilisation, as well as the factors associated with it. The electronic bibliographic databases OVID Medline, PsycInfo, PsycArticles, and Embase were searched for studies published between January 2001 and September 2018...
January 28, 2019: Healthcare (Basel, Switzerland)
Shervin Assari, Pegah Khoshpouri, Hamid Chalian
AIM: To determine whether socioeconomic status (SES; educational attainment and income) explains the racial gap in cancer beliefs, cognitions, and emotions in a national sample of American adults. METHODS: For this cross-sectional study, data came from the Health Information National Trends Survey (HINTS) 2017, which included a nationally representative sample of American adults. The study enrolled 2277 adults who were either non-Hispanic Black ( n = 409) or non-Hispanic White ( n = 1868)...
January 24, 2019: Healthcare (Basel, Switzerland)
Christopher W Towe, Katherine Wu, Alina Khil, Yaron Perry, Stephanie G Worrell, Vanessa P Ho, Philip A Linden
BACKGROUND: Pulmonary function testing (PFT) is commonly used to risk-stratify patients prior to lung resection. Guidelines recommend that patients with reduced lung function, due to chronic lung conditions such as Chronic Obstructive Pulmonary Disease (COPD), should receive additional physiologic testing to determine fitness for resection. We reviewed our experience with six-minute walk testing (SMWT) to determine the association of test results and post-operative complications. METHODS: Consecutive adult patients undergoing segmentectomy, lobectomy, bilobectomy or pneumonectomy between 1 January, 2007 and 1 January, 2017 were identified in a prospectively maintained database...
January 23, 2019: Healthcare (Basel, Switzerland)
Sabrina L Dickey, Ciara J Grayson
Prostate cancer is very common among men in the United States. The current literature on active surveillance (AS) suggests that it is a promising treatment option for men with low-risk prostate cancer. The purpose of this manuscript is to provide a thorough integrative review regarding the effects of AS on the quality of life (QoL) of men with prostate cancer. Utilizing a methodological strategy, electronic databases were reviewed for empirical articles during the time frame of January 2006 to December 2016...
January 22, 2019: Healthcare (Basel, Switzerland)
Hayley Lewthwaite, Georgia Williams, Katherine L Baldock, Marie T Williams
Chronic pain is highly prevalent and more common in people with chronic obstructive pulmonary disease (COPD) than people of similar age/sex in the general population. This systematic review aimed to describe how frequently and in which contexts pain is considered in the clinical practice guidelines (CPGs) for the broad management of COPD. Databases (Medline, Scopus, CiNAHL, EMbase, and clinical guideline) and websites were searched to identify current versions of COPD CPGs published in any language since 2006...
January 22, 2019: Healthcare (Basel, Switzerland)
Rita A Jablonski, Vicki Winstead, David S Geldmacher
Family caregivers of persons with dementia encounter resistance to care behaviors (RCBs). The purpose of this methods paper was to describe the process and content of six weekly 60-min caregiver coaching sessions delivered synchronously through an online platform to 26 family caregivers of persons with dementia. All session notes were analyzed for process; two coaching sessions from five purposely-selected participants were transcribed and analyzed thematically for content. The six sessions followed an overall pattern...
January 19, 2019: Healthcare (Basel, Switzerland)
Roy A Pleasants, Khosrow Heidari, Jill Ohar, James F Donohue, Njira Lugogo, Chelsea L Richard, Sarojina Kanotra, David M Mannino, Monica Kraft, Winston Liao, Charlie Strange
Rationale/Objective: The Behavioral Risk Factor Surveillance System (BRFSS) health survey has been used to describe the epidemiology of chronic obstructive pulmonary disease (COPD) in the US. Through addressing respiratory symptoms and tobacco use, it could also be used to characterize COPD risk. METHODS: Four US states added questions to the 2015 BRFSS regarding productive cough, shortness of breath, dyspnea on exertion, and tobacco duration. We determined COPD risk categories: provider-diagnosed COPD as self-report, high-risk for COPD as ≥10 years tobacco smoking and at least one significant respiratory symptom, and low risk was neither diagnosed COPD nor high risk...
January 18, 2019: Healthcare (Basel, Switzerland)
Pouya Soltani Zarrin, Farabi Ibne Jamal, Niels Roeckendorf, Christian Wenger
Chronic Obstructive Pulmonary Disease (COPD) is a life-threatening lung disease affecting millions of people worldwide. Although the majority of patients with objective COPD go undiagnosed until the late stages of their disease, recent studies suggest that the regular screening of sputum viscosity could provide important information on the disease detection. Since the viscosity of sputum is mainly defined by its mucin⁻protein and water contents, dielectric biosensors can be used for detection of viscosity variations by screening changes in sputum's contents...
January 16, 2019: Healthcare (Basel, Switzerland)
Victoria E Blanco, Carolina V Hernandorena, Paula Scibona, Waldo Belloso, Carlos G Musso
Acute kidney injury (AKI) is a common problem in hospitalized patients that is associated with significant morbid-mortality. The impact of kidney disease on the excretion of drugs eliminated by glomerular filtration and tubular secretion is well established, as well as the requirement for drug dosage adjustment in impaired kidney function patients. However, since impaired kidney function is associated with decreased activity of several hepatic and gastrointestinal drug-metabolizing enzymes and transporters, drugs doses adjustment only based on kidney alteration could be insufficient in AKI...
January 14, 2019: Healthcare (Basel, Switzerland)
Sarmila Tandukar, Jeevan B Sherchand, Surendra Karki, Bikash Malla, Rajani Ghaju Shrestha, Dinesh Bhandari, Ocean Thakali, Eiji Haramoto
Enteric viruses are highly contagious and a major cause of waterborne gastroenteritis in children younger than five years of age in developing world. This study examined the prevalence of enteric virus infection in children with gastroenteritis to identify risk factors for co-infections. In total, 107 stool samples were collected from patients with acute gastroenteritis along with samples of their household drinking water and other possible contamination sources, such as food and hand. The presence of major gastroenteritis-causing enteric virus species (group A rotaviruses, enteroviruses, adenoviruses, and noroviruses of genogroup I) in stool and water samples was examined using quantitative polymerase chain reaction...
January 13, 2019: Healthcare (Basel, Switzerland)
Ashley Kable, Anne Fullerton, Samantha Fraser, Kerrin Palazzi, Carolyn Hullick, Christopher Oldmeadow, Dimity Pond, Andrew Searles, Kim Edmunds, John Attia, On Behalf Of Sms Dementia Study On Behalf Of Sms Dementia Study Investigators
People with dementia (PWD) and cognitive impairment are particularly vulnerable to medication problems, and unplanned admission to hospital presents an opportunity to address polypharmacy, potentially inappropriate medications (PIMs) and anticholinergic burden. This study aimed to compare PIMS and other medication data for PWD to determine whether these changed during hospitalization. Medications documented in patient's records at admission and discharge were evaluated for PWD recruited to phase one of a prospective quasi-experimental pre/post-controlled trial that was conducted at two regional hospitals in NSW, Australia...
January 9, 2019: Healthcare (Basel, Switzerland)
Emma Bartfay, Paige Stewart, Wally Bartfay, Efrosini Papaconstantinou
Sleep disturbances are common in persons with dementia (PWD). While pharmacotherapy is widely used, non-pharmacological interventions are beginning to surface as first-line management strategies. This study sought to investigate if physical activity was associated with more favourable sleep patterns in PWD, and to compare the sleep quantity and quality between active and inactive PWD. We conducted an exploratory study to tackle these research questions. Self-reported telephone questionnaires were administered to 40 caregivers of PWD, who answered questions as proxies on behalf of their care recipient...
January 5, 2019: Healthcare (Basel, Switzerland)
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