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https://read.qxmd.com/read/30758257/exploring-caregiving-related-experiences-among-chinese-american-and-european-american-family-caregivers-of-persons-with-mental-illness
#1
Meekyung Han, Sadhna Diwan, Karen Sun
Family caregivers (FCs) of people with mental illness (PMI) experience caregiving-related distress. These challenges tend to be greater for Asian American families due to acculturative stress and structural barriers to services. However, little is known about caregiving-related experiences among FCs of PMI within a cultural context. By using an exploratory approach, we examined the experience of caregiver distress and the influence of cultural values on caregiving in European American and Chinese American FCs...
February 13, 2019: Transcultural Psychiatry
https://read.qxmd.com/read/30696871/infant-dietary-patterns-and-early-childhood-caries-in-a-multi-ethnic-asian-cohort
#2
Shijia Hu, Yu Fan Sim, Jia Ying Toh, Seang Mei Saw, Keith M Godfrey, Yap-Seng Chong, Fabian Yap, Yung Seng Lee, Lynette Pei-Chi Shek, Kok Hian Tan, Mary Foong-Fong Chong, Chin-Ying Stephen Hsu
Dental caries, although preventable, remains one of the most prevalent chronic disease worldwide. Most studies focused on the relationship between sugar intake and caries. However, examining multidimensional dietary patterns is becoming increasingly important. Here, we examined the relationship between dietary patterns from ages 6 to 12 months and early childhood caries (ECC) at age 2 to 3-years. Infant dietary data was collected from caregivers and dietary pattern trajectories from 6 to 12 months derived. Oral examinations were carried out by trained calibrated dentists at ages 2 and 3 years...
January 29, 2019: Scientific Reports
https://read.qxmd.com/read/30645702/individual-and-neighborhood-factors-associated-with-undiagnosed-asthma-in-a-large-cohort-of-urban-adolescents
#3
Jean-Marie Bruzzese, Sharon Kingston, Katherine A Falletta, Emilie Bruzelius, Lusine Poghosyan
Undiagnosed asthma adds to the burden of asthma and is an especially significant public health concern among urban adolescents. While much is known about individual-level demographic and neighborhood-level factors that characterize those with diagnosed asthma, limited data exist regarding these factors and undiagnosed asthma. This observational study evaluated associations between undiagnosed asthma and individual and neighborhood factors among a large cohort of urban adolescents. We analyzed data from 10,295 New York City adolescents who reported on asthma symptoms and diagnosis; a subset (n = 6220) provided addresses that we were able to geocode into US Census tracts...
January 15, 2019: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://read.qxmd.com/read/30626192/experiences-of-caregivers-of-people-with-dementia-in-a-korean-dementia-simulation-program
#4
Areum Han, Taehee Kim, Hyeon Hong
OBJECTIVES: Experiencing dementia-related challenges in a dementia simulation program can be useful for caregivers to understand perspectives of people with dementia possibly leading to improvement in the quality of care and positive outcomes in caregivers and people with dementia. Previous studies about dementia simulation programs have been conducted in Western countries and no research has been conducted in Asian countries. The purpose of this qualitative study was to explore experiences of caregivers of people with dementia who participated in a Korean dementia simulation program...
January 9, 2019: Dementia
https://read.qxmd.com/read/30582111/development-and-validation-of-a-screening-instrument-for-cognitive-fluctuation-in-patients-with-neurocognitive-disorder-with-lewy-bodies-ncdlb-the-mayo-fluctuations-scale-thai-version
#5
Papan Thaipisuttikul, Pitchayawadee Chittaropas, Pattaraporn Wisajun, Sudawan Jullagate
Background: Prevalence of neurocognitive disorder with Lewy bodies (NCDLB) is low in Asian populations, which may partially reflect its diagnostic difficulty. The Mayo Fluctuations Scale, a short questionnaire that evaluates cognitive fluctuation, has been shown to significantly differentiate NCDLB from Alzheimer's disease. Aim: This study aimed to develop the Mayo Fluctuations Scale-Thai version and assess its validity to screen NCDLB in an elderly population. Methods: The Mayo Fluctuations Scale was translated into Thai...
2018: General psychiatry
https://read.qxmd.com/read/30485913/tackling-undernutrition-in-the-asian-healthcare-setting-a-southeast-asian-expert-consensus
#6
Doris Hui Lan Ng, Albert Albay, Samuel Teong Huang Chew, Carole Glencorse, Jesus Fernando Inciong, Nguyen Viet Quynh Thu, Veeradej Pisprasert, Siti Setiati, Maw Pin Tan, Ling Hui Claytor
BACKGROUND AND OBJECTIVES: Malnutrition is under-recognized and under-treated in Asia due to resource constraints, lack of awareness and knowledge among healthcare professionals and patients, and lack of standardized procedures for malnutrition management. While international guidelines for the management of malnutrition are available, they may not be easily applicable to the patient population and healthcare settings within Southeast Asia. This paper provides consensus recommendations, developed by the Regional Nutrition Working Group, to foster evidence-based nutritional care in Southeast Asia to improve patient outcomes...
2018: Asia Pacific Journal of Clinical Nutrition
https://read.qxmd.com/read/30458746/anticipatory-grief-of-spousal-and-adult-children-caregivers-of-people-with-dementia
#7
Daphne Sze Ki Cheung, Ken Hok Man Ho, Tsz Fung Cheung, Simon Ching Lam, Mimi Mun Yee Tse
BACKGROUND: Anticipatory grief (AG) among caregivers of people with dementia is common and has been found to be related to negative health outcomes. Previous studies showed different patterns of AG between spousal and adult children caregivers of people with dementia (PWD) at different stages; however, the levels of such grief are not yet compared. The findings in Western studies are very limited, and inconsistencies have also been found in Asian studies. METHODS: One hundred and eight primary caregivers (54 spousal and 54 adult children) of community-dwelling PWD were recruited from elderly community services sectors in Hong Kong, China through quota sampling...
November 20, 2018: BMC Palliative Care
https://read.qxmd.com/read/30455157/parkinson-s-disease-evolution-of-the-scientific-literature-from-1983-to-2017-by-countries-and-journals
#8
REVIEW
C Robert, C S Wilson, R B Lipton, C-D Arreto
This study charts the evolution of the scientific literature on Parkinson's disease (PD) from 1983 to 2017 to inform communities of scientists, physicians, patients, caregivers and politicians concerned with PD. Articles published in journals indexed in the Science Citation Index-Expanded database of the Web of Science were retrieved and analyzed in seven five-year periods: 1983-1987, 1988-1992, 1993-1997, 1998-2002, 2003-2007, 2008-2012 and 2013-2017. Over 35 years the number of research papers on PD increased 33-fold: 885 papers in 1983-1987 to 29,972 in 2013-2017...
November 10, 2018: Parkinsonism & related Disorders
https://read.qxmd.com/read/30430375/sociodemographic-and-clinical-factors-associated-with-acceptance-of-outpatient-parenteral-antibiotic-therapy-in-a-singapore-tertiary-hospital-from-2014-to-2017
#9
Liang En Wee, Mangaikarasi Sundarajoo, Way-Fang Quah, Ahmad Farhati, Jie-Ying Huang, Ying-Ying Chua
Outpatient parenteral antibiotic therapy (OPAT) can facilitate early discharge; however, not all offered OPAT can accept. We assessed factors associated with acceptance of OPAT in a large Asian tertiary hospital cohort. From 2014 to 2017, we reviewed all referrals to Singapore General Hospital's (SGH) Outpatient Parenteral Antibiotic Therapy (OPAT) service. We compared differences in sociodemographic and clinical factors between patients who opted for OPAT and those who declined, using chi-square test for univariate analysis and logistic regression for multivariate analysis...
November 14, 2018: European Journal of Clinical Microbiology & Infectious Diseases
https://read.qxmd.com/read/30359277/can-caregivers-report-their-care-recipients-post-stroke-hospitalizations-and-outpatient-visits-accurately-findings-of-an-asian-prospective-stroke-cohort
#10
Shilpa Tyagi, Gerald Choon-Huat Koh, Nan Luo, Kelvin Bryan Tan, Helen Hoenig, David B Matchar, Joanne Yoong, Eric A Finkelstein, Kim En Lee, N Venketasubramanian, Edward Menon, Kin Ming Chan, Deidre Anne De Silva, Philip Yap, Boon Yeow Tan, Effie Chew, Sherry H Young, Yee Sien Ng, Tian Ming Tu, Yan Hoon Ang, Keng He Kong, Rajinder Singh, Reshma A Merchant, Hui Meng Chang, Tseng Tsai Yeo, Chou Ning, Angela Cheong, Yu Li Ng, Chuen Seng Tan
BACKGROUND: Health services research aimed at understanding service use and improving resource allocation often relies on collecting subjectively reported or proxy-reported healthcare service utilization (HSU) data. It is important to know the discrepancies in such self or proxy reports, as they have significant financial and policy implications. In high-dependency populations, such as stroke survivors, with varying levels of cognitive impairment and dysphasia, caregivers are often potential sources of stroke survivors' HSU information...
October 25, 2018: BMC Health Services Research
https://read.qxmd.com/read/30318901/a-grounded-theory-analysis-of-the-experiences-of-carers-for-people-living-with-dementia-from-three-bame-communities-balancing-the-need-for-support-against-fears-of-being-diminished
#11
Subitha Baghirathan, Richard Cheston, Rosa Hui, Anndeloris Chacon, Paula Shears, Katie Currie
An estimated 25,000 people of Black, Asian and other Minority Ethnic (BAME) origins live with dementia in UK - a number which is expected to increase sevenfold by 2051. People from many BAME communities experience dementia in a markedly different way to their white British counterparts. For instance diagnosis is more likely to occur at an advanced stage of the illness, while there is a lower take-up of mainstream dementia services. This research study focused on the experiences of caregivers for family and friends living with dementia from South Asian, African Caribbean and Chinese communities in Bristol...
October 14, 2018: Dementia
https://read.qxmd.com/read/30296834/awareness-and-understanding-of-dementia-in-south-asians-a-synthesis-of-qualitative-evidence
#12
Muhammad Hossain, John Crossland, Rebecca Stores, Ann Dewey, Yohai Hakak
Background Despite a growing elderly South Asian population, little is known about the experience of diagnosis and care for those living with dementia. There have been a number of individual qualitative studies exploring the experiences of South Asian people living with dementia and their carers across different contexts. There has also been a growing interest in synthesizing qualitative research to systematically integrate qualitative evidence from multiple studies to tell us more about a topic at a more abstract level than single studies alone...
October 8, 2018: Dementia
https://read.qxmd.com/read/30262346/-asymptomatic-south-auckland-preschool-children-have-significant-hearing-loss-and-middle-ear-disease
#13
Louise J Dickinson, Moea Nimmo, Randall P Morton, Suzanne C Purdy
BACKGROUND: Seven hundred children were recalled for hearing screening at age 2-3 years due to a problem with their newborn hearing screen. They had all been well babies with no identified risk factors for hearing loss and hence were not scheduled for targeted follow-up to retest hearing. METHODS: There were 485 children (69%) that attended the recall. The average age was 36 months (SD 3.7). Family ethnicity was Pacific Island (36%), Asian (26%), NZ European (13%), and Māori (11%), and there was a high level of deprivation in the study population...
November 2018: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/30251336/long-term-nasogastric-versus-percutaneous-endoscopic-gastrostomy-tube-feeding-in-older-asians-with-dysphagia-a-pragmatic-study
#14
Mohamad Hasif Jaafar, Sanjiv Mahadeva, Kit Mun Tan, Ai-Vyrn Chin, Shahrul B Kamaruzzaman, Hui Min Khor, Nor Izzati Saedon, Maw Pin Tan
BACKGROUND: A barrier to gastrostomy feeding exists among Asian clinicians and caregivers due to negative perceptions regarding complications. We compared clinical and nutrition outcomes in older dysphagic Asian patients with nasogastric (NG) or gastrostomy tube feeding using a pragmatic study design. METHODS: The choice of enteral tube access was determined by managing clinicians and patients/caregivers. Comparisons of tube feeding methods were made during a 4-month period, adjusting statistically for inherent confounders...
September 25, 2018: Nutrition in Clinical Practice
https://read.qxmd.com/read/30106203/whom-should-i-rely-on-for-my-future-care-patterns-of-care-expectations-and-intergenerational-correlates-among-ageing-chinese-adults-in-hong-kong
#15
Xue Bai
This study examined ageing parents' care expectations across multiple care domains (financial and material, emotional, personal and informational) towards filial and formal sources and identified intergenerational correlates of care expectation patterns using a proposed care expectation model. Data of 780 eligible ageing parents were drawn from a representative household survey of ageing adults (≥50 years) conducted in 2016-2017. Latent class analysis was used to examine the typological structure underlying ageing parents' care expectations...
August 14, 2018: Health & Social Care in the Community
https://read.qxmd.com/read/30007521/understanding-factors-that-influence-the-demand-for-dialysis-among-elderly-in-a-multi-ethnic-asian-society
#16
Eric Andrew Finkelstein, Semra Ozdemir, Chetna Malhotra, Tazeen H Jafar, Lina Choong Hui Lin, Sheryl Gan Shien Wen
BACKGROUND: Despite literature suggesting conservative management (CM) is a viable option for elderly comorbid ESRD patients, the vast majority in Singapore receive dialysis. We hypothesized that the high demand for dialysis is driven by 1) lack of knowledge of CM and relative benefits of dialysis to CM, 2) adherence to physician recommendations which favour dialysis, and 3) high subsidies for haemodialysis (HD). METHODS: We tested these hypotheses via a survey, including a discrete choice experiment (DCE), administered to 151 elderly pre-dialysis kidney patients and their family caregivers...
August 2018: Health Policy
https://read.qxmd.com/read/29969849/prevalence-and-risk-factors-of-abusive-behaviors-in-the-caregivers-of-people-with-dementia-in-korea
#17
Taehyun Kim, Hyeon Jeong, Ji Won Han, Kyung Phil Kwak, Bong-Jo Kim, Shin-Kyeom Kim, Jeong Lan Kim, Tae Hui Kim, Seung-Ho Ryu, Seok Woo Moon, Jae Young Park, Joon Hyuk Park, Jae Nam Bae, Jong Chul Youn, Dong Young Lee, Dong Woo Lee, Seok Bum Lee, Jung Jae Lee, Jin Hyeong Jhoo, Jungwon Lee, Ki Woong Kim
Objective: We investigated the prevalence and risk factors of physically abusive behaviors (PhAB) and psychologically abusive behaviors (PsAB) towards people with dementia (PWD) in family caregivers, and compared their prevalences between East Asian and Western countries. Methods: We estimated the prevalence and risk factors of PhAB and PsAB in 467 Korean pairs of community-dwelling PWD and their primary family caregivers. We evaluated abusive behaviors using the Modified Conflict Tactics Scale...
July 2018: Psychiatry Investigation
https://read.qxmd.com/read/29938212/patient-portal-usage-in-pediatric-urology-is-it-meaningful-use-for-everyone
#18
Ruth A Bush, Andrew C Richardson, Diana Cardona-Grau, Hena Din, Cynthia L Kuelbs, George J Chiang
Introduction: The Affordable Care Act promotes multiple directives for meaningful use of the Electronic Health Record, such as patient/provider portals, to increase patient engagement. Although portal use is common within adult healthcare, little information exists regarding pediatric portal use. We examined pediatric urology patient portal enrollment and activation patterns at a tertiary pediatric hospital in Southern California by race/ethnicity, preferred language, gender, and residential region...
July 2018: Urology Practice
https://read.qxmd.com/read/29902469/acceptance-of-tele-rehabilitation-by-stroke-patients-perceived-barriers-and-facilitators
#19
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://read.qxmd.com/read/29901494/speaking-up-and-walking-out-are-vulnerable-patients-less-likely-to-disagree-with-or-change-doctors
#20
Steven C Martino, Marc N Elliott, Joshua S Mallett, Nate Orr, Sarah Gaillot, Amelia M Haviland
BACKGROUND: Disparities in clinical process-of-care and patient experiences are well documented for Medicare beneficiaries with ≥1 social risk factors. If such patients are less willing to express disagreement with their doctors or change doctors when dissatisfied, these behaviors may play a role in observed disparities. OBJECTIVE: To investigate the association between social risk factors and self-reported likelihood of disagreeing with or changing doctors if dissatisfied among the Medicare fee-for-service population...
September 2018: Medical Care
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