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Home visits

Alessandra L G Lucchetti, Bruna S V F Duarte, Thaís V de Assis, Bruna O Laurindo, Giancarlo Lucchetti
OBJECTIVE: To describe the experience of a Brazilian medical school in implementing different active methods to teach Geriatric Medicine, reporting the students' opinions and satisfaction with the classes and comparing pre- and postcourse measurements of knowledge, attitudes and skills. METHODS: A total of 166 third-year medical students received different active theoretical-practical activities for teaching Geriatric Medicine and their knowledge, attitudes, clinical skills and satisfaction were investigated...
February 14, 2019: Australasian Journal on Ageing
Sansanee Aungsataporn, Chadakarn Phaloprakarn, Siriwan Tangjitgamol
AIM: To identify the rate and associated factors of loss to post-partum follow-up among adolescent mothers. METHODS: A matched case-control study was conducted among Thai adolescents who gave birth between January 2011 and December 2016 and were scheduled for a 6-week post-partum visit. Cases (n = 568) included mothers who did not return for follow-up whereas controls (n = 568) were mothers who attended a post-partum visit. Cases were matched with controls according to age group and date of delivery...
February 13, 2019: Journal of Obstetrics and Gynaecology Research
Kazuya Taira, Tomoya Itatani, Kei Kamide, Mikiko Ito
AIM: In home-visiting bathing services (HVBs), a nurse's role is to evaluate the vital signs, judge bathing possibilities and provide treatment before/after bathing. There are no guidelines regarding specific physical criteria for judging the bathing possibility. However, the body condition of HVB users during bathing has not been investigated. Thus, the present study aimed to clarify users' actual conditions and the factors related to the judgment of the possibility of bathing. METHODS: An anonymous self-administered questionnaire survey of HVBs users was conducted by Company-A, which provides HVBs...
2019: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
Ank E Nijhawan, Robin T Higashi, Emily G Marks, Yordanos M Tiruneh, Simon Craddock Lee
Thirty-day hospital readmissions, a key quality metric, are common among people living with HIV. We assessed perceived causes of 30-day readmissions, factors associated with preventability, and strategies to reduce preventable readmissions and improve continuity of care for HIV-positive individuals. Patient, provider, and staff perspectives toward 30-day readmissions were evaluated in semistructured interviews (n = 86) conducted in triads (HIV-positive patient, medical provider, and case manager) recruited from an inpatient safety net hospital...
January 2019: Journal of the International Association of Providers of AIDS Care
Aoi Noda, Taku Obara, Shinya Abe, Shoko Yoshimachi, Michihiro Satoh, Mami Ishikuro, Azusa Hara, Hirohito Metoki, Nariyasu Mano, Takayoshi Ohkubo, Teruaki Goto, Yutaka Imai
OBJECTIVE: To clarify the present situation of home blood pressure (HBP) measurement among Japanese patients. METHODS: A nationwide questionnaire survey regarding HBP measurement was conducted on patients aged 20 years or older who had visited 20 community pharmacies to have their prescriptions filled. RESULTS: In total, 76.7% of 1,103 hypertensives and 40.9% of 1,106 normotensives had their own devices for HBP measurement. Compared with normotensives, a higher proportion of hypertensives recognized the guideline-based reference values for HBP and clinic BP...
February 13, 2019: Clinical and Experimental Hypertension: CHE
Byung Joo Lee, Yong Hyun Park, Ji Youl Lee, Soo Jin Kim, Yongjun Jang, Jong In Lee
BACKGROUND: Recently, the application of smartphone in medical field has received great attention. INTRODUCTION: The objective of this study was to compare the effectiveness of smartphone-based and conventional pedometer-based exercise monitoring systems in promoting home exercise among prostate cancer patients. METHODS: Prostate cancer patients who have undergone surgery or androgen deprivation therapy were recruited. All participants were provided with physical activity goals based on their activities and were advised to achieve these goals during their home exercise period...
February 13, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Michele Fontefrancesco, Charles Barstow, Francesca Grazioli, Hillary Lyons, Giulia Mattalia, Mattia Marino, Anne E McKay, Renata Sõukand, Paolo Corvo, Andrea Pieroni
BACKGROUND: Ethnobotanical field studies concerning migrant groups are crucial for understanding temporal changes of folk plant knowledge as well as for analyzing adaptation processes. Italy still lacks in-depth studies on migrant food habits that also evaluate the ingredients which newcomers use in their domestic culinary and herbal practices. METHODS: Semi-structured and open in-depth interviews were conducted with 104 first- and second-generation migrants belonging to the Albanian and Moroccan communities living in Turin and Bra, NW Italy...
February 12, 2019: Journal of Ethnobiology and Ethnomedicine
Steffany J Fredman, Yunying Le, Amy D Marshall, Walter Garcia Hernandez, Mark E Feinberg, Robert T Ammerman
BACKGROUND: Posttraumatic stress disorder (PTSD) symptoms are associated with parental aggression towards children, but little is known about the relation between parents' PTSD symptoms and their risk for perpetrating child physical abuse during the early parenting years, when the potential for prevention of abuse may be highest. OBJECTIVE: To examine direct associations between mothers' and fathers' PTSD symptoms and child abuse potential, as well as indirect effects through couple relationship adjustment (i...
February 9, 2019: Child Abuse & Neglect
Tran Huu Bich, Tran Khanh Long, Dinh Phuong Hoa
Although the benefits of breastfeeding are well-documented, little is known about how best to encourage fathers to support breastfeeding. A quasi-experimental study of a community-based intervention was designed to examine whether health education to promote fathers' involvement in supporting women is associated with early initiation and exclusive breastfeeding practices. At baseline, 802 couples of fathers with pregnant wives from 12 to 27 weeks of gestational age were recruited to either the intervention group (n = 390) or a control group (n = 412) consisting of couples seeking care through routine maternal and child health services...
January 2019: Maternal & Child Nutrition
Julia J Liu, Thomas Brent Rosson, Jesse J Xie, Zachary P Harris, Regina G McBride, Eric Siegel, Curt Hagedorn
BACKGROUND AND AIMS: IBD patients with inadequately treated disease often relapse and require hospitalizations for further management. The purpose of this practice review was to determine whether personalized IBD care improved patient outcomes as measured by IBD-related hospitalizations. METHODS: A dedicated IBD clinic was created for personalized patient care in a tertiary veterans health care center in 2014. In the first year, the care program consisted of patient-centered medical home (PCMH)...
February 12, 2019: Digestive Diseases and Sciences
Ryan E Hanson, Marisa Truesdell, Glenn T Stebbins, Allison L Weathers, Christopher G Goetz
Objective: To compare patient and physician satisfaction between home-based telemedicine visits and office visits for follow-up care within a movement disorders program. Methods: Patients were offered telemedicine visits as follow-up care. After telemedicine visits, a questionnaire of items along a 10-point Likert Scale (10 = most satisfied) assessed patient and overall physician satisfaction, comparing the experience to past in-office visits. Results: Patients and physicians were highly satisfied with the telemedicine experience, both groups having median endorsement scores of 9...
January 2019: Movement Disorders Clinical Practice
Tom Nadarzynski, Jack Burton, Kimberley Henderson, Deborah Zimmerman, Orla Hill, Cynthia Graham
Objective: Chlamydia is one of the most common sexually transmitted infections in teenagers and young adults. This study used a mixed-methods analysis to investigate targeted promotion of chlamydia home-testing on social media. Methods: Our first study, in which face-to-face interviews with young women were conducted, sought to explore their attitudes and preferences towards social media-based health promotion. Our second study used Facebook and Google analytics to examine visits to a chlamydia testing page (where chlamydia testing kits could be ordered online), both before and after a targeted Facebook-based health promotion campaign was conducted...
January 2019: Digital Health
Beatriz Yoldi Muñoz, María Auxiliadora Martín Martínez, Marta Valero Expósito, Carlos Plana Veret, José Luis Andreu Sánchez, José Vicente Moreno Muelas
INTRODUCTION: One of the missions of the Spanish Society of Rheumatology is to provide the necessary tools for excellence in health care. Currently, there is no reference point to quantify medical actions in this specialty, and this is imperative. MATERIAL AND METHOD: A list of actions was drawn up and a hierarchical classification system was established by developing a complexity index, calculated based on the completion time and difficulty level of each action...
February 8, 2019: Reumatología Clinica
Gedefaw Abeje Fekadu, Fentie Ambaw, Seblewongiel Ayenalem Kidanie
BACKGROUND: Antenatal care provides the best opportunity to promote maternal and child health services use. But many Ethiopian mothers deliver at home and fail to attend postnatal care. Therefore, this study was done to identify factors associated with health facility delivery among mothers who attended four or more antenatal care visits. The study was also intended to identify factors associated with postnatal care service use among mothers who delivered at home after four or more antenatal care visits...
February 11, 2019: BMC Pregnancy and Childbirth
Melinda R Steis, Lynn Unruh, Varadraj Prabhu Gurupur, Emilia Shettian, Meredeth Rowe, Adam Golden
Study findings support targeted interventions that facilitate early recognition and appropriate action. ABSTRACT: Background: When older adults with cognitive impairment develop new physical or behavioral symptoms, their family caregivers face a difficult decision: whether and when to seek professional medical care. Most family caregivers lack formal training in assessment and may have difficulty making such decisions. The Veterans Health Administration's home-based primary care (HBPC) program, which is widely available, offers community-dwelling frail veterans and their family caregivers guidance, with the goal of reducing hospitalization and institutionalization in long-term care facilities...
February 7, 2019: American Journal of Nursing
Hiroko Mori, Mariko Naito, Ayako Nakane, Haruka Tohara
BACKGROUND: Swallowing rehabilitation for patients living with a percutaneous endoscopic gastrostomy (PEG) tube for home enteral nutrition (HEN) is poorly documented, and the quality of caregivers' daily lives is also unknown. METHODS: A qualitative study based on constant comparative analysis was conducted. The study subjects were the caregivers of acquired brain injury survivors residing at home and living with a PEG tube for HEN who had recovered slight oral intake because of swallowing rehabilitation...
February 11, 2019: Nutrition in Clinical Practice
Laurie Bernick, Anne McKye, Andrea Brown-Strachan, Georgina Corsianos
A hospital-based falls prevention program offered in the community enabled older adults to sustain participation in physical activity beyond completion of the six-week program. The participants sustained gains with the support of an interdisciplinary comprehensive falls risk assessment, individualized goal setting, group exercise and education, home visits by health professionals when needed and partnership with community agencies for follow-up exercises. Participants (n = 162) demonstrated improvement at three months in comparison with their baseline Berg Balance Scale and Falls Efficacy Scale - International confidence scores and a 55% reduction in the average number of falls...
October 2018: Healthcare Quarterly
Camille Burnett, Jolie Crowder, Loraine J Bacchus, Donna Schminkey, Linda Bullock, Phyllis Sharps, Jacquelyn Campbell
The Domestic Violence Enhanced Home Visitation (DOVE) intervention used in the Perinatal Nurse Home Visiting Intervention Enhanced With mHealth Technology (RCT: R01HD071771) is a nurse-lead evidenced-based intervention that has been shown to decrease violence overtime. This summative mixed-methods impact evaluation is intended to provide insight to enhance the DOVE IPV protocol for screening and intervention by (a) identifying which core aspects of DOVE facilitated or inhibited its success and what was most critical to optimal IPV (intimate partner violence) screening and intervention practices, (b) informing how DOVE IPV screening and intervention were influenced by the experiences of home visitor (HV), and (c) identifying policy considerations and best practice recommendations for the DOVE protocol...
February 10, 2019: Journal of Interpersonal Violence
Jerry Vockley, Barbara Burton, Gerard T Berry, Nicola Longo, John Phillips, Amarilis Sanchez-Valle, Pranoot Tanpaiboon, Stephanie Grunewald, Elaine Murphy, Alexandra Bowden, Wencong Chen, Chao-Yin Chen, Jason Cataldo, Deborah Marsden, Emil Kakkis
Long-chain fatty acid oxidation disorders (LC-FAOD) are rare disorders characterized by acute crises of energy metabolism and severe energy deficiency that may present with cardiomyopathy, hypoglycemia, and/or rhabdomyolysis, which can lead to frequent hospitalizations and early death. An open-label Phase 2 study evaluated the efficacy of UX007, an investigational odd-carbon medium-chain triglyceride, in 29 subjects with severe LC-FAOD. UX007 was administered over 78 weeks at a target dose of 25-35% total daily caloric intake (mean 27...
January 2019: Journal of Inherited Metabolic Disease
Maureen Godfrey, Petrea Cornwell, Sally Eames, Tenelle Hodson, Tara Thomas, Ailsa Gillen
INTRODUCTION: The evidence base surrounding occupational therapy pre-discharge home visits discusses current practices, potential beneficial outcomes and limitations. However, research is limited, regarding how clinical teams determine which patients receive this service. This study aims to explore perceptions of occupational therapists and multidisciplinary stakeholders concerning pre-discharge home visits through their experiences and current practice in the Australian context. METHOD: A qualitative descriptive approach, using thematic analysis, was employed...
February 10, 2019: Australian Occupational Therapy Journal
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