Read by QxMD icon Read

Preventative care

Krystal Khoo, Ryan E K Man, Gwyn Rees, Preeti Gupta, Ecosse L Lamoureux, Eva K Fenwick
IMPORTANCE: Previous work has reported a link between diabetic retinopathy/diabetic macular edema (DR/DME) and psychosocial functioning, although the extent and direction of the association remains uncertain. OBJECTIVE: To determine the relationship between DR/DME and psychosocial functioning, the latter an umbrella term used to capture the emotional and social aspects of functioning which may include, for example, depression; depressive disorder; anxiety; vision-specific distress; diabetes-specific distress and emotional and social well-being...
March 16, 2019: Quality of Life Research
Lei Zhang, Yusha Tao, Joseph Woodring, Kim Rattana, Samreth Sovannarith, Tung Rathavy, Kannitha Cheang, Shafiqul Hossain, Laurent Ferradini, Serongkea Deng, Chay Sokun, Chham Samnang, Mari Nagai, Ying-Ru Lo, Naoko Ishikawa
BACKGROUND: The Regional Framework for Triple Elimination of Mother-to-Child Transmission (EMTCT) of HIV, Hepatitis B (HBV) and Syphilis in Asia and the Pacific 2018-30 was endorsed by the Regional Committee of WHO Western Pacific in October 2017, proposing an integrated and coordinated approach to achieve elimination in an efficient, coordinated and sustainable manner. This study aims to assess the population impacts and cost-effectiveness of this integrated approach in the Cambodian context...
March 16, 2019: International Journal of Epidemiology
Tsegazeab Laeke, Abenezer Tirsit, Finot Debebe, Biruk Girma, Desalegn Gere, Kee B Park, Aklilu Azazh
BACKGROUND: Consistent data on head injury is lacking especially in the low and middle income countries. Our study tries to characterize head injury patients at the emergency room of one of the few tertiary public hospitals giving neurosurgical care in the country. METHODS: A retrospective cross sectional study done from May 2015 -October 2015 in one of the neurosurgical teaching hospitals, Black Lion Specialized Hospital. All adult head injury patients who visited the emergency department during the study period were included...
March 13, 2019: World Neurosurgery
Tracye Proffitt, Victoria Menzies
BACKGROUND: The number of adults who survive a critical illness involving admission to an intensive care unit is increasing. These survivors have an increased risk of developing impairments in cognition, physical function and psychological health. OBJECTIVE: This integrative literature review examined the literature for studies exploring the relationships among two or more of the variables of interest, i.e. cognitive, physical, and psychological symptoms (depressive, anxiety, or posttraumatic stress) in intensive care unit survivors post-hospital discharge...
March 13, 2019: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Anne-Laure Védie, Cindy Neuzillet
Palliative and supportive care holds a major place in pancreatic ductal adenocarcinoma (PDAC) management. It aims to prevent and reduce symptoms and hospital admissions, while ensuring optimal health-related quality of life (HRQoL), which has been reported to be correlated with overall survival in PDAC. Best supportive care includes non-specific treatment of pain, anxiety and depression, chemotherapy-related toxicities, as well as thromboembolic disease treatment and prevention in high-risk patients. Moreover, nutrition and physical activity interventions are receiving increasing attention as they are crucial to optimize treatment tolerance and efficacy...
March 13, 2019: La Presse Médicale
Anna W Brittain, Euna M August, Lisa Romero, Margaret Sheahan, Jamie Krashin, Charity Ntansah, Margaret A Honein, Denise J Jamieson, Esther M Ellis, Michelle S Davis, Eva Lathrop
BACKGROUND: Between January and October 2016, 575 symptomatic confirmed cases of Zika virus infection were reported in the U.S. Virgin Islands (USVI). Zika virus infection during pregnancy can cause serious birth defects. Preventing unintended pregnancy among women who choose to delay or avoid pregnancy is a primary strategy to reduce these adverse outcomes. METHODS: A rapid assessment, using one men's and five women's focus groups (N = 43), was conducted to inform communication efforts to increase awareness of contraception as a means for preventing unintended pregnancy in the context of a Zika outbreak in the USVI...
March 13, 2019: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Carlos Blanco, Nora D Volkow
Opioid use disorder is characterised by the persistent use of opioids despite the adverse consequences of its use. The disorder is associated with a range of mental and general medical comorbid disorders, and with increased mortality. Although genetics are important in opioid use disorder, younger age, male sex, and lower educational attainment level and income, increase the risk of opioid use disorder, as do certain psychiatric disorders (eg, other substance use disorders and mood disorders). The medications for opioid use disorder, which include methadone, buprenorphine, and extended-release naltrexone, significantly improve opioid use disorder outcomes...
March 13, 2019: Lancet
Cynae A Johnson, Deepthi James, Amelita Marzan, Mona Armaos
OBJECTIVE: To provide an overview of the etiology, prevention, diagnosis, treatment, and long-term survivorship concerns surrounding cervical cancer. DATA SOURCES: A review of articles dated 2006-2018 from PubMed. CONCLUSION: The landscape for cervical cancer is changing dramatically because of vaccine-driven prevention. Despite these advances, there are both newly diagnosed individuals as well as survivors of cervical cancer who require continued evidence-based care...
March 13, 2019: Seminars in Oncology Nursing
Vanessa McFadden, Anna Schmitz, Kelsey Porada, Sonia Mehta, Alyssa Stephany, Michelle Pickett
PURPOSE: Adolescents are at high risk for sexually transmitted infections (STIs) and pregnancy. Since many adolescents have poor access to preventive care, hospitalizations present a critical opportunity to address adolescents' reproductive health. The purpose of this study was to assess provision of reproductive health services within a hospital setting. METHODS: Retrospective study of a consecutive sample of adolescent patients aged 13 years and older hospitalized on the hospitalist service at a large academic pediatric tertiary care center...
March 13, 2019: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Simiao Wu, Bo Wu, Ming Liu, Zhengming Chen, Wenzhi Wang, Craig S Anderson, Peter Sandercock, Yongjun Wang, Yining Huang, Liying Cui, Chuanqiang Pu, Jianping Jia, Tong Zhang, Xinfeng Liu, Suming Zhang, Peng Xie, Dongsheng Fan, Xunming Ji, Ka-Sing Lawrence Wong, Longde Wang
With over 2 million new cases annually, stroke is associated with the highest disability-adjusted life-years lost of any disease in China. The burden is expected to increase further as a result of population ageing, an ongoing high prevalence of risk factors (eg, hypertension), and inadequate management. Despite improved access to overall health services, the availability of specialist stroke care is variable across the country, and especially uneven in rural areas. In-hospital outcomes have improved because of a greater availability of reperfusion therapies and supportive care, but adherence to secondary prevention strategies and long-term care are inadequate...
April 2019: Lancet Neurology
Mina Chandra, Proteesh Rana, Kalpana Chandra, Vijay Kumar Arora
INTRODUCTION: Depression is common in Tuberculosis (TB) and associated with adverse outcomes through pathogenic mechanisms and impaired self-care behaviours including reduced treatment adherence. Undiagnosed depression can threaten the robustness of DOTS model despite large public health investment. The Depression-Tuberculosis Syndemic requires collaborative partnership with mental health professionals. AIM: To study the evidence base for Depression-Tuberculosis Syndemic...
January 2019: Indian Journal of Tuberculosis
Kuldeep S Sachdeva, Sundari R Mase
India has made great progress towards TB prevention and control with the adoption of the National Strategic Plan 2017-2025 with significantly greater allocated resources and high level political commitment. Aligning with the global End TB Strategy, India has announced the target of ending TB by 2025, five years ahead of the rest of the world. The End TB strategy is comprised of a multi-pronged approach incorporating patient-centered care and prevention, bold policies and supportive systems, and intensified research and innovation...
January 2019: Indian Journal of Tuberculosis
Jan Keil, Verena Brendler, Catherina Sachse, Andrea Zülke, Samira Zeynalova, Christoph Engel, Markus Loeffler, Steffi G Riedel-Heller, Hans-Helmut König, Katarina Stengler
AIM: This study explores gender-specific differences in the utilization of health care services in an urban population sample. METHOD: As part of the LIFE-ADULT-Study, 2244 individuals (19-79 years) filled out a questionnaire about their use of health care services during the past year. Information regarding the frequency of general and specialized practitioners consultation, medical advice from general practitioners and utilization of preventive and health promoting programs were analyzed...
March 15, 2019: Das Gesundheitswesen
Chien-Ju Lin, Yu-Chen Chang, Meng-Ting Tsou, Hsin-Lung Chan, Ying-Ju Chen, Lee-Ching Hwang
BACKGROUND: Pneumonia is a leading cause of hospitalization and death worldwide. However, studies focusing on risk factors of community-acquired pneumonia (CAP) in the home health care (HHC) population remain scarce. AIMS: This study aimed to evaluate risk factors associated with hospitalization for CAP among HHC patients in Taiwan. METHODS: This retrospective cross-sectional study extracted data from patients' electronic medical records between 1 January 2017 and 31 December 2017...
March 14, 2019: Aging Clinical and Experimental Research
Natabhona M Mabachi, Melinda Brown, Matthew Sandbulte, Catherine Wexler, Kathy Goggin, May Maloba, Sarah Finocchario-Kessler
Greater male partner involvement in Prevention of Mother to Child Transmission (PMTCT) and Early Infant Diagnosis (EID) is associated with improved outcomes. Perceived low social support for the mother can negatively impact the uptake of PMTCT/EID services. Most research relies on women's reports of the types and quality of male partner support received versus what is desired. This qualitative study examines Kenyan male partners' reported social support provision pre- and post-partum from their own perspective...
March 15, 2019: AIDS and Behavior
Jennifer Hong, Laura Aspey, Gaobin Bao, Tamara Haynes, S Sam Lim, Cristina Drenkard
OBJECTIVES: Depression may occur in up to 30% of individuals with cutaneous lupus erythematosus (CLE), many of whom may also have systemic manifestations. Chronic cutaneous lupus erythematosus (CCLE) conditions are less likely to present systemic involvement than acute and subacute conditions but more often cause permanent scarring and dyspigmentation. However, little is known about depression in those who have CCLE confined to the skin (primary CCLE). As African Americans are at high risk for primary CCLE and depression, we aimed to investigate the prevalence of and explore the risk factors for depression in a population-based cohort of predominantly Black patients with primary CCLE...
March 15, 2019: American Journal of Clinical Dermatology
Péter Elek, Tamás Molnár, Balázs Váradi
In 2010-2012, new outpatient service locations were established in poor Hungarian micro-regions. We exploit this quasi-experiment to estimate the extent of substitution between outpatient and inpatient care. Fixed-effects Poisson models on individual-level panel data for years 2008-2015 show that the number of outpatient visits increased by 19% and the number of inpatient stays decreased by 1.6% as a result, driven by a marked reduction of potentially avoidable hospitalization (PAH) (5%). In our dynamic specification, PAH effects occur in the year after the treatment, whereas non-PAH only decreases with a multi-year lag...
March 15, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
Sindi Diko, Maryam Guiahi, Amy Nacht, Kathleen A Connell, Shane Reeves, Beth A Bailey, K Joseph Hurt
INTRODUCTION AND HYPOTHESIS: There are no data on midwives' knowledge and management of obstetric anal sphincter injuries (OASIs) in the USA. We performed a cross-sectional national survey characterizing OASI practice by certified nurse midwives (CNMs), hypothesizing that few midwives personally repair OASIs and that there are gaps in CNM OASI training/education. METHODS: We emailed a REDCap internet-based survey to 6909 American College of Nurse Midwives members (ACNM)...
March 15, 2019: International Urogynecology Journal
Sharon D Morrison
Immigrant and refugee populations in North Carolina bring with them traditionally based explanatory models (EMs) of disease that influence health care interactions. Providers who encounter these models are often challenged with how best to leverage them for prevention outreach and care. Participation in "learning up" opportunities increases provider awareness and capacity for cultural responsiveness when dealing with immigrant and refugee clients.
March 2019: North Carolina Medical Journal
Meiqin Cai, Haiyong He, Baoyu Zhang, Lun Luo, Jin Gong, Wensheng Li, Tengchao Huang, Ying Guo
BACKGROUND: Ectopic recurrent craniopharyngioma is rare. We present a case of temporal ectopic recurrent tumor after trans-eyebrow supraorbital keyhole approach and provide a literature review with basic statistics. METHOD: We retrospectively reviewed 57 cases of craniopharyngiomas operated on at our institution. A temporal ectopic recurrent tumor with 10% high expression of Ki-67 proliferation index was identified. The lesion underwent a gross total resection without any complications...
March 12, 2019: World Neurosurgery
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"