keyword
https://read.qxmd.com/read/38696833/management-of-chronic-kidney-disease-for-m%C3%A4-ori-in-aotearoa-new-zealand-a-summary-of-clinical-practice-guidelines
#1
JOURNAL ARTICLE
Curtis Walker, Susan Reid, Carla White, Merryn Jones, Lee-Ora Lusis, Rachael C Walker, John Collins, Helen Rodenburg, David Tunnicliffe, Suetonia C Green
AIMS: The kaupapa of the Caring for Australians and New Zealanders with Kidney Impairment (CARI) Clinical practice guidelines for management of chronic kidney disease for Māori in Aotearoa New Zealand is to provide whānau-centred and evidence-based recommendations to healthcare systems, healthcare providers and healthcare workers. The guidelines include screening, identification, management and system-level responses to chronic kidney disease (CKD) to deliver best practice care to Māori affected by CKD across community, primary and secondary services...
May 3, 2024: New Zealand Medical Journal
https://read.qxmd.com/read/38696780/addressing-nurse-burnout-moving-beyond-the-conversation
#2
JOURNAL ARTICLE
Jessica Okoniewski, Christine Verni
BACKGROUND: Nurse burnout is a widespread issue in the health care industry, jeopardizing the well-being of both health care professionals and the patients they serve, manifesting as an intense sense of exhaustion, depersonalization, and a diminished sense of personal achievement. METHOD: In nursing, professionals are exposed to an extraordinary array of challenges and demands that increase their likelihood of experiencing burnout and resulting mental health issues...
May 3, 2024: Journal of Continuing Education in Nursing
https://read.qxmd.com/read/38696683/methanolic-extract-of-ricinus-communis-ameliorated-cardiovascular-dysfunction-in-dichlorvos-exposed-rats
#3
JOURNAL ARTICLE
Saka Waidi Adeoye Adeoye, M F Mayowa, F M Akano, A O Sultan
 Cardiovascular diseases are the leading causes of death globally resulting in 17-19 million death every year. The search for an effective medicine to manage cardiovascular disorder without any side effect has led to the use of traditional based medicine. 75% of the world's population has been reported to depend on traditional medicine as their basic form of health care and this has resulted to the use of herbal medicine in the treatment and management of metabolic diseases. The study evaluated the effect of methanolic extract of Ricinus communis on DDVP-induced cardiotoxicity in male Wistar rats...
December 31, 2023: Nigerian Journal of Physiological Sciences: Official Publication of the Physiological Society of Nigeria
https://read.qxmd.com/read/38696615/precision-in-prevention-tailoring-single-use-negative-pressure-wound-therapy-utilization-through-artificial-intelligence-based-surgical-site-complications-risk-and-cost-modeling
#4
JOURNAL ARTICLE
Barrett J Larson, Ashley Roakes, Steve Yurick, Nathan A Netravali
Background: Surgical site complications (SSCs) are common, yet preventable hospital-acquired conditions. Single-use negative pressure wound therapy (sNPWT) has been shown to be effective in reducing rates of these complications. In the era of value-based care, strategic allocation of sNPWT is needed to optimize both clinical and financial outcomes. Materials and Methods: We conducted a retrospective analysis using data from the Premier Healthcare Database (2017-2021) for 10 representative open procedures in orthopedic, abdominal, cardiovascular, cesarean delivery, and breast surgery...
May 2, 2024: Surgical Infections
https://read.qxmd.com/read/38696542/predominance-of-oxa-48-carbapenemase-producing%C3%A2-klebsiella-pneumoniae%C3%A2-strains-in-tertiary-hospital-in-sarajevo-bosnia-and-herzegovina
#5
JOURNAL ARTICLE
Amela Dedeić Ljubović, Đana Granov, Edina Zahirović, Azra Čamdžić, Adis Muhić, Irma Salimović Bešić
Klebsiella pneumoniae, a member of the Enterobacteriaceae family, demonstrates an increasing trend of resistance to carbapenems and is a common cause of both hospital- and community-acquired infections. The current study provides insights into the genetic characterization of carbapenem-resistant Klebsiella pneumoniae (CRKP) isolates circulating during 2022 in a Sarajevo tertiary hospital. Among the 87 CRKP strains analyzed, real-time polymerase chain reaction (rtPCR) results showed that 85 (97.7%) tested positive for the carbapenem resistance gene...
May 2, 2024: Biomol Biomed
https://read.qxmd.com/read/38696541/a-protocol-of-a-pilot-randomised-trial-action-respond-to-support-rural-and-regional-communities-with-implementing-community-based-systems-thinking-obesity-prevention-initiatives
#6
RANDOMIZED CONTROLLED TRIAL
Sze Lin Yoong, Andrew D Brown, Gloria K W Leung, Monique Hillenaar, Jennifer L David, Josh Hayward, Claudia Strugnell, Colin Bell, Vicki Brown, Michelle Jackson, Steven Allender
BACKGROUND: Over a quarter of children aged 2-17 years living in Australia are overweight or obese, with a higher prevalence reported in regional and remote communities. Systems thinking approaches that seek to support communities to generate and implement locally appropriate solutions targeting intertwined environmental, political, sociocultural, and individual determinants of obesity have the potential to ameliorate this. There have however been reported challenges with implementation of such initiatives, which may be strengthened by incorporating implementation science methods...
2024: PloS One
https://read.qxmd.com/read/38696499/knowledge-of-female-genital-schistosomiasis-and-urinary-schistosomiasis-among-final-year-midwifery-students-in-the-volta-region-of-ghana
#7
JOURNAL ARTICLE
Wisdom Klutse Azanu, Joseph Osarfo, Gideon Appiah, Yvonne Sefadzi Godonu, Gifty Dufie Ampofo, Verner Orish, Michael Amoh, Evans Kofi Agbeno, Emmanuel Senanu Komla Morhe, Margaret Gyapong
BACKGROUND: Female genital schistosomiasis (FGS) is a gynaecological complication of urinary schistosomiasis (US) with an estimated burden of 20-120 million cases in endemic areas. A neglected sexual and reproductive health disease in sub-Saharan Africa, FGS increases susceptibility to sexually transmitted infections including cervical cancer and infertility among other morbidities. However, there appears to be limited FGS knowledge among practicing and pre-service health providers with implications for control...
2024: PloS One
https://read.qxmd.com/read/38696427/population-based-study-of-eclampsia-lessons-learnt-to-improve-maternity-care
#8
JOURNAL ARTICLE
Diane Korb, Elie Azria, Priscille Sauvegrain, Lionel Carbillon, Bruno Langer, Aurélien Seco, Coralie Chiesa-Dubruille, Marie Hélène Bouvier-Colle, Catherine Deneux-Tharaux
BACKGROUND: Among hypertensive disorders of pregnancy (HDP), eclampsia is a rare but serious event, often considered avoidable. Detailed assessment of the adequacy of care for the women who have eclampsia can help identify opportunities for improvement and for prevention of the associated adverse maternal and neonatal outcomes. OBJECTIVE: 1/ To estimate the incidence and describe the characteristics of women with eclampsia and to compare them with those of women with non-eclamptic hypertensive disorders of pregnancy (HDP)-related severe maternal morbidity (SMM) and of control women without SMM 2/ To analyse the quality of management in women who had eclampsia, at various stages of their care pathway...
2024: PloS One
https://read.qxmd.com/read/38696397/adverse-outcomes-in-patients-hospitalized-with-pneumonia-at-age-60-or-more-a-prospective-multi-centric-hospital-based-study-in-india
#9
MULTICENTER STUDY
Suman Kanungo, Uttaran Bhattacharjee, Aslesh O Prabhakaran, Rakesh Kumar, Prabu Rajkumar, Sumit Dutt Bhardwaj, Alok Kumar Chakrabarti, Girish Kumar C P, Varsha Potdar, Byomkesh Manna, Ritvik Amarchand, Avinash Choudekar, Giridara Gopal, Krishna Sarda, Kathryn E Lafond, Eduardo Azziz-Baumgartner, Siddhartha Saha, Lalit Dar, Anand Krishnan
BACKGROUND: Limited data exists regarding risk factors for adverse outcomes in older adults hospitalized with Community-Acquired Pneumonia (CAP) in low- and middle-income countries such as India. This multisite study aimed to assess outcomes and associated risk factors among adults aged ≥60 years hospitalized with pneumonia. METHODS: Between December 2018 and March 2020, we enrolled ≥60-year-old adults admitted within 48 hours for CAP treatment across 16 public and private facilities in four sites...
2024: PloS One
https://read.qxmd.com/read/38696368/perceptions-and-behaviors-of-healthcare-providers-towards-rehabilitation-support-to-children-with-severe-malaria-related-disability-in-ethiopia-a-qualitative-descriptive-study-using-the-theoretical-domains-framework
#10
JOURNAL ARTICLE
Eshetu Haileselassie Engeda, Heather M Aldersey, Colleen M Davison, Kassahun Alemu Gelaye, Nora Fayed
INTRODUCTION: Severe malaria often results in childhood disability. The prevalence of disability related to severe malaria is significant and is estimated to affect up to 53% of severe malaria survivors. In contrast, information is sparse about how healthcare providers in Africa think about or provide rehabilitation support in acute and post-acute phases respectively. Understanding the perceptions and behaviors of healthcare providers treating malaria could help inform malaria-related disability research, policy, and practice, aimed at the providers themselves...
2024: PloS One
https://read.qxmd.com/read/38696319/computable-phenotype-for-diagnostic-error-developing-the-data-schema-for-application-of-symptom-disease-pair-analysis-of-diagnostic-error-spade
#11
JOURNAL ARTICLE
Ahmed Hassoon, Charles Ng, Harold Lehmann, Hetal Rupani, Susan Peterson, Michael A Horberg, Ava L Liberman, Adam L Sharp, Michelle C Johansen, Kathy McDonald, J Mathrew Austin, David E Newman-Toker
OBJECTIVES: Diagnostic errors are the leading cause of preventable harm in clinical practice. Implementable tools to quantify and target this problem are needed. To address this gap, we aimed to generalize the Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) framework by developing its computable phenotype and then demonstrated how that schema could be applied in multiple clinical contexts. METHODS: We created an information model for the SPADE processes, then mapped data fields from electronic health records (EHR) and claims data in use to that model to create the SPADE information model (intention) and the SPADE computable phenotype (extension)...
May 3, 2024: Diagnosis
https://read.qxmd.com/read/38696302/addressing-mental-health-needs-in-low-and-middle-income-countries-the-case-of-s%C3%A3-o-caetano-do-sul-brazil
#12
JOURNAL ARTICLE
Flavia Ismael, Artur Ramos, Rafael Erik de Menezes, Regina Maura Zetone Grespam, Cibele Cristine Remondes Sequeira, Jair de Jesus Mari, João Mauricio Castaldelli-Maia
São Caetano do Sul, a city in southeastern Brazil, boasts exemplary social indicators and healthcare services, with a population of 162,763 and a density of 9,736.03 inhabitants/km². Allocating 25% of its budget to healthcare, the city's mental healthcare services adhere to the National Mental Health Policy. Structured services include a CAPS-II, CAPS-AD, outpatient teams, and teams in various locations. Initiatives since 2000 include inaugurating a CAPS-AD in 2006, a psychiatric emergency service in 2010, and a CAPS-II in 2016, relocating CAPS-AD in 2019, and establishing the Cuca Legal Project in 2022...
May 2, 2024: Trends in Psychiatry and Psychotherapy
https://read.qxmd.com/read/38696263/the-2022-symposium-on-dementia-and-brain-aging-in-low-and-middle-income-countries-highlights-on-research-diagnosis-care-and-impact
#13
REVIEW
Raj Kalaria, Gladys Maestre, Simin Mahinrad, Daisy M Acosta, Rufus Olusola Akinyemi, Suvarna Alladi, Ricardo F Allegri, Faheem Arshad, David Oluwasayo Babalola, Olusegun Baiyewu, Thomas H Bak, Tarek Bellaj, David K Brodie-Mends, Maria C Carrillo, Kaputu-Kalala-Malu Celestin, Albertino Damasceno, Ranil Karunamuni de Silva, Rohan de Silva, Mamuka Djibuti, Anna Jane Dreyer, Ratnavalli Ellajosyula, Temitope H Farombi, Robert P Friedland, Noe Garza, Antoine Gbessemehlan, Eliza Eleni-Zacharoula Georgiou, Ishtar Govia, Lea T Grinberg, Maëlenn Guerchet, Seid Ali Gugssa, Joy Louise Gumikiriza-Onoria, Eef Hogervorst, Michael Hornberger, Agustin Ibanez, Masafumi Ihara, Thomas Gregor Issac, Linus Jönsson, Wambui M Karanja, Joseph H Lee, Iracema Leroi, Gill Livingston, Facundo Francisco Manes, Lingani Mbakile-Mahlanza, Bruce L Miller, Christine Wayua Musyimi, Victoria N Mutiso, Noeline Nakasujja, David M Ndetei, Sam Nightingale, Gabriela Novotni, Primrose Nyamayaro, Solomon Nyame, Julius A Ogeng'o, Adesola Ogunniyi, Maira Okada de Oliveira, Njideka U Okubadejo, Martin Orrell, Stella-Maria Paddick, Margaret A Pericak-Vance, Zvezdan Pirtosek, Felix Claude Victor Potocnik, Rema Raman, Mie Rizig, Mónica Rosselli, Marufjon Salokhiddinov, Claudia L Satizabal, Diego Sepulveda-Falla, Sudha Seshadri, Claire E Sexton, Ingmar Skoog, Peter H St George-Hyslop, Claudia Kimie Suemoto, Prekshy Thapa, Chinedu Theresa Udeh-Momoh, Victor Valcour, Jeffery M Vance, Mathew Varghese, Jaime H Vera, Richard W Walker, Henrik Zetterberg, Yared Z Zewde, Ozama Ismail
Two of every three persons living with dementia reside in low- and middle-income countries (LMICs). The projected increase in global dementia rates is expected to affect LMICs disproportionately. However, the majority of global dementia care costs occur in high-income countries (HICs), with dementia research predominantly focusing on HICs. This imbalance necessitates LMIC-focused research to ensure that characterization of dementia accurately reflects the involvement and specificities of diverse populations...
May 2, 2024: Alzheimer's & Dementia: the Journal of the Alzheimer's Association
https://read.qxmd.com/read/38696169/potentially-avoidable-hospitalizations-among-historically-marginalized-nursing-home-residents
#14
JOURNAL ARTICLE
Leah V Estrada, Veronica Barcelona, Lara Dhingra, José A Luchsinger, Andrew W Dick, Laurent G Glance, Patricia W Stone
IMPORTANCE: Nursing home (NH) transfers to hospitals are common and have been associated with cognitive decline; approximately 45% of NH hospital transfers are potentially avoidable hospitalizations (PAHs). OBJECTIVE: To determine PAH incidence for historically marginalized NH residents with severe cognitive impairment compared with non-Hispanic White residents. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study merged 2018 Centers for Medicaid & Medicare Services datasets and LTCFocus, a public dataset on US NH care, for US NH residents aged 65 years and older who had a hospitalization...
May 1, 2024: JAMA Network Open
https://read.qxmd.com/read/38695972/pelvic-floor-dysfunction-prevention-in-female-to-male-sexual-reassignment-a-future-challenge-for-tailoring-cares
#15
JOURNAL ARTICLE
Mattia Dominoni, Virginia Valeria Ferretti, Carola Bergnate, Fulvio Gariboldi, Marianna Francesca Pasquali, Annachiara Licia Scatigno, Annalisa De Silvestri, Barbara Gardella
No abstract text is available yet for this article.
May 2, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38695890/parasitic-pygopagus-conjoined-twins-incidental-findings-in-the-obstructed-labor-of-an-intrapartum-dead-baby-that-had-undergone-emergency-c-section-rare-case-report-in-south-papua
#16
JOURNAL ARTICLE
Robert Shen, Arthur Todingbua, Hans Angelius Suharto, Meilina Imelda, Monika Hartono
BACKGROUND: Conjoined twins (CT), which used to be historically defined as "monstrous human" and previously so-called Siamese twins in the early eighteenth century, are one of the very rare congenital malformations with an uncertain etiology and complex yet remain inconclusively debatable regarding its pathophysiological mechanisms of fusion and fission theories. Among all types of CT, parasitic CT, especially the pygopagus sub-type, is exceedingly rarer. To the best of the authors' knowledge, no parasitic CT had been reported in Papua, and this is the first finding in South Papua...
May 2, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38695785/effects-of-additional-exercise-therapy-after-a-successful-vascular-intervention-for-people-with-symptomatic-peripheral-arterial-disease
#17
REVIEW
Gabriel Cucato, Paulo Pl Longano, Daniel Perren, Raphael M Ritti-Dias, John M Saxton
BACKGROUND: Peripheral arterial disease (PAD) is characterised by obstruction or narrowing of the large arteries of the lower limbs, usually caused by atheromatous plaques. Most people with PAD who experience intermittent leg pain (intermittent claudication) are typically treated with secondary prevention strategies, including medical management and exercise therapy. Lower limb revascularisation may be suitable for people with significant disability and those who do not show satisfactory improvement after conservative treatment...
May 2, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38695784/respiratory-syncytial-virus-vaccination-during-pregnancy-for-improving-infant-outcomes
#18
REVIEW
Emily Wem Phijffer, Odette de Bruin, Fariba Ahmadizar, Louis J Bont, Nicoline At Van der Maas, Miriam Cjm Sturkenboom, Joanne G Wildenbeest, Kitty Wm Bloemenkamp
BACKGROUND: Respiratory syncytial virus (RSV) is a major cause of lower respiratory tract infections (LRTIs) in infants. Maternal RSV vaccination is a preventive strategy of great interest, as it could have a substantial impact on infant RSV disease burden. In recent years, the clinical development of maternal RSV vaccines has advanced rapidly. OBJECTIVES: To assess the efficacy and safety of maternal respiratory syncytial virus (RSV) vaccination for preventing RSV disease in infants...
May 2, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38695780/no-client-left-behind-a-meta-analysis-of-premature-termination-from-psychotherapy-in-u-s-service-members-and-veterans
#19
JOURNAL ARTICLE
Elizabeth A Penix-Smith, Joshua K Swift, Ailun Li, Jacob Bingham, Gabriel Hapke
Dropout has been identified as a significant problem among military populations seeking psychotherapy (Goetter et al., 2015; Hoge et al., 2014), yet an overall estimate of its exact prevalence and predictors does not exist. The aims of the current meta-analysis were to estimate outpatient psychotherapy dropout rates for this population and evaluate potential moderators of this event. In total, 283 articles-comprising data from 719,465 U.S. service members and veterans-met all inclusion criteria and were included in the meta-analysis...
May 2, 2024: American Psychologist
https://read.qxmd.com/read/38695777/risk-assessment-for-aggressive-behaviour-in-schizophrenia
#20
REVIEW
Maritta Välimäki, Tella Lantta, Raija Kontio
BACKGROUND: Aggressive or violent behaviour is often associated with people with schizophrenia in common perceptions of the disease. Risk assessment methods have been used to identify and evaluate the behaviour of those individuals who are at the greatest risk of perpetrating aggression or violence or characterise the likelihood to commit acts. Although many different interventions have been developed to decrease aggressive or violent incidences in inpatient care, staff working in inpatient settings seek easy-to-use methods to decrease patient aggressive events...
May 2, 2024: Cochrane Database of Systematic Reviews
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