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Adult protective services

Mona Doshani, Mark Weng, Kelly L Moore, José R Romero, Noele P Nelson
Hepatitis A (HepA) vaccination is recommended routinely for children at age 12-23 months, for persons who are at increased risk for hepatitis A virus (HAV) infection, and for any person wishing to obtain immunity. Persons at increased risk for HAV infection include international travelers to areas with high or intermediate hepatitis A endemicity, men who have sex with men, users of injection and noninjection drugs, persons with chronic liver disease, person with clotting factor disorders, persons who work with HAV-infected primates or with HAV in a research laboratory setting, and persons who anticipate close contact with an international adoptee from a country of high or interme-diate endemicity (1-3)...
February 15, 2019: MMWR. Morbidity and Mortality Weekly Report
Madelyn H Labella, K Lee Raby, Jodi Martin, Glenn I Roisman
Research suggests intergenerational links between childhood abuse and neglect and subsequent parenting quality, but little is known about the potential mechanisms underlying intergenerational continuities in parenting. Adult romantic functioning may be one plausible mechanism, given its documented associations with both adverse caregiving in childhood and parenting quality in adulthood. The present study used data from the Minnesota Longitudinal Study of Risk and Adaptation to (a) investigate prospective associations between childhood experiences of abuse and neglect and multiple parenting outcomes in adulthood, and (b) evaluate the degree to which adult romantic functioning mediates those associations...
February 2019: Development and Psychopathology
Marisa V Cervantes, Jennifer Sherman
This study examines low-income women's cycles of lifelong violence victimization. A qualitative analysis of in-depth interviews with 24 low-income women living in Eastern Washington State illustrates the complexity of abusive interpersonal relationships, and the decision-making processes that abused women utilize to escape violence. The data illustrate patterns of a discursive process of normalization, wherein early experiences of violence socialized women to treat abuse as a normal and expected component of adult intimate unions...
February 13, 2019: Journal of Interpersonal Violence
Carlos K H Wong, Thaison Tong, Garvin H L Cheng, Eric H M Tang, Praveen Thokala, Emily T Y Tse, Cindy L K Lam
AIMS: To estimate healthcare services use and the direct medical costs accrued by patients with diabetes mellitus (DM) in the year of first severe hypoglycaemia (SH), the years before and after event year. MATERIALS AND METHODS: We analyzed a population-based, retrospective cohort including all DM adults managed in primary care setting from the Hong Kong Hospital Authority between 2006-2013. DM patients who had first recorded SH during the observation period were identified, and matched to control group of patients without SH based on the propensity score method...
February 8, 2019: Diabetes, Obesity & Metabolism
Hannabeth Franchino-Olsen
The commercial sexual exploitation of children (CSEC) and domestic minor sex trafficking (DMST) occur across the United States, violating the rights and health of far too many children and youth. Adequate prevention efforts should seek to understand the factors that make minors vulnerable to sexual exploitation in order to properly design programs to prevent victimization. This review presents the identified risk factors collected via a systematic literature review. Following full-text review, 15 studies were selected for inclusion by meeting the following criteria: original quantitative or qualitative research studies published in English from January 2010 to September 2017 with titles or abstracts that indicated a focus on the risk factors, vulnerabilities, or statistics of CSEC/DMST and a domestic focus on CSEC/DMST (for U...
February 3, 2019: Trauma, Violence & Abuse
P Choudhary, S de Portu, A Delbaere, J Lyon, J C Pickup
AIMS: To develop a novel interactive budget impact model that assesses affordability of diabetes treatments in specific populations, and to test the model in a hypothetical scenario by estimating cost savings resulting from reduction in HbA1c from ≥69 mmol/mol (8.5%) to a target of 53 mmol/mol (7.0%) in adults with Type 1 diabetes in the UK. METHODS: A dynamic, interactive model was created using the projected incidence and progression over a 5-year horizon of diabetes-related complications (micro- and macrovascular disease, severe hypoglycaemia and diabetic ketoacidosis) for different HbA1c levels, with flexible input of population size, complications and therapy costs, HbA1c distribution and other variables...
February 2, 2019: Diabetic Medicine: a Journal of the British Diabetic Association
K Ismail, K Stewart, K Ridge, E Britneff, R Freudenthal, D Stahl, P McCrone, C Gayle, A M Doherty
AIMS: We examined the effectiveness of a service innovation, Three Dimensions for Diabetes (3DFD), that consisted of a referral to an integrated mental health, social care and diabetes treatment model, compared with usual care in improving biomedical and health economic outcomes. METHODS: Using a non-randomized control design, the 3DFD model was offered in two inner-city boroughs in London, UK, where diabetes health professionals could refer adult residents with diabetes, suboptimal glycaemic control [HbA1c ≥ 75 mmol/mol (≥ 9...
February 1, 2019: Diabetic Medicine: a Journal of the British Diabetic Association
T N Bilichenko, A G Chuchalin
AIM: In order to assess the impact of influenza vaccination and pneumococcal infection (PI) were studied seasonal morbidity and mortality because of influenza, acute respiratory viral infections (ARVI) and pneumonia among the population of the Russian Federation during 2012-2016 timeframe. MATERIALS AND METHODS: There were analyzed the data of Federal service for surveillance in consumer rights protection and human welfare (Rospotrebnadzor) on influenza vaccination and PI and ARVI morbidity (including influenza), diseases of the respiratory system (DRS)...
February 14, 2018: Terapevticheskiĭ Arkhiv
Graziamaria Corbi, Ignazio Grattagliano, Carlo Sabbà, Giorgio Fiore, Sabrina Spina, Nicola Ferrara, Carlo Pietro Campobasso
With ageing population the number of elderly vulnerable to abuse is expected to grow. Hospital personnel play a crucial role in identifying mistreatment. The aim of this study was to establish the level of awareness and perception of elder abuse by healthcare workers, and to understand if they are able to recognize and properly report elder abuse, as well as to identify the physical signs of abuse and neglect. A 41-question survey was administered to healthcare professionals, working in the Internal Medicine and Geriatric Wards of two different University Hospitals of Southern Italy, representative of the Italian health public system...
January 29, 2019: Internal and Emergency Medicine
Hila Greenbaum, Clara Weil, Gabriel Chodick, Varda Shalev, Vered H Eisenberg
PROBLEM: The aim of this study was to investigate the prevalence of and the association between endometriosis, fibromyalgia and autoimmune disease (AID) in a large population database and to describe healthcare resource utilization (HCRU) in affected women. METHODS: A retrospective cross-sectional study was performed using the computerized databases of Maccabi Healthcare Services (MHS), a 2.1-million-member healthcare plan in Israel. Age-sex-specific point prevalence rates of endometriosis and fibromyalgia were calculated for end of 2015...
January 25, 2019: American Journal of Reproductive Immunology: AJRI
Ane Ugland Albaek, Per-Einar Binder, Anne Marita Milde
Comprehending professionals' emotional challenges when addressing child abuse can help to improve identification, protection, and care for exposed children. This study presents an interpretive description analysis of qualitative interviews with ten child protective services workers and nine child mental health services psychologists in Norway. The participants described intense negative reactions due to addressing child abuse during assessments and investigations. We identified five main themes: (a) facing children's suffering caused by adults, (b) feeling mean, (c) doubting one's ability and skills, (d) feeling that one is betraying children, and (e) being obstructed by heavy workload and dysfunctional structure...
January 24, 2019: Qualitative Health Research
S S Zghebi, M Panagioti, M K Rutter, D M Ashcroft, H van Marwijk, C Salisbury, C A Chew-Graham, I Buchan, N Qureshi, N Peek, C Mallen, M Mamas, E Kontopantelis
AIMS: To identify and critically appraise measures that use clinical data to grade the severity of Type 2 diabetes. METHODS: We searched MEDLINE, Embase and PubMed between inception and June 2018. Studies reporting on clinical data-based diabetes-specific severity measures in adults with Type 2 diabetes were included. We excluded studies conducted solely in participants with other types of diabetes. After independent screening, the characteristics of the eligible measures including design and severity domains, the clinical utility of developed measures, and the relationship between severity levels and health-related outcomes were assessed...
January 22, 2019: Diabetic Medicine: a Journal of the British Diabetic Association
Lisa Young, Lisa Murata, Christine McPherson, Jean Daniel Jacob, Amanda Digel Vandyk
This is a qualitative evidence synthesis on the experiences of parents caring for their adult child with schizophrenia. The Joanna Briggs Methodology for systematic reviews guided the study and standard systematic review procedures were followed. Content analysis was used to synthesize findings from the five studies included into the following categories: 'Resources,' 'Loss,' 'Psychological Distress,' 'Effects on Family,' and 'Framing the Experience.' Findings suggest that parent caregivers struggle to navigate services and need greater support to protect their mental and physical health...
February 2019: Archives of Psychiatric Nursing
Jeffrey Amoako, Sara Evans, Nicole V Brown, Salman Khaliqdina, Jeffrey M Caterino
OBJECTIVES: Identify factors associated with transport of injured older adults meeting statewide geriatric trauma triage criteria to a trauma center. METHODS: An observational retrospective cohort study using the 2009-2011 Ohio Trauma Registry. Subjects were adults ≥70 years old who met Ohio's geriatric triage criteria for trauma center transport by emergency medical services. We created multivariable logistic regression models to identify predictors of initial and ultimate (e...
January 20, 2019: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Harsha Thirumurthy, Alex Ndyabakira, Kara Marson, Devy Emperador, Moses Kamya, Diane Havlir, Dalsone Kwarisiima, Gabriel Chamie
BACKGROUND: Viral suppression among HIV-positive individuals is essential for protecting health and preventing HIV transmission. Financial incentives have shown promise in modifying various health behaviours in low-income countries but few studies have assessed whether they can improve HIV treatment outcomes. We aimed to determine the impact of time-limited financial incentives on viral suppression among HIV-positive adults in rural Uganda. METHODS: We did a randomised controlled trial in four rural Ugandan parishes...
January 16, 2019: Lancet HIV
Molly B Moravek, Leslie C Appiah, Antoinette Anazodo, Karen C Burns, Veronica Gomez-Lobo, Holly R Hoefgen, Olivia Jaworek Frias, Monica M Laronda, Jennifer Levine, Lillian R Meacham, Mary Ellen Pavone, Gwendolyn P Quinn, Erin E Rowell, Andrew C Strine, Teresa K Woodruff, Leena Nahata
Infertility is known to decrease quality of life among adults. In some cases, infertility is caused by medical conditions and/or treatments prescribed in childhood, and using methods to protect or preserve fertility may expand future reproductive possibilities. Structured programs to offer counseling about infertility risk and fertility preservation options are essential in the care of pediatric patients facing fertility-threatening conditions or treatments, yet multiple barriers to program development exist...
January 14, 2019: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
John S Santelli, Jonathan D Klein, Xiaoyu Song, Jennifer Heitel, Stephanie Grilo, Mengru Wang, Hanying Yan, Kristen Kaseeska, Julie Gorzkowski, Madeline Schneider, Alexandra E Dereix, Marina Catallozzi
OBJECTIVES: To identify modifiable factors that facilitate discussion of potentially sensitive topics between health care providers and young people at preventive service visits after Patient Protection and Affordable Care Act implementation. METHODS: We used data from a national internet survey of adolescents and young adults (13-26 years old) in the United States. Questionnaire construction was guided by formative research and Fisher's Information-Motivation-Behavioral Skills model...
January 16, 2019: Pediatrics
Ellen C Perrin, Sean M Hurley, Kathryn Mattern, Lila Flavin, Ellen E Pinderhughes
BACKGROUND: Gay men have become fathers in the context of a heterosexual relationship, by adoption, by donating sperm to 1 or 2 lesbian women and subsequently sharing parenting responsibilities, and/or by engaging the services of a surrogate pregnancy carrier. Despite legal, medical, and social advances, gay fathers and their children continue to experience stigma and avoid situations because of fear of stigma. Increasing evidence reveals that stigma is associated with reduced well-being of children and adults, including psychiatric symptoms and suicidality...
January 14, 2019: Pediatrics
Basmah Safdar, Kimberly E Ona Ayala, Syed Shayan Ali, Benjamin J Seifer, Michelle Hong, Marna Rayl Greenberg, Esther K Choo, Alyson J McGregor
OBJECTIVES: To a) evaluate the inclusion of sex and gender in publications by emergency medicine (EM) researchers following the 2014 federal mandate and an Academic EM Consensus Conference on sex- and gender-based research and b) assess trends compared with 2011 status report that showed 29% studies used sex and gender in the study design and 2% reported it as a primary outcome. METHODS: Using MEDLINE, the term "emergency" was used to identify all English-language studies of adult humans published between 2014-2017 as EM affiliated (i...
January 14, 2019: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Armando Silva Almodovar, Milap C Nahata
STUDY OBJECTIVES: To assess chronic potentially unsafe medication use among older adults using opioids chronically versus those who did not, to assess the likelihood of chronically using medications to treat adverse effects associated with chronic opioid use, and to characterize the differences in chronic potentially unsafe medication use at three morphine equivalent dose (MED) levels/day (<50MED, 50-90MED, and >90MED). DESIGN: Retrospective cross-sectional analysis...
January 13, 2019: Pharmacotherapy
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