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Preventative healthcare

Rafael Garcia Torres, Ana Laura Neves Mendonça, Grazielle Cezarine Montes, Jacqueline Jácome Manzan, João Ulisses Ribeiro, Marina Carvalho Paschoini
OBJECTIVE:  The present study assessed epidemiological and obstetrical data from pregnant women with syphilis at the Hospital de Clínicas of the Universidade Federal do Triângulo Mineiro (UFTM, in the Portuguese acronym), describing this disease during pregnancy and its vertical transmission for future healthcare actions. METHODS:  Records from pregnant women who had been admitted to the Obstetrics Department of the Hospital de Clínicas of the UFTM and were diagnosed with syphilis between 2007 and 2016 were reviewed...
February 2019: Revista Brasileira de Ginecologia e Obstetrícia
Aleha Aziz, Cynthia Gyamfi-Bannerman, Zainab Siddiq, Jason D Wright, Dena Goffman, Jean-Ju Sheen, Mary E D'Alton, Alexander M Friedman
BACKGROUND: Maternal race may be an important risk factor for postpartum readmissions and associated adverse outcomes. OBJECTIVE: To determine the association of race with serious complications during postpartum readmissions. STUDY DESIGN: This repeated cross sectional analysis utilized the National (Nationwide) Inpatient Sample from the Healthcare Cost and Utilization Project from 2012 to 2014. Women ages 15 to 54 readmitted postpartum after a delivery hospitalization were identified by Centers for Disease Control and Prevention criteria...
February 13, 2019: American Journal of Obstetrics and Gynecology
Simona Kelcikova, Lucia Mazuchova, Lubica Bielena, Lenka Filova
AIM: To assess the quality of self-assessment and the attitude of healthcare workers (HCWs) to hand hygiene (HH) as possible factors of unsatisfactory HH compliance in clinical practice. BACKGROUND: Non-compliance of hand hygiene causes healthcare-acquired infections (HAI) in patients. It is assumed that hand hygiene-related infections make up approximately 80% of all infections in clinical practice. Our observations suggest that self-assessment and attitude might be surprisingly important factors...
February 20, 2019: Journal of Clinical Nursing
Johanna Pohjanoksa, Minna Stolt, Riitta Suhonen, Helena Leino-Kilpi
AIM(S): To describe healthcare professionals' experiences of observed wrongdoing and potential whistleblowing acts regarding it. The main goal is to strengthen the whistleblowing process described based on the existing literature and to make it more visible for future research. DESIGN: A descriptive cross-sectional survey. METHODS: Data were collected between 26 June 2015 - 17 July 2015 from the Finnish trade union's membership register, electronically using one open question...
February 20, 2019: Journal of Advanced Nursing
Leila Ghahremani, Mojdeh Azizi, Mohammad Djaefar Moemenbellah-Fard, Haleh Ghaem
Suburban areas suffer from unfavorable conditions as a result of poor health standards, low income, illness, and slight levels of education. One of the most important components in malaria elimination programs is health education. Bandar-Abbas is a malaria endemic city. Therefore, this study aimed to promote malaria preventive behaviors among housewives in suburbs of Bandar-Abbas City, Iran, through a PRECEDE model-based intervention program. This quasi-experimental study was carried out on 172 housewives under the coverage of four healthcare centers in Bandar-Abbas in 2016...
February 20, 2019: Pathogens and Global Health
Julia Morphet, Debra Griffiths, Jill Beattie, Kelli Innes
AIM: To examine healthcare managers' and health and safety staff experiences of prevention and management of workplace violence against staff. BACKGROUND: Employers have a responsibility to protect employees from workplace violence. The varied care settings present challenges for those responsible for ensuring safety. METHOD: Descriptive exploratory study using semi-structured interviews with 99 participants responsible for workplace safety, from 29 health services across metropolitan and regional Victoria, Australia...
February 19, 2019: Journal of Nursing Management
Javier Salvador García, Susel Góngora Alonso, Isabel de la Torre Díez, Begoña Garcia-Zapirain, Cristiane Castillo, Miguel López Coronado, Javier Cabo Salvador
BACKGROUND: Information and communications technologies are transforming our social interactions and life-styles. One of the most promising applications of information technology is healthcare and wellness management that characterized by early detection of conditions, prevention, and long-term healthcare management. OBJECTIVE: The main purpose of this document is to do a study, first about the actual literature about mobile phone applications to measure and control heart-rate and second a study about these applications themselves, analyzing the different app stores more popular nowadays, Google Play Store and iTunes (for Android and iOS devices respectively)...
February 19, 2019: Journal of Medical Systems
Salvatore Lacagnina, Margaret Moore, Sarah Mitchell
Most chronic illnesses in developed nations are largely preventable. Lifestyle Medicine adds tremendous value to traditional methods for the delivery of healthcare by focusing on preventing, reversing and treating chronic illness. By helping individuals focus on nutrition, physical activity, stress management, quality sleep, mental health and purposeful living, the risk and incidence of chronic illness decreases dramatically. This article describes the team approach to preventive health care including the value of Wellness Coaching and how the Group Visit model of health care improves access to care and quality outcomes...
November 2018: American Journal of Lifestyle Medicine
Diana Tang, Paul Mitchell, Victoria Flood, Annette Kifley, Alison Hayes, Gerald Liew, Bamini Gopinath
INTRODUCTION: Age-related macular degeneration (AMD) is a leading cause of blindness. After smoking, nutrition is the key modifiable factor in reducing AMD incidence and progression, and no other preventative treatments are currently available. At present, there is an evidence-practice gap of dietary recommendations made by eye care practitioners and those actually practised by patients with AMD. To address this gap, a telephone-delivered dietary intervention tailored to patients with AMD will be piloted...
February 19, 2019: BMJ Open
Esperanza Romero-Rodríguez, Luis Ángel Pérula de Torres, José Ángel Fernández García, Juan Manuel Parras Rejano, Ana Roldán Villalobos, Francisco Camarelles Guillén
AIM: To estimate the prevalence of alcohol consumption and analyse the drinking patterns among primary healthcare (PHC) providers. DESIGN: Observational, cross-sectional, descriptive study. SETTING: PHC centres in the Spanish National Health System (SNHS). PARTICIPANTS: Doctors and nurses who completed an online questionnaire which explored their alcohol intake, using the Alcohol Use Disorders Identification Test (AUDIT-C) alcohol assessment tool...
February 19, 2019: BMJ Open
Archana Siddaiah, Mohammad Naseer Ahmed, Ajay M V Kumar, George D'Souza, Ewan Wilkinson, Thae Maung Maung, Rashmi Rodrigues
OBJECTIVES: India contributes approximately 25% of the 'missing' cases of tuberculosis (TB) globally. Even though ~50% of patients with TB are diagnosed and treated within India's private sector, few are notified to the public healthcare system. India's TB notification policy mandates that all patients with TB are notified through Nikshay (TB notification portal). We undertook this study in a private hospital to assess the proportion notified and factors affecting TB notifications. We explored barriers and probable solutions to TB notification qualitatively from health provider's perspective...
February 19, 2019: BMJ Open
Beth Fylan, Iuri Marques, Hanif Ismail, Liz Breen, Peter Gardner, Gerry Armitage, Alison Blenkinsopp
INTRODUCTION: Poor medicines management places patients at risk, particularly during care transitions. For patients with heart failure (HF), optimal medicines management is crucial to control symptoms and prevent hospital readmission. This study explored the concept of resilience using HF as an example condition to understand how the system compensates for known and unknown weaknesses. METHODS: We explored resilience using a mixed-methods approach in four healthcare economies in the north of England...
February 19, 2019: BMJ Open
Hassan Al-Thani, Brijesh Sathian, Ayman El-Menyar
OBJECTIVES: To evaluate the healthcare cost of amputation and prosthesis for management of upper and lower extremities in a single institute. DESIGN: Retrospective cohort study conducted between 2000 and 2014. PARTICIPANTS: All patients who underwent upper (UEA) and lower extremities amputation (LEA) were identified retrospectively from the operating theatre database. Collected data included patient demographics, comorbidities, interventions, costs of amputations including hospitalisation expenses, length of hospital stay and mortality...
January 15, 2019: BMJ Open
David Banham, Jonathan Karnon, Kirsten Densley, John W Lynch
OBJECTIVES: To quantify emergency department (ED) presentations by individuals within vulnerable populations compared with other adults and the extent to which these are potentially preventable. DESIGN: Period prevalence study from 2005-2006 to 2010-2011. SETTING: Person-linked, ED administrative records for public hospitals in South Australia. PARTICIPANTS: Adults aged 20 or more in South Australia's metropolitan area presenting to ED and categorised as Refugee and Asylum Seeker Countries of birth (RASC); Aboriginal; those aged 75 years or more; or All others...
January 17, 2019: BMJ Open
Ashwini Kannan, Maggie Kirkman, Rasa Ruseckaite, Sue M Evans
OBJECTIVES: To summarise and evaluate evidence from men who had not been diagnosed with prostate cancer about their perspectives on prostate care and prostate cancer. DESIGN: A systematic review of qualitative research, on the perspectives of non-cancerous men regarding prostate cancer prevention and care. SETTING: A wide range of settings including primary and secondary care. PARTICIPANTS: Men from varied demographic backgrounds ranging between 40 to 80 years of age...
January 28, 2019: BMJ Open
David A M C van de Vijver, Ann-Kathrin Richter, Charles A B Boucher, Barbara Gunsenheimer-Bartmeyer, Christian Kollan, Brooke E Nichols, Christoph D Spinner, Jürgen Wasem, Knud Schewe, Anja Neumann
BackgroundPre-exposure prophylaxis (PrEP) is a highly effective HIV prevention strategy for men-who-have-sex-with-men (MSM). The high cost of PrEP has until recently been a primary barrier to its use. In 2017, generic PrEP became available, reducing the costs by 90%.AimOur objective was to assess cost-effectiveness and costs of introducing PrEP in Germany.MethodsWe calibrated a deterministic mathematical model to the human immunodeficiency virus (HIV) epidemic among MSM in Germany. PrEP was targeted to 30% of high-risk MSM...
February 2019: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
Sofia Perrotin, Thomas Gilbert, Marine Dupuis, Laurent Villeneuve, Sylvie Bin-Dorel, Amna Klich, Laurent Letrilliart, Marc Bonnefoy
BACKGROUND: Reduced mobility is the first sign of functional decline and can lead to dependency in elderly people. Screening for the risk of mobility limitation in this population is an important public health issue to prevent further disabilities. Despite the current lack of guidelines, primary care healthcare providers may have a central role to play in this type of screening. Multi-domain physical exercise interventions in older persons have shown some efficacy/effectiveness on frailty status, yet, to the best of our knowledge, no published study has focused on patients screened in primary care...
February 19, 2019: BMC Geriatrics
Shona Horter, Sarah Bernays, Zanele Thabede, Velibanti Dlamini, Bernhard Kerschberger, Munyaradzi Pasipamire, Barbara Rusch, Alison Wringe
"Treat-all" programmes aim to improve clinical outcomes and to reduce HIV transmission through regular HIV testing and immediate offer of antiretroviral therapy (ART) for those diagnosed HIV-positive, irrespective of immunological status and symptoms of disease. Global narratives on the benefits of Treat-all anticipate reduced HIV-related stigma and increased "normalisation" of HIV with Treat-all implementation, whereby HIV is remoulded as a manageable, chronic condition where stigmatising symptoms can be concealed...
February 19, 2019: African Journal of AIDS Research: AJAR
Marco Rossi, Giuseppe Casale, Danilo Badiali, Federica Aielli, Maria Antonietta Aloe Spiriti, Roberto Arcioni, Francesca Bordin, Maurizio Ferrara, Gloria Morelli Sbarra, Antonio Corcione, Franco Marinangeli, Paolo Marchetti
Constipation, one of the adverse effects of opioid therapy with a major impact on quality of life, is still an unmet need for cancer patients, particularly those with an advanced and progressive disease, and for non-cancer patients chronically treated with opioids. The awareness of this condition is poor among healthcare providers, despite the recent publication of guidelines and consensus conferences. An early multidisciplinary approach of opioid-induced bowel dysfunction (OIBD), based on available therapies of proven effectiveness, could support clinicians in managing this condition, thus increasing patients' adherence to pain therapy...
February 18, 2019: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Sivan Nir, David Zanuy, Tal Zada, Omer Agazani, Carlos Aleman, Deborah E Shalev, Meital Reches
The accumulation of bacteria on surfaces is currently one of the greatest concerns for the management of proper healthcare systems, water and energy. Here, we describe the mechanism by which a single peptide forms two pH-dependent supramolecular particles that resist bacterial contamination. By using NMR and molecular dynamics (MD), we determined the structures of the peptide monomers and showed the forces directing the self-assembly of each structure under different conditions. These peptide assemblies change the characteristics of bare glass and confer it with the ability to prevent biofilm formation...
February 19, 2019: Nanoscale
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