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Family practice related

A D Irvine, P Mina-Osorio
BACKGROUND: Atopic dermatitis (AD) is a heterogeneous disease with a multifactorial aetiology and complex pathophysiology. This heterogeneity translates into different trajectories of disease progression with respect to severity, persistence, and risk of development of atopic comorbidities. Determining which possible disease trajectories or comorbidities any individual child might develop is challenging in clinical practice. Tools that help identify paediatric patients at higher risk of disease progression would greatly aid clinicians...
February 13, 2019: British Journal of Dermatology
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
Takoua Merhabene, Farah Blel, Amira Jamoussi, Samia Ayed, Jalila Ben Khelil, Mohamed Besbes
BACKGROUND: Rationing in intensive care unit (ICU) beds is common and can leads to admission refusal. Understanding factors involved in triage practices is the first step towards an ethically optimal decision-making process. AIM: To identify determinants and patients' characteristics associated with decisions to deny ICU admission. METHODS: This prospective observational study was conducted in AbderrahmeneMami Hospital's medical ICU, in Ariana, between 1st January and 31th December 2016...
October 2018: La Tunisie Médicale
Kate Gfeller, Virginia Driscoll, Adam Schwalje
BACKGROUND: Music engagement (the active making of music, e.g., music lessons and ensembles) is a common part of educational and community experiences. Music making typically involves listening to and production of rapidly changing combinations of pitch, timbre, and rhythm, which can be challenging for cochlear implant (CI) recipients, given that pitch and timbre are poorly conveyed through the CI. Pediatric CI users have variable patterns of music engagement, but some have achieved, sustained participation despite the degraded CI signal...
March 2019: Otology & Neurotology
Erika R Cheng, Candace C Nelson, Peggy Leung-Strle, Rachel Colchamiro, Elsie M Taveras, Jennifer A Woo Baidal
Objective: The multi-sector, multi-level Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study resulted in improvements in obesity risk factors among children age 2-4 years enrolled in the Special Supplemental Nutrition program for Women, Infants, and Children (WIC). The goal of this study was to examine whether the MA-CORD intervention increased WIC provider confidence in their ability to identify childhood obesity and obesity-related behaviors. Methods: As part of the MA-CORD intervention conducted from 2012 to 2015, we implemented WIC practice changes focused on childhood obesity prevention within two Massachusetts communities...
March 2019: Preventive Medicine Reports
Mari Greenfield, Julie Jomeen, Lesley Glover
Background: A significant number of women experience childbirth as traumatic. These experiences are often characterized by a loss of control coupled with a perceived lack of support and inadequate communication with health care providers. Little is known about the choices women make in subsequent pregnancy(s) and birth(s), or why they make these choices. This study aimed to understand these choices and explore the reasons behind them. Methods: A longitudinal grounded theory methods study involving nine women was conducted...
2019: Frontiers in Psychology
Adeline Wyman Battalen, Sarah J Dow-Fleisner, David M Brodzinsky, Ruth G McRoy
We tested the validity and measurement invariance of the Transracial Adoptive Parenting scale (TAPS) across sexual orientation with a nationwide sample of adoptive parents. Our study sample consisted of 737 heterosexual, 102 lesbian, and 64 gay adoptive parents from the Modern Adoptive Families (MAF) study, a cross-sectional survey. We conducted reliability analyses, as well as exploratory and confirmatory factor analyses for the 29-item TAPs. We then tested for measurement invariance based on sexual orientation...
February 10, 2019: Journal of Evidence-informed Social Work
Richard H Parrish, Johannes van den Anker, Sandra Benavides
This editorial describes the purposes and content of the Special Issue for the development of a national pediatric pharmacotherapy collaborative practice network. A collaborative practice network from a population health perspective is needed to better manage the medication-related needs of children with special health care needs and medical complexity (CSHCN-CMC). Over the last 25 years, the pharmacy profession has been engaged in organized efforts both to elevate practice and educational standards for pediatric pharmacy practice and to design medication management systems that benefit children and their families and caregivers...
February 7, 2019: Children
Angela Toss, Marta Venturelli, Eleonora Molinaro, Stefania Pipitone, Elena Barbieri, Isabella Marchi, Elena Tenedini, Lucia Artuso, Sara Castellano, Marco Marino, Enrico Tagliafico, Elisabetta Razzaboni, Elisabetta De Matteis, Stefano Cascinu, Laura Cortesi
The identification of BRCA mutations plays a crucial role in the management of hereditary cancer prevention and treatment. Nonetheless, BRCA-testing in pancreatic cancer (PC) patients is not universally introduced in clinical practice. A retrospective analysis was conducted, firstly, to evaluate the rate of BRCA-positive families among those presenting a family history of PC besides breast and/or ovarian cancer. Secondly, the relationship between BRCA pathogenic variants and PC risk was evaluated. Finally, the characteristics of PC developed in BRCA families were described...
February 7, 2019: Cancers
Anna Cronin-de-Chavez, Shahid Islam, Rosemary R C McEachan
Greenspace is important for physical and mental health. Low-income, multi-ethnic populations in deprived urban areas experience several barriers to using greenspace. This may exacerbate health inequalities. The current study explored structural and individual determinants of greenspace use amongst parents of young children in an urban, deprived, multi-cultural area situated in the North of England, UK. Semi-structured in-depth interviews and focus group discussions were conducted with 30 parents of children aged 0-3 between December 2016 and May 2017 from a range of ethnic groups...
February 5, 2019: Health & Place
Jessica A Pryce, Marianna Tutwiler, Anna Yelick
This article discusses the role of The Florida Institute for Child Welfare (Institute) in the overall goals of child welfare in the state of Florida. The complexity of child welfare requires thoughtful and innovative methods of training and practice. The Institute was created as a result of a series of child fatalities and negative child and family outcomes. The Institute has been tasked with maintaining a program of research that informs child welfare legislation. By creating the Institute, an objective voice, to focus on building an infrastructure of research, it is clear that state leaders have prioritized the effectiveness of our child welfare system...
February 8, 2019: Journal of Evidence-informed Social Work
Barbara Griffin, Wendy Hu
BACKGROUND: Motivation to become a doctor has typically been conceived as arising from personal interests. However, it is not uncommon, particularly amongst those from collectivist cultures, for career choice to be motivated by a desire or need to fulfil parent expectations. Whether or not this motivation has longer term effects on the career satisfaction and performance of medical students is unknown. METHODS: Using three waves of survey data collection, applicants to medical school (n = 370) reported parent career expectations, parent career support and physician career values...
February 7, 2019: Medical Education
John J You, Peter Allatt, Michelle Howard, Carole A Robinson, Jessica Simon, Rebecca Sudore, Amy Tan, Carrie Bernard, Marilyn Swinton, Xuran Jiang, Doug Klein, Michael McKenzie, Gillian Fyles, Daren Keith Heyland
OBJECTIVES: To develop and validate a values clarification tool, the Short Graphic Values History Tool (GVHT), designed to support person-centred decision making during serious illness. METHODS: The development phase included input from experts and laypersons and assessed acceptability with patients/family members. In the validation phase, we recruited additional participants into a before-after study. Our primary validation hypothesis was that the tool would reduce scores on the Decisional Conflict Scale (DCS) at 1-2 weeks of follow-up...
February 6, 2019: BMJ Supportive & Palliative Care
Canh Dinh Hoang, Bach Xuan Tran, Manh Duc Pham, Long Hoang Nguyen, Ha Ngoc Do, Quan Hoang Vuong, Manh Tung Ho, Van Nhue Dam, Thu Trang Vuong, Hai Hong Nguyen, Vu Nguyen, Hai Quang Pham, Giang Hai Ha, Carl A Latkin, Cyrus S H Ho, Roger C M Ho
BACKGROUND: Residents in border areas are vulnerable to HIV/AIDS due to high rates of risk behaviors such as unprotected sexual practices or illicit drug use. Improving knowledge and attitude toward HIV/AIDS prevention and treatment are vital to diminish the burden of the HIV epidemic in this setting. However, evidence about this issue in Vietnam has been limited. This study aims to explore the knowledge and attitude toward HIV/AIDS among people in Vietnam border zones. METHODS: We conducted a cross-sectional study in three border communes in Thanh Hoa province with 600 HIV(-) residents...
February 7, 2019: Harm Reduction Journal
Julia E Hussey, Brad Donohue, Kimberly A Barchard, Daniel N Allen
Limited research has examined the contributions of sport-specific family relationship problems to athlete mental health. In the current study we examined the extent to which collegiate athletes' family problems (as measured by the Student Athlete Relationship Instrument factors, SARI) predict athletes' general mental health distress and specific mental health symptoms that are relatively common in athletes (i.e. depression, anxiety, and drug and alcohol use). The study included 85 collegiate athletes (intramural, n = 26; club sport, n = 12; NCAA Division I, n = 47)...
February 8, 2019: European Journal of Sport Science
Ni Zhou, Hai Ming Wong, Colman McGrath
OBJECTIVE: To investigate the oral health status and associated factors among preschool children with special health care needs. SUBJECTS AND METHODS: This was designed as a cross-sectional study. Dental examination were provided to 383 children at Special Child Care Centres. Covariates of interest included children's age, developmental profile, oral health-related behaviours and family social-economic status. The association between children's dental caries experiences, dental plaque deposition and gingival health status were analysed by Negative Binomial Regression, Multiple Factor ANOVA and Binary Logistic Regression when appropriate...
February 6, 2019: Oral Diseases
Elaine Zibrowski, Lisa Shepherd, Richard Booth, Kamran Sedig, Candace Gibson
BACKGROUND: Many emergency departments (EDs) have used the Lean methodology to guide the restructuring of their practice environments and patient care processes. Despite research cautioning that the layout and design of treatment areas can increase patients' vulnerability to privacy breaches, evaluations of Lean interventions have ignored the potential impact of these on patients' informational and physical privacy. If professional regulatory organizations are going to require that nurses and physicians interact with their patients privately and confidentially, we need to examine the degrees to which their practice environment supports them to do so...
February 6, 2019: JMIR Human Factors
Priyal P Fadadu, Joy C Liu, Brenda M Schiltz, Tran Dang Xoay, Phan Huu Phuc, Ashok Kumbamu, Yves Ouellette
BACKGROUND: Although the need for palliative care is gaining recognition in Southeast Asia, knowledge about how decisions are made for children near the end of life remains sparse. OBJECTIVE: To explore pediatric intensivists' attitudes and practices surrounding end-of-life care in Vietnam. METHODS: This is a mixed-methods study conducted at a tertiary pediatric and neonatal intensive care unit in Hanoi. Physicians and nurses completed a quantitative survey about their views on end-of-life care...
February 6, 2019: Journal of Palliative Medicine
Serdar Deniz, Ferhat Coskun, Dilek Oztas, Ahmet Oner Kurt
PURPOSE: Determination of information attitudes, behaviors and related factors on breast and cervical cancer screenings of primary health care workers. METHODS: The population of the study consisted of 1,130 female health workers working in health facilities (Community Health Centers, Family Health Centers) that provided primary health care services in the province of Mersin. The fieldwork was carried out in October 2017-February 2018 period. There were 62 questions in the survey form...
December 2018: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
Medhin Tsegaye, Dessalegn Ajema, Solomon Shiferaw, Robel Yirgu
Background: In Afar, a pastoralist and remote area of Ethiopia, one in five children suffers from acute malnutrition. Investigation of the prevalence and associated factors of exclusive breastfeeding may provide insight into the current burden and nature of the problem, and offer help on how to direct prevention strategies. The aim of this study was to measure the prevalence and identify associated factors of exclusive breastfeeding (EBF) practice in Afar, Ethiopia. Methods: A community based cross-sectional study was conducted with qualitative inquiry from March to April 2015...
2019: International Breastfeeding Journal
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