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Jane Macnaughton, Keziah Latham, Marta Vianya-Estopa
PURPOSE: To evaluate outcome measures of the Participation and Activity Inventory (PAI) in a sample of adults with acquired visual impairment entering vision rehabilitation. Both Priority Scores, indicating level of rehabilitative need, and Person Measures, indicating goal difficulty, were considered. METHODS: Participants were newly registered adults with visual impairment within Leicestershire, United Kingdom. The importance and difficulty of 48 goals of the PAI were assessed, as were demographic factors, clinical visual function (visual acuity, contrast sensitivity, reading function) and psychosocial function (adjustment to visual loss, depression, anxiety and fear of falling)...
March 2019: Ophthalmic & Physiological Optics: the Journal of the British College of Ophthalmic Opticians (Optometrists)
Iestyn Williams, Kerry Allen, Gunveer Plahe
Health systems around the world face financial pressures that can affect sustainability and patient outcomes, and there is a vast literature devoted to the allocation of scarce health care resources. Capital spending - for example on estates, equipment and information technology - is an important but often neglected area of this literature. This study explores the constraints on the allocation of capital budgets in health care, before addressing the question: what is the role of priority setting and rationing in responses to these constraints? The paper presents findings from interviews conducted with senior finance professionals in 30 National Health Service local provider organisations across England...
February 13, 2019: Social Science & Medicine
Keyne C Law, Nicholas P Allan, Kateryna Kolnogorova, Tracy Stecker
This study sought to examine the effect of general PTSD symptoms as well as specific PTSD symptom clusters on suicidal ideation and suicidal attempts. We first compared a correlated factors solution consistent with the DSM-5 symptom clusters for PTSD with a bifactor solution comprising a General PTSD factor and orthogonal specific factors. Using the best fitting model (i.e., bifactor solution), we then investigated the effect of specific PTSD symptom clusters on severity of suicidal ideation and suicide attempts above and beyond the effect of general PTSD symptoms...
February 3, 2019: Psychiatry Research
Juan Roldán-Merino, Nuria Roca-Capara, Dolors Miguel-Ruiz, Olga Rodrigo-Pedrosa
BACKGROUND: Internationally, most countries recognize the right of the student to receive assistance from teachers and tutors. The Tutorial Action Plan is a teaching tool that aims to promote academic, personal, and professional development in students. It is important to monitor this process of tutoring to be able to provide appropriate guidance to nursing students throughout their education. OBJECTIVE: The objective of this study was to design and validate an instrument to measure and monitor nursing students' perceptions of the Tutorial Action Plan process...
February 13, 2019: Nurse Education Today
Sophie Lauridsen, Uffe Christian Braae, Helena Aminel Ngowi, Maria Vang Johansen
BACKGROUND: Taenia solium is a zoonotic tapeworm widely distributed across sub-Saharan Africa. Specific health education is regarded as a central element in controlling T. solium. In 2014, an electronic health education tool called 'The Vicious Worm', which was concerned with prevention of T. Solium was introduced to health and agricultural professionals in Mbeya, Tanzania, an endemic setting. Introduction to ´The Vicious Worm' of 1.5-hours significantly improved the participants' knowledge...
February 15, 2019: Acta Tropica
Beatriz Calleja-Pérez, Juan L Párraga, Jacobo Albert, Sara López-Martín, Ana Jiménez de Domingo, Ana L Fernández-Perrone, Daniel M Fernández-Mayoralas, Pilar Tirado, Rebeca Suárez-Guinea, Sonia López-Arribas, Alberto Fernández-Jaén
Attention deficit / hyperactivity disorder (ADHD) is one of the most prevalent disorders in the child-youth population, with a known impact on learning and school performance. Lack of attention, associated executive dysfunction and comorbid problems -particularly those related to learning and anxiety-, strongly determine this conceptual domain. Affected youths have more problems for taking notes, completion of homework, school programming and less motivation to study. Despite greater dedication to homework and greater use of support resources, school failure and nonachievement of curricular objectives are more frequent in these patients...
2019: Medicina
Caroline de Godoi Rezende Costa Molino, Nathalia Celini Leite-Santos, Franciele Cordeiro Gabriel, Sheila Kalb Wainberg, Luciana Pereira de Vasconcelos, Rafael Augusto Mantovani-Silva, Eliane Ribeiro, Nicolina Silvana Romano-Lieber, Airton Tetelbom Stein, Daniela Oliveira de Melo
Importance: As the rate of publication of new and sometimes conflicting medical research increases, clinicians rely heavily on clinical practice guidelines (CPGs) to inform practice. However, CPGs are of widely variable quality, and there are no existing objective measures to rate the quality of CPGs. Objective: To systematically assess 421 CPGs for the management of common noncommunicable diseases in primary care using the validated Appraisal of Guidelines for Research and Evaluation Instrument, version II (AGREE-II) tool and elucidate the factors associated with quality of CPGs...
February 18, 2019: JAMA Internal Medicine
Sille Schandorph Løkkegaard, Nina Beck Hansen, Nele Marie Wolf, Ask Elklit
This study examined intimate partner stalking experienced by 196 mothers stalked by the father of their children. Respondents completed a questionnaire concerning experiences of stalking and level of support by the authorities. Results revealed higher rates of harassing than violent stalking. In many cases, the children were also targeted by the stalking. Encounters with several agencies were common, but respondents were often not recognized as victims of stalking and demoralized by extensive case proceedings...
February 18, 2019: Violence Against Women
Leodoro J Labrague, Denise McEnroe-Pettite, Michael C Leocadio
PROBLEM: Without a doubt, the transition to a professional nursing role is a challenging and stressful experience for many new nurses, regardless of where they are employed; yet, no study has been conducted to comprehend in detail the transition experiences of newly graduated nurses employed in a resource-scarce rural health care setting. PURPOSE: This study describes the transition experiences of newly graduated Filipino nurses during their initial clinical placement process...
February 18, 2019: Nursing Forum
Nicole M Robertson, Emily M Nagourney, Suzanne L Pollard, Trishul Siddharthan, Robert Kalyesubula, Pamela J Surkan, John R Hurst, William Checkley, Bruce J Kirenga
Introduction: Almost 90% of chronic obstructive pulmonary disease (COPD) deaths occur in low- and middle-income countries (LMICs), where there are large rural populations and access to health care for COPD is poor. The purpose of this study was to compare urban-rural provider experiences regarding systemic facilitators and barriers to COPD management and treatment access. Methods: We conducted a qualitative study using direct observations and in-depth semi-structured interviews with 16 and 10 health care providers in urban Kampala and rural Nakaseke, Uganda, respectively...
January 4, 2019: Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation
A Velavan, A J Purty, K Shringarpure, K D Sagili, A K Mishra, K S Selvaraj, M Manikandan, V Saravanan
Setting: Four Tuberculosis (TB) Units in the Union Territory of Puducherry in India. Objectives: To identify factors associated with unfavourable outcomes among retreatment TB cases in Puducherry. Design: The study had a mixed-methods design in which routinely reported TB data from retreatment TB cases registered during 2014 and 2015 were used for the quantitative part; the qualitative phase comprised interviews and focus group discussions with health care providers. Results: Among the 392 retreatment cases, 297 (75...
December 21, 2018: Public Health Action
Ronen Blecher, Michael A Elliott, Emre Yilmaz, Joseph R Dettori, Rod J Oskouian, Akil Patel, Andrew Clarke, Mike Hutton, Robert McGuire, Robert Dunn, John DeVine, Bruce Twaddle, Jens R Chapman
Study Design: Systematic review. Introduction: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease, ultimately resulting in paralysis and death. The condition is considered to be caused by a complex interaction between environmental and genetic factors. Although vast genetic research has deciphered many of the molecular factors in ALS pathogenesis, the environmental factors have remained largely unknown. Recent evidence suggests that participation in certain types of sporting activities are associated with increased risk for ALS...
February 2019: Global Spine Journal
Hanne Pallesen, Lena Aadal, Siri Moe, Cathrine Arntzen
Objectives: The recovery process is reported by stroke survivors to be a change process fraught with crises and hazard. Interaction with health professionals and others may play a central role in establishing renewed control over life. Research Questions: (1) How do patients handle and overcome experienced changes after stroke? (2) How do they experience the support to handle these changes during the first year after stroke? (3) How do the similarities and differences transpire in Danish and Norwegian contexts? Methodology ...
2019: Rehabilitation Research and Practice
Lena Oxelmark, Torben Nordahl Amorøe, Liisa Carlzon, Hans Rystedt
[This corrects the article DOI: 10.1186/s41077-017-0041-6.].
2019: Advances in simulation
David Ogez, Claude-Julie Bourque, Katherine Péloquin, Rebeca Ribeiro, Laurence Bertout, Daniel Curnier, Simon Drouin, Caroline Laverdière, Valérie Marcil, Émélie Rondeau, Daniel Sinnett, Serge Sultan
Background: Studies have shown that supporting parents in pediatric oncology reduces family distress following a cancer diagnosis. Manualized programs for parents have therefore been developed to reduce family distress. However, these programs have limitations that need to be improved, such as better defining programs' procedures, developing interventions focusing on parents' conjugal relationship, conducting rigorous evaluations of implementation, and proposing adaptations to various cultural dimensions...
2019: Pilot and Feasibility Studies
Fernando Brandão Andrade-Silva, Renan Lyuji Takemura, Renato Tavares Bellato, Marcos de Camargo Leonhardt, Kodi Edson Kojima, Jorge Dos Santos Silva
Objectives: To describe the clinical utility of the Manchester triage scale adapted for orthopedic emergency departments and to evaluate its validity in identifying patients with the need for hospital care and its reliability when reproduced by different professionals. Methods: Five triage flowcharts were developed based on the Manchester scale for the following orthopedic disorders: traumatic injuries, joint pain, vertebral pain, postoperative disorders, and musculoskeletal infections...
January 2019: Acta Ortopedica Brasileira
Alexandre Fogaça Cristante, Fábio Barbieri, Almy Anacleto Rodrigues da Silva, José Claudio Dellamano
Objective: To evaluate the radiation dose received by staff in spine surgeries, including those who are not considered occupationally exposed workers. Methods: All spinal surgeries performed in the same department during a period of 12 months were evaluated with regard to the exposure of surgeons, scrub nurses, and auxiliary personnel working in the operating room to radiation from C-arm fluoroscopy. Radiation was measured by 15 film badge dosimeters placed on the professionals' lapels, gloves, and room standardized sites...
January 2019: Acta Ortopedica Brasileira
Reema Harrison, Merrilyn Walton, Jennifer Smith-Merry, Elizabeth Manias, Rick Iedema
Purpose: The aim of this study was to explore the service and policy structures that impact open disclosure (OD) practices in New South Wales (NSW), Australia. Participants and methods: An explorative study using semi-structured interviews was undertaken with 12 individuals closely involved in the implementation of OD in hospitals at policy or practice levels within the state of NSW, Australia. Interviews explored the service and policy structures surrounding OD and the perceived impact of these on the implementation of the OD policy...
2019: Risk Management and Healthcare Policy
Naomi Y J Brinkmans, Nick Iedema, Guy Plasqui, Loek Wouters, Wim H M Saris, Luc J C van Loon, Jan-Willem van Dijk
Selecting effective dietary strategies for professional football players requires comprehensive information on their energy expenditure (EE) and dietary intake. This observational study aimed to assess EE and dietary intake over a 14-day period in a representative group (n = 41) of professional football players playing in the Dutch Premier League (Eredivisie). Daily EE, as assessed by doubly labelled water, was 13.8 ± 1.5 MJ/day, representing a physical activity level (PAL) of 1.75 ± 0.13. Weighted mean energy intake (EI), as assessed by three face-to-face 24-h recalls, was 11...
February 16, 2019: Journal of Sports Sciences
Jo Marsden
In women at population risk of breast cancer (i.e. most), short-term exposure to hormone replacement therapy (i.e. up to five years' use) for symptom relief exceeds its potential harms, including the associated, increased risk of breast cancer diagnosis. Many women and health care professionals, however, consider this to be unacceptably high, although the degree of risk conferred appears equivalent to, or less than that of, other lifestyle risk factors for this condition. In contrast, it is recommended that symptomatic women at high baseline risk due to a family history or a biopsy-confirmed high-risk benign breast condition and those with previous breast cancer should be managed initially with lifestyle changes and non-hormonal alternatives...
February 16, 2019: Post Reproductive Health
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