Christine Brezden-Masley, Kelly E Fathers, Megan E Coombes, Behin Pourmirza, Cloris Xue, Katarzyna J Jerzak
PURPOSE: We sought to expand the currently limited, Canadian, population-based data on the characteristics, treatment pathways, and health care costs according to stage in patients with human epidermal growth factor receptor-2 positive (HER2+) breast cancer (BC). METHODS: We extracted data from the publicly funded health care system in Ontario. Baseline characteristics, treatment patterns, and health care costs were descriptively compared by cancer stage (I-III vs...
October 22, 2020: Breast Cancer Research and Treatment
Sebastian Probst, Paul Bobbink, Laurence Séchaud, Monika Buehrer Skinner
AIM: The aim of this study was to explore the occurrence of venous leg ulcer recurrence and the relationship with self-efficacy, social support and quality of life. Furthermore, we investigated the lived experiences of those patients and their understanding of why they developed a recurrence. DESIGN: We used a convergent parallel mixed method design consisting of a cohort and an interpretative phenomenological study arm. METHODS: Consecutive patients (N = 145) were recruited into the study...
October 21, 2020: Journal of Advanced Nursing
Sarah Barradell, Amani Bell
Students as partners is a movement which is gaining momentum in higher education, yet disciplinary perspectives are underexplored. Using a qualitative synthesis approach informed by Major and Savin-Baden (2010), we systematically investigated how health professional education has taken up the practice of working in partnership with students. Fifty-five publications were identified in our search from 2011 to -mid 2018. The majority of literature came from North America and medicine was the most frequently represented health profession...
October 21, 2020: Advances in Health Sciences Education
Vera N Prilepskaya, Mikhail Gomberg, Smita Kothari, Karen Yee, Amit Kulkarni, Suzanne M Garland, Anna R Giuliano
Background: Human papillomavirus (HPV) infections are the etiologic agents of genital warts (GW). HPV is one of the most frequent sexually transmitted viral infections, and nearly 65% of individuals with partners who have GW also develop GW. In Russia, as in many other countries, overall GW prevalence data are scarce. Given the lack of Russian data, our study estimated GW prevalence in physician practices and GW-related health care resource use in Russia among male and female patients aged 18-60 years...
2020: Journal of health economics and outcomes research
Krishna D Rao, Shivani Kachwaha, Avril Kaplan, David Bishai
INTRODUCTION: Conditional cash transfers (CCTs) have become an important policy tool for increasing demand for key maternal and child health services in low/middle-income countries. Yet, these programs have had variable success in increasing service use. Understanding beneficiary preferences for design features of CCTs can increase program effectiveness. METHODS: We conducted a Discrete choice experiment in two districts of Uttar Pradesh, India in 2018 with 405 mothers with young children (<3 years)...
October 2020: BMJ Global Health
Margo Linn Barr, Heidi Welberry, John Hall, Elizabeth J Comino, Elizabeth Harris, Ben F Harris-Roxas, Tony Jackson, Debra Donnelly, Mark Fort Harris
ObjectivesGeneral practitioner (GP) follow-up after a hospital admission is an important indicator of integrated care. We examined the characteristics of patients who saw a GP within 2 weeks of hospital discharge in the Central and Eastern Sydney (CES) region, Australia, and the relationship between GP follow-up and subsequent hospitalisation.MethodsThis data linkage study used a cohort of 10240 people from the 45 and Up Study who resided in CES and experienced an overnight hospitalisation in the 5 years following recruitment (2007-14)...
October 22, 2020: Australian Health Review: a Publication of the Australian Hospital Association
Kamil Zaworski, Zofia Kubińska, Adrianna Dziewulska, Olga Walasek
OBJECTIVE: The aim of this paper is to present the engagement of adult Poles in physical activity (PA) before and during the coronavirus pandemic, taking into consideration: frequency, duration and types of the activity depending on the gender and age of the participants. METHODS: The study was conducted using an online survey questionnaire. 688 residents of Poland aged 18 to 58 (28.61±9.5) years old participated in the study. RESULTS: A statistically significant decrease in the frequency of PA was noted in the group of men (p=0...
October 22, 2020: Disaster Medicine and Public Health Preparedness
Sulochana Manandhar, Raphael M Zellweger, Nhukesh Maharjan, Sabina Dongol, Krishna G Prajapati, Guy Thwaites, Buddha Basnyat, Sameer Mani Dixit, Stephen Baker, Abhilasha Karkey
BACKGROUND: Multi-drug resistance (MDR) and extensive-drug resistance (XDR) associated with extended-spectrum beta-lactamases (ESBLs) and carbapenemases in Gram-negative bacteria are global public health concerns. Data on circulating antimicrobial resistance (AMR) genes in Gram-negative bacteria and their correlation with MDR and ESBL phenotypes from Nepal is scarce. METHODS: A retrospective study was performed investigating the distribution of ESBL and carbapenemase genes and their potential association with ESBL and MDR phenotypes in E...
October 21, 2020: Annals of Clinical Microbiology and Antimicrobials
Claudia Schönbächler Marcar, Marianne Keller, Kathrin Hillewerth, Karin van Holten
Everyday life of adolescents with sickle cell disease - A qualitative, explorative and participative photovoice study Abstract. Background: Sickle cell disease (SCD) is a chronic, inherited haematological condition that occurs rarely in Switzerland. The disease is characterized by recurring attacks of pain and serious infections that require frequent hospitalisation. Due to its rarity, little is known about the disease's impact on the daily lives of afflicted adolescents. Aim: The study investigated how the disease impacts on the lives of adolescents with SCD and identified the most pertinent challenges they face in their daily activities...
October 22, 2020: Pflege
Rachel Sutter-Leve, Emily Passint, Debra Ness, Aaron Rindflesch
BACKGROUND AND PURPOSE: Stroke is the leading cause of disability in the United States. Two-thirds of stroke survivors will require caregiver assistance. Evidence suggests the mental health of caregivers is closely related to patients' health outcomes. The timing of this study intersected with the beginning of the coronavirus disease-2019 (COVID-19) pandemic that required strict social distancing and hospital visitor policy changes. This study aims to answer the primary research question: What is the level and nature of stress experienced by caregivers of persons with newly-acquired stroke in the inpatient rehabilitation setting and how has the COVID-19 pandemic impacted the caregiver experience? METHODS: Recruitment occurred from a single inpatient rehabilitation facility...
October 20, 2020: Journal of Neurologic Physical Therapy: JNPT
Susannah E Gibbs, S Marie Harvey, Annie Larson, Jangho Yoon, Jeff Luck
Background: Medicaid family planning programs provide coverage for contraceptive services to low-income women who otherwise do not meet eligibility criteria for Medicaid. In some states that expanded Medicaid eligibility following the Affordable Care Act (ACA), women who were previously eligible only for family planning services became eligible for full-scope Medicaid. The objective of this study was to provide context for the impact of the ACA Medicaid expansion on contraceptive service provision to women in Oregon who were newly enrolled in Medicaid following the expansion...
October 20, 2020: Journal of Women's Health
Kelly J Thomas Craig, Laura C Morgan, Ching-Hua Chen, Susan Michie, Nicole Fusco, Jane L Snowdon, Elisabeth Scheufele, Thomas Gagliardi, Stewart Sill
Health risk behaviors are leading contributors to morbidity, premature mortality associated with chronic diseases, and escalating health costs. However, traditional interventions to change health behaviors often have modest effects, and limited applicability and scale. To better support health improvement goals across the care continuum, new approaches incorporating various smart technologies are being utilized to create more individualized digital behavior change interventions (DBCIs). The purpose of this study is to identify context-aware DBCIs that provide individualized interventions to improve health...
October 21, 2020: Translational Behavioral Medicine
Rachael N Martinez, Bridget M Smith, Dustin D French, Timothy P Hogan, Beverly Gonzalez, Chad M Osteen, Maya Hatch, Vicki Anderson, Elizabeth Tarlov, Abigail Silva, Barry Goldstein, Kevin T Stroupe
Context/Objective: Provisions of the Affordable Care Act (ACA) potentially increase insurance options for Veterans with disabilities. We examined Veterans with spinal cord injuries and disorders (SCI/D) to assess whether the ACA was associated with changes in healthcare utilization from Department of Veterans Affairs (VA) healthcare facilities. Design: Using national VA data, we investigated impacts on VA healthcare utilization pre- (2012/13) and post-ACA (2014/15) implementation with negative binomial regression models...
October 21, 2020: Journal of Spinal Cord Medicine
Tainara Wink Vieira, Victória Tiyoko Moraes Sakamoto, Luiza Casais de Moraes, Carine Raquel Blatt, Rita Catalina Aquino Caregnato
OBJECTIVE: to identify scientific production about validation methods of nursing care protocols. METHOD: an integrative review with search at Scielo, Pubmed/MEDLINE, Virtual Health Library, Web of Science, Scopus, and EBSCOhost. The descriptors "validation studies", "validation studies as topic", "protocols", "clinical protocols", "practice guidelines as topic", "nursing" and "nursing assessment" and the uncontrolled descriptor "validation" were used...
2020: Revista Brasileira de Enfermagem
Leelawadee Techasatian, Sirirus Lebsing, Rattapon Uppala, Wilairat Thaowandee, Jitjira Chaiyarit, Chanyut Supakunpinyo, Sunee Panombualert, Dara Mairiang, Suchaorn Saengnipanthkul, Khunton Wichajarn, Pakaphan Kiatchoosakun, Pope Kosalaraksa
PURPOSE: The study aimed to explore the prevalence and possible risk factors to prevent the face mask related adverse skin reactions during the ongoing COVID-19 after a recommendation of face mask wearing for public use in Thailand. RESULTS: The prevalence of face mask related adverse skin reactions was 454 cases (54.5%), of which acne was the most frequent (399; 39.9%), followed by rashes on the face (154; 18.4%), and itch symptoms (130; 15.6%). Wearing a surgical mask showed a higher risk of adverse skin reaction compared to a cloth mask, OR (95% CI) = 1...
January 2020: Journal of Primary Care & Community Health
Georgia Tobiano, Wendy Chaboyer, Trudy Teasdale, Julie Cussen, Rachael Raleigh, Elizabeth Manias
RATIONALE, AIMS, AND OBJECTIVES: Medication discrepancies place patients discharged from hospital at risk of adverse medication events. Patient and family participation in medication communication may improve medication safety. This study aimed to examine older medical patient and family participation in discharge medication communication. METHODS: Two-phased mixed-methods study. Data were collected from July 2018 to May 2019. Phase 1 comprised observations and a questionnaire of 30 patients pre-hospital discharge...
October 20, 2020: Journal of Evaluation in Clinical Practice
S Buser, J Brandenberger, M Gmünder, C Pohl, N Ritz
The aim of this study was to assess the characteristics of asylum-seeking children with medical complexity visiting a tertiary care hospital in Switzerland, detailing their underlying medical conditions and management. Asylum-seeking patients with frequent visits between January 2016 and December 2017 were identified using administrative and electronic health records. Of 462 patients, 19 (4%) fulfilled the inclusion criteria with 811 (45%) visits. The age of the 19 patients ranged from 0 to 16.7 years (median of 7 years) with two main age groups identified: < 2 years and > 12 years...
October 20, 2020: Journal of Immigrant and Minority Health
Abbas Homauni, Sanaz Zargar Balaye Jame, Ebrahim Hazrati, Nader Markazi-Moghaddam
Background: It is of paramount importance to reduce the probability of clinical risks to improve the quality of health care services, make the relationship between service providers and patients more effective, enhance patient satisfaction, and decrease the rate of complaints regarding medical errors in hospitals. This study aimed at detecting potential and unacceptable risks occurring in the hospital ICUs. Methods: In this systematic review, all studies examining the risk assessment of ICUs in hospitals using Failure Mode and Effect Analysis method were reviewed...
August 2020: Iranian Journal of Public Health
Daniel Mcintyre, Aravinda Thiagalingam, Clara Chow
INTRODUCTION: Patients with cardiovascular disease (CVD) frequently attend outpatient clinics and spend a significant amount of time in waiting rooms. Currently, this time is poorly used. This study aims to investigate whether providing CVD and cardiopulmonary resuscitation (CPR) education to waiting patients in a cardiology clinic of a large referral hospital improves motivation to change health behaviours, CPR knowledge, behaviours and clinic satisfaction post clinic, and whether there is any impact on reported CVD lifestyle behaviours or relevant CPR outcomes at 30 days...
October 20, 2020: BMJ Open
Yangama Jokwiro, Elizabeth Pascoe, Kristina Edvardsson, Muhammad Aziz Rahman, Ewan McDonald, Qarin Lood, David Edvardsson
BACKGROUND: This study explored the psychometric properties and dimensionality of the Stress of Conscience Questionnaire (SCQ) in a sample of health professionals from a tertiary-level Australian hospital. The SCQ, a measure of stress of conscience, is a recently developed nine-item instrument for assessing frequently encountered stressful situations in health care, and the degree to which they trouble the conscience of health professionals. This is relevant because stress of conscience has been associated with negative experiences such as job strain and/or burnout...
October 20, 2020: BMC Psychology
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