397,708 results match your criteria Primary Care & Community Psychiatry[Journal]


The Association Between Telemedicine and Emergency Department (ED) Disposition: A Stepped Wedge Design of an ED-Based Telemedicine Program in Critical Access Hospitals.

J Rural Health 2019 Apr 23. Epub 2019 Apr 23.

Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, Iowa.

Purpose: To study the relationship between the availability and activation of emergency department-based telemedicine (teleED) and patient disposition in Critical Access Hospitals (CAHs).

Methods: A non randomized stepped wedge design examined 133,396 ED visits in 15 CAHs that subscribe to a single teleED provider. Data were available for at least 12 months prior to teleED implementation and at least 12 months of post-implementation. Read More

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http://dx.doi.org/10.1111/jrh.12370DOI Listing

Effectiveness of Telephone-Administered Cognitive-Behavioral Psychotherapy for Depression With Versus Without Additional Letters: A Randomized Controlled Trial.

Telemed J E Health 2019 Apr 23. Epub 2019 Apr 23.

3 Clinical Psychology and Psychotherapy Research, Institute of Psychology, University of Zurich, Zurich, Switzerland.

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http://dx.doi.org/10.1089/tmj.2018.0311DOI Listing

Nurse Practitioner Primary Care Organizational Climate Questionnaire: Item Response Theory and Differential Item Functioning.

J Clin Nurs 2019 Apr 23. Epub 2019 Apr 23.

University of Colorado-Denver, Denver, CO.

Aims And Objectives: To validate Nurse Practitioner Primary Care Organizational Climate Questionnaire (NP-PCOCQ) items using Item Response Theory (IRT) models and conduct Differential Item Functioning (DIF) analysis to test the item functioning among nurse practitioners (NPs) practicing in different U.S. states with variable regulations governing NP practice. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.14895
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http://dx.doi.org/10.1111/jocn.14895DOI Listing
April 2019
2 Reads

Airway management of Congenital Pulmonary Airway Malformation Resection in neonates and infants: A case cohort study.

Paediatr Anaesth 2019 Apr 23. Epub 2019 Apr 23.

Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, USA.

Background: Anesthetic management of congenital pulmonary airway malformation has not been well described in the literature whether one lung ventilation is indicated during thoracoscopic lobectomy and if so, what is the best technique to achieve one lung ventilation.

Aim: We describe the variables with the two commonly performed surgical techniques thoracoscopic lobectomy and open thoracotomy from our institutional database to assess the role of lung isolation and the preferable method of lung isolation technique for congenital pulmonary airway malformation resections.

Methods: After institutional review board approval, fetal-center records were reviewed retrospectively from January 2010 to July 2016 for patients who underwent congenital pulmonary airway malformation resection. Read More

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http://dx.doi.org/10.1111/pan.13648DOI Listing

The Emerging Role of Nurse Practitioners and Physician Assistants in Liver Transplantation.

Liver Transpl 2019 Apr 23. Epub 2019 Apr 23.

Division of Transplant Medicine, Mayo Clinic, Jacksonville, Florida.

The evolution of nurse practitioners (NP) and physician assistants (PA) in the United States continues to progress. NPs and PAs have expanded from primary care practices, to medical and surgical specialties, provide acute care in hospitals and intensive care units, and serve as educators, lobbyists, and researchers. Questions have arisen from NP/PA leaders, physician leaders, and administrators on how to best implement a successful NP/PA model within their practice. Read More

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http://dx.doi.org/10.1002/lt.25474DOI Listing

Strategies to improve adherence and continuation of shorter-term hormonal methods of contraception.

Cochrane Database Syst Rev 2019 Apr 23;4:CD004317. Epub 2019 Apr 23.

Research Utilization, FHI 360, 359 Blackwell St, Suite 200, Durham, North Carolina, USA, 27701.

Background: Worldwide, hormonal contraceptives are among the most popular reversible contraceptives. Despite high perfect-use effectiveness rates, typical-use effectiveness rates for shorter-term methods such as oral and injectable contraceptives are much lower. In large part, this disparity reflects difficulties in ongoing adherence to the contraceptive regimen and low continuation rates. Read More

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http://dx.doi.org/10.1002/14651858.CD004317.pub5DOI Listing

Coding Family Medicine Residency Clinic Visits, 99213 or 99214? A Residency Research Network of Texas Study.

Fam Med 2019 Apr 23. Epub 2019 Apr 23.

University of Texas Health Science Center at San Antonio, Department of Family and Community Medicine.

Background And Objectives: The purpose of this study was to characterize Current Procedural Terminology (CPT) coding patterns for professional services in family physician (FP) residency clinics.

Methods: Trained assistants directly observed during every other FP-patient encounter in 10 clinics affiliated with eight residencies of the Residency Research Network of Texas. Three investigators later independently coded each visit for the highest code level reasonably allowed. Read More

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http://dx.doi.org/10.22454/FamMed.2019.862757DOI Listing

Can nano-hydroxyapatite permeate the oral mucosa? A histological study using three-dimensional tissue models.

PLoS One 2019 23;14(4):e0215681. Epub 2019 Apr 23.

Sangi Co., Ltd, Central Research Laboratory, Kasukabe, Saitama, Japan.

Nano-hydroxyapatite is used in oral care products worldwide. But there is little evidence yet whether nano-hydroxyapatite can enter systemic tissues via the oral epithelium. We investigated histologically the ability of two types of nano-hydroxyapatite, SKM-1 and Mi-HAP, to permeate oral epithelium both with and without a stratum corneum, using two types of three-dimensional reconstituted human oral epithelium, SkinEthic HGE and SkinEthic HOE respectively with and without a stratum corneum. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215681PLOS

Lay health supporters aided by mobile text messaging to improve adherence, symptoms, and functioning among people with schizophrenia in a resource-poor community in rural China (LEAN): A randomized controlled trial.

PLoS Med 2019 Apr 23;16(4):e1002785. Epub 2019 Apr 23.

Xiangya School of Public Health, Central South University, Changsha, Hunan, China.

Background: Schizophrenia is a leading cause of disability, and a shift from facility- to community-based care has been proposed to meet the resource challenges of mental healthcare in low- and middle-income countries. We hypothesized that the addition of mobile texting would improve schizophrenia care in a resource-poor community setting compared with a community-based free-medicine program alone.

Methods And Findings: In this 2-arm randomized controlled trial, 278 community-dwelling villagers (patient participants) were randomly selected from people with schizophrenia from 9 townships of Hunan, China, and were randomized 1:1 into 2 groups. Read More

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http://dx.doi.org/10.1371/journal.pmed.1002785DOI Listing

Mortality Rate-Dependent Variations in the Timing and Causes of Death in Extremely Preterm Infants Born at 23-24 Weeks' Gestation.

Pediatr Crit Care Med 2019 Apr 2. Epub 2019 Apr 2.

Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

Objectives: To determine mortality rate-dependent variations in the timing and causes of death, and to subsequently identify the clinical factors associated with decreased mortality in extremely preterm infants born at 23-24 weeks' gestation.

Design: A retrospective cohort study.

Setting: Korean Neonatal Network registry that includes all level greater than or equal to 3 neonatal ICUs in Korea. Read More

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http://dx.doi.org/10.1097/PCC.0000000000001913DOI Listing
April 2019
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Hospital nurse-staffing models and patient- and staff-related outcomes.

Cochrane Database Syst Rev 2019 Apr 23;4:CD007019. Epub 2019 Apr 23.

Faculty of Science and Health, Dublin City University, Collins Avenue, Glasnevin, Dublin, Ireland, Dublin 9.

Background: Nurses comprise the largest component of the health workforce worldwide and numerous models of workforce allocation and profile have been implemented. These include changes in skill mix, grade mix or qualification mix, staff-allocation models, staffing levels, nursing shifts, or nurses' work patterns. This is the first update of our review published in 2011. Read More

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http://dx.doi.org/10.1002/14651858.CD007019.pub3DOI Listing

Interventions for preventing delirium in older people in institutional long-term care.

Cochrane Database Syst Rev 2019 Apr 23;4:CD009537. Epub 2019 Apr 23.

Department of Health Sciences, Hull York Medical School, University of York, Heslington, York, UK, York YO10 5DD.

Background: Delirium is a common and distressing mental disorder. It is often caused by a combination of stressor events in susceptible people, particularly older people living with frailty and dementia. Adults living in institutional long-term care (LTC) are at particularly high risk of delirium. Read More

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http://dx.doi.org/10.1002/14651858.CD009537.pub3DOI Listing

Novel Therapies for an Aging Population: Grappling With Price, Value, and Affordability.

JAMA 2019 Apr;321(16):1567-1568

Institute for Clinical & Economic Review, Boston, Massachusetts.

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http://dx.doi.org/10.1001/jama.2019.2633DOI Listing

Effect of Addition of an Intimate Partner Violence Intervention to a Nurse Home Visitation Program on Maternal Quality of Life: A Randomized Clinical Trial.

JAMA 2019 Apr;321(16):1576-1585

Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.

Importance: Intimate partner violence (IPV) is a public health problem with significant adverse consequences for women and children. Past evaluations of a nurse home visitation program for pregnant women and first-time mothers experiencing social and economic disadvantage have not consistently shown reductions in IPV.

Objective: To determine the effect on maternal quality of life of a nurse home visitation program augmented by an IPV intervention, compared with the nurse home visitation program alone. Read More

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http://dx.doi.org/10.1001/jama.2019.3211DOI Listing

A Clinical Care Monitoring and Data Collection Tool (H3 Tracker) to Assess Uptake and Engagement in Mental Health Care Services in a Community-Based Pediatric Integrated Care Model: Longitudinal Cohort Study.

JMIR Ment Health 2019 Apr 23;6(4):e12358. Epub 2019 Apr 23.

Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, University of California - Los Angeles, Los Angeles, CA, United States.

Background: National recommendations for pediatric integrated care models include improved capacity for care coordination and communication across primary care and specialty mental health providers using technology, yet few practical, short-term solutions are available for low-resource, community-based pediatric integrated care clinics.

Objective: The goal of the paper is to describe the development and features of a Web-based tool designed for program evaluation and clinician monitoring of embedded pediatric mental health care using a community-partnered approach. In addition, a longitudinal study design was used to assess the implementation of the tool in program evaluation, including clinical monitoring and data collection. Read More

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http://dx.doi.org/10.2196/12358DOI Listing

Wearable-Based Mobile Health App in Gastric Cancer Patients for Postoperative Physical Activity Monitoring: Focus Group Study.

JMIR Mhealth Uhealth 2019 Apr 23;7(4):e11989. Epub 2019 Apr 23.

Department of Surgery, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan.

Background: Surgical cancer patients often have deteriorated physical activity (PA), which in turn, contributes to poor outcomes and early recurrence of cancer. Mobile health (mHealth) platforms are progressively used for monitoring clinical conditions in medical subjects. Despite prevalent enthusiasm for the use of mHealth, limited studies have applied these platforms to surgical patients who are in much need of care because of acutely significant loss of physical function during the postoperative period. Read More

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http://dx.doi.org/10.2196/11989DOI Listing

Assistive communication devices for patients with hearing loss: a cross-sectional survey of availability and staff awareness in outpatient clinics in England.

Disabil Rehabil Assist Technol 2019 Apr 23:1-4. Epub 2019 Apr 23.

a Department of Otolaryngology , New Cross Hospital, The Royal Wolverhampton NHS Trust , Wolverhampton , UK.

Purpose: Fair and equal access to health care for all is a fundamental principle of the National Health Service (NHS) in England. However, findings from a previous national survey examining the experiences of hearing-impaired patients when accessing services within the primary care setting have revealed that significant barriers continue to exist. The aim of this study was to examine the availability of assistive communication devices for patients with hearing loss at reception desks and in patient waiting areas in hospital outpatient settings. Read More

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http://dx.doi.org/10.1080/17483107.2019.1604823DOI Listing

Safety and efficacy of eculizumab for the prevention of antibody-mediated rejection after deceased-donor kidney transplantation in patients with preformed donor-specific antibodies.

Am J Transplant 2019 Apr 23. Epub 2019 Apr 23.

Formerly Alexion Pharmaceuticals, Boston, Massachusetts.

The presence of preformed donor-specific antibodies (DSAs) in transplant recipients increases risk of acute antibody-mediated rejection (AMR). Results of an open-label, single-arm trial to evaluate safety and efficacy of eculizumab in preventing acute AMR in recipients of deceased-donor kidney transplants with preformed DSAs are reported. Participants received eculizumab as follows: 1200 mg immediately before reperfusion, 900 mg on posttransplantation days 1, 7, 14, 21 and 28, and 1200 mg at weeks 5, 7 and 9. Read More

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http://dx.doi.org/10.1111/ajt.15397DOI Listing

Evaluation of the indirect and IgM-capture anti-human cytomegalovirus (CMV) IgM ELISA methods as confirmed by CMV IgG avidity.

Microbiol Immunol 2019 Apr 23. Epub 2019 Apr 23.

Department of Microbiology, Fukushima Medical University School of Medicine, Fukushima.

Primary cytomegalovirus (CMV) infection during pregnancy often results in congenital CMV infection with severe clinical complications. IgM antibodies are one of the indices of primary infection. IgG avidity index (AI) is also known to remain low for 3 months from primary infection. Read More

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http://dx.doi.org/10.1111/1348-0421.12683DOI Listing

Interventions for preventing high altitude illness: Part 3. Miscellaneous and non-pharmacological interventions.

Cochrane Database Syst Rev 2019 Apr 23;4:CD013315. Epub 2019 Apr 23.

Department of Critical Care, Fundacion Universitaria de Ciencias de la Salud, Hospital de San José, Carrera 19 # 8-32, Bogota, Bogota, Colombia, 11001.

Background: High altitude illness (HAI) is a term used to describe a group of mainly cerebral and pulmonary syndromes that can occur during travel to elevations above 2500 metres (˜ 8200 feet). Acute mountain sickness (AMS), high altitude cerebral oedema (HACE), and high altitude pulmonary oedema (HAPE) are reported as potential medical problems associated with high altitude ascent. In this, the third of a series of three reviews about preventive strategies for HAI, we assessed the effectiveness of miscellaneous and non-pharmacological interventions. Read More

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http://dx.doi.org/10.1002/14651858.CD013315DOI Listing

A systematic review of the approaches to multi-level learning in the general practice context, using a realist synthesis approach: BEME Guide No. 55.

Med Teach 2019 Apr 23:1-15. Epub 2019 Apr 23.

c Faculty of Arts and Social Sciences, University of Technology Sydney , Australia.

Background: Recent global increases in medical student numbers and shifts in medical education from teaching hospitals to community settings call for effective strategies to meet the demand for general practice teaching placements. It has been proposed that "multi-level learning" (MLL), in which learning and teaching are shared across different levels of learners, may provide teaching efficiencies and valuable experiences for learners and teachers.

Aims: To identify, evaluate and synthesize the evidence related to the types, benefits, challenges, and facilitators of MLL in community-based general practice, and the underlying mechanisms and associated contexts to explain the reported outcomes. Read More

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http://dx.doi.org/10.1080/0142159X.2019.1595554DOI Listing

Not just about food: attachments representations and maternal feeding practices in infancy.

Attach Hum Dev 2019 Apr 23:1-20. Epub 2019 Apr 23.

a Department of Human Development and Family Science , The University of Texas at Austin , Austin , USA.

The present study examined maternal attachment contributions on infant feeding behavior. Feeding is central for the development of the caregiver-infant relationship with lasting effects for children's health and self-regulation. Caregivers need to be attuned during feeding, so caregivers' attachment likely influences their feeding practices. Read More

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http://dx.doi.org/10.1080/14616734.2019.1600153DOI Listing

The use of anthropometric measures in the prediction of incident gout: results from a Swedish community-based cohort study.

Scand J Rheumatol 2019 Apr 23:1-6. Epub 2019 Apr 23.

a Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society , Karolinska Institutet , Huddinge , Sweden.

Objectives: To study associations between different anthropometric measures and incident gout, and to find the best predictive measure.

Method: We used the baseline investigation from the Malmö Diet and Cancer study, excluding cases of prevalent gout (n = 28 081). Cox regression for each anthropometric measurement was calculated per standard deviation increment for men and women, with hazard ratios (HRs) and 95% confidence intervals (CIs), using a hospital diagnosis of incident gout (M10) during follow-up as the outcome. Read More

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http://dx.doi.org/10.1080/03009742.2019.1583368DOI Listing

Exploring patient perspectives of prediabetes and diabetes severity: a qualitative study.

Psychol Health 2019 Apr 23:1-14. Epub 2019 Apr 23.

e Family Medicine , Uniformed Services University of the Health Sciences , Bethesda , MD , USA.

Objective: This qualitative study sought to identify and describe patients' variant perceptions of disease severity after receiving a type 2 diabetes (T2DM) or prediabetes (preDM) diagnosis.

Design: Researchers interviewed 29 patients from two US medical centers to ascertain perceptions of severity. We used the constant comparative method from a grounded theory approach to identify themes from patients' perspectives that inform their disease severity. Read More

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https://www.tandfonline.com/doi/full/10.1080/08870446.2019.1
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http://dx.doi.org/10.1080/08870446.2019.1604955DOI Listing
April 2019
1 Read

Frameworks for supporting patient and public involvement in research: Systematic review and co-design pilot.

Health Expect 2019 Apr 22. Epub 2019 Apr 22.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Background: Numerous frameworks for supporting, evaluating and reporting patient and public involvement in research exist. The literature is diverse and theoretically heterogeneous.

Objectives: To identify and synthesize published frameworks, consider whether and how these have been used, and apply design principles to improve usability. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/hex.12888
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http://dx.doi.org/10.1111/hex.12888DOI Listing
April 2019
2 Reads

Home-based exergaming was safe and significantly improved 6-min walking distance in prostate cancer patients: a single-blinded randomized controlled trial.

BJU Int 2019 Apr 22. Epub 2019 Apr 22.

Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.

Objectives: To explore the effects of 12 weeks of unsupervised home-based exergaming (i.e. technology-driven exercise) compared to usual care on physical function, body composition, quality of life (QoL) and fatigue in prostate cancer patients (PCa) on androgen deprivation therapy (ADT). Read More

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http://dx.doi.org/10.1111/bju.14782DOI Listing

Domains of planning for future long-term care of adults with intellectual and developmental disabilities: Parent and sibling perspectives.

J Appl Res Intellect Disabil 2019 Apr 22. Epub 2019 Apr 22.

Division of General Pediatrics, Steven & Alexandra Cohen Children's Medical Center of Northwell Health, New Hyde Park, New York.

Background: Research shows that adults with intellectual and developmental disabilities (IDD) increasingly outlive caregivers, who often struggle to plan for the future and have little support and knowledge surrounding long-term care planning.

Methods: The study team conducted interviews with parents and siblings of adults with IDD and performed qualitative coding using a modified grounded theory to explore domains of future planning and identify barriers and facilitators.

Results: Themes from the interviews revealed seven major domains of future planning that should be considered by caregivers of adults with IDD. Read More

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http://dx.doi.org/10.1111/jar.12600DOI Listing

Facilitators and barriers to teaching undergraduate medical students in general practice.

Med Educ 2019 Apr 23. Epub 2019 Apr 23.

School of Medical Education, Newcastle University, Newcastle upon Tyne, UK.

Context: Globally, primary health care is facing workforce shortages. Longer and higher-quality placements in primary care increase the likelihood of medical students choosing this specialty. However, the recruitment and retention of community primary care teachers are challenging. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/medu.13882
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http://dx.doi.org/10.1111/medu.13882DOI Listing
April 2019
1 Read

Keratinocyte cancer excisions in Australia: Who performs them and associated costs.

Australas J Dermatol 2019 Apr 22. Epub 2019 Apr 22.

Department of Population Health, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.

Background/objective: To describe the clinical settings in which keratinocyte cancers are excised in Queensland and describe the types of practitioners who excise them; to examine costs; and to identify predictors of hospital admission.

Methods: We used linked data for participants from the QSkin study (n = 43 794), including Medicare claims and Queensland hospital admissions relating to treatment episodes for incident keratinocyte cancers from July 2011 to June 2015. We used multinomial logistic regression to measure associations between demographic and clinical characteristics and treatment setting. Read More

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http://dx.doi.org/10.1111/ajd.13056DOI Listing

A Budget Impact Analysis of the Collaborative Care Model for Treating Opioid Use Disorder in Primary Care.

J Gen Intern Med 2019 Apr 22. Epub 2019 Apr 22.

Clinical Excellence Research Center, Stanford University, Stanford, CA, USA.

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http://dx.doi.org/10.1007/s11606-019-04998-5DOI Listing

Provider Experiences with a Payer-Based PCMH Program.

J Gen Intern Med 2019 Apr 22. Epub 2019 Apr 22.

George Mason University, Fairfax, VA, USA.

Background: The patient-centered medical home (PCMH) is an enhanced primary care model that aims to improve quality of care. Over the past several years, the PCMH model has been adopted by Medicare and private payers, which offer financial resources and technical assistance to participating practices. However, few studies have examined provider experiences and perspectives on the adoption of payer-based PCMH models in different practice settings. Read More

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http://dx.doi.org/10.1007/s11606-019-05005-7DOI Listing

Complementary and Integrated Health Approaches: What Do Veterans Use and Want.

J Gen Intern Med 2019 Apr 22. Epub 2019 Apr 22.

Integrative Health Coordinating Center, VA Office of Patient Centered Care and Cultural Transformation, Los Angeles, CA, USA.

Objectives: Non-pharmacological treatment options for common conditions such as chronic pain, anxiety, and depression are being given increased consideration in healthcare, especially given the recent emphasis to address the opioid crisis. One set of non-pharmacological treatment options are evidence-based complementary and integrative health (CIH) approaches, such as yoga, acupuncture, and meditation. The Veterans Health Administration (VHA), the nation's largest healthcare system, has been at the forefront of implementing CIH approaches, given their patients' high prevalence of pain, anxiety, and depression. Read More

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http://dx.doi.org/10.1007/s11606-019-04862-6DOI Listing

Staff Perspectives on Primary Care Teams as De Facto "Hubs" for Care Coordination in VA: a Qualitative Study.

J Gen Intern Med 2019 Apr 22. Epub 2019 Apr 22.

HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, North Hills, CA, USA.

Background: Improving care coordination is a key priority for many healthcare systems. However, initiatives to improve care coordination are complex to implement and have produced mixed results. A better understanding of how to craft and support implementation of effective care coordination strategies is needed. Read More

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http://link.springer.com/10.1007/s11606-019-04967-y
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http://dx.doi.org/10.1007/s11606-019-04967-yDOI Listing
April 2019
3 Reads

Comparing Diagnostic Evaluations for Rectal Bleeding and Breast Lumps in Primary Care: a Retrospective Cohort Study.

J Gen Intern Med 2019 Apr 22. Epub 2019 Apr 22.

Harvard Medical School, Boston, MA, USA.

Background: Inadequate diagnostic evaluations of breast lumps and rectal bleeding in primary care are an important source of medical errors. Delays appear particularly common in evaluation of rectal bleeding. Comparing pursuit and completion of diagnostic testing for these two conditions within the same practice settings could help highlight barriers and inform interventions. Read More

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http://dx.doi.org/10.1007/s11606-019-05003-9DOI Listing

Using Predictive Analytics to Guide Patient Care and Research in a National Health System.

J Gen Intern Med 2019 Apr 22. Epub 2019 Apr 22.

General Internal Medicine Service, VA Puget Sound Healthcare System, Seattle, WA, USA.

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http://dx.doi.org/10.1007/s11606-019-04961-4DOI Listing

Altered inter-hemispheric communication of default-mode and visual networks underlie etiology of primary insomnia : Altered inter-hemispheric communication underlie etiology of insomnia.

Brain Imaging Behav 2019 Apr 23. Epub 2019 Apr 23.

Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, 305#, Eastern Zhongshan Rd, Nanjing, 210002, Jiangsu, People's Republic of China.

To identify altered inter-hemispheric communication between patients with primary insomnia (PIs) and good sleepers (GSs), and their relationships with sleep and emotion-related parameters. Forty-eight PIs and 48 status-matched GSs were asked to complete a number of sleep and emotion-related questionnaires. Voxel-mirrored homotopic connectivity(VMHC) and seed-based functional connectivity were used to characterize the inter-hemispheric coordination. Read More

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http://dx.doi.org/10.1007/s11682-019-00064-0DOI Listing

Population-Based Study on Risk Factors for Tumor-Positive Resection Margins in Patients with Gastric Cancer.

Ann Surg Oncol 2019 Apr 22. Epub 2019 Apr 22.

Department of Surgery, Erasmus University Medical Centre Rotterdam, Rotterdam, The Netherlands.

Background: Radical gastrectomy is the cornerstone of the treatment of locally advanced gastric cancer. This study was designed to evaluate factors associated with a tumor-positive resection margin after gastrectomy and to evaluate the influence of hospital volume.

Methods: In this Dutch cohort study, patients with junctional or gastric cancer who underwent curative gastrectomy between 2011 and 2017 were included. Read More

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http://dx.doi.org/10.1245/s10434-019-07381-0DOI Listing

Patients participation in pharmaceutical care consultations in Brazil.

Int J Clin Pharm 2019 Apr 22. Epub 2019 Apr 22.

Universidade Federal de São João del-Rei (UFSJ), Rua Sebastião Gonçalves Coelho, 400 - Bairro Chanadour, Divinópolis, MG, CEP:35501-296, Brazil.

Background The effectiveness of pharmaceutical care has already been evidenced in several studies and scenarios; the lack of patient's consultation has been little explored in the literature. Unprovided care is a missed opportunity to offer care to another individual who needs attention to their health. The need for investigation of missed consultations in a Brazilian pharmaceutical care service arises. Read More

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http://dx.doi.org/10.1007/s11096-019-00823-5DOI Listing

How Digital Health Can Be Applied for Preventing and Managing Hypertension.

Curr Hypertens Rep 2019 Apr 22;21(5):40. Epub 2019 Apr 22.

Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.

Purpose Of Review: To summarize available data on digital health strategies for the prevention and management of hypertension, discussing the state-of-the-art, current limitations, and future perspective of this approach.

Recent Findings: Technology is developing at a fast pace and is providing a number of novel solutions for cardiovascular patients, in particular in the field of digital health. Even if the benefit of these approaches is intuitive, the methodological heterogeneity of the available studies and their small sample size have made it difficult to provide robust evidence regarding the usefulness and cost-effectiveness of digital health technologies. Read More

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http://dx.doi.org/10.1007/s11906-019-0940-0DOI Listing

Exposure to vitamin k antagonists and kidney function decline in patients with atrial fibrillation and chronic kidney disease.

Res Pract Thromb Haemost 2019 Apr 5;3(2):207-216. Epub 2019 Mar 5.

Thrombosis Research Unit Department of Medicine I Division of Hematology University Hospital "Carl Gustav Carus" Dresden Dresden Germany.

Background: Exposure to vitamin K antagonists (VKA) has been suggested to accelerate progression of chronic kidney disease (CKD) but robust clinical data are currently lacking.

Methods: We retrospectively evaluated the impact of VKA exposure on kidney function in patients with atrial fibrillation (AF) and CKD stage 3/4. Patients were prospectively followed within a primary care electronic database (median follow-up of 1. Read More

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http://dx.doi.org/10.1002/rth2.12189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462762PMC

Co-occurring substance use disorder: The impact on treatment adherence in women with locally advanced cervical cancer.

Gynecol Oncol Rep 2019 May 27;28:116-119. Epub 2019 Mar 27.

Virginia Commonwealth University Health System, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, United States of America.

The purpose of this study was to identify the prevalence of substance use disorder and its association with adherence to treatment and survival in locally advanced cervical cancer patients treated with primary radiation therapy. This is a retrospective case series of locally advanced cervical cancer patients with substance use disorder in a single academic institution treated with radiation therapy between 2005 and 2016. Substance use disorder was identified through chart review. Read More

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http://dx.doi.org/10.1016/j.gore.2019.03.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460223PMC

A systematic mapping review of the associations between pregnancy intentions and health-related lifestyle behaviours or psychological wellbeing.

Prev Med Rep 2019 Jun 5;14:100869. Epub 2019 Apr 5.

Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Level 1, 43-51 Kanooka Grove, Clayton, Melbourne 3168, Australia.

The aim of this study was to conduct a systematic mapping review of the literature that explored associations of pregnancy intentions with health-related lifestyle behaviours and psychological wellbeing before and during pregnancy. Six databases were searched (May 2017) for papers relating to pregnancy intentions, health-related lifestyle behaviours, and psychological wellbeing. The literature was mapped according to the preconception or pregnancy period; prospective or retrospective variable assessment; and reported lifestyle behaviours and psychological wellbeing outcomes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22113355193005
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http://dx.doi.org/10.1016/j.pmedr.2019.100869DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465583PMC
June 2019
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Effects of restrictions on maternal feed intake on the immune indexes of umbilical cord blood and liver Toll-like receptor signaling pathways in fetal goats during pregnancy.

J Anim Sci Biotechnol 2019 16;10:29. Epub 2019 Apr 16.

1CAS Key Laboratory for Agro-Ecological Processes in Subtropical Region, National Engineering Laboratory for Pollution Control and Waste Utilization in Livestock and Poultry Production, Hunan Provincial Engineering Research Center for Healthy Livestock and Poultry Production, South-Central Experimental Station of Animal Nutrition and Feed Science in Ministry of Agriculture, Institute of Subtropical Agriculture, Chinese Academy of Sciences, Changsha, Hunan 410125 People's Republic of China.

Background: Liver has important immune function during fetal development and after birth. However, the effect of maternal malnutrition on immune function of the fetal liver is rarely reported. In this study, twelve pregnant goats (Xiangdong black goat, at d 45 of gestation) were assigned to the control group (fed 100% of nutritional requirements) and the restriction group (fed 60% of the intake of the control group) during gestation from d 55 to 100. Read More

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http://dx.doi.org/10.1186/s40104-019-0336-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466723PMC

The association between adherence to national antibiotic guidelines and mortality, readmission and length of stay in hospital inpatients: results from a Norwegian multicentre, observational cohort study.

Antimicrob Resist Infect Control 2019 15;8:63. Epub 2019 Apr 15.

8Innovation, Access and Use, Department of Essential Medicines and Health Products, World Health Organization (WHO), Avenue Appia 20, 1211, 27 Geneva, Switzerland.

Background: Clinical antibiotic prescribing guidelines are essential in defining responsible use in the local context. Our objective was to investigate the association between adherence to national antibiotic prescribing guidelines and patient outcomes across a wide range of infectious diseases in hospital inpatients.

Methods: Over five months in 2014, inpatients receiving antibiotics under the care of pulmonary medicine, infectious diseases and gastroenterology specialties across three university hospitals in Western Norway were included in this observational cohort study. Read More

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https://aricjournal.biomedcentral.com/articles/10.1186/s1375
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http://dx.doi.org/10.1186/s13756-019-0515-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466722PMC
April 2019
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Perceptions about mental illness among general practitioners.

Int J Ment Health Syst 2019 13;13:27. Epub 2019 Apr 13.

1Andalusian Group of Psychosocial Research (GAP), Department of Personality, Assessment and Psychological Treatment, University of Malaga, Campus Teatinos, Malaga, Spain.

Background: General practitioners (GPs) play an important role in the physical care of patients with severe mental illness, so our aim was to analyse the relationships between GPs' sociodemographic status and worked-related variables and their perceptions about mental illness.

Methods: A descriptive, cross-sectional study was conducted in the Clinical Management Unit of Mental Health (CMU-MH) of the Regional Hospital of Malaga (Spain). The eligible population comprised all GPs working in the 13 primary care centres (PCCs) in the hospital's catchment area during the study period. Read More

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http://dx.doi.org/10.1186/s13033-019-0284-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461815PMC

Primary health care nurses attitude towards people with severe mental disorders in Addis Ababa, Ethiopia: a cross sectional study.

Int J Ment Health Syst 2019 11;13:26. Epub 2019 Apr 11.

Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.

Background: Negative attitude and discriminatory behavior of health professionals constitute a major obstacle in psychiatric care and have been pointed out as a key issue in working with mental illness. Understanding about the attitude of nurses is crucial for quality and holistic care of psychiatric services and essential for the successful integration of mental health into primary health care. However, there is a paucity of study to examine the attitude of primary health care nurses towards severe mental disorder in Ethiopia. Read More

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http://dx.doi.org/10.1186/s13033-019-0283-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458759PMC

Evaluation of unmet clinical needs in prophylaxis and treatment of venous thromboembolism in high-risk patient groups: cancer and critically ill.

Thromb J 2019 15;17. Epub 2019 Apr 15.

9Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, National Clinical Research Center for Respiratory Diseases, Beijing, China.

Background: Clinical practice shows that venous thromboembolism (VTE) presents a substantial burden in medical patients, and awareness and advocacy for its primary and secondary prevention remains inadequate. Specific patient populations, such as those with cancer and the critically ill, show elevated risk for VTE, bleeding or both, and significant gaps in VTE prophylaxis and treatment exist in these groups.

Objective: To present novel insights and consolidated evidence collected from experts, clinical practice guidelines and original studies on the unmet needs in thromboprophylaxis, and on the treatment of VTE in two high-risk patient groups: patients with cancer and the critically ill. Read More

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http://dx.doi.org/10.1186/s12959-019-0196-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466798PMC