Current Issue : January - March Volume : 2016 Issue Number : 1 Articles : 6 Articles
Over the last 50 years, the incidence of cervical cancer has dramatically decreased. However, health disparities in cervical cancer\nscreening (CCS) persist for women from racial and ethnic minorities and those residing in rural and poor communities. For\nmore than 45 years, federally funded health centers (HCs) have been providing comprehensive, culturally competent, and quality\nprimary health care services to medically underserved communities and vulnerable populations. To enhance the quality of care\nand to ensure more women served at HCs are screened for cervical cancer, over eight HCs received funding to support patientcentered\nmedical home (PCMH) transformation with goals to increase CCS rates. The study conducted a qualitative analysis using\nAtlas.ti software to describe the barriers and challenges to CCS and PCMH transformation, to identify potential solutions and\nopportunities, and to examine patterns in barriers and solutions proposed by HCs. Interrater reliability was assessed using Cohen�s\nKappa. The findings indicated that HCs more frequently described patient-level barriers to CCS, including demographic, cultural,\nand health belief/behavior factors. System-level barriers were the next commonly cited, particularly failure to use the full capability\nof electronic medical records (EMRs) and problems coordinating with external labs or providers. Provider-level barriers were least\nfrequently cited....
Statins reduce arterial stiffness but are also associated with mild muscle complaints. It is unclear whether individuals with muscle\nsymptoms experience the same vascular benefit or whether statins affect striated and smooth muscle cells differently.We examined\nthe effect of simvastatin treatment on arterial stiffness in patients who did versus those who did not exhibit muscle symptoms.\nPatients with a history of statin-related muscle complaints (...
The study analyzed the exposure factors that may lead to neuropsychological symptoms among 92 workers who were exposed to\nxylene and toluene and 100 workers who were not exposed to the solvents. The airborne concentration of xylene and toluene was\nevaluated with personal passive badges. The levels of methyl hippuric acid and hippuric acid in urine were assessed, and interviews\nwere performed to observe the neuropsychological symptoms that may result from exposure to the solvents. The result showed\nthat the average concentration for the exposed group of xylene in the paint company working environment was 2.7 (SD = 2.4) ppm\nand the average concentration of toluene was 9.5 (SD = 10.4) ppm. The average level of methyl hippuric acid in urine was 78 (SD =\n74.7)mg/g creatinine. Factors that affected the neuropsychological symptoms included the following. (1) The impact of age: the\nrisk (adjusted odds ratio) for getting psychosomatic symptoms in persons over 40 and exposed to xylene was 9.5 and the aOR of\nthose exposed to toluene was 8.3. (2) The impact of not providing personal protective equipment was found to be sleep disturbance;\nit was found that the aOR of those exposed to xylene was 3.9, and the aOR of those exposed to toluene was 4.4. In summary,\nperiodic examination of workers by occupational physician is needed for detection of early neuropsychological effects, especially\npsychosomatic symptoms, and sleep disturbances....
Background. Physicians are inadequately equipped to respond to the global obesity and nutrition-associated chronic disease\nepidemics. We investigated superiority of simulation-based medical education with deliberate practice (SBME-DP) hands-on\ncooking and nutrition elective in a medical school-based teaching kitchen versus traditional clinical education for medical students.\nMaterials and Methods. A 59-question panel survey was distributed to an entire medical school twice annually from September\n2012 to May 2014. Student diet and attitudes and competencies (DACs) counseling patients on nutrition were compared using\nconditionalmultivariate logistic regression, propensity score-weighted, and longitudinal panel analyses. Inverse-variance weighted\nmeta-analysis (IVWM) was used for planned subgroup analysis by year and treatment estimates across the three methods. Results.\nOf the available 954 students, 65.72% (...
The purpose of this study was to develop a prediction model of demographic and sociobehavioral characteristics common among\nolder adults with hypertension (HTN) who engage in self-management behavior. A descriptive, correlational predictive design was\nused to collect data at 14 faith-based and senior citizen organizations in a major urban northeastern city. Participants ranged in age\nfrom 63 to 96 with a mean age of 77 (SD 6.9). A 33-item questionnaire was used to gather data on 15 explanatory and 5 outcome\nvariables. Instruments were the Perceived Stress Scale, the Duke Social Support Index, the stage of change for physical activity\nscale, and the DASH Food Frequency Questionnaire. Correlation and regression analyses were used to test the hypothesis. Results\nindicate there is a common set of characteristics such as higher stage of change, reading food labels, and higher self-rated health\nthat can predict the older adult�s likelihood to engage in hypertension self-management behavior.The significant correlations found\nin this preliminary study warrant further study and validation. Findings are clinically relevant as knowledge of demographic and\nsociobehavioral characteristics associated with engagement in self-management behavior enables health care clinicians to support\nand encourage older adults to improve management of this common, chronic condition....
Stress is an element of each human�s life and an indicator of its quality. Thermal mineral waters have been used empirically for\nthe treatment of different diseases for centuries.Aim of the Study. To investigate the effects of highly mineralised geothermal water\nbalneotherapy on distress and health risk.Methodology. A randomized controlled clinical trial was performed with 130 seafarers: 65\nunderwent 2 weeks of balneotherapy with 108 g/L full-mineralisation bath treatment; the others were in control group.The effect of\ndistress was measured using the General Symptoms Distress Scale. Factorial and logistic regression analyses were used for statistical\nanalysis. Results. A significant positive effect on distress (...
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