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Healthcare, Volume 7, Issue 1

2019 March - 52 articles

Cover Story: Effective strategies to manage obesity are urgently required. Evidence of the effectiveness of weight management provided by dietitians has never been synthesized. This study searched for any randomized control trial (RCT) evidence ever published on individualized dietetic interventions. From 5796 unique articles, 14 RCTs met the inclusion criteria, six of which found that the dietitian intervention achieved better weight control than usual care, minimal care, or no intervention. Meta-analysis of five studies aimed at weight loss (n = 1598) found that the dietitian intervention delivered an additional 1.03 kg of weight loss compared to usual or minimal care. This is the first study to synthesize evidence on the effectiveness of individualized weight control delivered by a dietitian. Well-controlled studies are needed to strengthen this evidence base. View this paper
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Articles (52)

  • Article
  • Open Access
25 Citations
6,368 Views
18 Pages

Characterization and Adsorption Behavior of Strontium from Aqueous Solutions onto Chitosan-Fuller’s Earth Beads

  • Shameem Hasan,
  • A. Rafi M. Iasir,
  • Tushar K. Ghosh,
  • Bhaskar Sen Gupta and
  • Mark A. Prelas

Fuller’s earth spherical beads using chitosan as a binder were prepared for the removal of strontium ions from aqueous solution. The adsorbents were characterized by scanning electron microscopy (SEM) and transmission electron microscopy (TEM),...

  • Article
  • Open Access
16 Citations
24,905 Views
11 Pages

Alarming and/or Alerting Device Effectiveness in Reducing Falls in Long-Term Care (LTC) Facilities? A Systematic Review

  • Michael Mileski,
  • Matthew Brooks,
  • Joseph Baar Topinka,
  • Guy Hamilton,
  • Cleatus Land,
  • Traci Mitchell,
  • Brandy Mosley and
  • Rebecca McClay

Perceptions against the use of alarming devices persist in long-term care environments as they are seen as annoying, costly, and a waste of time to the staff involved. Ascertaining whether these perceptions are true or false via the literature was a...

  • Review
  • Open Access
140 Citations
20,635 Views
19 Pages

Increasing salt intake has substantial negative impacts on human health and well-being. This article focused on the construction of Driver-Pressure-State-Impact-Response (DPSIR) framework for drinking water sodium (DWS) followed by a review on the pu...

  • Review
  • Open Access
65 Citations
13,131 Views
15 Pages

Psychosocial factors related to different degrees of clinical impairment and quality of life in the preoperative period may influence outcomes from elective spine surgery. Patients have expressed a need for individualized information given in suffici...

  • Article
  • Open Access
45 Citations
12,890 Views
22 Pages

Many barriers exist in the lives of older adult’s, including health, transport, housing, isolation, disability and access to technology. The appropriate integration of technology within age-friendly communities continues to offer possible solut...

  • Article
  • Open Access
15 Citations
10,560 Views
12 Pages

Wild birds transport ticks into Canada that harbor a diversity of zoonotic pathogens. However, medical practitioners often question how these zoonotic pathogens are present in their locality. In this study, we provide the first report of an Amblyomma...

  • Article
  • Open Access
19 Citations
8,938 Views
15 Pages

Being diagnosed with and having a life-limiting illness is a stressful experience which is compounded when the patient has dependent children. An important aspect of the patient’s psychosocial care should include recognition that their children...

  • Article
  • Open Access
9 Citations
7,820 Views
12 Pages

Adverse Event Circumstances and the Case of Drug Interactions

  • Theodoros G. Soldatos and
  • David B. Jackson

Adverse events are a common and for the most part unavoidable consequence of therapeutic intervention. Nevertheless, available tomes of such data now provide us with an invaluable opportunity to study the relationship between human phenotype and drug...

  • Article
  • Open Access
13 Citations
6,435 Views
8 Pages

Background: The attitudes of doctors and nurses toward patient safety representa significant contributing factor to hospital safety climates and medical error rates. Yet, there are very few studies of patient safety attitudes in Saudi hospitals and n...

  • Article
  • Open Access
15 Citations
12,700 Views
11 Pages

Making Homes More Dementia-Friendly through the Use of Aids and Adaptations

  • Simon Evans,
  • Sarah Waller,
  • Jennifer Bray and
  • Teresa Atkinson

The majority of people with dementia live in their own homes, often supported by a family member. While this is the preferred option for most, they often face multiple challenges due to a deterioration in their physical and cognitive abilities. This...

  • Article
  • Open Access
26 Citations
5,031 Views
8 Pages

Background: Although the association of neutrophil proportions with mortality in trauma patients has recently been shown, there is a paucity of research on the association with other outcomes. We sought to investigate the association of neutrophil pr...

  • Article
  • Open Access
6 Citations
4,820 Views
13 Pages

Quality within all areas of healthcare should be systemically monitored and ensured. However, the definition of quality is complex and diverse. In the ambulance service (AS), quality has traditionally been defined as response time, but this measureme...

  • Article
  • Open Access
10 Citations
5,673 Views
9 Pages

Although the protective effect of health insurance on population health is well established, this effect may vary based on race/ethnicity. This study had two aims: (1) to test whether having health insurance at baseline protects individuals over a 10...

  • Article
  • Open Access
8 Citations
5,188 Views
8 Pages

A Proactive Environmental Approach for Preventing Legionellosis in Infants: Water Sampling and Antibiotic Resistance Monitoring, a 3-Years Survey Program

  • Ioanna Alexandropoulou,
  • Theodoros Parasidis,
  • Theocharis Konstantinidis,
  • Maria Panopoulou and
  • Theodoros C. Constantinidis

A proactive environmental monitoring program was conducted to determine the risk and prevent nosocomial waterborne infections of Legionella spp. in infants. Sink taps in a neonatal intensive care unit (NICU) and two obstetric clinics were monitored f...

  • Article
  • Open Access
5 Citations
5,573 Views
10 Pages

Type 2 diabetes prevention is a major priority for healthcare services and public health. This study aimed to evaluate how a local authority in England piloted a diabetes prevention programme. The South Gloucestershire Diabetes Prevention (Pilot) Pro...

  • Review
  • Open Access
58 Citations
76,259 Views
18 Pages

The Interlinked Rising Epidemic of Insufficient Sleep and Diabetes Mellitus

  • Vijay Kumar Chattu,
  • Soosanna Kumary Chattu,
  • Deepa Burman,
  • David Warren Spence and
  • Seithikurippu R. Pandi-Perumal

For healthy existence, humans need to spend one-third of their time sleeping. Any qualitative or quantitative disturbances in sleep would result in an increased prevalence of obesity, metabolic disorders, diabetes, cardiovascular diseases, and hypert...

  • Review
  • Open Access
14 Citations
6,167 Views
8 Pages

Chronic obstructive pulmonary disease (COPD) is a progressive pathological condition characterized by a huge epidemiological and socioeconomic impact worldwide. In Italy, the actual annual cost of COPD was assessed for the first time in 2002: the mea...

  • Article
  • Open Access
9 Citations
7,497 Views
15 Pages

Currently available evidence regarding the association of the Affordable Care Act’s (ACA) elimination of cost-sharing and the utilization of cancer screenings is mixed. We determined whether the ACA’s zero cost-sharing policy affected the...

  • Review
  • Open Access
20 Citations
6,942 Views
14 Pages

22 February 2019

Helicobacter pylori is a bacterium that selectively infects the gastric epithelium of half of the world population. The microbiome, community of microorganisms gained major interest over the last years, due to its modification associated to health an...

  • Article
  • Open Access
14 Citations
5,858 Views
15 Pages

Modifying a Paediatric Rational Prescribing Tool (POPI) for Use in the UK

  • Fenella Corrick,
  • Imti Choonara,
  • Sharon Conroy and
  • Helen Sammons

20 February 2019

Rational prescribing tools can be used by individual prescribers, organisations, and researchers to evaluate the quality of prescribing for research and quality improvement purposes. A literature search showed that there is only one tool for evaluati...

  • Article
  • Open Access
9 Citations
6,675 Views
12 Pages

Development and Use of the ‘SENS’-Structure to Proactively Identify Care Needs in Early Palliative Care—An Innovative Approach

  • Monica C. Fliedner,
  • Geoffrey Mitchell,
  • Daniel Bueche,
  • Monika Mettler,
  • Jos M. G. A. Schols and
  • Steffen Eychmueller

20 February 2019

Anticipatory planning for end of life requires a common language for discussion among patients, families, and professionals. Studies show that early Palliative Care (PC) interventions based on a problem-oriented approach can improve quality of life,...

  • Review
  • Open Access
24 Citations
8,127 Views
17 Pages

19 February 2019

In the last few years, important changes have occurred in the clinical and epidemiological characteristics of patients that were admitted to cardiac intensive care units (CICU). Care has shifted from acute coronary syndrome patients towards elderly p...

  • Article
  • Open Access
61 Citations
12,725 Views
15 Pages

19 February 2019

The use of the Zora robot was monitored and evaluated in 14 nursing care organizations (15 locations). The Zora robot, a Não robot with software, is designed as a social robot and used for pleasure and entertainment or to stimulate the physica...

  • Article
  • Open Access
27 Citations
8,821 Views
10 Pages

16 February 2019

Background: This study explored the positive and negative factors that influence interprofessional education (IPE) implementation in health care education programs across the United States. Methods: The study sample consisted of 439 (response rate 8....

  • Review
  • Open Access
23 Citations
8,023 Views
12 Pages

16 February 2019

Rational medicine use in neonates implies the prescription and administration of age-appropriate drug formulations, selecting the most efficacious and safe dose, all based on accurate information on the drug and its indications in neonates. This revi...

  • Article
  • Open Access
18 Citations
8,448 Views
13 Pages

Comparing the Convergent and Concurrent Validity of the Dynamic Gait Index with the Berg Balance Scale in People with Multiple Sclerosis

  • Tapan Mehta,
  • Hui-Ju Young,
  • Byron Lai,
  • Fuchenchu Wang,
  • Yumi Kim,
  • Mohan Thirumalai,
  • Tracy Tracy,
  • Robert W. Motl and
  • James H. Rimmer

15 February 2019

Background: Recent clinical guidelines for adults with neurological disabilities suggest the need to assess measures of static and dynamic balance using the Berg Balance Scale (BBS) and Dynamic Gait Index (DGI) as core outcome measures. Given that th...

  • Article
  • Open Access
23 Citations
13,905 Views
12 Pages

Comparison of the Effects of Hand Reflexology versus Acupressure on Anxiety and Vital Signs in Female Patients with Coronary Artery Diseases

  • Zohre Rahmani Vasokolaei,
  • Nahid Rejeh,
  • Majideh Heravi-Karimooi,
  • Seyed Davood Tadrisi,
  • Kiarash Saatchi,
  • Zahra Poshtchaman,
  • Christina Sieloff and
  • Mojtaba Vaismoradi

11 February 2019

Hospitalization in the cardiac care unit can increase anxiety in patients. This study aimed to compare hand reflexology versus acupressure on anxiety and vital signs in female patients with coronary artery diseases. This double-blinded randomized pla...

  • Project Report
  • Open Access
14 Citations
7,303 Views
7 Pages

Addressing the Gaps in Post-Stroke Sexual Activity Rehabilitation: Patient Perspectives

  • Sarah Prior,
  • Nicole Reeves,
  • Gregory Peterson,
  • Linda Jaffray and
  • Steven Campbell

Sexual dysfunction is common but often under-recognised or neglected after stroke. This study sought to identify the existing methods for providing information and discussion on post-stroke sexual activity, and perceived gaps from the patient perspec...

  • Article
  • Open Access
8 Citations
5,631 Views
7 Pages

Widespread use of Emergency Medicine Services (EMS) for non-emergency care has increased recently, causing overcrowding of the Emergency Department (ED). The increased availability of urgent care centers (UCCs), with their ability to see large number...

  • Article
  • Open Access
76 Citations
16,652 Views
18 Pages

How Effective Are Dietitians in Weight Management? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

  • Lauren T. Williams,
  • Katelyn Barnes,
  • Lauren Ball,
  • Lynda J. Ross,
  • Ishtar Sladdin and
  • Lana J. Mitchell

Effective, evidence-based strategies to prevent and treat obesity are urgently required. Dietitians have provided individualized weight management counselling for decades, yet evidence of the effectiveness of this intervention has never been synthesi...

  • Review
  • Open Access
16 Citations
10,534 Views
11 Pages

The Role of Manual Therapy in Patients with COPD

  • Stephanie Clarke,
  • Prue E. Munro and
  • Annemarie L. Lee

Chronic obstructive pulmonary disease (COPD) is a respiratory condition associated with altered chest wall mechanics and musculoskeletal changes. In this narrative review, we describe the underlying musculoskeletal abnormalities in COPD, the reasons...

  • Review
  • Open Access
20 Citations
10,330 Views
10 Pages

Palliative Care and its medical subspecialty, known as Palliative Medicine, is the care of anyone with a serious illness. This emerging field includes Hospice and comfort care, however, it is not limited to end-of-life care. Examples of the types of...

  • Article
  • Open Access
30 Citations
11,610 Views
11 Pages

Negative Behaviors among Healthcare Professionals: Relationship with Patient Safety Culture

  • Diana M. Layne,
  • Lynne S. Nemeth,
  • Martina Mueller and
  • Mary Martin

Behaviors that undermine a culture of safety within hospitals threaten overall wellbeing of healthcare workers as well as patient outcomes. Existing evidence suggests negative behaviors adversely influence patient outcomes, employee satisfaction, ret...

  • Review
  • Open Access
8 Citations
6,475 Views
15 Pages

Little is known about ex-serving military personnel who access secondary mental health care. This narrative review focuses on studies that quantitatively measure secondary mental health care utilisation in ex-serving personnel from the United States....

  • Review
  • Open Access
37 Citations
9,601 Views
12 Pages

Due to demographic changes, the need for palliative care in the community and at home is expected to rise in the coming years. The care that is given by family members and general practitioners plays a vital role in basic palliative care. Knowledge i...

  • Article
  • Open Access
33 Citations
6,248 Views
15 Pages

Aim: To determine whether socioeconomic status (SES; educational attainment and income) explains the racial gap in cancer beliefs, cognitions, and emotions in a national sample of American adults. Methods: For this cross-sectional study, data came fr...

  • Article
  • Open Access
2 Citations
5,295 Views
7 Pages

Desaturation during Six-Minute Walk Testing Predicts Major Morbidity Following Anatomic Lung Resection among Patients with COPD

  • Christopher W. Towe,
  • Katherine Wu,
  • Alina Khil,
  • Yaron Perry,
  • Stephanie G. Worrell,
  • Vanessa P. Ho and
  • Philip A. Linden

Background: Pulmonary function testing (PFT) is commonly used to risk-stratify patients prior to lung resection. Guidelines recommend that patients with reduced lung function, due to chronic lung conditions such as Chronic Obstructive Pulmonary Disea...

  • Review
  • Open Access
26 Citations
8,861 Views
16 Pages

Systematic Review of Pain in Clinical Practice Guidelines for Management of COPD: A Case for Including Chronic Pain?

  • Hayley Lewthwaite,
  • Georgia Williams,
  • Katherine L. Baldock and
  • Marie T. Williams

Chronic pain is highly prevalent and more common in people with chronic obstructive pulmonary disease (COPD) than people of similar age/sex in the general population. This systematic review aimed to describe how frequently and in which contexts pain...

  • Review
  • Open Access
10 Citations
6,427 Views
31 Pages

Prostate cancer is very common among men in the United States. The current literature on active surveillance (AS) suggests that it is a promising treatment option for men with low-risk prostate cancer. The purpose of this manuscript is to provide a t...

  • Article
  • Open Access
7 Citations
6,142 Views
14 Pages

Family caregivers of persons with dementia encounter resistance to care behaviors (RCBs). The purpose of this methods paper was to describe the process and content of six weekly 60-min caregiver coaching sessions delivered synchronously through an on...

  • Article
  • Open Access
4 Citations
6,098 Views
14 Pages

Use of a Cross-Sectional Survey in the Adult Population to Characterize Persons at High-Risk for Chronic Obstructive Pulmonary Disease

  • Roy A. Pleasants,
  • Khosrow Heidari,
  • Jill Ohar,
  • James F. Donohue,
  • Njira Lugogo,
  • Chelsea L. Richard,
  • Sarojina Kanotra,
  • David M. Mannino,
  • Monica Kraft and
  • Charlie Strange
  • + 1 author

Rationale/Objective: The Behavioral Risk Factor Surveillance System (BRFSS) health survey has been used to describe the epidemiology of chronic obstructive pulmonary disease (COPD) in the US. Through addressing respiratory symptoms and tobacco use, i...

  • Article
  • Open Access
15 Citations
7,355 Views
14 Pages

Chronic Obstructive Pulmonary Disease (COPD) is a life-threatening lung disease affecting millions of people worldwide. Although the majority of patients with objective COPD go undiagnosed until the late stages of their disease, recent studies sugges...

  • Review
  • Open Access
34 Citations
8,535 Views
9 Pages

Acute Kidney Injury Pharmacokinetic Changes and Its Impact on Drug Prescription

  • Victoria E. Blanco,
  • Carolina V. Hernandorena,
  • Paula Scibona,
  • Waldo Belloso and
  • Carlos G. Musso

Acute kidney injury (AKI) is a common problem in hospitalized patients that is associated with significant morbid-mortality. The impact of kidney disease on the excretion of drugs eliminated by glomerular filtration and tubular secretion is well esta...

  • Article
  • Open Access
16 Citations
7,041 Views
13 Pages

Co-Infection by Waterborne Enteric Viruses in Children with Gastroenteritis in Nepal

  • Sarmila Tandukar,
  • Jeevan B. Sherchand,
  • Surendra Karki,
  • Bikash Malla,
  • Rajani Ghaju Shrestha,
  • Dinesh Bhandari,
  • Ocean Thakali and
  • Eiji Haramoto

Enteric viruses are highly contagious and a major cause of waterborne gastroenteritis in children younger than five years of age in developing world. This study examined the prevalence of enteric virus infection in children with gastroenteritis to id...

  • Article
  • Open Access
18 Citations
5,928 Views
13 Pages

Comparison of Potentially Inappropriate Medications for People with Dementia at Admission and Discharge during An Unplanned Admission to Hospital: Results from the SMS Dementia Study

  • Ashley Kable,
  • Anne Fullerton,
  • Samantha Fraser,
  • Kerrin Palazzi,
  • Carolyn Hullick,
  • Christopher Oldmeadow,
  • Dimity Pond,
  • Andrew Searles,
  • Kim Edmunds and
  • On behalf of SMS Dementia Study investigators
  • + 1 author

People with dementia (PWD) and cognitive impairment are particularly vulnerable to medication problems, and unplanned admission to hospital presents an opportunity to address polypharmacy, potentially inappropriate medications (PIMs) and anticholiner...

  • Article
  • Open Access
11 Citations
6,569 Views
12 Pages

Sleep disturbances are common in persons with dementia (PWD). While pharmacotherapy is widely used, non-pharmacological interventions are beginning to surface as first-line management strategies. This study sought to investigate if physical activity...

  • Feature Paper
  • Review
  • Open Access
11 Citations
6,171 Views
9 Pages

Myocardial deformation imaging (strain imaging) is a technique to directly quantify the extent of myocardial contractility and overcomes several of the limitations of ejection fraction. The application of the most commonly used strain imaging method;...

  • Article
  • Open Access
5 Citations
5,490 Views
11 Pages

Clinical Use of an Order Protocol for Distress in Pediatric Palliative Care

  • Marc-Antoine Marquis,
  • Lysanne Daoust,
  • Edith Villeneuve,
  • Thierry Ducruet,
  • Nago Humbert and
  • France Gauvin

Several children receiving palliative care experience dyspnea and pain. An order protocol for distress (OPD) is available at Sainte-Justine Hospital, aimed at alleviating respiratory distress, pain and anxiety in pediatric palliative care patients. T...

  • Feature Paper
  • Article
  • Open Access
15 Citations
7,548 Views
15 Pages

Monitoring the Italian Home Palliative Care Services

  • Gianlorenzo Scaccabarozzi,
  • Pietro Giorgio Lovaglio,
  • Fabrizio Limonta,
  • Carlo Peruselli,
  • Mariadonata Bellentani and
  • Matteo Crippa

Background: In Italy, there currently is a lack of reliable and consistent data on home palliative care provided to people near death. Objectives: Monitoring the activities of the Italian Home Palliative Care Services, according to the 2014 national...

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Healthcare - ISSN 2227-9032