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Community Services for the Elderly

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121. Determinants and perceptions of the utilization of tetanus toxoid immunization among reproductive-age women in Dukem Town, Eastern Ethiopia: a community-based cross-sectional study Full Text available with Trip Pro

Determinants and perceptions of the utilization of tetanus toxoid immunization among reproductive-age women in Dukem Town, Eastern Ethiopia: a community-based cross-sectional study Maternal and neonatal tetanus (MNT) is still the major public health problem in about 25 countries, mainly in Africa and Asia. However, the utilization of intervention strategies, like tetanus toxoid (TT) immunization remains low in these countries. In Ethiopia, only 49% of the pregnant mothers received TT2+ in 2016 (...) . This study was designed to evaluate perceptions and factors affecting the utilization of TT immunization among reproductive-age women in Dukem town, Eastern Ethiopia, 2016.We conducted a community-based cross-sectional study from May to October 2016. A simple random sampling method was employed to select samples of 422 women. Data were collected using a, pretested semi-structured and a face-to-face interviewer-administered questionnaire. We entered data in to Epi Info version 7 and analyzed them by SPSS

2018 BMC international health and human rights

122. The healthy aged: Descriptive analysis by sex of cognitively functioning elderly patients 80 years and older living independently in the community. Full Text available with Trip Pro

The healthy aged: Descriptive analysis by sex of cognitively functioning elderly patients 80 years and older living independently in the community. To describe a population of cognitively functioning seniors aged 80 years and older who are livingin dependently in the community.Descriptive cross-sectional study based on the enrolment cohort of a randomized controlled trial.St John's, Nfld.A total of 236 cognitively functioning seniors aged 80 years and older living independently (...) in the community.Demographic characteristics including age, sex, marital status, and education; health status and quality of life measured by the Short Form-36 and the CASP-19 (control, autonomy, self-realization,and pleasure); use of formal and informal community services;satisfaction with family physician care as measured by the Patient Satisfaction Questionnaire-18; and use of health care resources (family physician visits, emergency department visits,hospitalizations, and laboratory and diagnostic imaging tests

2015 Canadian family physician Médecin de famille canadien Controlled trial quality: uncertain

123. Contraception for women aged over 40 years.

Unit [CEU] staff) and involved the intended users of the guidelines (contraception providers) and patient/service user representatives as part of a multidisciplinary group. The scope of the guideline was informed by a scoping survey conducted amongst members of the Faculty of Sexual and Reproductive Healthcare (FSRH) and amongst service users from three sexual and reproductive health services across the United Kingdom (UK) (Aberdeen Community Health Village [Aberdeen], Scotland; New Croft Centre (...) Trust); Dr Kate Boog, Specialty Trainee in Community Sexual and Reproductive Health (Nottingham Integrated Sexual Health Service); Ms Lesley Cline, Lay representative; Dr Heather Currie, Associate Specialist Gynaecologist (Dumfries and Galloway Royal Infirmary; Chair, British Menopause Society); Dr Alison Fletcher, General Practitioner, Oldham and Specialty Doctor in Sexual Health (Central Manchester Foundation Trust); Dr Jo Hoddinott, Consultant in Sexual and Reproductive Health; Clinical Lead

2017 National Guideline Clearinghouse (partial archive)

124. Final recommendation statement: vision in children ages 6 months to 5 years: screening.

to 5 years: screening. Final recommendation statement: vision in children ages 6 months to 5 years: screening. [internet]. Rockville (MD): U.S. Preventive Services Task Force (USPSTF); 2017 Sep [9 p]. [43 references] This is the current release of the guideline. This guideline updates a previous version: Vision screening for children 1 to 5 years of age: US Preventive Services Task Force Recommendation statement. Pediatrics. 2011 Feb;127(2):340-6. This guideline meets NGC's 2013 (revised) inclusion (...) ://www.guideline.gov Download citation file: The U.S. Preventive Services Task Force (USPSTF) grades its recommendations ( A , B , C , D , or I ) and identifies the levels of certainty regarding net benefit ( High , Moderate , and Low ). The definitions of these grades can be found at the end of the "Major Recommendations" field. Recommendation Summary The USPSTF recommends vision screening at least once in all children aged 3 to 5 years to detect amblyopia or its risk factors. ( B recommendation ) The USPSTF

2017 National Guideline Clearinghouse (partial archive)

125. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

. Racial and Ethnic Differences in Treatment e61 10.2. Sex-Related Issues e61 10.2.1. Women e62 10.2.2. Pregnancy e62 10.3. Age-Related Issues e63 10.3.1. Older Persons e63 10.3.2. Children and Adolescents e64 11. Other Considerations e64 11.1. Resistant Hypertension e64 11.2. Hypertensive Crises—Emergencies and Urgencies e65 11.3. Cognitive Decline and Dementia e68 11.4. Sexual Dysfunction and Hypertension e69 11.5. Patients Undergoing Surgical Procedures e69 12. Strategies to Improve Hypertension (...) Interventions to Improve Hypertension Control e74 12.4. Improving Quality of Care for Patients With Hypertension e74 12.4.1. Performance Measures e74 12.4.2. Quality Improvement Strategies e74 12.5. Financial Incentives e75 13. The Plan of Care for Hypertension e75 13.1. Health Literacy e76 13.2. Access to Health Insurance and Medication Assistance Plans e76 13.3. Social and Community Services e76 14. Summary of BP Thresholds and Goals for Pharmacological Therapy e77 15. Evidence Gaps and Future Directions

2017 American Heart Association

126. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary Full Text available with Trip Pro

9.8. Atrial Fibrillation 1296 9.9. Valvular Heart Disease 1296 9.10. Aortic Disease 1296 10. Special Patient Groups 1296 10.1.1. Racial and Ethnic Differences in Treatment 1296 10.2. Sex-Related Issues 1296 10.2.1. Women 1297 10.2.2. Pregnancy 1297 10.3. Age-Related Issues 1297 10.3.1. Older Persons 1297 11. Other Considerations 1298 11.1. Resistant Hypertension 1298 11.2. Hypertensive Crises—Emergencies and Urgencies 1298 11.3. Cognitive Decline and Dementia 1301 11.4. Patients Undergoing (...) Interventions to Improve Hypertension Control 1302 12.4. Improving Quality of Care for Patients With Hypertension 1302 12.4.1. Performance Measures 1302 12.4.2. Quality Improvement Strategies 1302 12.5. Financial Incentives 1302 13. The Plan of Care for Hypertension 1302 13.1. Health Literacy 1303 13.2. Access to Health Insurance and Medication Assistance Plans 1303 13.3. Social and Community Services 1303 14. Summary of BP Thresholds and Goals for Pharmacological Therapy 1304 References 1304 Appendix 1

2017 American Heart Association

127. Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure

Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure -1- Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure (Modified from CDC a-e , FDA f,g and WHO h Published Guidance) Updated August 2018 Planning Pregnancy for Infected, Exposed, or Possibly Exposed Individuals In September 2016, the ASRM issued a Zika guidance for providers that addressed the care of non-pregnant patients desiring pregnancy (...) ) for the woman and 3 vs. 6 months for men with Zika virus disease should be made using a shared patient-provider decision-making model taking into account any new available data and such variables as age of the female patient and other infertility factors with documentation of the conversation and decision. 4. Symptomatic women and men attempting pregnancy through ART with possible Zika virus exposure should have testing that includes the Zika virus nucleic acid test (NAT) to rule out active Zika infection

2017 Society for Assisted Reproductive Technology

128. Interventions to Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer's-Type Dementia

studies used multidomain interventions, and potentially none have explored the possibility of cumulative or synergistic effects. Timing and measurement choices affect cognitive decline prevention studies. Researchers can recruit participants at any point along the cognitive continuum. Various proposed strategies target young and middle-aged adults with no evidence of cognitive decline, older adults worried about age-related changes, people with documented MCI, and those with major neurocognitive (...) of Neurological Disorders and Stroke Washington, DC Laurie Ryan, Ph.D. Chief, Dementias of Aging National Institute on Aging Washington, DC Jane Tilly, Dr.P.H., M.P.A. Brain Health and Dementia Programs Team Lead Administration for Community Living Washington, DC Molly Wagster, Ph.D. Chief, Behavioral and Systems Neuroscience Branch National Institute on Aging Washington, DC Peer Reviewers Prior to publication of the final evidence report, the EPC sought input from independent Peer Reviewers without financial

2017 Effective Health Care Program (AHRQ)

129. Interventions to Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer's-Type Dementia

studies used multidomain interventions, and potentially none have explored the possibility of cumulative or synergistic effects. Timing and measurement choices affect cognitive decline prevention studies. Researchers can recruit participants at any point along the cognitive continuum. Various proposed strategies target young and middle-aged adults with no evidence of cognitive decline, older adults worried about age-related changes, people with documented MCI, and those with major neurocognitive (...) of Neurological Disorders and Stroke Washington, DC Laurie Ryan, Ph.D. Chief, Dementias of Aging National Institute on Aging Washington, DC Jane Tilly, Dr.P.H., M.P.A. Brain Health and Dementia Programs Team Lead Administration for Community Living Washington, DC Molly Wagster, Ph.D. Chief, Behavioral and Systems Neuroscience Branch National Institute on Aging Washington, DC Peer Reviewers Prior to publication of the final evidence report, the EPC sought input from independent Peer Reviewers without financial

2017 Effective Health Care Program (AHRQ)

130. The Impact and Effectiveness of Minimum Legal Drinking Age Legislation in Canada

and Mortality Canada’s drinking-age laws have a significant effect on youth mortality, the most serious and most costly alcohol-related harm. Callaghan, Sanches, Gatley and Stockwell (2014) examined the causes of death of Canadians ages 16–22 years from 1980 to 2009, and compared the number of deaths among people just older than the legal drinking age to those just younger than the legal drinking age. For males just older than the MLDA there were immediate, sharp and significant increases in mortality (...) of 19 th birthdays. Additionally, aging past the MLDA was associated with an overall increase (1.8%) in alcohol-related hospital service use across the total sample (Callaghan, Sanches, Gatley, Liu, & Cunningham, 2014). More specifically, in comparing young adults slightly older than the MLDA with those slightly younger than the MLDA, Callaghan, Sanches, Gatley, and Cunningham (2013) found that those just older than the Ontario MLDA of 19 years demonstrated a jump in ER visits and hospital

2017 Canadian Centre on Substance Abuse

131. Limited Evidence as to Caries-Protecting Effect of Breastfeeding Compared to Bottle-Feeding in the first 3 to 6 months of age.

Limited Evidence as to Caries-Protecting Effect of Breastfeeding Compared to Bottle-Feeding in the first 3 to 6 months of age. UTCAT3201, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Limited Evidence as to Caries-Protecting Effect of Breastfeeding Compared to Bottle-Feeding in the first 3 to 6 months of age. Clinical Question Does bottle-feeding, compared to breastfeeding, result in more caries in the primary (...) community, early childhood caries is high. These studies/articles really highlight how influential-feeding habits can be in the development of early childhood caries. Dentists can counsel their pregnant patients and parents of young children by explaining the importance of breastfeeding infants and also limiting bottle-feeding to infants only. They can also counsel their patients on minimizing the frequency and duration of feeding, which will ultimately decrease the prevalence of early childhood caries

2017 UTHSCSA Dental School CAT Library

132. Vision in Children Ages 6 Months to 5 Years: Screening

Vision in Children Ages 6 Months to 5 Years: Screening Recommendation | United States Preventive Services Taskforce Toggle navigation Main navigation Main navigation Recommendation Children aged 3 to 5 years The USPSTF recommends vision screening at least once in all children aged 3 to 5 years to detect amblyopia or its risk factors. B Children younger than 3 years The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of vision screening (...) screening at age 6 months. , Typical components of vision screening include assessments of visual acuity and strabismus. Younger children (<3 years) are often unable to cooperate with some of the clinical screening tests performed in clinical practice, such as visual acuity testing, which may result in false-positive results. Some clinical practice guidelines now recommend using handheld autorefractors and photoscreeners as alternative approaches to screening in children 6 months and older because

2017 U.S. Preventive Services Task Force

133. Mapping pharmacy deserts and determining accessibility to community pharmacy services for elderly enrolled in a State Pharmaceutical Assistance Program. Full Text available with Trip Pro

Mapping pharmacy deserts and determining accessibility to community pharmacy services for elderly enrolled in a State Pharmaceutical Assistance Program. Limited studies have investigated geographic accessibility to a nearby community pharmacy for elderly which is an essential determinant of the access to medications and pharmacy services. This research identified pharmacy deserts and investigated availability of different types of community pharmacies and their services for elderly enrolled (...) in a State Pharmaceutical Assistance Program (SPAP).The state of Pennsylvania in the US was used as a case to demonstrate the geographic accessibility to community pharmacy and services for elderly enrolled in SPAP. The locations of community pharmacies and households of elderly enrolled in SPAP were derived from Pharmaceutical Assistance Contract for the Elderly programs' database. The street addresses were geocoded and the distance to a nearby community pharmacy was calculated for study sample using

2018 PLoS ONE

134. Re-imagining Community Healthcare Services

health in care homes; multispecialty community providers; urgent and emergency care and acute care collaborations. Integrated primary and acute care systems join up GP, hospital, community and mental health services, whilst multispecialty community providers move specialist care out of hospitals into the community. Enhanced health in care homes offer older people better, joined up health, care and rehabilitation services. Urgent and emergency care vanguards are developing new approaches to improve (...) homes, schools, workplaces and communities. ? Our health system contributes to lifelong health and wellness through its support for parents, children, families, whanau and older people. ? We have well-designed and integrated pathways for the common journeys people take through our health and disability system (eg, cancer, maternity, diabetes), starting and finishing in homes. ? Our workforce in primary and community-based services has the capability and capacity to provide high-quality care as close

2019 Monash Health Evidence Reviews

135. Impact of Community Health Worker Certification on Workforce and Service Delivery for Asthma and Other Selected Chronic Diseases

to deliver interventions for asthma and selected other topics or chronic conditions (i.e., diabetes, cardiovascular disease, maternal-child health), compared with those that do not require any community health worker certification for community health worker delivery of these services? a. Do these results differ when only asthma interventions or programs are analyzed? b. Do these results differ by demographics of the population served (e.g., age, sex, racial/ethnic background, income level, rural vs (...) community health worker certification for community health worker delivery of these services? a. Do these results differ when only asthma interventions or programs are analyzed? 3 b. Do these results differ by demographics of the population served (e.g., age, sex, racial/ethnic background, income level, rural vs. urban area)? 3. What is the context of community health worker certification requirements and their implementation in the United States? This may include various community health worker

2020 Effective Health Care Program (AHRQ)

136. Effects of a population-based, person-centred and integrated care service on health, wellbeing and self-management of community-living older adults: A randomised controlled trial on Embrace. Full Text available with Trip Pro

Effects of a population-based, person-centred and integrated care service on health, wellbeing and self-management of community-living older adults: A randomised controlled trial on Embrace. To evaluate the effects of the population-based, person-centred and integrated care service 'Embrace' at twelve months on three domains comprising health, wellbeing and self-management among community-living older people.Embrace supports older adults to age in place. A multidisciplinary team provides care (...) and support, with intensity depending on the older adults' risk profile. A randomised controlled trial was conducted in fifteen general practices in the Netherlands. Older adults (≥75 years) were included and stratified into three risk profiles: Robust, Frail and Complex care needs, and randomised to Embrace or care as usual (CAU). Outcomes were recorded in three domains. The EuroQol-5D-3L and visual analogue scale, INTERMED for the Elderly Self-Assessment, Groningen Frailty Indicator and Katz-15 were

2018 PLoS ONE Controlled trial quality: uncertain

137. Health app: ChatHealth communication platform in school nursing services

young people (aged 11 to 19) to ask a nurse questions through anonymous SMS text messages. A web-based message management application allows teams of school nurses to reply to the messages confidentially. Costs depend on the size of the nursing team. For example, making ChatHealth available in a school nursing service involving up to 10 nurses would cost £6,000 per year. Ongoing licensing costs are £55.60 per staff user per month, for up to 4 nurses. Evidence summary Clinical effectiv Clinical (...) a young person's perspective and more effective use of staff time from a service provider perspective. The technology The technology ChatHealth (Leicestershire Partnership NHS Trust) is a web-based messaging system that allows patients to directly contact healthcare professionals. It can be used by different kinds of clinical teams. Currently, its main use (and the focus of this briefing) is enabling secondary school children and young people aged 11 to 19 to confidentially and anonymously contact

2017 National Institute for Health and Clinical Excellence - Advice

138. Which service delivery mechanisms, models or approaches have been shown to be effective or ineffective at reducing the inequalities that older people experience?

are targeted, then the people who really need this activity will not receive it (23). In Canada, they have been promoting and looking at the effectiveness of active ageing community initiatives in reducing health inequities. They looked at 7 areas, in particular: 1. Physical environment. 2. Housing options. 3. Social environment. 4. Opportunities for participation. 5. Community supports and healthcare services. 6. Transportation options. Which service or policy interventions, models or approaches, have (...) , learning a new craft or skill, such as information technology, in a community venue, or a physical activity, such as dance class, gardening, or walking group (15). However, while becoming involved in volunteering and civic engagement is an important activity in active ageing, people who have poor health, may not be able to take advantage of these activities because of their medical conditions (27). Which service or policy interventions, models or approaches, have been shown to be effective

2018 Public Health England - Evidence Briefings

139. What is known about the spread and management of COVID-19 in non-health workplaces, including workplaces where light-touch services are offered such as government administration offices (e.g., Service Canada or Service Ontario) and social services (e.g.,

to person, through respiratory droplets, close contact, and by touching surfaces or objects contaminated by the virus The incubation period varies between 2 days and 14 days Symptoms usually include fever, cough, difficulty in breathing, pneumonia, severe acute respiratory syndrome Older age and co-morbid conditions increase the fatality Any person with a history of travel to and from COVID-19 affected countries in the past 14 days or any person who has had close contact with a laboratory confirmed (...) ), community and social services occupations (community health workers, social workers, counselors), and even construction and extraction occupations (e.g. plumbers, septic tank installers, elevator repair). Conclusions: The large number of persons employed in a wide variety of occupations with frequent exposure to infection and disease underscore the importance of all workplaces developing risk response plans for COVID-19. This work also serves as an important reminder that the workplace is a key locus

2020 McMaster Health Forum

140. Public health service provision by community pharmacies: a systematic map of evidence

search strategy 200 Appendix 4: Coding tool applied to studies included at full text 206 Appendix 5: Systematic reviews screened for primary studies (n=86) 209 Abbreviations Public health service provision by community pharmacies: a systematic map of evidence v Abbreviations EHC Emergency hormonal contraceptives GP General Practice HIV Human immunodeficiency virus HLP Healthy living pharmacy NHS National Health Service OECD Organisation for Economic Co-operation and Development PWID People who inject (...) service provision by community pharmacies: a systematic map of evidence 2 Executive summary Background Community pharmacy teams as a health, community and social asset in local communities have a role in improving health and helping to reduce health inequalities, in addition to their medicine optimisation role, by taking every opportunity to engage in health promoting interventions and by supporting self- care and helping people to take control of their health (DH 2005; DH 2008). This aligns

2019 EPPI Centre

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