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  • ISSN: 2379-0547
    Volume 2, Issue 9
    Short Communication
    Eva Kahana*, Jeong Eun Lee, Boaz Kahana, Kaitlyn Barnes Langendoerfer and Gillian L. Marshall
    Background: The growing population of older adults is at the highest risk for cancer, yet they are underserved in terms of cancer prevention and care. Discussions between patients and physicians that result in tailored recommendations are now called for by the U.S. Preventive Services Task Force.
    Aims & Method: The current study explored the role of physician-patient relationships and of patient initiatives in health communication on primary care physicians' recommendations of cancer prevention and screening. Our data was collected from baseline questionnaires from elderly patients 60 years of age or older (N=360) who attended an adult community center where an educational intervention was administered.
    Results: Our findings demonstrate the importance of elderly patients' advocacy, shown through planning and initiative in communication for eliciting doctor's cancer screening and cancer prevention recommendations in primary care settings.
    Review Article
    Mbirimtengerenji D. Noel*, FM. Daniels and P. Martins
    Increased disadvantages of the lecture teaching strategy is creating an absurd future particularly in community nursing education. Students keep on communicating using cell phone and other devices to one another while the lecturer is busy teaching. However, use of lecture method is working better when combined with other interactive teaching strategies like discussion questions and answer among nurse tutors. There is need to start transitioning away from the teacher centered teaching to interactive teaching and learning process.
    Research Article
    Lennart Hedstrom*, Margit Albrektsson and Hakan Bergh
    Objectives: The aim of this study was to evaluate this two-step model for positive predictive value and number needed to screen.
    Study design: In this observational clinical study 339 dental patients´ blood pressures were measured.Blood pressure≥140 mmHg (systolic) and/or≥90 mmHg (diastolic) performed home blood pressure acquisitions during one week. Those with an average home blood pressure≥135 mmHg and/or≥85 mmHg were referred to the Primary Health Care Centre, where three office blood pressure measurements were taken with one-week intervals.
    Results: 249 patients were normotensive and 90 patients (27%) acquired home blood pressure measurements. After using the home blood pressure device, 52 (58%) patients hadnormal blood pressure, and 38 (42%) patients were referred to the Primary Health Care Centre. 28 patients were diagnosed as hypertensive, yielding a positive predictive value of 82% and a number needed to screen of 12.
    Conclusions: This two-step model is applicable in dental screening, and has a high positive predictive value and a low number needed to screen.
    Abhimanyu Sethi* and Peter Hughes
    Objective: To conduct a systematic review investigating the association between attention deficit hyperactivity disorder (ADHD) and celiac disease.
    Method: Relevant articles were identified through EMBASE and MEDLINE using MeSH headings such as: 'celiac disease,' 'gluten free,' and 'glutenin.' These terms were combined with additional terms such as 'attention deficit disorder,' 'ADHD,' and 'ADD.' Articles published in a peer-reviewed journal, in English, with an appropriate study design (i.e. case control or experimental trial) were included.
    Results: Five of six observational studies that met the inclusion criteria found no association between celiac disease and ADHD. Only one study found that a higher percentage of patients with celiac disease had evidence of learning disability/ADHD compared with controls.
    Conclusions: Several studies were limited by sample size, reporting and detection bias. However, based on the available evidence, this systematic review provides support for suggesting that clinicians should not be routinely screening ADHD patients for celiac disease in the absence of additional symptoms.
    Dorothy Forbes*, Wendy Harrison, Terri Woytkiw, Catherine Blake, Pamela Hawranik, Laurel Strain, Shelley Peacock and Emily Thiessen
    Home care providers often lack the knowledge, skills, and resources needed to appropriately meet the needs of their clients and their family caregivers and recognize they should have better access to the best available evidence to provide quality care.
    The purpose of this study was to identify the contextual factors that may influence the use and exchange of best available evidence by home care providers. The study sample included all Home Care Nurses and all Nurse Case Managers or Allied Health Professionals in the 38 home care centres in the North Zone of Alberta, Canada. Staff was given a choice of responding to an online or paper survey. The Home Care Alberta Context Tool (ACT) was used to obtain information on leadership, culture, feedback, informal interactions, formal interactions, structural and electronic resources, and organizational issues (e.g. time, space, human resources). Thirty-eight nurses (13.2%) and 90 allied health and case managers (44.6%) responded.
    The findings of this pilot study revealed the availability or lack of availability of the concepts that promote the spread and uptake of research evidence in the North Zone of Alberta. The concepts of social capital (connections among health care providers), culture, and leadership were all considered important and rated highly. However, the concepts of formal interactions, such as team meetings and family conferences, informal interactions with other health care providers and in-home teaching sessions, structural and electronic resources, and having adequate and private space, occurred to a limited extent and were less available.
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