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Healthcare, Volume 6, Issue 2

2018 June - 42 articles

Cover Story: Lyme disease is a tick-borne infection caused by the spirochete Borrelia burgdorferi. A previous study from Tulane University showed that the Lyme spirochete could survive antibiotic therapy in monkeys. In the present study, researchers examined culture samples from twelve human patients who had positive antibody tests for Lyme disease and persistent symptoms despite prior or current antibiotic treatment. All twelve patients had positive cultures for Borrelia burgdorferi, even if they were currently taking antibiotics. The presence of live spirochetes in symptomatic Lyme disease patients supports the role of ongoing infection, despite antibiotic therapy in these patients. View this paper
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Articles (42)

  • Review
  • Open Access
49 Citations
30,888 Views
14 Pages

Thoracic outlet syndrome (TOS) describes a group of disorders that are due to a dynamic compression of blood vessels or nerves, between the clavicle and first rib or cervical vertebral nerve roots. Individuals with TOS typically experience upper limb...

(This article belongs to the Special Issue Feature Papers in Healthcare in 2018)
  • Article
  • Open Access
7 Citations
9,510 Views
16 Pages

A Community Study of Borrelia burgdorferi Antibodies among Individuals with Prior Lyme Disease in Endemic Areas

  • Barbara Strobino,
  • Katja Steinhagen,
  • Wolfgang Meyer,
  • Thomas Scheper and ,
  • Sandra Saschenbrecker,
  • Wolfgang Schlumberger,
  • Winfried Stöcker,
  • Andrea Gaito and
  • Brian A. Fallon
  • + 4 authors+ 0 author

The objective was to examine the prevalence of Borrelia antibodies among symptomatic individuals with recent and past Lyme disease in endemic communities using standard assays and novel assays employing next-generation antigenic substrates. Single- a...

(This article belongs to the Special Issue Lyme Disease: The Role of Big Data, Companion Diagnostics and Precision Medicine)
  • Article
  • Open Access
56 Citations
38,817 Views
8 Pages

Impact of Nurse Practitioner Practice Regulations on Rural Population Health Outcomes

  • Judith Ortiz,
  • Richard Hofler,
  • Angeline Bushy,
  • Yi-ling Lin and ,
  • Ahmad Khanijahani and
  • Andrea Bitney
  • + 1 author+ 0 author

Background: For decades, U.S. rural areas have experienced shortages of primary care providers. Nurse practitioners (NPs) are helping to reduce that shortage. However, NP scope of practice regulations vary from state-to-state ranging from autonomous...

(This article belongs to the Special Issue Rural and Remote Nursing)
  • Article
  • Open Access
9 Citations
7,269 Views
9 Pages

The USA is steadily moving towards a health system that emphasizes ‘wellness’ over ‘sickness’ care. An effective wellness program utilizes a ‘population health’ approach that ensures that all patients who seek care from a health system receive the se...

(This article belongs to the Special Issue Population Health Management)
  • Article
  • Open Access
19 Citations
6,033 Views
12 Pages

Little is known about pain and pain treatment among people with intellectual disabilities (IDs). We aimed to describe pain and pain medications among older people with ID compared to the general population. Data on diagnoses and prescriptions were co...

  • Article
  • Open Access
36 Citations
12,894 Views
12 Pages

Conversations about Death and Dying with Older People: An Ethnographic Study in Nursing Homes

  • Åsa Alftberg,
  • Gerd Ahlström,
  • Per Nilsen,
  • Lina Behm and ,
  • Anna Sandgren,
  • Eva Benzein,
  • Birgitta Wallerstedt and
  • Birgit H. Rasmussen
  • + 3 authors+ 0 author

Nursing homes are often places where older persons “come to die.” Despite this, death and dying are seldom articulated or talked about. The aim of this study was to explore assistant nurses’ experiences of conversations about death...

(This article belongs to the Special Issue Recent Advances in Palliative Care)
  • Article
  • Open Access
23 Citations
13,404 Views
20 Pages

Serving in the military leads to mental diseases, such as post-traumatic stress disorder (PTSD), for a percentage of soldiers globally. The number of veterans with PTSD is increasing and, although medication and psychological treatments are offered,...

(This article belongs to the Special Issue Post Traumatic Stress Disorder and Veterans)
  • Feature Paper
  • Article
  • Open Access
6 Citations
5,312 Views
15 Pages

In recent years, there has been an increasing focus on the need to integrate formal knowledge with clinical experience in the pre-clinical years since the initial years of medical education play an important role in shaping the attitudes of medical s...

  • Feature Paper
  • Article
  • Open Access
84 Citations
13,778 Views
13 Pages

Background: Living above the poverty line reduces the risk of physical illnesses, including childhood asthma (CA). Minorities’ Diminished Return theory, however, suggests that the protective effects of socioeconomic status (SES) on health are w...

(This article belongs to the Special Issue Social Determinants of Health: Differential Exposures vs Differential Effects)
  • Article
  • Open Access
10 Citations
5,328 Views
10 Pages

Impact of Standardized Prenatal Clinical Training for Traditional Birth Attendants in Rural Guatemala

  • Sasha Hernandez,
  • Jessica Oliveira,
  • Leah Jones,
  • Juan Chumil and
  • Taraneh Shirazian

In low-and-middle-income countries (LMICs), traditional birth attendant (TBA) training programs are increasing, yet reports are limited on how those programs affect the prenatal clinical abilities of trained TBAs. This study aims to assess the impact...

(This article belongs to the Special Issue Rural and Remote Nursing)
  • Article
  • Open Access
8 Citations
5,803 Views
12 Pages

Psychometric Evaluation of the Team Member Perspectives of Person-Centered Care (TM-PCC) Survey for Long-Term Care Homes

  • Veronique M. Boscart,
  • Meaghan Davey,
  • Jenny Ploeg,
  • George Heckman and ,
  • Sherry Dupuis,
  • Linda Sheiban,
  • Jessica Luh Kim,
  • Paul Brown and
  • Souraya Sidani
  • + 4 authors+ 0 author

Person-centered care (PCC) is fundamental for providing high-quality care in long-term care homes. This study aimed to evaluate the psychometric properties of an 11-item Team Member Perspectives of Person-Centered Care (TM-PCC) survey, adapted from W...

  • Article
  • Open Access
5 Citations
5,860 Views
12 Pages

Risk-taking amongst veterans has severe consequences, yet few studies have examined factors that may predict risk-taking in help-seeking veteran populations. This paper presents a cross-sectional study involving a random sample of 667 UK help-seeking...

(This article belongs to the Special Issue Post Traumatic Stress Disorder and Veterans)
  • Article
  • Open Access
1 Citations
4,547 Views
5 Pages

Background: Transient Ischaemic Attacks (TIA) should be treated as a medical emergency. While high-risk TIAs have higher stroke risks than low-risk patients, there is an inherent limitation to this risk stratification, as some low-risk patients may h...

  • Article
  • Open Access
8 Citations
13,610 Views
10 Pages

Chief Nursing Officers (CNOs) have a demanding, complex role that commands accountability in leading the nursing profession and achieving quality patient outcomes. The purpose of this study was to understand the CNO’s view of meeting the needs...

  • Article
  • Open Access
31 Citations
7,069 Views
15 Pages

Fecal Distribution Changes Using Colorectal Ultrasonography in Older People with Physical and Cognitive Impairment Living in Long-Term Care Facilities: A Longitudinal Observational Study

  • Shiho Tanaka,
  • Koichi Yabunaka,
  • Masaru Matsumoto,
  • Nao Tamai and ,
  • Hiroshi Noguchi,
  • Mikako Yoshida,
  • Gojiro Nakagami,
  • Junko Sugama and
  • Hiromi Sanada
  • + 4 authors+ 0 author

Nurses encounter difficulties evaluating constipation in elderly people with physical and cognitive impairment. Transabdominal ultrasonography (US) has been used to evaluate fecal impaction or fecal quality. However, it is unclear whether colorectal...

(This article belongs to the Special Issue Care of People Living with Dementia)
  • Article
  • Open Access
25 Citations
8,839 Views
15 Pages

Chronicity and Mental Health Service Utilization for Anxiety, Mood, and Substance Use Disorders among Black Men in the United States; Ethnicity and Nativity Differences

  • Vickie M. Mays,
  • Audrey L. Jones,
  • Susan D. Cochran,
  • Robert Joseph Taylor and ,
  • Jane Rafferty and
  • James S. Jackson
  • + 1 author+ 0 author

This study investigated ethnic and nativity differences in the chronicity and treatment of psychiatric disorders of African American and Caribbean Black men in the U.S. Data were analyzed from the National Survey of American Life, a population-based...

(This article belongs to the Special Issue Health Effects of Race, Gender, Class, and Place: Complexities and Heterogeneities)
  • Review
  • Open Access
243 Citations
37,741 Views
43 Pages

A Systematic Review on Healthcare Analytics: Application and Theoretical Perspective of Data Mining

  • Md Saiful Islam,
  • Md Mahmudul Hasan,
  • Xiaoyi Wang,
  • Hayley D. Germack and
  • Md Noor-E-Alam

The growing healthcare industry is generating a large volume of useful data on patient demographics, treatment plans, payment, and insurance coverage—attracting the attention of clinicians and scientists alike. In recent years, a number of peer...

  • Article
  • Open Access
2 Citations
5,530 Views
8 Pages

Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H

  • Melissa D. Olfert,
  • Makenzie L. Barr,
  • Rebecca L. Hagedorn,
  • Lisa Franzen-Castle and ,
  • Sarah E. Colby,
  • Kendra K. Kattelmann and
  • Adrienne A. White
  • + 2 authors+ 0 author

iCook 4-H is a lifestyle intervention to improve diet, physical activity and mealtime behavior. Control and treatment dyads (adult primary meal preparer and a 9–10-year-old youth) completed surveys at baseline and 4, 12, and 24 months. A Health...

  • Article
  • Open Access
7 Citations
6,285 Views
7 Pages

A Comparative Study of Oral Health Status between International and Japanese University Student Patients in Japan

  • Ai Ohsato,
  • Masanobu Abe,
  • Kazumi Ohkubo,
  • Hidemi Yoshimasu and ,
  • Liang Zong,
  • Kazuto Hoshi,
  • Tsuyoshi Takato,
  • Shintaro Yanagimoto and
  • Kazuhiko Yamamoto
  • + 4 authors+ 0 author

Background: The number of international students enrolled in universities in Japan is increasing. To provide better oral care services for international students, we have to understand their oral environment and dental health behaviors. However, few...

(This article belongs to the Special Issue Dental Care)
  • Article
  • Open Access
3 Citations
5,578 Views
10 Pages

The recruitment and retention of health professionals in rural, remote, and northern regions is an ongoing challenge. The Northern Nursing Education Network brought together nursing students working in rural and remote regions of the circumpolar nort...

(This article belongs to the Special Issue Rural and Remote Nursing)
  • Article
  • Open Access
39 Citations
9,101 Views
12 Pages

Transitioning from Acute to Chronic Pain: An Examination of Different Trajectories of Low-Back Pain

  • Robert J. Gatchel,
  • Kelley Bevers,
  • John C. Licciardone,
  • Jianzhong Su and ,
  • Ying Du and
  • Marco Brotto
  • + 1 author+ 0 author

Traditionally, there has been a widely accepted notion that the transition from acute to chronic pain follows a linear trajectory, where an injury leads to acute episodes, subacute stages, and progresses to a chronic pain condition. However, it appea...

  • Article
  • Open Access
44 Citations
39,032 Views
8 Pages

Human babesiosis caused by Babesia duncani is an emerging infectious disease in Canada. This malaria-like illness is brought about by a protozoan parasite infecting red blood cells. Currently, controversy surrounds which tick species are vectors of B...

(This article belongs to the Special Issue Lyme Disease: The Role of Big Data, Companion Diagnostics and Precision Medicine)
  • Article
  • Open Access
17 Citations
10,086 Views
13 Pages

Modeling the Population Health Impact of Introducing a Modified Risk Tobacco Product into the U.S. Market

  • Smilja Djurdjevic,
  • Peter N. Lee,
  • Rolf Weitkunat,
  • Zheng Sponsiello-Wang and ,
  • Frank Lüdicke and
  • Gizelle Baker
  • + 1 author+ 0 author

Philip Morris International (PMI) has developed the Population Health Impact Model (PHIM) to quantify, in the absence of epidemiological data, the effects of marketing a candidate modified risk tobacco product (cMRTP) on the public health of a whole...

(This article belongs to the Special Issue Population Health Management)
  • Review
  • Open Access
25 Citations
8,987 Views
8 Pages

Oral Health Care in Hong Kong

  • Sherry Shiqian Gao,
  • Kitty Jieyi Chen,
  • Duangporn Duangthip,
  • Edward Chin Man Lo and
  • Chun Hung Chu

Hong Kong, as a special administrative region of the People’s Republic of China, is a metropolitan city in Asia with a population of approximately 7.4 million. This paper reflects the oral health care situation in Hong Kong. Water fluoridation...

(This article belongs to the Special Issue Dental Care)
  • Article
  • Open Access
20 Citations
7,015 Views
16 Pages

Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden

  • Birgitta Wallerstedt,
  • Lina Behm,
  • Åsa Alftberg,
  • Anna Sandgren and ,
  • Eva Benzein,
  • Per Nilsen and
  • Gerd Ahlström
  • + 2 authors+ 0 author

Most of the care in nursing homes is palliative in nature, as it is the oldest and the frailest people who live in nursing homes. The aim of this study was to explore next of kin’s experiences of participating in the care of older persons at nursing...

(This article belongs to the Special Issue Recent Advances in Palliative Care)
  • Review
  • Open Access
19 Citations
9,252 Views
15 Pages

The increasing numbers of people with dementia places considerable stress on health and aged care services and has resulted in the development of community adult day services. Aim: The aim of this integrative review is to determine the extent to whic...

(This article belongs to the Special Issue Ageing with Chronic Disease and Disability)
  • Article
  • Open Access
3 Citations
6,881 Views
9 Pages

Background: Quality improvement initiatives can help nursing homes strengthen psychosocial work environments. The aim of the present study was to examine the association between supportive psychosocial work environment, and professional and organizat...

(This article belongs to the Special Issue Care of People Living with Dementia)
  • Article
  • Open Access
8 Citations
7,001 Views
9 Pages

Assessing the Effectiveness of the Aging Mastery Program

  • Lisa Ferretti,
  • Philip McCallion,
  • Emily McDonald,
  • Hayoung Kye and ,
  • Angelica P. Herrera-Venson and
  • James Firman
  • + 1 author+ 0 author

Background: Successful aging is best determined by active management and self-determination of one’s aging roadmap. Some individuals are ready to respond to these challenges, others may benefit from assistance that might be offered through an evidenc...

  • Article
  • Open Access
7 Citations
6,777 Views
7 Pages

The WHO Regional Office for Europe developed a set of public health functions resulting in the ten Essential Public Health Operations (EPHO). Public health or primary care settings seem to be favorable to embrace all actions included into EPHOs. The...

(This article belongs to the Special Issue Feature Papers in Healthcare in 2018)
  • Commentary
  • Open Access
21 Citations
9,232 Views
20 Pages

Nutraceuticals are important for healthy skin maintenance. Probiotics, phenolics, and vitamins are just a few of the nutraceuticals meant to potentially prevent and assist medical management of dermatologic conditions. Among these, probiotics, vitami...

  • Article
  • Open Access
39 Citations
10,267 Views
19 Pages

A Targeted and Tailored eHealth Weight Loss Program for Young Women: The Be Positive Be Healthe Randomized Controlled Trial

  • Melinda J. Hutchesson,
  • Robin Callister,
  • Philip J. Morgan,
  • Ilung Pranata and ,
  • Erin D. Clarke,
  • Geoff Skinner,
  • Lee M. Ashton,
  • Megan C. Whatnall,
  • Mark Jones and
  • Clare E. Collins
  • + 6 authors+ 1 author

Young women are gaining weight rapidly. Evidence for effective weight loss interventions targeting young women is lacking. This randomized controlled trial assessed the efficacy and acceptability of a six-month targeted and tailored eHealth weight lo...

(This article belongs to the Special Issue Dietary Management of Obesity)
  • Feature Paper
  • Article
  • Open Access
11 Citations
6,004 Views
11 Pages

The aim of this study is to explore ethnic variations in psychosocial and health correlates of eating disorders in the United States, Specifically, we compared associations between gender, socioeconomic status (SES), body mass index (BMI), physical a...

(This article belongs to the Special Issue Social Determinants of Health: Differential Exposures vs Differential Effects)
  • Feature Paper
  • Article
  • Open Access
8 Citations
4,734 Views
9 Pages

Introduction. Long-term studies have shown that depressive symptoms predict the risk of mortality. However, it is unknown if this effect is present in shorter time intervals. In addition, recent research suggests that the salience of the negative aff...

(This article belongs to the Special Issue Social Determinants of Health: Differential Exposures vs Differential Effects)
  • Feature Paper
  • Article
  • Open Access
69 Citations
9,456 Views
12 Pages

Background: Built on the Blacks’ diminished return theory, defined as smaller effects of socioeconomic status (SES) on a wide range of health outcomes for African Americans compared to Whites, the current study compared African Americans and Wh...

(This article belongs to the Special Issue Social Determinants of Health: Differential Exposures vs Differential Effects)
  • Concept Paper
  • Open Access
14 Citations
8,151 Views
8 Pages

Music listening interventions such as Rhythmic Auditory Stimulation can improve mobility, balance, and gait in Parkinson’s Disease (PD). Yet, the impact of music training on executive functions is not yet known. Deficits in executive functions...

(This article belongs to the Special Issue Feature Papers in Healthcare in 2018)
  • Article
  • Open Access
6 Citations
5,611 Views
11 Pages

Background: Public health gains from physical activity on prescription (PAP) depend on uptake in routine care. We performed an evaluation of the implementation, in a Swedish county council, of counsellors who give personalized support to PAP recipien...

  • Article
  • Open Access
50 Citations
89,534 Views
19 Pages

Persistent Borrelia Infection in Patients with Ongoing Symptoms of Lyme Disease

  • Marianne J. Middelveen,
  • Eva Sapi,
  • Jennie Burke,
  • Katherine R. Filush and ,
  • Agustin Franco,
  • Melissa C. Fesler and
  • Raphael B. Stricker
  • + 2 authors+ 0 author

Introduction: Lyme disease is a tickborne illness that generates controversy among medical providers and researchers. One of the key topics of debate is the existence of persistent infection with the Lyme spirochete, Borrelia burgdorferi, in patients...

(This article belongs to the Special Issue Lyme Disease: The Role of Big Data, Companion Diagnostics and Precision Medicine)
  • Article
  • Open Access
27 Citations
7,223 Views
10 Pages

Associations between Parents’ Health Literacy and Sleeping Hours in Children: A Cross-Sectional Study

  • Hiroto Ogi,
  • Daisuke Nakamura,
  • Masato Ogawa,
  • Teruhiko Nakamura and
  • Kazuhiro P. Izawa

Background: Sleep in preschool children is an important factor for their health and active lives. The lack of adequate sleep in preschool children is a serious public problem in Japan. The relationship between health literacy (HL) and health status i...

  • Review
  • Open Access
41 Citations
11,653 Views
11 Pages

Effective communication between pediatric diabetes patients and their providers has the potential to enhance patient satisfaction and health outcomes, as well as improve diabetes-related self-management. In this review, we highlight the importance of...

(This article belongs to the Special Issue Feature Papers in Healthcare in 2018)
  • Feature Paper
  • Review
  • Open Access
22 Citations
8,082 Views
10 Pages

Importance: Heart failure (HF) is the leading cause of hospitalization among patients over the age of 65 in the United States and developed countries, posing a significant economic burden to the health care systems. More than half of the patients wit...

  • Feature Paper
  • Article
  • Open Access
15 Citations
8,288 Views
8 Pages

The Healthfulness of Entrées and Students’ Purchases in a University Campus Dining Environment

  • Krista Leischner,
  • Lacey Arneson McCormack,
  • Brian C. Britt,
  • Greg Heiberger and
  • Kendra Kattelmann

The purpose of this study is to determine the availability of “more healthful” (MH) versus “less healthful” (LH) entrée items in the campus dining and if students’ purchases are reflective of what is offered. This is an observational study in which p...

(This article belongs to the Special Issue Dietary Management of Obesity)
  • Feature Paper
  • Article
  • Open Access
27 Citations
8,085 Views
17 Pages

Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010–2015

  • Audrey L. Jones,
  • Susan D. Cochran,
  • Arleen Leibowitz,
  • Kenneth B. Wells and ,
  • Gerald Kominski and
  • Vickie M. Mays
  • + 1 author+ 0 author

Background. Black and Latino minorities have traditionally had poorer access to primary care than non-Latino Whites, but these patterns could change with the Affordable Care Act (ACA). To guide post-ACA efforts to address mental health service dispar...

(This article belongs to the Special Issue Health Effects of Race, Gender, Class, and Place: Complexities and Heterogeneities)
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Healthcare - ISSN 2227-9032