Pediatric hypertension is a risk for adult cardiovascular disease, making early detection important. The prevalence of pediatric essential hypertension is rising due to the increased prevalence of obesity. Though guidelines for screening, diagnosis, evaluation, and management are available, there are barriers to accurate diagnosis of pediatric hypertension, including lack of knowledge and compl...

Forty-five subjects including community health nurses with baccalaureate nursing degrees, senior-level generic nursing students, and registered nurses in a baccalaureate nursing program were compared on age, years of employment in nursing, and three variables 6f professional autonomy: nurses’ rights and responsibilities, the nurse-patient relationship, and nurses’ role in health care delivey. I...

Inequities in access to HIV prevention and treatment for children remain a global challenge and a black spot to effective HIV prevention and response especially in many HIV endemic countries like Uganda. In Uganda while about 51% of the adults living with HIV are on antiretrovirals, only 39% of the children aged 0-14 years accessed the needed HIV care in 2014. In this article, it is argued that...

This article is concerned with the methodological issues of assessing the effects of casemix funding on hospital utilisation. Time-series analysis and intervention analysis are proposed to ascertain the effects. It was found there had been a decline in average length of stay and number of bed-days, an increase in weighted separations for teaching and non-teaching hospitals, and no apparent incr...

The aim of this study was to explore the ethical challenges in home mechanical ventilation based on a secondary analysis of qualitative empirical data. The data included perceptions of healthcare professionals in hospitals and community health services and family members of children and adults using home mechanical ventilation. The findings show that a number of ethical challenges, or dilemmas,...

Despite marked improvements in lowering infant and maternal mortality rates, certain racial and ethnic groups have benefited less. The reasons for these inequalities are many and complex. This article reviews the literature to assess the extent and reasons for the disparate outcomes in infant and maternal mortality rates among different racial and ethnic groups in the United States. Some strate...

PURPOSE The purpose of this study is to examine the rate of depression screening among patients, aged 19 and older, seen at a community health center, while referencing to US Preventive Services Task Force (USPSTF) screening recommendations. METHODS A random sample of 500 patients, aged 19 and older, were extracted from the total number of patients seen at the community health center, between...

Sir,?This, briefly, is the story of a real community health service amongst South African Indians. Tuberculosis is Public Health Enemy No. 1 amongst the non-white peoples of South Africa. The death rate for Indian people is five times that of the European while for Africans it has risen, in urban areas, to 746 per 100,000. One of the main reasons is the low economic standard of these people. Fo...

OBJECTIVE To assess the frequency of barriers to specialty care and to assess which barriers are associated with an incomplete specialty referral (not attending a specialty visit when referred by a primary care provider) among children seen in community health centers. STUDY DESIGN Two months after their child's specialty referral, 341 parents completed telephone surveys assessing whether a s...