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Illness And Wait Time

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https://www.readbyqxmd.com/read/30110718/e-health-interventions-for-anxiety-and-depression-in-children-and-adolescents-with-long-term-physical-conditions
#1
REVIEW
Hiran Thabrew, Karolina Stasiak, Sarah E Hetrick, Stephen Wong, Jessica H Huss, Sally N Merry
BACKGROUND: Long-term physical conditions affect 10% to 12% of children and adolescents worldwide; these individuals are at greater risk of developing psychological problems, particularly anxiety and depression. Access to face-to-face treatment for such problems is often limited, and available interventions usually have not been tested with this population. As technology improves, e-health interventions (delivered via digital means, such as computers and smart phones and ranging from simple text-based programmes through to multimedia and interactive programmes, serious games, virtual reality and biofeedback programmes) offer a potential solution to address the psychological needs of this group of young people...
August 16, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/30081872/illness-recognition-and-appropriate-care-seeking-for-newborn-complications-in-rural-oromia-and-amhara-regional-states-of-ethiopia
#2
Y Amare, S Paul, L M Sibley
BACKGROUND: Ethiopia has made significant progress in reducing child mortality but newborn mortality has stagnated at around 29 deaths per 1000 births. The Maternal Health in Ethiopia Partnership (MaNHEP) was a 3.5-year implementation project aimed at developing a community-oriented model of maternal and newborn health in rural Ethiopia and to position it for scale up. In 2014, we conducted a case study of the project focusing on recognition of and timely biomedical care seeking for maternal and newborn complications...
August 6, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/30009801/listing-low-weight-or-ill-infants-for-heart-transplantation-is-it-prudent
#3
Raheel Rizwan, Farhan Zafar, Clifford Chin, James Tweddell, Roosevelt Bryant, David Morales
BACKGROUND: Infants awaiting heart transplantation (HTx) have the highest waitlist mortality compared to other HTx patients. This study analyzed the impact of weight and other factors on waitlist and post-HTx outcomes in infants. METHODS: All infants on HTx waitlist in the United Network for Organ Sharing database from October 1987-June 2016 were divided into weight groups: <2.5Kg, 2.5-3.9Kg and >4Kg. Survival from listing regardless of transplant was compared using Kaplan-Meier analysis...
July 12, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30004346/describing-key-performance-indicators-for-waiting-times-in-emergency-centres-in-the-western-cape-province-south-africa-between-2013-and-2014
#4
K Cohen, S Bruijns
BACKGROUND: Data measured as key performance indicators (KPIs) are used internationally in emergency medicine to measure and monitor quality of care. The Department of Health in the Western Cape Province, South Africa, introduced time-based KPIs for emergency centres (ECs) in 2012. OBJECTIVES: To describe the most recently processed results of the audits conducted in Western Cape ECs between 2013 and 2014. METHODS: A retrospective, descriptive study was conducted on data collected in the 6-monthly Western Cape EC triage and waiting time audits for 2013 - 2014...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29987386/-between-a-rock-and-a-hard-place-family-members-experiences-of-supporting-a-relative-with-bipolar-disorder
#5
Ella Baruch, Nancy Pistrang, Chris Barker
PURPOSE: Clinical guidelines emphasise the central role of family members in supporting people with bipolar disorder. However, there has been little focus on the challenges family members face in supporting their relative. This qualitative study explored the challenges of providing support to a relative with bipolar disorder, and how family members attempted to meet these challenges. Factors that helped or hindered their efforts were also explored, including experiences of professional support...
July 9, 2018: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29970146/mechanical-circulatory-support-as-bridge-therapy-for-heart-transplant-case-series-report
#6
Javier D Garzon-Rodriguez, Carlos Obando-Lopez, Manuel Giraldo-Grueso, Nestor Sandoval-Reyes, Jaime Camacho, Juan P Umaña
BACKGROUND: Mechanical circulatory support (MCS) represents an effective urgent therapy for patients with cardiac arrest or end-stage cardiac failure. However, its use in developing countries as a bridge therapy remains controversial due to costs and limited duration. This study presents five patients who underwent MSC as bridge therapy for heart transplantation in a developing country. CASE PRESENTATION: We present five patients who underwent MCS as bridge therapy for heart transplant between 2010 and 2015 at Fundación Cardioinfantil-Instituto de Cardiología...
July 3, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29913923/national-guidelines-for-evaluating-pain-patients-legal-right-to-prioritised-health-care-at-multidisciplinary-pain-clinics-in-norway-implemented-2009
#7
Karen Walseth Hara, Petter Borchgrevink
Background All nations are posed with the challenge of deciding how to allocate limited health care resources. A Patients' Rights Law from 1999 gives patients in Norway with a serious health condition, for which there is efficacious and cost-effective treatment, a legal right to receive health care from the National Health Care system. Methods Recently national guidelines have been produced for implementing these legal rights within 32 fields of specialist health care. One of these fields deals with serious chronic pain conditions...
January 1, 2010: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29808277/ventricular-assist-device-therapy-and-heart-transplantation-benefits-drawbacks-and-outlook
#8
S Buchholz, S P W Guenther, S Michel, R Schramm, C Hagl
End-stage heart failure is associated with significant morbidity and mortality. Heart transplantation has the potential to offer a return to daily activities for critically ill patients and is the gold standard therapy. However, heart transplantations are decreasing yearly with a historic low in Germany in 2017. By striking contrast, both waiting list numbers and waiting time have increased owing to a lack of acceptable donor organs. Ventricular assist devices (VAD) represent a reasonable therapeutic alternative for patients on heart transplantation waiting lists...
May 28, 2018: Herz
https://www.readbyqxmd.com/read/29774649/end-of-life-trajectory-of-coping-and-self-care-of-patients-with-idiopathic-pulmonary-fibrosis-a-meta-synthesis-using-meta-ethnography
#9
Yasuko Igai
AIM: This study aimed to extract patient narratives regarding the end-of-life trajectory of their self-care and coping experiences as patients with idiopathic pulmonary fibrosis and to use meta-ethnography to discover common metaphors of their experience in order to inform the development of nursing interventions. METHODS: A comprehensive search of qualitative research using electronic databases, in English and Japanese, regarding patients with IPF, identified four articles...
May 17, 2018: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/29761755/a-deadly-wait-for-u-s-health-insurance-coverage-sitting-on-the-couch-with-malaria
#10
Jonathan S Schultz, Adam J Atherly, Andrés F Henao-Martínez
Uninsured and unprepared travelers to countries with endemic tropical diseases pose great health-care burdens and financial risks on returning to the United States. We discuss the delayed presentation of an uninsured U.S. traveler returning from West Africa with severe malaria who required intensive care measures to save his life. Despite being critically ill on his return, he sat rigoring on his couch taking antipyretics for 3 days, while he applied for insurance on the Affordable Care Act website and waited for approval because he was fearful of the costs of seeking care...
July 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29694722/transplantation-of-hepatitis-c-virus-infected-kidneys-into-hepatitis-c-virus-uninfected-recipients
#11
REVIEW
Meghan E Sise, Donald F Chute, Jenna L Gustafson, David Wojciechowski, Nahel Elias, Raymond T Chung, Winfred W Williams
Long wait times for kidney transplant and the high risk of mortality on dialysis have prompted investigation into strategies to increase organ allocation and decrease discard rates of potentially viable kidneys. Organs from hepatitis C virus (HCV) antibody positive donors are often rejected; nearly 500 HCV-infected kidneys are discarded annually in the United States. Due the opioid epidemic, the number of HCV-infected donors has increased because of a rise in both new HCV infections and drug-related deaths...
April 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29615135/analysis-of-factors-associated-with-waiting-times-for-gp-appointments-in-finnish-health-centres-a-qualicopc-study
#12
Elina Tolvanen, Tuomas H Koskela, Kari J Mattila, Elise Kosunen
OBJECTIVE: Access to care is a multidimensional concept, considered as a structural aspect of health care quality; it reflects the functioning of a health care organization. The aim of this study was to investigate patients' experiences of access to care and to analyse factors associated with waiting times to GP appointments at Finnish health centres. A questionnaire survey was addressed to Finnish GPs within the Quality and Costs of Primary Care in Europe study framework. Two to nine patients per GP completed the questionnaire, altogether 1196...
April 3, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29573904/causes-of-emergency-department-overcrowding-and-blockage-of-access-to-critical-services-in-beijing-a-2-year-study
#13
Zhen Wang, Xiaying Xiong, Shuang Wang, Junguo Yan, Martin Springer, R P Dellinger
BACKGROUND: Emergency department (ED) overcrowding is a serious issue worldwide. OBJECTIVES: This study was done to evaluate the degree of overcrowding in local "teaching hospitals" in Beijing, and to ascertain the apparent root causes for the pervasive degree of overcrowding in these EDs. METHODS: This is a multicenter cross-sectional study. The studied population included all ED patients from 18 metropolitan teaching hospital EDs in Beijing for calendar years 2013 and 2014...
May 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29530045/porous-safety-net-catastrophic-health-expenditure-and-its-determinants-among-insured-households-in-togo
#14
Esso-Hanam Atake, Djesika D Amendah
BACKGROUND: In Togo, about half of health care costs are paid at the point of service, which reduces access to health care and exposes households to catastrophic health expenditure (CHE). To address this situation, the Togolese government introduced a National Health Insurance Scheme (NHIS) in 2011. This insurance currently covers only employees and retirees of the State as well as their dependents, although plans for extension exist. This study is the first attempt to examine the extent to which Togo's NHIS protects its members financially against the consequences of ill-health...
March 12, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29500582/examining-the-preliminary-efficacy-of-an-intervention-for-fear-of-cancer-recurrence-in-female-cancer-survivors-a-randomized-controlled-clinical-trial-pilot-study
#15
Christina Tomei, Sophie Lebel, Christine Maheu, Monique Lefebvre, Cheryl Harris
PURPOSE: Among cancer survivors, fear of cancer recurrence (FCR) is the most frequently reported unmet need. Despite this, research on psychosocial interventions that target FCR is limited. To address this gap, an individual cognitive-existential psychotherapy intervention for FCR was pilot tested via small-scale RCT. METHODS: Participants were recruited via study posters, healthcare professionals' referrals, and an electronic hospital database. Twenty-five female cancer survivors were randomized to experimental or wait-list control groups...
August 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29351299/what-influences-where-they-seek-care-caregivers-preferences-for-under-five-child-healthcare-services-in-urban-slums-of-malawi-a-discrete-choice-experiment
#16
Edgar Arnold Lungu, Amarech Guda Obse, Catherine Darker, Regien Biesma
Access to and utilisation of quality healthcare promotes positive child health outcomes. However, to be optimally utilised, the healthcare system needs to be responsive to the expectations of the population it serves. Health systems in many sub-Saharan African countries, including Malawi, have historically focused on promoting access to health services by the rural poor. However, in the context of increasing urbanisation and consequent proliferation of urban slums, promoting health of children under five years of age in these settings is a public health imperative...
2018: PloS One
https://www.readbyqxmd.com/read/29297966/waiting-list-outcome-of-peld-meld-exceptions-a-single-center-experience-in-argentina
#17
Leandro Lauferman, Marcelo Dip, Esteban Halac, Guillermo Cervio, Diego Aredes, Mauro Capparelli, Hayellen Reijenstein, Julia Minetto, Luis Rojas, Javier Goñi, Agustina Jacobo Dillon, Roxana Martinitto, Oscar Imventarza
As PELD/MELD-based allocation policy was adopted in Argentina in 2005, a system of exception points has been in place in order to award increased waitlist priority to those patients whose severity of illness is not captured by the PELD/MELD score. We aimed to investigate the WL outcome of patients with granted PELD/MELD exceptions. A retrospective cohort study was conducted in children under 18 years old. WL outcomes were evaluated using univariable analysis. From 07/2005 to 01/2014, 408 children were listed for LT...
March 2018: Pediatric Transplantation
https://www.readbyqxmd.com/read/29221321/living-related-lung-transplantation
#18
REVIEW
Hiroshi Date
Living-donor lobar lung transplantation (LDLLT) was developed to deal with the severe shortage of brain dead door for patients who would not survive the long waiting period. In standard LDLLT, right and left lower lobes removed from two healthy donors are implanted into a recipient after right and left pneumonectomies using cardiopulmonary bypass (CPB). The number of LDLLT has decreased in the USA due to the recent change in allocation system for cadaveric donor lungs. For the past several years, most of the reports on LDLLT have been from Japan, where the average waiting time for a cadaveric lung is exceeding 800 days...
September 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29219242/behavioural-assessment-unit-improves-outcomes-for-patients-with-complex-psychosocial-needs
#19
George Braitberg, Marie Gerdtz, Susan Harding, Steven Pincus, Michelle Thompson, Jonathan Knott
OBJECTIVE: We aimed to assess the impact of a new model of care for patients presenting to the ED with acute behavioural disturbance. METHODS: This pre-/post-intervention study involved creating a dedicated, highly resourced six bed unit, the behavioural assessment unit (BAU). Co-located with the ED at the Royal Melbourne Hospital, the unit was designed to fast-track the admission of patients affected by intoxication, mental illness or psychosocial crisis and provide front-loaded interventions...
June 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29216883/transplant-eligibility-for-patients-with-affective-and-psychotic-disorders-a-review-of-practices-and-a-call-for-justice
#20
Katherine L Cahn-Fuller, Brendan Parent
BACKGROUND: The scarcity of human organs requires the transplant community to make difficult allocation decisions. This process begins at individual medical centers, where transplant teams decide which patients to place on the transplant waiting list. Each transplant center utilizes its own listing criteria to determine if a patient is eligible for transplantation. These criteria have historically considered preexisting affective and psychotic disorders to be relative or absolute contraindications to transplantation...
December 8, 2017: BMC Medical Ethics
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