keyword
https://read.qxmd.com/read/38487374/the-role-s-of-community-health-workers-in-primary-health-care-reform-in-kerala-before-and-during-the-covid-19-pandemic-a-qualitative-study
#21
JOURNAL ARTICLE
Hari Sankar D, Jaison Joseph, Gloria Benny, Surya Surendran, Santosh Kumar Sharma, Devaki Nambiar
BACKGROUND: Accredited Social Health Activists (ASHA) are Community Health Workers (CHWs) employed by the National Health Mission of the Government of India to link the population to health facilities and improve maternal and child health outcomes in the country. The government of Kerala launched primary health reform measures in 2016 whereby Primary Health Centres (PHCs) were upgraded to Family Health Centres (FHCs). The COVID-19 pandemic in 2020 impacted essential health service delivery, including primary care services...
2024: Front Health Serv
https://read.qxmd.com/read/38487051/integration-of-women-s-cardiovascular-health-content-into-healthcare-provider-education-results-of-a-rapid-review-and-national-survey
#22
REVIEW
Najah Adreak, Martha H Mackay, April Pike, Carley O'Neill, Evan Sterling, Varinder Randhawa, Lisa Comber, Keshandi Thompson, Kajenny Srivaratharajah, Amélie Paquin, Beth L Abramson, Kerri-Anne Mullen
Despite its importance, formal education in healthcare training programs on sex- and gender-specific cardiovascular disease (CVD) risk factors, symptoms, treatment, and outcomes is lacking. We completed rapid reviews of the academic and grey literature to describe the current state of women-specific CVD education in medical, nursing, and other healthcare education programs. Second, we analyzed results from a Canada-wide survey of healthcare professional education programs to identify gaps in curricula related to sex- and gender-specific training in CVD...
February 2024: CJC open
https://read.qxmd.com/read/38486873/leveraging-e-health-for-enhanced-cancer-care-service-models-in-middle-income-contexts-qualitative-insights-from-oncology-care-providers
#23
JOURNAL ARTICLE
Samar J Melhem, Shereen Nabhani-Gebara, Reem Kayyali
BACKGROUND: Global cancer research has predominantly favoured high-income countries (HICs). The unique challenges in low- and middle-income countries (LMICs) demand tailored research approaches, accentuated further by the disparities highlighted during the COVID-19 pandemic. AIM AND OBJECTIVES: This research endeavoured to dissect the intricacies of cancer care in LMICs, with Jordan serving as a case study. Specifically, the study aimed to conduct an in-depth analysis of the prevailing cancer care model and assess the transformative potential of eHealth technologies in bolstering cancer care delivery...
2024: Digital Health
https://read.qxmd.com/read/38486440/health-care-utilization-and-expenditures-in-health-professional-shortage-areas
#24
JOURNAL ARTICLE
Chandler B McClellan
Healthcare provider shortages are associated with adverse health outcomes, presumably stemming from the lack of access to primary care. This study examines the impact of Health Professional Shortage Areas (HPSAs) on healthcare utilization and spending across different types of care. Using the Medical Expenditure Panel Survey from 2002 to 2019, this study estimates the difference in healthcare utilization in HPSAs compared with non-HPSAs using a generalized random forest, which allows for more complex modeling of the outcome and a principled examination of heterogenous treatment effects...
March 14, 2024: Medical Care Research and Review: MCRR
https://read.qxmd.com/read/38486259/challenges-to-the-delivery-and-utilisation-of-child-healthcare-services-a-qualitative-study-of-the-experiences-of-nurses-and-caregivers-in-a-rural-district-in-ghana
#25
JOURNAL ARTICLE
Felix Kwasi Nyande, Esmeralda Ricks, Margaret Williams, Sihaam Jardien-Baboo
BACKGROUND: Sub-Saharan Africa has one of the poorest child health outcomes in the world. Children born in this region face significant health challenges that jeopardise their proper growth and development. Even though the utilisation of child healthcare services safeguards the health of children, the challenges encountered by nurses in the delivery of services, and caregivers in the utilisation of these services, especially in rural areas, have contributed to poor child health outcomes in this region...
March 14, 2024: BMC Nursing
https://read.qxmd.com/read/38486258/a-mixed-method-study-on-the-impact-of-covid-19-on-mental-healthcare-in-ghana-rethinking-mental-health-service-delivery
#26
JOURNAL ARTICLE
Michael Zobi, Seth Kofi Abrokwa, Eugene Dordoye, Angel Phuti
BACKGROUND: Since its emergence, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has caused severe health, social and economic challenges. Mental healthcare has been significantly affected globally, and even worse in developing countries. An emerging economy like Ghana in West Africa was not spared its disruptive effects. This study aimed to elucidate the impact of the coronavirus disease 2019, the COVID-19 pandemic (caused by SARS-CoV-2), on Ghana's mental healthcare system...
March 14, 2024: International Journal for Equity in Health
https://read.qxmd.com/read/38486230/does-a-new-case-based-payment-system-promote-the-construction-of-the-ordered-health-delivery-system-evidence-from-a-pilot-city-in-china
#27
JOURNAL ARTICLE
Huanyu Shi, Zhichao Cheng, Zhichao Liu, Yang Zhang, Peng Zhang
BACKGROUND: The construction of the ordered health delivery system in China aims to enhance equity and optimize the efficient use of medical resources by rationally allocating patients to different levels of medical institutions based on the severity of their condition. However, superior hospitals have been overcrowded, and primary healthcare facilities have been underutilized in recent years. China has developed a new case-based payment method called "Diagnostic Intervention Package" (DIP)...
March 14, 2024: International Journal for Equity in Health
https://read.qxmd.com/read/38486140/emergency-airway-management-in-resource-limited-setting
#28
REVIEW
Gbolahan Olatunji, Emmanuel Kokori, Nicholas Aderinto, Mohammed Alsabri Hussein Alsabri
BACKGROUND: Emergency airway management in resource-limited settings presents multifaceted challenges due to shortages in essential medical resources, healthcare professionals, and infrastructure. METHODS: We conducted a literature search using keywords "Emergency Airway Management" "Low Resource" "Africa" "Asia" from databases such as Pubmed, and Google Scholar, from where we extracted relevant literature for our study. FINDINGS: These limitations resulted in delayed interventions, suboptimal care, and higher complication rates during intubation procedures...
March 14, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38486038/internet-of-things-enabled-open-source-assisted-real-time-blood-glucose-monitoring-framework
#29
JOURNAL ARTICLE
Abubeker K M, Ramani R, Raja Krishnamoorthy, Sreenivasulu Gogula, Baskar S, Sathish Muthu, Girinivasan Chellamuthu, Kamalraj Subramaniam
Regular monitoring of blood glucose levels is essential for the management of diabetes and the development of appropriate treatment protocols. The conventional blood glucose (BG) testing have an intrusive technique to prick the finger and it can be uncomfortable when it is a regular practice. Intrusive procedures, such as fingerstick testing has negatively influencing patient adherence. Diabetic patients now have an exceptional improvement in their quality of life with the development of cutting-edge sensors and healthcare technologies...
March 14, 2024: Scientific Reports
https://read.qxmd.com/read/38485802/association-of-maternal-cervical-cancer-screening-adherence-with-adolescent-hpv-vaccination-among-adolescent-mother-pairs
#30
JOURNAL ARTICLE
Adino Tesfahun Tsegaye, John Lin, Allison Cole, Adam A Szpiro, Darcy W Rao, Judd Walson, Rachel L Winer
Less than two-thirds of US adolescents are up-to-date with HPV vaccination. While mothers engaged in preventive care are more likely to seek preventive care for their children, current studies on associations between maternal cervical cancer screening (CCS) and adolescent HPV vaccination are needed. We assessed associations between maternal preventive service utilization and adolescent HPV vaccination using electronic health record data from a healthcare system in Washington State. We included adolescents (11-17 years) and their mothers with ≥ 1 primary care visit between 2018 and 2020...
March 14, 2024: Journal of Community Health
https://read.qxmd.com/read/38485519/trial-of-labor-versus-elective-cesarean-delivery-for-patients-with-two-prior-cesarean-sections-a-systematic-review-and-meta-analysis
#31
REVIEW
Hui Mao, Pinghua Shen
OBJECTIVE: Cesarean section (CS) rates have been on the rise globally, leading to an increasing number of women facing the decision between a Trial of Labor after two Cesarean Sections (TOLAC-2) or opting for an Elective Repeat Cesarean Section (ERCS). This study evaluates and compares safety outcomes of TOLAC and ERCS in women with a history of two previous CS deliveries. METHODS: PubMed, MEDLINE, EMbase, and Cochrane Central Register of Controlled Trials (CENTRAL) databases were searched for studies published until 30 June 2023...
December 2024: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/38485140/mass-drug-administration-for-neglected-tropical-disease-control-and-elimination-a-systematic-review-of-ethical-reasons
#32
JOURNAL ARTICLE
Juliette Hoefle-Bénard, Sabine Salloch
BACKGROUND: Neglected tropical diseases (NTDs) are a diverse group of debilitating diseases and conditions afflicting more than one billion people in impoverished communities. Control of these diseases is crucial to achieve Sustainable Development Goal 3 and the pledge to 'leave no one behind'. Relying on large-scale delivery of wide-spectrum drugs to individuals in at-risk communities irrespective of their health status, mass drug administration is a core strategy for tackling half of the NTDs targeted by the latest WHO roadmap (2021-2030)...
March 13, 2024: BMJ Global Health
https://read.qxmd.com/read/38485125/developing-systems-of-emergency-and-inpatient-neurologic-care-in-resource-limited-settings
#33
JOURNAL ARTICLE
Gentle Sunder Shrestha, Gaurav Nepal, Morgan Lippitt Prust
Neurologic diseases represent a significant global health challenge, leading to disability and mortality worldwide. Healthcare systems in low- and middle-income countries are disproportionally affected. In these resource-limited settings, numerous barriers hinder the effective delivery of emergency and inpatient neurologic care, including shortages of trained personnel, limited access to diagnostics and essential medications, inadequate facilities, and absence of rehabilitation services. Disparities in the neurology workforce, limited access to neuroimaging, and availability of acute interventions further exacerbate the problem...
March 14, 2024: Seminars in Neurology
https://read.qxmd.com/read/38485123/neurological-practice-in-the-time-of-war-perspectives-and-experiences-from-ukraine
#34
JOURNAL ARTICLE
Yuriy Flomin, Andriy Dubenko, Olga Dubenko, Larysa Sokolova, Tatyana Slobodin, Yevhen Shepotinnyk, Maryna Guliaieva, Francesca Romana Pezzella
The full-scale Russian invasion of Ukraine has significantly impacted the country's healthcare system. Insufficient infrastructure, destruction of medical facilities, and barriers to prevention and treatment efforts hinder the provision of timely, high-quality care to our patients. We aim to describe the impact of the war on neurological care across Ukraine. In this article, leading national experts in stroke, epilepsy, multiple sclerosis, and movement disorders describe their personal experience and efforts in organizing and providing care since the war started in February 2022...
March 14, 2024: Seminars in Neurology
https://read.qxmd.com/read/38484181/patient-perspectives-on-the-vital-primary-care-role-of-community-pharmacists-in-nova-scotia-canada-qualitative-findings-from-the-puppy-study
#35
JOURNAL ARTICLE
Jennifer E Isenor, Lauren Renaud, Maria Mathews, Bobbi Morrison, Andrea L Murphy, Andrea Bishop, Susan K Bowles, Natalie Kennie-Kaulbach, Sarah Peddle, Mylaine Breton, Michael E Green, Emily G Marshall
OBJECTIVES: Community pharmacists play an important role in primary care access and delivery for all patients, including patients with a family physician or nurse practitioner ("attached") and patients without a family physician or nurse practitioner ("unattached"). During the COVID-19 pandemic, community pharmacists were accessible care providers for unattached patients and patients who had difficulty accessing their usual primary care providers ("semi-attached"). Before and during the pandemic, pharmacist services expanded in several Canadian provinces...
March 14, 2024: International Journal of Pharmacy Practice
https://read.qxmd.com/read/38484179/unravelling-the-risk-of-poisoning-from-nicotine-containing-tobacco-products-in-children-less-than-five-years-of-age
#36
JOURNAL ARTICLE
Lynn M Crosby
For decades, young children in the United States have been accidentally poisoned by traditional tobacco products and the yearly incidence has slowly increased. More poisonings have accompanied the introduction of new products such as e-cigarettes and dissolvable tobacco, with renewed public attention. Using toxicological principles of human health risk assessment, published data from prior exposures, and information about the content and characteristics of specific products, I estimated the acute toxicological risk from exposure to various types and quantities of tobacco products for children <5 years old...
March 14, 2024: Nicotine & Tobacco Research
https://read.qxmd.com/read/38483924/healthcare-utilization-and-its-association-with-socioeconomic-status-in-china-evidence-from-the-2011-2018-china-health-and-retirement-longitudinal-study
#37
JOURNAL ARTICLE
Xi Li, Itismita Mohanty, Peipei Chai, Theo Niyonsenga
INTRODUCTION: Healthcare utilization often favors the higher-socioeconomic status (SES) and having chronic diseases may exacerbate this inequality. This study aims to examine the trends in health service use over time, the effect of SES on healthcare utilization, and the role of chronic diseases in this association. METHODS: Data used in this study were from the China Health and Retirement Longitudinal Study (CHARLS) in 2011, 2013, 2015, and 2018, which is the first nationally representative survey of the middle-aged and older...
2024: PloS One
https://read.qxmd.com/read/38483400/nanomaterials-boost-car-t-therapy-for-solid-tumors
#38
REVIEW
Jun Long, Yian Wang, Xianjie Jiang, Junshang Ge, Mingfen Chen, Boshu Zheng, Rong Wang, Meifeng Wang, Meifang Xu, Qi Ke, Jie Wang
T cell engineering, particularly via chimeric antigen receptor (CAR) modifications for enhancing tumor specificity, has shown efficacy in treating hematologic malignancies. The extension of CAR-T cell therapy to solid tumors, however, is impeded by several challenges: the absence of tumor-specific antigens, antigen heterogeneity, a complex immunosuppressive tumor microenvironment, and physical barriers to cell infiltration. Additionally, limitations in CAR-T cell manufacturing capacity and the high costs associated with these therapies restrict their widespread application...
March 14, 2024: Advanced Healthcare Materials
https://read.qxmd.com/read/38482874/2023-year-in-review
#39
EDITORIAL
Renata Schiavo
No abstract text is available yet for this article.
March 2024: Journal of Communication in Healthcare
https://read.qxmd.com/read/38482797/how-a-canadian-federal-organization-integrated-synoptic-reporting-and-quality-improvement-tools-to-drive-a-national-learning-health-system-in-cancer-surgery
#40
JOURNAL ARTICLE
Angel Arnaout, Jamie Brehaut, Christopher Hillis, Justin Presseau, Andrew Seely, Corinne Daly, Gavin Stuart, Michael Fung Kee Fung
Accurate and complete surgical and pathology reports are the cornerstone of treatment decisions and cancer care excellence. Synoptic reporting is a process for reporting specific data elements in a specific format in surgical and pathology reports. Since 2007, The Canadian Partnership Against Cancer has led the implementation of synoptic reporting mechanisms across multiple cancer disease sites and jurisdictions across Canada. While the implementation of synoptic reporting has been successful, its use to drive improvements in the quality of cancer care delivery has been lacking...
March 14, 2024: Healthcare Management Forum
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