keyword
https://read.qxmd.com/read/38524960/exploring-psychiatrists-experiences-during-transition-from-mental-health-act-1987-to-mental-healthcare-act-2017-in-goa-india
#21
JOURNAL ARTICLE
Rohan Vanagundi, Sneha Pokle, Rohit Walwaikar, Shilpa Waikar
BACKGROUND: Mental Healthcare Act 2017 (MHCA) came into force on 29 May 2018. Goa State Mental Health Authority (GSMHA) notified the Mental Health Review Board on 8 February 2022, completing the important process of implementation of the act. The transition comes with challenges. METHODS: A qualitative study was conducted with 18 practicing psychiatrists who had worked under Mental Health Act 1987 as well as MHCA 2017 through purposive sampling across Goa. Data was collected through individual interviews; analysis was done by Braune and Clarke's framework of Thematic Analysis...
January 2024: Indian Journal of Psychological Medicine
https://read.qxmd.com/read/38524863/nutritional-status-link-with-polioseronegativity-among-children-from-poliomyelitis-transmission-high-risk-area-of-the-democratic-republic-of-the-congo-drc
#22
JOURNAL ARTICLE
Guillaume N Mwamba, Michel Kabamba Nzaji, Nicole A Hoff, Patrick K Mukadi, Kamy Kaminye Musene, Sue K Gerber, Megan Halbrook, Cyrus Sinai, Trevon Fuller, Oscar Luboya Numbi, Emile Okitolonda Wemakoy, Jean Jacques Muyembe Tamfum, Dalau Nkamba Mukadi, Mala Ali Mapatano, Anne W Rimoin, Paul-Samson Lusamba Dikassa
BACKGROUND: Malnutrition is identified as a risk-factor for insufficient polioseroconversion in the context of a vaccine-derived polio virus (VDPV) outbreak prone region. To assess the prevalence of malnutrition and its link to poliovirus insufficient immunity, a cross-sectional household survey was conducted in the regions of Haut- Lomami and Tanganyika, DRC. METHODS: In March 2018, we included 968 healthy children aged 6 to 59 months from eight out of 27 districts...
2024: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/38523960/variation-in-access-to-palliative-radiotherapy-in-prostate-cancer-a-population-based-study-in-canada
#23
JOURNAL ARTICLE
Alborz Jooya, Daniel Qureshi, William J Phillips, Jennifer Leigh, Colleen Webber, Ajay Aggarwal, Peter Tanuseputro, Scott Morgan, Robert Macrae, Michael Ong, Jean-Marc Bourque
BACKGROUND: As a result of improvements in cancer therapies, patients with metastatic malignancies are living longer, and the role of palliative radiotherapy has become increasingly recognized. However, access to adequate palliative radiotherapy may continue to be a challenge, as is evident from the high proportion of patients dying of prostate cancer who never receive palliative radiotherapy. The main objective of this investigation is to identify and describe the factors associated with the receipt of palliative radiation treatment in a decedent cohort of prostate cancer patients in Ontario...
February 2024: Curēus
https://read.qxmd.com/read/38523906/case-report-neglected-subacute-thyroiditis-a-case-following-covid-19-vaccination
#24
Shuai Yang, Ting Guan, HuanYi Yang, YiRong Hu, Yan Zhao
We report a case of overlooked Subacute Thyroiditis (SAT) potentially induced by the administration of a COVID-19 vaccine. This case prompted a thorough review of the existing literature to elucidate possible mechanisms by which immune responses to the COVID-19 vaccine might precipitate thyroid damage. The primary objective is to enhance the clinical understanding and awareness of SAT among healthcare professionals. Subacute thyroiditis is a prevalent form of self-limiting thyroid disorder characterized by fever, neck pain or tenderness, and palpitations subsequent to viral infection...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38523801/updating-factors-influencing-nurse-work-engagement-in-the-hospital-settings-a-systematic-review
#25
REVIEW
Yupin Aungsuroch, Joko Gunawan, I Gede Juanamasta, Jed Montayre
BACKGROUND: Understanding the factors influencing work engagement among nurses is crucial for ensuring high-quality care and positive patient outcomes. Despite numerous factors associated with nurse work engagement, many were explored before the pandemic, potentially overlooking aspects relevant to the current context. AIM: To explore and update factors related to nurse work engagement in the new normal era. DESIGN: Systematic review. DATA SOURCES: The search was restricted to articles published from 2019 to 2024 in CINAHL, PubMed, Scopus, ScienceDirect, Web of Science, and ProQuest, with full English text...
2024: Journal of Healthcare Leadership
https://read.qxmd.com/read/38523315/outcomes-and-costs-in-patients-with-immune-thrombotic-thrombocytopenic-purpura-receiving-front-line-versus-delayed-caplacizumab-a-us-hospital-database-study
#26
JOURNAL ARTICLE
Alix Arnaud, Samantha Schilsky, Jackie Lucia, Marta Maia, Fernando Laredo, Ana Paula Marques, Hikaru Okada, Andrew W Roberts
European real-world data indicate that front-line treatment with caplacizumab is associated with improved clinical outcomes compared with delayed caplacizumab treatment. The objective of the study was to describe the characteristics, treatment patterns, and outcomes in hospitalized patients with an immune-mediated thrombotic thrombocytopenic purpura (iTTP) episode treated with front-line versus delayed caplacizumab in the US. This retrospective cohort analysis of a US hospital database included adult patients (≥18 years) with an acute iTTP episode (a diagnosis of thrombotic microangiopathy and ≥1 therapeutic plasma exchange [TPE] procedure) from January 21, 2019, to February 28, 2021...
2024: Clinical and Applied Thrombosis/hemostasis
https://read.qxmd.com/read/38522909/amputation-free-home-management-of-infected-lower-extremity-pressure-ulcer-through-shared-decision-making-enhancing-the-quality-of-life-and-highlighting-societal-significance-in-home-care
#27
JOURNAL ARTICLE
Kemmyo Sugiyama, Toru Tsuboya, Seitaro Nakagawa, Toshihiro Kikuchi, Yusuke Tanoue
Home healthcare is important for allowing patients to live their lives. However, home-care bedridden patients often experience pressure ulcers in the lower extremities, which can lead to life-threatening infections requiring decisions on the need for amputation. We herein report a patient with an infected lower-limb pressure ulcer with a history of spinal injury. The patient, his family, and the home-care physician repeatedly shared decision-making to deliver home-based treatment instead of amputation. Administration of wound dressing, AQUACEL® Ag, led to complete epithelialization...
March 25, 2024: Internal Medicine
https://read.qxmd.com/read/38521529/characteristics-of-constipation-screening-and-assessment-tools-a-scoping-review-protocol
#28
JOURNAL ARTICLE
Lene Odgaard, Anne A Rasmussen, Rebecca Feo, Pia Kjær Kristensen
INTRODUCTION: Constipation is a common and significant burden on individuals and healthcare systems. Accurate assessment of constipation severity and symptom improvement are vital aspects of caring for patients with constipation. Therefore, nurses and allied healthcare professionals should possess knowledge regarding the characteristics of constipation assessment tools (ie, aim, scope, definition of constipation, content, structure, mode, administration time and context of use). However, existing reviews summarising characteristics of tools have been restricted to chronic constipation and self-reported measures...
March 23, 2024: BMJ Open
https://read.qxmd.com/read/38520626/patterns-of-comorbidities-and-prescribing-and-dispensing-of-non-steroidal-anti-inflammatory-drugs-nsaids-among-patients-with-osteoarthritis-in-the-usa-real-world-study
#29
JOURNAL ARTICLE
Joshua Ide, Azza Shoaibi, Kerstin Wagner, Rachel Weinstein, Kathleen E Boyle, Andrew Myers
BACKGROUND: Osteoarthritis (OA) is a major cause of chronic pain. Non-steroidal anti-inflammatory drugs (NSAIDs) are analgesics commonly used for musculoskeletal pain; however, NSAIDs can increase the risk of certain adverse events, such as gastrointestinal bleeding, edema, heart failure, and hypertension. OBJECTIVE: The objective of this study was to characterize existing comorbidities among patients with OA. For patients with OA with and without a coexisting medical condition of interest (CMCOI), we estimated the prevalence of prescribing and dispensing NSAIDs pre-OA and post-OA diagnosis...
March 23, 2024: Drugs & Aging
https://read.qxmd.com/read/38519949/how-external-and-agency-characteristics-are-related-to-coordination-in-homecare-findings-of-the-national-multicenter-cross-sectional-spot-nat-study
#30
JOURNAL ARTICLE
Nathalie Möckli, Michael Simon, Kris Denhaerynck, Diana Trutschel, Tania Martins, Carla Meyer-Massetti, Franziska Zúñiga
BACKGROUND: Homecare client services are often distributed across several interdependent healthcare providers, making proper care coordination essential. However, as studies exploring care coordination in the homecare setting are scarce, serious knowledge gaps exist regarding how various factors influence coordination in this care sector. To fill such gaps, this study's central aim was to explore how external factors (i.e., financial and regulatory mechanisms) and homecare agency characteristics (i...
March 22, 2024: BMC Health Services Research
https://read.qxmd.com/read/38519938/multimorbidity-healthcare-expenditure-in-belgium-a-4-year-analysis-comorb-study
#31
JOURNAL ARTICLE
Phuong Bich Tran, Georgios F Nikolaidis, Emmanuel Abatih, Philippe Bos, Finaba Berete, Vanessa Gorasso, Johan Van der Heyden, Joseph Kazibwe, Ewan Morgan Tomeny, Guido Van Hal, Philippe Beutels, Josefien van Olmen
BACKGROUND: The complex management of health needs in multimorbid patients, alongside limited cost data, presents challenges in developing cost-effective patient-care pathways. We estimated the costs of managing 171 dyads and 969 triads in Belgium, taking into account the influence of morbidity interactions on costs. METHODS: We followed a retrospective longitudinal study design, using the linked Belgian Health Interview Survey 2018 and the administrative claim database 2017-2020 hosted by the Intermutualistic Agency...
March 22, 2024: Health Research Policy and Systems
https://read.qxmd.com/read/38519908/translation-and-validation-of-menopause-quick-6-mq6-into-the-malay-language
#32
JOURNAL ARTICLE
Anusha Manoharan, Megat Muhammad Harris, Beh Hooi Chin, Koh Wen Ming, Zamzurina Asmuee, Norafini Salamon, Jerampang Pefer, H Radhiyah, M Nadia Hamimmah, Susan Goldstein, Shamala Ramasamy, Chandrashekhar T Sreeramareddy
BACKGROUND: Inquiring conservative Asian women about their menopausal symptoms is often challenging in crowded primary healthcare clinics. Furthermore, the subject matter is culturally sensitive to most Malaysian women. Hence, the translation of MQ6 into Malay is crucial to enable self-administration, eliminating the necessity for interviewers and mitigating potential respondent shyness. METHODS: The Menopause Quick 6 (MQ6) questionnaire was translated into the Malay language with an addition of an item, henceforth termed MQ6 (M)...
March 22, 2024: BMC Prim Care
https://read.qxmd.com/read/38519329/recent-developments-in-convenience-of-administration-of-the-anti-cd38-antibody-isatuximab-subcutaneous-delivery-and-fast-intravenous-infusion-in-patients-with-multiple-myeloma
#33
REVIEW
Hang Quach, Gurdeep Parmar, Maria-Victoria Mateos, Sikander Ailawadhi, Xavier Leleu
Isatuximab-based combinations are among the accepted standard-of-care regimens for early-line treatment of patients with relapsed/refractory multiple myeloma (RRMM), based on the results of the Phase 3 ICARIA-MM and IKEMA trials. Further study findings have shown benefit with Isa-based combinations in patients with newly diagnosed MM, as reported from the randomized GMMG-HD7 and CONCEPT trials. Isa is currently approved in various countries for intravenous (IV) administration in patients with RRMM. A more convenient route of administration, such as subcutaneous (SC) injection, and faster IV infusion may substantially increase convenience of treatment...
February 12, 2024: Clinical Lymphoma, Myeloma & Leukemia
https://read.qxmd.com/read/38519089/consensus-based-quality-standards-for-emergency-departments-in-palestine
#34
JOURNAL ARTICLE
Abed Alra'oof Bani Odeh, Lee A Wallis, Motasem Hamdan, Willem Stassen
OBJECTIVES: The present study aimed to establish appropriate quality standards for emergency departments (EDQS) in Palestine. METHODS: The study comprised four phases. First, a comprehensive literature review was conducted to develop a framework for assessing healthcare services in EDs. Second, the initial set of EDQS was developed based on the review findings. Third, local experts provided feedback on the EDQS, suggesting additional standards, and giving recommendations...
March 22, 2024: BMJ Open Quality
https://read.qxmd.com/read/38517926/incidence-of-type-2-diabetes-cardiovascular-disease-and-chronic-kidney-disease-in-patients-with-multiple-sclerosis-initiating-disease-modifying-therapies-retrospective-cohort-study-using-a-frequentist-model-averaging-statistical-framework
#35
JOURNAL ARTICLE
Alan J M Brnabic, Sarah E Curtis, Joseph A Johnston, Albert Lo, Anthony J Zagar, Ilya Lipkovich, Zbigniew Kadziola, Megan H Murray, Timothy Ryan
Researchers are increasingly using insights derived from large-scale, electronic healthcare data to inform drug development and provide human validation of novel treatment pathways and aid in drug repurposing/repositioning. The objective of this study was to determine whether treatment of patients with multiple sclerosis with dimethyl fumarate, an activator of the nuclear factor erythroid 2-related factor 2 (Nrf2) pathway, results in a change in incidence of type 2 diabetes and its complications. This retrospective cohort study used administrative claims data to derive four cohorts of adults with multiple sclerosis initiating dimethyl fumarate, teriflunomide, glatiramer acetate or fingolimod between January 2013 and December 2018...
2024: PloS One
https://read.qxmd.com/read/38517522/comparing-major-and-mild-cognitive-impairment-risks-in-older-type-2-diabetic-patients-a-danish-register-based-study-on-dipeptidyl-peptidase-4-inhibitors-vs-glucagon-like-peptide-1-analogues
#36
JOURNAL ARTICLE
Vera Battini, Maria Antonietta Barbieri, Carla Carnovale, Edoardo Spina, Emilio Clementi, Maurizio Sessa
INTRODUCTION: The prevalence of major and mild cognitive impairment (CI) in type-2 diabetes older patients is 15-25% and 30-60%, respectively, thus affecting quality of life and health outcomes. There is, therefore, the need of head-to-head studies aiming at identifying the optimal treatment for individuals with type-2 diabetes at increased risk of mild and major CI. This study focuses on the risk of developing mild and major CI in Danish patients treated with dipeptidyl peptidase-4 inhibitors (DPP-4i) and glucagon-like peptide-1 analogues (GLP-1a) using administrative and healthcare registers...
March 22, 2024: Journal of Neurology
https://read.qxmd.com/read/38516434/navigating-the-future-the-transformative-impact-of-artificial-intelligence-on-hospital-management-a-comprehensive-review
#37
REVIEW
Shefali V Bhagat, Deepika Kanyal
This comprehensive review explores the transformative impact of artificial intelligence (AI) on hospital management, delving into its applications, challenges, and future trends. Integrating AI in administrative functions, clinical operations, and patient engagement holds significant promise for enhancing efficiency, optimizing resource allocation, and revolutionizing patient care. However, this evolution is accompanied by ethical, legal, and operational considerations that necessitate careful navigation. The review underscores key findings, emphasizing the implications for the future of hospital management...
February 2024: Curēus
https://read.qxmd.com/read/38516417/telehealth-and-technology-for-diabetes-in-pregnancy-clinics-staff-perspectives-from-south-auckland-new-zealand
#38
JOURNAL ARTICLE
Megan Singhal, Charlotte Oyston
Providing care for patients with diabetes in pregnancy (DiP) provides unique challenges beyond those faced in standard antenatal care or diabetes outside of pregnancy. Teleclinics (use of telephone, email, or other technologies) as an alternative to in-person clinic appointments have become more widely used for care since the start of the COVID-19 pandemic. To understand how teleclinics might be improved for ongoing use, it is important to understand the experiences and perceptions of the clinicians involved in DiP care...
2024: International Journal of Telemedicine and Applications
https://read.qxmd.com/read/38516360/surge-capacity-of-taipei-s-regional-emergency-medical-system-during-covid-19-a-system-dynamics-approach
#39
JOURNAL ARTICLE
Chih Chang Chen, Su Ying Hung
BACKGROUND: The community transmission of COVID-19 has caused the breakdown of the regional emergency medical system (REMS), impacting the rights and care of regional patients with acute and severe conditions. This study proposes a model for the surge capacity of REMS to plan for readiness and preparedness during challenging events that overload capacity. METHODS: The surge capacity of REMS during the COVID-19 pandemic was studied. The data collection included 26 hospitals that received the data...
2024: Emergency Medicine International
https://read.qxmd.com/read/38516106/risk-of-acute-kidney-injury-in-critically-ill-patients-with-covid-19-compared-with-seasonal-influenza-a-retrospective-cohort-study
#40
JOURNAL ARTICLE
Pauline Yeung Ng, April Ip, Andrew Kei-Yan Ng, Simon Wai-Ching Sin, Jasper Fuk-Woo Chan, Kelvin Kai-Wang To, Desmond Yat-Hin Yap
BACKGROUND: The SARS-CoV-2 virus can bind to angiotensin-converting enzyme 2 receptors on host renal cells and may cause acute kidney injury (AKI). The comparative risks of AKI in patients severely ill with COVID-19 and influenza A have not been examined. METHODS: This is a retrospective cohort study including patients with positive PCR results for SARS-CoV-2 or influenza A virus admitted to the intensive care units (ICUs) of 15 public hospitals in Hong Kong between 1st January 2013 and 30th April 2023...
April 2024: EClinicalMedicine
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