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Collaborative Care

Bolajoko O Olusanya, Petrus J de Vries
No abstract text is available yet for this article.
September 18, 2018: Lancet Child & Adolescent Health
David Mo, Nathan N O'Hara, Ross Hengel, Alexander R Cheong, Ash Singhal
OBJECTIVE: Leaders of a pediatric trauma team are tasked with managing rapidly changing diagnostic and treatment challenges, while ensuring the entire team functions effectively to produce optimal patient outcomes. An effective trauma team leader is often thought to be self-evident, and there is little formal literature identifying the leadership characteristics and attributes associated with optimal trauma team performance. The purpose of this study was to elicit the trauma team leader traits and characteristics deemed of greatest utility by members of the pediatric trauma team...
September 18, 2018: Journal of Surgical Education
Barbara Farrell, James Conklin, Lisa Dolovich, Hannah Irving, Malcolm Maclure, Lisa McCarthy, Frank Moriarty, Kevin Pottie, Lalitha Raman-Wilms, Emily Reeve, Wade Thompson
Deprescribing is a clinically important and feasible innovation that ensures medication efficacy, reduces harms, and mitigates polypharmacy. It involves reducing doses or stopping medications that are not useful, no longer needed, or which may be causing harm. It may also involve changing to a safer agent or using non-pharmacological approaches for care instead. Clinical guidelines combined with behaviour changes (of health care providers (HCPs), the public, and health care decision-makers) are needed to integrate deprescribing into routine practice...
September 18, 2018: Research in Social & Administrative Pharmacy: RSAP
James Conklin, Barbara Farrell, Salima Suleman
A Bruyère Evidence-Based Deprescribing Guideline Symposium was held in March 2018; one component focused on implementing deprescribing guidelines into practice. An interactive discussion activity allowed the 107 participants to share experiences and ideas concerning the barriers and facilitators that arise when moving deprescribing guidelines into frontline practice. Participants identified 8 broad challenges and problem areas. These included challenges and barriers that arise in the daily practices of pharmacists and prescribers and in other health care settings, and those related to existing policies, processes, and financial structures...
September 18, 2018: Research in Social & Administrative Pharmacy: RSAP
Valentin Goede, Reinhard Stauder
Multidisciplinary care is believed to provide benefits to patients with cancer. Tumor board conferences as well aspalliative care or psycho-oncological services have not only become common in oncology, but also in hematology clinics dedicated to the treatment of hematological cancers. Malignant hematological diseases are highly prevalent among older persons. Demographic changes in many countries worldwide are prompting the integration of geriatric principles, methodology, and expertise into existing procedures and infrastructure of multidisciplinary care in hematology clinics...
September 18, 2018: Journal of Geriatric Oncology
Emily K Shuman, Carol E Chenoweth
Catheter-associated urinary tract infection remains one of the most prevalent, yet preventable, health care-associated infections. General prevention strategies include strict adherence to hand hygiene and antimicrobial stewardship. Duration of urinary catheterization is the most important modifiable risk factor. Targeted prevention strategies include limiting urinary catheter use; physician reminder systems, nurse-initiated discontinuation protocols, and automatic stop orders have successfully decreased catheter duration...
September 18, 2018: Infectious Disease Clinics of North America
Silvina Frech, Catherine A Muha, Lisa M Stevens, Edward L Trimble, Roxanne Brew, Doug Puricelli Perin, Silvana Luciani, Alejandro Mohar, Marion Piñeros, Tatiana Vidaurre, Douglas R Morgan, Ernest T Hawk, Kathleen M Schmeler, Lewis E Foxhall, Cristina Rabadan-Diehl, Denise Duran, Melissa Rendler-Garcia, Eduardo L Cazap, Luiz Santini, Walter Zoss, Lucia B Delgado, Paul C Pearlman, Leslie Given, Karin Hohman, Melissa S Lopez, Brenda Kostelecky
According to the Pan American Health Organization, noncommunicable diseases, including cancer, are the leading causes of preventable and premature death in the Americas. Governments and health care systems in Latin America face numerous challenges as a result of increasing morbidity and mortality from cancer. Multiple international organizations have recognized the need for collaborative action on and technical support for cancer research and control in Latin America. The Center for Global Health at the US National Cancer Institute (NCI-CGH) is one entity among many that are working in the region and has sought to develop a strategy for working in Latin America that draws on and expands the collaborative potential of engaged, skilled, and diverse partners...
September 2018: Journal of Global Oncology
Carolyn Bain, Tara Hayes Constant, Ines Contreras, Ana Maria Burga Vega, Jose Jeronimo, Vivien Tsu
PURPOSE: Late-stage breast cancer detection should be something of the past; however, it is still all too common in low-resource areas, including Peru, where 57% of women diagnosed with cancer are diagnosed at stage III or IV disease. Early detection of breast cancer is feasible in low-resource semirural and rural areas where mammography is rarely accessible. METHODS: PATH collaborated with Peruvian health institutions at local, regional, and national levels to design and implement a model of care for the early detection of breast cancer in Peru...
September 2018: Journal of Global Oncology
Claire Neal, Christian Rusangwa, Ryan Borg, Neo Tapela, Jean Claude Mugunga, Natalie Pritchett, Cyprien Shyirambere, Elisephan Ntakirutimana, Paul H Park, Lawrence N Shulman, Tharcisse Mpunga
PURPOSE: The cost of providing cancer care in low-income countries remains largely unknown, which creates a significant barrier to effective planning and resource allocation. This study examines the cost of providing comprehensive cancer care at the Butaro Cancer Center of Excellence (BCCOE) in Rwanda. METHODS: A retrospective costing analysis was conducted from the provider perspective by using secondary data from the administrative systems of the BCCOE. We identified the start-up funds necessary to begin initial implementation and determined the fiscal year 2013-2014 operating cost of the cancer program, including capital expenditures and fixed and variable costs...
September 2018: Journal of Global Oncology
Albert C Yeh, Mohiuddin A Khan, Jason Harlow, Akhil R Biswas, Mafruha Akter, Jannatul Ferdous, Tasneem Ara, Manirul Islam, Martin Caron, Anne-Marie Barron, Jenna Moran, Mark Brezina, Humayra Nazneen, Md Kamruzzaman, Anup Saha, Ariela Marshall, Salma Afrose, Christopher Stowell, Frederic Preffer, David Bangsberg, Annekathryn Goodman, Eyal Attar, Steven McAfee, Thomas R Spitzer, Bimalangshu R Dey
PURPOSE: Treatment of malignant and nonmalignant hematologic diseases with hematopoietic stem-cell transplantation (HSCT) was first described almost 60 years ago, and its use has expanded significantly over the last 20 years. Whereas HSCT has become the standard of care for many patients in developed countries, the significant economic investment, infrastructure, and health care provider training that are required to provide such a service have prohibited it from being widely adopted, particularly in developing countries...
September 2018: Journal of Global Oncology
Scott A Turner, Sophie J Deharvengt, Kathleen Doyle Lyons, Jorge Arturo Plata Espinal, Ethan P M LaRochelle, Suyapa Bejarano, Linda Kennedy, Gregory J Tsongalis
PURPOSE: Cervical cancer is a leading cause of cancer-related mortality in low- and middle-income countries (LMICs) and screening in LMICs is extremely limited. We aimed to implement on-site high-risk human papillomavirus (hrHPV) DNA testing in cohorts of women from an urban factory and from a rural village. METHODS: A total of 802 women were recruited for this study in partnership with La Liga Contra el Cancer through the establishment of women's health resource fairs at two locations in Honduras: a textile factory (n = 401) in the city of San Pedro Sula and the rural village of El Rosario (n = 401) in Yoro...
September 2018: Journal of Global Oncology
Alexandra S Rashedi, Saskia F de Roo, Lauren M Ataman, Maxwell E Edmonds, Adelino Amaral Silva, Anibal Scarella, Anna Horbaczewska, Antoinette Anazodo, Ayse Arvas, Bruno Ramalho de Carvalho, Cassio Sartorio, Catharina C M Beerendonk, Cesar Diaz-Garcia, Chang Suk Suh, Cláudia Melo, Claus Yding Andersen, Eduardo Motta, Ellen M Greenblatt, Ellen Van Moer, Elnaz Zand, Fernando M Reis, Flor Sánchez, Guillermo Terrado, Jhenifer K Rodrigues, João Marcos de Meneses E Silva, Johan Smitz, Jose Medrano, Jung Ryeol Lee, Katharina Winkler-Crepaz, Kristin Smith, Lígia Helena Ferreira Melo E Silva, Ludwig Wildt, Mahmoud Salama, María Del Mar Andrés, Maria T Bourlon, Mario Vega, Maurício Barbour Chehin, Michel De Vos, Mohamed Khrouf, Nao Suzuki, Osama Azmy, Paula Fontoura, Paulo Henrique Almeida Campos-Junior, Peter Mallmann, Ricardo Azambuja, Ricardo M Marinho, Richard A Anderson, Robert Jach, Roberto de A Antunes, Rod Mitchell, Rouhollah Fathi, Satish Kumar Adiga, Seido Takae, Seok Hyun Kim, Sergio Romero, Silvana Chedid Grieco, Talya Shaulov, Tatsuro Furui, Teresa Almeida-Santos, Willianne Nelen, Yasmin Jayasinghe, Yodo Sugishita, Teresa K Woodruff
PURPOSE: Oncofertility focuses on providing fertility and endocrine-sparing options to patients who undergo life-preserving but gonadotoxic cancer treatment. The resources needed to meet patient demand often are fragmented along disciplinary lines. We quantify assets and gaps in oncofertility care on a global scale. METHODS: Survey-based questionnaires were provided to 191 members of the Oncofertility Consortium Global Partners Network, a National Institutes of Health-funded organization...
September 2018: Journal of Global Oncology
Jo Anne Zujewski, Allison L Dvaladze, Andre Ilbawi, Benjamin O Anderson, Silvana Luciani, Lisa Stevens, Julie Torode
Breast cancer is the most common cancer in women worldwide, affecting > 1.6 million women each year, projected to increase to 2.2 million cases annually by 2025. A disproportionate number of the > 500,000 women who die as a result of breast cancer each year reside in low-resource settings. Breast cancer control is an important component of cancer control planning and women's health programs, and tools are needed across the care continuum to reduce the cancer burden, especially in low-resource settings...
September 2018: Journal of Global Oncology
Fabien Calvo, Giovanni Apolone, Michael Baumann, Carlos Caldas, Julio E Celis, Franceso de Lorenzo, Ingemar Ernberg, Ulrik Ringborg, John Rowell, Josep Tabernero, Emile Voest, Alexander Eggermont
Translational cancer research covers the whole cancer research continuum from basic to preclinical to early clinical, late clinical and outcomes research. Basic-preclinical research is the "engine" for early clinical research bridging the early translational research gap. Cancer Core Europe has been created to construct a sustainable, high level, shared research infrastructure platform with research collaborations and taskforces (data sharing, clinical trials, genomics, immunotherapy, imaging, legal & ethical problems, and education & training) having representatives from all seven member centres, in a controlled expansion model...
September 18, 2018: European Journal of Cancer
Jinani Jayasekera, Clyde B Schechter, Joseph A Sparano, Reshma Jagsi, Julia White, Judith-Anne W Chapman, Timothy Whelan, Stewart J Anderson, Anthony W Fyles, Willi Sauerbrei, Richard C Zellars, Yisheng Li, Juhee Song, Xuelin Huang, Thomas B Julian, George Luta, Donald A Berry, Eric J Feuer, Jeanne Mandelblatt
Background: Radiotherapy after breast conservation has become the standard of care. Prior meta-analyses on effects of radiotherapy predated availability of gene expression profiling (GEP) to assess recurrence risk and/or did not include all relevant outcomes. This analysis used GEP information with pooled individual-level data to evaluate the impact of omitting radiotherapy on recurrence and mortality. Methods: We considered trials that evaluated or administered radiotherapy after lumpectomy in women with low-risk breast cancer...
September 18, 2018: Journal of the National Cancer Institute
Erica Fischer-Cartlidge, Mikel Ross, Karen Hernández, Ashley Featherstone, Curt Haase
BACKGROUND: Chemotherapy-induced alopecia is a well-known side effect of some types of cancer treatments. With U.S. Food and Drug Administration clearance of two scalp cooling machines, patients with cancer now have the opportunity to minimize this hair loss. However, multiple barriers can exist for organizations when establishing a scalp cooling program. OBJECTIVES: This article describes the experience of a large multisite organization that implemented a machine-based scalp cooling program...
October 1, 2018: Clinical Journal of Oncology Nursing
Natalie Gordon Lynch, Alexandra Kesler Johnson
BACKGROUND: Human immunodeficiency virus (HIV) is caused by a cytopathic lentivirus. HIV without adequate treatment during pregnancy can result in maternal to child transmission (MCT) of the virus. Sequelae can include severe lifelong morbidities, shorter life expectancies, and high mortality rates without antiretroviral therapy. PURPOSE: To discuss epidemiological trends, pathophysiology, and clinical care guidelines including those for diagnosis, treatment, and management of MCT of HIV in the United States...
October 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Sonali Basu, Richard Holubkov, J Michael Dean, Kathleen L Meert, Robert A Berg, Joseph Carcillo, Christopher J L Newth, Rick E Harrison, Murray M Pollack
OBJECTIVES: Autopsy rates in North American Children's hospitals have not been recently evaluated. Our objectives were 1) to determine the autopsy rates from patients cared for in PICUs during a portion of their hospital stay, 2) to identify patient characteristics associated with autopsies, and 3) to understand the relative role of medical examiner cases. DESIGN: Secondary analysis of data prospectively collected from a sample of patients (n = 10,078) admitted to PICUs affiliated with the Collaborative Pediatric Critical Care Research Network between December 2011 and April 2013...
September 19, 2018: Pediatric Critical Care Medicine
Tsuyoshi Okamura, Chiaki Ura, Fumiko Miyamae, Mika Sugiyama, Hiroki Inagaki, Edahiro Ayako, Murayama Hiroshi, Keiko Motokawa, Shuichi Awata
AIM: Late-life depression is identified less often by general practitioners than depression in younger adults, but failure to have late-life depression recognized in a primary care setting can have fatal consequences. The aim of the present study was to examine the prevalence of depressed mood and loss of interest, and identify associated factors among community-dwelling older adults in a large-scale study. METHODS: A questionnaire was mailed to all residents (n = 132 005) aged ≥65 years in one Tokyo district...
September 20, 2018: Geriatrics & Gerontology International
Fatma Özkan Tuncay, Özgül Yaşar, Gülgün Sevimligül
AIM: The present study aimed to determine conflict-resolution styles of nurse managers working in hospitals where organisational conflicts are common, and factors affecting their styles. BACKGROUND: When conflicts and/or administrative problems are encountered at different levels of nursing services, nurse managers' communication skills and approaches play a key role in problem solving. METHODS: This study was conducted in Sivas, a province in the eastern part of Turkey...
September 20, 2018: Journal of Nursing Management
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