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Palliative Care Research

19:26 EDT 16th October 2018 | BioPortfolio

Prevalence and Cost Analysis of Chronic Pain After Hernia Repair: A Potential Alternative Approach With Neurostimulation.

Chronic pain (CP) affects a significant number of patients following hernia repair, ranging from 11 to 54% in the literature. The aim of this study was to assess the prevalence, overall costs, and health care utilization associated with CP after hernia repair.

Developing a foot ulcer risk model: what is needed to do this in a real-world primary care setting?

To determine how routinely collected data can inform a risk model to predict de novo foot ulcer presentation in the primary care setting.

Comparison of the Quality of Pediatric Randomized Controlled Trials Published in Both Nursing and Medical Journals: Adherence to the CONSORT Statement.

Nursing care should be based on scientific evidence. However, studies must be performed rigorously with accurate reporting for their findings to be applicable to practice. Since the body of scientific nursing literature is broad, the quality and validity of its findings should be regularly controlled and verified to ensure their application and their practical impact.

Long-term impact of belimumab on health-related quality of life and fatigue in patients with systemic lupus erythematosus: 6 years of treatment.

To report long-term health-related quality of life (HRQoL) and fatigue outcomes in patients with systemic lupus erythematosus (SLE) receiving belimumab.

Identification and evaluation of self-reported physical activity instruments in adults with osteoarthritis: A systematic review.

To identify and evaluate the measurement properties of self-report physical activity (PA) instruments suitable for those with osteoarthritis (OA).

Factors associated with hand and upper arm functional disability in people with rheumatoid arthritis: A systematic review.

This original systematic review aimed to summarize evidence within observational studies on the factors associated with hand functional disability in adults with Rheumatoid Arthritis (RA).

Prolapse and urinary incontinence in women : place of the general practitioner.

The ageing of the population, having access to good quality of care, will result in an increase in the prevalence of pelvic floor diseases. Those persons, often in good general health, may experience difficulties in accepting functional pathologies, associated with loss in quality of life. One out of 2 women will have a pelvic floor problem and 1 out of 9 will have a surgical perineal procedure be...

Geriatric odontology.

The proportion of the world's population over 60 years-old will double between the years 2000 and 2050, from about 11 to 22 %. Good oral hygiene, prevention and dental care play a key role in slowing down our functional abilities.

Ulcerations and erosions of the oral mucosa.

Ulcerations and erosions of the oral mucosa are common and occur at any age. Their knowledge and recognition are essential to ensure optimal care at the earliest stage. Etiologies are numerous and the subject of different classifications. In this work, the authors address the most frequently encountered lesions, describing their main clinical presentations. A review of treatments is then proposed.

New strategies in specific care for benign prostatic hypertrophy in older men.

Beyond its scientific and ethical competencies, a good doctor is characterized by his communication skills. The ability to listen is fundamental. During an interview, the physician must keep in mind a bio-psycho-social approach while being able to hear the unspeakable and inaudible. Knowledge of patients and their relatives, which seems to be a specific knowledge for general practitioners, offers ...

Knowledge, principal support, self-efficacy, and beliefs predict commitment to trauma-informed care.

Organizations are identifying trauma-informed care (TIC) as a priority yet implementation is slow. Research suggests commitment to a change effort is an important predictor for change behavior; however, there is little theoretical or empirical evidence exploring commitment to TIC. This study examines the variables that predict affective commitment to TIC including foundational knowledge, principal...

Critical Care in Sub-Saharan Africa: Is It Ready for Prime Time?

Reply: Making Critical Care Ready for Prime Time in Sub-Saharan Africa.

Using a sociomaterial approach to generate new insights into the nature of interprofessional collaboration: Findings from an inpatient medicine teaching unit.

Today's hospitals are burdened with patients who have complex health needs. This is readily apparent in an inpatient internal medicine setting. While important elements of effective interprofessional collaboration have been identified and trialled across clinical settings, their promise continues to be elusive. One reason may be that caring for patients requires understanding the size and complexi...

A pilot study of team-based primary health care for people with disabilities in South Korea.

To assess the feasibility of a primary health care (PHC) project for people with disabilities (PwDs) in South Korea, participants' experiences and perceptions were explored using the Analysis of Determinants of Policy Impact (ADEPT) model as a guide. Three focus group interviews and three one-on-one interviews were administered, and a directed content analysis was conducted based on four determina...

Perspectives on patients and carers in leading teaching roles in interprofessional education.

The involvement of patients and carers is central to the values of interprofessional education (IPE) which aims to improve the experience of care and care delivery. Partnership arrangements with service users and carers within Higher Education Institutions face the same barriers relating to status, power, and resources, as the implementation of IPE. The complexity of these alignments can be explai...

International Radiotherapy Referrals From Rural Rwanda: Implementation Processes and Early Clinical Outcomes.

Low- and middle-income countries disproportionately comprise 65% of cancer deaths. Cancer care delivery in resource-limited settings, especially low-income countries in sub-Saharan Africa, is exceedingly complex, requiring multiple modalities of diagnosis and treatment. Given the vast human, technical, and financial resources required, access to radiotherapy remains limited in sub-Saharan Africa. ...

Results From a Health Insurer's Clinical Pathway Program in Breast Cancer.

Pathway regimens are value-driven, evidence-based therapies that aim at high-quality, affordable cancer care. There are few real-world data to support the value of such regimens, especially for patients with breast cancer.

Interprofessional Models for Shared Decision Making: The Role of the Health Care Chaplain.

Shared decision making (SDM) is a central component of patient-centered care; however, a minimal amount is known about what health care chaplains contribute to this process. Data from 463 full-time chaplains practicing in the United States collected by an online survey was analyzed using SPSS 26 for bivariate and multivariate logistical regressions to identify variables impacting chaplain integrat...

Patient Reported Outcomes of Pastoral Care in a Hospital Setting.

This study aimed to establish whether Pastoral Care (PC) visits were an effective component of a hospitalized patient's overall health experience. Outcomes of PC visits were reported by 369 patients in 7 sites across Australia. The patient reported outcomes of PC visits included: the patients felt they could be honest with themselves, with a sense of peace, a better perspective of their illness, l...

Interprofessional education at the meso level: taking the next step in IPE.

The downstream demand for professionals with competence in Interprofessional Collaboration (IPC) has contributed to the substantial growth in the upstream demand for interprofessional education (IPE). The majority of IPE programs focuses exclusively on direct care practitioners and seldom include those responsible for the administration and management of care. Unfortunately, complex reimbursement ...

Profound health-care discrimination experienced by transgender people: rapid systematic review.

Transgender people experience interpersonal and structural barriers which prevent them from accessing culturally and medically competent health care. This rapid systematic review examined the prevalence of health-care discrimination among transgender people in the U.S. and drew comparisons with sexual minority samples and the general U.S. population. Eight primary studies with 35 prevalence estima...

The influence of autonomy on personal support workers' job satisfaction, capacity to care, and intention to stay.

Using survey data collected in Ontario, Canada, we explore the impacts of autonomy on community-based Personal Support Workers' intrinsic job satisfaction, capacity to care for and about clients, and intention to continue working in home care. Autonomy was measured as "freedom to decide how to do your job" and "working on your own." Findings show that freedom to do your job and working on your own...

Pediatric integrated behavioral health service delivery models: Using a federal framework to assess levels of integration.

To assess the level of integration of pediatric integrated behavioral health service delivery models (IBHSDM) since it has not been well established.

Cost-effectiveness of interventions for medically unexplained symptoms: A systematic review.

In primary and secondary care medically unexplained symptoms (MUS) or functional somatic syndromes (FSS) constitute a major burden for patients and society with high healthcare costs and societal costs. Objectives were to provide an overview of the evidence regarding the cost-effectiveness of interventions for MUS or FSS, and to assess the quality of these studies.

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