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Showing "Patient Brokers Exploit Vulnerable Recovery Seekers Warns Novus" PubMed Articles 1–25 of 15,000+

Emerging Adults and Recovery Capital: Barriers and Facilitators to Recovery.

Substance use disorders (SUDs) are chronic, relapsing brain disorders associated with morbidity, mortality, and high healthcare costs. Emerging adults are particularly vulnerable, with twice the risk of developing an SUD relative to their adult or adolescent counterparts. Emerging adults in addiction and recovery are understudied. Accordingly, the concept of recovery capital has been developed to account for the internal and external resources that an individual can mobilize to recover from an SUD. To bette...

Asylum Seekers in a Time of Record Forced Global Displacement: the Role of Physicians.

In 2016, over 65 million individuals were displaced from their homes due to human rights abuses, and 262,000 people applied for asylum in the USA. Individuals who have experienced persecution are present in many primary and specialty clinics. A medical forensic evaluation can increase the likelihood of a successful asylum case. This paper reviews the legal framework for asylum and the contribution forensic evaluations can make to this vulnerable population. Physicians without asylum expertise can help these...

Understanding Refugees' Health.

According to the United Nations Refugee Agency (UNHCR), 65.6 million people have been forcibly displaced worldwide. Several factors have a major influence on asylum seekers' health; so, their health profile is markedly different from that of the population in the country of asylum. The aim of this study is to review the major issues physicians need to be aware of when treating asylum seekers, with a special focus on the neurological problems of asylum seekers and refugees. The major impact factors on refuge...

Recovery of an injured medial lemniscus with concurrent recovery of pusher syndrome in a stroke patient: a case report.

A 67-year-old, right-handed male patient underwent craniotomy and drainage for hematoma removal related to an intracerebral hemorrhage (ICH) in the right thalamus and basal ganglia at the neurosurgery department of a university hospital.

Enhanced Recovery After Surgery-The Importance of the Perianesthesia Nurse on Program Success.

Continued advancements in perioperative care and anesthesia technology have improved surgical outcomes and accelerated the patient's ability to resume preoperative activities. With the current emphasis on decreased utilization of expensive hospital resources, a shorter length of stay while maintaining patient satisfaction is encouraged for maximum reimbursement. Through the implementation of evidence-based protocols that standardize care and promote patient medical optimization, the surgical stress response...

Recovery of an injured corticofugal tract from the supplementary motor area in a patient with traumatic brain injury: A case report.

We report on a patient with traumatic brain injury who showed motor recovery concurrent with recovery of injured corticofugal tracts (CFTs), diagnosed by diffusion tensor tractography (DTT).

Cortisol and behavioral reaction of low and high sensation seekers differ in responding to a sport-specific stressor.

Sensation seeking is closely related to practicing high-risk sports. This domain offers individuals an opportunity to achieve an increased level of arousal. Moreover, stress reactivity implies interindividual differences in the capacity to respond to a stressor. The purpose of this study was to examine whether high sensation seekers (HSS) compared to low sensation seekers (LSS) experience lower levels of stress on a physiological and psychological basis. Stress was induced in a sport-specific experimental p...

Limited health literacy predicts patient confusion about patient global assessments of disease activity and rheumatoid arthritis model disease states.

Visual analog scale patient global assessments (PGA-VAS) are widely used in rheumatoid arthritis (RA) practice and research. Low PGA-VAS scores are required for remission. Vulnerable patients may have difficulty completing the PGA-VAS. There is limited information about both patients' perceptions of PGA-VAS and how patients score VAS model disease states. The objective of this study is to understand vulnerable patients' perspectives regarding PGA-VAS and model disease states.

Pediatric burns in Israeli natives versus asylum seekers living in Israel: Lessons learned.

Burn injuries are one of the leading causes of morbidity and mortality in the pediatric population. In early childhood, burns have a wide range of adverse long-term consequences ranging from functional impairment to psychological implications. Children from low-income and middle-income countries are at a higher risk of suffering from burn injuries. In the last 10 years the population of asylum seekers from low-income countries in Israel has increased dramatically. About 25,000 or 60% of asylum seekers are l...

Over 600 general practices will be lost by 2020 without more funding, BMA warns.

Severity classification of the quality of recovery-15 score-An observational study.

The quality of recovery-15 (QoR-15) is a patient-reported outcome measurement measuring QoR after surgery and anesthesia. The scale is arbitrary and ranges from 0 to 150. We aimed to classify the QoR-15 score into four severity classes; excellent, good, moderate, and poor recovery.

"I struggle to count my blessings": recovery after hip fracture from the patients' perspective.

Recovery outlooks of physical functioning and quality of life after hip fracture have not changed significantly over the past 25 years. Previous research has mainly dealt with causalities and acute treatment, while the recovery process from the patients' perspective has been less comprehensively described. Expanded knowledge of what the patients consider important in their recovery process may have important consequences for how these patients are treated in the future and thereby on future patient outcome...

Efficacy of ivermectin mass-drug administration to control scabies in asylum seekers in the Netherlands: A retrospective cohort study between January 2014 - March 2016.

Scabies is a skin infestation with the mite Sarcoptes scabiei causing itch and rash and is a major risk factor for bacterial skin infections and severe complications. Here, we evaluated the treatment outcome of 2866 asylum seekers who received (preventive) scabies treatment before and during a scabies intervention programme (SIP) in the main reception centre in the Netherlands between January 2014 and March 2016. A SIP was introduced in the main national reception centre based on frequent observations of sc...

Improvement of recovery parameters using patient-controlled epidural analgesia for video-assisted thoracoscopic surgery lobectomy in enhanced recovery after surgery: A prospective, randomized single center study.

We compared the effects of thoracic epidural analgesia (TEA) to conventional patient-controlled analgesia (PCA) on several postoperative parameters of recovery after elective video-assisted thoracoscopic (VATS) lobectomy.

'Valuable but incomplete!' A qualitative study about migrants' perspective on health examinations in Stockholm.

A voluntary health examination is offered to asylum seekers in Sweden with the purpose of detecting infectious diseases and identifying other health needs. This study aimed to explore the organization, content and perceived value of the health examination from the perspective of asylum seekers.

Challenges of Transport and Resuscitation of a Patient With Severe Acidosis and Hypothermia in Afghanistan.

We present the case of a patient with new-onset diabetes, severe acidosis, hypothermia, and shock who presented to a Role 1 Battalion Aid Station (BAS) in Afghanistan. The case is unique because the patient made a rapid and full recovery without needing hemodialysis. We review the literature to explain how such a rapid recovery is possible and propose that hypothermia in the setting of his severe acidosis was protective.

Development of a patient-reported outcome measure of recovery after abdominal surgery: a hypothesized conceptual framework.

We initiated a research program to develop a novel patient-reported outcome measure (PROM) to assess postoperative recovery from the perspective of abdominal surgery patients. In light of FDA recommendations, the first stage of our program aimed to, based on previous literature and expert input, develop a hypothesized conceptual framework portraying the health domains that are potentially relevant to the process of recovery after abdominal surgery.

Intensive Pharmacy Care Improves Outcomes of Hepatitis C Treatment in a Vulnerable Patient Population at a Safety-Net Hospital.

Treatment of hepatitis C virus (HCV) with direct-acting antiviral (DAA) regimens has resulted in high rates of sustained virologic response (SVR). Treatment of vulnerable populations may be improved by incorporating an on-site intensive specialty pharmacy (ON-ISP).

Patient Perceptions and Quality of Life After Colon and Rectal Surgery: What Do Patients Really Want?

Colorectal surgery outcomes must be accurately assessed and aligned with patient priorities. No study to date has investigated the patient's subjective assessment of outcomes most important to them during and following their surgical recovery. Although surgeons greatly value the benefits of laparoscopy, patient priorities remain understudied.

NewsCAP: Never use infant sleep positioners, also called nests or antiroll products, warns the Food and Drug Administration (FDA).

Effect of an Enhanced Recovery After Surgery Program on Opioid Use and Patient-Reported Outcomes.

To investigate the effect of an enhanced recovery after surgery (ERAS) program on perioperative outcomes with an emphasis on opioid consumption and patient-reported outcomes in the immediate and extended postoperative periods.

Symbolic violence and disempowerment as factors in the adverse impact of immigration detention on adult asylum seekers' mental health.

The first objective of this qualitative component of a mixed-methods study is to provide a descriptive account of adult asylum seekers' experience of detention in Canadian immigration detention centers. The second objective is to identify the main underlying factors accounting for their reported feelings of distress.

Critical Care Pharmacists and Medication Management in an ICU Recovery Center.

Many patients experience complications following critical illness; these are now widely referred to as post-intensive care syndrome (PICS). An interprofessional intensive care unit (ICU) recovery center (ICU-RC), also known as a PICS clinic, is one potential approach to promoting patient and family recovery following critical illness.

Patient experience of a psychiatric Mother Baby Unit.

Mothers with severe mental illness are vulnerable and engage with services cautiously due to fears of stigma and custody loss. To develop best practice standards and patient-centred services, the subjective experience of those who use it must inform service improvement and policy.

Active recovery affects the recovery of the corticospinal system but not of muscle contractile properties.

Active recovery is often used by athletes after strenuous exercise or competition but its underlying mechanisms are not well understood. We hypothesized that active recovery speeds-up recovery processes within the muscle and the central nervous system (CNS).

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