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Wait Time For Injuries And Chronic Illness

Dana B Mukamel, Heather Ladd, Alpesh Amin, Dara H Sorkin
OBJECTIVES: To identify consumers' preferences over care settings, such as physicians' offices, emergency rooms (ERs), urgent care centers, retail clinics, and virtual physicians on smartphones, for minor illnesses. DATA SOURCES: A survey conducted between 9/27/16 and 12/7/16 emailed to all University of California, Irvine employees. STUDY DESIGN: Participants were presented with 10 clinical scenarios and asked to choose the setting in which they wanted to receive care...
August 2019: Health Services Research
Jordan Miller, Joy C MacDermid, David M Walton, Julie Richardson
BACKGROUND: Previous research suggests that self-management programs for people with chronic pain improve knowledge and self-efficacy but result in negligible effects on function. This study will investigate the effectiveness self-management support with pain science education and exercise on improving function for people with chronic pain in comparison to a wait-list control. A secondary objective is to determine which variables help to predict response to the intervention. METHODS/DESIGN: This study will be an unblinded, randomized controlled trial with 110 participants comparing a 6-week program that includes self-management support, pain science education and exercise to a wait-list control...
October 14, 2015: Trials
Nathalie H Urrunaga, Laurence S Magder, Matthew R Weir, Don C Rockey, Ayse L Mindikoglu
BACKGROUND AND AIMS: Although renal dysfunction is a known complication of acute liver failure (ALF), its frequency, severity, and impact among patients with ALF on the US liver transplant list are not well defined. METHODS: Organ Procurement and Transplantation data for ALF patients listed as status 1/1A from 2002 to 2012 were analyzed. The frequency and severity of renal dysfunction at the time of listing [the latter was categorized in 5 stages using estimated GFR (eGFR) according to Chronic Kidney Disease Epidemiology Collaboration creatinine 2009 equation] were determined and the association between renal dysfunction and waiting list mortality was assessed using Cox proportional hazard regression analysis...
January 2016: Digestive Diseases and Sciences
Christopher Eccleston, Emma Fisher, Emily Law, Jess Bartlett, Tonya M Palermo
BACKGROUND: Psychological therapies have been developed for parents of children and adolescents with a chronic illness. Such therapies include interventions directed at the parent only or at parent and child/adolescent, and are designed to improve parent, child, and family outcomes. This is an updated version of the original Cochrane review published in Issue 8, 2012, (Psychological interventions for parents of children and adolescents with chronic illness). OBJECTIVES: To evaluate the efficacy of psychological therapies that include parents of children and adolescents with chronic illnesses including painful conditions, cancer, diabetes mellitus, asthma, traumatic brain injury (TBI), inflammatory bowel diseases (IBD), skin diseases, or gynaecological disorders...
2015: Cochrane Database of Systematic Reviews
Christopher Eccleston, Tonya M Palermo, Emma Fisher, Emily Law
BACKGROUND: Psychological therapies have been developed for parents of children and adolescents with a chronic illness. Such therapies include parent only or parent and child/adolescent, and are designed to treat parent behaviour, parent mental health, child behaviour/disability, child mental health, child symptoms and/or family functioning. No comprehensive, meta-analytic reviews have been published in this area. OBJECTIVES: To evaluate the effectiveness of psychological therapies that include coping strategies for parents of children/adolescents with chronic illnesses (painful conditions, cancer, diabetes mellitus, asthma, traumatic brain injury, inflammatory bowel diseases, skin diseases or gynaecological disorders)...
August 15, 2012: Cochrane Database of Systematic Reviews
David Roth, Roy Bloom
Hepatitis C virus (HCV) infection has been demonstrated to be present in a significant number of ESRD patients, and infection with this virus has been shown to have a detrimental impact on patient survival in both the dialysis and transplant patient populations. Studies have shown that 10-25% of pre-kidney transplant candidates have advanced liver injury with stage 3 or 4 disease (cirrhosis) when biopsied during the pretransplant evaluation. To identify those patients in whom a more extensive workup is required, all transplant candidates should be initially screened for anti-HCV antibody and/or active viremia using nucleic acid testing depending on the prevalence of HCV in the community...
2012: Contributions to Nephrology
Rahim Moineddin, Christopher Meaney, Mohammad Agha, Brandon Zagorski, Richard Henry Glazier
BACKGROUND: Emergency departments are medical treatment facilities, designed to provide episodic care to patients suffering from acute injuries and illnesses as well as patients who are experiencing sporadic flare-ups of underlying chronic medical conditions which require immediate attention. Supply and demand for emergency department services varies across geographic regions and time. Some persons do not rely on the service at all whereas; others use the service on repeated occasions...
2011: BMC Emergency Medicine
J Illes, J C Reimer, B K Kwon
A wealth of scientific and clinical research has focused on the use of stem cells as a potential therapy for spinal cord injury (SCI), culminating most recently in the initiation of clinical trials. However, with the urgency that scientists and clinicians have undertaken to move forward with novel therapies for this devastating injury, the perspectives of stakeholders who live with a SCI have been left behind. Translational research in this rapidly growing field therefore overlooks a critically important viewpoint...
November 2011: Stem Cell Reviews
Angela S Laird, Pascal Carrive, Phil M E Waite
BACKGROUND: Weight-supported treadmill training is an emerging rehabilitation method used to improve locomotor ability in patients with spinal cord injury (SCI). However, little research has been undertaken to test the effect of such training on other consequences of SCI, such as neuropathic pain and autonomic dysfunction. OBJECTIVE: This study investigates the effects of chronic treadmill training on the development of autonomic dysreflexia (AD), a form of cardiovascular dysfunction common in patients with cervical or high thoracic injury...
November 2009: Neurorehabilitation and Neural Repair
Alan Kaplan
Canada has a universal health care system funded by the government. All people are supposed to have unrestricted access to all essential health care in a timely fashion. Canada has ten provinces and three territories. Health care is funded by each province/territory, with federal payments providing some of the funding. The bulk of the provision of respiratory care in Canada is provided by primary care practitioners. Across the country we have a family physician shortage; thus, in many areas of the country there is insufficient access since patients do not actually have a family physician...
June 2008: Primary Care Respiratory Journal: Journal of the General Practice Airways Group
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