Mahnaz Nosratabadi, Nasrin Sarabi, Leila Masoudiyekta
Introduction: Childbirth can be a normal and nonintervention process, but sometimes the process gets out of normal and requires immediate medical intervention. Thus, home delivery cannot be considered safe without coordination with the treatment staff. Sometimes fear of Covid-19 epidemic prevents mothers to go to the hospital for childbirth and they decide to do it in an unsafe condition, which puts the health of the mother and the neonate at risk. Presentation Case: Our case was a pregnant woman with a negative blood group (A-) who did not come to the hospital because of fear of contracting Covid-19 from the hospital and decided to give birth at home without medical and midwifery support...
October 2020: Iranian Journal of Psychiatry
Min-Gu Kang, Seo Jung Yun, Sang Yoon Lee, Byung-Mo Oh, Hyun Haeng Lee, Shi-Uk Lee, Han Gil Seo
Background: Although there have been many trials and interventions for reducing upper-extremity impairment in stroke survivors, it remains a challenge. A novel intervention is needed to provide high-repetition task-specific training early after stroke. Objective: This study aimed to investigate the effect of smart glove training (SGT) for upper-extremity rehabilitation in patients with subacute stroke. Methods: A prospective, multicenter, randomized, controlled study was conducted in patients with upper-extremity hemiparesis with Brunnstrom stage for arm 2-5 in the subacute phase after stroke...
2020: Frontiers in Neurology
Yuiko Kimura, Keiya Iijima, Yutaro Takayama, Suguru Yokosako, Yuu Kaneko, Mayu Omori, Takanobu Kaido, Yukiko Kano, Masaki Iwasaki
The efficacy of deep brain stimulation (DBS) for refractory Tourette syndrome (TS) is accepted, but whether the efficacy of DBS treatment in the Japanese population is equivalent to those reported internationally and whether adverse effects are comparable are not yet known. This study evaluated the clinical practice and outcome of DBS for TS in a Japanese institution. This study included 25 consecutive patients with refractory TS treated with thalamic centromedian-parafascicular nucleus DBS. The severity of tics was evaluated with the Yale Global Tic Severity Scale (YGTSS) before surgery, at 1 year after surgery, and at the last follow-up of 3 years or more after surgery...
November 26, 2020: Neurologia Medico-chirurgica
Xiaomin Wang, Dan Wu, Ziming Xuan, Weiyi Wang, Xudong Zhou
BACKGROUND: Antimicrobial resistance (AMR) is a serious global public health challenge. Physicians' over-prescription of antibiotics is a major contributor, and intravenous (IV) antibiotic use has been a particular concern in China. To address the rapid fallout of antibiotic overuse, the Chinese government has piloted a ban of IV antibiotics in the outpatient department (OD) with the exemption of paediatrics, emergency department (ED), and inpatient ward of secondary and tertiary hospitals in several provinces...
November 25, 2020: BMC Public Health
Yuji Sato, Shigeto Koyama, Chikahiro Ohkubo, Shin Ogura, Ryutaro Kamijo, Soh Sato, Jun Aida, Yuichi Izumi, Mihoko Atsumi, Akio Isobe, Shunsuke Baba, Noriharu Ikumi, Fumihiko Watanabe
BACKGROUND: Self-care and professional care of implants may prove difficult for elderly people who require nursing care. However, the actual state of care and problems remains unknown. In this study, we investigated the actual state of implant problems in elderly people living in their own home or in a nursing home who received visiting dental treatment. METHODS: We mailed questionnaire survey forms to 2339 representatives or specialists who were members of the Japanese Society of Oral Implantology, the Japanese Society of Gerodontology or the Japan Prosthodontic Society...
November 25, 2020: BMC Oral Health
Kris Pizur-Barnekow, Amy C Lang, Brian Barger
When a parent learns of their child's autism diagnosis, they may be overwhelmed, confused, and frustrated. Family navigation services are designed to improve access to care. While these services are a promising intervention to enhance well-being and developmental outcomes, there are limited tools that can systematically facilitate the development of a shared navigation plan that prioritizes the concerns of the family. The Family-Centered Autism Navigation semi-structured interview guide is designed for family navigators to triage and prioritize caregiver's needs to coordinate and navigate systems of care after learning of their child's autism spectrum disorder diagnosis...
November 25, 2020: Autism: the International Journal of Research and Practice
Chuan De Foo, Yan Lin Tan, Pami Shrestha, Ke Xin Eh, Ian Yi Han Ang, Milawaty Nurjono, Sue-Anne Toh, Farah Shiraz
INTRODUCTION: The aim of this study is to explore patients' experiences with community-based care programmes (CCPs) and develop dimensions of patient experience salient to community-based care in Singapore. Most countries like Singapore are transforming its healthcare system from a hospital-centric model to a person-centered community-based care model to better manage the increasing chronic disease burden resulting from an ageing population. It is thus critical to understand the impact of hospital to community transitions from the patients' perspective...
2020: PloS One
Benedikt M Huber, Pierre-Yves Rodondi, Johannes Wildhaber
Based on evidence and experience, pediatric integrative medicine uses conventional and complementary therapies in an interprofessional approach to optimally support health and development of children and adolescents. Switzerland has a high standard of child health care including complementary medicine. Many pediatricians and family physicians offer an integrative approach to their patients based on additional trainings in complementary medicine, which ensures a full and competent medical care. The Swiss Interest Group for Integrative Pediatrics of the Swiss Society of Pediatrics deals with all questions relating to complementary and integrative medicine in pediatrics including the organization of training events and the coordination of research projects...
November 25, 2020: Revue Médicale Suisse
George Soulis, Yulia Kotovskaya, Gülistan Bahat, Sofia Duque, Radhouane Gouiaa, Anne W Ekdahl, Cornel Sieber, Mirko Petrovic, Athanase Benetos
PURPOSE: Practicing geriatric medicine is a challenging task since it involves working together with other medical doctors while coordinating a multidisciplinary team. Global Europe Initiative (GEI) group within the European Geriatric Medicine Society gathers geriatricians from different regions where geriatrics is underrepresented or still developing to promote initiatives for the advancement of geriatric medicine within these countries. METHODS: Here we present a first effort to describe several aspects that affect practicing geriatric medicine in five different countries: Greece, Portugal, Russia, Turkey, and Tunisia...
November 25, 2020: European Geriatric Medicine
Lívia Dos Santos Mendes, Patty Fidelis de Almeida
OBJECTIVES: To analyze if primary and specialized care physicians know and use care coordination mechanisms between healthcare levels. METHODS: Cross-sectional survey study, with the application of the COORDENA-BR instrument to primary and specialized care physicians in a public heathcare network, medium-sized municipality, from June to October 2019. The questionnaire addresses knowledge, frequency of sending and receiving, purpose, characteristics and difficulties in using feedback or mutual adaptation and standardization mechanisms to promote coordination of care service between healthcare levels...
2020: Revista de Saúde Pública
Anette Ålykkja, Ellen Ruud, Marie Hamilton Larsen, Torun Marie Vatne, Hanne C Lie
OBJECTIVE: Paediatric brain tumour (PBT) survivors face high risks of disabling long-term and late effects. Whether survivors' needs are met in a system with publicly funded services, but in the absence of a formal long-term follow-up model, is uncertain. Empirically based recommendations for a national model are needed. We explored multidisciplinary healthcare providers' (HCP) experiences with providing such care. METHODS: We conducted five focus-group interviews and five individual interviews with a nationally representative sample of 33 Norwegian HCPs...
November 25, 2020: European Journal of Cancer Care
Edward Kwabena Ameyaw, John Elvis Hagan, Bright Opoku Ahinkorah, Abdul-Aziz Seidu, Thomas Schack
The novel coronavirus pandemic has undoubtedly emerged as a serious public health threat in many societies across the world. Due to the sporadic and unpredictable nature of the pandemic, it is important to admit that the virus can cause psychological distress and emotional instability that might impact on people in diverse ways at the individual, community and national levels, with serious mental health implications (e.g. depression, mood disorders, obsessive-compulsive disorder, other anxiety disorders). Due to the weak healthcare challenges inherent in Africa, these mental health challenges require urgent redress to ensure mental health well-being for all, especially COVID-19-positive patients who have recovered (i...
2020: Pan African Medical Journal
Mary T Field, Alayne Chapple, Corrine Hoeppner, Julie R Boiko, Amy Tellinghuisen, Sarita Joshi, Nicholas A Vitanza
COVID-19, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is responsible for a global pandemic that can cause severe infections in children, especially those with comorbid conditions. Here, we report a case of a child with a newly diagnosed medulloblastoma, Fanconi Anemia, and SARS-CoV-2 infection. Through multidisciplinary care coordination and meticulous planning, we were able to safely initiate this patient's oncology care and implement a long-term model to address the patient's care...
November 23, 2020: Journal of Pediatric Hematology/oncology
Shivani Bakre, John M Hollingsworth, Phyllis L Yan, Emily J Lawton, Richard A Hirth, Vahakn B Shahinian
BACKGROUND AND OBJECTIVES: Despite representing 1% of the population, beneficiaries on long-term dialysis account for over 7% of Medicare's fee-for-service spending. Because of their focus on care coordination, Accountable Care Organizations may be an effective model to reduce spending inefficiencies for this population. We analyzed Medicare data to examine time trends in long-term dialysis beneficiary alignment to Accountable Care Organizations and differences in spending for those who were Accountable Care Organization aligned versus nonaligned...
November 24, 2020: Clinical Journal of the American Society of Nephrology: CJASN
Abraham Munene, Eddy Lang, Vivian Ewa, Heather Hair, Greta Cummings, Patrick McLane, Eldon Spackman, Peter Faris, Nancy Zuzic, Patrick B Quail, Marian George, Anne Heinemeyer, Daniel Grigat, Mark McMillen, Shawna Reid, Jayna Holroyd-Leduc
BACKGROUND: Long term care (LTC) facilities provide health services and assist residents with daily care. At times residents may require transfer to emergency departments (ED), depending on the severity of their change in health status, their goals of care, and the ability of the facility to care for medically unstable residents. However, many transfers from LTC to ED are unnecessary, and expose residents to discontinuity in care and iatrogenic harms. This knowledge translation project aims to implement a standardized LTC-ED care and referral pathway for LTC facilities seeking transfer to ED, which optimizes the use of resources both within the LTC facility and surrounding community...
November 25, 2020: BMC Health Services Research
Gidon Berger, Danny Epstein, Meital Rozen, Avigdor Miskin, Michael Halberthal, Michal Mekel
OBJECTIVES: The Israeli health system is facing high workloads with average occupancy in certain hospital wards of around 100%. Since there is a shortage of hospitalization beds in institutions for continuous, long-term care, transferring patients from the general hospitals' wards is often delayed. This situation has many significant ramifications, to the waiting patients themselves, to other patients who are waiting to be treated and to the entire organization. In this study, we describe the phenomenon of the "detained patients" - its extent, characteristics, significance, and possible solutions...
November 24, 2020: Israel Journal of Health Policy Research
Cole B Haskins, Bradley D McDowell, Ryan M Carnahan, Jess G Fiedorowicz, Robert B Wallace, Brian J Smith, Elizabeth A Chrischilles
OBJECTIVE: Evaluate whether breast cancer endocrine therapy adherence is affected by access to primary and mental health care, particularly among at-risk patients with mental illness. METHODS: The study included 21,892 SEER-Medicare women aged 68 or older with stage I-IV ER+ breast cancer, 2007 to 2013. Patient home counties during breast cancer diagnosis, if evaluated for HPSA care shortage status, were categorized as least, moderate, or highest shortage; unevaluated counties (no known shortage) were a fourth category...
November 14, 2020: Journal of Psychosomatic Research
Sharath Kumar Anand, Mohamed Macki, Lauren G Culver, Vibhangini S Wasade, Samantha Hendren, Jason M Schwalb
The concept of patient navigation was first introduced in 1989 by the American Cancer Society and was first implemented in 1990 by Dr. Harold Freeman in Harlem, NY. The role of a patient navigator (PN) is to coordinate care between the care team, the patient, and their family while also providing social support. In the last 30 years, patient navigation in oncological care has expanded internationally and has been shown to significantly improve patient care experience, especially in the United States cancer care system...
November 21, 2020: Epilepsy & Behavior: E&B
Daniel Bennett, Robert Rosenheck
OBJECTIVE: To assess whether patient socioeconomic status (SES) moderates the effectiveness of coordinated specialty care for first-episode psychosis and to investigate possible mechanisms. DATA SOURCES: A secondary analysis of data from the RAISE-ETP Trial, which was conducted from 2010-2014. STUDY DESIGN: RAISE-ETP was a cluster-randomized trial comparing a coordinated specialty care (CSC) intervention called NAVIGATE with usual community care...
November 24, 2020: Health Services Research
Kerstin Bilda, Stefan Stricker
The rehabilitation of people after suffering a stroke is a long-term process, in which patients, their families and friends are reliant on social support and assistance. Therefore, the individual promotion of available resources and autonomy of those affected represents an important task. The College for Health in Bochum and the German Stroke Help Foundation have developed the volunteer-supported model "Trained stroke helpers-a partnership-based model for local care (GeSa)" that educates stroke helpers as experts for individual local support of stroke patients and their relatives...
November 24, 2020: Zeitschrift Für Gerontologie und Geriatrie
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