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Beyond demographics: physical activity as a key behavioral marker for identifying the guidance-seeking profile to guide precision survivorship care.

OBJECTIVES: Variable-centered approaches often overlook the heterogeneity of unmet supportive care needs among breast cancer survivors. This study aimed to identify distinct latent profiles of survivors and examine whether physical activity is associated with these unmet-needs profiles, thereby providing supplementary information for supportive care assessment, moving beyond traditional sociodemographic factors. METHODS: A cross-sectional study design was utilized. Unmet needs were assessed using the Chinese version of the Cancer Survivor Profile-Breast Cancer (CSPro-BC), while physical activ

Clinical Features of Psoriatic Arthritis: a Comprehensive Review of Unmet Clinical Needs.

Psoriatic arthritis (PsA) is a form of inflammatory arthritis (IA) affecting approximately 0.25% of the population. It is a heterogeneous disorder associated with joint damage, disability, disfiguring skin disease and in severe cases, premature mortality. Inherently irreversible and frequently progressive, the process of joint damage begins at, or before, the clinical onset of disease. Early recognition and intervention is thus crucial to patient outcome. At disease onset, however, PsA often resembles other forms of arthritis-especially rheumatoid arthritis (RA). Despite the similarities betwe

Multidepartmental Response to a Duodenoscope Used on a CRE Patient: A Case Study.

Transmission of carbapenem-resistant Enterobacteriaceae (CRE) via duodenoscopes, specialized endoscopes used during endoscopic retrograde cholangiopancreatography (ERCP) procedures, has attracted media attention since early 2015. This attention has placed increasing focus on the reprocessing of duodenoscopes. Current reprocessing recommendations for these endoscopes require either high-level disinfection or ethylene oxide sterilization. While reprocessing duodenoscopes, staff at endoscopy locations within the Mercy health system perform a single high-level disinfection cycle that is preceded b

[Patient education of elderly with mobility impairments : Conception and evaluation of needs during and after release from a geriatric clinic setting].

BACKGROUND: Patient education can contribute to obtaining and maintaining mobility in elderly with mobility impairments. The aim of this study was to evaluate counseling, training, and information needs in elderly patients with mobility impairments before, during, and after a hospital stay in a geriatric clinic. METHODS: A prospective longitudinal study was conducted. Needs were assessed at admission (t1), after 2 weeks (t2), at discharge (t3), after 3 months (t4), and after 6 months (t5). Data were analyzed using descriptive statistics. RESULTS: At almost all time points, there was a need o

Is preparedness for CBRN incidents important to general practitioners in East London?

General practitioners (GPs) have an important role in public health response to CBRN incidents, including disseminating information to worried patients and undertaking risk assessments of patients. The authors undertook the first known UK survey of GPs' CBRN preparedness to assess knowledge and attitudes towards CBRN preparedness among GPs in East London, in the area of the Olympic Park. A questionnaire was developed, focusing on GPs' self-preparedness for, and perceived roles in CBRN incidents, and GPs' access to resources and policies for dealing with such incidents. Of 157 GPs, 56 responded

Factors associated with attrition rate in a supportive care service for substance using pregnant women in Brazil.

BACKGROUND AND OBJECTIVES: Retaining substance using women in antenatal care remains a major challenge. This study explored factors associated with attrition rate among women with substance use problems attending a supportive care service during pregnancy and soon after the birth of the infant. METHODS: Records of 166 women's antenatal consultations were analyzed. RESULTS: Attrition rate was high (75/166, 45.2%), and was associated with women having no schooling/primary schooling only, no family contact, having child(ren), crack-cocaine use, poly drug use, and substance use problems by the e

Young children who screen positive for autism: Stability, change and "comorbidity" over two years.

BACKGROUND: Autism spectrum disorder (ASD) is a developmental disorder with a wide variety of clinical phenotypes and co-occurrences with other neurodevelopmental conditions. Symptoms may change over time. AIMS: The aim of the present study was to prospectively follow 96 children, initially assessed for suspected ASD at an average age of 2.9 years. METHODS AND PROCEDURES: All children had been identified with autistic symptoms in a general population child health screening program, and had been referred to the Child Neuropsychiatry Clinic in Gothenburg, Sweden for further assessment by a mul

Quality measures for children's health care.

BACKGROUND: The ability to measure and improve the quality of children's health care is of national importance. Despite the existence of numerous health care quality measures, the collective ability of measures to assess children's health care quality is unclear. A review of existing health care quality measures for children is timely for both assessing the current state of quality measures for children and identifying areas requiring additional research and development. OBJECTIVES: To identify and collect current health care quality measures for child health and then to systematically catego

Validation of the Strengths and Stressors Tracking Device with a child welfare population.

The Strengths and Stressors Tracking Device (SSTD) is a rapid assessment measure of family well-being that assesses the particular strengths and needs of families at intake to help guide case planning and evaluate the effectiveness of treatment. The device assesses families from an ecological perspective in the domains of environmental conditions, social support, caregiver skills, and child well-being, and may be used at multiple points during treatment to assess change. SSTD has high internal consistency in all domains, distinguishes between physical abuse and neglect, and is sensitive to spe

Physical therapy enhances patient care in post-congenital heart surgery clinic.

OBJECTIVE: Following paediatric and congenital heart surgery, recognition of rehabilitation needs is variable. This study aims to identify rehabilitation needs and gaps in care for patients in a post-operative congenital heart clinic. METHODS: Retrospective review of all patients following congenital heart surgery requiring sternotomy attending their first post-operative clinic appointment between 1/21/2022 and 8/18/2023. Physical therapy evaluation included assessment of posture, mobility, and pain. Patient demographics and clinical data were reviewed. Descriptive and univariate statistics w

Improving early detection of mental disorders & emergencies in resource-limited prison systems: development of a structured screening and risk stratification instrument in Indonesia.

BACKGROUND: Mental health screening in prisons is vital to uphold prisoners' right to mental health services, ensure safety, improve quality … rdized screening tool for mental disorders in Indonesian inmates, we conducted a literature review, needs assessment survey, and Delphi-based expert consensus to identify gaps in Indonesia's present tool, to refine and modify the domain items in line with the Diagnostic and Statistical Manual of Mental Disorders, 5th edition. RESULTS: Six widely used screening to …

Integrated narrative assessment exemplification: a leukaemia case history.

BACKGROUND AND AIM: In the Integrated Narrative Nursing Assessment (INNA), the Evidence-Based Nursing Model is integrated with the Narrative-Based Nursing Model. The INNA makes use of quantitative instruments, arising from the natural sciences as well as of qualitative ones, arising from the human achieving results of standardization and reproducibility, as well as of customization and uniqueness. Accordingly, the purpose of this work is to exemplify the thinking process of and the method adopted by a nurse adopting an integrated narrative assessment in the evaluation of a patient. METHOD: Th

Nursing practice to fulfill the information needs of parents of hospitalized children with cancer and related factors.

PURPOSE: This study aimed to clarify the current status of nursing practice to fulfill the information needs of parents of hospitalized children with cancer and to determine the associated factors. DESIGN AND METHODS: A cross-sectional survey using a questionnaire was administered to nurses working on wards admitting children with cancer in Japan. Data were analyzed using logistic regression analysis, after exploratory factor analysis. RESULTS: Three factors were extracted as nursing practice: "provision of information that supports the child's future and other family members' daily lives" (

Oral health of people experiencing homelessness in London: a mixed methods study.

BACKGROUND: Those experiencing homelessness have significant health and oral health needs and are at the extreme of health inequalities. The aim of the study was to conduct an oral health needs assessment for those experiencing homeless in London and impacts on their oral health-related quality of life. METHODS: The oral health needs assessment consisted of quantitative and qualitative methods. This included a survey questionnaire to assess perceived oral health needs, and oral health related quality of life. In addition, a focus group was conducted with 13 peer advocates. RESULTS: Findings …

Latent classes of neurodevelopmental profiles and needs in children and adolescents with prenatal alcohol exposure.

BACKGROUND: Fetal alcohol spectrum disorder (FASD) resulting from prenatal alcohol exposure (PAE) is a common neurodevelopmental disorder, but substantial interindividual heterogeneity complicates timely and accurate assessment, diagnosis, and intervention. The current study aimed to identify classes of children and adolescents with PAE assessed for FASD according to their pattern of significant neurodevelopmental functioning across 10 domains using latent class analysis (LCA), and to characterize these subgroups across clinical features. METHODS: Data from the Canadian National FASD Database

Identifying Educational Needs and Practice Gaps of European Hematologists and Hematology Nurses in the Treatment and Management of Multiple Myeloma.

This needs-assessment aimed to identify clinical challenges faced by hematologists and hematology nurses in the diagnosis, treatment, and management of multiple myeloma, as well as contextual barriers hindering optimal care of patients with multiple myeloma. This manuscript focuses on key findings in relation to decision-making regarding new treatment options. A mixed methods study consisting of qualitative (from semistructured interviews) and quantitative data (from an online survey) was conducted in 8 European countries among hematologists and hematology nurses. The triangulated data led to

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… Qualitative design and data collection A review of literature was conducted on articles written in English, published after 2013, using key words such as multiple myeloma , needs assessment , challenges , knowledge , and attitude , to identify practice gaps and potential educational needs in the diagnosis … Other findings identified by this needs-assessment have been presented elsewhere. 18 No strict definition of new agents was provided during semistructured interviews since what is considered a new agent might differ according to the country of practice. …

Addressing the support needs of women at high risk for breast cancer: evidence-based care by advanced practice nurses.

PURPOSE/OBJECTIVES: To identify support needs of women at high risk for breast cancer and enhance an evidence-based service. DESIGN: Descriptive study. SETTING: A comprehensive, breast-health service for high-risk women. SAMPLE: 97 high-risk women with a 1.66% or greater five-year risk of breast cancer, atypical hyperplasia, lobular carcinoma in situ, or positive genetic screen. METHODS: A self-assessment questionnaire completed previsit and a satisfaction survey completed postvisit. MAIN RESEARCH VARIABLES: Women's perceived informational, emotional, and decisional support needs, current

Social Determinants of Discharge Outcomes in Older People Admitted to a Geriatric Medicine Ward.

The factors determining hospital discharge outcomes in older people are complex. This retrospective study was carried out in an in-patient geriatric ward over a month in 2015 and aimed to explore if self-reported feeling of loneliness and clinical frailty contribute to longer hospital stays or higher rates of readmission to hospital after discharge in the older population. Twenty-two men and twenty-five women (mean age 85.1 years) were assessed. There was a significant multivariate association between both self-reported loneliness (p=0.021) and the Clinical Frailty Scale (p=0.010) with length

Evaluation of a Multidimensional Assessment Tool to Simultaneously Determine Physical Activity, Nutritional and Quality of Life Status in Cancer Patients - A Prospective Pilot Study at Two Cancer Centers.

PURPOSE: Supportive-care needs in cancer patients are multidimensional and interdependent, yet single instruments fail to capture this complexity. We developed the Resource-Oriented Needs Assessment (RONA), a composite battery integrating validated tools across physical fitness, nutritional status, and quality of life (QoL) to identify patterns of individualized needs. This multicenter pilot study evaluated the applicability of the RONA scoring system in a clinical routine setting. METHODS: Consecutive patients from two German comprehensive cancer centers were prospectively included. RONA com…

Seeing the unseen: uncovering health-related social needs through universal screening at an academic ophthalmology practice.

BACKGROUND: Health-related social needs (HRSN), or unmet conditions that are important to maintain health (such as finances and transportation), contribute to vision health disparities. The purpose of this study is to identify the unmet HRSN of ophthalmology clinic patients. METHODS: This retrospective, cross-sectional study examined HRSN survey results from adult patients who checked in for a clinic visit at a tertiary academic eye centre from April 28, 2022, to March 31, 2023. Demographics and visual acuity were extracted from the electronic health record, and their reported HRSNs were eval