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Stress of AIDS caregiving: a preliminary overview of the issues.

This paper describes the stressors experienced by lovers and friends who were caregivers to AIDS patients and the social supports and coping strategies they drew on in efforts to mediate stress. From exploratory, intensive interviews with San Francisco men who provided care in their homes or those of the patients, three types of stressor were identified. One involves exigencies within the caregiver role itself, such as the demands and burdens encountered in housekeeping and nursing activities and in the management of financial and legal affairs. A second type of stressor involves the uncertain

Pediatric Genital Endemic Kaposi Sarcoma with Partial Response to Adapalene.

Kaposi sarcoma (KS) is a human herpesvirus 8 (HHV-8)-associated vascular neoplasm that most commonly affects immunocompromised individuals. Endemic KS occurs in sub-Saharan Africa but rarely involves the anogenital region in pediatric patients. We report a case of a 12-year-old immunocompetent Ghanaian girl presenting with rapidly progressive nodular and fungating masses involving the trunk and external genitalia. Initial biopsies were reported as squamous papilloma; subsequent histopathologic evaluation with immunohistochemistry confirmed nodular-type KS. The patient demonstrated aggressive d

Optimizing Long-Term Facility Staffing With Artificial Intelligence: Aligning Care With Needs and Resources.

The Centers for Medicare & Medicaid Services recently announced a staffing regulation requiring Medicare- and Medicaid-certified long-term care facilities to provide a minimum of 3.48 nursing hours per resident day and ensure that a registered nurse is on-site at all times. Although intended to improve safety and quality, the regulation has sparked significant debate, particularly regarding feasibility and the imposition of uniform standards across diverse facilities. Amid growing tension between fixed staffing requirements and the financial and clinical realities of resident care, artificial

The equality and disparities of progress in the diabetic foot in the North American and Caribbean (NAC) region.

Eighty-five (85%), of lower limb amputations are preventable. Amidst all the research and data on prevention, has there been any improvements within the North American and Caribbean region? Exploring the current data and outcomes it shows that there has been no improvement in the diabetic foot and the resulting suffering associated. There seems to be a connection between systemic racism, accessibility from a financial and political base line and lack of education on the impact prevention and policies that can be implemented to halt this crisis. The recognition of this fact has supported the la

What can we learn about the market reaction to macroeconomic surprise? Evidence from the COVID-19 crisis.

We investigate the impact of macroeconomic surprise and uncertainty on G7 financial markets around COVID-19 pandemic using two real-time, real-activity indexes recently constructed by Scotti (2016). We applies the wavelet analysis to detect the response of the stock markets to the macroeconomic surprise and an uncertainty indexes and then we use NARDL model to examine the asymmetric effect of the news surprise and uncertainty on the equity markets. We conduct our empirical analysis with the daily data from January, 2014 to September, 2020. Our findings indicate that G7 stock markets are sensit

New tools in wound care to support evidence-based best practice.

Throughout history, various wound healing and management concepts have been recorded, with some approaches such as honey, silver and larvae still in use and others such as blood-letting completely dismissed. In more recent times, dressing products have begun evolving, moving on from basic first-aid supplies to products that support positive healing by addressing the needs of the wound bed and considering underlying factors that impact healing. With an ageing population, the incidence of chronic wounds is predicted to rise, and chronic wounds can negatively impact the lives of patients physical

Biodegradable Zwitterionic Cream Gel for Effective Prevention of Postoperative Adhesion.

Postoperative peritoneal adhesions were frequent complications for almost any types of abdominal and pelvic surgery. This led to numerous medical problems and huge financial burden to the patients. Current anti-adhesion strategies focused mostly on physical barriers including films and hydrogels. However, they can only alleviate or reduce adhesions to certain level and their applying processes were far from ideal. This work reported the development of a biodegradable zwitterionic cream gel presenting a series of characters for an idea anti-adhesion material, including unique injectable yet mal

Long-term gendered consequences of permanent disabilities caused by the 2005 Pakistan earthquake.

This study documents the long-term gendered impact of the 2005 Pakistan earthquake on women and men who were rendered paraplegic as a result of spinal cord injuries sustained during the disaster. Coping mechanisms are also mapped. The findings show that three years after the disaster, paraplegic women are socially, emotionally, and financially isolated. The small stipend they receive is a significant source of income, but it has also led to marital distrust, violence, and abuse. In contrast, men receive full social and emotional support. Their key concern is that the government is not providin

The coeliac disease task force " Free from Gluten," " Improved knowledge to cure coeliac disease".

Gluten has recently been introduced into the diet of the Mediterranean and European population, but a considerable proportion has not adapted to this change and has developed intolerance to gluten. At least one million EEC citizens are gluten intolerant. In Italy each year 12 million ECU is spent in the diagnosis of uncomplicated gluten intolerance, 10 million ECU for complex diagnosis and 32 million ECU for long-term complications and malignancies. The total financial load of gluten intolerance, in its present state, is about 150 million ECU/year in Italy. Four million ECU is actually needed

Wives' reported role changes following a husband's stroke: a pilot study.

The purpose of this pilot study was to look at changes in the roles of wives when their spouses became disabled due to a stroke. Data collection tools included Buxbaum's Marital Role Questionnaire, which was administered first in the rehabilitation hospital and again at home 2 weeks after the spouses' discharge. Ten subjects participated in this study. Results suggest that (a) wives' responsibilities increased significantly after the husband's stroke, (b) wives' satisfaction with household responsibilities decreased significantly after the husband's stroke, and (c) wives' degree of marital unh

To ABG or Not to ABG-Reducing Inappropriate Arterial Blood Gas Testing in Critical Care.

BACKGROUND: Arterial blood gas (ABG) testing is a common investigation in critical care; however, evidence suggests that 33%-66% of samples may be taken without a clear clinical indication. Unnecessary testing increases costs, contributes to iatrogenic anaemia and wastes staff time. It also carries an environmental burden through resource use, waste generation and associated carbon emissions. AIM: To evaluate the impact of an education- and guideline-based intervention on reducing clinically inappropriate ABG testing in a UK Intensive Care Unit (ICU) and to perform a triple bottom line assess

Development of a health-related social need screener for adults soon to be, and recently released, from incarceration.

BACKGROUND: A history of incarceration is associated with poor overall health and increased health care utilization and costs. The challenges facing people recently released from prison vary by age, gender, and reason for incarceration. Better identification and management of the needs facing this population is critical for both state departments of correction, tasked with ensuring effective re-entry into the community, and for the health care system, tasked with caring for a population with potentially high and costly utilization. A justice systems-focused screening tool tailored to the socia

Unmet Supportive Care Needs of Patients with Hematological Malignancies: A Systematic Review.

Hematological malignancies require intensive and long-term treatment, which brings a significant burden on patients, leading to unmet supportive care needs. The purpose of this review was to investigate the unmet supportive care needs of patients with hematological malignancies during and after active treatment as well as the factors that affect them. A systematic bibliographic search was carried out in the PubMed database for English articles published between 2009 and 2020 according to the Preferred Reporting Items for Systematic Reviews guidelines and under the terms: "unmet needs", "suppor

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… Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest. References 1. Sant M, Allemani C, Tereanu C, De Angelis R, Capocaccia R, Visser O, et al. Incidence of hematologic malignancies in Europe by morphologic subtype: Results of the HAEMACARE project. …

'I Would Feel Failed By the Medical Community Entirely': Transgender Americans' Calls for Advocacy From Health Professionals in a Care-Restricted World.

BACKGROUND: Gender-affirming care (GAC) improves the mental health, quality of life, and social functioning of gender-diverse patients. In s … GAC. We describe five strategies for healthcare support: mental health support/suicide prevention, financial support, connections with community organisations/mutual aid, GAC education, and advocacy. DISCUSSION: The current politicisation of transgender healthcare is affecting trans people, with the vast majority concerned about barriers that will make this care …

Psychometric evaluation of a multidimensional family resource assessment tool for schizophrenia (M-FRAT) from caregivers' perspectives in communities of Beijing, China.

OBJECTIVE: A standardized and comprehensive instrument specifically designed to evaluate the support needs of families affected by schizophrenia is needed. This study aimed to evaluate the psychometric properties of the multidimensional family resource assessment tool for schizophrenia (M-FRAT), which was developed to assess family resources among families affected by schizophrenia from the perspective of family caregivers and to inform family-centered support strategies in primary health care. METHODS: A total of 304 family caregivers were purposively recruited from seven community health se

Expectant and new fathers say they need resources and sources of support.

OBJECTIVES: It is critical to exhaust the range of opportunities to reduce racial inequities in maternal mortality. Developing interventions to optimize how fathers can support mothers during pregnancy and childbirth remains under developed, particularly in the context of racial inequities. In this study, we collected formative data from expectant and new fathers to identify the types of supports and resources they need to promote positive maternal health outcomes. DESIGN: We used a phenomenological thematic approach to analyze data from 80 new fathers in 10 focus groups from five of the six

Can you be a peer if you don't share the same health or social conditions? A qualitative study on peer integration in a primary care setting.

BACKGROUND: Peer support has been extensively studied in specific areas of community-based primary care such as mental health, substance use, HIV, homelessness, and Indigenous health. These programs are often built on the assumption that peers must share similar social identities or lived experiences of disease to be effective. However, it remains unclear how peers can be integrated in general primary care setting that serves people with a diversity of health conditions and social backgrounds. METHODS: A participatory qualitative study was conducted between 2020 and 2022 to explore the feasib

Barriers to Accessing Paid Parental Leave Among Birthing Parents With Perinatal Health Complications: A Multiple-Methods Study.

INTRODUCTION: Even in the small number of U.S. states with paid parental leave (PPL) programs, studies have found awareness of PPL remains l … enefits coordinator and employers. Supervisors were reported as providers of critical emotional and financial support. CONCLUSIONS: Taken together, the findings from surveys and interviews suggest that health care and human resources personnel should be better equipped to provide information and support, particularly to those who experience perinatal complications …

Factors associated with caregiver burden among family caregivers of patients on home-based palliative care: A systematic review.

BACKGROUND: Home hospice services are increasingly central to palliative care as more patients express preference for care or death at home. In these settings, the role of family caregivers becomes crucial. Despite its importance, research has often focussed on patient or feasibility. Few have examined home-based palliative care from a caregiver-centric standpoint. AIM: This review summarises factors associated with caregiver burden among family caregivers of home-based palliative patients. DESIGN: A systematic review was conducted. DATA SOURCES: Systematic searches on PubMed, Scopus, CINAH

Intergenerational homesharing between older adults and university students: a scoping review.

BACKGROUND AND OBJECTIVES: Housing needs for older people wishing to age in place and university students are different, yet both groups face unmet needs. To support older adults to remain in their homes longer, many countries have policies for aging in place with in-home support. Housing affordability, a growing issue globally, leaves older adults and students vulnerable to homelessness or precarious housing. This scoping review aimed to explore the concept of intergenerational homesharing, where older adults share their home with a student. RESEARCH DESIGN AND METHODS: Using the Joanna Brig