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Comprehensive pulmonary rehabilitation for post-tuberculosis lung disease: a narrative review.

Around 155 million people worldwide are tuberculosis (TB) survivors, many of whom experience post-tuberculosis lung disease (PTLD), characterized by structural lung abnormalities, impaired pulmonary function, persistent respiratory symptoms, reduced exercise capacity, and poorer quality of life. The burden of PTLD is particularly important in low- and middle-income countries (LMICs), where access to pulmonary rehabilitation (PR) and long-term post-TB care remains limited. This narrative review synthesizes current evidence on comprehensive PR for PTLD and considers its implementation across div

Implementing Genomic Medicine in a Federally Qualified Health Center: Assessing Readiness through a Mixed-Methods Approach.

INTRODUCTION: Genomic medicine enables early detection of treatable conditions and supports personalized care across all populations; however, evidence guiding its implementation in resource-constrained healthcare settings remains limited. METHODS: Using a mixed-methods approach, this study evaluated the readiness of an Alabama Federally Qualified Health Center (FQHC) to implement genomic medicine as part of routine clinical care. Staff members (e.g., physicians, nurses, medical assistants, and administrators) completed surveys, individual interviews, a concept mapping session, and a nominal

Opportunities and Challenges of Implementing Solar-Powered Digital Health in Low-Resource Settings: A Mixed-Methods Study.

BackgroundDigital health systems can improve healthcare delivery in low-resource settings but are often constrained by unreliable electricity and inadequate infrastructure. Solar-powered energy systems offer a promising solution to improve the resilience and sustainability of digital health services. This study evaluated the opportunities, challenges, technical feasibility, economic viability, and health system readiness for implementing solar-powered digital health systems in low-resource settings.MethodsA cross-sectional mixed-methods study was conducted across 12 public health facilities in

Burden of family caregivers of cancer patients: a cross-sectional study in a national referral oncology unit in Togo".

BACKGROUND: Family caregivers play an essential role in supporting patients with cancer, often without financial compensation. Despite their contributions, the burdens they experience are frequently overlooked, especially in low-resource settings. This study aimed to evaluate the perceived burden among family caregivers of cancer patients in Togo. METHODS: A descriptive cross-sectional study was conducted from March to May 2024 in the oncology unit of Sylvanus Olympio University Hospital in Lomé, Togo. Caregivers were selected through purposive sampling. Data were collected using a structured

Serious Illness and Health Care Threats to Personal Legacy Goals.

INTRODUCTION: High-quality care for people with serious illness requires understanding what matters most. Although goals-of-care conversations may emphasize values and treatment preferences, patients hold goals related to identity, relationships, and legacy; how they wish to be remembered and what they hope to leave behind. These legacy goals can shape treatment choices, yet they are rarely elicited in clinical care. The authors explored how people living with serious illness consider legacy, how legacy goals inform care decisions, and how health care supports or constrains them. METHODS: The

Development, structure, and implementation of cardiometabolic clinics in the United States, with a focus on comprehensive patient care.

Metabolic syndrome and associated cardiometabolic risk factors affect over one‑third of US adults, increasing the risk for atherosclerotic cardiovascular disease, type 2 diabetes, and chronic kidney disease. Recently termed cardiovascular-kidney-metabolic syndrome, the syndrome contributes to substantial clinical and economic burden. Despite guideline recommendations, affected patients who have multimorbidity often receive suboptimal, fragmented care. Cardiometabolic clinics (CMCs) comprise a multidisciplinary team that deliver comprehensive, preventive care to patients with cardiometabolic ri

[Diabetes education and counseling in adult patients with diabetes (Update 2026)].

Diabetes education and self-management play a critical role in diabetes care. Individualized patient empowerment aims to actively influence the course of the disease by self-monitoring and subsequent treatment modification, while enabling those affected to integrate diabetes management into their daily routine and adapt it to their lifestyle situation. Diabetes education must be accessible to all patients. Preventive measures in the prediabetic status are of additional value. In order to be able to provide a structured and validated education program, adequate personnel, rooms/facilities, orga

Depression of being "down to my last diaper": A qualitative descriptive study of associations between diaper insecurity and maternal health.

BACKGROUND: Diaper insecurity, unmet need for infant/child diapers, is a form of material deprivation associated with worse maternal mental health, including higher levels of stress, anxiety, and depression. OBJECTIVES: To examine retrospective reports of mothers' experiences of diaper insecurity and coping strategies as they related to maternal physical and mental health, health behaviors, and social interaction. DESIGN: This study used semi-structured, in-depth interviews with 70 mothers who lacked enough diapers. A thematic analysis using abductive coding was conducted to identify related

Drivers of delay in tuberculosis diagnosis among underserved groups in Portugal: An exploratory convergent parallel mixed-methods study.

BACKGROUND: Tuberculosis (TB) remains the leading infectious cause of death globally, disproportionately affecting people living with HIV and those with drug-resistant TB. In Portugal, TB incidence and notification rates exceed the European average, with diagnostic delays affecting underserved populations. RESEARCH QUESTION: This study investigated factors contributing to total diagnostic delay among people with TB in Portugal, particularly underserved groups, and identified strategies to reduce these delays. STUDY DESIGN AND METHODS: A convergent-parallel mixed-methods approach was used. Qu

Psychiatrists Under Pressure: Exploring Occupational Risks and Protective Strategies.

Objective: The aim of this study was to investigate the occupational hazards faced by psychiatrists and their protective strategies against these challenges. Method : The research adopted a qualitative approach with a thematic analysis strategy. The study included 15 psychiatrists selected through purposive sampling until theoretical saturation was achieved. Data were collected using semi-structured interviews and analyzed with MAXQDA 2024 software. The analysis was conducted based on Attride-Stirling's thematic network framework and involved systematic coding of meaning units and progressive

Professional challenges faced by student radiographers during COVID-19.

INTRODUCTION: This study aimed to identify the challenges facing radiography students at the peak of the COVID-19 pandemic, document their experiences in mid-2020, and explore supports for resilience-building in educational and clinical contexts. METHODS: An online survey of 20 questions was distributed to students from radiography programmes across 12 countries between June and July 2020. Demographic data included country of training, academic stage, and age. Students were asked to describe their principal training-related challenges through free text responses. Thematic analysis was applied

Evaluation of an AI-Based Clinical Decision Support System for Perioperative Care of Older Patients: Ethical Analysis of Focus Groups With Older Adults.

BACKGROUND: The development and introduction of an artificial intelligence (AI)-based clinical decision support system (CDSS) in surgical departments as part of the "Supporting Surgery with Geriatric Co-management and AI" project addresses the challenges of an increasingly aging population. The system enables digital comanagement of older patients by providing evidence-based evaluations of their health status, along with corresponding medical recommendations, with the aim of improving their perioperative care. OBJECTIVE: The use of an AI-based CDSS in patient care raises ethical challenges. G

Barriers and facilitators to engagement with the PrEP care continuum among sexual minority men in China: a systematic review.

Sexual minority men (SMM) in China are disproportionately affected by the HIV epidemic, yet utilization of HIV prevention services, such as … societal stigma and structural barriers. Comprehensive education around PrEP, stigma reduction and financial support are crucial. Targeted public health initiatives and policy changes are necessary to enhance PrEP awareness, accessibility and adherence among Chinese SMM. Additionally, integrating PrEP education into existing HIV/STI care frameworks, and fostering …

"I just don't know what will be better other than an apartment which I can't afford": Experiences of housing quality following homelessness in Ontario, Canada.

Having access to good quality housing is a key determinant of well-being. Little is known about experiences of housing quality following homelessness from the perspectives of persons with lived experience. To build on existing literature, we conducted a secondary analysis of qualitative interviews with 19 individuals who had experiences of transitioning to housing following homelessness. Interview transcripts were drawn from a community-based participatory research study exploring the conditions needed for thriving following homelessness in Ontario, Canada. We analyzed these transcripts using

Development and Validation of an Adapted Tool to Measure Health-Related Social Needs for the Prostate Cancer Population in Nigeria.

PURPOSE: The lack of culturally appropriate tools is a key obstacle to the identification of unmet social needs in the cancer population of Nigeria. To support sustainable strategies for social needs screening and intervention, this study aimed to develop and validate a health-related social needs screening tool for the prostate cancer population in Nigeria. PATIENTS AND METHODS: The study was performed in three stages at three Nigerian tertiary hospitals: (1) instrument adaptation using the Health Leads social needs screening toolkit as the primary framework, which involved domain specificat

Preventable Hospitalizations and Kidney Care.

Among individuals with kidney disease hospitalization rates are up to 38% higher than the general population, increase proportionally with each stage of CKD, and significantly contribute to over $130 billion in annual care costs in the United States (US). Many hospitalizations, including readmissions, are potentially preventable, and their avoidance could substantially lessen the burden and cost of kidney disease. Across the spectrum of types of kidney disease, shared drivers of preventable hospitalizations include clinical complexity and difficulty with self-management at the patient level; c

Fertility Preservation and Infertility Treatment in Female Surgical Trainees in Alberta: A Survey of Trainee Knowledge, Attitudes, and Needs.

OBJECTIVES: This study aimed to describe fertility knowledge and views on family planning and fertility preservation/treatment among female surgical trainees in Alberta. METHODS: A voluntary, anonymous online survey was sent to surgical program coordinators in Alberta to forward to their respective trainees. Participants included surgical trainees from cardiac surgery, general surgery, neurosurgery, obstetrics and gynaecology, ophthalmology, orthopaedics, otolaryngology, plastic surgery, urology, and vascular surgery. Questions assessed demographics, fertility knowledge, reproductive history,

Diagnosis, treatment, and surveillance of Diamond-Blackfan anaemia syndrome: international consensus statement.

Diamond-Blackfan anaemia (DBA), first described over 80 years ago, is a congenital disorder of erythropoiesis with a predilection for birth defects and cancer. Despite scientific advances, this chronic, debilitating, and life-limiting disorder continues to cause a substantial physical, psychological, and financial toll on patients and their families. The highly complex medical needs of affected patients require specialised expertise and multidisciplinary care. However, gaps remain in effectively bridging scientific discoveries to clinical practice and disseminating the latest knowledge and bes

The evaluation of preventive and control measures on congenital syphilis in Guangdong Province, China: a time series modeling study.

PURPOSE: To evaluate the effectiveness of preventive and control measures for congenital syphilis (CS) implemented since 2012 in Guangdong Province, China, and assess the epidemic trend in the near future. METHODS: The interrupted time series analysis was conducted to compare changes in slope and level of CS notification rate from 2005 to 2020 in Guangdong Province and its three regions with different economic developmental levels. The ARIMA model was established to predict the new CS case number of Guangdong Province in 2021. RESULTS: A total of 12,687 CS cases were reported from 2005 to 20

Oncological Diseases and Social Costs Considerations on Undertaken Health Policy Interventions.

The growing incidence and prevalence of civilization diseases is prompting national and transnational entities to seek instruments that would reverse epidemiological trends. Not without significance is the need to design such solutions that are going to provide an improved relation between the costs incurred to maintain health or recovery and the profit for citizens of continuing to function in good health. In its strategic documents, the European Union indicates the most important development goals in each financial perspective and the tools necessary to achieve them. In the Europe 2020 strat

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… The directions of financial support to improve access to medical infrastructure include the Operational Program Knowledge, Education and Development (PO WER), which includes activities supporting cancer prophylaxis supplemented with the opportunity to purchase the missing equipment necessary to complete …