Результаты поиска

The Prevalence and Associated Factors of Cancer-Related Worries in Adult Survivors of Childhood Cancer: A Systematic Review.

BACKGROUND: Many childhood cancer survivors (CCS) experience cancer-related worries (CRW), for example about late effects and cancer recurrence. CRW are associated with lower quality of life (QoL) and maladaptive health care use. We examined the prevalence, severity, and factors associated with CRW in adult CCS. METHODS: We included quantitative studies of ≥ 100 participants reporting on prevalence, severity, mean scores and/or associated factors of CRW among CCS aged ≥ 18 years, diagnosed at ≤ 21 years, and ≥ 2 years post-diagnosis. We searched MEDLINE/PubMed and APA PsycINFO, hand-searched

Acceptability of self-administered acupressure for knee osteoarthritis in middle-aged and older adults: A mixed-method secondary analysis.

OBJECTIVES: To evaluate the acceptability of self-administered acupressure for Knee osteoarthritis (KOA) among middle-aged and older adults. METHODS: This is a mixed-method acceptability evaluation was embedded in a randomized controlled trial on self-administered acupressure for KOA. Participants received two 2-h training sessions on self-administered acupressure and were instructed to practice twice daily for 12 weeks. Quantitative data were collected using an acceptability questionnaire (n = 153) and acupressure logbooks (n = 157). Qualitative data were obtained through semi-structured int

Exploring gambling harm awareness and its relationship with problem gambling severity: A nationally representative study of UK gamblers.

From a public health perspective, raising awareness of gambling-related harms may activate a sense of personal threat that can encourage positive behaviour change and reduce experienced harm. This study sought to determine existing levels of gambling harm awareness, both in total and by specific harm types, across a nationally representative UK sample of 10,157 adult gamblers (4,951 female). It also explored the relationship between gambling harm awareness and problem gambling severity, after controlling for various demographic variables and gambling motives. Participants were recruited via an

Trauma, coping, and adjustment when parenting a child with Dravet syndrome.

OBJECTIVES: Dravet syndrome (DS) is a severe developmental and epileptic encephalopathy that requires significant caregiver input across the lifespan. This predominantly falls on parents, who are faced with considerable challenges including physical demands, financial burdens, and sustained pressure on mental wellbeing leading to mental health difficulties. We aimed to develop a grounded theory model for the process of coping and adjustment that occurs when caring for a child who has a diagnosis of DS. METHODS: Using a Constructivist Grounded Theory methodology, we conducted five focus groups

Healthcare workers' experiences with integrated HIV and TB prevention in Liangshan, China: a qualitative exploration of barriers and enablers.

BACKGROUND: Evidence on frontline implementation of integrated HIV/TB prevention in resource-limited, ethnic minority regions remains limited. Liangshan Yi Autonomous Prefecture in Southwest China carries a dual HIV/TB burden. This study explored healthcare workers' experiences with China's Integrated Prevention and Control of Four Diseases (IPC4D) policy to identify barriers and enablers of service integration. METHODS: A qualitative phenomenological study was conducted from July to December 2024. 37 semi-structured interviews were held with purposively sampled healthcare workers across pref

Физическая активность совместно для MS: качественный опыт участия людей с множественным склерозом и лиц, обеспечивающих уход за ними, в диадетической физической активности.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Несмотря на несомненные доказательства преимуществ регулярной физической активности (ПА), многим людям с множественным склерозом (МС) и лицам, обеспечивающим уход за членами их семей, трудно в полной мере участвовать в такой же мере, как и всему населению. Для обеспечения полного участия в ПА необходимо учитывать как количество, так и качество участия. Хотя элементы, способствующие качественному участию инвалидов в жизни общества, получают все более широкое признание, наши знания о том, каким образом ПВ имеет опыт и поощряется в рамках диадикических мероприятий ПО, ориен

Multimodal strategies to hand hygiene in Ghanaian hospitals: a cross-sectional study in the Eastern Region of Ghana.

BACKGROUND: Hand hygiene (HH) is one of the core components of infection prevention and control and is critical for a high quality of care. Multimodal approaches are recommended to strengthen and drive HH systems in healthcare facilities (HCFs). We aimed to assess the extent of implementation of the WHO HH multimodal improvement strategy in HCFs in the Eastern Region of Ghana. METHODS: This study was a descriptive cross-sectional study involving 22 HCFs from 17 districts in the Eastern Region of Ghana. We collected data from 22 hospitals using the WHO Hand Hygiene Self-Assessment Framework (H

Interrogating basal ganglia circuit function in people with Parkinson's disease and dystonia.

BACKGROUND: The dichotomy between the hypo- versus hyperkinetic nature of Parkinson's disease (PD) and dystonia, respectively, is thought to … ences in plasticity of striato-pallidal synapses. FUNDING: This project was made possible with the financial support of Health Canada through the Canada Brain Research Fund, an innovative partnership between the Government of Canada (through Health Canada) and Brain Canada, and of the Azrieli Foundation (LM), as well as a grant from the Banting Research Foundation …

"I eat chocolate milk for dinner because we just have nothing in our fridge": The invisible burden and dire consequences of food insecurity for people with cystic fibrosis in the United States.

BACKGROUND: One-third of people with cystic fibrosis (pwCF) are food insecure, with profound negative implications for their health. This qualitative study explored lived experiences with food insecurity among pwCF or their caregivers and summarized their perspectives on food insecurity screening in the cystic fibrosis (CF) programs where they receive care. METHODS: Semi-structured qualitative interviews were conducted with two groups: (1) adults with CF and (2) parents or caregivers of children with CF. PwCF or their caregivers with previously documented food insecurity were referred for par

Multi-objective optimization of the spatial layout of green infrastructures with cost-effectiveness analysis under climate change scenarios.

Green infrastructure (GI) plays a significant role in alleviating urban flooding risk caused by urbanization and climate change. Due to space and financial limitations, the successful implementation of GI relies heavily on its layout design, and there is an increasing trend in using multi-objective optimization to support decision-making in GI planning. However, little is known about the hydrological effects of synchronously optimizing the size, location, and connection of GI under climate change. This study proposed a framework to optimize the size, location, and connection of typical GI faci

Assessing Factors That May Impact Physician-based Decisions for Placing Indwelling Pleural Catheters.

INTRODUCTION: Malignant pleural effusion is a common finding in patients with advanced cancer and is a frequent cause of dyspnea. Current guidelines indicate thoracentesis for symptomatic patients, while indwelling pleural catheters (IPC) are recommended for patients who develop pleural fluid re-accumulation. IPC maintenance, however, requires a significant level of financial and social support. This study aims to analyze potential influencing factors that may play a role in the decision for placing IPCs in patients with recurrent malignant pleural effusions. METHODS: This study retrospective

Challenges to quality in contemporary, hybrid general practice a multi-site longitudinal case study.

BACKGROUND: Since 2022, general practice has shifted from responding to the acute challenges of COVID-19 to restoring full services using a hybrid of remote, digital, and in-person care. AIM: To examine how quality domains are addressed in contemporary UK general practice. DESIGN AND SETTING: Multi-site, mostly qualitative longitudinal case study, placed in UK national policy context. METHOD: Data were collected from longitudinal ethnographic case studies of 12 general practices (2021-2023), multi-stakeholder workshops, stakeholder interviews, patient surveys, official reports, and publicly

Relationship Between Insurance Status and Receipt of Cardiac Tests and Procedures During Hospitalization: A Cross-Sectional Study.

BACKGROUND: Prior analyses of the relationship between insurance status and receipt of tests and procedures have yielded conflicting findings and have focused on outpatient care. We sought to characterize the relationship between primary payer and diagnostic and procedural intensity, comparing rates of cardiac tests and procedures in matched hospitalized Medicaid and commercially insured patients. METHODS AND RESULTS: We created a propensity score-matched sample of Medicaid and commercially insured adults hospitalized at all acute care hospitals in Kentucky, Maryland, New Jersey, and North Ca

Factors associated with homeless experiences amid the COVID-19 pandemic in the Nipissing District, Ontario, Canada.

Canadian homelessness is an ongoing issue, especially in the Nipissing District, Ontario, where agencies work to support those in need. However, these efforts were challenged with the sudden onset of the COVID-19 pandemic. Drawing on the Cycle of Homelessness model, this study examines sociodemographic factors associated with homeless experiences during the pandemic. Using data from the 2021 (n = 207) Nipissing District homeless enumeration survey and employing bivariate and multivariate binary logistic analyses, this study examined sociodemographic factors associated with reasons of homelessn

Navigating Uncharted Waters: A Mixed Studies Systematic Review of Elective Female Fertility Preservation for Women.

AIM: This study aimed to review studies exploring the experiences and perceptions of healthcare students and providers regarding their personal choices for elective female fertility preservation and their recommendations of the same to patients. DESIGN/METHODS: Employing Pluye and Hong's convergent qualitative synthesis approach, a mixed-studies review was conducted. The appraisal of studies was performed using the Mixed Methods Appraisal Tool and data analysis utilised Thomas and Harden's thematic synthesis approach. DATA SOURCES: Six electronic databases (PubMed, Embase, CINAHL, PsycINFO,

Sleep duration, sleep problems and developmental trajectories of urinary incontinence: a prospective cohort study.

To examine if preschool sleep duration and sleep problems are associated with urinary incontinence (UI) at primary school-age. We used multinomial logistic regression to examine the association of child sleep duration/problems (3½ years) with UI trajectories (4-9 years) in 8751 (4507 boys, 4244 girls) from the Avon Longitudinal Study of Parents and Children. We adjusted for sex, socioeconomic indicators, mothers' emotional/practical/financial support, developmental delay, stressful life events, temperament, and emotional/behaviour problems. Preschool children who slept more than 8½ hours per n…

Methadone dosing at New York State opioid treatment programs following initial revisions to federal regulations.

INTRODUCTION: In March 2020, a temporary federal regulatory exemption for opioid treatment programs (OTPs) was issued, allowing for a greater number of take-home methadone doses than was previously permitted. In the same month, to address financial sustainability, New York State (NYS) Medicaid also transitioned to a bundle reimbursement methodology for OTPs. We examined methadone dosing schedules in NYS before and after these regulatory and financing changes. METHODS: We conducted a retrospective cohort study using NYS OTP patient data from two sources: the client data system for a baseline p

Methadone in Cancer-Related Neuropathic Pain: A Narrative Review.

Background and Objective: Cancer-related neuropathic pain (CRNP) is often a significant burden on patients' quality of life. There are limited treatment guidelines for cancer-related neuropathic pain outside of CIPN. Although opioids are considered a third-line treatment option, no consensus exists on which opioid is most effective, either as a single agent or in combination with other medications. Our aim is to review and update the literature for methadone use in CRNP, since the last review was conducted in 2006. Methods: A comprehensive literature search was performed to evaluate the use of

Отношение, барьеры и посредники для соблюдения курса рекомбинантной вакцины против зостеров в Канаде: качественные интервью с поставщиками медицинских услуг и пациентами.

Это качественное, межсекторальное исследование было нацелено на понимание барьеров и посредников, связанных с присоединением и завершением в Канаде серии двух доз вакцины от рекомбинантных зостеров (ЗОЗВ), как это считают поставщики медицинских услуг (ХЦП) и пациенты. Сбор данных осуществлялся с помощью 60-минутных концептуальных опросов 12 КЦХП (4 врача, 2 медсестры, 6 фармацевтов), которые прописали и/или ввели ОЗВ в Канаде, и 21 пациент в возрасте ≥50 лет, получивший ≥1 дозу ОЗВ. Пациенты были отнесены к категории < < консервант > > (получены обе дозы в течение рекомендованного

Совпадение в аннотации оригинала
This qualitative, cross-sectional study aimed to understand the barriers and facilitators related to the adherence and completion of the rec … of insurance coverage, and forgetfulness. Patient-identified facilitators included self-motivation, financial support, convenient processes for obtaining RZV, and reminders. In conclusion, many factors can influence RZV series completion and adherence among adults in Canada, including cost, insurance coverage, HCP knowledge and encouragement, and reminders. Awarene …

Magnetic Resonance Imaging/Angiography Versus Catheter Angiography for Annual Follow-up of Pediatric Moyamoya Patients: A Cost Outcomes Analysis.

BACKGROUND: Digital subtraction angiography (DSA) assesses revascularization in pediatric moyamoya patients after surgery, but MRI and angiography (MRI/A) may provide comparable data. OBJECTIVE: To evaluate DSA and MRI/A with respect to clinical utility in postoperative follow-up, complication profile, and relative cost at 1 year. METHODS: All pediatric moyamoya patients who received bilateral indirect revascularization between 2011 and 2020 were retrospectively reviewed at 1 institution. Patients who underwent MRI/A-only, DSA-only, or both after 1 year were compared. RESULTS: Eighty-two pa