Publications by authors named "J H Shand"
Article Synopsis
- - Cancer treatment attrition is the early discontinuation of prescribed therapies, which negatively affects patient outcomes and survival rates, highlighting the need to address inequalities in cancer care.
- - A rapid review identified 40 relevant studies that examined factors influencing treatment attrition, including disease progression, treatment side effects, and socioeconomic disadvantages.
- - Understanding the reasons behind treatment drop-out can inform better cancer care delivery and improve patient outcomes for diverse populations.
Article Synopsis
- The study examines different Crisis Standards of Care (CSC) protocols for rationing ventilators during the COVID-19 pandemic, focusing on the balance between saving lives, life-years, and reducing racial disparities.
- Using a Monte Carlo simulation based on patient data from a New York hospital, the research compares the effectiveness of various age-sensitive and non-age-sensitive protocols in saving lives and life-years.
- Results indicate that age-sensitive protocols perform best in saving lives and life-years, whereas certain New York and Maryland protocols saved the least lives but did not significantly impact racial disparities.
The mental health and wellbeing of children and young people is deteriorating. It is increasingly recognised that mental health is a systemic issue, with a wide range of contributing and interacting factors. However, the vast majority of attention and resources are focused on the identification and treatment of mental health disorders, with relatively scant attention on the social determinants of mental health and wellbeing and investment in preventative approaches.
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