Publications by authors named "S L Pfleger"
The presence of human pharmaceuticals in the aquatic environment is recognised internationally as an important public health and environmental issue. In Scotland, healthcare sustainability targets call for improvements to medicine prescribing and use to reduce healthcare's impact on the environment. This proof-of-concept study aimed to develop a framework on the environmental impact of pharmaceuticals to use as a knowledge support tool for healthcare professionals, focussing on pharmaceutical pollution.
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- Cardiac implantable devices like CRT-Ds and CCMs are options for patients with heart failure and reduced left ventricular function despite medical treatment, but a direct comparison between the two has not been done before.* -
- The study analyzed data from two registries to compare 220 CRT-D patients and 105 CCM patients, finding that before treatment, CCM patients had worse heart function; however, both groups showed similar improvements after 12 months.* -
- Despite comparable functional improvements, CCM patients had significantly higher rates of heart failure hospitalizations (45.7% compared to 16.8% for CRT-D patients), indicating a potential downside to CCM therapy.*
Cardiac resynchronization therapy with implantable cardioverter defibrillators (CRT-Ds) are established therapy options for patients suffering from heart failure (HF). Several aspects of HF modification have yet to be described regarding etiology-dependent outcome differences in the long-term.The Mannheim CArdiac Resynchronization TherApy RetrospeCtive ObservAtioNAl (MARACANA) Registry retrospectively included all patients provided with CRTs in our center from 2013 to 2021.
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- Evidence shows that spending time in nature can improve health and wellbeing, with nature-based social prescribing (NBSP) linking individuals to community activities in natural settings for mental and physical health benefits.
- The study involved a workshop with health and environmental experts from the UK and Germany, who explored the development and execution of NBSP in different healthcare systems.
- Five key themes emerged for successful NBSP implementation, including capacity building, accessibility, collaboration, standardized practices, and sustainability, along with a discussion of strengths and challenges for each theme.