Women who misuse drugs require a high level of support during their pregnancy and in the postnatal period. A service to provide additional support to such women in the postnatal period was developed in Scotland, through the integration of a specialist health visitor (SHV) working within the existing multi-agency drug support team (DST). This paper reports on a study to identify views and experiences of both the women who use the service, and the health and social care professionals working with the SHV service, of its effects. Results revealed that specific aspects of the SHV service were viewed positively by women and professionals. However, potential for confusion over lines of accountability between professionals could exist. Also, meeting the complex needs of these women in a sustained way in the community may remain problematic.
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Arch Dis Child
January 2025
Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Objective: The aim of this study was to evaluate the acceptability and feasibility of home-based blood pressure (BP) screening in a group of paediatric patients with known elevated risk of developing hypertension.
Design: Cross-sectional study.
Setting: Specialist outpatient clinic and patient homes.
J Infect Public Health
December 2024
Department of Pediatric Infectious Diseases, Ministry of National Guard-Health Affairs (MNGHA), King Abdullah Specialist Children Hospital, Riyadh, Saudi Arabia; King Abdullah International Medical Research Centre, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia; Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City (KAMC), MNGHA, Riyadh, Saudi Arabia.
Necrotizing fasciitis is a potentially life-threatening infection that can lead to rapid muscular and fascial necrosis, often resulting in sepsis. In addition to the rapid disease progression, diagnosing this disease in children can be challenging as they cannot accurately communicate their symptoms. Spontaneous necrotizing fasciitis secondary to Clostridial infection has rarely been described in the literature but occurs in neutropenic patients with significant morbidity and mortality from myonecrosis and gas gangrene.
View Article and Find Full Text PDFIntensive Crit Care Nurs
January 2025
Chelsea & Westminster Hospital NHS Foundation Trust, United Kingdom; Royal Brompton Hospital, Guy's and St Thomas' NHS Foundation Trust, United Kingdom; Division of Anaesthesia, Pain Medicine and Intensive Care (APMIC), Surgery & Cancer, Imperial College London, United Kingdom; Faculty of Medicine, Imperial College London, United Kingdom. Electronic address:
Introduction And Objectives: Nil by mouth (NBM) is a frequent imposition for patients recovering from critical illness. Its impact on patients' wellbeing and rehabilitation is under researched. We sought ICU multidisciplinary opinion to primarily assess the relevance of taste deprivation on patient care and recovery, and to identify future opportunities for innovation and research.
View Article and Find Full Text PDFEur J Prev Cardiol
January 2025
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Aim: Primary prevention of cardiovascular disease (CVD) relies on effective risk stratification to guide interventions. Current models, primarily developed using regression analysis, can lead to inaccurate estimates when applied to external populations. This study evaluates the utility of cluster analysis as an alternative method for developing CVD risk stratification models, comparing its performance with established CVD risk prediction models.
View Article and Find Full Text PDFSpine Deform
January 2025
Department of Orthopedic Surgery, Mayo Clinic, 200 First Street S.W, Rochester, MN, 55906, USA.
Purpose: Non-fusion surgical options for pediatric scoliosis management such as vertebral body tethering (VBT) offer an alternative to spinal fusion. With this study, we aim to evaluate the postoperative outcomes in boys versus girls who have undergone VBT. Our hypothesis is that girls and boys will have similar outcomes by 2-year follow-up.
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