Primary Objective: To determine the effectiveness of a community-based programme for meeting the long-term needs of survivors of acquired brain injury (ABI).
Methods And Procedures: Qualitative and quantitative methods were employed. Surveys were administered to practicing clinicians to validate the needs found in the literature that should be provided by such programmes. Surveys administered to participants in the programme assessed how effective they perceived it to be in meeting those needs. Focus group discussion provided support to the survey findings.
Main Outcomes And Results: Survey responses indicate differences among members, caregivers and student interns participating in the programme on issues of emotional support, social support, recreation and transportation. Focus group participants agree that emotional, social and cognitive needs are the most important needs of the members. Overall, these member needs were found to be met by the programme. The needs that participants found to remain unmet include social support for caregivers, transportation issues and community education.
Conclusions: This community-based, posts-rehabilitation programme for survivors of ABI appears to effectively meet many long-term needs. Investigations that examine the role of similar programming to meet caregiver needs, educate the public and provide transportation for participants are required.
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http://dx.doi.org/10.1080/02699050701721794 | DOI Listing |
Cureus
December 2024
Medicine, Universidad Santiago de Cali, Cali, COL.
Ventricular tachycardia (VT) is a life-threatening arrhythmia often leading to sudden cardiac death, particularly in critically ill patients. Refractory VT, characterized by recurrent episodes requiring intervention, poses unique challenges for management, necessitating advanced diagnostic and therapeutic strategies. This systematic review evaluates the impact of imaging and pharmacological treatments in managing refractory VT in critically ill patients.
View Article and Find Full Text PDFImplement Res Pract
January 2025
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Background: Implementation of evidence-based practices (EBPs) in schools is fraught with challenges. Even when EBPs are initiated, deterioration of implementation efforts often hinders their long-term success. School leadership behaviors can influence teachers' EBP implementation.
View Article and Find Full Text PDFJ Eval Clin Pract
February 2025
Pitești University Centre, National University of Science and Technology Politehnica Bucharest, Pitești, Romania.
This article identifies and offers a response to several problems that affect the quality of both clinical education and health care services. These matters are: that in clinical training and practice, health, as lived by patients (persons), is not properly considered, and is equated reductively with treating diseases/disorders; that health is seen through disease, and as restricted to a single model defined by an organism's meeting (or being returned to) biochemical or functional standards; that intellectual assumptions instilled in schools of Medicine and Psychology about realities pertaining to healthcare determine an understanding of chronic illness or life with chronic challenges focused on impairment and suffering, and not on the fuller experience of living with illness, disability or neuropsychological challenges that patients have as persons; that arts-based education reflects the same focus in understanding 'illness', and thus neglects giving attention to the creation of personal health states of those living with challenging or debilitating long-term conditions; that, consequently, the arts are instrumentalized to serve these predefined educational purposes, rather than allowed to inform clinical training through that which is intrinsic or more specific to them. As a way out of these limitations and as an illustration of how things could be done differently, Vincent Van Gogh's paintings of the Sunflowers are used as visual inspiration for how we could change the way we see, and construct new mental representations of 'health', 'chronic illness' or 'chronic challenges', 'patient as person' or even 'person as non-patient', 'the clinician's role' and 'the identity of clinical practice'.
View Article and Find Full Text PDFBMC Med Educ
January 2025
University of Illinois Chicago, College of Medicine, Associate Professor of Medicine, Chicago, IL, US.
Implicit biases involve associations outside conscious awareness that lead to a negative evaluation of a person based on individual characteristics. Early evaluation of implicit bias in medical training can prevent long-term adverse health outcomes related to racial bias. However, to our knowledge, no present studies examine the sequential assessment of implicit bias through the different stages of medical training.
View Article and Find Full Text PDFBMC Cancer
January 2025
Department of Interventional Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, 350000, China.
Background: The appropriateness of ablation for liver cancer patients meeting the Milan criteria remains controversial.
Purpose: This study aims to evaluate the long-term outcomes of MR-guided thermal ablation for HCC patients meeting the Milan criteria and develop a nomogram for predicting survival rates.
Methods: A retrospective analysis was conducted from January 2009 to December 2021 at a single institution.
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