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Caregiving burden for adults with epilepsy and coping strategies, a systematic review.
Epilepsy Behav
January 2025
Division of Neurology, Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Objectives: Caregiving for adults with epilepsy (AWE) imposes a different degree and scope of challenges than for children and teenagers with epilepsy, and it remains understudied. This study aimed to identify the types of caregiver burdens, needs, and coping strategies in caregiving for AWE.
Methods: Previous studies relevant to this topic were identified from 7 databases.
Prevalence and clinicopathological characteristics of de novo metastatic cancer at a major radiotherapy centre in West Africa: a cross-sectional study.
Ecancermedicalscience
November 2024
National Centre for Radiotherapy, Oncology and Nuclear Medicine, Korle Bu Teaching Hospital, Accra, Ghana.
Background: Cancer is a major public health challenge in West Africa, with a significant proportion of cancer-related deaths attributed to distant metastasis. De novo metastatic cancer (DnMC), where metastasis is detected at diagnosis, presents considerable therapeutic challenges, particularly in limited-resource settings where novel treatments are often unavailable and/or unaffordable.
Aim: To determine the prevalence, incidence and clinicopathological characteristics of patients diagnosed with DnMC at a major radiotherapy center in West Africa.
Patient-driven personal importation in the face of cost barriers to care: can we do better?
Intern Med J
January 2025
Faculty of Medicine, UNSW Sydney, St Vincent's Clinical School, Sydney, New South Wales, Australia.
Australia has a robust public health system that helps to make medicines affordable. However, evidence shows that a significant proportion of Australians still cannot afford medicines prescribed to them and that some patients import medicines from abroad as a result. The strongest predictor of whether patients import medicines is whether they have discussed it with their doctor.
View Article and Find Full Text PDFBlack Americans (AA) face a confluence of challenges when seeking care including unaffordable costs, negative experiences with providers, racism, and distrust in the healthcare system. This study utilized linear regressions and mediation analysis to explore the interconnectedness of these challenges within a community-based sample of 313 AA women aged 45 and older. Approximately 23% of participants reported affordability problems, while 44% had a negative experience with a provider.
View Article and Find Full Text PDFAssociation of Pre- and Postinjury Mental Health With Long-term Clinical and Financial Outcomes.
J Trauma Acute Care Surg
January 2025
From the Department of Surgery (P.L.J., M.R.H., C.L.M., J.R.M., J.D.K., J.L.J.), University of Michigan Medical School; Center for Healthcare Outcomes and Policy (P.L.J., M.R.H., C.L.M., B.W.O., J.W.S.) and Department of Orthopedic Surgery (B.W.O.), University of Michigan Medical School; Department of Surgery (W.J.C.), Trinity Health Ann Arbor Hospital, Ann Arbor; Department of Surgery (B.D.M.), University of Michigan Health-Sparrow, Lansing; Department of Surgery (A.N.K.), Trinity Health Oakland Campus, Pontiac, Michigan; and Department of Surgery (J.W.S.), University of Washington, Harborview Medical Center, Seattle, Washington.
Background: As increased attention is placed on optimizing long-term outcomes of trauma patients by addressing mental health, little is known regarding the interplay of pre- and postinjury mental health on long-term financial and functional outcomes.
Methods: Patients from 19 Level 1 and 2 trauma centers took part in serial surveys 1 to 24 months postdischarge. Preinjury mental health diagnoses were identified using trauma registry data and postinjury mental health symptoms from survey data.
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