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Effectiveness of the Interdisciplinary Home-bAsed Reablement Programme (I-HARP) on improving functional independence of people living with dementia: a multicentre, pragmatic, randomised, open-label, controlled trial.
J Neurol Neurosurg Psychiatry
January 2025
Schools of Nursing, Medicine and Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Background: We investigated the effectiveness of an Interdisciplinary Home-bAsed Reablement Programme (I-HARP) on improving functional independence, health and well-being of people with dementia, family carer outcomes and costs.
Method: A multicentre pragmatic parallel-arm randomised controlled trial compared I-HARP to usual care in community-dwelling people with mild to moderate dementia and their family carers in Sydney, Australia (2018-2022). I-HARP is a 4-month, home-based, dementia rehabilitation model delivered by an interdisciplinary team.
Challenges Faced by Patients Undergoing Fecal Ostomy Surgery: A Qualitative Study of Colorectal Cancer Patient Perspectives.
J Gastrointest Surg
January 2025
Ariadne Labs, Brigham and Women's Hospital, Harvard. T.H. School of Public Health, Boston, MA, 02115; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114; Mongan Institute Center for Aging and Serious Illness, Massachusetts General Hospital, Boston, MA, 02114. Electronic address:
Background: Ostomy education and support is instrumental in surgical recovery and adaptation. We aimed to evaluate 1) challenges faced by fecal ostomy patients with colorectal cancer and 2) resources necessary for recovery.
Methods: We recruited patients 21-90 days after scheduled fecal ostomy surgery for locally advanced or metastatic colorectal cancer from a single, tertiary academic center.
Relations between microplastic contamination and stress biomarkers under two seasonal conditions in wild carps, mullets and flounders.
Mar Environ Res
January 2025
ICBAS - Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Departamento de Estudos de Populações, Laboratório de Ecotoxicologia e Ecologia, (ECOTOX), Rua de Jorge Viterbo Ferreira, 228, 4050-313, Porto, Portugal; CIIMAR / CIMAR-LA - Interdisciplinary Centre of Marine and Environmental Research, University of Porto, Research Team of Aquatic Ecotoxicology and One Health, and Research Team of Contaminant Pathways in Marine Environment, Terminal de Cruzeiros do Porto de Leixões, 4450-208, Matosinhos, Portugal. Electronic address:
Potential effects of microplastics (MP, plastic particles <5 mm) on the levels of multiple stress biomarkers were investigated in wild fish populations of Cyprinus carpio, Mugil cephalus, Platichthys flesus captured in the Minho River estuary located in the Iberian Peninsula. Specimens were collected in March and September 2018, corresponding to the end of winter and summer, respectively. Based on the concentration of MP determined by FT-IR analysis and morphological inspection, fishes from each species were divided into two groups: ≤0.
View Article and Find Full Text PDFHealthcare staff perceptions of an electronic hand hygiene monitoring system within a large university system.
Antimicrob Steward Healthc Epidemiol
July 2024
Department of Public Health and Preventive Medicine, State University of New York Upstate Medical University, Syracuse, NY, USA.
Objective: The acceptability of an electronic HH monitoring system (EHHMS) was evaluated among hospital staff members.
Design: An electronic HH monitoring system was implemented in June 2020 at a large, academic medical center. An interdisciplinary team developed a cross-sectional survey to gather staff perceptions of the EHHMS.
System-failing creativity in health care.
Learn Health Syst
January 2025
Department of Health Policy and Management, Mailman School of Public Health Columbia University New York New York USA.
Introduction: Health care professionals often generate novel solutions to solve problems during day-to-day patient care. However, less is known about generating novel and useful (i.e.
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