Objectives: Increasing heatwaves pose a significant health risk. This study investigates the impact of heatwaves on staff in outpatient care services in a large city in western Germany.
Methods: A cross-sectional survey was conducted from March to June 2023, which targeted the managers of 78 outpatient nursing services. The 33-item questionnaire addressed attitudes toward climate change, health impacts on patients and staff, and potential measures to improve working conditions during heatwaves.
Results: Of the 40 services that participated, 90% had not received training on climate adaptation; 38% felt uninformed about heat-related measures; and 50% requested more time for caregiving duties during heatwaves. Guidelines for heatwaves were supported by 78% of participants, and 75% wanted more heat-protection training.
Conclusion: Outpatient care services require more active involvement in heat-protection planning to safeguard staff as heatwaves become more frequent.
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http://dx.doi.org/10.1097/JOM.0000000000003362 | DOI Listing |
Chest
March 2025
Department of Pulmonary and Critical Care Medicine, The University of Toledo, Toledo, OH.
A 52-year-old woman presented to the clinic with progressively worsening shortness of breath associated with intermittent pleuritic left lower back pain for the past 6 months. The patient denied any cough, hemoptysis, fever, chills, or weight loss. She had a history of smoking cigarettes for more than 10 years but quit almost 20 years ago.
View Article and Find Full Text PDFEnviron Health Prev Med
March 2025
Department of Biostatistics, School of Public Health, Harbin Medical University.
Background: There is growing evidence that the occurrence and severity of respiratory diseases in children are related to the concentration of air pollutants. Nonetheless, evidence regarding the association between short-term exposure to air pollution and outpatient visits for respiratory diseases in children remains limited. Outpatients cover a wide range of disease severity, including both severe and mild cases, some of which may need to be transferred to inpatient treatment.
View Article and Find Full Text PDFZhong Nan Da Xue Xue Bao Yi Xue Ban
October 2024
Xiangya Stomatological Hospital and Xiangya School of Stomatology, Central South University; Hunan Engineering Research Center for Digital Intelligence and Personalized Medicine; Hunan 3D Printing Engineering Research Center of Oral Care, Changsha 410008.
Objectives: Maxillary transverse deficiency is a common malocclusion frequently observed in orthodontic clinics. Miniscrew-assisted rapid palatal expansion (MARPE) not only produces greater skeletal expansion but also offers advantages such as simple miniscrew implantation without flap elevation, enhanced patient comfort, and an expanded age range and indications for palatal expansion. However, the fixed connection between the expander and the miniscrews makes the expander difficult to remove, significantly hindering its clinical application.
View Article and Find Full Text PDFClin Neurol Neurosurg
March 2025
Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA; Neuro-Informatics Laboratory, Mayo Clinic, Rochester, MN, USA. Electronic address:
Objective: A trend of outpatient spinal procedures has recently been observed due to evidence of less hospital-associated risks and better value-based care. We aimed to assess non-inferiority in surgical outcomes of outpatient and inpatient laminoplasty for cervical spondylosis.
Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for patients undergoing cervical laminoplasty for spinal spondylosis.
J Health Econ
March 2025
Department of Health Management and Health Economics, University of Oslo, Norway.
This study evaluates Norway's Primary Healthcare Teams (PHT) pilot program, which introduced team-based care in general practice clinics to improve care for patients with complex conditions. Practices hired nurses and chose between an activity-based or block funding model. This analysis examines the activity-based funding model, which incorporated fee-for-service (FFS) for nurses.
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