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Concurrent Panniculectomy With Abdominal Wall Reconstruction: A Propensity-scored Matched Study of Quality Improvement Outcomes.
Plast Reconstr Surg Glob Open
December 2024
Carolinas Medical Center, Charlotte, NC.
Background: Concurrent panniculectomy with abdominal wall reconstruction (CP-AWR) as a single-stage operation has reported increased complications, but constant quality improvement can improve results. This study describes outcomes for 21 years, impacted by evidence-based-practice changes.
Methods: Prospectively maintained database was reviewed for CP-AWR and separated by surgery date: "early" (2002-2016) and "recent" (2017-2023).
Climate Change and Mental Health.
Annu Rev Clin Psychol
December 2024
2School of Public Health, University of Queensland, Herston, Queensland, Australia.
Climate change negatively threatens mental health through acute, chronic, indirect, and vicarious pathways. Though these psychological consequences will be felt globally, specific populations are at increased risk. This article describes the complex and diverse ways in which climate change can affect mental health and the resulting challenges that health care services will inevitably face.
View Article and Find Full Text PDFMethadone clinic staff perceptions of trauma-informed and patient-centered care: the role of individual staff characteristics.
Addict Sci Clin Pract
December 2024
Community Medical Services, Phoenix, AZ, USA.
Background: U.S. policy intervention to increase methadone treatment accommodations during COVID did not result in national adoption of the new patient-centered treatment practices.
View Article and Find Full Text PDFExperiences of Parenting an Autistic Individual During Adolescence and Emerging Adulthood in the Indian Context: An Interpretative Phenomenological Analysis.
Indian J Psychol Med
April 2024
Dept. of Psychiatry, National Institute of Mental Health And Neuro Sciences (NIMHANS), Bangalore, Karnataka, India.
Article Synopsis
- The study investigates the unique experiences of parents with autistic adolescents in India, highlighting the challenges faced during this developmental phase in the context of limited support services.
- Through in-depth interviews, three main themes emerged: a mix of acceptance and grief related to their child's condition, transformational growth resulting from their experiences, and worries about future care due to a lack of systemic support.
- The findings suggest that while families are adapting to their circumstances, there is a significant need for improved support systems and resources to better meet the needs of both autistic individuals and their caregivers throughout their lifespan.
Towards a Clinically Relevant Appreciation of the Cost of Caring: A Study of Palliative Care Physicians in Malaysia.
Am J Hosp Palliat Care
November 2024
Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore.
The cost of caring for patients and their families in the midst of interconnected resource, ethical, moral, legal and practical considerations compromises a physician's emotional and physical well-being and therefore patient care. Whilst the cost of caring is historically best associated with compassion fatigue, data has suggested that this may extend to other related concepts, such as vicarious trauma, secondary traumatic stress and burnout. In particular, palliative care physicians are especially vulnerable as they witness and encounter more cases of death and dying.
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