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Looped Penrose Drainages of Acute Hand Infections in Vulnerable Populations.
J Hand Surg Am
January 2025
Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia; Division of Plastic, Reconstructive and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA. Electronic address:
Purpose: Acute hand infections (AHIs) remain a challenge for hand surgeons and represent a condition for which clinical outcomes are considerably affected by social barriers. We previously described the looped Penrose drainage technique, where a drain is sutured to itself in a loop and the outflow tract of egress is maintained, thus obviating the need for large incisions, wound closure, or repeat packing, thereby reducing the follow-up burden. In the face of escalating numbers of socioeconomically vulnerable patients, especially in urban settings, we aimed to characterize the clinical features and outcomes of this technique in an urban population of patients with AHI.
View Article and Find Full Text PDFCanada and the Netherlands: Rhetoric versus Reality in the Evolution of Solidarity Underpinning Universal Health Coverage.
Can J Health Hist
January 2025
North American Observatory on Health Systems and Policies.
Since the mid-twentieth century, the shared goal of healthcare systems of Canada and the Netherlands has been to achieve broad healthcare access and coverage for citizens despite their health system differences. However, the rhetoric of "state" control in Canada and "market" control in the Netherlands belies very different realities in both countries. A longer historical perspective uncovers the discrepancies between the rhetoric and reality of solidarity that has emerged - and still exists - in both countries.
View Article and Find Full Text PDF'Why Did They Migrate Here'?: A Qualitative Descriptive Study Exploring Nurses' Motivations for Migration and Regional Relocation.
J Adv Nurs
January 2025
School of Nursing, Midwifery and Social Sciences, CQUniversity, Sydney, Australia.
Aim: To explore migrant nurses' intrinsic and extrinsic motivations for migration and regional relocation.
Design: A qualitative descriptive study.
Methods: Semi-structured interviews were conducted among 17 migrant nurses working in a hospital in regional Australia.
Engagement in child psychiatry department appointments: An analysis of electronic medical records in one safety-net hospital in New England, USA.
J Health Serv Res Policy
January 2025
Assistant Professor, Department of Psychology, University of California Los Angeles, Los Angeles, CA, USA.
Objective: This study examined whether being scheduled in a screening clinic versus scheduled directly with a long-term provider to conduct a mental health intake (MHI) is associated with engagement in child psychiatry services in New England, USA.
Method: We used electronic medical record data from one safety-net hospital serving a predominantly low-income and minoritised population. The study sample included 815 youths aged 0 to 25 years, referred or scheduled for a MHI between 1 January 2016 and 31 December 2016.
Digital solutions for migrant and refugee health: a framework for analysis and action.
Lancet Reg Health Eur
March 2025
Faculty of Pharmacy and Medicine, Sapienza University, Rome, Italy.
Digital technologies can help support the health of migrants and refugees and facilitate research on their health issues. However, ethical concerns include security and confidentiality of information; informed consent; how to engage migrants in designing, implementing and researching digital tools; inequitable access to mobile devices and the internet; and access to health services for early intervention and follow-up. Digital technical solutions do not necessarily overcome problems that are political, social, or economic.
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