179 results match your criteria: "Lucas Center[Affiliation]"

Article Synopsis
  • Geriatric Emergency Department Guidelines aim to improve care transitions for older patients, highlighting the need for coordinated interprofessional services such as occupational therapy and social work.
  • The study involved assessing older adults in 10 EDs across Canada to determine their referral patterns, focusing on those with high-risk characteristics, and utilized rigorous assessment tools to identify complex needs.
  • Results showed that while a majority of high-needs patients received referrals to various services, factors like hospital location and the extent of their healthcare needs influenced referral decisions, indicating that risk-based referrals may not be consistently applied.
View Article and Find Full Text PDF
Article Synopsis
  • Artificial intelligence in medicine usually faces challenges related to small, non-diverse patient data due to privacy concerns, but federated learning (FL) offers a solution by allowing training across different hospitals without sharing sensitive data.
  • The newly developed FL-PedBrain platform is specifically designed for pediatric brain tumors, enabling collaborative training for tumor classification and segmentation across 19 international centers, addressing the lack of diverse datasets in this area.
  • FL-PedBrain shows impressive performance metrics, maintaining almost equivalent accuracy to centralized data training while significantly improving segmentation performance by 20 to 30% at external sites, and allows for the examination of data variability in real-world situations.
View Article and Find Full Text PDF

PET Imaging in Chimeric Antigen Receptor T-Cell Trafficking.

PET Clin

October 2024

Division for Technology and Innovation, The Intervention Center, Oslo University Hospital, Rikshospitalet, Post Box 4950 Nydalen, Oslo 0424, Norway; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Postbox 1078, Blindern, Oslo 0316, Norway. Electronic address:

The evolving field of chimeric antigen receptor (CAR) T-cell therapy, though promising, necessitates more comprehensive imaging methods to enhance therapeutic effectiveness and track cell trafficking in patients and ex vivo. This review examines the application of PET imaging in CAR T-cell trafficking and optimizing their therapeutic impact. The application of PET imaging using various radiotracers is promising in providing evaluation of CAR T-cell interaction within the host, thereby facilitating strategies for improved patient outcomes.

View Article and Find Full Text PDF

A website to support people with dementia and their family caregivers in advance care planning: Results of a mixed-method evaluation study.

Patient Educ Couns

October 2024

VUB-UGhent End-of-life Care Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium; Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium.

Objective: This study aimed to evaluate a theory-based website to support people with dementia and their families in the advance care planning (ACP) process.

Methods: We conducted an eight-week evaluation study with a convergent parallel mixed-methods design involving people with mild to moderate dementia and their family caregivers who used the website at their convenience. Interviews were conducted at baseline and after 8 weeks to evaluate usability, acceptability, feasibility, experiences, and effects on ACP knowledge, attitudes, perceived barriers to engaging in ACP, self-efficacy and skills to engage in ACP.

View Article and Find Full Text PDF

Background: People with dementia and their family caregivers often encounter challenges in engaging in advance care planning (ACP), such as a lack of information and difficulties in engaging in ACP conversations. Using a user-centred design, we developed two interactive web-based tools as part of an ACP support website to stimulate ACP reflection and communication: (1) the 'Thinking Now About Later' tool, with open-ended questions about 'what matters most', and (2) a digital version of the 'Life Wishes Cards', a card tool with pre-formulated statements that prompt reflection about wishes for future care. This study aimed to evaluate the use of and experiences with two web-based tools by people with dementia and their family caregivers.

View Article and Find Full Text PDF

Background: Older people want to age in place. Despite advancing functional limitations and their desire of aging in place, they are not always faithful to therapy that maintains independence and promotes safety. Occupational therapists can facilitate aging in place.

View Article and Find Full Text PDF

MR Imaging-Guided Prostate Cancer Therapies.

Radiol Clin North Am

January 2024

Yale University School of Medicine, Department of Radiology & Biomedical Imaging, 330 Cedar Street, TE-2, PO Box 208042, New Haven, CT 06520-8042, USA. Electronic address:

Prostate cancer is the most common malignancy diagnosed in men. MR imaging-guided therapies for prostate cancer have become an increasingly common treatment alternative to traditional whole-gland therapies, such as radical prostatectomy or radiation therapy. This is especially true in men with localized, low- to intermediate-risk prostate cancer.

View Article and Find Full Text PDF
Article Synopsis
  • * Online focus groups with family caregivers and healthcare professionals identified essential content for the website, including explanations of ACP and guidance for initiating discussions throughout the dementia journey.
  • * Key features like text-to-speech and printing options were deemed crucial by participants, while a lack of computer skills was recognized as a major barrier to accessing the website.
View Article and Find Full Text PDF

Purpose: Non-pharmacological interventions (NPIs) play an important role in the management of older people receiving homecare. However, little is known about how often specific NPIs are being used and to what extent usage varies between countries. The aim of the current study was to investigate the prevalence of NPIs in older homecare recipients in six European countries.

View Article and Find Full Text PDF

Background: Web-based tools (e.g., websites, apps) for people with dementia and their family caregivers may be useful in supporting advance care planning (ACP).

View Article and Find Full Text PDF

Background: Small and medium-sized enterprises (SMEs) face major financial losses due to mental health issues affecting employees at all levels but seldom apply programs to promote wellbeing and prevent mental health issues among employees. To support the development of a multi-country workplace-based mental health intervention for SMEs (MENTUPP), a multinational consultation study was conducted. The study aimed to examine the experiences and needs of SMEs concerning the promotion of employee wellbeing, and the prevention and management of non-clinical mental health problems in workplaces.

View Article and Find Full Text PDF

The willingness and barriers to collaborate in the care of frail older adults: perspectives of primary care professionals.

BMC Geriatr

August 2023

Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 7, Leuven, 3000, Belgium.

Background: This study investigated the perspectives of primary care professionals, in particular general practitioners, registered nurses, physiotherapists and occupational therapists, on inter-professional collaboration, the barriers and the facilitators they perceive in the care of the frail older population.

Methods: We conducted a qualitative study. In-depth interviews with healthcare professionals were performed, using open-ended questions about their perceptions on the care of frail older adults and inter-professional collaboration.

View Article and Find Full Text PDF

Background: Web-based tools for people with dementia and their family caregivers have considerably increased over the years and offer promising solutions to several unmet needs such as supporting self-care in daily life, facilitating treatment delivery, or ensuring their ability to communicate. The use of web-based tools in the field of advance care planning (ACP) for people with dementia and their family caregivers has yet to be explored and requires careful consideration, given the sensitive topic and the specific needs of people with dementia and their families.

Objective: This paper reports the protocol for a study aiming to develop and simultaneously test the usability of an ACP website designed for, and with, people with dementia and their families.

View Article and Find Full Text PDF

The Coming of Age of Neodymium: Redefining Its Role in Rare Earth Doped Nanoparticles.

Chem Rev

January 2023

Institut National de la Recherche Scientifique, Centre Énergie, Matériaux et Télécommunications, Université du Québec, Varennes, Québec J3X 1P7, Canada.

Among luminescent nanostructures actively investigated in the last couple of decades, rare earth (RE) doped nanoparticles (RENPs) are some of the most reported family of materials. The development of RENPs in the biomedical framework is quickly making its transition to the ∼800 nm excitation pathway, beneficial for both and applications to eliminate heating and facilitate higher penetration in tissues. Therefore, reports and investigations on RENPs containing the neodymium ion (Nd) greatly increased in number as the focus on ∼800 nm radiation absorbing Nd ion gained traction.

View Article and Find Full Text PDF

Background: Prognostic accuracy is important throughout all stages of the illness trajectory as it has implications for the timing of important conversations and decisions around care. Physicians often tend to over-estimate prognosis and may under-recognize palliative care (PC) needs. It is therefore essential that all relevant stakeholders have as much information available to them as possible when estimating prognosis.

View Article and Find Full Text PDF

Background: The BelRAI Screener is a short-form assessment consolidating internationally validated interRAI items focusing on physical and psychological aspects of functioning and problems with activities of daily living. It was fully implemented in the Flemish home care setting as of June 2021. In a biopsychosocial model for developing a personalized and effective care plan social and contextual aspects are considered equally important to biomedical ones.

View Article and Find Full Text PDF

Background: There is an increasing number of interactive web-based advance care planning (ACP) support tools, which are web-based aids in any format encouraging reflection, communication, and processing of publicly available information, most of which cannot be found in the peer-reviewed literature.

Objective: This study aims to conduct a systematic review of web-based ACP support tools to describe the characteristics, readability, and quality of content and investigate whether and how they are evaluated.

Methods: We systematically searched the web-based gray literature databases OpenGrey, ClinicalTrials.

View Article and Find Full Text PDF

Purpose: Characterizing orbital lesions remains challenging with imaging. The purpose of this study was to compare 3 Tesla (T) to 7 T magnetic resonance imaging (MRI) for characterizing orbital lesions.

Materials And Methods: This prospective single-center study enrolled participants presenting with orbital lesions from May to October 2019, who underwent both 7 T and 3 T MRI examinations.

View Article and Find Full Text PDF

A multi-stage process to develop quality indicators for community-based palliative care using interRAI data.

PLoS One

April 2022

Provincial Palliative and-End-of-Life Care, Seniors Health and Continuing Care, Alberta Health Services, Calgary, Alberta, Canada.

Background: Individuals receiving palliative care (PC) are generally thought to prefer to receive care and die in their homes, yet little research has assessed the quality of home- and community-based PC. This project developed a set of valid and reliable quality indicators (QIs) that can be generated using data that are already gathered with interRAI assessments-an internationally validated set of tools commonly used in North America for home care clients. The QIs can serve as decision-support measures to assist providers and decision makers in delivering optimal care to individuals and their families.

View Article and Find Full Text PDF

One of the primary objectives of health systems is to provide a fair system by providing a comprehensive and holistic approach to caregiving rather than focusing on a single aspect of a person's care needs. This approach is often embodied by using standardized care assessments across health and social care settings. These assessments are completed by professional assessors and yield vital information regarding a person's health or contextual characteristics (e.

View Article and Find Full Text PDF

Background: Accurate identification of older persons at risk of unplanned hospital visits can facilitate preventive interventions. Several risk scores have been developed to identify older adults at risk of unplanned hospital visits. It is unclear whether risk scores developed in one country, perform as well in another.

View Article and Find Full Text PDF

Measuring quality of life (QoL) is essential to understand how clients perceive their care. In practice, many instruments are in place to identify mental health diagnoses and measure treatment outcomes, but there are fewer standardized instruments to routinely collect information about self-reported QoL, especially across different mental health settings. Moreover, existing tools have been criticized for being built from the perspective of care professionals rather than the users' perspective.

View Article and Find Full Text PDF

Generic acquisition protocol for quantitative MRI of the spinal cord.

Nat Protoc

October 2021

BioMedical Engineering and Imaging Institute (BMEII), Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Article Synopsis
  • A new standardized quantitative MRI protocol for spinal cord imaging, called the spine generic protocol, has been developed to be used with 3T MRI systems from major manufacturers like GE, Philips, and Siemens.
  • The protocol includes specific imaging techniques for evaluating spinal cord macrostructure and microstructure, such as T1 and T2-weighted imaging to determine cross-sectional areas and diffusion-weighted imaging for white matter assessment.
  • An open-access document detailing the protocol is available online, providing a useful resource for researchers and clinicians aiming to enhance spinal cord imaging in neuroimaging practices.
View Article and Find Full Text PDF