1,223 results match your criteria: "Southern Cross Hospital and St George’s Hospital[Affiliation]"

Study Design: Prospective cohort study.

Objective: Understanding the complex nature of low back pain (LBP) is crucial for effective management. The PainDETECT questionnaire is a tool that distinguishes between neuropathic (NeP) and nociceptive (NoP) low back pain.

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Evaluation of health services and treatment alliance among extensively hospitalized patients due to severe self-harm - results from the Extreme Challenges project.

Nord J Psychiatry

October 2024

Section for Personality Psychiatry and Specialized Treatments, Department for National and Regional Functions, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.

Background: Extensive psychiatric hospitalization due to repeated severe self-harm (SH), is a poorly researched area, but a challenge within health services (HS). Recent studies have demonstrated high levels of involuntary treatment among patients with severe personality disorder (PD) and complex comorbidity. Keeping focus on extensively hospitalized SH patients, this study aimed to investigate patients' and clinicians' evaluation of HS and treatment alliance.

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Clonidine operates through agonism at the alpha-2A receptor, a specific subtype of the alpha-2-adrenergic receptor located predominantly in the prefrontal cortex. By inhibiting the release of norepinephrine, which is responsible for withdrawal symptoms, clonidine effectively addresses withdrawal-related conditions such as anxiety, hypertension, and tachycardia. The groundbreaking work by Gold .

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This study investigated sex differences perceived relocation stress and glycemic control among older adults with type 2 diabetes in long-term care facilities. A cross-sectional correlation design was used to recruit 120 residents during their first year after moving into the facilities in southern Taiwan. The results showed that almost two-thirds of the participants (64.

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Article Synopsis
  • Current estimates of genetic variants linked to Parkinson's disease (PD) show limitations and biases across different populations, complicating patient recruitment for clinical trials focused on genetic therapies.
  • The Rostock Parkinson's disease (ROPAD) study analyzes data from 12,580 PD patients across 16 countries, revealing that 14.8% had a genetic test positive for PD-related variants, particularly in specific genes like GBA1 and LRRK2.
  • Findings indicate higher positivity rates in patients with earlier onset (age ≤ 50) or a positive family history, emphasizing the need for more extensive genetic investigation to improve patient stratification for future clinical trials.
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Successful and sustained implementation of a behaviour-change informed strategy for emergency nurses: a multicentre implementation evaluation.

Implement Sci

July 2024

Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, RC Mills Building, University of Sydney, Camperdown, NSW, 2006, Australia.

Article Synopsis
  • Implementing changes in emergency departments is hard because of many factors like staff changes and unpredictable workloads.
  • A new strategy called HIRAID was introduced to improve emergency nursing care and make it safer and of higher quality.
  • The strategy was tested with over 1,300 nurses in 29 hospitals, and most nurses completed their training successfully, showing that the new approach worked well.
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Objective: To develop and validate tools for measuring inpatient gastroenterology (GI) consultation quality on oncologic patients.

Methods: A total of 145 inpatient GI consults were analyzed using electronic health records in this cross-sectional study. Essential Consult Elements on oncologic-hospitalized patients (EE-COH) and Hospitalized Oncologic Patients Enhanced Quality of Consult Assessment Tool (HOPE-QCAT) were used for grading.

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Objectives: We aimed to determine the prevalence of HIV-related stigma among people with HIV (PWH) in Switzerland.

Design: A cross-sectional multicenter study nested within the Swiss HIV Cohort Study (SHCS).

Methods: We included adult PWH enrolled in the SHCS, attending follow-up between March 1, 2020, and January 31, 2021.

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Article Synopsis
  • Many patients with multiple sclerosis (MS) still show gradual deterioration of symptoms even when on treatment that prevents relapses, indicating the need for more comprehensive understanding beyond traditional views of MS progression.
  • The authors introduce a new term, smouldering-associated-worsening (SAW), which refers to ongoing physical and cognitive decline caused by underlying pathological processes that haven’t been adequately addressed in therapy.
  • They also suggest ways to monitor SAW using clinical, radiological, and biological markers, while emphasizing the importance of integrating findings on smouldering MS into both clinical practice and future research.
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Article Synopsis
  • This review discusses how large databases contribute to gynecologic oncology research, highlighting their advantages and limitations.
  • It covers several key databases, including NCDB, SEER, and HCUP, detailing their data, access, and management features.
  • Understanding these databases aids readers and researchers in interpreting findings, evaluating new studies, and advancing impactful research in the field.
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Background And Purpose: Sarcopenia is a growing health concern among geriatric patients. Early diagnostics is importance to intervene and better muscle status and thus physical function. Ultrasound can be a valuable tool for patient-near diagnostics of sarcopenia.

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Background: Maternal and perinatal health are fundamental to human development. However, in low-resource settings such as sub-Saharan Africa (SSA), significant challenges persist in reducing maternal, newborn, and child mortality. To achieve the targets of the sustainable development goal 3 (SDG3) and universal health coverage (UHC), improving access to continuous maternal and perinatal health care services (CMPHS) has been addressed as a critical strategy.

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Use of HBsAg-positive donors in liver transplantation: An ILTS-EASL-AASLD multisociety survey.

Liver Transpl

November 2024

Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Madrid, Spain.

The gap between organ supply and demand in liver transplantation remains large in most parts of the world. One strategy to increase the donor pool is to use grafts infected with HCV, HBV, and/or HIV viruses. We aimed to explore the current use of HBsAg-positive liver grafts worldwide.

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Ultrasound imaging of bowel obstruction in infants and children.

Radiol Med

August 2024

Edward B. Singleton Department of Radiology, Division of Body Imaging, Texas Children's Hospital and Baylor College of Medicine, 6701 Fannin St. Suite 470, Houston, TX, 77030, USA.

We review the etiologies of bowel obstruction in infants and children that can be identified on ultrasound (US) including perforated appendicitis, intussusception, foreign body ingestion, colonic volvulus, intra-abdominal mass lesions, internal hernia, and stricturing inflammatory bowel disease. US can potentially identify the cause of bowel obstruction in these age groups, without the need for additional cross-sectional imaging, and can aid in patient management including interventional and surgical planning. Hence, it is important to be familiar with the sonographic imaging findings of bowel obstruction in infants and children.

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Prediction of microvascular invasion in hepatocellular carcinoma patients with MRI radiomics based on susceptibility weighted imaging and T2-weighted imaging.

Radiol Med

August 2024

Department of Radiology, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in Southern China, No. 651 Dongfeng East Road, Guangzhou, 510060, People's Republic of China.

Background: The accurate identification of microvascular invasion (MVI) in patients with hepatocellular carcinoma (HCC) is of great clinical importance.

Purpose: To develop a radiomics nomogram based on susceptibility-weighted imaging (SWI) and T2-weighted imaging (T2WI) for predicting MVI in early-stage (Barcelona Clinic Liver Cancer stages 0 and A) HCC patients.

Materials And Methods: A prospective cohort of 189 participants with HCC was included for model training and testing, and an additional 34 participants were enrolled for external validation.

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Article Synopsis
  • Diabetes-related lower extremity complications, such as diabetic foot ulcers (DFU), require a collaborative approach involving multiple sectors and healthcare professionals to improve patient care and outcomes.
  • A realistic evaluation was conducted, observing 14 patients in Denmark for 60 hours to understand the interactions between patients and healthcare providers in both home and outpatient settings.
  • Key findings highlighted that humor strengthens relationships, patient coping strategies foster collaboration, and fixed identity roles exist between patients and professionals, informing future strategies to enhance health literacy and patient care.
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Access to water safe for consumption is critical for health and well-being, yet substantial structural barriers often necessitate household action to make water safer. Social norms about water treatment practices are understudied as a driver of personal water treatment practice. This study assesses reported and perceived water treatment practices among women in a rural, water insecure setting.

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Article Synopsis
  • Since 2021, CoC-accredited cancer facilities in the US are required to provide survivorship programs for patients treated with curative intent, highlighting a significant opportunity to review the availability of these services.* -
  • A survey conducted from May 4 to 25, 2023, assessed the prevalence, types, and outcomes of cancer survivorship services at 384 participating CoC-accredited facilities, representing a diverse range of programs across the country.* -
  • Results showed a majority of programs employed nurses and social workers, while fewer had physical and occupational therapists; the data reflects on the characteristics of survivorship programs and their perceived impact on patient care.*
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Objective: To assess the inter-laboratory comparability and intra-assay reproducibility of full blood count (FBC) results.

Design: Exploratory cross-sectional study.

Setting: Three and two selected medical laboratories in the northern and southern zones, respectively.

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Brain-age prediction: Systematic evaluation of site effects, and sample age range and size.

Hum Brain Mapp

July 2024

Djavad Mowafaghian Centre for Brain Health, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.

Structural neuroimaging data have been used to compute an estimate of the biological age of the brain (brain-age) which has been associated with other biologically and behaviorally meaningful measures of brain development and aging. The ongoing research interest in brain-age has highlighted the need for robust and publicly available brain-age models pre-trained on data from large samples of healthy individuals. To address this need we have previously released a developmental brain-age model.

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A growing body of research suggested that there was a link between poor periodontal health and systemic diseases, particularly with the early development of cognitive disorders, dementia, and depression. This is especially true in cases of changes in diet, malnutrition, loss of muscular endurance, and abnormal systemic inflammatory response. Our study aimed to determine the extent of these associations to better target the multi-level healthy aging challenge investigating the impact of periodontal disease on cognitive disorders (cognitive impairment and cognitive decline), dementia, and depression.

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Introduction: Medical errors are not uncommon, but they are seldom reported. Patient safety practices are among the key areas for service improvement. This study aimed to assess factors associated with self-reported medical errors among undergraduate health science students in southern Ethiopia.

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Objective: To analyze the associations between the clinical characteristics of patients hospitalized with pressure injuries (PI) during the COVID-19 pandemic.

Method: Cross-sectional study of 237 PI notifications in a hospital in southern Brazil. Collection took place in 2021 in an institutional management program, with interlocution to the patient's medical record.

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Background: According to current literature, there is a lack of information regarding the radiation protection (RP) practices of interventional radiology (IR) and cardiology catheter laboratory (CCL) staff. This study aims to determine the RP practices of staff within IR and CCLs internationally and to suggest areas for improvement.

Methods: A cross-sectional study in the form of an online questionnaire was developed.

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