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Clinics in Integrated Care最新文献

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Management of pain in the terminally ill 对绝症患者疼痛的管理
Clinics in Integrated Care Pub Date : 2021-02-01 DOI: 10.1016/j.intcar.2021.100035
Hemkumar Pushparaj, Manohar Lal Sharma
{"title":"Management of pain in the terminally ill","authors":"Hemkumar Pushparaj,&nbsp;Manohar Lal Sharma","doi":"10.1016/j.intcar.2021.100035","DOIUrl":"10.1016/j.intcar.2021.100035","url":null,"abstract":"<div><p><span><span>Improved diagnosis and advances in cancer treatment options has resulted in an increased demand for enhanced </span>cancer pain management<span>. An assortment of pharmacotherapy, especially opioids, helps to achieve significant pain relief in the terminally ill<span> by following the established WHO analgesic ladder algorithm. Advanced and invasive interventions within appropriate multidisciplinary set up further helps to attain analgesia with low morbidity and better </span></span></span>quality of life. This article lays out an overview of potential treatment options available for terminally ill cancer patients.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"4 ","pages":"Article 100035"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77577087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of childhood obesity: a multidisciplinary approach 儿童肥胖的治疗:多学科方法
Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100026
Julie Lanigan, Natasha Sauven
{"title":"Treatment of childhood obesity: a multidisciplinary approach","authors":"Julie Lanigan,&nbsp;Natasha Sauven","doi":"10.1016/j.intcar.2020.100026","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100026","url":null,"abstract":"<div><p><span><span>Childhood obesity is a serious global </span>health problem<span> associated with increased risk of disease in the short- and long-term. Excess weight gain begins early, during the preschool years, and many children remain overweight throughout childhood and adult life. Once established, obesity is difficult to reverse and costly to manage. In the UK, direct treatment costs the NHS £4.2 billion a year and without fast action, this could rise to £10 billion by 2050. Treatment options in childhood are limited. Lifestyle intervention is the first line treatment recommended by the National Institute for Care excellence (NICE) in the UK. In younger children (&lt;6 years) this is the only management option. In older children, pharmacological intervention is possible under specialist medical supervision. Evidence for the safety and success of </span></span>bariatric surgery in children is limited. However, there is enough evidence to consider making the treatment available for a small number of highly selected children, with severe and complex obesity. Prevention is the best strategy. Lifestyle interventions are feasible and effective in both the prevention and treatment of childhood obesity. These require evaluation in rigorous trials and if successful should be integrated into healthcare and widely available.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"3 ","pages":"Article 100026"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91609071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
COVID-19 disease: Resuscitation COVID-19疾病:复苏
Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100023
Daniel Paschoud, Chris Carter, Joy Notter
{"title":"COVID-19 disease: Resuscitation","authors":"Daniel Paschoud,&nbsp;Chris Carter,&nbsp;Joy Notter","doi":"10.1016/j.intcar.2020.100023","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100023","url":null,"abstract":"<div><p>COVID-19 is a complex disease which has challenged the way in which care is provided. Cardiopulmonary resuscitation (CPR) is recognized as a potential aerosol-generating procedure, in consequence, a modified advanced life support approach needs to be followed. This article describes the actions for an adult in cardiac arrest with suspected of confirmed COVID-19 disease in a hospital setting.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"3 ","pages":"Article 100023"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91609073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
COVID-19 disease: Acute respiratory distress syndrome and prone position COVID-19疾病:急性呼吸窘迫综合征和俯卧位
Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100024
Rosie Reece-Anthony, Grace Lao, Chris Carter, Joy Notter
{"title":"COVID-19 disease: Acute respiratory distress syndrome and prone position","authors":"Rosie Reece-Anthony,&nbsp;Grace Lao,&nbsp;Chris Carter,&nbsp;Joy Notter","doi":"10.1016/j.intcar.2020.100024","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100024","url":null,"abstract":"<div><p>Patients who develop severe COVID-19 disease can develop respiratory failure and subsequently Acute Respiratory Distress Syndrome (ARDS). However, it has to be noted that these patients may not follow the typical ARDS disease trajectory. The causes of this paradox are complex and not yet fully understood, with the result that varying pathophysiological hypotheses have been proposed. This article describes ARDS in COVID-19 patients and the use of the conscious and unconscious prone position as an intervention to improve oxygenation.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"3 ","pages":"Article 100024"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91609072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Management of chronic pain 慢性疼痛的处理
Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100025
Jody V. Phillips, Paul A. Cameron
{"title":"Management of chronic pain","authors":"Jody V. Phillips,&nbsp;Paul A. Cameron","doi":"10.1016/j.intcar.2020.100025","DOIUrl":"10.1016/j.intcar.2020.100025","url":null,"abstract":"","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"3 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85176087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19 disease: Acute respiratory distress syndrome and prone position COVID-19疾病:急性呼吸窘迫综合征和俯卧位
Clinics in Integrated Care Pub Date : 2020-10-16 DOI: 10.1016/j.intcar.2020.100024
R. Reece-Anthony, Grace Lao, C. Carter, J. Notter
{"title":"COVID-19 disease: Acute respiratory distress syndrome and prone position","authors":"R. Reece-Anthony, Grace Lao, C. Carter, J. Notter","doi":"10.1016/j.intcar.2020.100024","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100024","url":null,"abstract":"","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"16 1","pages":"100024 - 100024"},"PeriodicalIF":0.0,"publicationDate":"2020-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87767890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
COVID-19 disease: Resuscitation COVID-19疾病:复苏
Clinics in Integrated Care Pub Date : 2020-10-16 DOI: 10.1016/j.intcar.2020.100023
Daniel Paschoud, C. Carter, J. Notter
{"title":"COVID-19 disease: Resuscitation","authors":"Daniel Paschoud, C. Carter, J. Notter","doi":"10.1016/j.intcar.2020.100023","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100023","url":null,"abstract":"","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"53 1","pages":"100023 - 100023"},"PeriodicalIF":0.0,"publicationDate":"2020-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85585308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Mental health in older adults: an introduction for integrated care professionals 老年人的心理健康:综合护理专业人员介绍
Clinics in Integrated Care Pub Date : 2020-09-01 DOI: 10.1016/j.intcar.2020.100015
Daniel L. Segal, Katie L. Granier, Marissa A. Pifer, Lisa E. Stone
{"title":"Mental health in older adults: an introduction for integrated care professionals","authors":"Daniel L. Segal,&nbsp;Katie L. Granier,&nbsp;Marissa A. Pifer,&nbsp;Lisa E. Stone","doi":"10.1016/j.intcar.2020.100015","DOIUrl":"10.1016/j.intcar.2020.100015","url":null,"abstract":"<div><p>The number of older adults in the United States and much of the world is rapidly increasing as individuals continue to live longer, healthier lives, and is expected to continue growing over the next several decades. As a result, healthcare settings are constantly adapting to meet the specialized needs of this aging population. One major adaptation in the delivery of healthcare services is a shift toward integrated healthcare settings wherein older adults can seek services for a variety of physical and mental health needs within a single system. This article addresses several pertinent issues unique to working with older adults within integrated care settings to prepare practitioners for effectively serving older adult patients. We begin with an overview of key demographics of aging in the United States and of professional geropsychology. This is followed by a discussion of key issues relevant to serving older adults in integrated care settings, such as the roles of behavioral health professionals, common comorbidities among older adults, intervention effectiveness, and standards for professional competency. We conclude with a discussion of evidence-based psychological and cognitive assessment of older adults, highlighting measures that may be considered for use in integrated care settings.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"2 ","pages":"Article 100015"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"106586491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Management of chronic heart failure 慢性心力衰竭的管理
Clinics in Integrated Care Pub Date : 2020-09-01 DOI: 10.1016/j.intcar.2020.100016
Joanna Osmanska, Roy S. Gardner
{"title":"Management of chronic heart failure","authors":"Joanna Osmanska,&nbsp;Roy S. Gardner","doi":"10.1016/j.intcar.2020.100016","DOIUrl":"10.1016/j.intcar.2020.100016","url":null,"abstract":"<div><p>Heart failure (HF) is a clinical syndrome characterized by reduced exercise tolerance, dyspnoea and peripheral oedema<span>, which is confirmed with imaging evidence of ventricular dysfunction and, if available, cardiac biomarkers. HF is one of the major cardiovascular causes of morbidity and mortality worldwide. It has a prevalence of 1–2%, rising with age to &gt;10% in those over 70 years old.</span></p><p><span>Pharmacological and device-based therapy for HF with reduced ejection fraction (HFrEF) has dramatically improved over the last 30 years, resulting in significantly better outcomes for patients, in terms of improvements in </span>quality of life<span>, and reduction in morbidity and mortality. However, some patients remain highly symptomatic despite these measures and for a select few, advanced therapies (e.g. mechanical circulatory support<span> devices and cardiac transplantation) might be suitable. This article provides an overview of contemporary management of patients with HFrEF.</span></span></p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"2 ","pages":"Article 100016"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86559278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medical professionalism 医学专业
Clinics in Integrated Care Pub Date : 2020-09-01 DOI: 10.1016/j.intcar.2020.100014
Rosemarie Anthony-Pillai, Sanjiv Ahluwalia
{"title":"Medical professionalism","authors":"Rosemarie Anthony-Pillai,&nbsp;Sanjiv Ahluwalia","doi":"10.1016/j.intcar.2020.100014","DOIUrl":"10.1016/j.intcar.2020.100014","url":null,"abstract":"<div><p><span>Medical professionalism is an increasingly commonly used term and the subject of undergraduate education. It is seen as a ‘good’ both amongst health professionals and the public. But what exactly does it mean and how did it develop? This article looks at how medical professionalism originated and how it has led to similar debate and constructs in other areas of healthcare. The article starts with a brief synopsis of how medicine developed as a profession but broadens out to professionalism in general and how professionalism interacts with integrated </span>health care. One will see how history has shaped the conception and subsequent iterations of medical professionalism. Ultimately, medical professionalism can be seen as a response to both external and internal threats to both the individual's identity and the group's identity. Medical professionalism is the mechanism for identifying and developing core unifying characteristics that allow a profession to weather challenges and change.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"2 ","pages":"Article 100014"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81599360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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