Journal of Biomedical Research and Clinical Investigation最新文献

Patient Centered Care and Professional Nursing Practices 以病人为中心的护理和专业护理实践

Journal of Biomedical Research and Clinical Investigation Pub Date : 2019-10-02 DOI: 10.31546/jbrci.1004

M. Araki

{"title":"Patient Centered Care and Professional Nursing Practices","authors":"M. Araki","doi":"10.31546/jbrci.1004","DOIUrl":"https://doi.org/10.31546/jbrci.1004","url":null,"abstract":"Introduction Patient centered care (PCC) is an essential determinant of quality care. Patient centered care is a multidimensional concept, and institutions that adopt PCC approach report better patient and organizational outcomes. Patient-centered care focuses the attention on patient‟s beliefs, choices, preferences, and needs, in contrast to physician centered care [1]. PCC has been shown to result in better health outcomes, better survival, greater patient satisfaction and wellbeing, however, little is still known about the importance of PCC aspects and dimensions [2]. Despite growing recognition of the importance of patient centered care, and its effectiveness, studies show that patients report significant problems in gaining access to information, understanding treatment options, getting explanations regarding medications, and receiving responsive service from the health care professional [3]. The paper discusses the concept of patient centered care, its dimensions, benefits in relation to both patients and health care organizations and the professional nursing practices related to patient centered care. Patient Centered Care There is no universally agreed upon definition of patient centered care; however, Richardson and his colleagues [4] defined PCC as care that is “respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions.” Patient Centered Care represents a shift from traditional, paternalistic, provider-driven, disease focused approaches towards healthcare systems that respects patients‟ preferences, needs, desires and experiences. PCC empowers patients, and enable health care providers to partner with patients to better meet patient goals [5].","PeriodicalId":360567,"journal":{"name":"Journal of Biomedical Research and Clinical Investigation","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114171898","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: 6

Random tree algorithm-based pediatric pneumonia screening using heart rate, respiration rate and temperature 基于随机树算法的儿童肺炎筛查，使用心率、呼吸速率和体温

Journal of Biomedical Research and Clinical Investigation Pub Date : 2019-04-30 DOI: 10.31546/JBRCI.1003

Sumiyakhand Dagdanpurev, Udval Tsogzolmaa, G. Sun, Lodoiravsal Choimaa, Y. Hakozaki, Khishigmaa Baatar, T. Matsui

引用次数: 0

Comparison of Bone Marrow Concentrate, Non-Operative Care and Fusion for Discogenic Back Pain 骨髓浓缩液、非手术护理和融合治疗椎间盘源性背痛的比较

Journal of Biomedical Research and Clinical Investigation Pub Date : 2019-02-06 DOI: 10.31546/jbrci.1001

K. Pettine, M. Dordevic

{"title":"Comparison of Bone Marrow Concentrate, Non-Operative Care and Fusion for Discogenic Back Pain","authors":"K. Pettine, M. Dordevic","doi":"10.31546/jbrci.1001","DOIUrl":"https://doi.org/10.31546/jbrci.1001","url":null,"abstract":"Introduction The United States direct and indirect cost of discogenic back pain exceeds 100 billion dollars annually [1,2]. Non-operative treatments include weight loss, exercise, heat, ice, NSAIDs, chiropractic, physical therapy, acupuncture, oral steroids, steroid injections, and opiates [3,4]. The use of opiates to treat chronic low back pain is a major contributor to the current opioid crisis [5]. Surgical options for discogenic back pain are generally fusion. [6,7]. The lumbar fusion treatment for discogenic back pain has been evaluated by Phillips, et al. They published a systematic review of 26 studies comparing spinal fusion versus conservative care as well as studies comparing different fusion techniques for discogenic back pain [8]. The use of biologics to treat disc abnormalities is a nonsurgical option which can potentially bridge the gap between traditional non-surgical treatments for degenerative disc abnormalities and fusion surgery. There is mounting evidence to support the use of biologic and cellbased therapy for chronic discogenic low back pain. The authors of this paper have published one, two, three and five-year follow-up from a study assessing the safety and efficacy of bone marrow concentrate [BMC] cells as an alternative to surgery for discogenic back pain at one or two levels [9,10,11,38]. The authors have also published the results of treating multi-level discogenic back pain with BMC [35].","PeriodicalId":360567,"journal":{"name":"Journal of Biomedical Research and Clinical Investigation","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117103965","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

Treating Discogenic Back Pain with Bone Marrow Concentrate is Superior to Lumbar Disc Replacement at Two-Year Follow-up 在两年的随访中，骨髓浓缩液治疗椎间盘源性背痛优于腰椎间盘置换术

Journal of Biomedical Research and Clinical Investigation Pub Date : 2019-01-31 DOI: 10.31546/jbrci.1002

K. Pettine, M. Dordevic

{"title":"Treating Discogenic Back Pain with Bone Marrow Concentrate is Superior to Lumbar Disc Replacement at Two-Year Follow-up","authors":"K. Pettine, M. Dordevic","doi":"10.31546/jbrci.1002","DOIUrl":"https://doi.org/10.31546/jbrci.1002","url":null,"abstract":"Introduction Direct and indirect costs of discogenic back pain in the United States exceeds 100 billion dollars annually [1,2]. Non-operative treatments include weight loss, exercise, heat, ice, NSAIDs, chiropractic, physical therapy, acupuncture, oral steroids, steroid injections, and opiates [3,4,5]. The use of opiates to treat chronic low back pain is a major contributor to the current opioid crisis [3,4]. Surgical options for one or two levels of discogenic back pain are fusion or lumbar artificial disc replacement (LADR) [22,23]. LADR was developed to potentially improve on the clinical results of lumbar fusion for treating discogenic back pain and reduce the development of adjacent level disc pathology resulting in repeat fusion surgery [12,13,14]. Numerous prospective randomized studies have reported superior but non-significant improvements in VAS and Oswestry Disability Index (ODI) comparing LADR to fusion [15,16,17,19,20,24,25,26,28]. The use of biologics to treat disc abnormalities is a possible non-surgical option which potentially can bridge the gap between traditional non-surgical treatments for discogenic back pain and surgery. There is mounting evidence to support the use of biologic and cell-based therapy for chronic discogenic low back pain.","PeriodicalId":360567,"journal":{"name":"Journal of Biomedical Research and Clinical Investigation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115848132","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