Discover health systems最新文献

{"title":"Geriatric surgical patients: is it possible to implement the comprehensive geriatric assessment in the emergency setting?","authors":"B. De Simone, J. Dhesi, M. Hoffman, D. Damaskos, H. Kaafarani, E. Chouillard, M. Sartelli, F. Coccolini, L. Ansaloni, Francesca Bravi, V. Agnoletti, F. Catena","doi":"10.1007/s44250-023-00029-7","DOIUrl":"https://doi.org/10.1007/s44250-023-00029-7","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45115220","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}

{"title":"Is there a relation between the size of the list and the length of wait?","authors":"P. Armstrong","doi":"10.1007/s44250-023-00021-1","DOIUrl":"https://doi.org/10.1007/s44250-023-00021-1","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45763052","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}

{"title":"Dexmedetomidine infusion in the management of acute ischemic stroke undergoing endovascular recanalization: a retrospective observational study","authors":"Pota Vincenzo, Coletta Francesco, Sala Crescenzo, Tomasello Antonio, Coppolino Francesco, Iorio Vittoria, Del Prete Maurizio, Sansone Pasquale, Passavanti Maria Beatrice, Villani Romolo, Pace Maria Caterina","doi":"10.1007/s44250-023-00025-x","DOIUrl":"https://doi.org/10.1007/s44250-023-00025-x","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44031484","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}

{"title":"Clinical empathy: definition, measurement, correlates, group differences, erosion, enhancement, and healthcare outcomes","authors":"M. Hojat, V. Maio, Charles A. Pohl, J. Gonnella","doi":"10.1007/s44250-023-00020-2","DOIUrl":"https://doi.org/10.1007/s44250-023-00020-2","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45355590","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}

{"title":"Can acute care surgery sustain as a specialty in Singapore?","authors":"Brian Wca Tian","doi":"10.1007/s44250-023-00023-z","DOIUrl":"https://doi.org/10.1007/s44250-023-00023-z","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48616434","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}

{"title":"Evidencing built health system reconfiguration policy","authors":"G. Mills, Antonio Rojas García, R. Raine","doi":"10.1007/s44250-022-00008-4","DOIUrl":"https://doi.org/10.1007/s44250-022-00008-4","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46632044","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}

{"title":"The association between the problem list and chronic pain management","authors":"Tina L. Rylee, David J. Copenhaver, Christiana Drake, Jill Joseph","doi":"10.1007/s44250-022-00016-4","DOIUrl":"https://doi.org/10.1007/s44250-022-00016-4","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"19 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41273399","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}

{"title":"Does a decannulation protocol exist in COVID-19 patients? The importance of working in a multiprofessional team.","authors":"E Cavalli, G Belfiori, G Molinari, A Peghetti, A Zanoni, E Chinelli","doi":"10.1007/s44250-023-00031-z","DOIUrl":"10.1007/s44250-023-00031-z","url":null,"abstract":"<p><p>As a Covid Hub in Emilia Romagna, we have experienced an increasing number of tracheostomized patients, prompting us to develop a standardized decannulation protocol for COVID-19 ARDS patients. Currently, there are no guidelines or protocols for decannulation in this population, and few studies have investigated the early outcomes of tracheostomy in COVID-19 patients, with no detailed analysis of the decannulation process. We recognized the importance of mutual reliance among our team members and the significant achievements we made compared to previous decannulation methods. Through the optimization of the decannulation process, we identified a clear, safe, and repeatable method based on clinical best practice and literature evidence. We decided to implement an existing standardized decannulation protocol, which was originally designed for severe brain-damaged patients, due to the growing number of COVID-19 patients with tracheostomy. This protocol was designed for daily practice and aimed to provide a uniform approach to using devices like fenestrated cannulas, speaking valves, and capping. The results of our implementation include:expanding the applicability of the protocol beyond severe brain-damaged patients to different populations and settings (in this case, patients subjected to a long period of sedation and invasive ventilation)early activation of speech therapy to facilitate weaning from the cannula and recovery of physiological swallowing and phonationearly activation of otolaryngologist evaluation to identify organic problems related to prolonged intubation, tracheostomy, and ventilation and address proper speech therapy treatmentactivation of more fluid and effective management paths for decannulation with a multiprofessional team.</p>","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"2 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9906759","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}

{"title":"Analyzing Yemen's health system at the governorate level amid the ongoing conflict: a case of Al Hodeida governorate.","authors":"Raof Al Waziza, Rashad Sheikh, Iman Ahmed, Ghassan Al-Masbhi, Fekri Dureab","doi":"10.1007/s44250-023-00026-w","DOIUrl":"10.1007/s44250-023-00026-w","url":null,"abstract":"<p><strong>Background: </strong>Yemen is regarded as one of the Middle East's poorest countries. Decades of political, economic, and social difficulties have culminated in the current protracted conflict. As a result, the globe experienced its worst humanitarian catastrophe. The ongoing war has affected several public services, notably the health sector, which is operating at less than half its capacity. This study aims to examine Yemen's health system at the governorate level (Al Hodeida) amidst the current conflict. It analyzes current challenges and produces suggestions for enhancement.</p><p><strong>Methods: </strong>The study used qualitative research methods such as Key Informant Interviews (KIIs) and document analysis. The study used WHO's health systems framework to measure health system performance. Twelve KIIs were conducted via Skype with several health stakeholders. In addition, documents were analyzed to inform the subject guide, generate themes, and aid in the triangulation of results.</p><p><strong>Results: </strong>According to the study findings, the governorate health system managed to offer a minimum level of healthcare services while making some advances in outbreak control jointly with other partners. One of the main difficulties confronting the governorate's health system is a severe lack of financial resources forcing it to rely entirely on external aid. Furthermore, other significant deficiencies include inadequate health system organogram, low reporting capacities, insufficient funding, and scarcity of health professionals.</p><p><strong>Conclusion: </strong>Yemen's frail health system has been weakened by almost eight years of insecurity and conflict. If the current scenario continues, most of Yemen's health system's operations and indicators will likely deteriorate. On the other hand, progress in some areas, such as primary healthcare (PHC) services and disease management, is remarkable. However, for better performance, Yemen's health system leadership and stakeholders should seek a holistic strategy to improve the entire dimensions of the health system.</p>","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"2 1","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10169293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9912550","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}

{"title":"Exploring pandemic preparedness in higher education: lessons learnt from students' lived experiences during a critical time.","authors":"Jinan Abi Jumaa, Rodolfo Catena, Elliot Brown, Saikou Sanyang, Alessandro Tridico, Dawn Weaver","doi":"10.1007/s44250-023-00024-y","DOIUrl":"10.1007/s44250-023-00024-y","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has had a marked impact on educational disruption and progression of students. Linked to this, studies have demonstrated increases in depression, anxiety, and stress, with long-term outcomes yet to be understood. Students in Higher Education (HE) were at particular risk due to circumstances such as financial stress from job loss, shifting to online learning and uncertainties about the future, with many international students isolated from social support networks. This study explored lived experiences of determinants for academic disruption in HE students during the COVID-19 pandemic across Germany and the UK.</p><p><strong>Methods: </strong>The study used qualitative secondary data collected from extension and mitigation claim forms from 2019 until 2021 from a university with campuses in the UK and Germany. A phenomenological perspective was utilised to draw out experiences and insights into determinants for mitigation from students to enhance our understanding of real problems encountered during a period of crisis. Thematic data analysis was used to create themes of influence for mitigation of assessments.</p><p><strong>Results: </strong>Themes identified pre and during the COVID-19 pandemic included; pre-COVID: work-related commitments; bereavement; illness of a family member; mental and physical health issues; natural disasters, during 2020/21, themes created were; COVID-19 social impacts; workplace and financial demands; psychological distress; physical illness, with subthemes evolving such as family responsibilities; and caring for others; furlough and its financial impacts; heavy workload for frontline health care workers; mental health impacts; physical abuse and crime, COVID-19 physical symptoms.</p><p><strong>Conclusion: </strong>We suggest an Integrated 'Determinants of Wellbeing Framework' for supporting HE students during critical times such as a pandemic. Our suggested framework was adapted from determining health inequalities and the concept of the 'flourishing student' that maps the relationship between the student, their environment and well-being. It is hoped the framework will serve to inform future theories around disruption to student progression and to explore the relevant impact on educational outcomes in HE thus assisting in appropriate support planning.</p>","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"2 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9980862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9906756","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}