What next for the polyclinic? New models of primary health care are required in many former Soviet Union countries
CONCLUSION: The comprehensiveness of care in a big setting and potential economies of scale, which are major strengths of the polyclinic model, should be retained in the provision of specialty care rather than primary care. Internationally, there are lessons about the risks associated with models based on narrow specialization in caring for patients who increasingly have multiple conditions.PMID:35927680 | DOI:10.1186/s12875-022-01812-w (Source: Primary Care)
Source: Primary Care - August 4, 2022 Category: Primary Care Authors: Nigel Edwards Igor Sheiman Source Type: research
"I Can't Take This Shitty Quarantine Anymore": Sexual Behavior and PrEP Use Among Young Men Who Have Sex with Men and Transgender Women in Brazil During the COVID-19 Pandemic
This study analyzes how the COVID-19 pandemic affected sexual behavior and use of HIV prevention methods among young transgender women (YTGW) and young gay, bisexual and other men who have sex with men (YGBMSM) participating in an HIV pre-exposure prophylaxis (PrEP) demonstration study in Brazil. Online interviews with 39 participants aged 15-22 years old were conducted between September and November 2020 and analyzed based on social constructionism and human rights-based approaches to health. The pandemic disrupted interviewees' routines, negatively affecting their life conditions. Among those who did not have a steady pa...
Source: Archives of Sexual Behavior - July 26, 2022 Category: Psychiatry & Psychology Authors: Dulce Ferraz Thais Aranha Rossi Eliana Miura Zucchi Luiz Fabio Alves de Deus Xavier Mabire Laura Ferguson Laio Magno Alexandre Grangeiro Marie Pr éau Fernanda Cangussu Botelho Ayra Rodrigues Sabrina Steele In ês Dourado Source Type: research
"I Can't Take This Shitty Quarantine Anymore": Sexual Behavior and PrEP Use Among Young Men Who Have Sex with Men and Transgender Women in Brazil During the COVID-19 Pandemic
This study analyzes how the COVID-19 pandemic affected sexual behavior and use of HIV prevention methods among young transgender women (YTGW) and young gay, bisexual and other men who have sex with men (YGBMSM) participating in an HIV pre-exposure prophylaxis (PrEP) demonstration study in Brazil. Online interviews with 39 participants aged 15-22 years old were conducted between September and November 2020 and analyzed based on social constructionism and human rights-based approaches to health. The pandemic disrupted interviewees' routines, negatively affecting their life conditions. Among those who did not have a steady pa...
Source: Archives of Sexual Behavior - July 26, 2022 Category: Psychiatry & Psychology Authors: Dulce Ferraz Thais Aranha Rossi Eliana Miura Zucchi Luiz Fabio Alves de Deus Xavier Mabire Laura Ferguson Laio Magno Alexandre Grangeiro Marie Pr éau Fernanda Cangussu Botelho Ayra Rodrigues Sabrina Steele In ês Dourado Source Type: research
Management, Functional Outcomes, and Quality of Life After Development of Pelvic Sepsis in Patients Undergoing Re-Do Ileal Pouch Anal Anastomosis
CONCLUSIONS:
Pelvic sepsis is common after re-do IPAA, and management varies according to the location and size of the abscess/sinus. If detected early, our management strategy was associated with high pouch salvage rates. See Video Abstract at http://links.lww.com/DCR/B823.
MANEJO, RESULTADOS FUNCIONALES Y CALIDAD DE VIDA DESPUÉS DEL DESARROLLO DE SEPSIS PÉLVICA EN PACIENTES SOMETIDAS A RECONFECCIÓN DE ANASTOMOSIS ANAL CON BOLSA ILEAL
ANTECEDENTES:
Los datos sobre el tratamiento y los resultados de la sepsis pélvica después de reconfección de anastomosis anal, de la bolsa ileal son escasos.
OBJETIVO...
Source: Diseases of the Colon and Rectum - July 16, 2022 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research
Referring Provider Opinions of Pediatric Cardiology Evaluations Performed by Nurse Practitioners
AbstractIn the setting of physician shortages, nurse practitioner (NP) roles have evolved, with increasing independence across most healthcare settings. We sought to characterize referring clinician perceptions of NP-performed outpatient pediatric cardiology consultations. We electronically distributed to pediatric and family medicine physicians and NPs in Arkansas our 11-item survey assessing the acceptability of pediatric cardiology consultations being completed by an NP under varying circumstances. Circumstances included seven common referral indications, and the scale offered five answer choices ranging from “definit...
Source: Pediatric Cardiology - July 2, 2022 Category: Cardiology Source Type: research
Types of usual sources of care and their association with healthcare outcomes among cancer survivors: a Medical Expenditure Panel Survey (MEPS) study
ConclusionsAmong adult cancer survivors who were currently experiencing cancer, having a non-SPP type of UCS was associated with reporting more difficulties accessing care, worse health, more ED visits, and higher total expenses.Implications for Cancer SurvivorsTransitioning to SPP type of USC may result in better healthcare outcomes. (Source: Journal of Cancer Survivorship)
Source: Journal of Cancer Survivorship - June 10, 2022 Category: Cancer & Oncology Source Type: research
Reducing New Ileostomy Readmissions in a Rural Health Care Setting: A Quality Improvement Initiative
CONCLUSION:
Implementation of initiatives targeting enhanced team continuity, the standardization of rehydration therapies, and improved patient education decreased readmission rates in patients with new ileostomies. Rural centers, where outpatient resources are not as readily available or accessible, stand to benefit the most from these types of targeted interventions to decrease readmission rates. See Video Abstract at http://links.lww.com/DCR/B771.
REDUCCIÓN EN LAS READMISIONES POR ILEOSTOMÍAS NE MEDIOS DE ATENCIÓN MÉDICA RURAL: INICIATIVA DE MEJORÍA EN LA CALIDAD
ANTECEDENTES:
La readmisión después...
Source: Diseases of the Colon and Rectum - June 9, 2022 Category: Gastroenterology Tags: Original Contributions: Outcomes Source Type: research
The norms and practices of eating well: In conflict with contemporary food discourses in Japan
Appetite. 2022 May 20:106086. doi: 10.1016/j.appet.2022.106086. Online ahead of print.ABSTRACTIn contemporary society, numerous food discourses are being constructed and promoted regarding how and what people should eat. However, such expositions are often too nutrition-centred and contradict each other, leaving contemporary eaters at a loss rather than rescuing them from their gastro-anomic situations. It is therefore necessary to seek an understanding of what 'eating well' means to contemporary people and to navigate current food discourses based on such a social consensus. Using a combined method of ethics (capability a...
Source: Appetite - May 23, 2022 Category: Nutrition Authors: Haruka Ueda Source Type: research
The norms and practices of eating well: In conflict with contemporary food discourses in Japan
Appetite. 2022 May 20:106086. doi: 10.1016/j.appet.2022.106086. Online ahead of print.ABSTRACTIn contemporary society, numerous food discourses are being constructed and promoted regarding how and what people should eat. However, such expositions are often too nutrition-centred and contradict each other, leaving contemporary eaters at a loss rather than rescuing them from their gastro-anomic situations. It is therefore necessary to seek an understanding of what 'eating well' means to contemporary people and to navigate current food discourses based on such a social consensus. Using a combined method of ethics (capability a...
Source: Appetite - May 23, 2022 Category: Nutrition Authors: Haruka Ueda Source Type: research
