Factors influencing antibiotic prescribing for respiratory tract infections in primary care - a comparison of physicians with different antibiotic prescribing rates
CONCLUSION: Point-of-care testing and its interpretation differed between the prescriber groups. Focus on interpreting point-of-care test results could be a way forward in antibiotic stewardship.PMID:38625913 | DOI:10.1080/02813432.2024.2332757 (Source: Primary Care)
Source: Primary Care - April 16, 2024 Category: Primary Care Authors: Olof Cronberg Mia Tyrstrup Kim Ekblom Katarina Hedin Source Type: research

Developing a Work Accommodation Operating Model for Workplaces and Work Ability Support Services
ConclusionThe operating model is a tool that workplaces and work ability support services can use to help working-aged people remain employed or access employment. Future studies should determine the workplace-specific functionality of this model using implementation research. (Source: Journal of Occupational Rehabilitation)
Source: Journal of Occupational Rehabilitation - April 16, 2024 Category: Rehabilitation Source Type: research

Untangling the perception of value in value-based healthcare – an interview study
This study aims to explore the perception of value among different stakeholders involved in the process of implementing VBHC at a Swedish hospital to support leaders to be more efficient and effective when developing health care.Participants comprised 19 clinicians and non-clinicians involved in the implementation of VBHC. Semi-structured interviews were conducted and content analysis was performed.The clinicians described value as a dynamic concept, dependent on the patient and the clinical setting, stating that improving outcomes was more important than containing costs. The value for non-clinicians appeared more driven ...
Source: Leadership in Health Services - April 16, 2024 Category: Health Management Authors: Axel Wolf Annette Erichsen Andersson Ewa Wikstr öm Fredrik B ååthe Source Type: research

People with complicated pregnancies may suffer health problems, die early
Preterm births are a well-known hazard for babies—who can require months and sometimes years of extra care—but far less attention is paid to the people who deliver them. Now, a new analysis of more than 2 million pregnancies over 4 decades finds those parents need consideration, too: Even years later, people who experienced some common pregnancy complications had a higher risk of death. “We are starting to understand that pregnancy complications … are windows into longer term complications,” says Cynthia Gyamfi-Bannerman, a maternal fetal medicine specialist at the University of California San Diego who was...
Source: Science of Aging Knowledge Environment - April 15, 2024 Category: Geriatrics Source Type: research

Determinants of social loneliness among older adults in job retirement and the role of emotional expressivity
CONCLUSION: Recognizing the significance of emotional expressivity has the potential to enhance our understanding of loneliness in older adults, both in theory and in practice.PMID:38619317 | DOI:10.1080/13607863.2024.2338205 (Source: Aging and Mental Health)
Source: Aging and Mental Health - April 15, 2024 Category: Geriatrics Authors: G öran Jutengren Fredrik St åhl Source Type: research

Complications of ultrasound guided very small-bore chest drains for pleural effusions of different etiology
CONCLUSIONS: A single small-bore chest drain (6-10 F) was successful in the vast majority of simple PEs, but had high complication rates in empyema with frequent need of additional drains or surgery. These findings support use of larger drains and early consultation with a thoracic surgeon in empyema.PMID:38617756 | PMC:PMC11009582 | DOI:10.21037/jtd-23-1457 (Source: Journal of Thoracic Disease)
Source: Journal of Thoracic Disease - April 15, 2024 Category: Respiratory Medicine Authors: Sebastian Samuelsson Fridolf Karlin Magnus Ekstr öm Source Type: research

Adherence to a handheld device-based atrial fibrillation screening protocol is associated with clinical outcomes
Conclusions Adherence to twice daily handheld ECG measurements in STROKESTOP was higher than to four times daily measurements in STROKESTOP II. Female sex and lower educational attainment were associated with ≥100% adherence and adherence consistency. Low adherence and adherence consistency were associated with a higher risk of adverse outcomes. (Source: Heart)
Source: Heart - April 15, 2024 Category: Cardiology Authors: van der Velden, R. M. J., Bonander, C., Crijns, H. J. G. M., Kemp-Gudmundsdottir, K., Engdahl, J., Linz, D., Svennberg, E. Tags: Arrhythmias and sudden death Source Type: research