Transitional Care Medical House Call: A Pilot Project

This quality improvement project implemented medical house call as a component of transitional care management (TCM) and measured patient outcomes such as unplanned 30-day readmission rates and correlated predictors of readmission. As a secondary outcome, the project tracked and analyzed point-of- care concerns. Medicare beneficiaries 65 years and older who were discharged from skilled nursing facilities to home were offered a home visit by a nurse practitioner (NP). Older adults benefited from TCM medical house calls by a NP within 14 days after discharge by significant polypharmacy reduction and managed high readmission risk

Dealing with Demons: Life of Someone Suffering from Body Shame

People of all ages, genders, socioeconomic conditions, origins, and races are impacted by the significant issue of body shaming. Overall appearance, social images (appearance-cued stereotyping, social implications of appearance stereotyping), developmental consequences of appearance for psychological adjustment, and body -self interactions may all be affected. This research purpose was to look at the lives of students who have been victims of body shaming; how it affects the victims' lives and well - being; the sorts of care they need; their everyday experiences in terms of education and their surroundings; and how to assist them in building a new positive outlook on life. The diverse statements and experiences of the five (5) students from Sultan Kudarat State University Laboratory High School who were purposefully selected and interviewed through Google Meet were analyzed using a qualitative case study approach. The study 's participants go about their regular lives, absorbing every bit of criticism they encounter into their motivation and inspiration. Finally, the victims have not overlooked the need for life preservation and are aware of it. Many of them make every effort to realize them, even if it means putting their emotions on the line. As this research emphasizes the value of everyone’s life, it allows us to have a deeper understanding of students who are suffering from personal issues. Despite all that has occurred to them, they remain hopeful and prepared to take chances to achieve their objectives. As a result, it is recommended that the community learn more about body shaming

Imaging actinic keratosis by high-definition optical coherence tomography. Histomorphologic correlation: A pilot study

With the continued development of non-invasive therapies for actinic keratosis such as PDT and immune therapies, the non-invasive diagnosis and monitoring become increasingly relevant. High-definition optical coherence tomography is a high-resolution imaging tool, with micrometre resolution in both transversal and axial directions, enable to visualize individual cells up to a depth of around 570 μm filling the imaging gap between conventional optical coherence tomography and reflectance confocal microscopy. We sought to determine the feasibility of detecting and grading of actinic keratosis by this technique using criteria defined for reflectance confocal microscopy compared to histology. In this pilot study, skin lesions of 17 patients with a histologically proven actinic keratosis were imaged by high-definition optical coherence tomography just before excision and images analysed qualitatively. The surrounding normal looking skin has been used as control group. In lesional skin, dyskeratotic and atypical keratinocytes could be noticed with this new technique. An atypical honeycomb pattern in variable degree or a disarranged epidermal pattern could be observed. A good correlation between the dimension of atypia and/or disarrangement of the spinous-granular layer on en face images and the histopathological grading could be demonstrated. Relevant cross-sectional imaging criteria could be defined for the different histopathological variants of actinic keratoses. The surrounding skin displayed features of photodamage. Using features already suggested by reflectance confocal microscopy, the study implies that high-definition optical coherence tomography facilitates in vivo diagnosis of actinic keratosis and allows the grading of different actinic keratosis lesions for increased clinical utility. © 2012 John Wiley & Sons A/S.SCOPUS: ar.jFLWINinfo:eu-repo/semantics/publishe