921,447 research outputs found
Citation analysis of Canadian psycho-oncology and supportive care researchers
Purpose: The purpose of this study was to conduct a historical review of psycho-oncology and supportive care research in Canada using citation analysis and to review the clinical impact of the research conducted by the most highly cited researchers. Methods: The lifetime journal publication records of 109 psycho-oncology and supportive care researchers in Canada were subject to citation analysis using the Scopus database, based on citations since 1996 of articles deemed relevant to psychosocial oncology and supportive care, excluding selfcitations. Three primary types of analysis were performed for each individual: the number of citations for each journal publication, a summative citation count of all published articles, and the Scopus h-index. Results: The top 20 psycho-oncology/supportive care researchers for each of five citation categories are presented: the number of citations for all publications; the number of citations for first-authored publications; the most highly cited first-authored publications; the Scopus h-index for all publications; and the Scopus h-index for first-authored publications. The three most highly cited Canadian psychooncology researchers are Dr. Kerry Courneya (University of Alberta), Dr. Lesley Degner, (University of Manitoba), and Dr. Harvey Chochinov (University of Manitoba). Conclusions: Citation analysis is useful for examining the research performance of psycho-oncology and supportive care researchers and identifying leaders among the
Supportive Housing in Illinois: A Wise Investment
This study reports on 177 supportive housing residents around Illinois, comparing their use of publicly-funded services two years before entering supportive housing to two years after entry. Data were collected from Medicaid-reimbursed services, state mental health hospitals, substance use treatment, state prisons, and various county jails and hospitals. The study found an overall cost savings of over 2,400 per person annually. There was a drastic reduction in state prison, county jail, and state mental health hospital overnight stays. There was a shift from using expensive inpatient services before housing (nursing homes, inpatient care, state mental health hospitals) to less expensive outpatient services after entry into housing (outpatient medical and psychiatric care, case management). Supportive Housing in Illinois: A Wise Investment was researched and written by the Heartland Alliance Mid-America Institute on Poverty with support from the Illinois Supportive Housing Providers Association and the Corporation for Supportive Housing
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Pancreas Cancer-Associated Weight Loss.
Unintentional weight loss in patients with pancreatic cancer is highly prevalent and contributes to low therapeutic tolerance, reduced quality of life, and overall mortality. Weight loss in pancreatic cancer can be due to anorexia, malabsorption, and/or cachexia. Proper supportive care can stabilize or reverse weight loss in patients and improve outcomes. We review the literature on supportive care relevant to pancreatic cancer patients, and offer evidence-based recommendations that include expert nutritional assessment, counseling, supportive measures to ensure adequate caloric intake, pancreatic enzyme supplementation, nutritional supplement replacement, orexigenic agents, and exercise. Pancreatic Cancer Action Network-supported initiatives will spearhead the dissemination and adoption of these best supportive care practices. IMPLICATIONS FOR PRACTICE: Weight loss in pancreatic cancer patients is endemic, as 85% of pancreatic cancer patients meet the classic definition of cancer cachexia. Despite its significant prevalence and associated morbidity, there is no established approach to this disease entity. It is believed that this is due to an important knowledge gap in understanding the underlying biology and lack of optimal treatment approaches. This article reviews the literature regarding pancreas cancer-associated weight loss and establishes a new framework from which to view this complex clinical problem. An improved approach and understanding will help educate clinicians, improve clinical care, and provide more clarity for future clinical investigation
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Randomised, controlled trial of effectiveness of ampicillin in mild acute respiratory infections in Indonesian children.
The recommended treatment for mild acute respiratory infections (ARI) in children is supportive care only, but many physicians, especially in developing countries, continue to prescribe antibiotic treatment because they believe it prevents progression to more severe ARI. To find out whether ampicillin treatment conferred any benefit over supportive care alone, a randomised, controlled trial was carried out among 889 children (under 5 years) with mild ARI in Indonesia. 447 were randomly allocated ampicillin (25-30 mg/kg body weight three times daily for 5 days) plus supportive care (continued breastfeeding, clearing of the nose, and paracetamol to control fever); 442 were allocated supportive care only. The treatment groups were almost identical after randomisation in terms of age, sex, level of parental education, history of measles immunisation, and fever. After 1 week the percentages cured were nearly identical (204 [46%] ampicillin; 209 [47%] control), as were the percentages of cases progressing to moderate ARI (56 [13%] vs 53 [12%]). The effect of treatment was not modified by age, sex, measles immunisation status, or the educational level of the parents. At the 2-week follow-up, the percentages cured were 62% (277) in the ampicillin group and 58% (256) in the control group; 14% of both groups had progressed to moderate ARI; and 24% (107) and 28% (123), respectively, still had mild ARI. None of the differences in outcome between the ampicillin and control groups was statistically significant. Thus, ampicillin plus supportive care offers no benefit over supportive care alone for treatment of mild ARI in young Indonesian children
HUBUNGAN SUPPORTIVE CARE NEEDS DENGAN KECEMASAN PASIEN GAGAL JANTUNG DI POLIKLINIK JANTUNG RUMAH SAKIT UMUM DAERAH DR. ZAINOEL ABIDIN BANDA ACEH
Gagal jantung merupakan masalah progresif dengan angka morbiditas dan mortalitas tinggi yang memiliki manifestasi klinis yang kompleks berupa nafas pendek yang tipikal saat istirahat atau saat melakukan aktivitas yang disertai atau tidak disertai kelelahan. Kecemasan yang dialami pasien gagal jantung merupakan bentuk rasa takut yang diakibatkan oleh gejala yang ditimbulkan oleh penyakit gagal jantung. Supportive care needs adalah bantuan yang dibutuhkan oleh pasien yang sudah terdiagnosa gagal jantung supaya mampu hidup secara optimal dan mengatasi gejala yang ditimbulkan oleh gagal jantung. Tujuan penelitian untuk mengetahui adanya hubungan physical supportive care needs, emotional supportive care needs, psykososial supportive care needs, informational supportive care needs, spiritual supportive care needs dengan kecemasan pasien gagal jantung. Jenis penelitian yang digunakan adalah deskriptif korelasi dengan desain cross sectional study. Populasi pada penelitian ini adalah pasien gagal jantung yang berobat di Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh. Pengambilan sampel yang digunakan adalah non probability sampling dengan metode convenience sampling dengan jumlah sampel 153 responden. Teknik pengumpulan data menggunakan kuesioner supportive care needs survey dan zung anxiety rating scale. Hasil analisa Spearman Rank menunjukkan terdapat hubungan antara physical supportive care needs (p=0,009), emotional supportive care needs (p=0,026), informational supportive care needs (p=0,015) dengan kecemasan. Tidak terdapat hubungan antara spiritual supportive care needs (p=0,520) dan psychososial supportive care needs (p=0,775) dengan kecemasan. Hal ini menunjukkan bahwa adanya hubungan supportive care needs dengan kecemasan pasien gagal jantung. Kata Kunci: gagal jantung, supportive care needs, kecemasanDaftar Bacaan: 10 buku, 40 jurnal, 5 artikel (1994-2018
The Arizona Kith and Kin Project Evaluation, Brief #3
Professional Development with Family, Friend, and Neighbor Providers: Implications for Dual Language Learners. Indigo Cultural Center, for the Association for Supportive Child Care, with support from First Things First and Valley of the Sun United Way
Assessment of Supportive Care Needs in Parents of Children with Thalassemia
Children with thalassemia must undergo a lifelong transfusion so that the family of children with thalassemia should be able to adapt to changes associated with the course of the disease in children with thalassemia. Changes that occur in the family of children with thalassemia include a change in supportive care needs that consist of practical, spiritual, psychosocial, information, emotional, and physical needs. This study aimed to identify the needs of supportive care in parents of children with thalassemia. This research was a quantitative descriptive research. A total of 32 respondents were obtained in this study by using accidental sampling within a period of 1 month. Data were collected using Supportive Care Needs Assessment Tool. Data were analyzed by applying descriptive statistical analysis. The results showed that the need of supportive care in parents of children with thalassemia from the highest that required assistance was the information needs (96.8%), emotional needs (81.25%), physical needs (78.13%), psychosocial needs (78.13%), spiritual needs (75%), and practical needs (65.13%). Based on the results of the study, it is recommended that health workers can design an intervention approach to help parents meet the needs of supportive care, especially the needs of information and emotional needs such as by giving information in general and specifically by forming supportive groups in parents
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Holding On: Older Californians With Disabilities Rely on Public Services to Remain Independent
Presents findings from a study of low-income older Californians with disabilities receiving Medicare, Medi-Cal, and In-Home Supportive Services; their unmet physical, mental health, and social needs; and limited care options. Outlines policy implications
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