Your new post is loading...
|
Scooped by
Sergio Ariño Blasco
April 5, 3:06 AM
|
|
Scooped by
Sergio Ariño Blasco
April 5, 2:55 AM
|
A vision for the future NHS workforce -
NHS workforce stewardship is regarded as a key priority and important responsibility at all levels -
Staff are respected for their rich diversity and feel valued and proud to work in the NHS -
Roles and competencies are appropriately configured, with sufficient people in those roles to deliver high quality, safe care -
Working environments support all staff to thrive -
NHS careers in all roles are seen as attractive and interesting, are capable of enabling progression, and are suitably financially rewarded -
Regulation is designed and functions well to protect patients and secure the confidence of staff -
Career pathways are well designed, supported, and resourced, offering a positive experience in all roles
|
Scooped by
Sergio Ariño Blasco
April 4, 8:12 AM
|
This review discusses diagnosis and first-line treatment options for dry mouth, oral candidiasis, and recurrent aphthous ulcers.
|
Scooped by
Sergio Ariño Blasco
February 17, 4:39 AM
|
Team-based care models such as the Patient-Centered Medical Home are associated with improved patient health outcomes, better team coordination and collaboration, and increased well-being among health care professionals. Despite these attributes, hindrances to wider adoption remain. In addition, some health care professionals have sought to practice independent of the physician-led health care team, potentially undermining patient access to physicians who have the skills and training to deliver whole-person, comprehensive, and longitudinal care. In this paper, the American College of Physicians reaffirms the importance of the physician-led health care team and offers policy recommendations on professionalism, payment models, training, licensure, and research to support the expansion of dynamic clinical care teams.
|
Scooped by
Sergio Ariño Blasco
February 8, 2:33 PM
|
Evidence supports including home OT/PT in postoperative pain management guidelines more for TKA than THA. These findings may be attributable to different postoperative rehabilitation approaches for TKA and THA. For example, early TKA recovery focuses on remediating postoperative impairments. In comparison, patients with THA follow conservative precautions to reduce the 2.1% incidence of dislocation. 10 Therefore, compensatory techniques take precedence over remediation. During compensatory rehabilitation, a high OT/PT dose may have less impact due to temporary compensation through quick environmental modifications like shower chairs, grab bars, and patient education
|
Scooped by
Sergio Ariño Blasco
February 8, 2:27 PM
|
The Centers for Medicare & Medicaid Services (CMS) Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents—Payment Reform enabled participating NFs to bill Medicare for providing on-site care to eligible long-stay residents meeting specified severity criteria due to any of 6 medical conditions, as an alternative to hospitalization. For billing purposes, residents were required to meet clinical criteria severe enough to warrant hospitalization. Our findings lend support to the practice of treating residents for these 6 conditions on-site, when clinically appropriate, instead of transferring to a hospital. It is advisable that NF medical directors consider our findings and be reassured that treatment within the facility is often the better choice for residents and their health outcomes. Further research is warranted to develop best practice criteria to guide decisions as to when to treat residents with these conditions on-site vs in the hospital. In addition to outcomes measured in this study, there are other benefits to treating nursing facility residents on-site, such as supporting continuity of care and supporting residents to remain in a stable, familiar environment.
|
Scooped by
Sergio Ariño Blasco
February 8, 2:15 PM
|
IntroducciónDada la creciente adopción de la ecografía clínica en medicina,
|
Scooped by
Sergio Ariño Blasco
February 2, 12:37 PM
|
|
Scooped by
Sergio Ariño Blasco
February 2, 12:12 PM
|
Wearable Technologies in Cardiovascular Medicine This article reviews the use of digital wearable technologies for monitoring of three common cardiovascular conditions: hypertension, hear
|
Scooped by
Sergio Ariño Blasco
December 29, 2023 11:24 AM
|
The 10 steps are as follows: (1) select every variable that measures a health problem; (2) exclude variables with more than 5% missing values; (3) recode the responses to 0 (no deficit) through 1 (deficit); (4) exclude variables when coded deficits are too rare (< 1%) or too common (> 80%); (5) screen the variables for association with age; (6) screen the variables for correlation with each other; (7) count the variables retained; (8) calculate the frailty index scores; (9) test the characteristics of the frailty index; (10) use the frailty index in analyses. In our worked example, we created a 61-item frailty index following these 10 steps
|
Scooped by
Sergio Ariño Blasco
December 21, 2023 9:32 AM
|
Electronic frailty indices (eFIs) can expand measurement of frailty in research and practice and have demonstrated predictive validity in associations with clinical outcomes. However, their construct validity is less well studied. We aimed to assess the construct validity of the VA-FI, an eFI developed for use in the U.S. Veterans Affairs Healthcare System. Our results demonstrate the construct validity of the VA-FI through its associations with clinical measures of frailty, including summary frailty measures, functional status, and objective physical performance. Our findings complement others' in showing that eFIs can capture functional and mobility domains of frailty beyond just comorbidity and may be useful to measure frailty among populations and individuals.
|
Scooped by
Sergio Ariño Blasco
December 13, 2023 1:57 AM
|
The GBD-FI demonstrated concurrent and predictive validity, suggesting it is a valid measure of frailty. It has the potential to be an efficient, replicable and consistent approach to comparing frailty between countries and regions across time using GBD data.
|
Scooped by
Sergio Ariño Blasco
December 13, 2023 1:54 AM
|
Abstract. Evidence synthesis, embedded within a systematic review of the literature, is a well-established approach for collating and combining all the relevant
|
|
Scooped by
Sergio Ariño Blasco
April 5, 2:58 AM
|
|
Scooped by
Sergio Ariño Blasco
April 4, 8:12 AM
|
Variations in several biomarkers, including proteins found in cerebrospinal fluid (CSF), might appear 6 to 18 years before a person develops Alzheimer disease, according to a prospective cohort study that included more than 600 participants in China with no family history of the condition.
|
Scooped by
Sergio Ariño Blasco
April 4, 8:01 AM
|
This podcast episode explores the fastest-growing neurologic condition in the world, Parkinson’s disease. What have we learned in recent years, and where are the greatest hopes for the future?
|
Scooped by
Sergio Ariño Blasco
February 8, 2:46 PM
|
INTRODUCTION Isolated/idiopathic rapid eye movement sleep behavior disorder (iRBD) is a powerful early predictor of dementia with Lewy bodies (DLB) and Parkinson's disease (PD). Cognitive changes in iRBD begin up to 10 years prior to phenoconversion, starting with a decline in executive function followed by attention, then memory and visuospatial dysfunction closer to time of phenoconversion
|
Scooped by
Sergio Ariño Blasco
February 8, 2:30 PM
|
Admission cognition, ADL independence, and physical function predicted physical function change following post-hospitalization rehabilitation. Inverse findings for admission physical function and ADL independence predictors suggest independence with ADL is not necessarily aligned with mobility-related function. Findings highlight that functional recovery is multifactorial and requires comprehensive assessment throughout SNF rehabilitation.
|
Scooped by
Sergio Ariño Blasco
February 8, 2:22 PM
|
In the present study, the use of telemedicine in the management of nursing home residents requiring a call to the EMCC decreased the number of dispatches to the ED by 18%. By reducing the number of dispatches to our ED, the implementation of telemedicine in nursing homes could prevent 450 unplanned admissions per year in our ED and 65,000 admissions per year in all French EDs. There are many benefits to be expected, both individually in terms of morbidity of older individuals by avoiding cognitive decline, iatrogenic complications, and other adverse events commonly associated with unplanned hospital admissions and collectively by limiting inappropriate hospitalizations and their associated costs.
|
Scooped by
Sergio Ariño Blasco
February 2, 12:57 PM
|
Frailty measures derived from primary care electronic health records (EHRs) offer a rapid and inexpensive means of segmenting large populations of older people -
Frailty measures derived from routine data can predict key frailty-related outcomes with robust model performance -
Utility of frailty measures needs to be determined by whether care informed by using them leads to better patient outcomes -
Research should now focus on evaluating and enhancing existing frailty measures through multiple challenges of implementation -
The development of methods to monitor and update the performance of frailty measures over time is now needed.
|
Scooped by
Sergio Ariño Blasco
February 2, 12:30 PM
|
|
Scooped by
Sergio Ariño Blasco
December 29, 2023 11:30 AM
|
Older patients are typically underrepresented in clinical trials despite representing a major proportion of the patient population. We aim to describe the feasibility of performing body composition measures, physical function measures, and patient-reported questionnaires within the first 24 hours of admission in a large sample of older acutely admitted medical patients. In addition, we aim to characterize patients with missing measurements.The assessment of HGS and PROs show excellent feasibility in clinical research including older patients, even when the patients are enrolled and tested within 24 hours of an acute admission. Assessments of DSM-BIA and the 30-second STS show good feasibility but are less feasible in immobile patients often presenting as more frail, weaker, and cognitively impaired.
|
Scooped by
Sergio Ariño Blasco
December 21, 2023 9:35 AM
|
“Common sense oncology is about focusing on outcomes that matter to patients. The field needs to generate better evidence, with less bias, and use ‘universal goals’ of older patients to guide decisions. The narrative of ‘newer is better’ or ‘do something’ needs scrutiny”
|
Scooped by
Sergio Ariño Blasco
December 13, 2023 1:59 AM
|
Las admisiones en urgencias por ACSC procedentes de entornos residenciales suponen un impacto significativo tanto en la frecuencia como en los costes. La disminución de estas enfermedades mediante la aplicación de intervenciones específicas podría redirigir los costes evitados hacia la mejora del apoyo asistencial en los entornos residenciales.
|
Scooped by
Sergio Ariño Blasco
December 13, 2023 1:55 AM
|
eFI is the best-performing VEFM; however, based on our analysis of an average UK GP practice, it would return a high number of false-positive results. In conclusion, existing electronic frailty tools may not be appropriate for primary care-based population screening.
|