scholarly journals Adoption of Telemedicine for Multidisciplinary Care in Pediatric Otolaryngology

2021 ◽  
pp. 000348942199765
Author(s):  
Karen K. Hoi ◽  
Stuart H. Curtis ◽  
Lynn Driver ◽  
Erica Wisnosky ◽  
David A. Zopf ◽  
...  
Keyword(s):  
Best Practices ◽  
Tertiary Care ◽  
Multidisciplinary Care ◽  
Review Of Literature ◽  
Congenital Hearing Loss ◽  
Unique Challenge ◽  
Aural Atresia ◽  
Pediatric Otolaryngology ◽  
Orofacial Clefting ◽  
Multidisciplinary Clinics

Objective: The COVID-19 pandemic has introduced a period of social isolation that has challenged the ability of providers to uphold in-person patient care. Although commonplace in pediatric otolaryngology, multidisciplinary clinics pose a unique challenge during this time due to increased infection risk from multiple patient-provider interactions. Guidance on the application of telemedicine for multidisciplinary clinics in pediatric otolaryngology is limited. Methods: We provide comprehensive guidance on best practices for conducting telemedicine visits for a number of multidisciplinary otolaryngology clinics using our experiences at a single tertiary care children’s hospital. A review of literature to support the adoption of telemedicine in multidisciplinary pediatric otolaryngology is also incorporated. Results: Telemedicine was successfully adopted for 7 multidisciplinary pediatric clinics with a variety of specialists: aerodigestive disorders, congenital hearing loss, microtia/aural atresia, orofacial clefting, sleep disorders, tracheostomy care, and velopharyngeal dysfunction. Conclusions: Telemedicine is feasible for a variety of multidisciplinary clinics and its optimization is critical for providing care to complex pediatric otolaryngology patients during the COVID-19 pandemic and beyond.

Congenital Aural Atresia - A clinical study and review of literature

2012 ◽  
Vol 2 (1) ◽  
pp. 189-191
Author(s):  
Dr. Chirag Prafulchandra Vaghela ◽  
◽  
Dr. Priyank Vinodbhai Rathod
Keyword(s):  
Clinical Study ◽  
Review Of Literature ◽  
Aural Atresia ◽  
Congenital Aural Atresia

scholarly journals Best Practices in Specialized Amyloidosis Centers in the United States: A Survey of Cardiologists, Nurses, Patients, and Patient Advocates

2021 ◽  
Vol 15 ◽  
pp. 117954682110152
Author(s):  
Jose Nativi-Nicolau ◽  
Nitasha Sarswat ◽  
Johana Fajardo ◽  
Muriel Finkel ◽  
Younos Abdulsattar ◽  
...  
Keyword(s):  
Best Practices ◽  
Patient Care ◽  
Nurse Practitioners ◽  
Healthcare Providers ◽  
Multidisciplinary Care ◽  
The United States ◽  
Comprehensive Care ◽  
Patient Support ◽  
Patient Support Group ◽  
Patient Advocates

Background: Because transthyretin amyloid cardiomyopathy (ATTR-CM) poses unique diagnostic and therapeutic challenges, referral of patients with known or suspected disease to specialized amyloidosis centers is recommended. These centers have developed strategic practices to provide multidisciplinary comprehensive care, but their best practices have not yet been well studied as a group. Methods: A qualitative survey was conducted by telephone/email from October 2019 to February 2020 among eligible healthcare providers with experience in the management of ATTR-CM at US amyloidosis centers, patients with ATTR-CM treated at amyloidosis centers, and patient advocates from amyloidosis patient support groups. Results: Fifteen cardiologists and 9 nurse practitioners/nurses from 15 selected amyloidosis centers participated in the survey, with 16 patients and 4 patient advocates. Among participating healthcare providers, the most frequently cited center best practices were diagnostic capability, multidisciplinary care, and time spent on patient care; the greatest challenges involved coordination of patient care. Patients described the “ideal” amyloidosis program as one that provides physicians with expertise in ATTR-CM, sufficient time with patients, comprehensive patient care, and opportunities to participate in research/clinical trials. The majority of centers host patient support group meetings, and patient advocacy groups provide support for centers with physician/patient education and research. Conclusions: Amyloidosis centers offer comprehensive care based on staff expertise in ATTR-CM, a multidisciplinary approach, advanced diagnostics, and time dedicated to patient care and education. Raising awareness of amyloidosis centers’ best practices among healthcare providers can reinforce the benefits of early referral and comprehensive care for patients with ATTR-CM.

Reduced Socioeconomic Disparities in Cleft Care After Implementing a Cleft Nurse Navigator Program

2021 ◽  
pp. 105566562110056
Author(s):  
Connor Wagner ◽  
Carrie E. Zimmerman ◽  
Carlos Barrero ◽  
Christopher L. Kalmar ◽  
Paris Butler ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Care Center ◽  
Tertiary Care ◽  
Multidisciplinary Care ◽  
Socioeconomic Disparities ◽  
Outpatient Appointment ◽  
Nurse Navigator ◽  
Insured Patients ◽  
The Impact

Objective: To evaluate the impact of a Cleft Nurse Navigator (CNN) program on care for patients with cleft lip and cleft palate and assess the programs efficacy to reduce existing socioeconomic disparities in care. Design: Retrospective review and outcomes analysis (n = 739). Setting: Academic tertiary care center. Patients: All patients presenting with cleft lip and/or cleft palate (CL/P) born between May 2009 and November 2019 with exclusions for atypical clefts, submucous cleft palates, international adoption, and very late presentation (after 250 days of life). Interventions: Multidisciplinary care coordination program facilitated by the CNN. Main Outcome Measures: Patient age at first outpatient appointment and age at surgery, reported feeding issues, weight gain, and patient-cleft team communications. Results: After CNN implementation, median age at outpatient appointment decreased from 20 to 16 days ( P = .021), volume of patient-cleft team communications increased from 1.5 to 2.8 ( P < .001), and frequency of reported feeding concerns decreased (50% to 35%; P < .001). In the pre-CNN cohort, nonwhite and publicly insured patients experienced delays in first outpatient appointment ( P < .001), cleft lip repair ( P < .011), and cleft palate repair ( P < .019) compared to white and privately insured patients, respectively. In the post-CNN cohort, there were no significant differences in first appointment timing by race nor surgical timing on the basis of racial identity nor insurance type. Conclusions: A variety of factors lead to delays in cleft care for marginalized patient populations. These findings suggest that a CNN can reduce disparities of access and communication and improve early feeding in at-risk cohorts.

scholarly journals Cystic fibrosis

2019 ◽  
Vol 13 (1) ◽  
pp. 39-46
Author(s):  
Jen Standen
Keyword(s):  
Cystic Fibrosis ◽  
Genetic Testing ◽  
Neonatal Screening ◽  
Tertiary Care ◽  
Multidisciplinary Care ◽  
Shared Care ◽  
The Uk

In the UK over 10 000 people live with cystic fibrosis (CF), with 1-in-25 people being carriers of the disease. Multidisciplinary care is provided by tertiary care CF centres, with or without local secondary service shared care agreements. There are still, however, several reasons why CF sufferers or their families present to their GPs. This article aims to provide a brief overview of CF and its management. It also gives the information needed to guide patients about genetic testing and neonatal screening for the disease.

scholarly journals Sure Shot Technique for Management of Ranula

2020 ◽  
Vol 28 (1) ◽  
pp. 54-58
Author(s):  
Chiranjib Das ◽  
Pritam Chatterjee
Keyword(s):  
Salivary Gland ◽  
Tertiary Care ◽  
High Rate ◽  
Main Concern ◽  
Care Hospital ◽  
Review Of Literature ◽  
Submandibular Duct ◽  
Recurrent Case ◽  
One Year ◽  
A Prospective Study

Introduction Ranula is a pseudocyst in the floor of the mouth originating from the sublingual salivary gland.A variety of surgical procedures have been quoted in the literature. But the main concern is high rate of recurrence. Aim of the present study is to describe a definitive technique for managing ranula and compare the result with review of literature. Materials and Methods A prospective study was done in the department of ENT in a tertiary care hospital of West Bengal from 1st April, 2014 to 31st March, 2019. Patients presenting with ranula irrespective of age and sex; size of the mass; whether primary or recurrent case were included in the study. Patients presenting with congenital and plunging ranula were excluded. Patients were treated with total excision of ranula along with sublingual salivary gland. Patients were followed up regularly for at least one year post-operatively. Results We treated thirteen primary and four recurrent cases of ranula. Among them eight were male and nine were female. Patients were from seven to thirty three years of age with most being in the second decade of life. There was no injury to lingual nerve or submandibular duct in any patient. We did not observe any recurrence till date. Conclusion Successful management of a ranula includes identification of the extent of the cyst and removal of the cyst along with the sublingual salivary gland.  When done meticulously, this technique gives 100% success without any complication. 

RADIATION IN A PALLIATIVE SETTING DURING COVID-19 ERA. AN INDIAN TERTIARY CANCER CARE PROSPECTIVE – RISKS, BENEFITS .

2021 ◽  
pp. 9-11
Author(s):  
Ajay G.V ◽  
Sambit Swarup Nanda ◽  
Ajay Kumar Choubey ◽  
Ashutosh Mukherji ◽  
Satyajit Pradhan ◽  
...  
Keyword(s):  
Best Practices ◽  
Functional Outcomes ◽  
Normal Population ◽  
Unique Challenge ◽  
Oncologic Emergencies ◽  
Resource Limited ◽  
Radiation Treatments ◽  
Novel Coronavirus ◽  
Hypofractionated Radiation ◽  
Palliative Setting

India and the rest of the world are experiencing an outbreak of the COVID- 19 virus. WHO has declared 2019 novel coronavirus disease (COVID19), a public health emergency of international concern. (1) Palliative treatment compromises a major portion of radiation treatments in cancer. (2) Metastatic or palliation treatment presents a unique challenge in resource-limited settings as ours and early treatment to alleviate their symptoms and disease is the need of the hour to prevent further morbidity and mortality. These patients are usually more cachexic with low immunity and more prone to infection of COVID-19 than the normal population, here their treatment has to be expedited and their visits to the hospital to be minimized to prevent infection with COVID. (3) We reviewed the best evidence and recommended best practices for the treatment of common oncologic emergencies with more emphasis on balancing the risk of infection with the COVID-19 virus and the potential morbidity of delaying treatment. In COVID -19 Era pandemic, the use of hypofractionated radiation therapy for palliative patients for oncologic emergencies achieves intended functional outcomes without compromising care

BK polyomavirus and urothelial carcinoma: Experience at a tertiary care centre in India with review of literature

2019 ◽  
Vol 40 ◽  
pp. 77-80 ◽  
Author(s):  
Kalpana Kumari ◽  
Immanuel Pradeep ◽  
Aanchal Kakkar ◽  
Amit Kumar Dinda ◽  
Amlesh Seth ◽  
...  
Keyword(s):  
Urothelial Carcinoma ◽  
Tertiary Care ◽  
Care Centre ◽  
Review Of Literature ◽  
Tertiary Care Centre ◽  
Bk Polyomavirus

Improving Attendance and Patient Experiences During the Expansion of a Telehealth-Based Pediatric Otolaryngology Practice

2020 ◽  
pp. 019459982096591
Author(s):  
Caroline M. Kolb ◽  
Kristen Born ◽  
Karen Banker ◽  
Patrick C. Barth ◽  
Nicole Leigh Aaronson
Keyword(s):  
Large Scale ◽  
Administrative Support ◽  
Tertiary Care ◽  
Missed Appointments ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pediatric Otolaryngology ◽  
Common Causes ◽  
Technical Issues ◽  
English Speaking

Objective To determine the rates and primary causes of missed appointments (MAs) for telehealth visits and present remedies for improvement. Methods This cross-sectional survey was conducted at a tertiary care pediatric otolaryngology practice during expansion of telehealth-based visits. A review of questionnaire responses was performed for 103 consecutive patients with MAs over 50 business days from March 20, 2020, to May 29, 2020. Families were asked a brief survey regarding the cause of the MA and assisted with technical support and rescheduling. MA rates and causes were analyzed. Results The overall MA rate during the initiation of telehealth services was significantly increased at 12.4% as compared with clinic-based visits of a similar duration before COVID of 5.2% ( P < .001). Technical issues were the most common causes of MAs (51.3%). Of the caregivers, 23.8% forgot or reported cancellation of the appointment. Five percent of patients were non–English speaking and scheduled without translator support. Minorities and patients with public insurance represented 53.6% and 61.9% of MAs, respectively. Discussion Technical difficulties were the most commonly reported cause of missed telehealth appointments. Optimization of applications by providing patient reminders, determining need for translator assistance, and reducing required upload/download speeds may significantly reduce rates of MAs and conversions to other communication. Implications for Practice Clear, concise education materials on the technical aspects of telehealth, platform optimization, and robust technical and administrative support may be necessary to reduced missed telehealth appointments and support large-scale telehealth operations. An assessment of institutional capacity is critical when considering telehealth expansion.

scholarly journals Best Practices for Online Business Education

2006 ◽  
Vol 7 (1) ◽  
Author(s):  
Christian J. Grandzol ◽  
John. R. Grandzol PhD
Keyword(s):  
Best Practices ◽  
Business Education ◽  
Business Schools ◽  
Learning Experiences ◽  
Online Course ◽  
Review Of Literature ◽  
Traditional Methods ◽  
Business Courses ◽  
Online Business ◽  
Quality Learning

This integrative review of literature on online educational best practices is intended to provide a quick reference for those interested in designing online business courses and programs. Primarily American in its perspective, this review may be helpful for business schools seeking optimal online course designs that foster quality learning experiences comparable in outcomes to traditional methods. Paramount in this review are the emphases on consistency, cohesiveness, and assessment.

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