scholarly journals Hair microscopy: an easy adjunct to diagnosis of systemic diseases in children

2021 ◽  
Vol 51 (1) ◽  
Author(s):  
Dharmagat Bhattarai ◽  
Aaqib Zaffar Banday ◽  
Rohit Sadanand ◽  
Kanika Arora ◽  
Gurjit Kaur ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Menkes Disease ◽  
Disease Diagnosis ◽  
Systemic Diseases ◽  
Care Providers ◽  
Comprehensive Overview ◽  
Diagnostic Modality ◽  
Dynamic Component ◽  
Netherton Syndrome ◽  
Chediak Higashi Syndrome

AbstractHair, having distinct stages of growth, is a dynamic component of the integumentary system. Nonetheless, derangement in its structure and growth pattern often provides vital clues for the diagnosis of systemic diseases. Assessment of the hair structure by various microscopy techniques is, hence, a valuable tool for the diagnosis of several systemic and cutaneous disorders. Systemic illnesses like Comel-Netherton syndrome, Griscelli syndrome, Chediak Higashi syndrome, and Menkes disease display pathognomonic findings on hair microscopy which, consequently, provide crucial evidence for disease diagnosis. With minimal training, light microscopy of the hair can easily be performed even by clinicians and other health care providers which can, thus, serve as a useful tool for disease diagnosis at the patient’s bedside. This is especially true for resource-constrained settings where access and availability of advanced investigations (like molecular diagnostics) is a major constraint. Despite its immense clinical utility and non-invasive nature, hair microscopy seems to be an underutilized diagnostic modality. Lack of awareness regarding the important findings on hair microscopy may be one of the crucial reasons for its underutilization. Herein, we, therefore, present a comprehensive overview of the available methods for hair microscopy and the pertinent findings that can be observed in various diseases.

Genomics and Precision Medicine: Implications for Critical Care

2018 ◽  
Vol 29 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Christine Kessler
Keyword(s):  
Health Care ◽  
Precision Medicine ◽  
Health Care Providers ◽  
Care Delivery ◽  
Genomic Medicine ◽  
Hospital Setting ◽  
Disease Diagnosis ◽  
Care Providers ◽  
New Paradigm ◽  
Current State

A new paradigm for disease diagnosis and treatment is emerging that will bring about changes in health care delivery in and out of the hospital setting. Over the past several decades, genomic medicine has been one of the fastest growing fields in acute and chronic health care. This quick growth has created a lag in genomics knowledge and preparation among nurses and health care providers. Genomic medicine may lead to more precise evaluation, diagnosis, and management of selected acute care conditions. This article reviews the current state of genetic and genomics science and looks at the expanding field of genomic medicine’s integration into precision medicine. The aim of this article is to raise awareness and spark further inquiry to the remarkable field of genomics and precision medicine.

Case Study: Trisomy 13, A Palliative Care Case

2009 ◽  
Vol 28 (4) ◽  
pp. 263-266
Author(s):  
Jennifer Wirth
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Providers ◽  
Patient Population ◽  
Family Relationship ◽  
Disease Diagnosis ◽  
Trisomy 13 ◽  
Care Providers ◽  
Palliative Care Services

PALIATIVE CARE IS AN IMPORTANT piece of the health care puzzle, one that is being utilized more frequently to provide excellent patient care throughout the life span. Although the need for palliative care services among the NICU patient population is often overlooked, this fragile patient population would at times greatly benefit from these services. It is vital that health care providers be aware of, knowledgeable about, and active in recognizing the need for palliative care referrals. This case study, from a nurse’s perspective, focuses on a patient diagnosed with trisomy 13 shortly after birth. It discusses the patient’s demographics and history, his disease/ diagnosis, and the nursing process surrounding the case, as well as the nurse-patient-family relationship and an evaluation of what was accomplished.

scholarly journals Ethical, Legal and Social Implications of Symptom Checker Applications in Primary Health Care (CHECK.APP): Study Protocol of an Interdisciplinary Mixed-Methods Study

2021 ◽  
Author(s):  
Roland Koch ◽  
Anna-Jasmin Wetzel ◽  
Christine Preiser ◽  
Regina Müller ◽  
Malte Klemmt ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Study Protocol ◽  
Methodological Approach ◽  
International Health ◽  
Symptom Assessment ◽  
Social Implications ◽  
Care Providers ◽  
Comprehensive Overview ◽  
Different Levels

Abstract Background: Symptom checker applications (SCA) are accessible tools that provide early symptom assessment for users. Ethical, legal, and social implications of SCA, their impact on the patient-physician relationship, the health care providers and the health care system have sparsely been examined. This study protocol describes an approach to investigate possible impacts and implications of SCA on different levels of health care provision. It considers the perspectives of users, non-users, general practitioners and (international) health care experts. We aim to assess a comprehensive overview of the use of SCA and reveal problematic issues.Methods: The primary outcomes of this study are empirically informed, multi-perspective recommendations for different stakeholders on ethical, legal, and social implications of SCA. Quantitative and qualitative methods will be used in several consecutive and interconnected parts: Study part 1 comprises a survey that will be analyzed with a logistic regression. It aims to assess the user degree of SCA in Germany as well as predictors for SCA usage. Study part 2 will comprise self-observational diary and user-interviews, which will be analyzed as integrated cases to assess the user perspectives, usage pattern and arising problems. Study part 3 will comprise GP interviews to assess their experiences, perspectives, self-image, and concepts and will be analyzed with the basic procedure by Kruse. Moreover, interviews with health care experts will be conducted in study part 3 and will be analyzed by using the reflexive thematical analysis by Braun and Clark. Discussion: Possible ethical, social and legal implications of a widespread use of SCA affect stakeholders and stakeholder groups on different levels of health care. The proposed methodological approach provides a multi-faceted and diverse empirical basis for a broad discussion on these implications.Trial registration: The study is registered in the German Clinical Trials Register (DRKS) with the ID: DRKS00022465 since the 7th of August 2020.

scholarly journals From Genetics to Genomics: Facing the Liability Implications in Clinical Care

2020 ◽  
Vol 48 (1) ◽  
pp. 11-43 ◽  
Author(s):  
Gary Marchant ◽  
Mark Barnes ◽  
James P. Evans ◽  
Bonnie LeRoy ◽  
Susan M. Wolf ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Clinical Care ◽  
Single Gene ◽  
Disease Diagnosis ◽  
Care Providers ◽  
Health Care Transition ◽  
Gene Testing ◽  
Gene Panels ◽  
Liability Risks

Health care is transitioning from genetics to genomics, in which single-gene testing for diagnosis is being replaced by multi-gene panels, genome-wide sequencing, and other multi-genic tests for disease diagnosis, prediction, prognosis, and treatment. This health care transition is spurring a new set of increased or novel liability risks for health care providers and test laboratories. This article describes this transition in both medical care and liability, and addresses 11 areas of potential increased or novel liability risk, offering recommendations to both health care and legal actors to address and manage those liability risks.

scholarly journals Anemia and its consequences on human body; A comprehensive overview

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Sana Noreen ◽  
Shahid Bashir ◽  
Sadia Bano ◽  
Tahira Fatima ◽  
Affifa Sani ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Pathological Condition ◽  
Public Health Problem ◽  
Chronic Illnesses ◽  
Global Public Health ◽  
Care Providers ◽  
Comprehensive Overview ◽  
Child Bearing ◽  
Folate And Vitamin B12

Anemia is a pathological condition characterized by a reduction in the mass of red blood cells or the amount of hemoglobin. Anemia affects one-third of the world's population, with iron deficiency accounting for half of the cases. It's a major global public health problem that has an effect on maternal and child mortality, physical fitness, and referral to health-care providers. Underweight children have a greater prevalence of anemia, which can produce long-term developmental outcomes. Particular risk is presented by children 0-5 years, child-bearing mothers and pregnant women. Efforts to avoid anemia should concentrate on improving current supplementary iron and folate programs and on preventing folate and vitamin B12 anemia deficiency. In this review biological mechanism and condition of anemia development has been discussed. A further study is necessary to examine the function of additional nutrient deficits, the contribution of infectious and chronic illnesses in some populations, and the significance of hereditary hemoglobin disorders.

scholarly journals Enhancing Biospecimen Knowledge Among Health Care Providers and Representatives From Community Organizations

2016 ◽  
Vol 18 (5) ◽  
pp. 715-725 ◽  
Author(s):  
Heidi M. Tham ◽  
Sarah Hohl ◽  
Wade Copeland ◽  
Katherine J. Briant ◽  
Leticia Márquez-Magaña ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Cancer Education ◽  
Community Organizations ◽  
Disease Diagnosis ◽  
Care Providers ◽  
Minority Representation ◽  
Train The Trainer ◽  
Biospecimen Collection

In a personalized medicine environment, it is necessary to have access to a range of biospecimens to establish optimal plans for disease diagnosis and treatment for individual patients. Cancer research is especially dependent on biospecimens for determining ideal personalized treatment for patients. Unfortunately, the vast majority of biospecimens are collected from non-Hispanic White individuals; thus, minority representation is lacking. This has negative implications for comprehensive cancer treatment. The Geographic Management of Cancer Health Disparities Program (GMaP) Region 6 implemented a series of biospecimen education seminars adapted from the Biospecimen and Biobanking module of an existing Cancer Education and Training Program. Regional GMaP partners participated in a train-the-trainer webinar to familiarize themselves with the training materials. Participants trained by the trainers completed pre- and posttests to document changes in awareness, knowledge, and intention. Nine biospecimen education seminars were offered in 2013; 255 health care professionals and representatives from community organizations attended. Participants demonstrated a significant increase in knowledge, intention to donate samples, and intention to talk to patients about biospecimen sample donation. Representatives from community organizations had more improvement on knowledge scores than health care providers. Participation in a well-designed biospecimen education program may ameliorate some of the distrust of biomedical research experienced by racial/ethnic minorities and, in turn, increase needed minority representation in biospecimen collection.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

The Need for Nurse Training to Promote Improved Patient-Provider Communication for Patients With Complex Communication Needs

2013 ◽  
Vol 22 (2) ◽  
pp. 112-119 ◽  
Author(s):  
Debora Downey ◽  
Mary Beth Happ
Keyword(s):  
Health Care Providers ◽  
Communication Disorders ◽  
Provider Communication ◽  
Nurse Training ◽  
Care Providers ◽  
Speech Language Pathologists ◽  
Complex Communication Needs ◽  
Team Members ◽  
Patient Provider Communication ◽  
Communication Needs

Abstract Hospitalized patients across the age continuum often present with complex communication needs (CCN) due to motor, sensory, cognitive, and linguistic barriers they may experience during their admission. Although hospitals recognize the need to enhance communication to improve quality and safety for all patients, the emphasis has been primarily on improving ”care coordination” amongst the health care providers the patient encounters across all points of admission. Most hospitals have yet to focus on improving the patient-provider communication experience, especially for patients with CCN. However, this population no longer can be ignored, as new standards mandate efforts to improve communication for patients with CCN. Nurses, as the team members responsible for continuous care during hospital stays, and speech-language pathologists, as communication disorders specialists, are positioned distinctively to facilitate patient communication and prevent miscommunications between patients and care providers. This article highlights the need to enhance the patient-provider communication experience for patients with CCN. We review the state of nurse training for patients with CCN, discuss the role speech-language pathologists can play in developing and implementing nurse training protocols, and outline basic elements nurse training modules should include.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

Sign in / Sign up

Export Citation Format

Share Document