scholarly journals Systematic review of topical interventions for the management of odour in patients with chronic wounds or malignant fungating wounds: a study protocol

2021 ◽  
Vol 4 ◽  
pp. 124
Author(s):  
Karen Butler ◽  
Akke Vellinga ◽  
John D. Ivory ◽  
Stephen Cunningham ◽  
Lokesh Joshi ◽  
...  
Keyword(s):  
Chronic Wounds ◽  
List Item ◽  
Health Care Systems ◽  
Meta Analysis ◽  
Management Strategies ◽  
Third Party ◽  
List Type ◽  
Eligibility Criteria ◽  
Third Party Intervention ◽  
Care Systems

Background: Chronic wounds including venous, arterial, diabetic and pressure ulcers affect up to 2.21 per 1000 population. Malignant fungating wounds affect up to 6.6% of oncology patients. These wounds impact patients and health care systems significantly. Microbes colonising chronic wounds can produce volatile molecules with unpleasant odours. Wound odour adversely affects quality of life, yet management strategies are inconsistent. Clinicians express uncertainty regarding the current range of odour management agents, which therefore requires evaluation for effectiveness.    Objective: To determine the effects of topical agents in the management of odour in patients with chronic and malignant fungating wounds. Methods: Searches of Embase, Medline, CINAHL, Cochrane CENTRAL, PubMed, Web of Science, Scopus, and the clinicaltrials.gov and WudracT trial registries from inception to present will be conducted without language limits. Randomised controlled trials including adults with venous, arterial, mixed arterio-venous, diabetic, decubitus or malignant fungating wounds, investigating topical agents to manage odour are eligible. Reference lists of included studies and identified systematic reviews will be scanned, and unpublished studies will be sought in the BASE database, in conference proceedings and through contacting authors. Two reviewers will independently scan titles/abstracts and full text articles against predetermined eligibility criteria, with discrepancies resolved by discussion between reviewers or through third-party intervention. Two reviewers will independently extract data from included studies. Disagreements will be resolved by discussion between reviewers or through third-party intervention. Bias risk and evidence quality will be assessed with the Cochrane Risk of Bias Tool 2 and the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) system. Meta-analysis will be applied where appropriate. Otherwise, data will be synthesised narratively. Discussion: Wound odour management typically takes a trial-and-error approach. Clinicians are critical of odour management agent effectiveness. This review will evaluate the range of available agents to inform practice and research. PROSPERO registration: CRD42021267668 (14/08/2021)

160: Cost-Effectiveness of Medical Management Strategies of Nephrolithiasis in Different Health Care Systems

2004 ◽  
Vol 171 (4S) ◽  
pp. 42-43 ◽  
Author(s):  
Yair Latan ◽  
David M. Wilhelm ◽  
David A. Duchene ◽  
Margaret S. Pearle
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Medical Management ◽  
Health Care Systems ◽  
Management Strategies ◽  
Care Systems

Health Care

2018 ◽  
Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre
Keyword(s):  
Health Care ◽  
Technological Progress ◽  
Health Care Systems ◽  
Third Party ◽  
Medical Expenditure ◽  
Public Health Care ◽  
The Public ◽  
Common Features ◽  
Care Systems

This chapter reviews the public health care systems as well as their challenges. It first shows how expenditure on health care has evolved in previous decades and deals with the reasons for the growth observed in almost every European country. It emphasizes the role of technological progress as a main explanatory factor of the increase in medical expenditure but also points to the challenges facing cost-containment policies. Especially, the main common features of health care systems in Europe, such as third-party payment, single provider approach and cost-based reimbursement are discussed. Finally the chapter shows that although inequalities in health exist in the population, health care systems are redistributive. Reforms are thus needed but the trade-off between budgetary efficiency and equity is difficult.

Managing Family-Related Conflicts in Family Businesses: A Review and Research Agenda

2019 ◽  
Vol 33 (1) ◽  
pp. 90-113 ◽  
Author(s):  
Hong Qiu ◽  
Mark Freel
Keyword(s):  
Conflict Management ◽  
Family Business ◽  
Research Agenda ◽  
Conflicts Of Interest ◽  
Management Strategies ◽  
Family Businesses ◽  
Third Party ◽  
Third Party Intervention ◽  
Work Family ◽  
Conflict Research

This review examines how family businesses manage family-related conflicts that occur at three interfaces: family-business, family-ownership, and family-business-ownership. We find that work-family conflicts, conflicts of interest, and relationship conflicts are prevalent family-related conflicts. Four conflict management strategies are frequently used to deal with these conflicts: vacillation, domination, separation, and third-party intervention. The popularity of these strategies is influenced by some unique characteristics of family businesses, such as high emotional attachment among family members. By integrating insights from the broader conflict research, paradox and dialectic studies, we develop a research agenda targeted at better connecting family-related conflicts to conflict management strategies.

scholarly journals Redox for Repair: Cold Physical Plasmas and Nrf2 Signaling Promoting Wound Healing

Antioxidants ◽  
2018 ◽  
Vol 7 (10) ◽  
pp. 146 ◽  
Author(s):  
Anke Schmidt ◽  
Sander Bekeschus
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Chronic Wounds ◽  
Health Care Systems ◽  
Molecular Switches ◽  
Dermal Fibroblasts ◽  
Tissue Response ◽  
Related Factor ◽  
Plasma Effects ◽  
Care Systems

Chronic wounds and ulcers are major public health threats. Being a substantial burden for patients and health care systems alike, better understanding of wound pathophysiology and new avenues in the therapy of chronic wounds are urgently needed. Cold physical plasmas are particularly effective in promoting wound closure, irrespective of its etiology. These partially ionized gases deliver a therapeutic cocktail of reactive oxygen and nitrogen species safely at body temperature and without genotoxic side effects. This field of plasma medicine reanimates the idea of redox repair in physiological healing. This review compiles previous findings of plasma effects in wound healing. It discusses new links between plasma treatment of cells and tissues, and the perception and intracellular translation of plasma-derived reactive species via redox signaling pathways. Specifically, (i) molecular switches governing redox-mediated tissue response; (ii) the activation of the nuclear E2-related factor (Nrf2) signaling, together with antioxidative and immunomodulatory responses; and (iii) the stabilization of the scaffolding function and actin network in dermal fibroblasts are emphasized in the light of wound healing.

Utilization of Health Care Coalitions and Resiliency Forums in the United States and United Kingdom: Different Approaches to Strengthen Emergency Preparedness

2015 ◽  
Vol 10 (1) ◽  
pp. 161-164 ◽  
Author(s):  
John Walsh ◽  
Allan Graeme Swan
Keyword(s):  
United States ◽  
Health Care ◽  
United Kingdom ◽  
Emergency Management ◽  
Emergency Preparedness ◽  
Health Care Systems ◽  
Management Strategies ◽  
The United States ◽  
The United Kingdom ◽  
Care Systems

ABSTRACTThe process for developing national emergency management strategies for both the United States and the United Kingdom has led to the formulation of differing approaches to meet similar desired outcomes. Historically, the pathways for each are the result of the enactment of legislation in response to a significant event or a series of events. The resulting laws attempt to revise practices and policies leading to more effective and efficient management in preparing, responding, and mitigating all types of natural, manmade, and technological hazards. Following the turn of the 21st century, each country has experienced significant advancements in emergency management including the formation and utilization of 2 distinct models: health care coalitions in the United States and resiliency forums in the United Kingdom. Both models have evolved from circumstances and governance unique to each country. Further in-depth study of both approaches will identify strengths, weaknesses, and existing gaps to meet continued and future challenges of our respective disaster health care systems. (Disaster Med Public Health Preparedness. 2016;10:161–164)

scholarly journals Workplace Stress among Nurses

2019 ◽  
Vol 4 (12) ◽  
Author(s):  
Alqahtani Ibtesam Mohammed
Keyword(s):  
Occupational Stress ◽  
Work Performance ◽  
Health Care Systems ◽  
Meta Analysis ◽  
Theoretical Models ◽  
Workplace Stress ◽  
Work Environments ◽  
Work Related ◽  
Care Systems ◽  
Work Related Stressors

Worldwide, occupational stress among care professionals, nurses in particular, is a major concern in health care systems. Work stress in nursing is linked to high rates of job dissatisfaction, burnout, absenteeism, turnover, and stress-related illness, thus placing job performance among nurses’ and patients’ lives at risk. The purpose of this integrative review is to explore the concepts of occupational stress among nurses. Three main theoretical models are included to illustrate different viewpoints of occupational stress. Meta-analysis of the basic literature and the results of previous research are used. Findings from studies have shown that evaluations of nursing work environments reflect a strong link with burnout. The excessive workload of nursing professionals, complexity of patient care activities, poor organized work environments, and lack of leaders’ support are considered as contributing factor to the job stress which has resulted in providing unsafe care. The findings highlight that nurses frequently experience occupational stress due to the nature of the nursing profession. Thus, it is critical to implement effective organizational interventions to minimize work-related stressors and work performance of nurses. It is significant to have supportive working environments that encourage collaboration and empower nurses to provide excellent care and reduce work-related stressors.

scholarly journals Conflict Management in Illicit Drug Cryptomarkets

2017 ◽  
Vol 27 (4) ◽  
pp. 237-254 ◽  
Author(s):  
Carlo Morselli ◽  
David Décary-Hétu ◽  
Masarah Paquet-Clouston ◽  
Judith Aldridge
Keyword(s):  
Conflict Management ◽  
Illicit Drug ◽  
Management Strategies ◽  
Third Party ◽  
Control Mechanisms ◽  
Drug Markets ◽  
Discussion Forums ◽  
Management Research ◽  
Third Party Intervention ◽  
Illegal Market

Illegal drug markets have been described as “stateless” systems. Drug dealers, moreover, are commonly considered to have a predilection toward the use of violence to resolve disputes arising from dealing activities. While some studies have undermined this popular perception, new trends surrounding the distribution of illegal drugs via online channels (drug cryptomarkets) have shifted the transactional setting from the physical to virtual realm, thus decreasing the likelihood of violent resolution outcomes even further. This article examines conflict management strategies within cryptomarkets by coding discussion forums between vendors and buyers. Violence, as expected, is absent. Strategies more likely reflect alternatives that have been recognized in conflict management research within and beyond illegal market settings: tolerance, avoidance, ostracism, third-party intervention, negotiation, and threats. The overall setting from which such resolutions emerge is clearly not subject to formal regulations, but our analyses illustrate the multitude of informal social control mechanisms that are consistently at play and which underlie the self-regulatory and communal processes that are firmly in place.

scholarly journals Demographics and meta-analysis of complementary and alternative medicine in health care systems

Research ◽  
2014 ◽  
Vol 1 ◽  
Author(s):  
Said Ibrahim Shalaby ◽  
Mosleh Abd Elrahman Ismail ◽  
Mohammed Salem Nasrallah ◽  
Eman Ebraheem Mahmoud Darwish ◽  
Neelima Gupta
Keyword(s):  
Health Care ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Health Care Systems ◽  
Meta Analysis ◽  
Care Systems ◽  
Complementary And Alternative

scholarly journals Microbiome Imbalances: An Overlooked Potential Mechanism in Chronic Nonhealing Wounds

2019 ◽  
Vol 18 (1) ◽  
pp. 31-41
Author(s):  
Mengru Pang ◽  
Meishu Zhu ◽  
Xiaoxuan Lei ◽  
Pengcheng Xu ◽  
Biao Cheng
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Costs ◽  
Chronic Wounds ◽  
Health Care Systems ◽  
Potential Mechanism ◽  
Care Systems ◽  
Hospital Stays ◽  
Care Costs

Chronic nonhealing wounds are a severe burden to health care systems worldwide, causing millions of patients to have lengthy hospital stays, high health care costs, periods of unemployment, and reduced quality of life. Moreover, treating chronic nonhealing wounds effectively and reasonably in countries with limited medical resources can be extremely challenging. With many outstanding questions surrounding chronic nonhealing wounds, in this review, we offer changes to the microbiome as a potentially ignored mechanism important in the formation and treatment of chronic wounds. Our analysis helps bring a whole new understanding to wound formation and healing and provides a potential breakthrough in the treatment of chronic nonhealing wounds in the future.

scholarly journals Multicentre Study of Chronic Wounds Point Prevalence in Primary Health Care in the Southern Metropolitan Area of Barcelona

2021 ◽  
Vol 10 (4) ◽  
pp. 797
Author(s):  
Miguel Ángel Díaz-Herrera ◽  
José Ramón Martínez-Riera ◽  
José Verdú-Soriano ◽  
Raúl Miguel Capillas-Pérez ◽  
Carme Pont-García ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Wounds ◽  
Health Care Systems ◽  
Secondary Data ◽  
Healing Time ◽  
Community Settings ◽  
Cross Sectional ◽  
Prevalence Data ◽  
Venous Ulcers ◽  
Care Systems

Background: Chronic wounds give rise to major costs and resource consumption in health care systems, due to their protracted healing time. Incidence and prevalence data are scarce or nonexistent in community settings. Objective: The aim of the present epidemiological study was to analyse and determine the prevalence of chronic wounds in the community in the south of the province of Barcelona (Spain). Design: A cross-sectional, multicentre secondary data analysis study was conducted in the community (excluding nursing homes) in Barcelona between 16 April and 13 June 2013. It included 52 primary care centres that serve a total population of 1,217,564 inhabitants. Results: The observed prevalence was 0.11%. Venous ulcers presented the highest prevalence, at 0.04%, followed by pressure injuries, at 0.03%. The >74 age group presented the highest frequency of chronic wounds, accounting for 69.4% of cases. Conclusion: The results obtained are consistent with those reported in previous similar studies conducted in Spain and elsewhere. As with most studies that adjusted their variables for age and sex, we found that the prevalence of ulcers increased with age and was higher in women, except in the case of diabetic foot ulcers and ischaemic ulcers, which were more frequent in men.

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