scholarly journals Contemporary rehabilitation at cancer centres

2014 ◽  
Vol 83 (2) ◽  
pp. 156-160
Author(s):  
Katarzyna Hojan
Keyword(s):  
Health Care Systems ◽  
Review Article ◽  
Cancer Rehabilitation ◽  
Continuous Part ◽  
Rehabilitation Care ◽  
Cancer Services ◽  
The World ◽  
Care Systems ◽  
Professional Resources ◽  
Extent Of Disease

Aim. Cancer rehabilitation is an important, but often underutilized treatment in the comprehensive care of the cancer patient. The lack of appropriate referral by physicians unfamiliar with the concept of rehabilitation was identified as primary barriers to optimal delivery of rehabilitation care. Therefore, the aim of this paper is to describe the current situation in the world of science of cancer rehabilitation and to describe availability of professional resources in the selected countries in the world. Material and methods. This paper is a review article to describe rehabilitation models in cancer services for patients in selected cases in the world.Results. Rehabilitation should be applied in various settings, depending on the level of disability, extent of disease, medical acuity level of the patient, and available services. However, the rehabilitation systems in the world differ depending on the various social security and health-care systems, but they are largely based on a similar, multidimensional and multidisciplinary understanding of cancer rehabilitation. Conclusions. On the basis of description of the bio-psycho-social models, it can be seen that rehabilitation must be an integral and continuous part of all cancer care. There is strong evidence that rehabilitation is a well-tolerated and safe adjunct therapy that can mitigate several common treatment-related side effects among cancer patients.

scholarly journals Community system of social support

2017 ◽  
Vol 127 (1) ◽  
pp. 37-40
Author(s):  
Krzysztof Włoch ◽  
Janusz Jaroszyński ◽  
Ewa Warchoł-Sławińska ◽  
Anna Jurek ◽  
Bartłomiej Drop ◽  
...  
Keyword(s):  
Social Support ◽  
Health Care ◽  
Health Care Systems ◽  
Family Doctors ◽  
Community System ◽  
Modern Health Care ◽  
Number Of Patients ◽  
The World ◽  
Care Systems ◽  
Is Evaluation

Abstract Community System of Social Support is the basis of modern health care systems not only in Poland but all over the world in the prophylaxis-treatment-rehabilitation procedure. In Poland, family doctors, commune councils and territorial self-governments are involved in it. Family doctors perform a substantial function, whereas commune councils and territorial self-governments an administrative one. The principle of the system work is evaluation of its benefits. Its aim is the reduction of the number of patients who abuse alcohol and those who abuse alcohol despite treatment.

scholarly journals Rehabilitation Care at the Time of Coronavirus Disease-19 (COVID-19) Pandemic: A Scoping Review of Health System Recommendations

2022 ◽  
Vol 13 ◽  
Author(s):  
Ahmed M. Negm ◽  
Adrian Salopek ◽  
Mashal Zaide ◽  
Victoria J. Meng ◽  
Carlos Prada ◽  
...  
Keyword(s):  
Scoping Review ◽  
Full Text ◽  
Data Extraction ◽  
Health Care Systems ◽  
Social Systems ◽  
World Health ◽  
Rehabilitation Services ◽  
Rehabilitation Care ◽  
The World ◽  
Health Organization

Purpose: The coronavirus disease-19 (COVID-19) was declared a pandemic by the World Health Organization in March 2020. COVID-19, caused by SARS-CoV-2 has imposed a significant burden on health care systems, economies, and social systems in many countries around the world. The provision of rehabilitation services for persons with active COVID-19 infection poses challenges to maintaining a safe environment for patients and treating providers.Materials and Methods: Established frameworks were used to guide the scoping review methodology. Medline, Embase, Pubmed, CINAHL databases from inception to August 1, 2020, and prominent rehabilitation organizations’ websites were searched.Study Selection: We included articles and reports if they were focused on rehabilitation related recommendations for COVID-19 patients, treating providers, or the general population.Data Extraction: Pairs of team members used a pre-tested data abstraction form to extract data from included full-text articles. The strength and the quality of the extracted recommendations were evaluated by two reviewers using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.Results: We retrieved 6,468 citations, of which 2,086 were eligible for review, after duplicates were removed. We excluded 1,980 citations based on title and abstract screening. Of the screened full-text articles, we included all 106 studies. A summary of recommendations is presented. We assessed the overall evidence to be strong and of fair quality.Conclusion: The rehabilitation setting, and processes, logistics, and patient and healthcare provider precaution recommendations identified aim to reduce the spread of SARS-CoV-2 infection and ensure adequate and safe rehabilitation services, whether face-to-face or through teleservices. The COVID-19 pandemic is rapidly changing. Further updates will be needed over time in order to incorporate emerging best evidence into rehabilitation guidelines.

scholarly journals Practical Considerations for Treating Patients With Cancer in the COVID-19 Pandemic

2020 ◽  
Vol 16 (8) ◽  
pp. 467-482 ◽  
Author(s):  
Eva Segelov ◽  
Craig Underhill ◽  
Hans Prenen ◽  
Christos Karapetis ◽  
Christopher Jackson ◽  
...  
Keyword(s):  
Conventional Treatment ◽  
Health Care Systems ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Diverse Group ◽  
Patients With Cancer ◽  
Medical Oncologists ◽  
The World ◽  
Prevalent Disease ◽  
Care Systems

Cancer has become a prevalent disease, affecting millions of new patients globally each year. The COVID-19 pandemic is having far-reaching impacts around the world, causing substantial disruptions to health and health care systems that are likely to last for a prolonged period. Early data have suggested that having cancer is a significant risk factor for mortality from severe COVID-19. A diverse group of medical oncologists met to formulate detailed practical advice on systemic anticancer treatments during this crisis. In the context of broad principles, issues including risks of treatment, principles of prioritizing resources, treatment of elderly patients, and psychosocial impact are discussed. Detailed treatment advice and options are given at a tumor stream level. We must maintain care for patients with cancer as best we can and recognize that COVID-19 poses a significant competing risk for death that changes conventional treatment paradigms.

scholarly journals Back into Modernity? COVID-19 Returns Nation-State to Its Original Nature

2020 ◽  
Vol 11 (1) ◽  
pp. 11-26
Author(s):  
N. Yu. Silaev ◽  
N. P. Protsenko
Keyword(s):  
Historical Perspective ◽  
International System ◽  
Health Care Systems ◽  
Current Crisis ◽  
Market Mechanisms ◽  
The World ◽  
Collateral Effect ◽  
Care Systems ◽  
Power Inequality ◽  
State Interventions

From a historical perspective, the curbing of epidemics was the collateral effect of emerging European Modern states. The current COVID-19 pandemic reminds that. It supports the broad international tendency to strengthen state sovereignty, nationalism, and economic protectionism. Meanwhile, in recent decades health care systems around the world have been evolving toward deregulation, use of market mechanisms, and decrease of state interventions, and it was one of the most salient evidence that Modern state is being deconstructed. The current crisis puts forward the prospect that Modern comes back with the following social conflicts, interstate rivalry, and growing power inequality between the international system actors.

scholarly journals Early evidence that social distancing and public health interventions flatten the COVID-19 curve in Italy

2020 ◽  
Author(s):  
Valentina Rotondi ◽  
Liliana Andriano ◽  
Jennifer Beam Dowd ◽  
Melinda C. Mills
Keyword(s):  
Health Care Systems ◽  
Scientific Evidence ◽  
Health Interventions ◽  
Infection Rates ◽  
Public Health Interventions ◽  
Social Distancing ◽  
Early Evidence ◽  
The World ◽  
Care Systems ◽  
Policy Measures

With the world experiencing one of the largest pandemics in one-hundred years, governments and policymakers are looking for scientific evidence to introduce rapid and effective policies. Here we provide evidence from two provinces in Italy with comparable early infection rates but different timing of mitigating policy measures. Lodi prohibited movement on February 23, 2020 and Bergamo 2 weeks later on March 8, before the entire lockdown of Italy on March 11. This comparison provides early evidence that rapid restriction of movement and social distancing measures may slow the transmission of the virus and “flatten the curve”, ultimately reducing pressure on health care systems

scholarly journals Impact of the COVID-19 pandemic on radiologists

2020 ◽  
Vol 72 ◽  
pp. 177-180
Author(s):  
Ganesh Hegde ◽  
Christine Azzopardi ◽  
Patrick Hurley ◽  
Harun Gupta ◽  
Naga Varaprasad Vemuri ◽  
...  
Keyword(s):  
Health Care Systems ◽  
Continuing Professional Development ◽  
Well Being ◽  
Radiology Workflow ◽  
Protective Equipment ◽  
Ability To Work ◽  
Innovative Solutions ◽  
The World ◽  
Care Systems ◽  
The Impact

COVID-19 pandemic is one of the biggest crises faced by health-care systems in the recent times. The aim of this study was to assess the impact of the COVID-19 pandemic on radiology workflow, working pattern, training and continuing professional development (CPD) activities, as well as personal well-being of the radiologists during the pandemic. Material and Methods: Questionnaire designed to gather the opinions regarding the impact of the COVID-19 pandemic was distributed to radiologists throughout the world in electronic format. Anonymized responses were obtained and analyzed. Two hundred radiologists, working in 17 different countries, responded to our questionnaire. Majority of the respondents were from India (72.8%) and 70% of the them were in the age group of 25–45 years. About 80% of respondents felt that they were well protected or moderately well protected in terms of the personal protective equipment (PPE), however, most of them felt that the use of PPE had affected their ability to work. Similar number of radiologists felt that there was significant reduction in the radiology workload. More than half of the respondents felt that their working patterns were altered by the pandemic with drastic impact on teaching, CPD activities, and personal well-being. COVID-19 pandemic has had profound impact on the radiologists all over the world. Learning from the experiences of the first wave should be used to provide innovative solutions to some of the challenges posed to provide better radiology services, training, and improve the well-being of radiologists if we encounter a similar situation in the future. COVID-19 pandemic had significant impact on radiologists. Radiologists felt that they were well or moderately well protected with PPEs; however, PPEs affected their ability to work. Radiology workflow was significantly reduced in the pandemic with more radiologists working from home. COVID-19 pandemic had deleterious effect on radiologist’s well-being, education, and CPD activities.

scholarly journals Worldwide Management of Inflammatory Bowel Disease During the COVID-19 Pandemic: An International Survey

2020 ◽  
Author(s):  
Charles N Bernstein ◽  
Siew C Ng ◽  
Rupa Banerjee ◽  
Flavio Steinwurz ◽  
Bo Shen ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Task Force ◽  
Health Care Systems ◽  
Underlying Disease ◽  
Virus Spread ◽  
The World ◽  
Management Guidance ◽  
Care Systems ◽  
Inflammatory Bowel

Abstract Background and Aims Persons with inflammatory bowel disease (IBD) may be particularly vulnerable to COVID-19 either because of their underlying disease or its management. Guidance has been presented on the management of persons with IBD in the time of this pandemic by different groups. We aimed to determine how gastroenterologists around the world were approaching the management of IBD. Methods Members of the World Gastroenterology Organization (WGO) IBD Task Force contacted colleagues in countries largely beyond North America and Europe, inviting them to review the WGO website for IBD and COVID-19 introduction, with links to guideline documents, and then to respond to 9 ancillary open-ended management questions. Results Fifty-two gastroenterologists from 33 countries across 6 continents completed the survey (April 14 to May 16, 2020). They were all adhering for the most part to published guidelines on IBD management in the COVID-19 era. Some differences and reductions in services related to access, and some related to approach within their communities in terms of limiting virus spread. In particular, most gastroenterologists reduced in-person clinics (43 of 52), limited steroid use (47 of 51), limited elective endoscopy (45 of 52), and limited elective surgeries (48 of 51). If a patient was diagnosed with COVID-19, immunomodulatory therapy was mostly held. Conclusions In most countries, the COVID-19 pandemic significantly altered the approach to persons with IBD. The few exceptions were mostly based on low burden of COVID-19 in individual communities. Regardless of resources or health care systems, gastroenterologists around the world took a similar approach to the management of IBD.

scholarly journals Understanding the Mechanism of Bacterial Biofilms Resistance to Antimicrobial Agents

2017 ◽  
Vol 11 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Shriti Singh ◽  
Santosh Kumar Singh ◽  
Indrajit Chowdhury ◽  
Rajesh Singh
Keyword(s):  
Medical Devices ◽  
Biofilm Formation ◽  
Antimicrobial Agents ◽  
Health Care Systems ◽  
Human Infection ◽  
Review Article ◽  
Bacterial Biofilms ◽  
Current Review ◽  
Care Systems ◽  
A Current

A biofilm is a group of microorganisms, that causes health problems for the patients with indwelling medical devicesviaattachment of cells to the surface matrix. It increases the resistance of a microorganism for antimicrobial agents and developed the human infection. Current strategies are removed or prevent the microbial colonies from the medical devices, which are attached to the surfaces. This will improve the clinical outcomes in favor of the patients suffering from serious infectious diseases. Moreover, the identification and inhibition of genes, which have the major role in biofilm formation, could be the effective approach for health care systems. In a current review article, we are highlighting the biofilm matrix and molecular mechanism of antimicrobial resistance in bacterial biofilms.

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