An Optimal Approach to Unmanned Maritime Surveillance Analysis

BACKGROUND: Although bladder cancer is much more common in men than in women, female patients with bladder cancer present with more locally advanced tumors and have worse disease-specific outcomes than male patients, even after controlling for biological differences. There is a paucity of research regarding the optimal approach to caring for female patients with bladder cancer in ways that maximize patient satisfaction, preferences, and values. OBJECTIVE: We sought to explore patient-defined priorities and areas in need of improvement for female patients with bladder cancer from the patient perspective. METHODS: We conducted focus group sessions and semi-structured interviews of women treated for bladder cancer to identify patient priorities and concerns until reaching topic saturation. Transcripts were analyzed thematically. RESULTS: Eight patients with muscle-invasive bladder cancer and six patients with non-muscle-invasive bladder cancer participated in two focus groups and seven interviews total. Three themes emerged as significantly affecting the care experience: physical impacts, mental health and emotional wellbeing, and the patient-provider interaction. Each theme included patient-defined specific recommendations on approaches to optimizing the care experience for women with bladder cancer. CONCLUSIONS: Although most participants were satisfied with the quality of care they received, they identified several opportunities for improvement. These concerns centered around enhancing support for patients’ physical and mental needs and strengthening the patient-provider interaction. Efforts to address these needs and reduce gender disparate outcomes via quality improvement initiatives are ongoing.

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Is there an optimal approach to elective stabilisation of glycaemic control in children and adolescents with type 1 diabetes mellitus?

Journal of Paediatrics and Child Health ◽

10.1111/jpc.15667 ◽

2021 ◽

Author(s):

Gabby Atlas ◽

Michele A O'Connell ◽

Mary White

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Glycaemic Control ◽

Type 1 Diabetes Mellitus ◽

Children And Adolescents ◽

Optimal Approach

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Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes

Medicina ◽

10.3390/medicina57030205 ◽

2021 ◽

Vol 57 (3) ◽

pp. 205

Author(s):

Nicola Tarantino ◽

Domenico G. Della Rocca ◽

Nicole S. De Leon De La Cruz ◽

Eric D. Manheimer ◽

Michele Magnocavallo ◽

...

Keyword(s):

Catheter Ablation ◽

Ventricular Arrhythmias ◽

Individual Factors ◽

Substantial Part ◽

Arrhythmogenic Substrate ◽

Life Threatening ◽

History Of ◽

Anatomic Distribution ◽

Artery Disease ◽

Surveillance Analysis

A recent surveillance analysis indicates that cardiac arrest/death occurs in ≈1:50,000 professional or semi-professional athletes, and the most common cause is attributable to life-threatening ventricular arrhythmias (VAs). It is critically important to diagnose any inherited/acquired cardiac disease, including coronary artery disease, since it frequently represents the arrhythmogenic substrate in a substantial part of the athletes presenting with major VAs. New insights indicate that athletes develop a specific electro-anatomical remodeling, with peculiar anatomic distribution and VAs patterns. However, because of the scarcity of clinical data concerning the natural history of VAs in sports performers, there are no dedicated recommendations for VA ablation. The treatment remains at the mercy of several individual factors, including the type of VA, the athlete’s age, and the operator’s expertise. With the present review, we aimed to illustrate the prevalence, electrocardiographic (ECG) features, and imaging correlations of the most common VAs in athletes, focusing on etiology, outcomes, and sports eligibility after catheter ablation.

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