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Healthcare, Volume 6, Issue 3

September 2018 - 49 articles

Cover Story: What begins as a tick bite can evolve into a mental illness. As we overcome fragmentation in science and medicine, we create new opportunities to understand, treat, assess, and diagnose mental illness. We are moving from a silo mentality that has impeded forward progress in the study of both Lyme borreliosis and mental illnesses to a more integrated approach. Sir William Osler, the father of American Medicine, said, “He who knows syphilis knows medicine.” It can now be said that He who knows Lyme borreliosis knows medicine, neurology, psychiatry, immunology, psychoimmunology, neurochemistry, ecology, epidemiology, entomology, law, politics, and ethics. View this paper
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Articles (49)

  • Viewpoint
  • Open Access
1 Citations
3,638 Views
10 Pages

19 September 2018

Medicine has always been characterized by a tension between the particular and the general. A clinician is obligated to treat the individual in front of her, yet she accomplishes this task by applying generalized knowledge that describes an abstract...

  • Article
  • Open Access
32 Citations
6,180 Views
18 Pages

Provider’s Perceptions of Barriers and Facilitators for Latinas to Participate in Genetic Cancer Risk Assessment for Hereditary Breast and Ovarian Cancer

  • Alejandra Hurtado-de-Mendoza,
  • Kristi Graves,
  • Sara Gómez-Trillos,
  • Lyndsay Anderson,
  • Claudia Campos,
  • Chalanda Evans,
  • Selma Stearns,
  • Qi Zhu,
  • Nathaly Gonzalez and
  • Vanessa B. Sheppard

17 September 2018

The Comprehensive Cancer Network (NCCN) recommends genetic cancer risk assessment (GCRA) referral to women at high risk of hereditary breast and ovarian cancer. Latinas affected by breast cancer have the second highest prevalence of BRCA1/2 mutations...

  • Article
  • Open Access
12 Citations
4,670 Views
11 Pages

17 September 2018

Background: The number of acute medical paediatric emergency admissions is rising. We undertook qualitative interviews with parents and clinicians to better understand what factors, other than the health status of the child, may influence decision ma...

  • Review
  • Open Access
12 Citations
6,074 Views
9 Pages

14 September 2018

A focused reflection on rational medicines use in neonates is valuable and relevant, because indicators to assess rational medicines use are difficult to apply to neonates. Polypharmacy and exposure to antibiotics are common, while dosing regimens or...

  • Article
  • Open Access
3 Citations
4,650 Views
10 Pages

How a Communication Intervention in Zambia Re-Oriented Health Services to the Needs of the Least-Supported

  • Tony Klouda,
  • Cathy Green,
  • Miniratu Soyoola,
  • Paula Quigley,
  • Tendayi Kureya,
  • Caroline Barber and
  • Kenneth Mubuyaeta

13 September 2018

Despite decades of training health workers in communication, complaints from clients and communities about poor health worker attitudes abound. This was found to be so in Zambia where the More Mobilizing Access to Maternal Health Services in Zambia (...

  • Review
  • Open Access
16 Citations
4,715 Views
7 Pages

11 September 2018

Background: Pediatric severe sepsis is a public health problem with significant morbidities in those who survive. In this article, we aim to present an overview of the important studies highlighting the limited data available pertaining to long-term...

  • Review
  • Open Access
16 Citations
6,068 Views
20 Pages

8 September 2018

In order to improve understanding of the complex interactions between spinal sub-systems (i.e., the passive (ligaments, discs, fascia and bones), the active (muscles and tendons) and the neural control systems), it is necessary to take a dynamic appr...

  • Review
  • Open Access
27 Citations
5,556 Views
9 Pages

Sepsis: Personalized Medicine Utilizing ‘Omic’ Technologies—A Paradigm Shift?

  • Theis Skovsgaard Itenov,
  • Daniel D. Murray and
  • Jens Ulrik Stæhr Jensen

7 September 2018

Sepsis has over the years proven a considerable challenge to physicians and researchers. Numerous pharmacological and non-pharmacological interventions have been tested in trials, but have unfortunately failed to improve the general prognosis. This h...

  • Review
  • Open Access
49 Citations
7,645 Views
14 Pages

Mid-Regional Pro-Adrenomedullin (MR-proADM) as a Biomarker for Sepsis and Septic Shock: Narrative Review

  • Uğur Önal,
  • Francisco Valenzuela-Sánchez,
  • Kalwaje Eshwara Vandana and
  • Jordi Rello

3 September 2018

Early identification and diagnosis of sepsis and septic shock is vitally important; despite appropriate management, mortality and morbidity rates remain high. For this reason, many biomarkers and screening systems have been investigated in accordance...

  • Article
  • Open Access
19 Citations
5,137 Views
11 Pages

Stakeholder Views on Active Cascade Screening for Familial Hypercholesterolemia

  • Carla G. Van El,
  • Valentina Baccolini,
  • Peter Piko and
  • Martina C. Cornel

In familial hypercholesterolemia (FH), carriers profit from presymptomatic diagnosis and early treatment. Due to the autosomal dominant pattern of inheritance, first degree relatives of patients are at 50% risk. A program to identify healthy relative...

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Healthcare - ISSN 2227-9032