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11,468 Results Found

  • Article
  • Open Access
17 Citations
4,437 Views
18 Pages

Predictors of Caregivers’ Satisfaction with the Management of Children with Autism Spectrum Disorder: A Study at Multiple Levels of Health Care

  • Nik Aida Nik Adib,
  • Mohd Ismail Ibrahim,
  • Azriani Ab Rahman,
  • Raishan Shafini Bakar,
  • Nor Azni Yahaya,
  • Suria Hussin and
  • Wan Nor Arifin Wan Mansor

Background: Caregivers are the initial gatekeepers in the health care management of children with autism spectrum disorder (ASD). Methods: This cross-sectional study aimed to determine the factors associated with caregivers’ satisfaction with d...

  • Article
  • Open Access
3 Citations
1,106 Views
10 Pages

This work presents the evaluation of the stress symptoms associated to the task of caring for a dependent relative at home. The role played by variables such as type of caregiver (nurse/non-nurse), the relative dependency level, the number of hours p...

  • Article
  • Open Access
6 Citations
3,086 Views
8 Pages

This study aims to investigate the factors of care-level deterioration in older adults with mild and moderate disabilities using nationally standardized survey data for care-needs certification. We enrolled people aged 68 years or older, certified as...

  • Article
  • Open Access
7 Citations
3,705 Views
9 Pages

Considering Patients’ Empowerment in Chronic Care Management: A Cross-Level Approach

  • Caroline Tilkin,
  • Mélanie De Winter,
  • Frédéric Ketterer,
  • Anne-Marie Etienne,
  • Marc Vanmeerbeek and
  • Frédéric Schoenaers

This paper consists of an analysis of the concept of empowerment—which is often defined as a key issue in health care—at the macro, meso, and micro levels by focusing on health care reform in Belgium. Three research teams collected data a...

  • Article
  • Open Access
1 Citations
2,195 Views
14 Pages

Individual-Level and Neighborhood-Level Factors Associated with Longitudinal Changes in Cardiometabolic Measures in Participants of a Clinic-Based Care Coordination Program: A Secondary Data Analysis

  • Sonal J. Patil,
  • Mojgan Golzy,
  • Angela Johnson,
  • Yan Wang,
  • Jerry C. Parker,
  • Robert B. Saper,
  • Debra Haire-Joshu,
  • David R. Mehr,
  • Randi E. Foraker and
  • Robin L. Kruse

20 May 2022

Background: Identifying individual and neighborhood-level factors associated with worsening cardiometabolic risks despite clinic-based care coordination may help identify candidates for supplementary team-based care. Methods: Secondary data analysis...

  • Review
  • Open Access
1,285 Views
20 Pages

‘Low-Level’ Social Care Needs of Adults in Prison (LOSCIP): A Scoping Review of the UK Literature

  • Deborah Buck,
  • Akash Ali,
  • Noor Butt,
  • Helen Chadwick,
  • Lee D. Mulligan,
  • Adam O’Neill,
  • Catherine Robinson,
  • Jenny J. Shaw,
  • Andrew Shepherd and
  • Josh Southworth
  • + 2 authors

17 February 2025

In England, local authorities are responsible for providing social care in prison in accordance with the Care Act (implemented in 2015), but little is known about ‘low-level’ needs that do not meet eligibility criteria. These ‘low-l...

  • Article
  • Open Access
21 Citations
5,151 Views
12 Pages

Factors That Influence Linkages to HIV Continuum of Care Services: Implications for Multi-Level Interventions

  • Rogério M. Pinto,
  • Susan S. Witte,
  • Prema L. Filippone,
  • Karen L. Baird and
  • Wendy R. Whitman

Worldwide, the human immunodeficiency virus (HIV) continuum of care involves health promotion providers (e.g., social workers and health educators) linking patients to medical personnel who provide HIV testing, primary care, and antiretroviral treatm...

  • Article
  • Open Access
10 Citations
4,394 Views
9 Pages

A Methodology for Determining Which Diseases Warrant Care in a High-Level Containment Care Unit

  • Theodore J. Cieslak,
  • Jocelyn J. Herstein,
  • Mark G. Kortepeter and
  • Angela L. Hewlett

22 August 2019

Although the concept of high-level containment care (HLCC or ‘biocontainment’), dates back to 1969, the 2014–2016 outbreak of Ebola virus disease (EVD) brought with it a renewed emphasis on the use of specialized HLCC units in the c...

  • Commentary
  • Open Access
11 Citations
2,891 Views
9 Pages

Foundation Level Barriers to the Widespread Adoption of Digital Solutions by Care Homes: Insights from Three Scottish Studies

  • Lucy Johnston,
  • Heidi Koikkalainen,
  • Lynda Anderson,
  • Paul Lapok,
  • Alistair Lawson and
  • Susan D. Shenkin

The care home sector has great potential to benefit from technological innovations and to be at the forefront of developing novel digital solutions to improve the experiences of care home residents, their families, and the staff caring for them. The...

  • Article
  • Open Access
1 Citations
2,225 Views
15 Pages

A Survey on the Organization and Operation of Level II/III Neonatal Intensive Care Units in Greece: A Comparison Between 2004 and 2022

  • Kosmas Sarafidis,
  • Nicoletta Iacovidou,
  • Eleftheria Hatzidaki,
  • Ilias Chatziioannidis and
  • Gabriel Dimitriou

13 January 2025

Background/Objectives: Limited data exist on the organization and operation of Level II/III Neonatal Intensive Care Units (NICUs) in Greece; this retrospective cross-sectional survey explored their structure and functioning in 2004 and 2022. Methods:...

  • Article
  • Open Access
5 Citations
2,682 Views
17 Pages

10 November 2020

The demand for elderly care in China is growing, and the elderly care industry has great development prospects. Climatic conditions are important factors that affect the health of elderly individuals and the development of the elderly care industry....

  • Article
  • Open Access
14 Citations
3,946 Views
15 Pages

Effects of Self-Care Education Intervention Program (SCEIP) on Activation Level, Psychological Distress, and Treatment-Related Information

  • Nor Aziyan Yahaya,
  • Khatijah Lim Abdullah,
  • Vimala Ramoo,
  • Nor Zuraida Zainal,
  • Li Ping Wong and
  • Mahmoud Danaee

18 August 2022

Self-care education can direct patients to manage their side effects during treatment, reduce psychological distress, and improve self-care information. In this study, the effectiveness of the Self-Care Education Intervention Program (SCEIP) on patie...

  • Article
  • Open Access
2 Citations
1,273 Views
19 Pages

21 March 2025

Introduction: Nurses and midwives caring for newborns with lethal defects experience significant emotional stress. Understanding coping strategies and the factors influencing stress is crucial for improving their well-being and ensuring high-quality...

  • Article
  • Open Access
3 Citations
3,583 Views
14 Pages

Evaluation of Whole Brain Radiotherapy among Lung Cancer Patients with Brain Metastases in Relation to Health Care Level and Survival

  • Gabriella Frisk,
  • Maria Helde Frankling,
  • Anna Warnqvist,
  • Linda Björkhem-Bergman and
  • Mattias Hedman

1 April 2022

Whole-brain radiotherapy (WBRT) as a treatment for brain metastases has been questioned over the last years. This study aimed to evaluate health care levels and survival after WBRT in a cohort of lung cancer patients with brain metastases receiving W...

  • Article
  • Open Access
3 Citations
4,094 Views
18 Pages

The relationship between nurse staffing, physical outcomes of residents, as well as quality of care receives major attention. The impact of staffing levels on residents’ ability to organize their everyday life and maintain social contacts, however, h...

  • Article
  • Open Access
3 Citations
1,963 Views
10 Pages

3 December 2022

Helicobacter pylori infection (H. pylori) is mainly managed at the primary care level. Our group previously performed a study demonstrating that providing specific counselling (SC) to primary care practitioners (PCPs) who requested a urea breath test...

  • Article
  • Open Access
4 Citations
2,452 Views
16 Pages

27 December 2024

Background: In the last decades, there has been a growing demand for outpatient services; understanding the factors influencing patient satisfaction is critical for improving healthcare quality. Objectives: This study evaluates patient satisfaction w...

  • Article
  • Open Access
31 Citations
12,343 Views
9 Pages

The Association between Serum Magnesium Levels and Depression in an Adult Primary Care Population

  • Emily K. Tarleton,
  • Amanda G. Kennedy,
  • Gail L. Rose,
  • Abigail Crocker and
  • Benjamin Littenberg

28 June 2019

Depression is common, places a large burden on the patient, their family and community, and is often difficult to treat. Magnesium supplementation is associated with improved depressive symptoms, but because the mechanism is unknown, it is unclear wh...

  • Review
  • Open Access
10 Citations
5,475 Views
26 Pages

Which Meso-Level Characteristics of Early Childhood Education and Care Centers Are Associated with Health, Health Behavior, and Well-Being of Young Children? Findings of a Scoping Review

  • Raphael M. Herr,
  • Katharina Diehl,
  • Sven Schneider,
  • Nina Osenbruegge,
  • Nicole Memmer,
  • Steffi Sachse,
  • Stephanie Hoffmann,
  • Benjamin Wachtler,
  • Max Herke and
  • Claudia R. Pischke
  • + 2 authors

Characteristics of early childhood education and care (ECEC) centers might be relevant for children’s health. This scoping review aims to provide an overview of the association between meso-level characteristics (MLCs) of ECEC centers with children’s...

  • Article
  • Open Access
23 Citations
4,556 Views
15 Pages

Plasma Glutamine Levels in Relation to Intensive Care Unit Patient Outcome

  • Renée Blaauw,
  • Daan G. Nel and
  • Gunter K. Schleicher

3 February 2020

Low and high plasma glutamine levels are associated with increased mortality. This study aimed to measure glutamine levels in critically ill patients admitted to the intensive care unit (ICU), correlate the glutamine values with clinical outcomes, an...

  • Article
  • Open Access
3 Citations
3,179 Views
14 Pages

7 January 2023

Most of the contemporary models for meeting the majority of the needs of middle-aged and elderly people are community-based, in-home care. Therefore, this paper designs an Interaction model that can meet the need for a rich spiritual and cultural lif...

  • Article
  • Open Access
1,067 Views
13 Pages

Background/Objectives: The pathogenesis of intensive care unit-acquired weakness (ICU-AW) is multi-factorial, with some of the main risk factors being sepsis, multiorgan failure, and the inflammatory response related to critical illness. Vitamin D is...

  • Article
  • Open Access
7 Citations
5,089 Views
18 Pages

The aim of this study was to explore the relationship between caregivers’ stress loads and dementia patient behavior, including the correlation of “patient behavior” (severity and frequency), “social care system”, and &l...

  • Article
  • Open Access
1,806 Views
17 Pages

Japan has the world’s fastest-aging population. The number of older adults living alone has increased rapidly; however, the number of people waiting for nursing care facilities is high, especially in urban areas, and home care is unavoidable. F...

  • Article
  • Open Access
15 Citations
5,706 Views
7 Pages

Effects of Sleep Quality on Melatonin Levels and Inflammatory Response after Major Abdominal Surgery in an Intensive Care Unit

  • Necdet Fatih Yaşar,
  • Bartu Badak,
  • Ağgül Canik,
  • Sema Şanal Baş,
  • Sema Uslu,
  • Setenay Öner and
  • Ersin Ateş

12 September 2017

Disruption of nocturnal sleep in an intensive care unit may remarkably affect production of melatonin, which is also known to have anti-inflammatory properties. In the present study, we aimed to investigate the effect of sleep quality on melatonin le...

  • Article
  • Open Access
1 Citations
2,860 Views
9 Pages

Variable Creatinine Levels in Critical Care Patients: A Concerning Knowledge Gap

  • Trushil Shah,
  • Madhusudhanan Narasimhan,
  • Mary Latha Rathinam,
  • Karen Relle,
  • Melanie Kim,
  • Tharani Muthukumar,
  • William Tharpe,
  • Sonja Bartolome,
  • Lenin Mahimainathan and
  • Alagarraju Muthukumar

15 April 2021

An accurate creatinine (Cr) estimate is pivotal for the assessment of renal function. Both patient- and practice-spawned factors palliate the test accuracy of serum creatinine (sCr) and can erratically represent actual kidney function. This study eva...

  • Review
  • Open Access
162 Citations
26,392 Views
12 Pages

Prevalence, Risk Factors and Burnout Levels in Intensive Care Unit Nurses: A Systematic Review and Meta-Analysis

  • Santiago Ramírez-Elvira,
  • José L. Romero-Béjar,
  • Nora Suleiman-Martos,
  • José L. Gómez-Urquiza,
  • Carolina Monsalve-Reyes,
  • Guillermo A. Cañadas-De la Fuente and
  • Luis Albendín-García

Nursing is considered to be an at-risk profession of burnout due to daily exposure to difficult situations such as death and pain care. In addition, some units such as the intensive care unit (ICU), can be stressful due to high levels of morbidity an...

  • Article
  • Open Access
783 Views
12 Pages

Association Between Low Omega-6 Polyunsaturated Fatty Acid Levels and the Development of Delirium in the Coronary Intensive Care Unit

  • Yurina Sugita-Yamaguchi,
  • Tetsuro Miyazaki,
  • Kazunori Shimada,
  • Megumi Shimizu,
  • Shohei Ouchi,
  • Tatsuro Aikawa,
  • Tomoyuki Shiozawa,
  • Kiyoshi Takasu,
  • Masaru Hiki and
  • Shuhei Takahashi
  • + 2 authors

11 June 2025

Background: Delirium is frequently observed in patients admitted to the intensive care unit, and is associated with mortality and morbidity. Although several studies have reported an association between polyunsaturated fatty acids (PUFAs) and cogniti...

  • Article
  • Open Access
4 Citations
2,431 Views
13 Pages

Association between Levels of Loneliness, Laboratory Measurements, and Behavioral Aspects in a Primary Care Setting in Crete, Greece

  • Panagiotis Volkos,
  • Manolis Linardakis,
  • Panagiotis Stachteas,
  • Foteini Anastasiou,
  • Athina Tatsioni,
  • Marilena Kampa and
  • Emmanouil K. Symvoulakis

This paper examines potential associations of loneliness with laboratory data and specific psychosocial and behavioral attitudes. The sample collection took place in an urban Primary Health Care unit between May and July 2023, consecutively, and once...

  • Article
  • Open Access
6 Citations
7,171 Views
13 Pages

The Impact of Intensive Care Unit Nurses’ Burnout Levels on Turnover Intention and the Mediating Role of Psychological Resilience

  • Ömer Turunç,
  • Abdullah Çalışkan,
  • İrfan Akkoç,
  • Özlem Köroğlu,
  • Güney Gürsel,
  • Ayhan Demirci,
  • Köksal Hazır and
  • Neslihan Özcanarslan

6 September 2024

Background: This study aims to investigate the relationship between burnout levels among intensive care unit (ICU) nurses, turnover intention, and the mediating role of psychological resilience. Methods: This survey design was used to collect data fr...

  • Article
  • Open Access
2 Citations
4,658 Views
11 Pages

20 October 2022

Research shows that 67% of the nonprofit sector workforce in the United States are women and worldwide, women account for the majority of employees in the nonprofit sector. Identified as service provider professionals, these women provide the care an...

  • Article
  • Open Access
14 Citations
3,897 Views
9 Pages

Association of Serum PCSK9 Levels with Antibiotic Resistance and Severity of Disease in Patients with Bacterial Infections Admitted to Intensive Care Units

  • Tannaz Jamialahmadi,
  • Yunes Panahi,
  • Mohamamd Amin Safarpour,
  • Shiva Ganjali,
  • Mahdi Chahabi,
  • Zeljko Reiner,
  • Saeed Solgi,
  • Amir Vahedian-azimi,
  • Parisa Kianpour and
  • Maciej Banach
  • + 1 author

20 October 2019

Background: The results of several studies have suggested that infections and sepsis, either bacterial or viral, might be associated with elevated plasma proprotein convertase subtilisin/kexin type 9 (PCSK9) levels. Since there are no data on PCSK9 l...

  • Article
  • Open Access
5 Citations
5,603 Views
9 Pages

30 October 2018

Introduction: Gamma glutamyl transferase (GGT) and uric acid (UA) are reported to be predictive markers in various disorders. It has been reported that these biomarkers can be used to indicate increased risk of mortality in critically ill patients. H...

  • Article
  • Open Access
16 Citations
6,137 Views
15 Pages

A Pilot Study of Children’s Blood Lead Levels in Mount Isa, Queensland

  • Donna Green,
  • Marianne Sullivan,
  • Nathan Cooper,
  • Annika Dean and
  • Cielo Marquez

Mount Isa, Queensland, is one of three Australian cities with significant lead emissions due to nonferrous mining and smelting. Unlike the two other cities with lead mines or smelters, Mount Isa currently has no system of annual, systematic, communit...

  • Review
  • Open Access
12 Citations
6,502 Views
13 Pages

We aimed to summarize the evidence of an association between nurse staffing and nursing sensitivity outcomes in Japanese hospitals. A scoping review was conducted and reported following the PRISMA-SR 2020 statement. The ICHUSHI and CiNii databases we...

  • Article
  • Open Access
22 Citations
5,307 Views
10 Pages

Background and objectives: Identifying factors that affect self-care according to low, middle, and high self-care levels among elderly patients with diabetes is the best way to prevent various life-threatening complications, and this can be accomplis...

  • Article
  • Open Access
1,258 Views
16 Pages

Relationship of Melatonin Levels in Blood and Urine with Sleep Quality in Children Admitted to Pediatric Intensive Care Unit

  • Miriam García-San Prudencio,
  • Gema Manrique,
  • Raquel Cieza,
  • Cristina Corraliza,
  • Patricia Arias,
  • Elena Medina,
  • Jesús López-Herce and
  • Santiago Mencía

15 August 2025

Objectives: Melatonin regulates the sleep–wake cycle, which may be altered in children admitted to the pediatric intensive care unit (PICU). The aim is to analyze whether blood and urine melatonin levels are related to sleep quality in children...

  • Article
  • Open Access
2,055 Views
14 Pages

Healthcare Professionals’ Perspectives on Sepsis Care Pathways—Qualitative Pilot Expert Interviews

  • Lea Draeger,
  • Carolin Fleischmann-Struzek,
  • Jutta Bleidorn,
  • Lena Kannengiesser,
  • Konrad Schmidt,
  • Christian Apfelbacher and
  • Claudia Matthaeus-Kraemer

18 January 2025

Background/Objectives: Despite recent decades’ rapid advances in the management of patients with sepsis and septic shock, global sepsis mortality and post-acute sepsis morbidity rates remain high. Our aim was, therefore, to provide a first over...

  • Article
  • Open Access
27 Citations
6,205 Views
20 Pages

7 October 2018

Sharing responsibilities for paid work and unpaid care between men and women is recognised as one of the challenges that Western countries face in the 21st century. This article examines attitudes towards sharing paid work and unpaid care responsibil...

  • Feature Paper
  • Article
  • Open Access
7 Citations
7,377 Views
19 Pages

The Impact of Dental Care Programs on Individuals and Their Families: A Scoping Review

  • Abdulrahman Ghoneim,
  • Violet D’Souza,
  • Arezoo Ebnahmady,
  • Kamini Kaura Parbhakar,
  • Helen He,
  • Madeline Gerbig,
  • Audrey Laporte,
  • Rebecca Hancock Howard,
  • Noha Gomaa and
  • Carlos Quiñonez
  • + 1 author

30 January 2023

Background: Despite significant global improvements in oral health, inequities persist. Targeted dental care programs are perceived as a viable approach to both improving oral health and to address inequities. However, the impacts of dental care prog...

  • Systematic Review
  • Open Access
22 Citations
5,473 Views
20 Pages

Type 2 diabetes mellitus (T2D) is responsible for an important premature mortality. Pharmacists involved in community-based pharmaceutical care services could help patients with diabetes through education and management as they participate in their r...

  • Article
  • Open Access
24 Citations
3,341 Views
14 Pages

Background: The current study aimed to assess the anxiety and fear levels and the attitude towards clinical care, such as the use of personal protective equipment and number of patients examined, before and after COVID-19 vaccination among Turkish de...

  • Article
  • Open Access
5 Citations
2,473 Views
14 Pages

This study explores differences in characteristics and relationship treatment preferences across different levels of intimate partner violence (IPV) among Veterans Affairs (VA) primary care patients. In Fall 2019, we sent a mail-in survey assessing r...

  • Article
  • Open Access
1,699 Views
15 Pages

Evaluation of Patients’ Levels of Walking Independence Using Inertial Sensors and Neural Networks in an Acute-Care Hospital

  • Tatsuya Sugimoto,
  • Nobuhito Taniguchi,
  • Ryoto Yoshikura,
  • Hiroshi Kawaguchi and
  • Shintaro Izumi

This study aimed to evaluate walking independence in acute-care hospital patients using neural networks based on acceleration and angular velocity from two walking tests. Forty patients underwent the 10-m walk test and the Timed Up-and-Go test at nor...

  • Article
  • Open Access
25 Citations
3,965 Views
12 Pages

Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study

  • Noemi Giannetta,
  • Rebecca Sergi,
  • Giulia Villa,
  • Federico Pennestrì,
  • Roberta Sala,
  • Roberto Mordacci and
  • Duilio Fiorenzo Manara

3 December 2021

Moral distress is a concern for all healthcare professionals working in all care settings. Based on our knowledge, no studies explore the differences in levels of moral distress in hospital and community settings. This study aims to examine the level...

  • Communication
  • Open Access
4 Citations
3,026 Views
7 Pages

Over the last decade, there have been a number of studies which have documented disparate levels of care in the management of inflammatory bowel disease amongst various minority communities in the UK. Similar findings had previously been described in...

  • Article
  • Open Access
1,442 Views
10 Pages

Disparities in Advance Care Planning Across Rurality, Sociodemographic Characteristics, and Cognition Levels: Evidence from the Health and Retirement Study

  • Zahra Rahemi,
  • Juanita-Dawne R. Bacsu,
  • Sophia Z. Shalhout,
  • Morteza Sabet,
  • Delaram Sirizi,
  • Matthew Lee Smith and
  • Swann Arp Adams

26 November 2024

Background: We aimed to examine ACP in older adults in the U.S. across different sociodemographic characteristics and cognition levels (N = 17,698). Methods: We utilized two legal documents from the Health and Retirement Study survey: a living will a...

  • Article
  • Open Access
17 Citations
5,738 Views
22 Pages

26 January 2022

The integration of drones into health care as a supplement to existing logistics methods may generate a need for cooperation and involvement across multiple resource areas. It is currently not well understood whether such integrations would merely re...

  • Article
  • Open Access
1,126 Views
12 Pages

26 February 2025

In intensive care units (ICUs), serum lactate and methemoglobin (metHb) levels are considered significant biomarkers for predicting mortality in critically ill patients. This study investigates the relationship between lactate and metHb levels in blo...

  • Article
  • Open Access
7 Citations
3,907 Views
13 Pages

Long-Term Changes in Older Adults’ Independence Levels for Performing Activities of Daily Living in Care Settings: A Nine-Year Follow-Up Study

  • Takuhiro Okabe,
  • Makoto Suzuki,
  • Naoki Iso,
  • Koji Tanaka,
  • Akira Sagari,
  • Hironori Miyata,
  • Gwanghee Han,
  • Michio Maruta,
  • Takayuki Tabira and
  • Masahiro Kawagoe

This study aimed to clarify the variability in the independence profiles of specific activities of daily living (ADL) among older men and women. The research subjects were 5872 older adults (1143 men and 4729 women) certified as requiring nursing car...

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