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Use of a depression and sleep impairment treatment guideline to improve quality of life for patients with sickle cell disease.

Related Articles Use of a depression and sleep impairment treatment guideline to improve quality of life for patients with sickle cell disease. Int J Palliat Nurs. 2018 05;24(5):246-255 Authors: Simo SM, Siela D Abstract BACKGROUND: Pain in sickle cell disease (SCD) is often joined by other affective disorders such as depression and/or sleep impairment that can impact pain levels and quality of life (QoL). AIM: To develop a guideline to improve the process of assessment and treatment of depression and sleep impairment in patients admitted with SCD. METHOD: An interdisciplinary team used the Stetler model to create the Guideline for…
Origen: Use of a depression and sleep impairment treatment guideline to improve quality of life for patients with sickle cell disease. – PubMed

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Clinical results of multidisciplinary therapy including palliative posterior spinal stabilization surgery and postoperative adjuvant therapy for metastatic spinal tumor.

Related Articles Clinical results of multidisciplinary therapy including palliative posterior spinal stabilization surgery and postoperative adjuvant therapy for metastatic spinal tumor. J Orthop Surg Res. 2018 Feb 05;13(1):30 Authors: Uei H, Tokuhashi Y, Maseda M, Nakahashi M, Sawada H, Nakayama E, Soma H Abstract BACKGROUND: Surgeries performed for metastatic spinal tumor are mostly palliative and are controversial for patients with short life expectancy. We investigated whether palliative posterior spinal stabilization surgery with postoperative multidisciplinary therapy results in improvement of life prognosis and activities of daily living (ADL) in patients with metastatic spinal tumor. METHODS: The subjects were 55 patients who…
Origen: Clinical results of multidisciplinary therapy including palliative posterior spinal stabilization surgery and postoperative adjuvant therapy for metastatic spinal tumor. – PubMed

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Anatomical Repair Conversion After Bidirectional Cavopulmonary Shunt for Complex Cardiac Anomalies: Palliation is Not a One-Way Path.

Related Articles Anatomical Repair Conversion After Bidirectional Cavopulmonary Shunt for Complex Cardiac Anomalies: Palliation is Not a One-Way Path. Pediatr Cardiol. 2018 Mar;39(3):604-609 Authors: Chen Q, Li S, Hua Z, Zhang H, Yang K, Gao H, Ma K, Zhang S, Qi L Abstract Complex cardiac anomalies are sometimes channeled toward Fontan palliation for various reasons. Nevertheless, anatomical repair after bidirectional cavopulmonary shunt may be another option with theoretical benefits. In this study, we report our experience with anatomical repair conversion in challenging patients who had been palliated with bidirectional cavopulmonary shunt. Retrospective review was conducted in patients who underwent anatomical…
Origen: Anatomical Repair Conversion After Bidirectional Cavopulmonary Shunt for Complex Cardiac Anomalies: Palliation is Not a One-Way Path. – PubMed

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The ethics of interventional procedures for patients too ill for surgery.

Related Articles The ethics of interventional procedures for patients too ill for surgery. Curr Opin Anaesthesiol. 2018 Apr;31(2):190-194 Authors: Kan CG, Nurok M Abstract PURPOSE OF REVIEW: Minimally invasive interventional procedures are increasingly popular options for patients who are high-risk candidates for open surgical procedures. It is unclear how to proceed in the rare circumstance of a complication during an interventional procedure, where addressing the complication would require exposing the patient to the full risk that was being avoided with the minimally invasive technique. This review provides recommendations on how to approach this paradoxical scenario. RECENT FINDINGS: Risk stratification, communication…
Origen: The ethics of interventional procedures for patients too ill for surgery. – PubMed

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