Age Ageing. 2022 Jan 6;51(1):afab250. doi: 10.1093/ageing/afab250.ABSTRACTINTRODUCTION: older adults are at risk of adverse outcomes due to a high prevalence of polypharmacy and potentially inappropriate medications (PIMs). Deprescribing interventions have been demonstrated to reduce polypharmacy and PIMs. However, deprescribing is not performed routinely in long-term care facilities (LTCFs). This qualitative evidence synthesis aims to identify the factors which limit and enable health care workers’ (HCWs) engagement with deprescribing in LTCFs.METHODS: the ‘best-fit’ framework approach was used to synthesise evidence by using the Theoretical Domains Framework (TDF) as the a priori framework. Included studies were analysed qualitatively to identify LTCF barriers…
Origen: Barriers and enablers to deprescribing in long-term care facilities: a 'best-fit' framework synthesis of the qualitative evidence – PubMed

Harefuah. 2022 Jan;161(1):55-60.ABSTRACTIonizing radiation plays an important role in the treatment of patients with malignancy for cure and palliation. In the last decade there have been significant technological advances in radiation equipment, imaging and software. Owing to these developments, modern radiation is being shaped according to the size and form of the target organ and is accurate in locating the target location and can even take into account respiratory motion. Thanks to these developments, radiobiological concepts in radiation therapy have been tested and applied. Radiation doses have been increased to 5-20Gy/fraction and the number of treatments has been reduced to…
Origen: STEREOTACTIC BODY RADIATION THERAPY IN MALIGNANT TUMORS – PubMed

Ann Ist Super Sanita. 2021 Oct-Dec;57(4):286-290. doi: 10.4415/ANN_21_04_03.ABSTRACTINTRODUCTION: Patients in pediatric palliative care (PPC) live with multiple comorbidities which represent a risk factor for severe form of COVID-19.METHODS: This monocentric retrospective study was performed at the PPC Center of Padua (Italy). Testing methodology, prevention strategies and infection characteristics were documented and compared during the first and second peak of SARS-CoV-2 infection.RESULTS: Between April-June 2020 a population swab screening was performed and a strong reduction of the habitual family support was observed. Between November 2020-January 2021 swab testing was limited to specific cases and the support network for families was partially…
Origen: COVID-19 in pediatric palliative care: what can we learn from the pandemic and possible future directions – PubMed

BMC Palliat Care. 2022 Jan 24;21(1):13. doi: 10.1186/s12904-021-00881-5.ABSTRACTBACKGROUND: In Indonesia, Non-Communicable Diseases (NCD) are a contributing factor to mortality with most cases involving heart disease, cancer, chronic lung disease and diabetes. Accordingly, the identification of palliative care needs is very important as a first step in providing palliative care for these patients with NCD. However, currently there is no national standardized tool nor guidance system for identifying palliative care needs of NCD patients in Indonesia. The Supportive and Palliative Care Indicators Tool (SPICT) has been used worldwide for screening palliative care needs. This study aimed to identify palliative care needs…
Origen: Identifying palliative care needs of patients with non-communicable diseases in Indonesia using the SPICT tool: a descriptive cross-sectional study – PubMed

Int J Colorectal Dis. 2022 Feb;37(2):475-484. doi: 10.1007/s00384-021-04081-8. Epub 2022 Jan 23.ABSTRACTINTRODUCTION: Acute gastrointestinal obstruction due to colorectal cancer occurs in 7-30% of cases and is an abdominal emergency that requires urgent decompression. The safety and oncological effect of self-expandable metal stents (SEMS) in these patients remains controversial. This study aimed to evaluate its impact on these variables and compare it with that of emergency surgery (ES).METHODS: Descriptive, retrospective and single-centre study, performed between 2008 and 2015, with follow-up until 2017. One hundred eleven patients with diagnosis of left malignant colonic obstruction were included and divided according to the treatment…
Origen: Effect of self-expandable metal stent on morbidity and mortality and oncological prognosis in malignant colonic obstruction: retrospective analysis of its use as curative and palliative treatment – PubMed