BMC Health Serv Res. 2021 Oct 9;21(1):1068. doi: 10.1186/s12913-021-07047-2.ABSTRACTBACKGROUND: Objectives were to describe barriers to pediatric cancer symptom management care pathway implementation and the impact of the COVID-19 pandemic on clinical research evaluating their implementation.METHODS: We included 25 pediatric oncology hospitals in the United States that supported a grant submission to perform a cluster randomized trial in which the intervention encompassed care pathways for symptom management. A survey was distributed to site principal investigators prior to randomization to measure contextual elements related to care pathway implementation. Questions included the inner setting measures of the Consolidated Framework for Implementation Research (CFIR),…
Origen: Barriers to symptom management care pathway implementation in pediatric Cancer – PubMed

BMC Med Educ. 2021 Oct 9;21(1):526. doi: 10.1186/s12909-021-02966-4.ABSTRACTBACKGROUND: The provision of comprehensive, high quality palliative care (PC) is a global public health concern. In the United Arab Emirates (UAE), palliative medicine services are limited, and most patients in need of PC are treated in the acute hospital setting, where health professionals of all specialties provide treatment. Improving end-of-life care requires teaching medical students, residents, and other healthcare professionals about PC. The purpose of this study was to assess the current status of PC education in medical schools in the UAE, and to identify barriers to successful implementation of a PC…
Origen: Undergraduate palliative care education in the United Arab Emirates: a nationwide assessment of medical school deans – PubMed

Rev Bras Enferm. 2021 Sep 29;75(1):e20201335. doi: 10.1590/0034-7167-2020-1335. eCollection 2021.ABSTRACTOBJECTIVES: to analyze scientific evidence on the implementation and performance of palliative care in Primary Health Care.METHODS: an integrative literature review, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, carried out in the PubMed, SciVerse Scopus and LILACS databases, in December 2020, without a time frame.RESULTS: 22 original scientific articles were analyzed, 14 classified as evidence level VI. The objective was to understand the experiences and roles of professionals, patients and families on palliative care in Primary Health Care, articles focused on the theme of management and organization…
Origen: Palliative care in Primary Health Care: an integrative literature review – PubMed

Rev Bras Enferm. 2021 Sep 29;75(1):e20210030. doi: 10.1590/0034-7167-2021-0030. eCollection 2021.ABSTRACTOBJECTIVES: to analyze palliative care production developed by health professionals to home care patients.METHODS: this is an exploratory study, with a qualitative approach, using the transpersonal care theoretical framework. Thirteen interviews were conducted with health professionals and 18 observations were conducted on different cases. Content analysis was performed using MAXQDA©.RESULTS: actions performed: maintenance and follow-up measures to people eligible for palliative care, in acts of dialogue and «listening» to caregivers and users, conducting guidelines for the care and self-care process, performing technical procedures, delivery of materials, referrals and medical prescriptions to…
Origen: Palliative care production for health professionals in the context of home care – PubMed

Khirurgiia (Mosk). 2021;(10):36-44. doi: 10.17116/hirurgia202110136.ABSTRACTOBJECTIVE: To work out the optimal technique of endoscopic stenting of the esophagus (ESE) using various delivery devices (DD); to analyze immediate and long-term results of stenting depending on the type of DD.MATERIAL AND METHODS: ESE results were studied in 83 patients. Group 1 included 41 patients with implantation of metal stents delivered on a knitted tubular casing (21 stents with proximal opening and 20 stents with distal opening). Group 2 consisted of 42 patients who underwent ESE using a DD in the form of a contracting outer shell.RESULTS: In the 1st group, DD «stumbling» in…
Origen: Technical features of esophageal stent deployment – PubMed