BACKGROUND Chronic breathlessness is a significant problem in palliative care and oxygen is often prescribed in an attempt to ameliorate it. Often, this prescription falls outside the current funding guidelines for long-term home oxygen use. The aim of this qualitative study was to understand the factors that most influence Australian specialist palliative care nurses' initiation of home oxygen...

The Mais Médicos (More Doctors) Program (MMP), which was launched in 2013, sought to provide doctors to work in primary health care in priority areas within the Brazilian Unified Health System (SUS). This article analyzes the perception of MMP service users through the results of a qualitative study that consisted of interviews with service users of the Family Health Strategy (ESF) in which doc...

BACKGROUND The assertive community treatment (ACT) model for people with severe mental illness was originally designed to be provided continuously without termination. This study evaluated postdischarge changes in health status and service use associated with the time-limited provision of ACT to homeless people with severe mental illness. METHODS Clients in the fourth annual cohort of the Acc...

Background: Medical residents play two roles that enter into conflict during their educational period: trainees and workers. This dual role can lead to dissatisfaction among residents that can affect both the quality of the services they provide to citizens and the proper functioning of the health services model itself. Aim: To analyse discrepancies between the preferences and expectations of f...

Sensitivity of the tonic stretch reflex (TSR) of biceps brachii in normal man was measured at different levels of voluntary contraction before and after gamma efferent nerve fibres were selectively blocked by infiltration of dilute procaine. The procaine infiltration reduced TSR sensitivity to one half of its control value. It had no effect, however, on the slope of the relation between TSR gai...

Palliative care emphasizes an interdisciplinary approach to care to improve quality of life and relieve symptoms. Palliative care is provided in many ways; in hospices, hospital units, and the community. However, the greatest proportion of palliative care is in the community. In hospice and palliative care units in hospitals, clinical pharmacists are part of the interdisciplinary team and work ...

OBJECTIVE Victimization by and perpetration of domestic violence are associated with co-occurring mental and substance use disorders. METHODS This study used data from the National Survey of Substance Abuse Treatment Services to examine differences in organizational factors, treatment approaches offered, and client-level factors among 13,342 substance abuse treatment facilities by whether or ...

INTRODUCTION Tuberculosis (TB) in internal migrants is one of three threats for TB control in China. To address this threat, a project was launched in eight of the 19 districts of Shanghai in 2007 to provide transportation subsidies and living allowances for all migrant TB cases. This study aims to determine if this project contributed to improved TB control outcomes among migrants in urban Sha...

The aim of this study was to explore how teachers and helpers experience that teacher-student relationship (TSR) is developed and promoted in upper secondary school. We also explored their experiences of qualities of TSR with students with mental health problems or at risk of dropping out. The study used a qualitative and participative approach; key stakeholders were included as co-researchers....

OBJECTIVE To develop a proposal for a nursing panel of indicators based on the guiding principles of Balanced Scorecard. METHOD A single case study that ranked 200 medical records of patients, management reports and protocols, which are capable of generating indicators. RESULTS We identified 163 variables that resulted in 72 indicators; of these, 32 nursing-related: two financial indicators...