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Clinical Governance: An International Journal, vol. 19 no. 1
Type: Research Article
ISSN: 1477-7274

Open Access
Article
Publication date: 4 March 2014

Rita Ouseph, Calvin Croy, Crystal Natvig, Teresa Simoneau and Mark L. Laudenslager

Caregivers are known to experience increased morbidity when compared to noncaregivers. Does an intervention targeting caregiver distress affect their health care…

Abstract

Caregivers are known to experience increased morbidity when compared to noncaregivers. Does an intervention targeting caregiver distress affect their health care utilization? One hundred forty-eight caregivers of allogeneic hematopoietic stem cell transplant patients were randomized to treatment as usual (TAU) or a psychoeducation, paced respiration, and relaxation (PEPRR) intervention. Assessments of caregivers' service utilization were collected at baseline and 1, 3, and 6 months post-transplant. During the first 30 days after patient transplant, caregiver medical and mental health professional service use decreased while support group attendance peaked. Mixed model regressions showed a significant decrease in mental health service use by the PEPRR group (P=0.001). At six months caregivers in TAU had predicted marginal probabilities of mental health services utilization over 10 times as high as caregivers in PEPRR (18.1% vs 1.5%). Groups failed to differ in medical service (P=0.861) or support group (P=0.067) use. We can conclude that participation in PEPRR compared to TAU was associated with reduced mental health service utilization. Caregiver psychosocial support services are critical to improve caregiver outcomes.

Details

Mental Illness, vol. 6 no. 1
Type: Research Article
ISSN: 2036-7465

Keywords

Article
Publication date: 1 January 2009

Katrina M. Nordström, Marko O. Närhi and Ari P.J. Vepsäläinen

Tissue engineering (TE) offers treatments for chronic, life threatening, degenerative illnesses and possibilities for restoring cellular or organ functions that have been…

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Abstract

Purpose

Tissue engineering (TE) offers treatments for chronic, life threatening, degenerative illnesses and possibilities for restoring cellular or organ functions that have been lost due to injuries or hereditary conditions. However, a prerequisite for the use of TE products as part of future therapies is the development of strategies for safe and efficient supply chain management and versatile services spanning from product development to a follow‐up period of possibly decades. The present study aims to explore the future needs for services and extended supply chains for safe delivery of health care, procurement, distribution and long‐term follow‐up of TE products and therapies.

Design/methodology/approach

Studies in operational disciplines and coordination systems for different types of supply chains and service networks are used to formulate a framework for developing services throughout product lifecycle. Case examples of TE products are presented to demonstrate complexity, microbial risks, services and long‐term follow‐up. The role of logistics and the necessary services are identified for products classified into experimental, therapy and standard products.

Findings

The paper finds that, through the stages, the importance of logistics increases from an enabler to becoming a strategic tool, emphasizing logistics requirements in establishing a viable TE supply chain. New dimensions to existing service operations frameworks are needed where proactive tissue sourcing, long follow‐up periods, short shelf life and biological risks call for enforcing flexible services with tissue banks, detailed tracing, authorization and regulation.

Originality/value

The paper presents the discovery of the logistics services and service institutions that will become imperatives for the future success of TE products and therapies.

Details

International Journal of Productivity and Performance Management, vol. 58 no. 1
Type: Research Article
ISSN: 1741-0401

Keywords

Article
Publication date: 6 January 2021

Jaleel Mohammed, Russell Kabir, Hadeel R. Bakhsh, Diana Greenfield, Volkova Alisa Georgievna, Aleksandra Bulińska, Jayanti Rai, Anne Gonzales and Shahrukh K. Hashmi

Hematopoietic stem cell transplant (HSCT) patients can suffer from long-term transplant-related complications that affect their quality of life and daily activities. This…

Abstract

Purpose

Hematopoietic stem cell transplant (HSCT) patients can suffer from long-term transplant-related complications that affect their quality of life and daily activities. This study, a narrative review, aims to report the impact of HCT complications, the benefits of rehabilitation intervention, the need for long-term care and highlights the research gap in clinical trials involving rehabilitation.

Design/methodology/approach

A comprehensive search strategy was performed on several databases to look for relevant articles published from 1998 to 2018. Articles published in English with the following terms were used: hematopoietic stem cell transplant, chronic graft-versus-host disease, rehabilitation, exercise, physical therapy, occupational therapy. A patient/population, intervention, comparison, and outcomes (PICO) framework was employed to ensure that the search strategies were structured and precise. Study year, design, outcome, intervention, sample demographics, setting and study results were extracted.

Findings

Of the 1,411 records identified, 51 studies underwent title/abstract screening for appropriateness, 30 were reviewed in full, and 19 studies were included in the review. The review found that, for the majority of patients who underwent HSCT and developed treatment-related complications, rehabilitation exercises had a positive impact on their overall quality of life. However, exercise prescription in this patient group has not always reflected the scientific approach; there is a lack of high-quality clinical trials in general. The review also highlights the need to educate healthcare policymakers and insurance companies responsible for rationing services to recognise the importance of offering long-term follow-up care for this patient group, including rehabilitation services.

Practical implications

A large number of HSCT patients require long-term follow-up from a multidisciplinary team, including rehabilitation specialists. It is important for healthcare policymakers and insurance companies to recognise this need and take the necessary steps to ensure that HSCT patients receive adequate long-term care. This paper also highlights the urgent need for high-quality rehabilitation trials to demonstrate the feasibility and importance of rehabilitation teams.

Originality/value

Healthcare policymakers and insurance companies need to recognise that transplant patients need ongoing physiotherapy for early identification of any functional impairments and appropriate timely intervention.

Details

International Journal of Health Governance, vol. 26 no. 2
Type: Research Article
ISSN: 2059-4631

Keywords

Article
Publication date: 15 June 2012

Sripen Tantivess, Román Pérez Velasco, Jomkwan Yothasamut, Adun Mohara, Hatai Limprayoonyong and Yot Teerawattananon

The purpose of this paper is to analyse the roles of social values in the reform of coverage decisions for Thailand's Universal Health Coverage (UC) plan in 2009 and 2010.

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Abstract

Purpose

The purpose of this paper is to analyse the roles of social values in the reform of coverage decisions for Thailand's Universal Health Coverage (UC) plan in 2009 and 2010.

Design/methodology/approach

Qualitative techniques, including document review and personal communication, were employed for data collection and triangulation. All relevant data and information regarding the reform and three case study interventions were interpreted and analysed according to the thematic elements in the conceptual framework.

Findings

Social values determined changes in the UC plan in two steps: the development of coverage decision guidelines and the introduction of such guidelines in benefit package formulation. The former was guided by process values, while the latter was shaped by different content ideals of stakeholders and policymakers. Analysis of the three interventions suggests that in allocating its resources to subsidise particular services, the UC authority took into account not only cost‐effectiveness, but also budget impacts, equity and solidarity. These social values competed with each other and, in many instances, the prioritisation of benefit candidates was not led solely by evidence, but also by value judgments, even though transparency was recognised as an ultimate goal of reform.

Research limitations/implications

The study findings indicate room for improvement and for future research – the current conceptual framework is inadequate to capture all the crucial elements which influence health prioritisation, as well as their interactions with social values.

Originality/value

The paper fills a gap in literature as it enhances understanding of the effects of social value judgments in real‐life health prioritisation.

Details

Journal of Health Organization and Management, vol. 26 no. 3
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 1 November 2003

Muhsi Yang, Tsai‐Chi Robert Kuo and Roseanne Murphy Jones

Recently, researchers have explored the medical applications of umbilical cord blood (UCB) to treat certain types of cancer and other disorders. UCB is a hematopoietic…

1935

Abstract

Recently, researchers have explored the medical applications of umbilical cord blood (UCB) to treat certain types of cancer and other disorders. UCB is a hematopoietic tissue that contains a motherlode of cells, and creates the blood cells that carry oxygen, fight infections, and form clots at the sites of injuries. The use of UCB involves fewer ethical and legal problems than other stem cell technology. UCB banking not only involves the creation of a UCB storage bank, but is also a serial process that includes collecting UCB, extracting stem cells from UCB, storing these stem cells in liquid nitrogen at –385°F, and defrosting them if required by their owner. UCB banking service is thus a form of biological insurance, where the reward is an increased chance of good health rather than monetary compensation. Many people have begun to consider the need for public and private UCB banks to preserve cord blood donations. The main purpose of this research is to develop the UCB consumers’ behavior based on the consumer buying behavior model. It clarifies the opinions of Taiwan people about UCB banking, identifies the main factors motivating people to store UCB, and provides the marketing strategies for the UCB banking service.

Details

International Journal of Health Care Quality Assurance, vol. 16 no. 6
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 January 1990

J.G. Llaurado

After analysing the differences between ionising and non‐ionisingradiations, the author considers the interaction between radiations andthe environment, in particular that…

Abstract

After analysing the differences between ionising and non‐ionising radiations, the author considers the interaction between radiations and the environment, in particular that affecting human tissues. The mechanism of the interaction is described in detail. It is shown that no consensus exists at present as to whether the electric or magnetic field is biologically important. Another difficulty is that roles of field strength, duration of exposure, and intermittent versus continuous exposure are also unknown at present. It is maintained that several years of research in biomedical sciences are needed to determine what components of exposure are the factors in health disorders induced by electromagnetic fields.

Details

Environmental Management and Health, vol. 1 no. 1
Type: Research Article
ISSN: 0956-6163

Keywords

Article
Publication date: 1 January 1992

Maja Jokic

A sample of 3746 papers has been obtained from 168 online retrospective searches of Medline. Each paper has been bibliometrically analysed by the following indicators…

Abstract

A sample of 3746 papers has been obtained from 168 online retrospective searches of Medline. Each paper has been bibliometrically analysed by the following indicators: language in which it was written; existence of an English abstract; abstract type with respect to number of words; depth of indexing; and inclusion of the author's address. Special emphasis has been put on scientific production in Slavonic countries and the information value of these papers in Mediine. A comparative study has been made of works originally written in English.

Details

Online Review, vol. 16 no. 1
Type: Research Article
ISSN: 0309-314X

Article
Publication date: 25 October 2011

Preeti Singh and G.K. Goyal

This paper aims to review the types of pizza and the functionality of basic ingredients of pizza with special focus on the effects of pizza toppings on health.

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Abstract

Purpose

This paper aims to review the types of pizza and the functionality of basic ingredients of pizza with special focus on the effects of pizza toppings on health.

Design/methodology/approach

Phenomenological research has raised awareness and increased insight into the role of various pizza ingredients and health benefits of different pizza toppings and consequently pizza is called a “functional food”. The approach is based on observation of the online research, a close watch on the pizza industry, analysis of research papers in journals, and brainstorming research on the effect of packaging on the quality of different pizza ingredients with a co‐researcher for four years.

Findings

The changing life patterns and food habits of people and their preferences have catapulted the market to grow for convenience and fast foods. Pizza is one of the most popular family foods worldwide and has gained widespread consumer acceptance as a healthy and convenience food. It is a multi‐component product with composite number of toppings. It provides an array of nutrients in significant amounts, in relation to its energy and fat content, making it a nutrient‐dense food. It is cheap and can be delivered in a very short time. In particular, pizza supplies 30 per cent of the USA recommended daily allowance of vitamins A, C, B2, calcium and protein. It contains 50 per cent of vitamin B1 and 35 per cent of iron. Furthermore, pizza has anticancerous effects beyond the basic nutrition it provides, because of the potent antioxidant lycopene present in tomatoes.

Originality/value

This paper offers a holistic view that would guide a reader to identify the beneficial effects of pizza.

Details

British Food Journal, vol. 113 no. 11
Type: Research Article
ISSN: 0007-070X

Keywords

Article
Publication date: 1 January 1980

Roberta A. Scull and Barbara S. Kavanaugh

Bobbie Scull's bibliography of federal government bibliographies was begun in 1971 as an annual informational publication primarily intended for the faculty at Louisiana…

Abstract

Bobbie Scull's bibliography of federal government bibliographies was begun in 1971 as an annual informational publication primarily intended for the faculty at Louisiana State University. Later she distributed it to libraries all over the state of Louisiana. In 1973 RSR began to publish these lists on an annual basis. This is the fourth such appearance. In the meantime these bibliographies were cumulated and published in two volumes: Bibliography of U.S. Government Bibliographies 1968–73 and 1974–76. (Pierian Press, 1975, 1979). RSR is proud to continue the annual supplements which are now computer produced at LSU. Although this supplement appears in Volume 8:1 (1980) in the future they will appear in the final issue of the year.

Details

Reference Services Review, vol. 8 no. 1
Type: Research Article
ISSN: 0090-7324

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