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1 – 10 of 14
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

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 December 2003

C.A. Rusinko and D.A. Sesok‐Pizzini

A technological community framework can be used to explain and manage new medical technologies. It describes emergence, commercialization, and standardization of an…

2121

Abstract

A technological community framework can be used to explain and manage new medical technologies. It describes emergence, commercialization, and standardization of an innovation or technology within the context of its whole network (or community) of stakeholders. This framework is used to illustrate the emergence, commercialization, and standardization of a relatively new medical technology – umbilical cord blood (UCB) banking. Umbilical cord blood may prove to be a source of stem cells for bone marrow transplant that is safer, more accessible, and less expensive than current sources of stem cells. The technological community framework can signal potential problems as the technology emerges, and help healthcare delivery systems and providers to effectively assess and manage the technology. The framework can also be applied to other medical technologies and innovations.

Details

Journal of Health Organization and Management, vol. 17 no. 6
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: 23 November 2012

G. Cantos‐Mateos, B. Vargas‐Quesada, Z. Chinchilla‐Rodríguez and M.A. Zulueta

Research with stem cells is a biomedical venture with great scientific impact, and whose development flows over into many other areas. This article aims to present a dual…

1109

Abstract

Purpose

Research with stem cells is a biomedical venture with great scientific impact, and whose development flows over into many other areas. This article aims to present a dual analysis of Spain's scientific output in this field during the period 1997‐2007.

Design/methodology/approach

The authors used bibliometric indicators of a basic nature as well as techniques for the visualization and analysis of networks of scientific information based on a study of KeyWords Plus.

Findings

The output is mainly concentrated in Cataluña and Madrid, and hospitals are the most productive centres (followed by health institutes), where the main authors are affiliated. Main categories are hematology, oncology and biophysics. The outstanding areas of study revolve around the therapeutic use of transplant of hematopoietic progenitors, the processes of generation, proliferation and differentiation of lines of cells, and the study of neurosciences.

Originality/value

This study provides an overview of Spanish research involving stem cells, detecting and representing the main areas of research. The article considers the potential of KeyWords Plus in combination with the proposed methodology as particularly useful for the analysis and delimitation of a scientific domain.

Details

Aslib Proceedings, vol. 64 no. 6
Type: Research Article
ISSN: 0001-253X

Keywords

Article
Publication date: 31 May 2022

Dhruba Jyoti Borgohain, Mohammad Nazim and Manoj Kumar Verma

Mucormycosis has evolved as a post-COVID-19 complication globally, especially in India. The research on fungus has been very primitive, and many scientific publications…

Abstract

Purpose

Mucormycosis has evolved as a post-COVID-19 complication globally, especially in India. The research on fungus has been very primitive, and many scientific publications have been discovered. The current COVID-19 pandemic needs further investigation into this unusual fungal infection. This review study aims to provide a pen-picture to researchers, science policymakers and scientists about different bibliometric indicators related to the research literature on mucormycosis.

Design/methodology/approach

The quantitative research was conducted using the established procedure of bibliometric investigation on data collected from Scopus from 2011 to 2020 using a validated search query. The search query consisted of keywords “Mucormycosis” or “Mucormycoses” or “Mucormycose” or “Mucorales Infection” or “Mucorales Infections” or “Black Fungus Infection” or “Black Fungus Infections” or “Zygomycosis” in the “Title-Keyword-Abstract” search option for data extraction. The analysis of data is performed using MS-Excel. Mapping was done with state-of-the-art visualization tools Biblioshiny and VOSviewer, using bibliometric indicators as units of analysis.

Findings

The analysis reveals that the first publication on this topic was reported from 1923 onwards. In total, 9,423 authors contributed 1,896 papers with 11,437 collaborated authors, documents per author are 0.201, authors per document are 4.97 and co-authors per document are 6.03. Total records were published in 779 journals in the English language from 75 countries globally. Mucormycosis literature is mostly open access, with 1,210 publications available via different open access routes. The highest number of articles (204) published in the journal “Mycoses” with 1,333 authors received 4,875 cited references, and the h-index has 24. The growth of publications is exponential, as depicted by the Price Law. The USA has recorded a maximum number of publications at both country and institutional levels compared to the other nations. There has been extensive research on mucormycosis before the outbreak as a post-COVID complication, as indicated by the highest number of publications in 2019.

Practical implications

The research hot spots have altered from “Mucormycosis,” “fungi,” “Zygomycosis” and “Drug efficacy”, “Drug Safety” to “Microbiology,” “Pathology,” “nucleotide sequence,” “surgical debridement” which indicates that potential area of research in the near future will be concerned with more extensive research in mucormycosis to develop standard treatment procedures to fight this infection. The quantity of scientific publications has also increased over time. The research and health community are called upon to join forces to activate existing knowledge, generate new insights and develop decision-supporting tools for health authorities in different nations to leverage vaccination in its transformational role toward successfully attaining nil cases of COVID-19.

Originality/value

The analysis of collaboration, findings, the research networks and visualization makes this study novel and separates from traditional metrics analysis. To the best of the authors’ knowledge, this work is original, and no similar studies have been found with the objectives included here.

Details

Library Hi Tech, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0737-8831

Keywords

Book part
Publication date: 18 September 2018

Karen Powroznik, Irena Stepanikova and Karen S. Cook

This research explores how gender influences the experience of cancer care and proposes a new explanation for gender differences in posttraumatic growth among individuals…

Abstract

Purpose

This research explores how gender influences the experience of cancer care and proposes a new explanation for gender differences in posttraumatic growth among individuals who received blood or marrow transplantation as treatment for lymphoma.

Methodology/approach

We use mixed methods, combining quantitative examination of surveys with 180 survivors with qualitative findings from semi-structured face-to-face interviews with 50 survivors. Participants were 2–25 years after transplantation. Quantitative data were analyzed using statistical modeling; qualitative data were analyzed using thematic coding.

Findings

A quantitative examination indicates that compared to men, women report greater posttraumatic growth and more positive impacts of cancer despite having lower physical health. These gender differences are robust even after controlling for physical and emotional well-being, life satisfaction, and social support. Qualitative findings from in-depth interviews show that gender norms and expectations about masculinity and femininity shape how individuals experience illness and perform the role of patient and survivor. Expectations about being a good patient and survivor are more aligned with expectations about femininity and tend to conflict with expectations about masculinity. Gender norms discourage men from reporting personal growth from cancer and encourage women to overemphasize the positive aspects of having had cancer.

Research limitations/implications

This study was conducted two or more years after treatment had ended; therefore, potential for recall bias existed. Nevertheless, the findings suggest that viewing cancer as transformative is part of a gender performance that limits opportunities for individuals to experience and express a diverse range of reactions which, at times, increases the emotional burden on individuals.

Originality/value

By combining survey data with in-depth interviews, the study offers new insights into the causes of gender differences in the reporting of patient outcomes after illness.

Details

Gender, Women’s Health Care Concerns and Other Social Factors in Health and Health Care
Type: Book
ISBN: 978-1-78756-175-5

Keywords

Book part
Publication date: 16 July 2015

Martine Lappé and Hannah Landecker

This study analyzes the rise of genome instability in the life sciences and traces the problematic of instability as it relates to the sociology of health. Genome…

Abstract

Purpose

This study analyzes the rise of genome instability in the life sciences and traces the problematic of instability as it relates to the sociology of health. Genome instability is the study of how genomes change and become variable between generations and within organisms over the life span. Genome instability reflects a significant departure from the Platonic genome imagined during the Human Genome Project. The aim of this chapter is to explain and analyze research on copy number variation and somatic mosaicism to consider the implications of these sciences for sociologists interested in genomics.

Methodology/approach

This chapter draws on two multi-sited ethnographies of contemporary biomedical science and literature in the sociology of health, science, and biomedicine to document a shift in thinking about the genome from fixed and universal to highly variable and influenced by time and context.

Findings

Genomic instability has become a framework for addressing how genomes change and become variable between generations and within organisms over the life span. Instability is a useful framework for analyzing changes in the life sciences in the post-genomic era.

Research implications

Genome instability requires life scientists to address how differences both within and between individuals articulate with shifting disease categories and classifications. For sociologists, these findings have implications for studies of identity, sociality, and clinical experience.

Originality/value

This is the first sociological analysis of genomic instability. It identifies practical and conceptual implications of genomic instability for life scientists and helps sociologists delineate new approaches to the study of genomics in the post-genomic era.

Details

Genetics, Health and Society
Type: Book
ISBN: 978-1-78350-581-4

Keywords

Article
Publication date: 3 November 2020

Yasemın Özyer and Safiye Yanmış

This review, which was created specifically for cancer care by reviewing the literature, was prepared to provide suggestions for determining the current difficulties in…

Abstract

Purpose

This review, which was created specifically for cancer care by reviewing the literature, was prepared to provide suggestions for determining the current difficulties in cancer care during COVID-19 outbreak and managing these difficulties. It is thought that this review can contribute to the identification of deficiencies related to the subject, to create interest in this issue in our country and in the world and to guide patients in the care during the COVID-19 pandemic process.

Design/methodology/approach

The literature search was carried out using the following electronic seven databases. Search terms used included: “COVID-19”, “management of cancer care” and “cancer care”. Articles meeting the following criteria were included in the current review: articles published in English, articles published in peer-reviewed journals and articles and guidelines published in 2020, articles suggesting management of cancer care during the COVID-19 outbreak.

Findings

The findings suggest that new guidelines need to be created to assess the level of problems in cancer treatment and in hospital, to respond appropriately with the best available resources during COVID-19 outbreak.

Originality/value

This paper seeks to provide suggestions for determining the current difficulties in cancer care during COVID-19 outbreak and managing these difficulties. By doing so, it is believed the suggestions presented will contribute significantly to the quality of cancer care during COVID-19 outbreak.

Details

International Journal of Emergency Services, vol. 10 no. 1
Type: Research Article
ISSN: 2047-0894

Keywords

Abstract

Details

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

1 – 10 of 14