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Commentary on: Goeddel L, Murphy Z, Owodunni O, et al. Domains of Frailty Predict Loss of Independence in Older Adults after Non-Cardiac Surgery. Ann Surg. 2022 Sep 20. doi: 10.1097/SLA.0000000000005720. Epub ahead of print.
Frailty screening with the Edmonton Frailty Scale can be used to identify risk factors for loss of independence after surgery, including a patient’s functional performance, functional dependence, social support and urinary incontinence. Prospective studies are needed to test whether risk factors can be modified before surgery to prevent loss of independence among frail patients.
Frailty is a common syndrome of physiological decline among older adults characterised by vulnerability to adverse outcomes and loss of functional independence after major surgery.
Commentary on: Verhoeven JE, Han LKM, Lever-van Milligen BA, et al. Antidepressants or running therapy: comparing effects on mental and physical health in patients with depression and anxiety disorders. J Affect Disord 2023;329:19–29. doi: 10.1016/j.jad.2023.02.064.
Supervised outdoor running at vigorous intensity leads to antidepressant and physical health benefits in outpatients with major depression or anxiety disorders. More pragmatic exercise trials for mental health outpatients with heterogeneous symptomatology are needed.
Exercise is associated with antidepressant effects in clinical settings but relevant research in pragmatic (real-life) settings is scarce.
Participants were physically inactive adult outpatients with a current major depression or an anxiety disorder and were treated with...
Commentary on: Anantapong K, Davies N, Sampson EL. Communication between the multidisciplinary team and families regarding nutrition and hydration for people with severe dementia in acute hospitals: a qualitative study. Age Ageing 2022;51:afac230. doi: 10.1093/ageing/afac230.
Hydration and nutrition issues in dementia should be discussed primarily by experienced health professionals, considering the beliefs, culture and expectations of the patient and her family, from the diagnosis. Moreover, these problems may show different characteristics in the acute hospital and at the end of life. Further studies with larger and interrelated study groups may emphasise more on the importance of communication in hydration and nutrition problems in dementia.
Eating and drinking difficulties are known sources of health problems in people with dementia. It is essential to increase the awareness of patients and family carers for these problems. Healthy communication with family carers...
Commentary on: Veli N, Martin CA, Woolf K, Nazareth J, Pan D, Al-Oraibi A, Baggaley RF, Bryant L, Nellums LB, Gray LJ, Khunti K, Pareek M; UK-REACH Study Collaborative Group. Hesitancy for receiving regular SARS-CoV-2 vaccination in UK healthcare workers: a cross-sectional analysis from the UK-REACH study. BMC Med. 2022 Oct 10;20(1):386. doi: 10.1186/s12916-022-02588-7.
Understanding the sources of information as drivers of acceptance toward a regular COVID-19 vaccine could allow for targeted messaging to improve uptake. Further research is needed to assess if the trends in intended hesitancy toward potential regular vaccines translates to vaccination behaviour.
Mass vaccination against COVID-19 has been one of the key measures to combat the spread of COVID-19. Initial vaccines have been highly efficacious in reducing infection prevalence and mortality. However, the emergence of variant strains and waning of immunity from initial vaccination...
Commentary on: Saragih ID, Tarihoran DETAU, Rasool A, Saragih IS, Tzeng HM, Lin CJ. Global prevalence of stigmatization and violence against healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. J Nurs Scholarsh. 2022;54(6):762–71. doi: 10.1111/jnu.12794. Epub 12 Jul 2022.
Health administrators and policymakers should appropriately address issues of stigmatisation and violence against healthcare workers through strategic planning that considers the unique nature of the workplace as well as local culture to ensure better healthcare for the patients. Future research should focus on synthesising evidence-based preventive strategies and management protocols to avert the escalation of stigmatisation and violence towards healthcare workers during catastrophic public health crises.
Violence in the workplace is a common issue in healthcare settings. However, since the beginning of the COVID-19 pandemic, there has been an increase in the number of reports in...
Commentary on: Backhouse T, Killett A, Mioshi E, Khondoker M. What are the factors associated with people with advanced dementia refusing assistance with personal care? Int J Geriatr Psychiatry. 2023 Jan;38(1): e5857. doi: 10.1002/gps.5857.
To promote caregivers’ capacity for action, the occurrence of refusal of care in people living with a major neurocognitive disorder (NCD) can be conceptualised as a need for the caregiver to adapt the care offered, its characteristics and/or the approach used. Further research should address the relationship between agitation and refusal of care in people with an NCD, while considering its complexity, to reduce both behaviours.
Refusal of care or resistance to care is the terms frequently used to describe people living with a major NCD refusing care verbally or physically. As people with an NCD have significant cognitive impairment, these behaviours are common...
Commentary on: Neely SR, Eldredge C, Ersing R, Remington C. Vaccine Hesitancy and Exposure to Misinformation: a Survey Analysis. J Gen Intern Med. 2022 Jan;371,:179-187. doi: 10.1007/s11606-021-07171-z. Epub 2021 Oct 20.
Implementing strategic trustworthy communication that targets misinformation themes counters negative information about vaccines and helps achieve community support for vaccination programmes. Amplifying the presence of health professionals on social media and collaborating with political thought leaders may help to anticipate, identify and offset health-related misinformation.
Since the emergence of the SARS-CoV-2 in late 2019, there has been an unprecedented global change. Each country took actions to respond to the outbreak including guidance development, surveillance and epidemiology, testing, providing emergency supplies and rapid vaccine development. During this time, governments struggled to keep up with misinformation, conspiracy theories, social media rumours and uncertainty.
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