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The New York City (NYC) HIV Care Coordination Programme (CCP) is designed to help people with HIV (PWH) overcome barriers to care and treatment engagement. We assessed preferences for CCP components among programme enrollees (’clients’) and providers. Our objective is to compare client and provider preferences, which were previously analysed separately.
We used a discrete choice experiment to assess preferences for four CCP features (‘attributes’): Help with Adherence to Antiretroviral Therapy (ART), Help with Primary Care Appointments, Help with Issues other than Primary Care and Where Programme Visits Happen. Each of these attributes had 3–4 variants (‘levels’). In the original surveys, levels within Where Programme Visits Happen varied by participant type (client vs provider). We recoded the levels by visit location (VL) or by travel time (TT) to make them comparable and report results from both approaches.
25 Ryan White Part A-funded NYC CCPs participated.
152 providers and 181 clients completed the survey.
Preferences were quantified using the relative importance of the attributes and utility of the levels.
From January 2020 to March 2021, 152 providers and 181 clients completed the survey. Most of the providers (52%) were
Client and provider preferences clearly diverged regarding CCP service intensity: in the aggregate, clients tended to prefer lower-intensity services, whereas providers endorsed higher-intensity services. These results highlight the importance of engaging clients as partners in decisions about programme services to facilitate alignment with client values.
To evaluate the impact of a multilevel intervention in a surgical department on the segregation of non-hazardous healthcare waste (plastic and paper) during the perioperative period as well as its effect on the carbon footprint of the healthcare organisation.
A prospective before–after interventional study without a control group was carried out in the operating room of the Universitary Hospital Mútua Terrassa in Catalonia (Spain). A multilevel programme to improve the segregation process during the surgical interventions was implemented in several phases from May 2023 to December 2024. Data collection was conducted in each phase of the study through questionnaires addressed to the professionals along with calculations of the carbon footprint and the volume of waste segregation. The study is framed within the socio-ecological model and employs a collaborative design. The study population included all professionals working in the operating room (n = 320).
A multidisciplinary team was formed with consideration for all stakeholders. The project phases were implemented consecutively. A total of 141 professionals (44.4%) completed the baseline questionnaire. As a result of the project's development, the carbon footprint has been reduced to 79.1 kg CO2 eq/week, representing an 85% reduction in emissions.
The implementation of the recycling project has led to significant reductions in the amount of waste generated and it has been positively evaluated by the professionals.
The benefits of fostering a behavioural change among the professionals, coupled with the implementation of a well-designed segregation and recycling system, lead to significant benefits for the institution in carbon footprint.
Nurses can lead this type of project with a clear impact on both the institution and the environment.
Reduction of the carbon footprint in the operating room increased satisfaction among professionals for contributing to environmental improvement.
The reporting of intervention evaluation studies using nonrandomized designs: the TREND statement Des Jarlais et al. (2004) was used to evaluate the quality of the study.
N/A. Only professionals are involved in this study.
Complexity leads to some dystonias being considered as rare diseases with scarce synthesised evidence. Despite the deficit of scientific evidence, deep brain stimulation (DBS) is currently an effective treatment for dystonias using different brain targets, providing significant improvement of dystonic symptoms regardless of their cause. However, there is considerable variability and non-response rate due to factors such as classification, semiology, duration, aetiology and genetic cause of the disease. This protocol presents the methodology of a planned systematic review to assess the efficacy of DBS as a treatment for monogenic dystonia symptoms, a broad spectrum of pathogenic dystonias due to variants in single genes not yet explored.
This protocol follows the Preferred Reporting Items for Systematic review and Meta-Analysis Protocols guidelines. With the aim to test the efficacy of DBS in monogenic dystonias, the research question in population, intervention, comparator and outcomes format will cover patients with monogenic dystonia treated with DBS with a minimum of 3 months' follow-up after surgery. The outcomes will be assessed using generic and specific scales to measure the efficacy and safety of the intervention. The search will be performed in generic and specific databases and bibliographic resources from 2000. We will include systematic reviews, randomised controlled trials and primary studies in English. In this protocol, the initial search strategy in MEDLINE is presented. Additionally, the protocol provides a description of the prospective assessment of the risk of bias in the selected studies. If studies appear homogeneous and the sample of patients is sufficiently large, a meta-analysis and a subgroup analysis are planned.
Ethics committee approval is not required. The results of the review will be published through an open access journal.
Debido a la necesidad de personal de enfermería en las unidades de cuidados intensivos por la pandemia del Covid-19, por falta de tiempo y de formación en las contrata-ciones masivas, muchos profesionales carecen de los conocimientos y de la experiencia en las tareas "básicas" de una UCI. Entre ellas, se encuentra la extracción de gasometrías arteriales y más ahora puesto que la patología persistente debido al Covid -19 es la neumonía bilateral, la cual requiere de GSA para obtener datos sustanciales de los procedimientos a llevar a cabo con estos pacientes (vgr. pronaciones, supinaciones, cambios de modos ventilatorios, etc.) [Fragmento de texto].
Objetivo principal: Analizar la influencia del nivel de triaje asignado mediante Sistema de Triaje Manchester sobre la probabilidad de ingreso en pacientes que acuden a urgencias con los motivos de consulta Disnea, Dolor Abdominal y Problemas en Extremidades. Metodología: Estudio analítico retrospectivo de los pacientes que acudieron al Servicio de Urgencias. Resultados principales: El nivel de triaje asignado se relaciona con una mayor probabilidad de ingreso en el caso de niveles de triaje naranja Dolor Abdominal y rojo en Disnea (p<0,05). En pacientes con Problemas en Extramidades el nivel de triaje asignado no influye en la probabilidad de ingreso manejando como covariables la edad y el sexo. La edad es un predictor significativo de ingreso en pacientes con los tres motivos de ingreso (p<0,001). Conclusión principal: El nivel de triaje asignado se asocia de manera diferencial con la probabilidad de ingreso según el motivo de consulta del paciente.
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