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  • Open Access

    ARTICLE

    The financial impact of cancer care on renal cancer patients

    Doreen A. Ezeife1, Brendon Josh Morganstein2, Steven Yip1, Malcolm Ryan2, Jennifer H. Law2, Amy Yimin Guan3, Lisa W. Le3, Aaron R. Hansen2, Adrian Sacher2, Georg A. Bjarnason4, Mark K. Doherty4, Natasha B. Leighl2

    Canadian Journal of Urology, Vol.28, No.4, pp. 10762-10767, 2021

    Abstract Introduction: Advances in novel treatment options may render renal cell cancer (RCC) patients susceptible to the financial toxicity (FT) of cancer treatment, and the factors associated with FT are unknown.
    Materials and methods: Eligible patients were ≥ 18 years old and had a diagnosis of stage IV RCC for at least 3 months. Patients were recruited from Princess Margaret Cancer Centre and Sunnybrook Odette Cancer Centre (Toronto, Canada). FT was assessed using the validated Comprehensive Score for Financial Toxicity (COST) instrument, a 12-question survey scored from 0-44, with lower scores reflecting worse FT. Patient and treatment characteristics,… More >

  • Open Access

    ARTICLE

    Implementation of instructional videos improves nursing comfort with commonly encountered urinary catheter care scenarios

    Akhil Muthigi1,2, Christopher P. Dall1,2, Erin Hays1,2, Ryan Hankins1, Ross E. Krasnow2, Jordan Alger1,2

    Canadian Journal of Urology, Vol.28, No.5, pp. 10858-10864, 2021

    Abstract Introduction: Placement of coudé catheters, manual irrigation of urinary catheters, and management of continuous bladder irrigation (CBI) are routine interventions for which nurses often receive little or no formal education. In this study, our aim was to determine factors associated with higher comfort levels for these catheter-care techniques and to assess whether online instructional videos could be used to improve nursing comfort.
    Materials and methods: Three 5-minute videos were created to demonstrate proper technique for coudé catheter placement, manual irrigation of a catheter, and management of CBI. An online module with pre- and post-video surveys was created… More >

  • Open Access

    ARTICLE

    Lymphoceles: impact on kidney transplant recipients, graft, and healthcare system

    Emily Nguyen1, Michelle Minkovich1, Olusegun Famure1, Yanhong Li1, Anand Ghanekar1,2, Markus Selzner1,2,*, S. Joseph Kim1,3,*, Jason Y. Lee1,4

    Canadian Journal of Urology, Vol.28, No.5, pp. 10848-10857, 2021

    Abstract Introduction: Following kidney transplantation, lymphoceles can impact patient and graft outcomes, while resulting in significant hospital resource utilization. We aimed to characterize the incidence, risk factors, outcomes, and clinical management of lymphoceles among kidney transplant recipients and review impact on health system utilization at a high-volume center.
    Materials and methods: We conducted a single-center, observational cohort study on adults transplanted between January 1, 2005 and December 31, 2017. Incidence, risk factors, and clinical outcomes were assessed using the Kaplan-Meier product-limit method, multivariable logistic regression model, and Cox proportional hazards model, respectively.
    Results: Lymphoceles developed in 72 of 1881… More >

  • Open Access

    ARTICLE

    Stent duration and increased pain in the hours after ureteral stent removal

    Michael E. Rezaee1, Annah J. Vollstedt1, Tammer Yamany2, Manoj Monga3,4, Amy Krambeck4,5, Ojas Shah4,6, Roger L. Sur3,4, Anna M. Zampini4,7, Kymora B. Scotland4,8, Ben H. Chew4,8, Brian H. Eisner2,4, Vernon M. Pais Jr1,4

    Canadian Journal of Urology, Vol.28, No.1, pp. 10516-10521, 2021

    Abstract Introduction: To assess the relationship between pain after ureteral stent removal and patient and procedural factors.
    Materials and methods: A validated survey designed to assess the relationship between quality of life and treatment decisions in kidney stone disease was randomly distributed to patients with a history of a ureteral stent in seven medical centers across North America participating in an endourology research collaborative between July 2016 and June 2018. The primary outcome was increased pain after ureteral stent removal. Statistical analyses were performed using Chi-square and multiple logistic regression.
    Results: A total of 327 surveys were analyzed. Twenty… More >

  • Open Access

    ARTICLE

    Wearable Sensors and Internet of Things Integration to Track and Monitor Children Students with Chronic Diseases Using Arduino UNO

    Ali Abdulameer Aldujaili1, Mohammed Dauwed2, Ahmed Meri3,*

    Journal on Internet of Things, Vol.3, No.4, pp. 131-137, 2021, DOI:10.32604/jiot.2021.015994 - 30 December 2021

    Abstract Parents concerns for their children who has a critical health conditions may limit the children movements and live to engage with others peers anytime and anywhere. Thus, in this study aims to propose a framework to help the children who has critical disease to have more activity and engagement with other peers. Additionally, reducing their parents’ concerns by providing monitoring and tracking system to their parents for their children health conditions. However, this study proposed a framework include tracking and monitoring wearable (TMW) device and decision system to alert healthcare providers and parents for any More >

  • Open Access

    ARTICLE

    Managing Traumatic Stress Using a Mental Health Care Mobile App: A Pilot Study

    Yun-Jung Choi1,#, Eun-jung Ko2,#, Eun-Joo Choi2,*, Youn-Joo Um2,*

    International Journal of Mental Health Promotion, Vol.23, No.3, pp. 385-393, 2021, DOI:10.32604/IJMHP.2021.015018 - 23 July 2021

    Abstract This study aims to contribute to improving mental health services and establishing a direction for disaster survivors by verifying the effectiveness of the TLS (Training for Life Skills) app, a mental health management mobile application. Altogether, 22 disaster survivors received access to the app (with guidance) for eight weeks; we analyzed its effectiveness by examining each participant’s electroencephalography data, which were collected while they were utilizing the app. The results of this study show that the use of the TLS app had a significant positive effect on emotional quotient, basic rhythm quotient (left brain, right More >

  • Open Access

    ARTICLE

    The Essence of Accommodating Older Adults into the Social Care Sector in Malaysia

    Halimatus Sakdiah Minhat1,2,*, Hazwan Mat Din2, Raja Nurzatul Efah Raja Adnan2

    International Journal of Mental Health Promotion, Vol.23, No.3, pp. 409-416, 2021, DOI:10.32604/IJMHP.2021.015526 - 23 July 2021

    Abstract Population ageing puts pressure on the workforce and increase the demands for aged workforce. The demographic shifts have made the issue of healthier workers, especially those of advanced age and physically related job scopes, a fundamental aspect to employing older workers. Hence, this study aimed to explore the best practices to employ older adults into the social care sector. The social care sector was chosen in view of the nature of job and declining demand among younger workers. A qualitative study was conducted involving series of focus group discussions (FGD) with social care workers of… More >

  • Open Access

    ARTICLE

    Intelligent Microservice Based on Blockchain for Healthcare Applications

    Faisal Jamil1, Faiza Qayyum1, Soha Alhelaly2, Farjeel Javed3, Ammar Muthanna4,5,*

    CMC-Computers, Materials & Continua, Vol.69, No.2, pp. 2513-2530, 2021, DOI:10.32604/cmc.2021.018809 - 21 July 2021

    Abstract Nowadays, the blockchain, Internet of Things, and artificial intelligence technology revolutionize the traditional way of data mining with the enhanced data preprocessing, and analytics approaches, including improved service platforms. Nevertheless, one of the main challenges is designing a combined approach that provides the analytics functionality for diverse data and sustains IoT applications with robust and modular blockchain-enabled services in a diverse environment. Improved data analytics model not only provides support insights in IoT data but also fosters process productivity. Designing a robust IoT-based secure analytic model is challenging for several purposes, such as data from… More >

  • Open Access

    ARTICLE

    Energy Efficient Cluster Based Clinical Decision Support System in IoT Environment

    C. Rajinikanth1, P. Selvaraj2, Mohamed Yacin Sikkandar3, T. Jayasankar4, Seifedine Kadry5, Yunyoung Nam6,*

    CMC-Computers, Materials & Continua, Vol.69, No.2, pp. 2013-2029, 2021, DOI:10.32604/cmc.2021.018719 - 21 July 2021

    Abstract Internet of Things (IoT) has become a major technological development which offers smart infrastructure for the cloud-edge services by the interconnection of physical devices and virtual things among mobile applications and embedded devices. The e-healthcare application solely depends on the IoT and cloud computing environment, has provided several characteristics and applications. Prior research works reported that the energy consumption for transmission process is significantly higher compared to sensing and processing, which led to quick exhaustion of energy. In this view, this paper introduces a new energy efficient cluster enabled clinical decision support system (EEC-CDSS) for… More >

  • Open Access

    ARTICLE

    Clinical Effect of an Improved Post-Operative Feeding Protocol “in Transition” Infants of Congenital Heart Disease with Pulmonary Hypertension

    Huaying He1,2, Zhiyong Lin1,2, Yuelan Weng1,2, Jianjie Zhou1,2, Man Ye1,2, Xiaowei Luo1,2, Qifeng Zhao1,2,*

    Congenital Heart Disease, Vol.16, No.6, pp. 655-673, 2021, DOI:10.32604/CHD.2021.016054 - 08 July 2021

    Abstract Background: To achieve successful management of infants with congenital heart disease (CHD) together with pulmonary hypertension (PH), postoperative care, especially feeding care is vital in addition to surgery. Postoperative feeding is comprised of three stages: feeding in the intensive care unit, feeding in the general ward and family feeding, in which the general ward is considered as the “transitional stage”. At present, there is little research on the optimal mode of feeding care for the transitional stage, and there is no universally recognized and accepted protocol. Methods: We retrospectively analyzed 114 CHD infants with PH who… More >

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