Results: 43 patients were identified. 32 patients (74.4%) were able to be weaned from mechanical ventilation by the end of follow-up period, and the average time that elapsed between tracheostomy placement and weaning from mechanical ventilator support was 17.9 months. 19 patients (44.2%) were able to be decannulated, and of those patients, the amount of time
between tracheostomy placement and decannulation was 27.9 months. No statistical significance was found in the relationship between tracheostomy timing placement and ability to wean from mechanical ventilator support or decannulate. For those patients able to wean from CAL-101 cell line mechanical ventilator support and get decannulated, no difference in the amount of time and tracheostomy timing was found. Earlier premature patients tended to undergo tracheostomy later in life.
Conclusions: Decisions regarding tracheostomy placement should be individualized. We were unable to detect a relationship between tracheostomy timing and the ability or duration for premature infants with chronic lung disease of prematurity to wean from mechanical ventilator support or successfully decannulate. (C) 2013 Elsevier Ireland Ltd. All rights reserved.”
“Objective: The University of California, San Diego, Moores Cancer Center implemented a systematic approach for
patients to communicate with their health-care team in real-time regarding psychosocial problem-related distress using touch-screen technology. The purpose of this report is to describe JIB-04 supplier our experience in implementing touch-screen problem-related distress screening as the standard of care for all outpatients in a health-care setting. Although early identification of distress has recently gained wide attention, the practical issues of implementing psychosocial screening with and without the use of technology have not been fully addressed or investigated.
Methods: ‘The How Can We Help You and Your Family?’ screening instrument was used to identify and address patient problem-related distress for clinical services,
program development, research and education. Using a HIPPA-compliant approach, the touch-screen technology also helped to identify patients interested in clinical trials and additional support services.
Results: We found that the biggest barrier to implementing this technology was the learn more attitude of the front desk staff (i.e. schedulers, clerks, administrative staff) who felt that the touch-screen would be burdensome. Our experience suggested that it was essential to actively involve these personnel from the beginning of the planning process. As specifically acknowledged in the recent 2007 Institute of Medicine report (Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs. The National Academies Press: Washington, DC, 2007), use of this computerized version of the screening instrument was able to bridge the gap between the detection of problem-related distress and referrals for assessment or treatment.