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Overcoming the challenges facing Nepal’s health system during federalisation: an analysis of health system building blocks

open access: yesHealth Research Policy and Systems, 2023
Introduction Nepal’s move to a federal system was a major constitutional and political change, with significant devolution of power and resources from the central government to seven newly created provinces and 753 local governments.
Sharada Prasad Wasti   +6 more
doaj   +1 more source

Which strategies support the effective use of clinical practice guidelines and clinical quality registry data to inform health service delivery? A systematic review

open access: yesSystematic Reviews, 2022
Background Empirical evidence suggests data and insights from the clinical practice guidelines and clinical quality registries are not being fully utilised, leaving health service managers, clinicians and providers without clear guidance on how best to ...
Kathy Dempsey   +6 more
doaj   +1 more source

Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories [PDF]

open access: yesInvestigative and Clinical Urology, 2017
Purpose: To assess the impact of body mass index (BMI) on postoperative recovery curve of urinary and sexual function after ro-botic-assisted laparoscopic prostatectomy (RALP).
Tullika Garg   +5 more
doaj   +1 more source

Impact of a Pharmacist-Led Warfarin to Direct Oral Anticoagulant Conversion Initiative during the COVID-19 Pandemic

open access: yesINNOVATIONS in Pharmacy, 2022
Purpose: To assess the impact of a pharmacist-led warfarin to DOAC conversion initiative during the COVID-19 pandemic. Methods: Patients who were prescribed warfarin and followed with the anticoagulation clinic for INR monitoring were assessed by ...
Kelsey Mews   +7 more
doaj   +1 more source

Voiding defects in acute radiation cystitis driven by urothelial barrier defect through loss of E-cadherin, ZO-1 and Uroplakin III

open access: yesScientific Reports, 2021
Long term-side effects from cancer therapies are a growing health care concern as life expectancy among cancer survivors increases. Damage to the bladder is common in patients treated with radiation therapy for pelvic cancers and can result in radiation (
Bernadette M. M. Zwaans   +5 more
doaj   +1 more source

Evaluating implementation outcomes (acceptability, adoption, and feasibility) of two initiatives to improve the medication prior authorization process

open access: yesBMC Health Services Research, 2021
Background Processes such as prior authorization (PA) for medications, implemented by health insurance companies to ensure that safe, appropriate, cost-effective, and evidence-based care is provided to all members, have created inefficiencies within ...
Laney K. Jones   +5 more
doaj   +1 more source

Vaccine coverage and factors associated with vaccine adherence in persons with HIV at an urban infectious disease clinic

open access: yesHuman Vaccines & Immunotherapeutics, 2023
Information on vaccination rates and factors associated with adherence in persons with HIV (PWH) is limited. We report vaccine adherence in 653 adult PWH attending an urban Infectious Disease Clinic from January 2015 to December 2021.
Navina K. Birk   +8 more
doaj   +1 more source

Robot-assisted partial cystectomy with intraoperative frozen section examination: Evolution and evaluation of a novel technique [PDF]

open access: yesInvestigative and Clinical Urology, 2016
Purpose: To describe a novel modification to robot-assisted partial cystectomy (RAPC) that allows for intraoperative surgical margin assessment by bimanual-examination and frozen-section analysis.
Akshay Sood   +7 more
doaj   +1 more source

Osteosarcoma and soft-tissue sarcomas with an immune infiltrate express PD-L1: relation to clinical outcome and Th1 pathway activation

open access: yesOncoImmunology, 2020
Immune checkpoint proteins, such as PD-L1 and PD-1, are important in several cancers; however, their role in osteosarcoma (OSA) and soft tissue sarcoma (STS) remains unclear. Our aims were to determine whether subsets of OSA/STS harbor tumor-infiltrating
Jay S. Wunder   +10 more
doaj   +1 more source

Potential predictors of outcomes among hospitalized COVID-19 patients treated with convalescent plasma: a single-center study

open access: yesJournal of Community Hospital Internal Medicine Perspectives, 2021
Background: The coronavirus disease 2019 pandemic is a major international public health crisis, which has led to over 3 million deaths as of April 2021. Several therapeutics have been tried for this deadly illness including antivirals, immunosuppressive
Sridhar Chilimuri   +7 more
doaj   +1 more source

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