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Improvement and Validation of the Useful Design to distinguish People at Risk of Blood loss Soon after TAVR.
BACKGROUND There are many pharmacologic therapies that are being used or considered for treatment of COVID-19. There is a need for frequently updated practice guidelines on their use, based on critical evaluation of rapidly emerging literature. OBJECTIVE Develop evidence-based rapid guidelines intended to support patients, clinicians and other health-care professionals in their decisions about treatment and management of patients with COVID-19. METHODS IDSA formed a multidisciplinary guideline panel of infectious disease clinicians, pharmacists, and methodologists with varied areas of expertise. Process followed a rapid recommendation checklist. The panel prioritized questions and outcomes. Then a systematic review of the peer-reviewed and grey literature was conducted. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess the certainty of evidence and make recommendations. RESULTS The IDSA guideline panel agreed on 7 treatment recommendations and provided narrative summaries of other treatments undergoing evaluations. CONCLUSIONS The panel expressed the overarching goal that patients be recruited into ongoing trials, which would provide much needed evidence on the efficacy and safety of various therapies for COVID-19, given that we could not make a determination whether the benefits outweigh harms for most treatments. © The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail [email protected] people with a mental health disorder, peer support (peer in the sense of people having recovered from such a disorder) is a great therapeutic value. Alcoholics Anonymous (AA) were the first to show this therapeutic value. Their approach has several elements of which, aside from the "meetings" and the program of the "12 steps," a major element is the sponsorship of an individual by a peer. Since then, appeared organizations based on peer groups, and this new profession of "peer support helper." In the context of a treatment center for people with severe psychotic disorders for which hope is a key ingredient of recovery. Objectives The paper present a young new program inspired by the AA 12 steps programme based mainly on sponsorship of a client by a peer for person suffering of a psychotic type of disorder. Methods A review of literature about the positive effects of sponsorship by a peer in the AA experience, and a description of the new program, its "meetings," and in particular the ethic code of the participants and its twelves specific steps. Differences between the peer sponsor and the new professional "peer support helper" are presented. Results The program that, since its introduction, starts to give some anecdotic results. A change or organisational responsibility has led to a pause for a research programme. Conclusion For the recovery of a severe psychotic condition, there is no unique way to help and this program is one among others.Introduction Lack of access to mental health services for persons who are deaf and communicate in LSQ and who present mental health issues has been noted by service providers. However, very few studies have examined the needs of this population in Quebec. Objective The purpose of this study was to explore the needs with regards to services of persons who are deaf and communicate in LSQ and who have mental health issues. Methods A qualitative single case study design was used. The case was the territory affiliated to a specialized rehabilitation center in deafness and communication in Montreal. The sample was composed of clinicians and administrators of this center and community organizations (n = 12), persons who are deaf and communicate in LSQ and had mental health issues (n = 4), as well as family members (n = 1). Each participant took part in a semi-structured individual interview. A verification of the information provided was done in person or by phone one month later. A thematic content analysis was done for all the transcriptions, following the recommendations of Miles and Huberman (2003). AGI24512 Results Certain services that were seen as needed did not exist, such as support groups and networks for the deaf who have mental health issues or leisure activities in community services. Certain services were available but several obstacles limited their use. For example, a lack of knowledge about deafness and the deaf culture in the health care system that lead to consequences such as incorrect diagnoses or difficulty in establishing a therapeutic alliance. Conclusion What seemed to be consensual among these participants was the importance to have access to clinicians in the various health care establishments with a very good knowledge of mental illness, deafness as well as linguistic and cultural aspects that characterize the deaf population.To grow up, adult migrant children have to link the cultural references of their parents as well as their culture of French belonging. Based on interviews with fifteen young women from the second generation of Tamils Indians and Sri Lankans of France, we question their positioning and identity strategies. Qualitative analyzes reveal that young Tamil women born in France have a repertoire of identities that changes constantly depending on the situation. This allows them to explore different identity positions in order to engage and adhere to those who correspond to them.Objectives Individuals with sexual minority identities (e.g., identities other than heterosexual such as gay, lesbian bisexual or mostly heterosexual) are at increased risk for a number of negative health outcomes compared to individuals who identify as heterosexuals. The majority of existing Canadian population-based studies on this topic, however, were conducted prior to major cultural and legal changes with regards to sexual minority population. Furthermore, much of the more recent work focuses on adolescents or identifies mental health outcomes among urban populations. The goal of the current study was to assess if sexual minority-based health disparities were observed within a population-based sample of adult men and women from Estrie, a semi-urban administrative region of Quebec. Method In 2014-15, an independent firm surveyed a random sample of adults in Estrie, Quebec. A total of 10,687 individuals completed telephone surveys about their mental health (psychological distress, depression, alcohol use and drug consumption) and their sexual identities (i.
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