Research shows financial and qualityoflife toll of intravenous therapy on parents caregivers

first_imgReviewed by James Ives, M.Psych. (Editor)Mar 26 2019When treating patients, doctors sometimes overlook how their decisions impact a world they never see: a patient’s home life. In the case of some serious infections in children, oral antimicrobial drugs are just as good at treating these ailments at home as the standard, intravenous medications. But according to new research led by investigators at University of Utah Health, by-mouth medications excel in the important measure of preserving parents’ quality of life.Not only are costs for oral therapy significantly lower than intravenous therapy ($7 vs $65 each day) but parents and caregivers spend significantly less time administering it (6 vs 90 minutes). Further, children on oral therapy miss eight fewer days of school or daycare (5 vs 13.5 days) and parents take less time off of work (30 vs 60 hours). The results published recently online in Hospital Pediatrics.”The advantages of using oral therapy instead of OPAT (outpatient parenteral antimicrobial therapy) are obvious when you think about what’s involved for patients and caregivers,” says Adam Hersh, MD, senior author and associate professor of Pediatrics at U of U Health and a pediatrician at Primary Children’s Hospital. “But many clinicians have stuck with using intravenous therapy without recognizing that the overall burden on a child’s caregivers is extremely high.”When children are hospitalized with serious infections – such as pneumonia, bone infections, meningitis or bloodstream infections – standard care has usually called for the invasive procedure of placing a catheter so that parents can administer medications intravenously (OPAT) once they return home. Because the catheters require meticulous care and carry risks for infection and clotting, parents must double as home nurses as they infuse medications, change dressings and flush IV lines. By comparison, giving children antimicrobial medication by pill or liquid is simpler.There is increasing evidence that for some conditions traditionally treated with OPAT, cure rates are just as high with oral therapy. U of U Health investigators designed this study with the idea that understanding the differences in cost and burden of the two therapies on caregivers could influence health care providers’ recommendations.Related StoriesRepurposing a heart drug could increase survival rate of children with ependymomaGuidelines to help children develop healthy habits early in lifeWhy Mattresses Could be a Health Threat to Sleeping ChildrenFirst author Nathan Krah, Ph.D., Hersh and colleagues surveyed caregivers over a nearly three-year period. Two hundred and twelve participants answered questions about their comfort with administering the child’s therapy and out-of-pocket costs. Of these participants, 42 percent gave patients oral therapy at home and 58 percent administered OPAT. From the survey data, the investigators calculated a quality of life score using a standard measure called the Pediatric Quality of Life Inventory.The difference in scores between the two groups yielded new insight into the lives of patients and their families. Caregivers who administered medications intravenously scored nine points lower on quality of life measures than those who gave children oral medication (77.8 vs 68.9).”When patients are at home, time that caregivers need to invest in the OPAT therapy regimen takes away from other things,” says Hersh. “They lose the equivalent of an entire work week over the course of an average treatment course. Learning that was a real eye-opener for me.”Krah’s research is the first to demonstrate the financial and quality-of-life toll of this therapy on parents and caregivers.Because this study was carried out in a single infectious disease clinic, it remains to be determined whether the same findings hold true for parents in similar situations across the country. Further, it is not yet understood how differences in a caregiver’s education, medical background or social support networks may influence their experience.Regardless of which therapy is easier, there are situations where intravenous therapy at home will still be necessary. With the new information, parents will have a better idea of what lies ahead. “Now, physicians can set expectations,” says Krah. “If the patient goes home with OPAT, clinicians can help them anticipate what will be involved in terms of costs and time required, including missed days of work or school. We can tell them that this can be a really big undertaking.” Source: read more

UK charity establishes new funding opportunities to address sight loss

first_imgVisual impairment is common following a stroke and something stroke survivors tell us affects their ability to rebuild their lives. Research into visual problems after stroke is underfunded, therefore we are excited by this new research partnership with Fight for Sight, which we hope will lead to innovative research for the benefit of people affected by stroke.” Kate Holmes, Assistant Director of Research at the Stroke Association, said: The deadline for abstract applications is 11 July 2019.Source:Fight for Sight Vivien Jones, chair of the Nystagmus Network’s research committee, said: We are delighted to be joining Fight for Sight in funding a post-doctoral researcher for nystagmus. This means we will be bringing new expertise into the field, which we are very pleased to do. It is the biggest investment we have made in research and we are grateful to all those who fundraise for us for helping to make this happen.”   May 14 2019Fight for Sight is encouraging applicants to apply for the Project Grants Awards. The call for the £250k award to undertake a three-year project is now open.The charity is accepting applications for research that aims to address sight loss caused by any eye condition. Applications are particularly encouraged for research into age-related macular degeneration, glaucoma, inherited eye diseases and sight loss linked to other diseases.Collaborative working is important to the charity in order to improve the lives of those living with eye conditions which is why Fight for Sight, for the first time, has partnered with the Stroke Association to fund research into sight loss linked to stroke.In addition, Fight for Sight and Nystagmus Network are jointly funding an award for research into sight loss association with nystagmus.The jointly funded Project Grant awards are open to both clinical and non-clinical research scientists wishing to undertake research to address sight loss associated with stroke and nystagmus.For this round, Fight for Sight has also partnered with Health and Care Research Wales and the Chief Optometric Adviser for Wales to offer a joint Project Grant Award to an eligible Host Institution based within Wales. Applications are particularly encouraged in the fields of myopia and corneal disease.Dr Rubina Ahmed, Head of Research at Fight for Sight, said: We’re proud to establish new funding opportunities with both the Stroke Association and the Welsh Government departments, in addition to continuing our long standing relationship with the Nystagmus Network. By increasing the funding from £170k to £250k, we want to encourage researchers to take this opportunity to make a difference to patients’ lives by carrying out their innovative research.”last_img read more

Home Minister Amit Shah in Ahmedabad today on a 2day visit

first_imgJuly 02, 2019 government government departments COMMENT SHARE SHARE EMAIL Published on Union Home Minister Amit Shah will be on a two-day visit to Gujarat from Wednesday. This will be Shah’s first visit to his home State after taking charge as Home Minister. During the two-day visit, Shah will attend a series of public functions, inaugurate several public projects and attend the Aarti before the Rath Yatra of Lord Jagannath temple in Ahmedabad on Thursday. The Gujarat Unit chief of the BJP, Jitu Vaghani informed that Shah will arrive at Ahmedabad in the afternoon on July 3. He will be given a grand welcome in the presence of Chief Minister Vijay Rupani and his Deputy Nitin Patel at the airport.The Union Home Minister is scheduled to inaugurate a flyover in Ahmedabad and dedicate several public projects, including a community hall, library and five talati offices in Gandhinagar. Party meetingShah will also hold a meeting with the party workers from his Parliamentary constituency, Gandhinagar, besides having meetings with senior party leaders during his stay. SHARE COMMENTSlast_img read more

Iranian foreign minister heads to New York for UN conference IRNA

first_img World 08 Jul 2019 Iran makes new nuclear threats that would reverse steps in pact {{category}} {{time}} {{title}} U.S. Treasury Secretary Steven Mnuchin said in June that Washington would impose sanctions on top Iranian officials, including Zarif, a step that could have impeded any diplomatic efforts to resolve their disagreements.But two sources familiar with the matter told Reuters on Thursday the United States had decided not to impose sanctions on Zarif for now, in a sign that Washington might be holding a door open for diplomacy.President Donald Trump withdrew the United States last year from a 2015 accord between Iran and world powers that had aimed to curb Tehran’s nuclear programme.Washington has ratcheted up sanctions on Iran since then, driving Iranian oil exports sharply lower. (Reporting by Babak Dehghanpisheh; Editing by Mark Heinrich and Edmund Blair) Related News World 07 Jul 2019 Iran ratchets up tensions with higher enrichment, draws warningscenter_img Related News World 11 Jul 2019 British claim about Iran trying to stop oil tanker is worthless – Iran foreign minister GENEVA (Reuters) – Iranian Foreign Minister Mohammad Javad Zarif travelled to New York on Saturday to a United Nations conference, Iran’s state news agency IRNA reported, amid rising tension between Washington and Tehran.The United States and Iran are at loggerheads over Tehran’s nuclear programme and Washington has blamed Iranian forces for attacks on oil tankers in the Gulf region, a charge Tehran denies.The two nations came close to conflict last month when Iran shot down a U.S. drone, prompting Washington to order retaliatory air strikes that were called off at the last minute.Zarif will attend a meeting of the U.N. Economic and Social Council (ECOSOC) in New York and would then travel to Venezuela, Bolivia and Nicaragua, IRNA reported.last_img read more

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