Noergadegaard0067

To study the perceptions, beliefs, and expectations of patients related to food waste during their hospital stay.

A qualitative study using semistructured interviews and thematic analysis of transcripts.

Four hospital wards across 3 hospitals in 1 large health care network in Melbourne, Australia.

Forty inpatients, 10 each from oncology, maternity, general medicine, and subacute wards.

A coding framework was developed by researchers; this framework was tested then applied across all interview transcripts. Codes were grouped and summarized to identify and analyze patterns of data.

Historical experiences influenced participant perspectives on food waste; cost was the primary motivator to limit food waste at home. 3-O-Acetyl-11-keto-β-boswellic mw The following contributors to hospital food waste were identified patient interest in food/appetite, food quality and quantity, and the foodservice model. Three overarching strategies to address hospital food waste emerged modify the foodservice system to decrease waste, adopt multimethod food waste management strategies, and reduce and manage nonfood waste. Contamination was identified as a barrier to waste management. Participants reported that the aggregate amount, management, and implications of hospital food waste were invisible to them.

The inclusion of service users in both future studies and the practice of food sustainability is encouraged. Multiple approaches (system modification, multimethod food waste management strategies, and reduction of nonfood waste) could be adopted in practice to reduce hospital-related food waste.

The inclusion of service users in both future studies and the practice of food sustainability is encouraged. Multiple approaches (system modification, multimethod food waste management strategies, and reduction of nonfood waste) could be adopted in practice to reduce hospital-related food waste.

Evaluate the impact of the Food Insecurity Nutrition Incentive (FINI) grant program on self-reported fruit and vegetable (FV) expenditures.

Pre-post quasi-experimental study design.

Farmers markets and grocery stores in states with FINI projects.

A total of 2,471 Supplemental Nutrition Assistance Program (SNAP) households in 4 intervention groups who lived near a FINI retailer (farmers market or grocery store) and 4 matched comparison groups who did not live near a FINI retailer.

Awareness and use of point-of-sale incentives and changes in self-reported monthly household FV expenditures.

Ordinary least squares intent-to-treat regression model using lagged dependent variable model framework.

Awareness of FINI was higher among households who were near a FINI retailer and had shopped there before FINI than those who lived near a FINI retailer but had not shopped there before FINI; the number of information sources from which SNAP participants heard about FINI was positively associated with incentive receipt (P < 0.05). Among those who received incentives, the average amount of incentives received at the last shopping trip ranged from $15 to $23. The FINI program had a positive impact on the average monthly FV expenditures for those in the farmers market shopper, grocery store shopper, and grocery store general intervention groups-increases ranged from $9 to $15 (P < 0.05).

Point-of-sale incentives were associated with an increase in FV expenditures among SNAP households. Further research is needed to examine (1) effective messaging strategies to increase incentive awareness and (2) the long-term impact of incentives on FV expenditures.

Point-of-sale incentives were associated with an increase in FV expenditures among SNAP households. Further research is needed to examine (1) effective messaging strategies to increase incentive awareness and (2) the long-term impact of incentives on FV expenditures.

To assess and analyze the impact of clinical simulation as a training tool in healthcare teams ability to resolve and manage conflicts, through an exploratory systematic review.

A structured literature review was performed with the terms clinical simulation OR patientsimulation OR simulation training OR high fidelity simulation training AND conflict OR conflict resolution in the following databases MEDLINE, LILACS, Cochrane, Scielo, PubMed, CINHAL, ScienceDirect, MEDES, IBECS and DOCUMED. Articles were considered if they involved clinical simulation oriented to training of healthcare professionals or trainees in conflict management, using clinical scenarios, and excluding those studies older than 20 years. Absence of debriefing was not considered an exclusion criterion, neither the use of simulation along with other methodologies. A quantitative analysis was performed.

10 articles were retrieved, mostly with quasi-experimental designs, in which clinical simulation was designed as an interprofessional trscribe and support the use of clinical simulation for training in management and resolution of conflicts among healthcare professionals. Simulation is accepted by participants, developing transfer of skills and competences and impact at the organizational level. Nonetheless, studies are recent and limited in number, making this area a developing field that promotes future research.

The survival benefit associated with distal pancreatectomy with en bloc celiac axis resection (DP-CAR) for patients with borderline resectable or locally advanced pancreatic body carcinoma is controversial. The aim of this study was to evaluate the impact of DP-CAR following neoadjuvant chemotherapy on survival in patients with borderline resectable or locally advanced pancreatic body carcinoma.

Medical records of patients with pancreatic ductal adenocarcinoma who underwent distal pancreatectomy (DP, n=102) and DP-CAR following neoadjuvant chemotherapy (n=32) between 2008 and 2019 were analyzed retrospectively. Short- and long-term outcomes were compared between the two groups.

All patients who underwent DP-CAR had tumor contact with the celiac axis. Of these, 30 patients underwent preoperative embolization of the common hepatic artery. The pretreatment tumor size of patients who underwent DP-CAR was larger (P<0.001), and rates of blood transfusion (P=0.003) and postoperative complications (P=0.016) were higher in patients who underwent DP-CAR compared with patients who underwent DP.