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  1. Article ; Online: Confusion over Europe's data-protection law is stalling scientific progress.

    Eiss, Robert

    Nature

    2020  Volume 584, Issue 7822, Page(s) 498

    MeSH term(s) Biomedical Research/legislation & jurisprudence ; COVID-19 ; Confidentiality/legislation & jurisprudence ; Confidentiality/standards ; Coronavirus Infections/epidemiology ; Data Anonymization/legislation & jurisprudence ; Data Anonymization/standards ; Diabetes Mellitus ; European Union ; Humans ; Information Dissemination/legislation & jurisprudence ; International Cooperation/legislation & jurisprudence ; National Institutes of Health (U.S.)/legislation & jurisprudence ; Neoplasms ; Pandemics ; Pneumonia, Viral/epidemiology ; Time Factors ; United States
    Keywords covid19
    Language English
    Publishing date 2020-08-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 120714-3
    ISSN 1476-4687 ; 0028-0836
    ISSN (online) 1476-4687
    ISSN 0028-0836
    DOI 10.1038/d41586-020-02454-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Keeping up Africa's science momentum.

    Eiss, Robert B / Collins, Francis S

    Nature

    2019  Volume 572, Issue 7767, Page(s) 32

    MeSH term(s) Africa ; HIV Infections ; Humans ; Policy
    Language English
    Publishing date 2019-07-27
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 120714-3
    ISSN 1476-4687 ; 0028-0836
    ISSN (online) 1476-4687
    ISSN 0028-0836
    DOI 10.1038/d41586-019-02326-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Bridging the coverage gap in global health.

    Eiss, Robert B / Glass, Roger I

    JAMA

    2007  Volume 298, Issue 16, Page(s) 1940–1942

    MeSH term(s) Global Health ; Health Services Accessibility ; International Cooperation ; Poverty
    Language English
    Publishing date 2007-10-24
    Publishing country United States
    Document type Editorial
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.298.16.1940
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Improving symptom management in hemodialysis patients: identifying barriers and future directions.

    Feldman, Rachel / Berman, Nathaniel / Reid, M Cary / Roberts, Jordan / Shengelia, Rouzi / Christianer, Kaylan / Eiss, Brian / Adelman, Ronald D

    Journal of palliative medicine

    2013  Volume 16, Issue 12, Page(s) 1528–1533

    Abstract: Background: Hemodialysis (HD) patients experience significant symptom burden that is often undertreated.: Objective: This study identified (1) barriers to symptom management in the HD population, (2) potential targets for improving symptom burden, (3) ...

    Abstract Background: Hemodialysis (HD) patients experience significant symptom burden that is often undertreated.
    Objective: This study identified (1) barriers to symptom management in the HD population, (2) potential targets for improving symptom burden, (3) provider attitudes toward palliative care for HD patients, and (4) perceptions of how transplant eligibility impacts care.
    Design: Semistructured, one-on-one interviews were conducted, audiotaped, and transcribed. Data were analyzed qualitatively by two investigators to identify discrete themes.
    Setting/subjects: Health care providers (HCPs) and caregivers were recruited (June to October 2012) from three outpatient HD units in New York City.
    Measurements: Open-ended questions were used with follow-up probes.
    Results: Interviews were completed with 34 HCPs (8 physicians, 2 nurse practitioners, 4 social workers, 13 registered nurses, 7 patient care technicians) and 20 caregivers (14 family members, 5 home health aides, 1 friend). Barriers to symptom control were identified in three areas: (1) provider unawareness of symptoms, (2) provider's uncertainty as to whose responsibility it is to treat symptoms, and (3) inherent difficulty in symptom management. Ideas for ameliorating symptoms included enhancing systems for patient/caregiver education, improving systems for HCP communication with other disciplines, and encouraging alternative methods of dialysis when appropriate. HCPs also expressed discomfort with the term "palliative care."
    Conclusions: Renal HCPs are often unaware of the magnitude of symptom burden in their HD patients. This study found that there is lack of ownership for assessing and treating these symptoms. Providers also feel certain symptoms are "untreatable." Research is needed to develop effective treatment strategies for HD populations.
    MeSH term(s) Adult ; Aged ; Delivery of Health Care/organization & administration ; Female ; Health Personnel/psychology ; Humans ; Male ; Middle Aged ; New York City ; Qualitative Research ; Quality Improvement ; Renal Dialysis/standards ; Renal Insufficiency, Chronic/physiopathology ; Renal Insufficiency, Chronic/therapy
    Language English
    Publishing date 2013-12-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1427361-5
    ISSN 1557-7740 ; 1096-6218
    ISSN (online) 1557-7740
    ISSN 1096-6218
    DOI 10.1089/jpm.2013.0176
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Disparities in symptom burden and renal transplant eligibility: a pilot study.

    Berman, Nathaniel / Christianer, Kaylan / Roberts, Jordan / Feldman, Rachel / Reid, M Cary / Shengelia, Rouzi / Teresi, Jeanne / Eimicke, Joseph / Eiss, Brian / Adelman, Ronald

    Journal of palliative medicine

    2013  Volume 16, Issue 11, Page(s) 1459–1465

    Abstract: Background: Patients with end-stage renal disease (ESRD) on hemodialysis (HD) suffer from a high symptom burden. However, there is significant heterogeneity within the HD population; certain subgroups, such as the elderly, may experience ... ...

    Abstract Background: Patients with end-stage renal disease (ESRD) on hemodialysis (HD) suffer from a high symptom burden. However, there is significant heterogeneity within the HD population; certain subgroups, such as the elderly, may experience disproportionate symptom burden.
    Objectives: The study's objective was to propose a category of HD patients at elevated risk for symptom burden (those patients who are not transplant candidates) and to compare symptomatology among transplant ineligible versus eligible HD patients.
    Design: This was a cross-sectional study.
    Setting/subjects: English-speaking, cognitively intact patients receiving HD and who were either transplant eligible (n=25) or ineligible (n=32) were recruited from two urban HD units serving patients in the greater New York City region.
    Measurements: In-person interviews were conducted to ascertain participants' symptom burden using the Dialysis Symptom Index (DSI), perceived symptom bother and attribution (whether the symptom was perceived to be related to HD treatment), and quality of life using the SF-36. Participants' medical records were reviewed to collect demographic and clinical data.
    Results: Transplant ineligible (versus eligible) patients reported an average of 13.9±4.6 symptoms versus 9.2±4.4 symptoms (p<0.01); these differences persisted after adjustment for multiple factors. A greater proportion of transplant ineligible (versus eligible) patients attributed their symptoms to HD and were more likely to report greater bother on account of the symptoms. Quality of life was also significantly lower in the transplant ineligible group.
    Conclusions: Among HD patients, transplant eligibility is associated with symptom burden. Our pilot data suggest that consideration be given to employing transplant status as a method of identifying HD patients at risk for greater symptom burden and targeting them for palliative interventions.
    MeSH term(s) Aged ; Comorbidity ; Female ; Humans ; Interviews as Topic ; Kidney Transplantation ; Male ; New York City ; Palliative Care ; Patient Selection ; Pilot Projects ; Quality of Life ; Renal Dialysis ; Severity of Illness Index
    Language English
    Publishing date 2013-10-10
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1427361-5
    ISSN 1557-7740 ; 1096-6218
    ISSN (online) 1557-7740
    ISSN 1096-6218
    DOI 10.1089/jpm.2013.0026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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