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  1. Article: Treating substance abuse as a consequence of conflict and displacement: a call for a more inclusive global mental health.

    Lai, Lucinda

    Medicine, conflict, and survival

    2014  Volume 30, Issue 3, Page(s) 182–189

    Abstract: In settings of conflict and displacement, the provision of appropriate mental health services is essential. While most mental health research has focused on identifying rates of post-traumatic stress and other common disorders in post-conflict settings, ... ...

    Abstract In settings of conflict and displacement, the provision of appropriate mental health services is essential. While most mental health research has focused on identifying rates of post-traumatic stress and other common disorders in post-conflict settings, there has been little recognition of substance abuse as both a cause and consequence of mental health problems. Problems that arise when people begin to abuse substances to cope with the severe stress of emergency situations include the depletion of finite family and community resources, violence, exploitation, neglect of children and other protection threats. As a case in point, refugee camps on the Thai-Burma border have become a fertile breeding ground for drug and alcohol addiction. A more inclusive view of global mental health--one that addresses the problems of substance use in post-conflict and displacement contexts--will better enable health professionals to make meaningful contributions to conflict resolution and longer-term peace-building processes.
    MeSH term(s) Biomedical Research ; Health Services Needs and Demand ; Humans ; Mental Health Services/organization & administration ; Myanmar/epidemiology ; Refugees ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/therapy ; Thailand/epidemiology ; Violence
    Language English
    Publishing date 2014-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1314196-x
    ISSN 1362-3699
    ISSN 1362-3699
    DOI 10.1080/13623699.2014.917356
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Digital health innovation to integrate palliative care during the COVID-19 pandemic.

    Lai, Lucinda / Sato, Rintaro / Ouchi, Kei / Landman, Adam B / Zhang, Haipeng Mark

    The American journal of emergency medicine

    2020  Volume 46, Page(s) 664–666

    MeSH term(s) Artificial Intelligence ; COVID-19/epidemiology ; Comorbidity ; Humans ; Palliative Care/organization & administration ; Pandemics ; Public Health Surveillance/methods ; SARS-CoV-2 ; Telemedicine/methods
    Keywords covid19
    Language English
    Publishing date 2020-08-19
    Publishing country United States
    Document type Letter
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2020.08.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Digital health innovation to integrate palliative care during the COVID-19 pandemic

    Lai, Lucinda / Sato, Rintaro / Ouchi, Kei / Landman, Adam B. / Zhang, Haipeng Mark

    The American Journal of Emergency Medicine ; ISSN 0735-6757

    2020  

    Keywords Emergency Medicine ; General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.1016/j.ajem.2020.08.008
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Financial burden following adult liver transplantation is common and associated with adverse recipient outcomes.

    Ufere, Nneka N / Serper, Marina / Kaplan, Alyson / Horick, Nora / Indriolo, Teresa / Li, Lucinda / Satapathy, Nishant / Donlan, John / Castano Jimenez, Janeth C / Lago-Hernandez, Carlos / Lieber, Sarah / Gonzalez, Carolina / Keegan, Eileen / Schoener, Kimberly / Bethea, Emily / Dageforde, Leigh-Anne / Yeh, Heidi / El-Jawahri, Areej / Park, Elyse R /
    Vodkin, Irine / Schonfeld, Emily / Nipp, Ryan / Desai, Archita / Lai, Jennifer C

    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

    2024  

    Abstract: The financial impact of liver transplantation has been underexplored. We aimed to identify associations between high financial burden (≥10% annual income spent on out-of-pocket medical costs) and work productivity, financial distress (coping behaviors in ...

    Abstract The financial impact of liver transplantation has been underexplored. We aimed to identify associations between high financial burden (≥10% annual income spent on out-of-pocket medical costs) and work productivity, financial distress (coping behaviors in response to the financial burden), and financial toxicity (health-related quality of life, HRQOL) among adult recipients of liver transplant. Between June 2021 and May 2022, we surveyed 207 adult recipients of liver transplant across 5 US transplant centers. Financial burden and distress were measured by 25 items adapted from national surveys of cancer survivors. Participants also completed the Work Productivity and Activity Impairment and EQ-5D-5L HRQOL questionnaires. In total, 23% of recipients reported high financial burden which was significantly associated with higher daily activity impairment (32.9% vs. 23.3%, p =0.048). In adjusted analyses, the high financial burden was significantly and independently associated with delayed or foregone medical care (adjusted odds ratio, 3.95; 95% CI, 1.85-8.42) and being unable to afford basic necessities (adjusted odds ratio, 5.12; 95% CI: 1.61-16.37). Recipients experiencing high financial burden had significantly lower self-reported HRQOL as measured by the EQ-5D-5L compared to recipients with low financial burden (67.8 vs. 76.1, p =0.008) and an age-matched and sex-matched US general population (67.8 vs. 79.1, p <0.001). In this multicenter cohort study, nearly 1 in 4 adult recipients of liver transplant experienced a high financial burden, which was significantly associated with delayed or foregone medical care and lower self-reported HRQOL. These findings underscore the need to evaluate and address the financial burden in this population before and after transplantation.
    Language English
    Publishing date 2024-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2006866-9
    ISSN 1527-6473 ; 1527-6465
    ISSN (online) 1527-6473
    ISSN 1527-6465
    DOI 10.1097/LVT.0000000000000348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Sole-Searing Pain: Classic Kaposi's Sarcoma.

    Minter, Daniel J / Kotwani, Prashant / Kohn, Lucinda L / Maurer, Toby / Lai, Andrew R

    The American journal of medicine

    2017  Volume 130, Issue 11, Page(s) 1262–1264

    MeSH term(s) Foot Diseases/complications ; Foot Diseases/diagnosis ; Humans ; Lymphedema/etiology ; Male ; Middle Aged ; Pain/etiology ; Sarcoma, Kaposi/complications ; Sarcoma, Kaposi/diagnosis ; Skin Neoplasms/complications ; Skin Neoplasms/diagnosis
    Language English
    Publishing date 2017-07-12
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2017.06.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Mobile app helps trainees manage emergencies at the bedside.

    Chu, Andrew L / Keschner, Yonatan G / Lai, Lucinda / Baugh, Joshua J / Baugh, Christopher W / Biddinger, Paul D / Raja, Ali S / Isselbacher, Eric M / Conley, Jared

    AEM education and training

    2021  Volume 5, Issue 4, Page(s) e10695

    Abstract: Background: Although emergency departments (ED) have standardized guidelines for low-frequency, high-acuity diagnoses, they are not immediately accessible at the bedside, and this can cause anxiety in trainees and delay patient care. This problem is ... ...

    Abstract Background: Although emergency departments (ED) have standardized guidelines for low-frequency, high-acuity diagnoses, they are not immediately accessible at the bedside, and this can cause anxiety in trainees and delay patient care. This problem is exacerbated during events like COVID-19 that require the rapid creation, iteration, and dissemination of new guidelines.
    Methods: Physician innovators used design thinking principles to develop EM Protocols (EMP), a mobile application that clinicians can use to immediately view guidelines, contact consultants (e.g., cath lab activation), and access code-running tools. The project became an institutional high priority, because it helps EM trainees and off-service rotators manage low-frequency, high-acuity emergencies at the point of care, and its COVID-19 guidelines can be rapidly updated and disseminated in real time.
    Results: This intervention was deployed across two academic medical centers during the COVID-19 surge. Nearly 300 ED clinicians have downloaded EMP, and they have interacted with the app over 5,400 times. It continues to be used regularly, over 12 months after the initial surge. Since the app was received positively, there are efforts to build in additional adult and pediatric guidelines.
    Discussion: Digital health tools like EMP can serve as invaluable adjuncts for managing acute, life-threatening emergencies at the point of care. They can benefit trainees during normal day-to-day operations as well as scenarios that cause large-scale operational disruptions, such as natural disasters, mass casualty events, and future pandemics.
    Language English
    Publishing date 2021-08-01
    Publishing country United States
    Document type Journal Article
    ISSN 2472-5390
    ISSN (online) 2472-5390
    DOI 10.1002/aet2.10695
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Interstitial Pulmonary Edema Assessed by Lung Ultrasound on Ascent to High Altitude and Slight Association with Acute Mountain Sickness: A Prospective Observational Study.

    Alsup, Carl / Lipman, Grant S / Pomeranz, David / Huang, Rwo-Wen / Burns, Patrick / Juul, Nicholas / Phillips, Caleb / Jurkiewicz, Carrie / Cheffers, Mary / Evans, Kristina / Saraswathula, Anirudh / Baumeister, Peter / Lai, Lucinda / Rainey, Jessica / Lobo, Viveta

    High altitude medicine & biology

    2019  Volume 20, Issue 2, Page(s) 150–156

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Adult ; Altitude Sickness/complications ; Female ; Humans ; Lung/diagnostic imaging ; Male ; Prospective Studies ; Pulmonary Edema/complications ; Pulmonary Edema/diagnostic imaging ; Sampling Studies ; Ultrasonography
    Language English
    Publishing date 2019-05-07
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 2076262-8
    ISSN 1557-8682 ; 1527-0297
    ISSN (online) 1557-8682
    ISSN 1527-0297
    DOI 10.1089/ham.2018.0123
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Usage Patterns of a Web-Based Palliative Care Content Platform (PalliCOVID) During the COVID-19 Pandemic.

    Lai, Lucinda / Sato, Rintaro / He, Shuhan / Ouchi, Kei / Leiter, Richard / deLima Thomas, Jane / Lawton, Andrew / Landman, Adam B / Mark Zhang, Haipeng

    Journal of pain and symptom management

    2020  Volume 60, Issue 4, Page(s) e20–e27

    Abstract: Context: The COVID-19 pandemic has highlighted the essential role of palliative care to support the delivery of compassionate, goal-concordant patient care. We created the Web-based application, PalliCOVID (https://pallicovid.app/), in April 2020 to ... ...

    Abstract Context: The COVID-19 pandemic has highlighted the essential role of palliative care to support the delivery of compassionate, goal-concordant patient care. We created the Web-based application, PalliCOVID (https://pallicovid.app/), in April 2020 to provide all clinicians with convenient access to palliative care resources and support. PalliCOVID features evidence-based clinical guidelines, educational content, and institutional protocols related to palliative care for COVID-19 patients. It is a publicly available resource accessible from any mobile device or desktop computer that provides clinicians with access to palliative care guidance across a variety of care settings, including the emergency department, hospital ward, intensive care unit, and primary care practice.
    Objective: The primary objective of this study was to evaluate usage patterns of PalliCOVID to understand user behavior in relation to this palliative care content platform during the period of the local peak of COVID-19 infection in Massachusetts.
    Methods: We retrospectively analyzed deidentified usage data collected by Google Analytics from the first day of PalliCOVID's launch on April 7, 2020, until May 1, 2020, the time period that encompassed the local peak of the COVID-19 surge in Massachusetts. User access data were collected and summarized by using Google Analytics software that had been integrated into the PalliCOVID Web application.
    Results: A total of 2042 users accessed PalliCOVID and viewed 4637 pages from April 7 to May 1, 2020. Users spent an average of 2 minutes and 6 seconds per session. Eighty-one percent of users were first-time visitors, while the remaining 19% were return visitors. Most users accessed PalliCOVID from the United States (87%), with a large proportion of users coming from Boston and the surrounding cities (32% of overall users).
    Conclusions: PalliCOVID is one example of a scalable digital health solution that can bring palliative care resources to frontline clinicians. Analysis of PalliCOVID usage patterns has the potential to inform the improvement of the platform to better meet the needs of its user base and guide future dissemination strategies. The quantitative data presented here, although informative about user behavior, should be supplemented with future qualitative research to further define the impact of this tool and extend our ability to deliver clinical care that is compassionate, rational, and well-aligned with patients' values and goals.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Humans ; Information Dissemination ; Internet ; Palliative Care ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Telemedicine
    Keywords covid19
    Language English
    Publishing date 2020-07-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639142-4
    ISSN 1873-6513 ; 0885-3924
    ISSN (online) 1873-6513
    ISSN 0885-3924
    DOI 10.1016/j.jpainsymman.2020.07.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Usage Patterns of a Web-Based Palliative Care Content Platform (PalliCOVID) During the COVID-19 Pandemic

    Lai, Lucinda / Sato, Rintaro / He, Shuhan / Ouchi, Kei / Leiter, Richard / deLima Thomas, Jane / Lawton, Andrew / Landman, Adam B. / (Mark) Zhang, Haipeng

    Journal of Pain and Symptom Management

    2020  Volume 60, Issue 4, Page(s) e20–e27

    Keywords Anesthesiology and Pain Medicine ; General Nursing ; Clinical Neurology ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 639142-4
    ISSN 0885-3924
    ISSN 0885-3924
    DOI 10.1016/j.jpainsymman.2020.07.016
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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