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Many older adults rely on a complex network of paid and unpaid care partners. Gaps in these networks can lead to unmet functional, medical, and socioemotional needs and poor health outcomes. We explored the structure, function and adequacy of older veterans' care networks using care mapping, a collaborative visual tool. We conducted care mapping sessions with 10 Veteran and caregiver dyads/triads. Veterans had an average of 3 "close" care partners. Maps identified informal supports (e.g., neighbors, online groups, local businesses) and unmet needs, including home health aide support. Participants generally found their networks adequate regardless of structure, suggesting that there is no "one size fits all." However, veterans rarely had a "Plan B" if their primary care partners were unavailable. Understanding the scope and functioning of care networks can help health care teams more effectively target home-based and community supports where they are most needed.
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http://dx.doi.org/10.1177/07334648251372365 | DOI Listing |
Diabetologia
September 2025
Centre Universitaire de Diabétologie et de ses Complications, AP-HP, Hôpital Lariboisière, Paris, France.
Aims/hypothesis: Severe hypoglycaemia events (SHE) remain frequent in people with type 1 diabetes despite advanced diabetes technologies. We examined whether time below range (TBR) 3.9 mmol/l (70 mg/dl; TBR70) or 3.
View Article and Find Full Text PDFInquiry
September 2025
Northwestern University, Chicago, IL, USA.
Risk-based firearm laws are a firearm injury prevention strategy. However, evidence for their efficacy in reducing firearm injury is mixed. There is agreement that the magnitude of their effect depends on implementation and efficacy would improve with better implementation.
View Article and Find Full Text PDFTrauma Surg Acute Care Open
September 2025
UCHealth, Loveland, Colorado, USA.
Traumatic injury is the leading cause of death for individuals aged 1-45 in the USA. Variations in patient management based on geographic locations, community resources, and provider characteristics contribute to disparities in patient outcomes. It is estimated that 20,000 Americans lives could be saved yearly if all trauma centers performed as well as the highest-performing center, which is achievable, in part, through the reduction of inappropriate practice variation.
View Article and Find Full Text PDFActa Anaesthesiol Scand
October 2025
Centre for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Køge, Denmark.
Background: Multiple organ dysfunction syndrome (MODS) in critical illness involves dysregulated immune and inflammatory responses, endotheliopathy, and coagulation activation. We investigated how three types of endotheliopathy biomarkers relate to pro- and anti-inflammatory responses and clinical outcomes in intensive care unit (ICU) patients.
Methods: In this secondary, explorative analysis of a prospective single-centre cohort (n = 459), we assessed associations between endotheliopathy biomarkers (syndecan-1, soluble thrombomodulin (sTM), platelet endothelial cell adhesion molecule-1 (PECAM-1)) and inflammatory biomarkers (pro-inflammatory: IFN-ϒ, IL-1β, IL-2, IL-6, IL-8, IL-12p70, TNF-α; anti-inflammatory: IL-4, IL-10, IL-13) at ICU admission using linear regression.
AIDS Behav
September 2025
Department of Community Health and Social Sciences, City University of New York Graduate School of Public Health and Health Policy, New York, NY, USA.
Self-testing for HIV is an accessible, effective testing method for clinical and research contexts. From 2017 to 2022, we conducted annual, mail-in HIV testing with participants in our U.S.
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