Out-of-hospital-treatment in the form of a hospital at home has been suggested as a potential alternative to hospital admission. The objectives of the study were to address the feasibility of a... Show More

Out-of-hospital-treatment in the form of a hospital at home has been suggested as a potential alternative to hospital admission. The objectives of the study were to address the feasibility of a hospital at home supported by telemedicine for older patients requiring admission. Of 601 patients screened, seven were eligible and willing to participate in the intervention. Poor health status and skepticism towards the technology was the main reasons for ineligibility and declining to take part. Patients admitted to the scheme at home felt safe and were positive regarding several aspects of the scheme. Health care professionals found that the intervention gave an opportunity to create a patient-centred treatment. However, the intervention was not successfully integrated because of the few cases. The economic evaluation found the cost of home admission depended on the turnover of patients. Hospital at home was not feasible in this setup and do not justify proceeding to a randomised controlled trial.

Liver disease is prevalent and a major public health concern. It has predominantly spread in the UK and worldwide, causing liver-related morbidity and mortality rates for the under 65s since 1970.... Show More

Liver disease is prevalent and a major public health concern. It has predominantly spread in the UK and worldwide, causing liver-related morbidity and mortality rates for the under 65s since 1970. This article aims to highlight the role of early intervention and health promotion in the management of chronic liver disease (CLD). The objective is to critically analyse an issue like CLD, and further employ principles, ethical theories to health promotion practice. Since 2015, there is no one single drug that treats NALFD, a dietary plan and lifestyle modifications can be added in management of the disease. Educating patients perhaps is a form of regimen, and a coping mechanism as set by the health belief model to understand the disease. Additional studies need to be formed to understand the exact contributions health care professionals are likely to make, and of those that are new clinicians.

Spontaneous esophageal-pleural fistula is a rare entity. The authors describe a case of 60-year-old male who presented with cough with expectoration, severe retrosternal chest pain and shortness of... Show More

Spontaneous esophageal-pleural fistula is a rare entity. The authors describe a case of 60-year-old male who presented with cough with expectoration, severe retrosternal chest pain and shortness of breath and vomiting. Computed tomography with oral contrast showed right esophageal-pleural fistula and hydro pneumothorax. He was managed conservatively keeping the chest tube drainage and nasogastric tube feeding.

Manufacturers worldwide could help many elderly people within society, maintain their independence and meet the demands of their environment with more ease and functionality, if they would consider... Show More

Manufacturers worldwide could help many elderly people within society, maintain their independence and meet the demands of their environment with more ease and functionality, if they would consider the needs of elderly more carefully and involve them in development.