www.aafp.org/afp Volume 90, Number 9 ◆ November 1, 2014 Case Scenario A 16-year-old boy from Honduras came to our office at a federally qualified health center for a physical examination and vaccinations for school. He recently crossed the United States–Mexico border as an unaccompanied minor and was detained by U.S. immigration authorities before subsequently being sent to live with his older ...

The article by Brenna and Spandonaro on interregional mobility for acute hospital care in Italy raises important issues concerning social and territorial equity in a healthcare system. Based on Regions and private providers' strategic behavior, the hypothesis adopted to explain patient cross-border mobility (CBM), demonstrated by statistical analysis, may be further explored using qualitative m...

The concurrent circumstances of an increasingly mobile workforce, disparities in access to healthcare, and the ability to deliver care through technology (e.g., telehealth) present the need and the opportunity for practice across state borders. Over the past four years, the Federation of State Boards of Physical Therapy (FSBPT) has explored professional licensure models that will allow cross bo...

Aging of the brain brings decline in memory and thinking. The condition ranges from mild to severe with no clear distinct border. Waning in cognitive skills causes’ functional impairment, which if neglected could lead to problems of self-feeding and self-care. Non-verbal communication is an essential component that promotes initiation of self-care. This article describes a rare case of an elder...

abstract background: hypotension and muscular cramp are the common complications of hemodialysis. effective control of hemodialysis complications increases the survival time and the quality of life of patients on hemodialysis. considering that failure to follow a therapeutic plan is one of the most prevalent causes of hemodialysis complications, the present research was conducted to study the e...

the purpose of this study was to determine the effect of a guided family visiting, as an auditory and tactile stimulation, on the consciousness level of comatose head injury patients. a randomized controlled trial design was used. sixty-four comatose head injury patients were randomly allocated into a control group or an intervention group. patients in the intervention group were received audit...

results there was a significant difference in follow-up rates at the due date between the intervention group (50.7%, 34of 67 participants) and the control group (17.5%, 11 of 63 participants) (or = 4.871, 95% ci = 2.172 to 10.924, p < 0.0001). in the control group, the call interviews significantly increased the follow-up rate from 17.5% to 66.7 % (42 of 63 participants) (p < 0.0001), although ...