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Additional file 2. Inclusion and exclusion criteria – longitudinal study on resilience in advanced cancer caregiving.pdf Details on the in- and exclusion criteria of a longitudinal study on resilience in advanced cancer caregiving. Participants (intimate partners) in the longitudinal study recruited the participants (members of the support networks) of the current study.

Additional file 3. Interview guide.pdf A translated version (from Dutch to English) of the interview guide on which the semi-structured interviews were based.

Additional file 1. COREQ (COnsolidated criteria for REporting Qualitative research) Checklist.pdf The 32-items COREQ checklist for interviews and focus groups, along with the corresponding pages.

IntroductionIn sub-Saharan Africa, there is a need to better understand and guide the practice of primary care physicians (PCPs), especially in a crisis context like the COVID-19 pandemic. This study analyses the experiences of PCPs facing COVID-19 in Benin and draws policy lessons.MethodsThe study followed a fully mixed sequential dominant status design. Data were collected between April and August 2020 from a sample of PCPs in Benin. We performed descriptive analyses on the quantitative data. We also performed bivariate analyses for testing associations between various outcomes and the public/private status of the PCPs, their localization within or outside the cordon sanitaire put in place at the beginning of COVID-19, and their practice' category. A thematic content analysis was done on qualitative data. Results from both analyses were triangulated.ResultsNinety PCPs participated in the quantitative strand, and 14 in the qualitative. The median percentage of the COVID-19 control measures implemented in the health facilities, as reported by the PCPs, was 77.8% (interquartile range = 16.7%), with no difference between the various groups. While 29.4% of the PCPs reported being poorly/not capable of helping the communities to deal with COVID-19, 45.3% felt poorly/not confident in dealing with an actual case. These percentages were bigger in the private sector. The PCP's experiences were marked by anxiety and fear, with 80.2% reporting stress. Many PCPs (74.1%) reported not receiving support from local health authorities, and 75.3% felt their concerns were not adequately addressed. Both percentages were higher in the private sector. The PCPs especially complained of insufficient training, insufficient coordination, and less support to private providers than the public ones. For 72.4 and 79.3% of the PCPs, respectively, the pandemic impacted services utilization and daily work. There were negative impacts (like a decrease in the services utilization or the quality of care), but also positive ones (like improved compliance to hygiene measures and new opportunities).ConclusionOur study highlighted the need for more structured support to PCPs for optimizing their contribution to epidemics control and good primary healthcare in Benin. Efforts in this direction can build on several good practices and opportunities.

OBJECTIVES: To examine the added value of anti-SARS-CoV-2 antibody testing in a nursing home during an acute COVID-19 outbreak. RT-PCR is the gold standard, but can be false-negative. METHODS: 119 residents and 93 staff members were tested with RT-PCR test and/or a rapid IgM/IgG test. Of these participants, 176 had both tests, 24 only RT-PCR, and 12 only IgM/IgG in the period April 14 to 16 April 2020. RESULTS: 40 (34%) residents and 11 (13%) staff were PCR-positive. Using a rapid IgM/IgG test, 17 (17%) residents and 18 (20%) staff were positive for IgM and/or IgG (IgM/IgG). Thirty-two PCR-positive residents had an IgM/IgG test: 9 (28%), 11 (34%), and 13 (41%) were positive for IgM, IgG, and IgM/IgG. Ten PCR-positive staff had an IgM/IgG test: 3 (30%), 6 (60%), and 6 (60%) were positive for IgM, IgG, and IgM/IgG. Additional IgM/IgG tests were performed in 9 residents 11 to 14 days after the positive RT-PCR test. Of those, 7 (78%) tested positive for IgM/IgG. When retested 3 weeks later, the 2 remaining residents also tested positive. Of the 134 PCR-negative participants who had an IgM/IgG test, 15 were positive for IgM/IgG (8% of the 200 participants tested with RT-PCR). CONCLUSIONS: During an acute outbreak in a nursing home, 26% of residents and staff were PCR-positive. An additional 8% was diagnosed using IgM/IgG antibody testing. The use of RT-PCR alone as the sole diagnostic method for surveillance during an acute outbreak is insufficient to grab the full extent of the outbreak. ispartof: ACTA CLINICA BELGICA vol:77 issue:2 pages:295-300 ispartof: location:England status: published

OBJECTIVE: The following study examines how GPs in Flanders deal with dementia in terms of detection, diagnosis, care diagnosis and treatment. METHODS: An online survey was sent out by mail to 5113 Flemish GP’s. Data were collected from February 10 to March 12, 2016. The results were processed in a univariate and multivariate analysis with SAS 9.4 RESULTS: 331 GPs completed the survey in full (response rate 6.47%). The results are representative of GPs of the Flemish Region in terms of distribution across the provinces and university of graduation. 82.78% use the MMSE and 5.44% the DSM criteria. A blood analysis was performed often by 80.97%, a head CT or MRI by 23.56% and 17,22% respectively. Nine of the 331 respondents mapped out the full care planning. The Katz scale was used rarely or never by 25.38. The physical condition of the caregivers was enquired about by 91.69% and their mental state by 96.92%. Acetylcholinesterase inhibitors were prescribed by 94.56%, memantine by 57.70%, ginkgo biloba by 49.85%. 89.73% prefers a medical approach for hallucinations and delusions, 65.26% for aggression, 50.78% for agitation, 71.30% for depression and 48.34% for sleep disorders. Older GPs more often felt their knowledge was insufficient and used more pharmacological treatments. CONCLUSION: Several results were disappointing. GPs are unfamiliar with available detection and diagnostic possibilities. GPs include history taking of carers but underuse available support tools, biochemical analyses and imaging. Post diagnostic care is mapped out insufficiently, despite the fact that GPs focus adequately on their patients’ caregivers. In the pharmacological treatment there is a notable discrepancy between what GPs think and do. Pharmacological policy in BPSD (Behavioural and Psychological Symptoms of Dementia) is most common. GPs highly value the possibility of receiving support by reference physicians. ispartof: Acta Clinica Belgica vol:76 issue:4 pages:1-8-1-8 ispartof: location:England status: Published online

Additional file 1. Characteristics of healthcare-associated infections and antimicrobial prescriptions as reported by the 25 nursing homes participating in all three Belgian HALT surveys, 2010-2016. Table presenting the characteristics of healthcare-associated infections and antimicrobial prescriptions as reported by the 25 nursing homes participating in all three Belgian HALT surveys, 2010-2016.

Supplemental material, sj-pdf-1-pmj-10.1177_02692163221080660 for Trapped in a double cage: How patients��� partners experience the diagnosis of advanced cancer in times of the COVID-19 pandemic: An interpretative phenomenological analysis by Sophie Opsomer, Sofie Joossens, Jan De Lepeleire, Peter Pype and Emelien Lauwerier in Palliative Medicine

Supplemental material, sj-pdf-3-pmj-10.1177_02692163211057749 for Resilience in advanced cancer caregiving. A systematic review and meta-synthesis by Sophie Opsomer, Emelien Lauwerier, Jan De Lepeleire and Peter Pype in Palliative Medicine

Supplemental material, sj-pdf-2-pmj-10.1177_02692163211057749 for Resilience in advanced cancer caregiving. A systematic review and meta-synthesis by Sophie Opsomer, Emelien Lauwerier, Jan De Lepeleire and Peter Pype in Palliative Medicine