294,624 results match your criteria Professional nurse London England[Journal]


The development of a role description and competency map for pharmacists in an interprofessional care setting.

Int J Clin Pharm 2019 Mar 16. Epub 2019 Mar 16.

Graduate School of Health, University of Technology Sydney, Level 4, Building 7, 67 Thomas St, Ultimo, P.O. Box 123, Sydney, NSW, 2007, Australia.

Background Pharmacists are increasingly being included as members of general practice primary care teams. To date, there have been few published studies describing the competencies of general practice (GP) pharmacists and establishing their subsequent educational needs. Aim of the review The aim of this literature review is to establish the activities of pharmacists in general practice to inform the development of a comprehensive role description and competency map. Read More

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http://dx.doi.org/10.1007/s11096-019-00808-4DOI Listing

The description and definition of Emergency Department Pharmacist Practitioners in the United Kingdom (the ENDPAPER study).

Int J Clin Pharm 2019 Mar 16. Epub 2019 Mar 16.

Division of Pharmacy and Optometry, University of Manchester, Oxford Road, Manchester, M13 9PT, UK.

Background Due to a shortage of emergency department doctors and nurses, hospitals have started to employ pharmacists who have additional clinical skills, known as Emergency Department Pharmacist Practitioners, to help deliver services. Objective To describe, compare and define the Emergency Department Pharmacist Practitioner role. Setting UK emergency departments. Read More

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http://dx.doi.org/10.1007/s11096-019-00799-2DOI Listing

Caffeine inhibits PI3K and mTORC2 in Dictyostelium and differentially affects multiple other cAMP chemoattractant signaling effectors.

Mol Cell Biochem 2019 Mar 16. Epub 2019 Mar 16.

Department of Chemistry and Biochemistry, University of Arizona, Tucson, AZ, USA.

Caffeine is commonly used in Dictyostelium to inhibit the synthesis of the chemoattractant cAMP and, therefore, its secretion and the autocrine stimulation of cells, in order to prevent its interference with the study of chemoattractant-induced responses. However, the mechanism through which caffeine inhibits cAMP synthesis in Dictyostelium has not been characterized. Here, we report the effects of caffeine on the cAMP chemoattractant signaling network. Read More

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http://dx.doi.org/10.1007/s11010-019-03520-zDOI Listing

Brief smoking cessation in acute Welsh hospitals: a realist approach.

Health Promot Int 2019 Mar 15. Epub 2019 Mar 15.

Public Health Wales, Clwydian House, Wrexham Technology Park, Wrexham, UK.

This implementation study sought to determine what works to support brief smoking cessation (BSC) in acute hospital settings, through exploration of organizational delivery and the role of healthcare professionals (HCPs). We used a realist approach, with embedded stakeholder engagement, within a large health organization. We conducted interviews (n = 27), a survey (n = 279) and organization documentation review (n = 44). Read More

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http://dx.doi.org/10.1093/heapro/daz020DOI Listing

Integrated approach for triple elimination of mother-to-child transmission of HIV, hepatitis B and syphilis is highly effective and cost-effective: an economic evaluation.

Int J Epidemiol 2019 Mar 16. Epub 2019 Mar 16.

World Health Organization, Regional Office of the Western Pacific, Division of Communicable Diseases, HIV, Hepatitis and STI Unit.

Background: The Regional Framework for Triple Elimination of Mother-to-Child Transmission (EMTCT) of HIV, Hepatitis B (HBV) and Syphilis in Asia and the Pacific 2018-30 was endorsed by the Regional Committee of WHO Western Pacific in October 2017, proposing an integrated and coordinated approach to achieve elimination in an efficient, coordinated and sustainable manner. This study aims to assess the population impacts and cost-effectiveness of this integrated approach in the Cambodian context.

Methods: Based on existing frameworks for the EMTCT for each individual infection, an integrated framework that combines infection prevention procedures with routine antenatal care was constructed. Read More

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http://dx.doi.org/10.1093/ije/dyz037DOI Listing

Are perceived barriers to accessing mental healthcare associated with socioeconomic position among individuals with symptoms of depression? Questionnaire-results from the Lolland-Falster Health Study, a rural Danish population study.

BMJ Open 2019 Mar 15;9(3):e023844. Epub 2019 Mar 15.

Psychiatric Research Unit, Psychiatry, Region Zealand, Slagelse, Denmark.

Objective: To evaluate if perceived barriers to accessing mental healthcare (MHC) among individuals with symptoms of depression are associated with their socio-economic position (SEP).

Design: Cross-sectional questionnaire-based population survey from the Lolland-Falster Health Study (LOFUS) 2016-17 of 5076 participants.

Participants: The study included 372 individuals, with positive scores for depression according to the Major Depression Inventory (MDI), participating in LOFUS . Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023844DOI Listing

How do doctors in the Netherlands perceive the impact of disciplinary procedures and disclosure of disciplinary measures on their professional practice, health and career opportunities? A questionnaire among medical doctors who received a disciplinary measure.

BMJ Open 2019 Mar 15;9(3):e023576. Epub 2019 Mar 15.

NIVEL, Netherlands institute for health services research, Utrecht, The Netherlands.

Introduction: Disciplinary procedures can have serious consequences for the health, personal life and professional functioning of doctors. Until recently, specific disciplinary measures (reprimands) were publicly disclosed in the Netherlands. The perceived additional impact of disclosing reprimands on the professional and personal life of doctors is unclear. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023576DOI Listing

ACL rupture in the immediate build-up to the Olympic Games: return to elite alpine ski competition 5 months after injury and ACL repair.

BMJ Case Rep 2019 Mar 15;12(3). Epub 2019 Mar 15.

Chirurgie Orthopédique, Centre Orthopédique Santy, Hôpital privé Jean Mermoz, Lyon, France.

Anterior cruciate ligament (ACL) rupture in the immediate build-up to a major international competition can preclude an athletes' participation due to the prolonged period of rehabilitation that is typically required after ACL reconstruction. ACL repair is an alternative strategy that has been postulated to confer the advantage of rapid rehabilitation and earlier return to sport. A 33-year-old professional alpine skier sustained a right knee ACL rupture in September 2017. Read More

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http://dx.doi.org/10.1136/bcr-2018-227735DOI Listing

Cross-sectional analysis of veterinary student coping strategies and stigma in seeking psychological help.

Vet Rec 2019 Mar 16. Epub 2019 Mar 16.

School of Animal and Veterinary Sciences, University of Adelaide, Roseworthy, South Australia, Australia.

Veterinary education can result in high levels of academic stressors for students. Students are also susceptible to non-academic stressors, including relationship issues and financial concerns. These can all result in mental ill health, which may impair the student's ability to complete their studies and go on to a successful professional career. Read More

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http://dx.doi.org/10.1136/vr.105042DOI Listing

Shoulder muscle onset timing during clinical assessment movements is the same in elite handball players as non-athletes: Implications for clinical assessment.

Phys Ther Sport 2019 Mar 6;37:64-68. Epub 2019 Mar 6.

Physiotherapy Department, Universitat Internacional de Catalunya, Barcelona, Spain. Electronic address:

Objectives: This study examines neuromuscular firing patterns in overhead athletes and non-athletes of the periscapular, prime-moving, and rotator cuff muscles during "clinical" cardinal plane physiological movements.

Design: Cohort prospective study.

Setting: EMG recordings were taken of the periscapular, prime-moving, and rotator cuff muscles during flexion, scaption, and abduction performed at fast, medium, and slow speeds with a loaded (3 kg) and unloaded arm. Read More

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http://dx.doi.org/10.1016/j.ptsp.2019.02.007DOI Listing

Barriers and facilitators to smoking cessation within pregnant Aboriginal and/or Torres Strait Islander women: An integrative review.

Midwifery 2019 Mar 7;73:49-61. Epub 2019 Mar 7.

Research Centre for Generational Health and Ageing, Faculty of Health, University of Newcastle, University Drive, Callaghan NSW 2308, Australia.

Objective: To synthesise primary research regarding the facilitators and barriers to smoking cessation amongst Aboriginal and/or Torres Strait Islander women during pregnancy.

Design: An integrative review.

Review Methods: A systematic search of peer-reviewed literature from five databases published from January 2008 to April 2018. Read More

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http://dx.doi.org/10.1016/j.midw.2019.03.003DOI Listing

Brain response features during forced break could predict subsequent recovery in internet gaming disorder: A longitudinal study.

J Psychiatr Res 2019 Mar 9;113:17-26. Epub 2019 Mar 9.

Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Department of Neuroscience, Yale University School of Medicine, New Haven, CT, USA; Department of Child Study Center, Yale University School of Medicine, New Haven, CT, USA; Connecticut Mental Health Center, New Haven, CT, USA.

Although internet gaming disorder (IGD) is associated with negative health measures, individuals may recover without professional intervention. Exploring neural features associated with natural recovery may provide insights into how best to promote health among people with IGD. Seventy-nine IGD subjects were scanned when they were performing cue-craving tasks before and after gaming was interrupted with a forced break. Read More

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http://dx.doi.org/10.1016/j.jpsychires.2019.03.003DOI Listing

Personality traits and personal values as retail pharmacy choice predictors in the context of pharmaceutical care requirements.

Res Social Adm Pharm 2019 Mar 8. Epub 2019 Mar 8.

Faculty of Health Sciences, Medical University in Lublin, Chodźki St. 1, 20-093, Lublin, Poland. Electronic address:

Background: Pharmacists implementing and carrying out Pharmaceutical Care (PhC) need to possess interpersonal ("soft") competencies, similar to physicians, as well as the personality predisposition necessary to maintain effective interpersonal communication involved in a therapeutic relationship. This thesis agrees with John L. Holland's congruence theory according to which the decision to take up a given profession is a specific expression of personality. Read More

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http://dx.doi.org/10.1016/j.sapharm.2019.03.001DOI Listing

Toward a Global Definition of Professionalism for Nutrition and Dietetics Education: A Systematic Review of the Literature.

J Acad Nutr Diet 2019 Mar 13. Epub 2019 Mar 13.

Background: Professionalism of health care practitioners is central to safe and ethical health care, and forms part of the trust that the public places in health care practitioners. Lapses in professionalism in health care present considerable challenges and can have serious consequences and outcomes. Teaching, learning, and assessing professionalism is an important component of nutrition and dietetics education. Read More

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http://dx.doi.org/10.1016/j.jand.2019.01.007DOI Listing

Sexual Dysfunction and Bother Due to Erectile Dysfunction in the Healthy Elderly Male Population: Prevalence from a Systematic Review.

Eur Urol Focus 2019 Mar 13. Epub 2019 Mar 13.

Department of Urology, Amsterdam UMC, VU University Medical Center, Amsterdam, The Netherlands. Electronic address:

Context: Therapies initiated by urologists, medical as well as surgical, may cause adverse effects in different sexual domains. Sexual domains that are often affected are sexual interest, sexual activity, and erectile functioning. As many elderly men undergo these therapies, it is important to know the prevalence of sexual dysfunction (SD) in these domains and its impact in the healthy elderly male population. Read More

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http://dx.doi.org/10.1016/j.euf.2019.03.004DOI Listing

Corrigendum to "Simultaneous scalp EEG improves seizure lateralization during unilateral intracranial EEG evaluation in temporal lobe epilepsy" [Seizure 64 January (2019) 8-15].

Seizure 2019 Mar 14. Epub 2019 Mar 14.

Department of Neurology, Baylor College of Medicine, Houston, TX, 77030, United States; Neurology Care Line, VA Houston Medical Center, Houston, TX, 77030, United States.

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http://dx.doi.org/10.1016/j.seizure.2019.03.002DOI Listing

Delays in oral cavity cancer.

Int J Oral Maxillofac Surg 2019 Mar 13. Epub 2019 Mar 13.

Department of Oral and Maxillofacial Surgery, McGill University Health Centre, Montreal, Quebec, Canada. Electronic address:

While the prognosis for early-stage oral cavity cancer is relatively good; the majority of patients are still diagnosed with advanced-stage disease on presentation with an associated poorer prognosis. The aims of this review are to summarize our current understanding of delays in oral cavity cancer and their impact on stage at diagnosis and survival. The delays pathway can be subdivided into three components: patient, professional, and treatment delays. Read More

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http://dx.doi.org/10.1016/j.ijom.2019.02.015DOI Listing

Potential Markers of Autoimmune Diseases, Alleles rs115662534(T) and rs548231435(C), Disrupt the Binding of Transcription Factors STAT1 and EBF1 to the Regulatory Elements of Human CD40 Gene.

Biochemistry (Mosc) 2018 Dec;83(12):1534-1542

Engelhardt Institute of Molecular Biology, Russian Academy of Sciences, Moscow, 119991, Russia.

CD40 receptor is expressed on B lymphocytes and other professional antigen-presenting cells. The binding of CD40 to its ligand CD154 on the surface of T helper cells plays an important role in the activation of B lymphocytes required for production of antibodies, in particular, against autoantigens. Association of several single nucleotide polymorphisms (SNPs) located in the non-coding areas of human CD40 locus with the elevated risk of autoimmune diseases has been demonstrated. Read More

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http://dx.doi.org/10.1134/S0006297918120118DOI Listing
December 2018

Student nurses' lived experience of patient safety and raising concerns.

Nurse Educ Today 2019 Feb 27;77:1-5. Epub 2019 Feb 27.

Faculty of Health & Life Sciences, University Of Northumbria, Newcastle, Coach Lane Campus, Benton, Newcastle upon Tyne NE7 7XA, United Kingdom of Great Britain and Northern Ireland.

Introduction: Following the investigation into the Mid Staffordshire Hospital (United Kingdom) and the subsequent Francis reports (2013 and 2015), all healthcare staff, including students, are called upon to raise concerns if they are concerned about patient safety. Despite this advice, it is evident that some individuals are reluctant to do so and the reasons for this are not always well understood.

Study Aim: This research study provides an insight into the factors that influence student nurses to speak up or remain silent when witnessing sub-optimal care. Read More

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http://dx.doi.org/10.1016/j.nedt.2019.02.015DOI Listing
February 2019

Cerebellar pathology in Alzheimer's disease.

Hell J Nucl Med 2019 Jan-Apr;22 Suppl:174-179

Leeds Teachnig Hospitals NHS TRUST, University of Leeds, Leeds, England, UK.

Alzheimer's disease (AD) is one of the main causes of dementia in the western world. It is clinically characterized by memory impairment, deterioration of intellectual faculties and loss of professional skills. AD brains exhibit significant atrophy, predominantly in the temporal and parietal lobes, while light microscopy reveals deposition of senile plaques and neurofibrillary degeneration initially in the entorhinal cortex, the hippocampus, and in the acoustic and visual cortices, in the frontal lobe and the cerebellum in the advanced stages. Read More

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January 2019

Differences between professional and non-professional drivers with cognitive disorders.

Hell J Nucl Med 2019 Jan-Apr;22 Suppl:17-31

Department of Occupational Therapy, University of West Attica, Athens, Greece.

Aim: The study describes the driving habits of people with cognitive disorders and previous professional driving experience. A similar study has not been mentioned in the literature.

Method: From a total of 639 drivers who participated in the research, 153 participants were selected based on their answer on an extensive driving questionnaire. Read More

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January 2019

Latest Updates on Lipid Management.

High Blood Press Cardiovasc Prev 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiology, The Adelaide and Meath Hospital Dublin, Incorporating the National Children Hospital, Tallaght Hospital, Tallaght, Dublin 24, Ireland.

Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of death worldwide. Despite the clinical long-term and near-term benefits of lowering cholesterol in, respectively, primary and secondary prevention of ASCVD, cholesterol levels remain under-treated, with many patients not achieving their recommended targets. The present article will review the latest updates on lipid management with emphases on the different classes of cholesterol-lowering agents and their clinical uses. Read More

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http://link.springer.com/10.1007/s40292-019-00306-8
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http://dx.doi.org/10.1007/s40292-019-00306-8DOI Listing
March 2019
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Applied Epidemiology Training Needs for the Modern Epidemiologist.

Am J Epidemiol 2019 Mar 16. Epub 2019 Mar 16.

Emergency Response and Recovery Branch, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia.

Applied epidemiology training occurs throughout an epidemiologist's career, beginning with academic instruction before workforce entry, continuing as professional development while working, and culminating with mentoring the next generation. Epidemiologists need ongoing training on advancements and relevant topics (e.g. Read More

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http://dx.doi.org/10.1093/aje/kwz052DOI Listing

On Being an Epidemiologist.

Am J Epidemiol 2019 Mar 16. Epub 2019 Mar 16.

School of Population Health, University of Auckland, Auckland, New Zealand.

This commentary addresses being an epidemiologist at a time when the field of epidemiology again faces a paradigm shift as the tools for research on human health draw increasingly on emerging technologies-various omics and new methods for collecting individual data at high intensity-and on new methods for carrying out research through administrative and healthcare data bases linked to biobanks. At the same time, epidemiologists in public health practice continue to face the usual array of challenges, but with the threat of global issues as well. The profession of epidemiologist is not monolithic, but embraces a broad range of activities and professional venues, reflecting the many contexts where epidemiologists do their work, the nature of the problems addressed, and the span and application of their findings. Read More

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http://dx.doi.org/10.1093/aje/kwy279DOI Listing

Interprofessional Teamwork During Family Meetings in the Pediatric Cardiac Intensive Care Unit.

J Pain Symptom Manage 2019 Mar 12. Epub 2019 Mar 12.

Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Background: Parents of children in the pediatric cardiac intensive care unit (CICU) report inadequate communication and a lack of empathy during conversations with their clinicians.

Objective: To assess quantitatively and qualitatively the contributions made by team members of different professions in communicating with parents during family meetings.

Design: Prospective observational study. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.03.002DOI Listing

Walking a tightrope: drug discovery in visceral leishmaniasis.

Drug Discov Today 2019 Mar 12. Epub 2019 Mar 12.

Departamento de Ciencias Biomédicas, Universidad de León, Campus de Vegazana, E-24071 León, Spain. Electronic address:

The current commitment of the pharma industry, nongovernmental organizations and academia to find better treatments against neglected tropical diseases should end decades of challenge caused by these global scourges. The initial result of these efforts has been the introduction of enhanced combinations of drugs, currently in clinical use, or formulations thereof. Phenotypic screening based on intracellular parasite infections has been revealed as the first key tool of antileishmanial drug discovery, because most first-in-class drugs entering Phase I trials were discovered this way. Read More

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http://dx.doi.org/10.1016/j.drudis.2019.03.007DOI Listing

Laryngeal and Pharyngeal Movements During Inner Singing: A Cross-Sectional Study.

J Voice 2019 Mar 12. Epub 2019 Mar 12.

Department of Otorhinolaryngology/Phoniatrics, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.

Introduction: Laryngeal and pharyngeal activity during inner singing is discussed in the context of vocal hygiene. Inner singing is defined as imagined singing, reading music silently, and listening to vocal music. When vocal rest is prescribed, doctors, speech therapists, and voice pedagogues recommend avoiding listening to music or reading music silently, since it is suggested that inner singing unconsciously influences the glottis, and thus moves the vocal folds involuntarily. Read More

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http://dx.doi.org/10.1016/j.jvoice.2019.02.011DOI Listing

Context and implementation of advanced nursing practice in two countries: An exploratory qualitative comparative study.

Nurs Outlook 2019 Feb 11. Epub 2019 Feb 11.

Hospital Clínic of Barcelona, Barcelona, Spain.

Background: The complexity and difficulties involved in the development and implementation of health innovations, such as advanced practice nursing roles, result in slow and sporadic international acceptance. To manage this complexity, it is advisable to deepen understanding of the context in which these innovation processes take place. However, there is little research specifically concerned with contextual factors that influence the implementation of advanced practice nursing roles. Read More

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http://dx.doi.org/10.1016/j.outlook.2019.02.002DOI Listing
February 2019

Analysis of the impact of health and safety coordinator on construction site accidents: The case of Spain.

J Safety Res 2019 Feb 28;68:149-156. Epub 2018 Dec 28.

Departamento de Tecnología de la Edificación, Universidad Politécnica de Madrid, Madrid, Spain.

The figure of the Health and Safety Coordinator (HSC), as a necessary and competent engineer in the construction sector, emerged in Spain on December 25, 1997 as a result of the implementation of European Directive 92/57/EEC. The coming of age of this figure is a sufficient period of time for determining its implementation and impact within the construction sector. The research carried out in this article arose from the analysis of statistical data obtained through Public Authorities and Professional Bodies. Read More

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http://dx.doi.org/10.1016/j.jsr.2018.12.012DOI Listing
February 2019

An illusion of objectivity in workplace investigation: The cause analysis chart and consistency, accuracy, and bias in judgments.

J Safety Res 2019 Feb 24;68:139-148. Epub 2018 Dec 24.

Department of Psychology, Simon Fraser University, Burnaby, British Columbia, Canada.

Introduction: Investigation tools used in occupational health and safety events need to support evidence-based judgments, especially when employed within biasing contexts, yet these tools are rarely empirically vetted. A common workplace investigation tool, dubbed for this study the "Cause Analysis (CA) Chart," is a checklist on which investigators select substandard actions and conditions that apparently contributed to a workplace event. This research tests whether the CA Chart supports quality investigative judgments. Read More

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http://dx.doi.org/10.1016/j.jsr.2018.12.008DOI Listing
February 2019

Partial-body cryostimulation after training improves sleep quality in professional soccer players.

BMC Res Notes 2019 Mar 15;12(1):141. Epub 2019 Mar 15.

Laboratoire Mobilité Vieillissement Exercice (MOVE)-EA6314, Faculty of Sport Sciences, University of Poitiers, 8 allée Jean Monnet, 86000, Poitiers, France.

Objective: The aim of the present investigation was to determine whether using cryostimulation (partial-body cryostimulation) impacts sleep quality in professional soccer players. Different exposure durations at - 180 °C were tested randomly after standardized training sessions in nine professional soccer players (no cryostimulation, 180-s exposure, two 90-s exposures separated by a 5-min rest at room temperature, and 90-s exposure), and the effects on sleep quality using 3-dimensional accelerometers worn during sleep were assessed.

Results: The number of movements during the night after partial-body cryostimulation was significantly reduced only in the 180-s exposure condition (p < 0. Read More

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http://dx.doi.org/10.1186/s13104-019-4172-9DOI Listing

Upper limb strength training in subacute stroke patients: study protocol of a randomised controlled trial.

Trials 2019 Mar 15;20(1):168. Epub 2019 Mar 15.

Asklepios Kliniken Schildautal, Zentrum für Neurologie, Seesen, Germany.

Background: Stroke patients are often affected by arm paresis, have functional impairments and receive help from professional or informal caregivers. Progressive resistance training is a common intervention for functional impairments after paresis. Randomised controlled trials (RCT) showed benefits for functional recovery after resistance training. Read More

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http://dx.doi.org/10.1186/s13063-019-3261-3DOI Listing

Moving healthcare professionals - a whole system approach to embed physical activity in clinical practice.

BMC Med Educ 2019 Mar 15;19(1):84. Epub 2019 Mar 15.

Public Health, Birmingham City Council, Birmingham, UK.

Background: Healthcare professionals are key informants to support individual behaviour change, and although there has been some progress in empowering clinicians to promote physical activity and health at work, an effective strategy overarching the whole medical educational journey is still lacking. This report provides an overview from the Moving Healthcare Professionals programme (MHPP), a whole-system educational approach to embed prevention and physical activity promotion into clinical practice.

Methods: The MHPP model integrates educational resources into three core domains of medical education: undergraduate education, postgraduate education and continuing professional development. Read More

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http://dx.doi.org/10.1186/s12909-019-1517-yDOI Listing

Women's experiences of receiving care for pelvic organ prolapse: a qualitative study.

BMC Womens Health 2019 Mar 15;19(1):45. Epub 2019 Mar 15.

Nursing Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, UK.

Background: Pelvic organ prolapse is a common urogenital condition affecting 41-50% of women over the age of 40. To achieve early diagnosis and appropriate treatment, it is important that care is sensitive to and meets women's needs, throughout their patient journey. This study explored women's experiences of seeking diagnosis and treatment for prolapse and their needs and priorities for improving person-centred care. Read More

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http://dx.doi.org/10.1186/s12905-019-0741-2DOI Listing

Dendritic cells are what they eat: how their metabolism shapes T helper cell polarization.

Curr Opin Immunol 2019 Mar 12;58:16-23. Epub 2019 Mar 12.

Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands. Electronic address:

Dendritic cells (DCs) are professional antigen-presenting cells that play a crucial role in the priming and differentiation of CD4 T cells into several distinct subsets including effector T helper (Th) 1, Th17 and Th2 cells, as well as regulatory T cells (Tregs). It is becoming increasingly clear that cellular metabolism shapes the functional properties of DCs. Specifically, the ability of DCs to drive polarization of different Th cell subsets may be orchestrated by the engagement of distinct metabolic pathways. Read More

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http://dx.doi.org/10.1016/j.coi.2019.02.003DOI Listing

Children Navigating Parental Cancer: Outcomes of a Psychosocial Intervention.

Compr Child Adolesc Nurs 2019 Mar 15:1-17. Epub 2019 Mar 15.

c Reader in Clinical Cancer Nursing, Ulster University/South Eastern Health and Social Care Trust, School of Nursing , Ulster University , Newtownabbey , Northern Ireland.

Research has evidenced a marked increase in the prevalence of cancer among younger people with up to one in five, parenting children under the age of 18 years of age. When a parent is diagnosed with cancer they experience fears and anxieties as they attempt to simultaneously manage their role as a parent, with the illness experience. Parents have expressed difficulties in knowing how to communicate appropriately with their children throughout the illness trajectory as they are primarily focused on protecting or shielding their children from knowledge of the illness. Read More

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https://www.tandfonline.com/doi/full/10.1080/24694193.2019.1
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http://dx.doi.org/10.1080/24694193.2019.1582727DOI Listing
March 2019
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Factors influencing primary care providers' decisions to accept new Medicaid patients under Michigan's Medicaid expansion.

Am J Manag Care 2019 Mar;25(3):120-127

Division of General Medicine, Department of Internal Medicine, University of Michigan, North Campus Research Complex, Bldg 16, Room 419W, 2800 Plymouth Rd, Ann Arbor, MI 48109-2800. Email:

Objectives: Michigan expanded Medicaid under the Affordable Care Act (ACA) through a federal waiver that permitted state-mandated features, including an emphasis on primary care. We investigated the factors associated with Michigan primary care providers (PCPs)' decision to accept new Medicaid patients under Medicaid expansion.

Study Design: Statewide survey of PCPs informed by semistructured interviews. Read More

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[How do I come across like an authentic doctor?]

Authors:
David Engelhard

Ned Tijdschr Geneeskd 2019 Mar 7;163. Epub 2019 Mar 7.

Leiden: drs. D. Engelhard, sinoloog en bestuurskundige.

'The more my patient looks like a real patient, the more I will look like a real doctor.' Certain young medical professionals may think that way, as they widen the gap between themselves as 'trained professionals' and their patients as 'ignorant laymen'. Medical doctors and patients have a relationship with each other. Read More

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Assessment of public health interventions for decision support: methods & processes of the evaluation of the Austrian screening programme for pregnant women & children.

Wien Med Wochenschr 2019 Mar 12. Epub 2019 Mar 12.

Ludwig Boltzmann Institute for Health Technology Assessment, Garnisongasse 7/20, 1090, Vienna, Austria.

Background: In 2010, the Austrian Ministry of Health (MoH) commissioned the Ludwig Boltzmann Institute for Health Technology Assessment (LBI-HTA) to prepare decision support for the reorientation of the national screening programme for pregnant women and children ("Mutter-Kind-Pass"). This is one of several reports aimed at giving an overview of recommended screening measures.

Methods: By conducting a guideline synopsis, we summarised screening recommendations from guidelines of high methodological quality. Read More

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http://dx.doi.org/10.1007/s10354-019-0690-2DOI Listing

Verifying Head Impacts Recorded by a Wearable Sensor using Video Footage in Rugby League: a Preliminary Study.

Sports Med Open 2019 Mar 14;5(1). Epub 2019 Mar 14.

Hunter New England Local Health District Sports Concussion Program, New Lambton Heights, New South Wales, Australia.

Background: Rugby league is a full-contact collision sport with an inherent risk of concussion. Wearable instrumented technology was used to observe and characterize the level of exposure to head impacts during game play.

Purpose: To verify the impacts recorded by the x-patch™ with video analysis. Read More

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http://dx.doi.org/10.1186/s40798-019-0182-3DOI Listing

[Medical assistant-a profession in a state of flux].

Z Rheumatol 2019 Mar 12. Epub 2019 Mar 12.

rheumapraxis an der hase, Osnabrück, Deutschland.

New treatment strategies and treatment possibilities as well as undertreatment due to the lack of medical specialists especially in rheumatology, necessitate a qualified further training of rheumatological assistant personnel. The increasing independent work of medical and rheumatological assistants expected by physicians with respect to patient management and practice organization, necessitates an intensive cooperation between the two professional groups. The aim is to guarantee the competent treatment of chronically ill patients with rheumatism. Read More

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http://link.springer.com/10.1007/s00393-019-0610-2
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http://dx.doi.org/10.1007/s00393-019-0610-2DOI Listing
March 2019
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[Data protection in telemedicine].

Authors:
H Garstka

Hautarzt 2019 Mar 12. Epub 2019 Mar 12.

, Meßmerstr. 26, 12277, Berlin, Deutschland.

The lawfulness of telemedical applications themselves is beyond question from the point of view of data protection. However demands have to be met in two respects to make the procedures legitimate: On the one hand, the informed consent of the participating patients is necessary, on which high demands have to be made. On the other hand, a high level of data security has to be ensured, especially if providers who are not professionals subject to professional secrecy partake in the application. Read More

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http://dx.doi.org/10.1007/s00105-019-4380-1DOI Listing

Professional autonomy and surveillance: the case of public reporting in cardiac surgery.

Sociol Health Illn 2019 Mar 15. Epub 2019 Mar 15.

Imperial College London, London, UK.

Professional autonomy has come under greater scrutiny due to managerialism, consumerism, information and communication technologies (ICT), and the changing composition of professions themselves. This scrutiny is often portrayed as a tension between professional and managerial logics. Recently, medical autonomy has increasingly been shaped in terms of transparency, where publication of clinical performance (via ICT) might be a more pervasive form of surveillance. Read More

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http://dx.doi.org/10.1111/1467-9566.12883DOI Listing

HOW DOES SOCIETAL REACTION TO CHILDRENS HEALTH ISSUES CONTRIBUTE TO HEALTH POLICY IN EUROPE? RESULTS OF A SURVEY.

Child Care Health Dev 2019 Mar 15. Epub 2019 Mar 15.

Section of Paediatrics, Imperial College London, UK.

Background: In the European context the awareness of societal responsibility for children's health has increased with greater attention to children's rights and child empowerment processes. Child health issues are considered particularly sensitive, thus they often provoke strong societal reactions which, as a consequence, influence national health policies across Europe. Effectiveness of societal influences increases with the involvement of various actors in the context. Read More

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http://dx.doi.org/10.1111/cch.12657DOI Listing
March 2019
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Comparative Evaluation of Resin Infiltration and Remineralisation of Noncavitated Smooth Surface Caries Lesions: 6-month Results.

Oral Health Prev Dent 2019 Mar 14:1-8. Epub 2019 Mar 14.

Purpose: To compare the therapeutic effects of the resin infiltration technique, self-assembling peptide (P11-4), and fluoride varnish application on white spot lesions (WSLs) on buccal surfaces based on LF pen measurements and LAA-ICDAS scores.

Materials And Methods: The lesions of 113 patients from a total of 319 patients with at least four visible WSL on buccal surfaces were assessed by LAA-ICDAS and laser fluoresence (LF pen). To be included in the study, participants were required to have at least 4 buccal WLSs, each in different quadrants, with an LF pen score ≥ 8. Read More

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http://dx.doi.org/10.3290/j.ohpd.a42203DOI Listing

To What Degree Are the 13 Entrustable Professional Activities Already Incorporated Into Physicians' Performance Schemas for Medical Students?

Teach Learn Med 2019 Mar 15:1-9. Epub 2019 Mar 15.

d Department of Anesthesiology , University of Utah School of Medicine , Salt Lake City , Utah , USA.

Phenomenon: There is an abundance of literature on Entrustable Professional Activities (EPAs) in theory, but there are few studies on the EPAs in practice for undergraduate clinical education. In addition, little is known about the degree to which the EPAs are or are not aligned with physician assessors' performance schemas of the clerkship student. Investigating the degree to which physician assessors' performance schemas are already aligned with the activities described by the EPAs is critical for effective workplace assessment design. Read More

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http://dx.doi.org/10.1080/10401334.2019.1573146DOI Listing

Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study.

Ann Glob Health 2018 Apr 30;84(1):91-99. Epub 2018 Apr 30.

Department of Medicine, Makerere University, College of Health Sciences, Kampala, UG.

Objective: We set out to assess inequalities to access health professional education, and the impact of an education improvement program supported by MEPI (Medical Education Partnership Initiative). Inequalities in the higher education system in sub-Saharan Africa remain despite some transformative policies and affirmative action.

Methods: We reviewed enrollment data from four universities for the period 2001-2014 for various health professional training programs, and conducted group discussions through an iterative process with selected stakeholders, and including a group of education experts. Read More

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http://dx.doi.org/10.29024/aogh.7DOI Listing

Validation of a Career Guidance Brochure for Student Nurses Using the Nominal Group Technique.

Ann Glob Health 2018 Apr 30;84(1):77-82. Epub 2018 Apr 30.

Graduate Support Research and Innovation Department, University of Pretoria, ZA.

Background: Nursing is a career which, especially for male students, requires one making an informed choice prior to pursuing it. A mixed-method, qualitative study, investigating the professional socialization process of male student nurses in Malawi found that most students did not make an informed choice regarding their selected career. This resulted in some of them facing many challenges which compromised their academic performance, and in some cases, contributed to high attrition rates. Read More

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http://dx.doi.org/10.29024/aogh.4DOI Listing

Strengthening the Quality and Quantity of the Nursing and Midwifery Workforce: Report on Eight Years of the NEPI Project.

Ann Glob Health 2018 Apr 30;84(1):31-35. Epub 2018 Apr 30.

ICAP at Columbia University, New York, US.

In response to the urgent need to scale up access to antiretroviral therapy, the Global Nursing Education Partnership Initiative (GNCBP), a PEPFAR program administered by the U.S. Department of Health Resources and Services Administration (HRSA), was implemented from 2011 to 2018 by ICAP at Columbia University. Read More

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https://www.annalsofglobalhealth.org/article/10.29024/aogh.6
Publisher Site
http://dx.doi.org/10.29024/aogh.6DOI Listing
April 2018
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