112,419 results match your criteria care providers

Outcomes for in-hospital cardiac arrest for COVID-19 patients at a rural hospital in Southern California.

Am J Emerg Med 2021 Apr 27;47:244-247. Epub 2021 Apr 27.

Department of Emergency Medicine, University of California, San Diego, CA, United States of America; Department of Emergency Medicine, El Centro Regional Medical Center, El Centro, CA, United States of America.

Background: In-hospital cardiac arrest (IHCA) carries a high mortality and providing resuscitation to COVID-19 patients presents additional challenges for emergency physicians. Our objective was to describe outcomes of COVID-19 patients suffering IHCA at a rural hospital in Southern California.

Methods: Single-center retrospective observational study. Read More

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Examining Ultrasound Diagnostic Performance Improvement with Utilization of Maternal-Fetal Medicine Tele-Interpretation.

Am J Obstet Gynecol MFM 2021 May 3:100389. Epub 2021 May 3.

Maternal and Child Health Research Center, Department of Obstetrics & Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Background: Telemedicine can extend essential health services to under-resourced settings and improve level and quality of obstetric care. Specifically, evaluation and management of fetal anomalies often requires perinatal subspecialists, rendering prenatal diagnosis essential, and may benefit from telemedicine platforms to improve access to care.

Objective: This study examines the impact of a maternal-fetal medicine (MFM) tele-ultrasound program on diagnostic accuracy of fetal anomalies when deployed within practices where ultrasounds are otherwise interpreted by general obstetricians or family medicine physicians. Read More

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Delayed Referral of Venous Ulcers Increases Resource Utilization.

J Vasc Surg Venous Lymphat Disord 2021 May 3. Epub 2021 May 3.

MedStar Washington Hospital Center, Washington, DC, USA.

Objective: Venous insufficiency is often not readily recognized as a contributing etiology to non-healing wounds by non-vascular surgery specialists, potentially delaying appropriate treatment to achieve wound healing and increasing health care costs. The objective of this study is to understand the time and resources used prior to definitive treatment of venous ulcers.

Methods: A single-institution retrospective chart review of C6 patients undergoing radiofrequency saphenous and perforator vein ablation (RFA) between May 2016 and January 2018 identified 56 patients with 67 diseased limbs. Read More

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Does Advanced Trauma Life Support Training work? 10-Year Follow Up of Advanced Trauma Life Support India Program.

J Am Coll Surg 2021 Apr 28. Epub 2021 Apr 28.

- Sharda Hospital, Greater Noida, Uttar Pradesh, India, & Advanced Trauma Life Support, India.

Background: Studies evaluating the efficacy of ATLS in Low & Middle-income countries (LMICs) are limited. We followed up ATLS providers certified by ATLS India program over a decade (2008-2018), aiming at measuring the benefits, if any, in knowledge, skills & attitude (KSA) from ATLS, and attrition over time.

Methods: Survey instrument was developed taking a cue from published literature on ATLS and improvised using the Delphi method. Read More

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Comparative effectiveness of team-based care with a clinical decision support system versus team-based care alone on cardiovascular risk reduction among patients with diabetes: Rationale and design of the D4C trial.

Am Heart J 2021 May 3. Epub 2021 May 3.

Department of Endocrinology and Diabetes, Xiamen Diabetes Institute, and Xiamen Clinical Medical Center for Endocrine and Metabolic Diseases, the First Affiliated Hospital of Xiamen University, Xiamen, China; Fujian Province Key Laboratory of Diabetes Translational Medicine, Xiamen, China.. Electronic address:

Background: Diabetes has become a major public health challenge worldwide, especially in low- and middle-income countries (LMICs). Uncontrolled hyperglycemia, hypertension, and dyslipidemia major risk factors for all-cause mortality and cardiovascular disease (CVD) are common in patients with diabetes in China. We propose to compare the effectiveness of team-based care plus a clinical decision support system (CDSS) with team-based care alone on glycemic, blood pressure (BP), and lipid control, and clinical CVD reduction among patients with type-2 diabetes and at high risk for CVD. Read More

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Survival time to first antenatal care visit and its predictors among women in Ethiopia.

PLoS One 2021 6;16(5):e0251322. Epub 2021 May 6.

Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia.

Background: First-trimester pregnancy stage is the fastest developmental period of the fetus, in which all organs become well developed and need special care. Yet, many women make their first antenatal visit with the pregnancy already compromised due to fetomaternal complications. This study aimed to fill this dearth using the 2016 national representative data set to augment early antenatal care visits in Ethiopia. Read More

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Unmet Needs Among Breast Cancer Patients in a Developing Country and Supportive Care Needs Survey Validation.

Rev Invest Clin 2021 May 6. Epub 2021 May 6.

oven & Fuerte: Programa para la Atención e Investigación de Mujeres Jóvenes con Cáncer de Mama, Mexico City; Breast Cancer Center, Hospital Zambrano Hellion TecSalud, Tecnologico de Monterrey, NL; Mexico.

Background: Identifying and addressing breast cancer (BC) patients' unmet needs (UN) are crucial due to their possible contribution to higher levels of morbidity, particularly in vulnerable underserved populations, such as Latinas with BC.

Objective: This study aimed to (1) identify and describe the most frequently reported items of moderate-high UN among Mexican women with BC covered by public healthcare insurance; (2) analyze the differences in UN domains according to participants' sociodemographic and clinical characteristics; and (3) validate the Supportive Care Needs Survey-Short Form-34 (SCNS-SF34).

Methods: A cross-sectional study was conducted with 396 consecutive BC patients. Read More

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Clinical Guidelines for Diagnosis and Treatment of Botulism, 2021.

MMWR Recomm Rep 2021 May 7;70(2):1-30. Epub 2021 May 7.

Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, CDC.

Botulism is a rare, neurotoxin-mediated, life-threatening disease characterized by flaccid descending paralysis that begins with cranial nerve palsies and might progress to extremity weakness and respiratory failure. Botulinum neurotoxin, which inhibits acetylcholine release at the neuromuscular junction, is produced by the anaerobic, gram-positive bacterium Clostridium botulinum and, rarely, by related species (C. baratii and C. Read More

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Institutionalizing a Regional Model for Improving Quality of Newborn Care at Birth Across Hospitals in Eastern Uganda: A 4-Year Story.

Glob Health Sci Pract 2021 May 5. Epub 2021 May 5.

Makerere University School of Public Health, Kampala, Uganda.

Introduction: Despite the rapid increase in facility deliveries in Uganda, the number of adverse birth outcomes (e.g., neonatal and maternal deaths) has remained high. Read More

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Addressing Obstetric Health Disparities among Refugee Populations: Training the Next Generation of Culturally Humble OB/GYN Medical Providers.

Teach Learn Med 2020 Oct 8:1-8. Epub 2020 Oct 8.

Department of Obstetrics and Gynecology, University of Iowa, Iowa City, Iowa, USA.

The burden of increasing obstetric morbidity and mortality in the United States disproportionately affects marginalized and vulnerable populations, including refugees. Many factors have been attributed to this disparity in birth outcomes, such as linguistic, cultural, and health system limitations. However, refugee health disparities have received little attention in the U. Read More

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October 2020

Developing a community-based multidisciplinary service exit typology for young adults with serious mental health conditions.

Psychiatr Rehabil J 2021 May 6. Epub 2021 May 6.

Research & Innovation, Youth & Young Adult Services, Thresholds.

Increasingly, community mental health providers are implementing multidisciplinary treatment models blending child and adult evidence-based practices to boost young adult engagement. Although promising, limited research examines how and why young adults disengage from these new models. This study examines provider documentation of treatment discharges to create a more developmentally-attuned young adult service exit typology. Read More

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Investigating the normalization and normative views of gestational weight gain: Balancing recommendations with the promotion and support of healthy pregnancy diets.

Am J Hum Biol 2021 May 6:e23604. Epub 2021 May 6.

Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, Ontario, Canada.

Objectives: Gestational weight gain (GWG) is increasingly monitored in the United States and Canada. While promoting healthy GWG offers benefits, there may be costs with over-surveillance. We aimed to explore these costs/benefits. Read More

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Primary healthcare personnel challenges and barriers on the management of patients with multimorbidity in Albania.

Health Soc Care Community 2021 May 6. Epub 2021 May 6.

Independent Researcher, Heraklion, Crete, Greece.

The number of people living with chronic conditions is increasing worldwide with most of these people receiving the needed healthcare services in primary healthcare (PHC) settings. The objective of this study was to explore the main challenges and barriers that PHC providers confront while treating multimorbid patients. This is a qualitative study utilising semi-structured individual in-depth interviews. Read More

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Perception of Recovery Orientation as a Predictor of Clinician Turnover in Community Mental Health Clinics.

Adm Policy Ment Health 2021 May 6. Epub 2021 May 6.

New York University Silver School of Social Work, 1 Washington Square North, New York, NY, 10003, USA.

Turnover in community mental health clinics threaten the delivery of quality behavioral health services; recovery orientation has been shown to be associated with lower levels of burnout but its relationship with actual turnover has not yet been examined. This study aimed to examine the relationship between provider perceptions of recovery orientation and 12-month turnover status among community mental health providers. Secondary data analyses were conducted with data collected from 224 community mental health providers from ten organizations across 14 clinic sites participating in a larger effectiveness-implementation trial. Read More

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Working in "smart" mode during the Covid-19 pandemic. Validation of a questionnaire in the healthcare sector.

Clin Ter 2021 May;172(3):211-214

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Conclusions: The present tool is adequate to investigate attitudes towards Smart Working among healthcare workers.

Background: During the most difficult phases of the Covid-19 he-alth emergency, when access to the usual work location was not allowed due to the constraints related to the pandemic, Smart Working enabled business continuity in the face of the ongoing health emergency. Mo-dern technology serves a new way of working, allowing workers to effectively manage their professional and personal spheres in a world that increasingly requires them to optimize their time. Read More

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The Journey of Web-Based Education for Caregivers of Persons With Dementia: It Didn't Happen Overnight.

Home Healthc Now 2021 May-Jun 01;39(3):160-168

Family caregivers provide long-term, complex care in home settings where most persons with dementia (PWD) live. These men/women caregivers differ in responses and approaches to caring problems. Following our review of the research literature and needs assessment from caregivers of PWD (group 1), a comparison revealed key caregiver gender differences in caring problems and approaches. Read More

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Carer reported experiences: Supporting someone with a rare disease.

Health Soc Care Community 2021 May 6. Epub 2021 May 6.

Centre for Public Health, School of Medicine Dentistry and Biomedical Sciences, Institute of Clinical Science Block A, Belfast, UK.

This exploratory study aimed to gain an understanding of carer reported experiences derived specifically from persons caring for someone with a rare disease. The survey took place online on the SmartSurvey platform from November 2019 to January 2020. The facilitated workshop took place in Bangor Carnegie Library, Northern Ireland. Read More

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Entering into a system of care: A qualitative study of carers of older community-dwelling Australians.

Health Soc Care Community 2021 May 6. Epub 2021 May 6.

The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.

Informal carers provide the majority of care to older Australians and play an essential role in assisting older people with complex care needs to remain living in their own homes. As such, carers are increasingly faced with systemic responsibilities, including coordinating services across multifaceted health and aged care systems and negotiating treatment and supports. The aim of this study was to explore how systemic complexity and associated work is experienced by carers of older adults and what personal capacities carers draw on in managing the systemic work. Read More

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Elimination of mother-to-child transmission of HIV in Oman: a success story from the Middle East.

East Mediterr Health J 2021 Apr 27;27(4):381-389. Epub 2021 Apr 27.

Directorate General for Disease Surveillance and Control, Ministry of Health, Muscat, Oman.

Background: In January 2016, the National AIDS Programme (NAP) in Oman introduced a package of interventions, including capacity building for service providers, to improve the quality of HIV services.

Aims: To report the impact of these interventions on the rate of vertical HIV transmission in the period from January 2016 to December 2019. We also describe the virological and obstetric outcomes for HIV-infected pregnant women. Read More

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Success Factors for and Barriers to Integration of Electronic Mental Health Screening in Primary Care.

Comput Inform Nurs 2020 Mar 16;38(9):441-450. Epub 2020 Mar 16.

Author Affiliations: Department of Health Systems Science, College of Nursing, University of Illinois at Chicago.

Currently, only a third of primary care providers screen for substance use, which is a growing epidemic. This quality improvement study aimed to improve the screening process by integrating the Drug Abuse Screening Test without information systems support into the electronic health record to increase completed screenings and provider interventions for positive screenings in adult patients at an urban primary care clinic. Electronic drug abuse screening should include a prescreen followed by the Drug Abuse Screening Test, interprofessional approach, comprehensive education, and utilization of generic tools to create new screening forms. Read More

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Understanding interprofessional team delivery of patient-centered care: a qualitative secondary analysis.

J Interprof Care 2021 May 6:1-8. Epub 2021 May 6.

College of Nursing, University of Manitoba, Winnipeg, Canada.

Primary Care providers are expected to deliver patient-centered care (PCC) within teams; however, PCC tends to be studied within the provider-patient dyad, often to the exclusion of interprofessional team relationships. The purpose of this study was to explore how PCC is understood in the context of inter-provider relationships within Collaborative Mental Health Care teams. Previously collected data formed the basis of a qualitative secondary analysis using constructivist grounded theory. Read More

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How we approach thrombosis risk in children with COVID-19 infection and MIS-C.

Pediatr Blood Cancer 2021 May 6:e29049. Epub 2021 May 6.

Division of Clinical Hematology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.

Thrombosis within the microvasculature and medium to large vessels is a serious and common complication among critically ill individuals with coronavirus disease 2019 (COVID-19). While children are markedly less likely to develop severe disease than adults, they remain at risk for thrombosis during acute infection and with the post-acute inflammatory illness termed multisystem inflammatory syndrome in children. Significant knowledge deficits in understanding COVID-19-associated coagulopathy and thrombotic risk pose clinical challenges for pediatric providers who must incorporate expert opinion and personal experience to manage individual patients. Read More

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Psychological factors among Appalachian women with abnormal Pap results.

J Rural Health 2021 May 6. Epub 2021 May 6.

University of Kentucky College of Nursing, Lexington, Kentucky, USA.

Purpose: Women who receive an abnormal Pap result may experience negative psychological factors. The purpose of this study is to assess the baseline occurrence of negative psychological factors and evaluate the relationships between psychological factors and demographic characteristics among Appalachian women who received abnormal Pap results.

Methods: We conducted a secondary analysis of data collected from Appalachia Kentucky women (N = 521) ages ≥18 enrolled in an intervention. Read More

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Providers' perspectives on the performance of primary healthcare centres in India: The missing link.

Int J Health Plann Manage 2021 May 6. Epub 2021 May 6.

Department of Primary Care, Research Institute CAPHRI, Maastricht University, Maastricht, The Netherlands.

Background: Primary healthcare centres (PHCs) form the foundation of the Indian public health system, and thus their effective functioning is paramount in ensuring the population's health. The World Health Organisation (WHO) has set six aspects of performance assessment for general health systems, which are hardly applicable to the PHC setup in a low- and middle-income country. The Primary Health Care Performance Initiative (PHCPI) has prescribed a framework with five domains consisting of 36 indicators for primary healthcare performance assessment from a policy point of view. Read More

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Present as a partner and a parent: Mothers' and fathers' perspectives on father participation in prenatal care.

Infant Ment Health J 2021 May 5. Epub 2021 May 5.

Sandra Rosenbaum School of Social Work, University of Wisconsin-Madison.

Supportive father involvement during pregnancy can positively impact maternal and child outcomes. Father participation in prenatal care is increasing, yet little research exists to understand how mothers and fathers experience father participation in prenatal care and their preferences for father participation. We interviewed expectant first-time mothers (N = 22) and fathers (N = 20) to learn about fathers' participation in prenatal care, perceptions of providers' treatment of fathers, and preferences for father participation. Read More

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Career Ladders for Medical Assistants in Primary Care Clinics.

J Gen Intern Med 2021 May 5. Epub 2021 May 5.

Mack Center on Nonprofit and Public Sector Management in the Human Services, School of Social Welfare, University of California, Berkeley, Berkeley, USA.

Background: This study examines the use of career ladders for medical assistants (MAs) in primary care practices as a mechanism for increasing wages and career opportunity for MAs. A growing body of research on primary care suggests that successful expansion of support staff roles such as MAs may have positive organizational and quality of care outcomes, but little is known about worker outcomes.

Objective: Evaluate the effectiveness of career ladders in improving wages and career opportunity among MAs. Read More

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Health information-seeking behavior and self-care in women with osteoporosis: a qualitative study.

Arch Osteoporos 2021 May 5;16(1):78. Epub 2021 May 5.

Osteoporosis Research Center, Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Jalal Al Ahmad Highway, Next to Shariati Hospital, Tehran, 1411713137, Iran.

The main findings of this study on the self-care behaviors contain "identification of knowledge gaps," "established networking for seeking information," "information from trust-to-distrust," "information-seeking inhibiting factors," "information-seeking facilitating factors," and "self-care behaviors based on required knowledge."

Purpose: Health information-seeking behavior affects self-care and could promote quality of life and life expectancy. This study aimed at assessing health information-seeking and self-care behaviors of women with osteoporosis in Iran. Read More

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Challenges in the Diagnosis of Brodie's Abscess in Subacute Osteomyelitis.

J Orthop Case Rep 2020 May-Jun;10(3):1-4

Department of Pathology, Lake Erie College of Osteopathic Medicine, 1858 W Grandview Blvd, Erie, PA 16509 USA.

Introduction: Subacute osteomyelitis (OM) is a difficult condition to diagnose and treat, further complicated with an atypical presentation of a Brodie's abscess (BA). BA is typically seen in pediatric, male populations, with minimal incidence in adult populations. Concern for malignancy and cold abscess can preempt oncological work-up. Read More

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Pre-emptive live donor kidney transplantation-moving barriers to opportunities: An ethical, legal and psychological aspects of organ transplantation view.

World J Transplant 2021 Apr;11(4):88-98

Imperial College Renal and Transplant Centre, Hammersmith Hospital, London W2 1NY, United Kingdom.

Live donor kidney transplantation (LDKT) is the optimal treatment modality for end stage renal disease (ESRD), enhancing patient and graft survival. Pre-emptive LDKT, prior to requirement for renal replacement therapy (RRT), provides further advantages, due to uraemia and dialysis avoidance. There are a number of potential barriers and opportunities to promoting pre-emptive LDKT. Read More

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