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Are We Ready to Integrate Artificial Intelligence Literacy into Medical School Curriculum: Students and Faculty Survey.

J Med Educ Curric Dev 2021 Jan-Dec;8:23821205211024078. Epub 2021 Jun 23.

Medical College of Georgia at Augusta University, USA.

Background: The effects of Artificial Intelligence (AI) technology applications are already felt in healthcare in general and in the practice of medicine in the disciplines of radiology, pathology, ophthalmology, and oncology. The expanding interface between digital data science, emerging AI technologies and healthcare is creating a demand for AI technology literacy in health professions.

Objective: To assess medical student and faculty attitudes toward AI, in preparation for teaching AI foundations and data science applications in clinical practice in an integrated medical education curriculum. Read More

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Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect on patients' outcomes.

Nurs Forum 2021 Jun 30. Epub 2021 Jun 30.

Family and Community Health Nursing Department, Faculty of Nursing, Menoufyia University, Menoufyia, Egypt.

The purpose of this study was to examine the effect of application of team strategies and tools to enhance performance and patient safety at primary healthcare units on patients' safety and outcomes. Team Strategies and Tools to Enhance Performance and Patient Safety (Team STEPPS) are specially intended to enhance patient safety through effective communication and teamwork skills. To examine, a quasi-experimental (pre-posttest) design was utilized. Read More

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Burnout Toll on Empathy Would Mediate the Missing Professional Support in the COVID-19 Outbreak.

Risk Manag Healthc Policy 2021 31;14:2231-2244. Epub 2021 May 31.

"Pius Branzeu" County Emergency Hospital, Timisoara, Romania.

Purpose: The year 2020 was marked by the COVID-19 pandemic, massively disruptive at the general population level and for healthcare systems. We aimed to evaluate the psychological distress associated with work-related experiences among medical professionals and supporting staff during the pandemic outbreak.

Patients And Methods: A cross-sectional survey was conducted between April and May 2020, employing a self-administered on-line questionnaire that included the collection of socio-demographic and professional status information, Hamilton Anxiety Rating Scale, nine-item Patient Health Questionnaire (PHQ-9), Maslach Burnout Inventory - General Survey, Connor-Davidson Resilience Scale, and a subscale of the International Personality Item Pool (IPIP) for empathy. Read More

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Translation, cultural adaptation and reproducibility of a Portuguese version of the Functional Index for Hand OsteoArthritis (FIHOA).

Adv Rheumatol 2021 06 5;61(1):30. Epub 2021 Jun 5.

Department of Internal Medicine - Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brazil.

Background: The Functional Index for Hand Osteoarthritis (FIHOA) is a simple, reliable, and reproducible specific instrument to evaluate hand OA that can be applied both in clinical practice and research protocols. In order to be used in Brazil, FIHOA has to be translated into Portuguese, culturally adapted and have the reliability of the translated FIHOA version tested, which is the purpose of this study.

Methods: The FIHOA was translated into Brazilian Portuguese and administered to 68 patients with hand OA recruited between May 2019 and February 2020. Read More

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Determining the impact of an interprofessional simulation focused on social determinants of health among pharmacy students.

Curr Pharm Teach Learn 2021 Jul 2;13(7):779-783. Epub 2021 Apr 2.

University of Kansas, School of Pharmacy, 2010 Becker Dr., Lawrence, KS 66047, United States.

Introduction: The purpose of this study was to determine the impact on pharmacy students' self-perception of knowledge, skills, collaborative behavior, and satisfaction after participating in an interprofessional (IP) simulation focused on social determinants of health (SDOH) and substance use.

Methods: Pharmacy students completed a voluntary questionnaire after participating in an IP simulation focused on SDOH and substance use where they collaborated with social work (SW) students. Questions assessed the students' understanding and knowledge of SDOH and students' confidence in asking patients about their substance use, willingness to refer patients to SW, and satisfaction with the simulation. Read More

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Distress, Depression, Anxiety, and Concerns and Behaviors Related to COVID-19 during the First Two Months of the Pandemic: A Longitudinal Study in Adult MEXICANS.

Behav Sci (Basel) 2021 May 13;11(5). Epub 2021 May 13.

Facultad de Psicología, Campus Norte, Universidad Anáhuac México, Universidad Anáhuac Avenue #46, Lomas Anáhuac, 52786 Huixquilucan, Mexico.

We examined longitudinal differences in the severity of distress, depression, anxiety, and concerns and behaviors related to COVID-19 during the first two months of this pandemic, correlations between these variables, and interactions of distress with significant sociodemographics across waves. A longitudinal online survey was conducted in the State of Mexico, from 8 April to 27 May, 2020, in a sample of men and women between 18 and 60 years old, using: Impact of Event Scale-6, Patient Health Questionnaire-9, General Anxiety Disoder-7, and a questionnaire of concerns and behaviors related to COVID-19. Six hundred seventy participants were analyzed. Read More

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Routine use of the Bath Adolescent Pain Questionnaire in a paediatric pain clinic.

Br J Pain 2021 May 6;15(2):155-162. Epub 2020 Jun 6.

Sheffield Children's Hospital NHS Trust, Sheffield, UK.

Introduction: Assessment of outcomes from health interventions are of increasing importance, primarily to identify effective and safe treatment, but also to justify funding decisions. The Bath Adolescent Pain Questionnaire (BAPQ) is a self-report questionnaire, validated in 11-18 year olds, assessing the impact of pain in multiple domains of adolescent life. The similarly validated Bath Adolescent Pain Questionnaire for Parents (BAPQ-P) uses the same domains as the BAPQ, assessing the functioning and development of the adolescent from the parents' perspective. Read More

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Towards an ICF-based self-report questionnaire for people with skeletal dysplasia to study health, functioning, disability and accessibility.

Orphanet J Rare Dis 2021 05 22;16(1):236. Epub 2021 May 22.

Validia Ltd, Validia Rehabilitation, Nordenskiöldinkatu 18 B, 00250, Helsinki, Finland.

Background: Little is known about the spectrum of everyday challenges that people with skeletal dysplasia face because of their health and functioning. We aimed to identify factors related to health, functioning and disability in people with skeletal dysplasia, and their challenges with accessibility in order to form a self-reported questionnaire for national data collection. The comprehensive musculoskeletal post-acute core set of the International Classification of Functioning, Disability and Health (ICF) was used as a framework. Read More

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Effects of an eHealth Intervention on Patient-Provider Interaction and Functional Health Literacy in Adults With Hypertension.

SAGE Open Nurs 2021 Jan-Dec;7:23779608211005863. Epub 2021 Apr 27.

School of Nursing, King AbdulAziz University, Jeddah, Saudi Arabia.

Introduction: Hypertension is a life-limiting, chronic condition affecting millions of Americans. Modifiable factors, quality of the patient-provider interaction and functional health literacy, have been linked to effective hypertension self-management. However, there has been limited interventional research targeting these modifiable factors. Read More

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Hesitancy to Return to the Pre-pandemic Routine.

J Ration Emot Cogn Behav Ther 2021 May 4:1-17. Epub 2021 May 4.

1St Department of Psychiatry, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, General Hospital "Papageorgiou", Ring Road Thessaloniki, N. Efkarpia, 54603 Thessaloníki, Greece.

The goal of the present study was to explore COVID-19 related hesitancy, which represents the inability of people to return to previous levels of functioning after a major medical crisis like the current pandemic. A new questionnaire was developed to evaluate participants' hesitancy. The study was conducted online in November, 2020, using convenience sampling. Read More

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Nurse-managed education: the effectiveness of secondary prevention after acute coronary syndromes and the prevalence and predictors of dropout from a cardiac rehabilitation programme.

Postepy Kardiol Interwencyjnej 2021 Mar 27;17(1):46-53. Epub 2021 Mar 27.

Department of Internal Medicine, Collegium Medicum, Jan Kochanowski University, Kielce, Poland.

Introduction: Education programmes are now very often used to limit the consequences associated with a steady increase in the incidence of cardiovascular disease. It is important to assess the effectiveness of these programmes and the reasons why people drop out.

Aim: To evaluate the effects of intensive education of patients undergoing acute invasive cardiology procedures compared to the control group (patients educated in a classical way). Read More

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Predicting Emotional States Using Behavioral Markers Derived From Passively Sensed Data: Data-Driven Machine Learning Approach.

JMIR Mhealth Uhealth 2021 03 22;9(3):e24465. Epub 2021 Mar 22.

Signal Theory and Communications Department, Universidad Carlos III de Madrid, Leganés, Spain.

Background: Mental health disorders affect multiple aspects of patients' lives, including mood, cognition, and behavior. eHealth and mobile health (mHealth) technologies enable rich sets of information to be collected noninvasively, representing a promising opportunity to construct behavioral markers of mental health. Combining such data with self-reported information about psychological symptoms may provide a more comprehensive and contextualized view of a patient's mental state than questionnaire data alone. Read More

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Delivering Difficult News: Simulation-Enhanced Training Improves Psychiatry Residents' Clinical Communication Skills.

Front Psychiatry 2021 5;12:649090. Epub 2021 Mar 5.

MSR-Israel Center for Medical Simulation, Sheba Medical Center, Ramat Gan, Israel.

Delivering difficult news to individuals diagnosed with mental health disorders and their family members can be challenging. The use of simulated patients (SP) is an effective teaching method to enhance clinical skills, particularly those around communication. We developed, implemented, and evaluated the effectiveness of an SP-based training module to improve psychiatric residents' clinical communication skills in delivering difficult news. Read More

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Autopsy-Based Learning is Essential But Underutilized in Medical Education: A Questionnaire Study.

Anat Sci Educ 2021 Mar 17. Epub 2021 Mar 17.

Department of Forensic Medicine, Research Unit of Internal Medicine, Medical Research Center Oulu, University of Oulu, Oulu, Finland.

To this day, autopsies and dissections have been essential in medical education, but declining autopsy numbers have endangered this long-standing tradition. Students' perceptions of these teaching methods should be constantly updated to help educators understand how to achieve their teaching goals. The purpose of this study was to explore the state of autopsy- and dissection-based teaching in two Finnish universities based on the experiences of the students, survey their perceptions of such teaching, and to compare the Finnish situation with students' perceptions in other countries as it emerges from medical literature. Read More

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Scaling Up Patient-Centered Interdisciplinary Care for Multimorbidity: A Pragmatic Mixed-Methods Randomized Controlled Trial.

Ann Fam Med 2021 Mar-Apr;19(2):126-134

Purpose: To measure the effectiveness of a 4-month interdisciplinary multifaceted intervention based on a change in care delivery for patients with multimorbidity in primary care practices.

Methods: A pragmatic randomized controlled trial with a mixed-methods design in patients aged 18 to 80 years with 3 or more chronic conditions from 7 family medicine groups (FMGs) in Quebec, Canada. Health care professionals (nurses, nutritionists, kinesiologists) from the FMGs were trained to deliver the patient-centered intervention based on a motivational approach and self-management support. Read More

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December 2019

A Randomized Controlled Trial Comparing Two Self-Administered Educational Strategies for Patients With Knee Osteoarthritis.

ACR Open Rheumatol 2021 Mar 16;3(3):185-195. Epub 2021 Feb 16.

The University of Texas MD Anderson Cancer Center, Houston.

Objective: The objective of this study was to assess the efficacy of self-administered patient educational tools in improving knowledge and behaviors for the management of knee osteoarthritis.

Methods: We conducted a randomized clinical trial in patients with knee osteoarthritis to assess the efficacy of providing a video for entertainment education, in combination with two booklets, compared with providing the booklets alone. We evaluated changes in scores on a patient knowledge questionnaire, the Decisional Conflict Scale, the Arthritis Self-Efficacy Scale, and the Effective Consumer Scale between baseline and same day, 3 months, and 6 months post intervention. Read More

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Performance Measures for Short-Term Cardiac Rehabilitation in Patients of Working Age: Results of the Prospective Observational Multicenter Registry OutCaRe.

Arch Rehabil Res Clin Transl 2020 Jun 24;2(2):100043. Epub 2020 Jan 24.

Department of Rehabilitation Research, University of Potsdam, Germany.

Objective: To determine immediate performance measures for short-term, multicomponent cardiac rehabilitation (CR) in clinical routine in patients of working age, taking into account cardiovascular risk factors, physical performance, social medicine, and subjective health parameters and to explore the underlying dimensionality.

Design: Prospective observational multicenter register study in 12 rehabilitation centers throughout Germany.

Setting: Comprehensive 3-week CR. Read More

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Efficacy of an Internet-Based Intervention for Subclinical Depression (MoodBox) in China: Study Protocol for a Randomized Controlled Trial.

Front Psychiatry 2020 12;11:585920. Epub 2021 Jan 12.

Beijing Key Laboratory of Mental Disorders, The National Clinical Research Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.

Subclinical depression is a prevalent mental health problem and increases the incidence of the onset of major mood disorders, such as major depressive disorder (MDD). Psychological interventions have been proved to be effective for reducing depressive symptoms for people with subclinical depression and can prevent the onset of MDD. However, people have limited access to face-to-face psychotherapy. Read More

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January 2021

Utilization of telemedicine in rhinologic practice during COVID-19 pandemic.

Am J Otolaryngol 2021 May-Jun;42(3):102929. Epub 2021 Jan 20.

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Background: The only two preventive interventions available for COVID-19 have been social distancing and quarantine. These preventive measures challenge health care providers by causing cancelations of elective in-person outpatient clinic visits in many hospitals, particularly in otolaryngology clinics.

Objectives: To assess the applicability and feasibility of telemedicine in rhinology cases with a study of outcomes to guide rhinologists on indications of in-office visits. Read More

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Dutch Translation and Validation of the FACE-Q Rhinoplasty Module.

Facial Plast Surg 2021 Jun 27;37(3):296-301. Epub 2021 Jan 27.

Department of Otorhinolaryngology, GZA Ziekenhuizen Campus Sint-Vincentius, Antwerp, Belgium.

FACE-Q was developed by Klassen et al in 2010 as a validated psychometric evaluation instrument for patients undergoing aesthetic surgery. The aim of this study was to translate, adapt, and validate the FACE-Q rhinoplasty module into a Dutch version of the FACE-Q questionnaire conceptually equivalent to the original English version. "Satisfaction with nose" and "satisfaction with nostrils" questionnaires were used and translated from English into Dutch. Read More

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Does the use of video improve patient satisfaction in the consent process for local-anaesthetic urological procedures?

Int Urol Nephrol 2021 Jun 3;53(6):1051-1057. Epub 2021 Jan 3.

Faculty of Health Sciences, University of Cape Town, Cape Town, Republic of South Africa.

Purpose: To assess patient satisfaction with the use of portable video media (PVM) for the purpose of taking informed consent for common urological outpatient procedures performed under local anaesthesia.

Methods: Patients undergoing the following procedures were approached for recruitment: flexible cystoscopy with or without biopsy, transrectal ultrasound-guided prostate biopsy or flexible cystoscopy with insertion or removal of a ureteric stent. Audio-visual media were developed for each procedure, with each script translated from English into isiXhosa and Afrikaans. Read More

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Nutritional Status and Indicators of 2-Year Mortality and Re-Hospitalizations: Experience from the Internal Clinic Departments in Tertiary Hospital in Croatia.

Nutrients 2020 Dec 28;13(1). Epub 2020 Dec 28.

Department of Nephrology and Dialysis, University Hospital of Split, Spinčićeva 1, 21 000 Split, Croatia.

We aimed to provide insight into nutritional and clinical indicators of malnutrition risk and their influence on two-year mortality and re-hospitalization rate among patients hospitalized in internal clinic departments in the tertiary hospital in Croatia. Initially, data on 346 participants were obtained, while 218 of them where followed-up two years later. At baseline, the majority of participants were old and polymorbid (62. Read More

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December 2020

Motivational Interviewing and Self-Care in Type 1 Diabetes: A Randomized Controlled Clinical Trial Study Protocol.

Front Endocrinol (Lausanne) 2020 10;11:574312. Epub 2020 Dec 10.

Endocrinology and Nutrition Department, University Hospital Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain.

Background: Type 1 diabetes is a disease with complex therapeutic recommendations that require day-to-day lifestyle changes. Motivational Interviewing is a communication tool that has proved effective in changing behaviors in people with addictions, obesity and type 2 diabetes. Our objective is to evaluate the effects of a Motivational Interviewing intervention in people with type 1 diabetes. Read More

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Spanish translation and cross-language validation of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form.

J Shoulder Elbow Surg 2021 Jan 9;30(1):151-157. Epub 2020 Jun 9.

Miami Orthopedics and Sports Medicine Institute at Baptist Health South Florida, Miami, FL, USA; Florida International University Herbert Wertheim College of Medicine, Miami, FL, USA.

Background: The American Shoulder and Elbow Surgeons (ASES) Standardized Shoulder Assessment Form is one of the most frequently used outcomes score for shoulder pathology. The patient report section of the ASES questionnaire (p-ASES) is easy to complete, can be quickly administered, and is applicable to a wide range of shoulder pathologies, yet a validated Spanish translation of this questionnaire does not currently exist for diverse Spanish-speaking populations. The purpose of this study was to translate and culturally adapt the patient report section of the ASES to Spanish and to assess its validity and reliability among a culturally diverse group of Spanish-speaking patients, typically seen in the United States. Read More

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January 2021

Psychometric Properties of the Patient Health Questionnaire-9 in Elderly Chilean Primary Care Users.

Front Psychiatry 2020 17;11:555011. Epub 2020 Nov 17.

Master Program in Psychology, Universidad de Concepción, Concepción, Chile.

This study aimed to assess the measurement properties (reliability, factor structure, and criterion validity) of the Patient Health Questionnaire (PHQ-9) as an instrument for screening major depressive disorder (MDD) in elderly primary care users in Chile. About 582 participants aged between 65 and 80 years were enrolled from primary care centers. They completed the Composite International Diagnostic Interview (CIDI), a survey with sociodemographic characteristics and the PHQ-9. Read More

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November 2020

Effect of Covid-19 pandemic on mental health among Albanian people residing in the country and abroad - Implications for mental care.

Arch Psychiatr Nurs 2020 12 4;34(6):507-512. Epub 2020 Aug 4.

University of Bonn, The Faculty of Mathematics and Natural Sciences, Institute of Pharmacy, An der Immenburg 4, 53121 Bonn, Germany.

Background: Coronavirus disease caused by the novel coronavirus Covid-19 is a current worldwide outbreak. The use of quarantine and isolation proved effective in containing the spread of infection.

Objectives: The purpose of this cross-sectional study was to assess the mental health of Albanian people residing in the country and abroad during the quarantine period for the Covid-19 pandemic. Read More

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December 2020

Psychometric evaluation of the Arabic version of the patient-centered communication instrument for adult cancer patients.

Int J Qual Health Care 2021 Feb;33(1)

School of Nursing and Midwifery, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia.

Background: This study aimed to examine the validity and reliability of the Arabic version of the patient-centered communication instrument.

Methods: A self-administered instrument was used over 4 months by 318 participants living with cancer in Saudi Arabia. The instrument contained 36 items assessing patient-centered communication (PCC-36) experiences. Read More

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February 2021

The residents' mental health status and community's role during the COVID-19 pandemic: a community-based cross-sectional study in China.

Ann Transl Med 2020 Oct;8(20):1321

Department of Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, China.

Background: The related research of coronavirus disease 2019 (COVID-19) pandemic on the mental health of community residents is still lacking. Here we reported the mental health status of Chinese residents as well as the community's prevention and control during the pandemic period of COVID-19 and further explored the influencing factors of mental status.

Methods: In this cross-sectional study, convenience sampling and snowball sampling methods were adopted from February 16 to February 23, 2020, and Chinese community residents were included according to the inclusion and exclusion criteria. Read More

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October 2020

Is mild erectile dysfunction associated with severe psychological symptoms in Chinese patients with moderate-to-severe chronic prostatitis/chronic pelvic pain syndrome?

Asian J Androl 2021 May-Jun;23(3):319-324

Xiangya International Medical Center, Department of Geriatric Urology, Xiangya Hospital, Central South University, Changsha 410008, China.

This study aimed to assess the association between psychological disorders and erectile dysfunction (ED) in patients with different degrees of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). This was a retrospective study conducted from June 2017 to October 2019 and included 182 outpatients. Patients were interviewed using the Structured Interview on Erectile Dysfunction (SIEDY) for pathogenic quantification. Read More

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November 2020

Outpatient Management of Oligosymptomatic Patients with respiratory infection in the era of SARS-CoV-2: Experience from rural German general practitioners.

BMC Infect Dis 2020 Nov 6;20(1):811. Epub 2020 Nov 6.

Institute of Anatomy and Cell Biology of the Philipps-University Marburg, 35037, Marburg, Germany.

Background: Covid-19 is causing a pandemic and forces physicians to restructure their work. We want to share our experience in the outpatient management of potentially-infected patients with special consideration of altered national test strategies during the crisis.

Methods: We analysed patients with respiratory symptoms reporting to our three rural general practitioner (GP) offices in North Rhine-Westphalia, Germany, from 27. Read More

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November 2020