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Initiating gender-affirming hormones for transgender and non-binary people: A qualitative study of providers' perspectives on requiring mental health evaluations.

PLoS One 2022 18;17(8):e0271785. Epub 2022 Aug 18.

Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, Michigan, United States of America.

Objective: Gender-affirming hormones (GAH)-the use of sex hormones to induce desired secondary sex characteristics in transgender individuals-is vital healthcare for many transgender people. Among prescribers of GAH, there is debate regarding the value of a universal requirement for an evaluation by a mental health provider prior to GAH initiation. The purpose of this qualitative study was to describe the range of attitudes and approaches to mental health evaluation among GAH providers in the United States. Read More

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A qualitative study of hospital and community providers' experiences with digitalization to facilitate hospital-to-home transitions during the COVID-19 pandemic.

PLoS One 2022 18;17(8):e0272224. Epub 2022 Aug 18.

Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada.

Background: The COVID-19 pandemic has triggered substantial changes to the healthcare context, including the rapid adoption of digital health to facilitate hospital-to-home transitions. This study aimed to: i) explore the experiences of hospital and community providers with delivering transitional care during the COVID-19 pandemic; ii) understand how rapid digitalization in healthcare has helped or hindered hospital-to-home transitions during the COVID-19 pandemic; and, iii) explore expectations of which elements of technology use may be sustained post-pandemic.

Methods: Using a pragmatic qualitative descriptive approach, remote interviews with healthcare providers involved in hospital-to-home transitions in Ontario, Canada, were conducted. Read More

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Prescriber and employee utilization of a health sciences center campus outpatient pharmacy: A qualitative analysis.

Am J Health Syst Pharm 2022 Aug 18. Epub 2022 Aug 18.

University of Oklahoma College of Pharmacy, Oklahoma City, OK, USA.

Disclaimer: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Read More

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Racism and Quality of Neonatal Intensive Care: Voices of Black Mothers.

Pediatrics 2022 Aug 15. Epub 2022 Aug 15.

Departments of Pediatrics.

Background And Objectives: Black preterm infants are more likely to die than White preterm infants within the same NICU. Racism may lead to disparate quality of NICU care contributing to disparities in preterm infant health outcomes. The objective of our study was to understand Black mothers' perspectives of the impact of racism on the quality of care for Black preterm infants in the NICU and what might be done to address it. Read More

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Challenges and Lessons Learned in the Development of a Participatory Learning and Action Intervention to Tackle Antibiotic Resistance: Experiences From Northern Vietnam.

Front Public Health 2022 26;10:822873. Epub 2022 Jul 26.

Oxford University Clinical Research Unit, Hanoi, Vietnam.

Antibiotic use in the community for humans and animals is high in Vietnam, driven by easy access to over-the counter medicines and poor understanding of the role of antibiotics. This has contributed to antibiotic resistance levels that are amongst the highest in the world. To address this problem, we developed a participatory learning and action (PLA) intervention. Read More

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Health Care Providers' Perspectives on Promoting Physical Activity and Exercise in Health Care.

Int J Environ Res Public Health 2022 Aug 2;19(15). Epub 2022 Aug 2.

Centre of Lifestyle Studies, School of Kinesiology, Acadia University, Wolfville, NS B4P 2K5, Canada.

Health care providers (HCPs) are entrusted with providing credible health-related information to their patients/clients. Patients/clients who receive physical activity and exercise (PAE) advice from an HCP typically increase their PAE level. However, most HCPs infrequently discuss PAE or prescribe PAE, due to the many challenges (e. Read More

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Self-Assessment in Feedback Conversations: A Complicated Balance.

Acad Med 2022 Aug 9. Epub 2022 Aug 9.

J.L. Miller is clinical associate professor, Department of Family Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa; ORCID: http://orcid.org/0000-0001-9518-3396.

Purpose: Learner-centered feedback models encourage educators to ask learners to self-assess at the start of feedback conversations. This study examines how learners perceive and respond to self-assessment prompts during feedback conversations and assesses medical students' perceptions of and approach to self-assessment used as the basis for these conversations.

Method: All rising second-, third-, and fourth-year medical students at a midwestern U. Read More

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Feasibility of Cooking Matters for Diabetes: A 6-week Randomized, Controlled Cooking and Diabetes Self-Management Education Intervention.

J Acad Nutr Diet 2022 Aug 6. Epub 2022 Aug 6.

Assistant Professor, The Ohio State University College of Medicine, 579 McCampbell Hall, 1581 Dodd Drive, Columbus, OH 43210. Electronic address:

Background: Diabetes self-management education and support (DSMES) is the cornerstone of diabetes care, yet less than 10% of adults with diabetes successfully manage their condition. Feasible interventions are urgently needed.

Objective: Assess the feasibility of a cooking intervention with food provision and DSMES. Read More

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A comparison of experiences with factors related to food insecurity between food secure and food insecure college students: a qualitative study.

J Acad Nutr Diet 2022 Aug 5. Epub 2022 Aug 5.

At the time of the study, RC was an undergraduate student at Brigham Young University, Department of Nutrition, Dietetics and Food Science, S221 ESC, Provo, UT 84602.

Background: Previous research has reported negative health consequences and poor academic achievement among food insecure college students. It is unknown if food insecure students' experiences qualitatively differ from food secure students.

Objective: To qualitatively evaluate food secure and food insecure students' experiences with internal and external factors related to food insecurity. Read More

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Advancing School Behavioral Health at Multiple Levels of Scale.

Pediatr Clin North Am 2022 08;69(4):725-737

Department of Psychology, University of South Carolina, Barnwell College, 1512 Pendleton Street, Columbia, SC 29208, USA.

There is a national movement to advance school behavioral health, involving the mental health system partnering with schools' multitiered systems of support. This article underscores the critical need for school behavioral health and presents strategies to advance effective programming at district, state, and regional levels. Themes include diverse stakeholder involvement, teaming, data-based decision-making, implementation of evidence-based practices, screening, coaching and implementation support, progress monitoring and outcome evaluation, and using findings to scale-up effective programming. Read More

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What happens when we ask? A phenomenological focus group on HIV prevention and sexual health education among emancipated foster care youth.

Child Youth Serv Rev 2022 Sep 27;140. Epub 2022 Jun 27.

Department of Family Science & Human Development, Montclair State University, USA.

Youth of color who have recently been emancipated from foster care are among the most vulnerable group at risk for having poor sexual health outcomes. It is essential for researchers to understand how emancipated foster care youth receive messages about safe sex and HIV/STI prevention in order to tailor health promotion activities for this group. This study presents a strengths-based view of emancipated foster care youth of color who developed an empowering, arts-based campaign to prevent HIV in their community using Youth Participatory Action Research (Y-PAR) methods. Read More

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September 2022

Comparison of violence risk screening experiences of emergency department clinicians.

Hosp Pract (1995) 2022 Aug 2:1-9. Epub 2022 Aug 2.

Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX, USA.

Objective: Individuals commonly present to the emergency department (ED) for care after violence and many are also at risk for subsequent self or other-directed violence. Screening for violence risk represents an important part of ED care, but is challenging to implement effectively. Feedback from ED providers is needed to characterize differences across provider types in order to facilitate implementation of enhanced screening practices. Read More

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Systematic Bibliometric and Visualized Analysis of Research Hotspots and Trends on Autism Spectrum Disorder Neuroimaging.

Dis Markers 2022 18;2022:3372217. Epub 2022 Jul 18.

Department of Nursing, First Affiliated Hospital of Huzhou University, Huzhou, China.

Background: Autism spectrum disorder (ASD) is a chronic developmental disability caused by differences in the brain. The gold standard for the diagnosis of this condition is based on behavioral science, but research on the application of neurological detection to diagnose the atypical nervous system of ASD is ongoing. ASD neuroimaging research involves the examination of the brain's structure, functional connections, and neurometabolic. Read More

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The political satire of Mojok.co in the 2019 Indonesian election.

Heliyon 2022 Jul 20;8(7):e10018. Epub 2022 Jul 20.

Universitas Negeri Yogyakarta, Indonesia.

This article aims to discuss Mojok.co's style of political satire as an alternative to political discussion. Mojok. Read More

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A quality improvement apprenticeship: Gross anatomy in the time of Covid-19.

Anat Sci Educ 2022 Jul 26. Epub 2022 Jul 26.

Department of Neuroscience, College of Medicine, University of Kentucky, Lexington, Kentucky, USA.

The study of anatomy is a team-driven field in which anatomy instruction occurs in small groups in the laboratory with one faculty member guiding students through each anatomical region. One laboratory experience may include several small group instructors in one simultaneous learning session. In comparison, the education of future gross anatomists often happens in an apprenticeship model, where the optimal learning outcomes are met through training with an experienced mentor. Read More

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Strategies to Improve Women's Leadership Preparation for Early Career Global Health Professionals: Suggestions from Two Working Groups.

Ann Glob Health 2022 11;88(1):53. Epub 2022 Jul 11.

Department of Nursing and Department of Health Sciences, Monmouth University, West Long Branch, NJ, USA.

Background: Despite advances in gender equality, women still experience inequitable gaps in global health leadership, and barriers to women's advancement as leaders in global health have been well described in the literature. In 2021, the Johns Hopkins Center for Global Health conducted two virtual working groups for emerging women leaders to share challenges and suggest solutions to advance women's leadership in global health. In this paper, we present emerging themes from the working groups, provide a framework for the results, and discuss strategies for advancing women's leadership in global health. Read More

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COVID-19 Increased Residency Applications and How Virtual Interviews Impacted Applicants.

Cureus 2022 Jun 19;14(6):e26096. Epub 2022 Jun 19.

Plastic and Reconstructive Surgery, University of Iowa Hospitals and Clinics, Iowa City, USA.

Background The number of residency applications submitted by medical students has risen at an alarming rate, causing increased cost of applications and subsequent interview travel. These both contribute to increased cost for medical students. In light of these concerns, specialty governing bodies have proposed ideas to fight these trends including, application limits, interview limits, using a preference signaling system, and continuing virtual interviews. Read More

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What do Veterans with homeless experience want us to know that we are not asking? A qualitative content analysis of comments from a national survey of healthcare experience.

Health Soc Care Community 2022 Jul 22. Epub 2022 Jul 22.

Birmingham Veterans Affairs Health Care System, Birmingham, Alabama, USA.

Surveys of people who experience homelessness can portray their life and healthcare experiences with a level of statistical precision; however, few have explored how the very same surveys can deliver qualitative insights as well. In responding to surveys, people experiencing homelessness can use the margins to highlight health and social concerns that investigators failed to anticipate that standard question batteries miss. This study describes the unprompted comments of a large national survey of Veterans with homeless experiences. Read More

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Exploring an Artificial Intelligence-Based, Gamified Phone App Prototype to Track and Improve Food Choices of Adolescent Girls in Vietnam: Acceptability, Usability, and Likeability Study.

JMIR Form Res 2022 Jul 21;6(7):e35197. Epub 2022 Jul 21.

Poverty, Health, and Nutrition Division, International Food Policy Research Institute, Washington, DC, United States.

Background: Adolescents' consumption of healthy foods is suboptimal in low- and middle-income countries. Adolescents' fondness for games and social media and the increasing access to smartphones make apps suitable for collecting dietary data and influencing their food choices. Little is known about how adolescents use phones to track and shape their food choices. Read More

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Exploring views on medical care for people with intellectual disabilities: an international concept mapping study.

Int J Equity Health 2022 07 19;21(1):99. Epub 2022 Jul 19.

Department of Primary and Community Care, Radboud University Medical Center, Radboud Institute for Health Sciences, Geert Grooteplein Noord 21, 6500 HB, Nijmegen, The Netherlands.

Background: Medical care for people with intellectual and developmental disabilities (IDD) is organized differently across the globe and interpretation of the concept of medical care for people with IDD may vary across countries. Existing models of medical care are not tailored to the specific medical care needs of people with IDD. This study aims to provide an improved understanding of which aspects constitute medical care for people with IDD by exploring how international researchers and practitioners describe this care, using concept mapping. Read More

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Experiences with use of technology and telehealth among women with perinatal depression.

BMC Pregnancy Childbirth 2022 Jul 18;22(1):571. Epub 2022 Jul 18.

College of Nursing, University of Utah, Salt Lake City, USA.

Background: Perinatal depression (PD) affects 10-20% of childbearing women. Telehealth is increasingly utilized for mental health services to increase access to care and overcome COVID-19 pandemic barriers. Women's perspectives on telehealth services for PD is unknown, however. Read More

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Health Professionals' Opinions About Secondary Prevention of Diabetes-Related Foot Disease.

Sci Diabetes Self Manag Care 2022 Jul 15:26350106221112115. Epub 2022 Jul 15.

Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia.

Purpose: The purpose of this study was to explore the perceptions of health professionals regarding the ideal design of a remotely delivered diabetes-related foot disease (DFD) secondary prevention program.

Methods: A qualitative study involving 33 semistructured phone interviews was conducted with health professionals with experience managing DFD. Interviews discussed the role of health professionals in managing DFD, their experience in using telehealth, perceived management priorities, preferences for a secondary prevention management program, and perceived barriers and facilitators for such a program. Read More

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"That's frustrating": Perceptions of ankle foot orthosis provision, use, and needs among people with cerebral palsy and caregivers.

Prosthet Orthot Int 2022 Jul 8. Epub 2022 Jul 8.

Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.

Background: Cerebral palsy (CP) affects roughly 3 per 1000 births in the United States and is the most common pediatric developmental motor disability. Ankle foot orthoses (AFOs) are commonly prescribed to provide support and improve function for individuals with CP.

Objectives: The study objective was to evaluate the lived experiences of individuals with CP and their caregivers regarding AFO access, use, and priorities. Read More

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Dietary Drivers and Challenges of Australian Breast Cancer Survivors: A Qualitative Study.

Womens Health Rep (New Rochelle) 2022 10;3(1):563-572. Epub 2022 Jun 10.

Alliance for Research in Exercise, Nutrition and Activity (ARENA), UniSA Allied Health & Human Performance, University of South Australia, Adelaide, Australia.

Purpose: Cancer survivors often make long-term dietary changes, and nutrition is important for survivorship outcomes. Many survivors experience persisting cognitive difficulties, which can impact health behaviors. This study aimed to identify perceived drivers of eating habit changes, and the barriers to making intentional dietary changes, among breast cancer survivors with persisting self-reported cancer-related cognitive impairment. Read More

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Remotely delivered cognitive-behavioural and personalized exercise interventions to lessen the impact of fatigue: a qualitative evaluation.

Rheumatol Adv Pract 2022 25;6(2):rkac051. Epub 2022 Jun 25.

School of Health and Social Wellbeing, University of the West of England.

Objectives: Fatigue can be a disabling symptom of inflammatory rheumatic diseases. LIFT (Lessening the Impact of Fatigue in inflammatory rheumatic diseases: a randomized Trial) is a randomized trial of remotely delivered cognitive-behavioural approach or personalized exercise programme interventions, compared with usual care. The aim of this nested qualitative study was to evaluate participants' experiences of taking part in the intervention, including their ideas about future service delivery. Read More

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Cancer Health Economics Research: The Future Is Now.

J Natl Cancer Inst Monogr 2022 07;2022(59):102-106

Surveillance and Health Equity Science, American Cancer Society, Atlanta, GA, USA.

The goals of the "Future of Cancer Health Economics Research" virtual conference were to identify challenges, gaps, and unmet needs for conducting cancer health economics research; and develop suggestions and ideas to address these challenges and to support the development of this field. The conference involved multiple presentations and panels featuring several key themes, including data limitations and fragmentation; improving research methods; role and impacts of structural and policy factors; and the transdisciplinary nature of this field. The conference also highlighted emerging areas such as communicating results with nonresearchers; balancing data accessibility and data security; emphasizing the needs of trainees; and including health equity as a focus in cancer health economics research. Read More

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"One time I fell, but I didn't have to cry." A qualitative study on everyday physical complaints in children.

BMC Pediatr 2022 06 30;22(1):383. Epub 2022 Jun 30.

University of Groningen, University Medical Center Groningen, Interdisciplinary Centre of Psychopathology and Emotion Regulation, Groningen, The Netherlands.

Objective: Young children experience physical complaints, like abdominal pain or minor injuries from playing, almost every day. These experiences may shape how they deal with health issues later in life. While models exist to explain illness perception in adults, information is lacking on the perspective of young children. Read More

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Establishing political priority for global mental health: a qualitative policy analysis.

Valentina Iemmi

Health Policy Plan 2022 Jun 13. Epub 2022 Jun 13.

Department of Health Policy, London School of Economics and Political Science, Houghton St., London WC2A 2AE, UK.

Mental disorders represent the leading cause of disability worldwide, yet they remain a low global health priority. This paper uses a case study methodology and different data sources (35 interviews and documents) to analyse factors that have shaped the generation of political priority for global mental health over the past three decades (1990-2020) and their changes over time. The Shiffman and Smith framework on determinants of political priority for global health issues is used to organize data into themes: actor power, ideas, political context and issue characteristics. Read More

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Perceptions of patients on factors affecting diabetes self-management among type 2 diabetes mellitus (T2DM) patients in Fiji: A qualitative study.

Heliyon 2022 Jun 15;8(6):e09728. Epub 2022 Jun 15.

School of Public Health and Primary Care, Fiji National University, Suva, Fiji.

Introduction: Optimal glycemic control can be achieved when patients are adherent to self-management behaviours such as healthy diet, physical activity, monitoring of blood glucose, reducing the risk factors, ability to solve problems and healthy coping. In light of limited studies conducted, this study aimed to explore patient's perceptions on factors affecting diabetes self-management among Type 2 Diabetes Mellitus (T2DM) patients of Labasa, Fiji.

Materials And Methods: A qualitative study was employed to obtain data using semi-structured interviews conducted amongst T2DM patients attending clinics in 3 randomly selected health facilities in Labasa, Fiji from 15 March to 5 April 2021. Read More

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