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Behavioral Health Services with Short-Stay Residents in Skilled Nursing Facilities: A Qualitative Study of Clinicians and Administrators.

Clin Gerontol 2021 Jun 15:1-12. Epub 2021 Jun 15.

Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.

: The perspectives of professionals involved in behavioral health (BH) services with short-stay residents in skilled nursing facilities (SNFs) are rarely captured in the literature. This study examines the real-world experiences of BH clinicians and administrators in post-acute/subacute care units in SNFs. This qualitative study used semi-structured interviews with 18 clinicians (e. Read More

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Exploring physical activity changes and experiences of older adults living in retirement villages during a pandemic.

Australas J Ageing 2021 Jun 14. Epub 2021 Jun 14.

Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.

Objective: To explore physical activity changes and participation among physically active older adults living in retirement villages during the coronavirus (COVID-19) pandemic.

Methods: Semi-structured interviews were conducted over the telephone. The interviews were recorded and transcribed verbatim. Read More

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The Impact of a Medical Education Research Faculty Development Program on Career Development, Through the Lens of Social Cognitive Career Theory.

AEM Educ Train 2021 Jul 22;5(3):e10565. Epub 2020 Dec 22.

and the Department of Emergency Medicine George Washington University, and Georgetown University Washington DC USA.

Objectives: The Medical Education Research Certificate at the Council of Residency Directors in Emergency Medicine (MERC at CORD), a specialized adaptation of the Association of American Medical Colleges MERC program, provides faculty development in education research in emergency medicine. However, its long-term influence on career development remains unknown. Our study explored the impact of MERC at CORD on career development through the lens of social cognitive career (SCC) theory. Read More

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Surveys about attended births appear to be deceptive in CAR: are the population saying what they think NGO's want to hear?

Confl Health 2021 Jun 13;15(1):48. Epub 2021 Jun 13.

Program on Forced Migration and Health, Columbia University - Mailman School of Public Health, New York, USA.

Background: Non-governmental organizations (NGOs) and donors often promote certain practices to a community, such as in-facility births and then evaluate the efficacy of those interventions, in part, by surveying those populations.

Methods: A project to assess the accuracy of birth and death monitoring by local community-based monitors was undertaken with a partner health agency in areas (pop. 94,000) where they supported medical facilities. Read More

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Emotional distress among frontline research staff.

Soc Sci Med 2021 Jun 5;281:114101. Epub 2021 Jun 5.

University of California, San Diego Herbert Wertheim School of Public Health, USA. Electronic address:

Public health research frequently deals with sensitive topics. A growing body of evidence suggests that frontline researchers who elicit or process participant's traumatic experiences are themselves at risk of developing emotional distress or secondary trauma from daily immersion in these data. This both threatens a study's data quality and calls into question how the harms and benefits of conducting research are distributed across a study team. Read More

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"A good mother": Impact of motherhood identity on women's substance use and engagement in treatment across the lifespan.

J Subst Abuse Treat 2021 May 14;130:108474. Epub 2021 May 14.

Yale School of Medicine AIDS Program, New Haven, CT, United States of America; Yale School of Public Health, Chronic Disease Epidemiology, New Haven, CT, United States of America. Electronic address:

Background: Women are underrepresented in substance use disorder (SUD) treatment. Interpersonal and structural factors affect women's access to SUD treatment, but limited research evaluates how motherhood is a potential barrier and facilitator to engagement in SUD treatment. We focus on women from young to middle adulthood, and capture women's identities as mothers, caretakers, and grandmothers, outside of pregnancy and the postpartum period. Read More

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Post-COVID-19 symptoms 6 months after acute infection among hospitalized and non-hospitalized patients.

Clin Microbiol Infect 2021 Jun 7. Epub 2021 Jun 7.

Infectious Diseases Division, Department of Medicine, University of Udine and Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), 33100, Udine, Italy.

Objectives: To assess the prevalence of and factors associated with Post-Coronavirus Disease 2019 (COVID-19) syndrome six months after the onset.

Methods: A bidirectional prospective study. Interviews investigated symptoms potentially associated with COVID-19 six months after the disease onset of all consecutive adult in- and out-patients with COVID-19 attending Udine Hospital (Italy) from March to May 2020. Read More

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Factors Associated with Incarceration in Older Adults Experiencing Homelessness: Results from the HOPE HOME Study.

J Gen Intern Med 2021 Jun 9. Epub 2021 Jun 9.

Department of Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.

Background: In the US, the median age of adults experiencing homelessness and incarceration is increasing. Little is known about risk factors for incarceration among older adults experiencing homelessness. To develop targeted interventions, there is a need to understand their risk factors for incarceration. Read More

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Motivational interviewing with community-dwelling older adults after hip fracture (MIHip): protocol for a randomised controlled trial.

BMJ Open 2021 06 9;11(6):e047970. Epub 2021 Jun 9.

La Trobe University College of Science Health and Engineering, Bundoora, Victoria, Australia.

Introduction: Community-dwelling people recovering from hip fracture have the physical capacity to walk in their community but lack the confidence to do so. The primary aim of this trial is to determine whether motivational interviewing increases time spent walking at 12 months in community-dwelling people after hip fracture compared with an attention placebo control group. Secondary aims are to evaluate cost effectiveness, patient and health service outcomes and to complete a process evaluation. Read More

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How can human-centered design build a story-based video intervention that addresses vaccine hesitancy and bolsters vaccine confidence in the Philippines? A mixedmethod protocol for project SALUBONG.

BMJ Open 2021 06 9;11(6):e046814. Epub 2021 Jun 9.

Heidelberg Institute of Global Health, Ruprecht Karls Universität Heidelberg, Heidelberg, Germany

Introduction: Since the onset of a dengue vaccine controversy in late 2017, vaccine confidence has plummeted in the Philippines, leading to measles and polio outbreaks in early 2019. This protocol outlines a human-centered design (HCD) approach to co-create and test an intervention that addresses vaccine hesitancy (VH) via narrative and empathy with and among families and healthcare workers. METHODS AND ANALYSIS: 'Salubong' is a Filipino term that means to welcome someone back into one's life, reinforcing notions of family ties and friendships. Read More

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Computed tomographic guidance for internal fixation of type II distal phalangeal fractures in 51 horses.

Equine Vet J 2021 Jun 9. Epub 2021 Jun 9.

Department of Clinical Sciences, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania, USA.

Background: Type II distal phalanx (P3) fractures are a well-described cause of lameness in horses. Reports on outcome following internal fixation of type II P3 fractures are lacking, and with little emphasis on complications.

Objective: To describe a technique for internal fixation of type II P3 fractures, and evaluate whether specific variables influenced postoperative complications or a horse's ability to return to work. Read More

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Impact of Social Frailty on Relocation of Older Adults.

J Frailty Aging 2021 ;10(3):254-258

Suzanne Dupuis-Blanchard, School of Nursing, Université de Moncton, 18 Antonine Maillet Ave., Moncton, NB E1A 3E9, Canada, Email : Telephone : (506)858-4673, Fax : (506)858-4017.

Background: The relationship between frailty and variables such as housing are the least included in models of frailty and research on frailty or social frailty and relocation is negligible. The decision to relocate is complex and demanding for older adults with a loss of independence but little is known about what makes older adults relocate to congregated housing designated for older adults, let alone in combination with social frailty, and how they navigate this transition.

Objectives: This mixed method descriptive study aims to understand the influence of social frailty for a population of French-speaking semi-independent older adults relocating to a housing continuum community. Read More

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Measurement of Service Quality Gaps in Dental Services using SERVQUAL in Public Hospitals of Rawalpindi.

Pak J Med Sci 2021 May-Jun;37(3):751-756

Dr. Ume Sughra, MBBS, MPH, FCPS. Associate Professor of Community Medicine & Research Associate, Al-Shifa School of Public Health, Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan.

Objectives: To measure service quality gaps in dental services provided at public hospitals of the district, Rawalpindi.

Methods: A cross-sectional survey was conducted in two of the public hospitals of the district, Rawalpindi from April to October 2019. Non-probability consecutive sampling was used to include a total number of 400 patients, equally divided between Rural health center (RHC) and Tehsil headquarter (THQ). Read More

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Organisational factors affecting emergency medical services' performance in rural and urban areas of Saudi Arabia.

BMC Health Serv Res 2021 Jun 7;21(1):562. Epub 2021 Jun 7.

School of Rural Medicine, Faculty of Medicine and Health, University of New England, Armidale, Australia.

Background: There is a disparity in outcomes between rural and urban emergency medical services (EMS) around the world. However, there is a scarcity of research that directly asks EMS staff in both rural and urban areas how service delivery could be improved. The aim of the present study is to gain insights from frontline workers regarding organisational factors that may underpin discrepancies between rural and urban EMS performance. Read More

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Development and implementation of a standardized training program for newly graduated mental health nurses: Process and preliminary outcomes.

Nurse Educ Today 2021 May 12;104:104953. Epub 2021 May 12.

School of Nursing, Peking Union Medical College, No. 33, Badachu Road, Shijingshan District, Beijing 100144, China.

Background: Training programs are crucial for newly graduated nurses transitioning from nursing school to independent clinical nursing careers. However, few studies have focused on the training of newly graduated mental health nurses.

Objectives: The aim of this study was to develop, implement, and preliminarily evaluate a standardized training program for newly graduated nurses entering psychiatric nursing. Read More

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Reintegration of Ex-Offenders Convicted of Violent Crimes into the Community in the Iranian Context: A Qualitative Study.

Int J Offender Ther Comp Criminol 2021 Jun 6:306624X211022669. Epub 2021 Jun 6.

University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Community reintegration of ex-offenders is a main issue for reducing recidivism. This article aims to explain the process of reintegration into the community based on the experiences of people who have been convicted of violent crimes in Iran. A qualitative study based on grounded theory was conducted in 2020 in Tehran/Iran. Read More

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The Development and Usability of the AMPREDICT Decision Support Tool: A Mixed Methods Study.

Eur J Vasc Endovasc Surg 2021 Jun 1. Epub 2021 Jun 1.

VA Puget Sound Health Care System, Seattle, WA, USA; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, United States; VA Centre for Limb Loss and Mobility (CLiMB), Seattle, WA, USA.

Objective: Amputation level decision making in patients with chronic limb threatening ischaemia is challenging. Currently, evidence relies on published average population risks rather than individual patient risks. The result is significant variation in the distribution of amputation levels across health systems, geographical regions, and time. Read More

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Aging in Place: Challenges of Older Adults with Self-Reported Cognitive Decline.

Can Geriatr J 2021 Jun 1;24(2):138-143. Epub 2021 Jun 1.

Department of Psychology, University of Victoria, BC, Canada.

Background: An emergent concern related to the aging and the increased risk of cognitive decline is the institutionalization of older adults. Evidence has shown that aging in place leads to many benefits, including higher quality of life. In order to support older adults, it is imperative that we understand the challenges people with changes in cognition face while aging in place. Read More

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Experiences of community-dwelling older people with dementia participating in a person-centred multidimensional interdisciplinary rehabilitation program.

BMC Geriatr 2021 06 2;21(1):341. Epub 2021 Jun 2.

Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, SE-90187, Umeå, Sweden.

Background: There is great need for development of feasible rehabilitation for older people with dementia. Increased understanding of this population's experiences of rehabilitation participation is therefore important. The aim of this study was to explore the experiences of community-dwelling older people with dementia participating in a person-centred multidimensional interdisciplinary rehabilitation program. Read More

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Association between Circulating Protein C Levels and Incident Dementia: The Atherosclerosis Risk in Communities Study.

Neuroepidemiology 2021 Jun 2:1-10. Epub 2021 Jun 2.

Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA.

Introduction: Hemostasis depends on the delicate balance between coagulants and anticoagulants. Higher levels of circulating coagulants have been associated with higher risk of cerebral infarctions and dementia. In contrast, higher levels of circulating protein C, an endogenous anticoagulant, have been associated with lower risk of cerebral infarctions, and the association between protein C levels and the risk of dementia is unknown. Read More

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Anaemia in pregnancy in Southern Tanzania: Prevalence and associated risk factors.

Afr J Reprod Health 2020 Sep;24(3):154-160

Department of Internal Medicine, Faculty of Medicine, Archbishop James University College, Songea, Tanzania.

The aim of this study was to screen for and determine the prevalence, severity and determinants of anaemia in pregnant women attending antenatal clinics in south of Tanzania. In this facility-based cross-sectional descriptive study, pregnant women attending antenatal clinics were selected through a convenient non-probability sampling in one district hospital in south of Tanzania. Interviews using standardized questionnaires were conducted, physical examination and determination of haemoglobin levels done. Read More

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September 2020

Practices and Attitudes of Swiss Stakeholders Regarding Investigator-Initiated Clinical Trial Funding Acquisition and Cost Management.

JAMA Netw Open 2021 Jun 1;4(6):e2111847. Epub 2021 Jun 1.

Department of Clinical Research, Basel Institute for Clinical Epidemiology and Biostatistics, University of Basel and University Hospital Basel, Basel, Switzerland.

Importance: Randomized clinical trials (RCTs) are an essential method of evaluating health care interventions and a cornerstone for evidence-based health care. However, RCTs have become increasingly complex and costly, which is particularly challenging for independent investigator-initiated clinical trials (IICTs). IICTs have an essential role in clinical research, and it is important that efforts are made to ensure IICTs are adequately funded and are conducted cost-effectively. Read More

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Developing strategies to improve the community readiness level to prevent drug abuse in adolescents: Based on the community readiness model, Eghlid City, Iran, 2019.

J Community Psychol 2021 Jun 2. Epub 2021 Jun 2.

Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

The aim of this study was to investigate the level of readiness of Eghlid city community for adolescents' substance abuse prevention programs, and to develop strategies to improve community readiness levels based on the community readiness model (CRM). In this two-stage qualitative study, a 36-item semi-structured CRM questionnaire, was used to interview 11 key informants in Eghlid city, Iran, 2019. The interviews were analyzed and scored by two independent researchers. Read More

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[Prescription of potentially inappropriate medications for the elderly: a study in Primary Health Care].

Cien Saude Colet 2021 May;26(5):1781-1792

Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Norte (UFRN). Av. Senador Salgado Filho 3000, Lagoa Nova. 59078-900 Natal RN Brasil.

The elderly population is vulnerable to the risks of the use of medications, especially those considered potentially inappropriate medications (PIMs), in which the risks outweigh the benefits. The study sought to evaluate the PIMs prescribed in Primary Health Care (PHC) and associated factors. A cross-sectional, analytical study was carried out from March to December 2019 in PHC in Campina Grande, Paraíba, through interviews with 458 elderly individuals. Read More

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Classroom Movement Breaks Reduce Sedentary Behavior and Increase Concentration, Alertness and Enjoyment during University Classes: A Mixed-Methods Feasibility Study.

Int J Environ Res Public Health 2021 May 24;18(11). Epub 2021 May 24.

Violet Vines Marshman Centre for Rural Health Research, La Trobe Rural Health School, La Trobe University, Bendigo, VIC 3550, Australia.

This mixed-methods study aimed to determine the feasibility of incorporating movement breaks into university classes in terms of acceptability (disruption, engagement, satisfaction), practicality (ease of scheduling and conducting breaks) and efficacy (sedentary time, concentration, alertness, enjoyment). Movement breaks of five to 10 min duration were scheduled after 20 min of sedentary time during 2-h classes. Classes without movement breaks were used as a comparison. Read More

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Older Adults' Perceived Barriers to Participation in a Falls Prevention Strategy.

J Pers Med 2021 May 23;11(6). Epub 2021 May 23.

Independent Care Manager at Care & Counseling, Brecksville, OH 44141, USA.

There is a need to increase older adults' access and adherence to falls prevention strategies. This study aims to explore older adults' perceived barriers to participation in a fall prevention strategy. A qualitative descriptive approach was used. Read More

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Interassessor agreement of portfolio-based competency assessment for orthotists/prosthetists in Australia: a mixed method study.

Prosthet Orthot Int 2021 Jun;45(3):276-288

Australian Orthotic Prosthetic Association, Victoria, Australia.

Background: Internationally qualified orthotists/prosthetists who want to practice in Australia must pass a portfolio-based competency assessment. Testing the agreement between independent assessors is important to engender confidence in the assessment, and continually improve the processes.

Objectives: To quantify interassessor agreement for all 68 performance indicators in the Australian Orthotic Prosthetic Association's Entry Level Competency Standards and where there was significant disagreement between assessors, to explore the reasons why. Read More

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Perceived barriers to the adoption of active surveillance in low-risk prostate cancer: a qualitative analysis of community and academic urologists.

BMC Cancer 2021 May 31;21(1):649. Epub 2021 May 31.

American Board of Urology, Charlottesville, VA, USA.

Background: Clinical practice guidelines recommend active surveillance as the preferred treatment option for low-risk prostate cancer, but only a minority of eligible men receive active surveillance, and practice variation is substantial. The aim of this study is to describe barriers to urologists' recommendation of active surveillance in low-risk prostate cancer and explore variation of barriers by setting.

Methods: We conducted semi-structured interviews among 22 practicing urologists, evenly distributed between academic and community practice. Read More

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Recommendations for the Implementation of Hospital Based HTA in Poland: Lessons Learned From International Experience.

Front Pharmacol 2020 13;11:594644. Epub 2021 May 13.

National Health Fund, Warsaw, Poland.

The main challenge of modern hospitals is purchasing medical technologies. Hospital-based health technology assessments (HB-HTAs) are used in healthcare facilities around the world to support management boards in providing relevant technologies for patients. This study was undertaken to update the existing body of knowledge on the characteristics of HB-HTA systems/models in the selected European countries. Read More

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Experiences of quality of life in people with Multiple Sclerosis who are in a wheelchair.

Nurs Open 2021 May 30. Epub 2021 May 30.

Faculty of Health and Welfare, Østfold University College, Fredrikstad, Norway.

Aim: The study includes health-related quality of life for people in Norway with multiple sclerosis who live at home and are in a wheelchair (N = 6). The purpose is to show how they experience living with a chronic disease such as MS and how they perceive their own situation. How they value their own health and what leads to positive consequences is central to this study. Read More

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