2,206 results match your criteria phd senior


Pressure Injury Development, Mitigation, and Outcomes of Patients Proned for Acute Respiratory Distress Syndrome.

Adv Skin Wound Care 2021 Jul 23. Epub 2021 Jul 23.

At Massachusetts General Hospital in Boston, Virginia Capasso, PhD, CNP, ACNS-BC, CWS, FACCWS, is Nurse Scientist, Yvonne L. Munn Center for Nursing Research; Colleen Snydeman, PhD, RN, is Executive Director; Karen Miguel, MM-H, RN, is Staff Specialist; Xianghong Wang, MS, is Senior Analyst; Michelle Crocker, BSN, RN, is Staff Nurse, Cardiac Intensive Care Unit; Zachary Chornoby, BSN, RN, CCRN, is Staff Nurse, Cardiac Intensive Care Unit; Mark Vangel, PhD, is Statistician, Marino Center for Radiology; Mary Ann Walsh, BSN, RN, is Nurse Clinician; John Murphy, DNP, RN, is Staff Specialist, Center for Quality & Safety; and Stephanie Qualls, MSN, RN, is Clinical Nurse Specialist, Neuroscience Intensive Care Unit. Acknowledgment: The authors thank Janet Cuddigan, PhD, RN, FAAN for her critical review of this manuscript. The authors have disclosed no financial relationships related to this article. Submitted February 21, 2021; accepted in revised form March 31, 2021.

Objective: To describe trends and risk factors for pressure injuries (PI) in adult critical care patients placed in prone position between April 9, 2020 and June 8, 2020 to alleviate acute respiratory distress syndrome (ARDS) secondary to COVID-19 and examine effectiveness of products and strategies to mitigate PIs.

Methods: A retrospective chart review was conducted. Demographic data were analyzed using descriptive statistics. Read More

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Prevalence of non tuberculous mycobacterial infection in surgical site infections and their antibiotic susceptibility profile.

Med J Armed Forces India 2021 Jul 4;77(3):343-348. Epub 2020 May 4.

Graded Specialist (Surgery), Military Hospital (Bathinda), Punjab, India.

Background: Surgical site infections (SSIs) are one of the leading causes of hospital-acquired infections contributing to about 20% of all cases, thereby causing an increase in morbidity and financial burden. Causative organisms associated with SSIs have not changed greatly over the last 10-15 years; however, the proportions of different types of causative organisms have changed with an increase in case reports of rare organisms such as non-tuberculous mycobacteria (NTM).

Methods: Samples received from patients with SSI were simultaneously cultured for the isolation of NTM along with routine bacteriological examination. Read More

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The Role of a Resilient Information Infrastructure in COVID-19 Vaccine Uptake in Ontario.

Healthc Q 2021 Jul;24(2):7-11

A senior scientist and chief science officer at ICES, a clinician scientist at The Hospital for Sick Children and professor of Paediatrics, Health Policy and Public Health at the Dalla Lana School of Public Health at the University of Toronto in Toronto, ON.

The COVID-19 pandemic has highlighted the need for a robust and nimble public health data infrastructure. ICES - a government-sponsored, independent, non-profit research institute in Ontario, Canada - functions as a key component of a resilient information infrastructure and an enabler of data co-production, contributing to Ontario's response to the COVID-19 pandemic as part of a learning health system. Linked data on the cumulative incidence of infection and vaccination at the neighbourhood level revealed disparate uptake between areas with low versus high risk of COVID-19. Read More

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Conceptualizing Medical Resident's Journey through Wonderland of Clinical Practice: From transitional shock to role adaptation to independent practice.

Pak J Med Sci 2021 Jul-Aug;37(4):1048-1053

Dr. Rahila Yasmeen, BDS, DCPS- HPE, MHPE, PhD-HPE (Scholar). Professor/ Director, Department of Medical Education, DEAN RARE/ ORIC, Riphah International University, Islamabad, Pakistan.

Objectives: To explore experiences of medical residents about stages and nature of transitional journey from induction into residency program to achievement of consultant title.

Methods: Qualitative phenomenological study was conducted at Sir Gangaram hospital and Fatima Memorial Hospital, Lahore for six months from Feb 2019-July 2019 after IRB/ERC approval from Islamic International Medical College (Ref# Riphah/IIMC/ERC/19/0320). Using purposive criterion sampling, 16 semi-structured interviews in four departments, four strata of junior residents, senior residents, newly-qualified consultants, and supervising consultants with four participants each were conducted till theoretical saturation of data was achieved. Read More

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November 2020

E-Learning for Population Health Management: An Educational Innovation to Prepare Student and Practicing Nurses for Value-Based Care.

Nurs Educ Perspect 2021 Jul 13. Epub 2021 Jul 13.

About the Authors Maja Djukic, PhD, RN, FAAN, is an associate professor, Cizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, Texas. Ana Mola, PhD, RN, ANP-BC, is clinical professor of rehabilitation medicine, New York University School of Medicine, New York, New York. Stacen Keating, PhD, RN, is clinical assistant professor, Rory Myers College of Nursing, New York University. Halia Melnyk, MPH, RN, is a PhD candidate, Rory Myers College of Nursing, New York University. Judith Haber, PhD, APRN-BC, FAAN, is Ursula Springer Leadership Professor in Nursing, Rory Myers College of Nursing, New York University. This project was supported by a grant to Dr. Djukic from the Josiah Macy, Jr. Foundation. For more information, contact Dr. Djukic at

Abstract: To educate nursing students and practicing registered nurses about population health management (PHM), a team of faculty and PHM clinical leaders created an innovative, scalable, turnkey ready, multimedia e-learning module. The module has four lessons; takes approximately three hours to complete; and can be accessed using a weblink from computers, smart phones, and tablets. The module engages learners with videos, flashcards, case studies, and a variety of interactive knowledge checks. Read More

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Gray Matters: Exploring Technologists' Perceptions of Dual-Use Potentiality in Emerging Neurotechnology Applications.

Health Secur 2021 Jul 14. Epub 2021 Jul 14.

Isobel Butorac, MSc, is a PhD Candidate, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia. Filippa Lentzos, PhD, is a Senior Research Fellow, Department of War Studies, and Christine Aicardi, PhD, MSc, MEng, is a Senior Research Fellow; both in the Department of Global Health and Social Medicine, King's College London, London, UK.

In this article, we report on a pilot study examining perceptions of dual use among neurotechnologists and neuroethicists. We carried out 10 semistructured interviews with participants from established universities in the United States, the United Kingdom, and Australia about the risks they saw with the new technology and about who has responsibility for safely developing it. We used a grounded theory approach to code and develop themes from the data and establish a foundation for analysis. Read More

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Specific Elements of Team-Based Learning Used in Nursing Education: A Scoping Review.

Nurse Educ 2021 Jul 13. Epub 2021 Jul 13.

Author Affiliations: Professor (Drs Considine and Currey), Research Fellow (Ms Berry), Lecturer (Mr Allen and Ms Hewitt), Senior Lecturer (Dr Oldland), PhD Candidate (Ms Sprogis), School of Nursing and Midwifery (Dr Considine, Ms Berry, Ms Allen, Ms Hewitt, Dr Oldland, Ms Sprogis, and Dr Currey); Centre for Quality and Patient Safety Research in the Institute for Health Transformation (Dr Considine, Ms Berry, Dr Oldland, Ms Sprogis, and Dr Currey); and Office of the Deputy Vice-Chancellor (Education) (Dr Currey), Deakin University, Geelong; and Centre for Quality and Patient Safety Research-Eastern Health Partnership Box Hill (Dr Considine and Ms Berry), Australia.

Background: Team-based learning (TBL) is an evidence-based, highly structured teaching strategy.

Purpose: The purpose of this review was to explore the specific TBL structure and process design elements reported in nursing education studies.

Methods: A scoping review was undertaken according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Read More

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Generic Yoga Modules for Clinical and Research Settings-Need of the Hour.

Int J Yoga Therap 2021 Jul 14. Epub 2021 Jul 14.

Director and Senior Professor of Psychiatry, National Institute of Mental Health & Neurosciences, Bangalore, Karnataka, India.

Yoga-based interventions offer significant promise in healthcare. However, meta-analyses of various yoga trials suggest that comparisons of trials are either not possible or difficult due to heterogeneity in therapeutic yoga interventions. Also, in view of emerging evidence for the role of therapeutic yoga, it is important to identify the specificity and validity of various yoga components being used in different trials. Read More

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Participatory Action Research-Dadirri-Ganma, using Yarning: methodology co-design with Aboriginal community members.

Int J Equity Health 2021 Jul 12;20(1):160. Epub 2021 Jul 12.

Adelaide Nursing School, The University of Adelaide, South Australia, Adelaide, Australia.

Background: Appropriate choice of research design is essential to rightly understand the research problem and derive optimal solutions. The Comorbidity Action in the North project sought to better meet the needs of local people affected by drug, alcohol and mental health comorbidity. The aim of the study focused on the needs of Aboriginal peoples and on developing a truly representative research process. Read More

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The Impact of Gender, Nativeness, and Subject Matter on the English as a Second Language University Students' Perception of Instructor Credibility and Engagement: A Qualitative Study.

Front Psychol 2021 22;12:702250. Epub 2021 Jun 22.

Department of English Language, Yasouj University, Yasouj, Iran.

In instructional contexts, instructor credibility or ethos is deemed to play a paramount role in teacher-student interaction and relationships. Much effort has been devoted to instructor credibility conceptualization, measurement, and its association with other instructional variables of interest in dominantly quantitative inquiries. However, little research has been undertaken in second-language education in which communication is both a means and an end. Read More

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Does research help to inform a district health board's purpose? A qualitative thematic analysis of clinician researcher views.

N Z Med J 2021 Jun 25;134(1537):36-42. Epub 2021 Jun 25.

RN, BA, MHSc, PhD, Professor of Forensic Mental Health, Auckland University of Technology, and the Auckland Regional Forensic Psychiatry Services, Waitematā District Health Board, Auckland, New Zealand; Adjunct Professor, Centre for Forensic Behavioural Science, Swinburne University of Technology, Melbourne, Australia.

Aim: The outcomes from research should guide the decisions of healthcare providers, policymakers and funders. This study sought the perspectives of senior hospital clinicians and researchers from a New Zealand district health board (DHB).

Method: A series of interviews asked participants about the purpose and benefits of research to the DHB, and to reflect upon the enablers and barriers they had experienced in conducting and translating research in a DHB context. Read More

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Career Adaptability: An Innovative Measurement to Aid Professional Development of New Graduate Nurses.

J Nurses Prof Dev 2021 Jul 2. Epub 2021 Jul 2.

Christine M. Walden, PhD, RN, NE-BC, is Senior Administrator for Emergency and Hospitalist Services at Vidant Medical Center, Greenville, North Carolina. Thompson H. Forbes, III, PhD, RN, NE-BC, is Assistant Professor and Concentration Director in the College of Nursing at East Carolina University, Greenville, North Carolina. Melvin Swanson, PhD, is Professor in the College of Nursing at East Carolina University, Greenville, North Carolina. Donna Lake, PhD, RN, NEA-BC, is Clinical Professor in the Advanced Nursing Practice and Education Department in the College of Nursing at East Carolina University, Greenville, North Carolina. Julie Kennedy Oehlert, DNP, RN, is Chief Experience Officer at Vidant Health, Greenville, North Carolina. Elaine S. Scott, PhD, RN, NE-BC, FNAP, is Professor and Chair in the Nursing Science Department in the College of Nursing at East Carolina University, Greenville, North Carolina.

This cross-sectional quantitative study explored career adaptability and career intentions in newly licensed nurses working in acute care hospitals throughout North Carolina. Data were analyzed from 277 registered nurses completing an online study instrument. Findings demonstrate a relationship between levels of career adaptability and career intentions, offering career adaptability as a new measurement to explore newly licensed nurses' desire to pursue career and educational change and expand transition programs to include developing career trajectories within organizations. Read More

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The Contribution of Thoracic Radiation Dose Volumes to Subsequent Development of Cardiovascular Disease in Cancer Survivors.

J Cardiovasc Nurs 2021 Jul 6. Epub 2021 Jul 6.

Carolyn Miller Reilly, PhD, RN, CHFN-K, CNE, FAHA, FAAN Professor, Clinical Nursing, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Melinda Higgins, PhD Professor, Research and Senior Biostatistician, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Javed Butler, MD, MPH, FAHA Professor, Patrick H. Lehan Chair in Cardiovascular Research, and Chairman of Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi. Natia Esiashvili, MD Professor and Chief Quality Officer, Department of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia. Baowei Fei, PhD, EngD Professor and Cecil H. and Ida Green Chair in Systems Biology Science, Department of Bioengineering, Erik Jonsson School of Engineering and Computer Science, University of Texas at Dallas; and Department of Radiology, University of Texas Southwestern Medical Center, Dallas. Tommy Flynn, BSN PhD Candidate, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. James D. Dormer, MS Research Engineer, Scientist Associate II, Department of Bioengineeirng, Erik Jonsson School of Engineering and Computer Science, University of Texas at Dallas. Eduard Schreibmann, PhD, DABR Associate Professor, Department of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.

Background: Although radiation therapy (RT) has been recognized for contributing to cardiovascular disease (CVD), it is unknown whether specific doses received by cardiovascular tissues influence development.

Objective: In this pilot study, we examined the contribution of RT dose distribution on the development of CVD events in patients with cancer within 5 years of RT.

Methods: A retrospective case-controlled design was used matching 28 cases receiving thoracic RT who subsequently developed an adverse CVD event with 28 controls based upon age, gender, and cancer type. Read More

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Sex Differences in the Association Between Inflammation and Event-Free Survival in Patients With Heart Failure.

J Cardiovasc Nurs 2021 Jul 6. Epub 2021 Jul 6.

Zyad T. Saleh, PhD Associate Professor, School of Nursing, The University of Jordan, Amman, Jordan. Ahmad T. Alraoush Medical Student, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan. Ahmad A. Aqel, PhD, RN Senior Lecturer, School of Nursing, The University of Jordan, Amman, Jordan. Tagreed O. Shawashi, MSN, RN Senior Lecturer, School of Nursing, The University of Jordan, Amman, Jordan. Misook Chung, PhD, RN Professor, College of Nursing, University of Kentucky, Lexington. Terry A. Lennie, PhD, FAAN Professor, College of Nursing, University of Kentucky, Lexington.

Background: Heart failure (HF) is associated with chronic inflammation, which is adversely associated with survival. Although sex-related differences in inflammation have been described in patients with HF, whether sex-related differences in inflammation are associated with event-free survival has not been examined.

Aim: The aim of this study was to determine whether the association between inflammation as indicated by tumor necrosis factor-α and event-free survival differs between men and women with HF after controlling for demographic and clinical variables. Read More

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Getting the whole story: Integrating patient complaints and staff reports of unsafe care.

J Health Serv Res Policy 2021 Jul 7:13558196211029323. Epub 2021 Jul 7.

Clinical Senior Lecturer, NIHR Imperial Patient Safety Translational Research Centre, Institute of Global Health Innovation, 4615Imperial College London, Imperial College London, UK.

Objective: It is increasingly recognized that patient safety requires heterogeneous insights from a range of stakeholders, yet incident reporting systems in health care still primarily rely on staff perspectives. This paper examines the potential of combining insights from patient complaints and staff incident reports for a more comprehensive understanding of the causes and severity of harm.

Methods: Using five years of patient complaints and staff incident reporting data at a large multi-site hospital in London (in the United Kingdom), this study conducted retrospective patient-level data linkage to identify overlapping reports. Read More

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A Nationwide Cohort Study of Parasomnias Among Adolescents.

J Clin Psychiatry 2021 Jul 6;82(4). Epub 2021 Jul 6.

Division of Public Health, Department of Social Medicine, Nihon University School of Medicine, Tokyo, Japan.

To elucidate the incidence rates and predictive factors for parasomnias (disorders of arousal, nightmare, and sleep paralysis) in adolescents.

This was a prospective cohort study of high school students. In 2010, we conducted a baseline survey of first-year students enrolled in randomly selected Japanese schools (10 junior high schools and 14 senior high schools); 2 years later, a follow-up survey of the same participants was conducted. Read More

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Evaluation of an Electrochemiluminescence Assay for the Rapid Detection of Abrin Toxin.

Health Secur 2021 Jul 2. Epub 2021 Jul 2.

Shashi Sharma, PhD, is Principal Investigator; all at the Center for Food Safety and Applied Nutrition, Molecular Methods Development Branch, Division of Microbiology, Office of Regulatory Science, US Food and Drug Administration, College Park, MD.

In this article, we detail a comprehensive laboratory evaluation of an immunoassay for the rapid detection of abrin using the Meso Scale Diagnostics Sector PR2 Model 1800. For the assay evaluation, we used inclusivity and exclusivity panels comprised of extracts of 11 cultivars and 35 near-neighbor plants, 65 lectins, 26 white powders, 11 closely related toxins and proteins, and a pool of 30 BioWatch filter extracts. The results show that the Meso Scale Diagnostics abrin detection assay exhibits good sensitivity and specificity with a limit of detection of 4 ng/mL. Read More

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Knowledge, Attitudes, and Perceptions of COVID-19 among Healthcare and Non-Healthcare Workers in Sub-Saharan Africa: A Web-Based Survey.

Health Secur 2021 Jul 2. Epub 2021 Jul 2.

Kingsley Emwinyore Agho, PhD, is an Associate Professor of Biostatistics, School of Health Sciences; both at Western Sydney University, Campbelltown, Australia. African Vision Research Institute, Westville Campus, University of KwaZulu-Natal, Durban, South Africa.

Due to the current COVID-19 pandemic and associated high mortality in sub-Saharan Africa, there is panic amongst healthcare workers because of the higher risk of being infected. This study compared knowledge, attitudes, and perceptions of COVID-19 among healthcare workers (HCWs) and non-healthcare workers (non-HCWs) and examined common associated factors. A web-based cross-sectional study of 1,871 respondents (430 HCWs and 1,441 non-HCWs) was conducted while lockdown measures were in place in 4 regions of sub-Saharan Africa. Read More

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Cause of Death Among Cardiac Patients With and Without Anxiety.

J Cardiovasc Nurs 2021 Jul 1. Epub 2021 Jul 1.

Anne Vinggaard Christensen, PhD Post doc, Department of Cardiology, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen O, Denmark. Pernille Fevejle Cromhout, PhD Post doc, Department of Cardiothoracic Anaesthesiology, The Heart Centre, Rigshospitalet, Copenhagen O, Denmark. Martin Balslev Jørgensen, DMSc Professor, Psychiatric Centre Copenhagen, and Institute of Clinical Medicine, University of Copenhagen, Copenhagen O, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, København N, Denmark. Ola Ekholm, MSc Senior Advisor, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. Knud Juel, PhD Professor, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. Jesper Hastrup Svendsen, DMSc Professor, Department of Cardiology, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen O, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, København N, Denmark. Trine Bernholdt Rasmussen, PhD Senior Researcher, Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, København N, and Department of Cardiology, Herlev and Gentofte University Hospital, Hellerup, Denmark. Britt Borregaard, PhD Associate Professor, Department of Cardiothoracic and Vascular Surgery, Odense University Hospital, and Department of Cardiology, Odense University Hospital, University of Southern Denmark, Odense C, Denmark. Rikke Elmose Mols, PhD Post doc, Department of Cardiology, Aarhus University Hospital, Aarhus N, Denmark. Lars Thrysoee, PhD Clinical Nurse Researcher, Department of Cardiology, Odense University Hospital, University of Southern Denmark, Odense C, Denmark. Charlotte Brun Thorup, PhD Post doc, Department of Cardiology and Department of Cardiothoracic Surgery & Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark. Selina Kikkenborg Berg, PhD Professor, Department of Cardiology, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen O, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, København N, Denmark.

Background: Mental distress is reported internationally among patients with cardiac disease. A Danish survey found that 25% of patients with cardiac disease experienced symptoms indicating anxiety and that anxiety was associated with an increased risk of death.

Aim: The aims of this study were to (1) compare cause of death patterns among deceased cardiac patients with anxiety to those without anxiety and (2) examine the association between anxiety symptoms and specific causes of death. Read More

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Why do pharmacists leave the profession? A mixed-method exploratory study.

Pharm Pract (Granada) 2021 Apr-Jun;19(2):2332. Epub 2021 Jun 3.

PhD. Senior Lecturer. School of Pharmacy, University of Auckland. Auckland (New Zealand).

Background: Recent New Zealand policy documents aim for pharmacists to be retained, and promote the provision of extended clinical pharmacy services. However, younger pharmacists have expressed dissatisfaction with the profession on informal social for a.

Objectives: To explore the characteristics, and perspectives of pharmacy as a career, of recent Bachelor of Pharmacy (BPharm, four-year degree) graduates who have left, or are seriously considering leaving the New Zealand pharmacy profession in the near future and where they have gone, or plan to go. Read More

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Pharmacists' and pharmacy technicians' scopes of practice in the management of minor ailments at community pharmacies in Indonesia: a cross-sectional study.

Pharm Pract (Granada) 2021 Apr-Jun;19(2):2295. Epub 2021 May 26.

PhD. Adjunct Professor. Pharmacy, Curtin Medical School, Curtin University. Perth, WA (Australia).

Background: Managing minor ailments in community pharmacy is an evolving pharmacy service in developing countries. Defined scopes of practice for pharmacy staff are essential for the safe management of minor ailments. Limited research exists regarding the perceptions of Indonesian pharmacists' and pharmacy technicians' scopes of practice in providing minor ailments management services. Read More

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Assessment of community pharmacists' communication and comfort levels when interacting with Deaf and hard of hearing patients.

Pharm Pract (Granada) 2021 Apr-Jun;19(2):2274. Epub 2021 May 12.

MPhil, PhD. Associate Professor. Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia. Jalan Lagoon Selatan, Selangor (Malaysia).

Background: Deaf and hard of hearing patients who use sign language face considerable communication barriers while accessing pharmacy services. Low comfort-levels between community pharmacists and Deaf and hard of hearing patients result in poor interactions and increase patient safety risks.

Objective: 1) To examine the way community pharmacists interact with Deaf and hard of hearing patients in Malaysia, and their level of comfort in such interactions. Read More

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Phytogenic Bioactive Compounds Shape Fish Mucosal Immunity.

Front Immunol 2021 18;12:695973. Epub 2021 Jun 18.

Aquaculture Program, Institut de Recerca i Tecnologia Agroalimentàries (IRTA) Centre de Sant Carles de la Ràpita (IRTA-SCR), Sant Carles de la Ràpita, Spain.

Aquaculture growth will unavoidably involve the implementation of innovative and sustainable production strategies, being functional feeds among the most promising ones. A wide spectrum of phytogenics, particularly those containing terpenes and organosulfur compounds, are increasingly studied in aquafeeds, due to their growth promoting, antimicrobial, immunostimulant, antioxidant, anti-inflammatory and sedative properties. This trend relies on the importance of the mucosal barrier in the fish defense. Read More

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Prevalence and contributing factors for adolescent obesity in present era: Cross-sectional Study.

J Family Med Prim Care 2021 May 31;10(5):1890-1894. Epub 2021 May 31.

Deputy Medical Superintendent, All India Institute of Medical Science, Rishikesh, Uttarakhand, India.

Background: Adolescent obesity is a very common issue in our culture. Recent studies have shown that this is a form of global burden that may predispose factors in advanced life for many other diseases. Adolescents are a positive force for a country, responsible for their future prosperity and also for their nations. Read More

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Intra and intersession repeatability and reliability of dynamic parameters in pressure platform assessments on subjects with simulated leg length discrepancy. A cross-sectional research.

Sao Paulo Med J 2021 Jun 25. Epub 2021 Jun 25.

PT, MSc, PhD, DPM. Assistant Professor, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid. Madrid, Spain.

Background: Leg length discrepancy (LLD) may play a key role in exercise biomechanics. Although the Podoprint platform has been used in dynamic pressure studies, there are no data regarding the reliability and repeatability of dynamic measurements under simulated LLD conditions.

Objectives: To determine the intra and intersession repeatability and reliability of dynamic parameters of the Podoprint pressure platform under simulated LLD conditions. Read More

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Prescribing pre-exposure prophylaxis in general practice.

Aust J Gen Pract 2021 07;50(7):479-482

BSc (Hons), MBBS, FRACGP, FAChSHM, PhD, Staff Specialist in sexual health medicine, Kirketon Road Centre, NSW Health, NSW; Conjoint Senior Lecturer, The Kirby Institute, UNSW, NSW.

Background: Pre-exposure prophylaxis (PrEP) is a highly effective method of human immunodeficiency virus (HIV) prevention available to prescribe on the Pharmaceutical Benefits Scheme general schedule.

Objective: The aim of this article is to provide information and guidance to general practitioners (GPs) and other healthcare providers on providing PrEP, and to discuss efficacy, adverse effects, monitoring and further resources.

Discussion: GPs can play a central role in discussing HIV prevention strategies for people who may be at risk of HIV. Read More

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How do healthcare providers support people with prediabetes to eat well? An in-depth, mixed-methods case study of provider practices.

Aust J Gen Pract 2021 07;50(7):497-504

PhD, FDAA, Professor of Nutrition and Dietetics, Menzies Health Institute Queensland, Griffith University, Qld.

Background And Objectives: Guidelines recommend people with prediabetes receive diet and lifestyle support to avoid type 2 diabetes, yet it is unclear whether this care is provided in practice. The aim of this article is to explore the perspectives and nutrition care practices of healthcare providers (HCPs) for patients with prediabetes.

Method: This was a mixed-methods case study of an urban practice comprising a retrospective chart review and semi-structured interviews. Read More

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General practitioner management of mental health during the COVID-19 pandemic.

Aust J Gen Pract 2021 07;50(7):472-477

AM MBBS (Hons), MD, DCCH, DipRACOG, MCFP, FAHMS, Principal Medical Advisor and Deputy Chief Medical Officer, Australian Government Department of Health, ACT; Professor of Primary Care Reform, Australian National University, ACT; Adjunct Professor, Department of Family and Community Medicine, University of Toronto, Canada; Emeritus Director, World Health Organization Collaborating Centre on Family Medicine and Primary Care, GVA; Professorial Fellow, Murdoch [email protected] Research Institute, The Royal [email protected] Hospital Melbourne, Vic; Honorary Professor of Global Primary Care, Southgate Institute for Health, Society and Equity, Flinders University, SA.

Background: Psychological issues are common presentations in general practice. The COVID-19 pandemic has created a 'perfect storm' for the deterioration of mental health. General practitioners (GPs) are ideally placed to provide supports for people with mental health issues. Read More

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Care for survivors of acute kidney injury.

Aust J Gen Pract 2021 Jul;50(7):450-456

MBBS (Hons), PhD, FRACP, Head of Obstetric Medicine Unit and Nephrologist, Director of Physician Education, Northern Health, Vic; Lecturer, Northern Clinical School, University of Melbourne, Vic.

Background: The effects of acute kidney injury (AKI) extend beyond the acute illness phase. Patients who survive AKI are at increased risk of hospital readmission, chronic disease including kidney and cardiovascular disease, frailty and death. AKI may be overlooked among more obvious or complex healthcare concerns. Read More

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An Exploratory Study on Death Anxiety and Its Impact on Community Palliative Nurses in Singapore.

J Hosp Palliat Nurs 2021 Jun 28. Epub 2021 Jun 28.

Mun Leong Tang, DN, EdD, RN, is assistant director and nursing and adjunct associate professor, St Andrew's Community Hospital, Singapore. Hongli Sam Goh, DN, DBA, RN, is senior lecturer, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore. Hui Zhang, PhD, MSN, BSN, RN, is lecturer, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore. Chen Na Lee, MN, RN, is nurse clinician (advanced practice nurse), Singapore General Hospital.

Nurses working in palliative care settings encounter death and dying regularly and face a greater risk of developing death anxiety and negative attitudes than their counterparts. Such distress and apprehension can cause care fatigue and affect patients' quality of life. Death anxiety remains an underresearched area in Asia, where death and dying are still considered taboo. Read More

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