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Translation and cross-cultural adaptation of the Clinical Care Classification system.

Int J Med Inform 2021 Jul 16;153:104534. Epub 2021 Jul 16.

Saint Camillus International University of Health Sciences, Via di Sant'Alessandro 8, Rome 00131, Italy.

Introduction: The Clinical Care Classification (CCC) system is one of the standard nursing terminologies recognized by the American Nurses Association, developed to describe nursing care through electronic documentation in different healthcare settings. The translation of the CCC system into languages other than English is useful to promote its widespread use in different countries and to provide the standard nursing data necessary for interoperable health information exchange. The aim of this study was to translate the CCC system from English to Italian and to test its clinical validity. Read More

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Mindfulness-based interventions for medication adherence: A systematic review and narrative synthesis.

J Psychosom Res 2021 Jul 26;149:110585. Epub 2021 Jul 26.

Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, United States. Electronic address:

Objective: Inadequate medication adherence is a significant limitation for achieving optimal health outcomes across chronic health conditions. Mindfulness-based interventions (MBIs) have been increasingly applied to promote medical regimen adherence as MBIs have been shown to improve patient-level barriers to adherence (i.e. Read More

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Optimizing the Global Nursing Workforce to Ensure Universal Palliative Care Access and Alleviate Serious Health-Related Suffering Worldwide.

J Pain Symptom Manage 2021 Jul 28. Epub 2021 Jul 28.

International Children's Palliative Care Network; Makerere University, Kampala, Uganda.. Electronic address:

Context: Palliative care access is fundamental to the highest attainable standard of health and a core component of universal health coverage. Forging universal palliative care access is insurmountable without strategically optimizing the nursing workforce and integrating palliative nursing into health systems at all levels. The COVID-19 pandemic has underscored both the critical need for accessible palliative care to alleviate serious health-related suffering and the key role of nurses to achieve this goal. Read More

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To be, or not to be? The role of the unconscious in transgender transitioning: identity, autonomy and well-being.

J Med Ethics 2021 Jul 30. Epub 2021 Jul 30.

Faculty of Philosophy, University of Oxford, Oxford, UK

The exponential rise in transgender self-identification invites consideration of what constitutes an ethical response to transgender individuals' claims about how best to promote their well-being. In this paper, we argue that 'accepting' a claim to medical transitioning in order to promote well-being would be in the person's best interests iff at the point of request the individual is correct in their self-diagnosis as transgender (i.e. Read More

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Anticipating the future: prognostic tools as a complementary strategy to improve care for patients with febrile illnesses in resource-limited settings.

BMJ Glob Health 2021 Jul;6(7)

Centre for Tropical Medicine & Global Health, University of Oxford, Oxford, UK.

In low-income and middle-income countries, most patients with febrile illnesses present to peripheral levels of the health system where diagnostic capacity is very limited. In these contexts, accurate risk stratification can be particularly impactful, helping to guide allocation of scarce resources to ensure timely and tailored care. However, reporting of prognostic research is often imprecise and few prognostic tests or algorithms are translated into clinical practice. Read More

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Guidance on the limits to the number of embryos to transfer: a committee opinion.


Fertil Steril 2021 Jul 28. Epub 2021 Jul 28.

American Society for Reproductive Medicine and Society for Assisted Reproductive Technologies, Birmingham, Alabama.

On the basis of American Society for Reproductive Medicine and Society for Assisted Reproductive Technology data, the American Society for Reproductive Medicine's guidelines for the limits on the number of embryos to be transferred during in vitro fertilization cycles have been further refined in continuing efforts to promote singleton gestation and reduce the number of multiple pregnancies. This version replaces the document titled "Criteria for number of embryos to transfer: a committee opinion" that was published most recently in August of 2017 (Fertil Steril 2017;107:901-3). Read More

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In Defense of Patient Autonomy in Kidney Failure Care When Treatment Choices Are Limited.

Semin Nephrol 2021 May;41(3):242-252

Department of Surgery, University of Cape Town, Cape Town, South Africa.

Respect for patient autonomy is a primary ethical obligation of health care providers. In kidney health care, clinical practice recommendations commonly include strategies to promote shared decision making with patients and their families about treatment options to promote patient autonomy and improve patient outcomes. However, for many people with kidney failure, treatment options may be unavailable or inaccessible. Read More

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Positive effect of village debt on land transfer: Evidence from county-level panel data of village finance in Zhejiang Province.

PLoS One 2021 30;16(7):e0255072. Epub 2021 Jul 30.

Institute for Advanced Study in Humanities and Social Sciences & School of Public Affairs, Zhejiang University, Hangzhou city, Zhejiang Province, China.

The purpose of this paper is to examine the impact of village debt on land transfer. Based on the county-level panel data of village finance and land transfer in 90 counties and 4 economic development zones of Zhejiang Province from 2013 to 2017, this paper carried out multivariate statistical analysis and set a fixed effect model to control the endogenous influence of region and time. It found that village debt as a pressure may encourage village committees to promote rural land transfer, and then especially promote land flows into agricultural firms; as a mechanism, the burden of village organization's transactional debt (historical debt and administrative debt) is the key to promoting the rural land flow to agricultural enterprises; through further analysis, it is found that the village committee seeks "win-win" opportunities by intervening in land circulation to ensure the rights and interests of farmers and to obtain village benefits from them. Read More

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What should be included in the criteria for compulsive sexual behavior disorder?

J Behav Addict 2020 Nov 25. Epub 2020 Nov 25.

9University of California, Los Angeles, United States.

Compulsive sexual behavior disorder (CSBD) is currently defined in the eleventh revision of the International Classification of Diseases (ICD-11) as an impulse control disorder. Criteria for hypersexual disorder (HD) had been proposed in 2010 for the fifth revision of Diagnostic and Statistical Manual (DSM-5). In this article, we compare differences between HD and CSBD and discuss their relevance. Read More

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November 2020

The effectiveness of cognitive-motor training on reconstructing cognitive health components in older male adults, recovered from the COVID-19.

Neurol Sci 2021 Jul 30. Epub 2021 Jul 30.

Exercise Physiology Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Objective: The incidence of COVID-19 disease in the elderly can accelerate normal degenerative process of cognitive functions. Interactive cognitive-motor training (CMT) is an intervention that integrates cognitive and motor tasks to promote individuals' physical and psychological health. The present study aimed to examine the effect of CMT on reconstructing cognitive health components in older men, who have recently recovered from COVID-19. Read More

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[Psychosocial stress at work and disease risks : Scientific evidence and implications for practice].

Internist (Berl) 2021 Jul 30. Epub 2021 Jul 30.

Life Science Center, Merowingerplatz 1a, 40225, Düsseldorf, Deutschland.

The modern working world makes a significant contribution to the development of diseases, which goes far beyond the field of traditional occupational diseases. Despite technological progress and successful medical healthcare, distinct widely disseminated psychosocial working conditions contribute to a remarkable burden of work-related diseases. By inducing chronic activation of psychobiological stress reactions, they promote the development of various physical and mental disorders. Read More

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Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open-ended question of a nationwide survey.

J Eval Clin Pract 2021 Jul 29. Epub 2021 Jul 29.

Center for Primary Care and Public Health (Unisanté), Department of Epidemiology and Health Systems, University of Lausanne, Lausanne, Switzerland.

Objective: We aimed to identify the main barriers to integrated care (IC) as reported by healthcare stakeholders from various linguistic regions and health system specificities, according to their reality of practice.

Methods: Information was gathered through an open-ended question from a national survey conducted in Switzerland in 2019. Responses were analysed qualitatively with the IRaMuTeQ software. Read More

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Effects of Text Enhancement on Reduction of Look-Alike Drug Name Confusion: A Systematic Review and Meta-analysis.

Qual Manag Health Care 2021 Jul 28. Epub 2021 Jul 28.

School of Design, The Hong Kong Polytechnic University, Hong Kong, China (Dr Wang); Institute of Human Factors and Ergonomics, College of Mechatronics and Control Engineering, Shenzhen University, Shenzhen, China (Dr Tao); and School of Intelligent Systems Science and Engineering, Jinan University (Zhuhai Campus), Zhuhai, China (Dr Yan).

Background And Objectives: Drug name confusion induced by look-alike drug names represents a serious health care management problem in practice. Text enhancement by changing visual attributes of look-alike drug names has been proposed and widely applied in practice to mitigate drug name confusion. However, the effectiveness of text enhancement on reducing drug name confusion is yet to be determined. Read More

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Sociocultural context and autistics' quality of life: A comparison between Québec and France.

Autism 2021 Jul 30:13623613211035229. Epub 2021 Jul 30.

Université du Québec à Montréal, Canada.

Lay Abstract: Quality of life refers to how people perceive aspects of their life such as physical health, material security, and interpersonal relationships. Studies have reported lower quality of life among autistic individuals than in the general population. This article contributes to a better understanding of quality of life and its measures from the point of view of autistic adults. Read More

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Disparities in COVID-19 Vaccination Coverage Among Health Care Personnel Working in Long-Term Care Facilities, by Job Category, National Healthcare Safety Network - United States, March 2021.

MMWR Morb Mortal Wkly Rep 2021 Jul 30;70(30):1036-1039. Epub 2021 Jul 30.

Residents of long-term care facilities (LTCFs) and health care personnel (HCP) working in these facilities are at high risk for COVID-19-associated mortality. As of March 2021, deaths among LTCF residents and HCP have accounted for almost one third (approximately 182,000) of COVID-19-associated deaths in the United States (1). Accordingly, LTCF residents and HCP were prioritized for early receipt of COVID-19 vaccination and were targeted for on-site vaccination through the federal Pharmacy Partnership for Long-Term Care Program (2). Read More

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Effectiveness of smartphone application-based self-management interventions in patients with type 2 diabetes: A systematic review and meta-analysis of randomized controlled trials.

J Adv Nurs 2021 Jul 29. Epub 2021 Jul 29.

School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.

Aims: To synthesize evidences on smartphone application-based intervention and determine its effectiveness on glycaemic control, self-management behaviours, psychological well-being, quality of life and cardiometabolic risk factors.

Design: A systematic review and meta-analysis of randomized controlled trials (RCTs).

Data Sources: Major English and Chinese electronic databases were searched from January 2008 to January 2021, including PubMed, Web of Science, Embase, Cochrane Central Register of Controlled Trials, Google Scholar, China National Knowledge Infrastructure (CNKI), Wanfang and Sinomed. Read More

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Sexual health and wellbeing training with women in Pacific Island Countries and Territories: a scoping review.

Glob Health Action 2021 Jan;14(1):1948673

College of Medicine and Dentistry, James Cook University, Cairns, Australia.

Background: Women who are spouses of students at a faith-based university in Papua New Guinea (PNG) are afforded proximal power. These women are perceived as leaders and regularly approached by members in their communities to provide advice on sexual and reproductive health matters. Women leaders therefore need access to sexual health information and training to provide appropriate advice. Read More

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January 2021

Patterns of Antimicrobials Prescribed to Patients Admitted to a Tertiary Care Hospital: A Prescription Quality Audit.

Cureus 2021 Jun 24;13(6):e15896. Epub 2021 Jun 24.

Pharmacology and Therapeutics, University of Ibadan, Ibadan, NGA.

Introduction Rational use of antimicrobial agents is necessary to prevent the emergence of drug resistance. This study aims to assess the prescription pattern of antibiotics using the Anatomic Therapeutic Chemical Classification (ATCC)/Defined Daily Dose (DDD) metrics in real-world practice. Methods A retrospective audit of antibiotics prescribed to patients admitted to a tertiary hospital over 20 months. Read More

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Socio-environmental models of allied health disability support: an exploration of narrative experiences in the Australian National Disability and Insurance Scheme.

Aust Health Rev 2021 Jul 29. Epub 2021 Jul 29.

ObjectiveThe primary aims of this study were to explore: (1) manifestations of socio-environmental models of allied health support provision in the disability sector; and (2) narrative experiences of individual allied health professionals in the disability sector.MethodsA narrative qualitative study using interviews from a purposive sample of two allied health professionals working in the disability sector explored manifestations of socio-environmental models of allied health support provision and their experiences from case examples. The key informants had more than 10 years of experience in the disability support services setting. Read More

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Addressing structural discrimination: prioritising people with mental health and addiction issues during the COVID-19 pandemic.

N Z Med J 2021 Jul 9;134(1538):128-134. Epub 2021 Jul 9.

Professor (Pathology), Department of Pathology and Biomedical Science, University of Otago, Christchurch - Te Whare Wānanga o Otāgo ki Ōtautahi, Christchurch.

Structural discrimination worsens physical health inequities and significantly reduces life expectancy for people with mental health and addiction issues. Aotearoa has recently made some notable changes in health policy by formally recognising the physical health needs of people with mental health and addiction issues. The COVID-19 vaccination sequencing framework provides an important opportunity to protect and promote the health of people with addiction and mental health issues. Read More

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New developments in rare vulvar and vaginal cancers.

Curr Opin Oncol 2021 Jul 27. Epub 2021 Jul 27.

Gynecology and Breast Care Center, Mater Olbia Hospital, Olbia Dipartimento Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome, Italy.

Purpose Of Review: To provide the latest insight on the rare vulvar and vaginal malignancies, able to impact on clinical practice, and to outline new potential research developments.

Recent Findings: Many efforts are being made to produce technical and scientific advances in the fields of vulvar and vaginal carcinoma, including imaging work-up, interventional procedures and minimally invasive surgical approach, as well as molecular profiling and identification of new target treatments.

Summary: In the evaluation of lymph node status, ultrasound has demonstrated promising results because of high predictive value, low risk and low cost. Read More

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Cognitive crafting and work engagement: A study among remote and frontline health care workers during the COVID-19 pandemic.

Health Care Manage Rev 2021 Jul 26. Epub 2021 Jul 26.

Indy Wijngaards, MSc, Erasmus Happiness Economics Research Organization and Erasmus School of Health & Policy Management, Erasmus University Rotterdam, the Netherlands. E-mail: Florie R. Pronk, MSc, Erasmus Happiness Economics Research Organization, Erasmus University Rotterdam, the Netherlands. Arnold B. Bakker, PhD, Center of Excellence for Positive Organizational Psychology, Erasmus University Rotterdam, the Netherlands. Martijn J. Burger, PhD, Erasmus Happiness Economics Research Organization and Erasmus School of Economics, Erasmus University Rotterdam, the Netherlands.

Background: The outbreak of COVID-19 has led to a profound change in the organization of work in the health care sector. As frontline health care workers are essential in battling the pandemic and their work is appreciated in society, we argue that health care workers who are forced to work from home are likely to perceive their jobs as less meaningful, which in turn may negatively affect their engagement at work. Cognitive crafting, or the altering of the perceptions one has about their tasks and relationships with the aim to enhance the meaningfulness of work, may be a fruitful cognitive strategy to counter the problems remote health care workers face. Read More

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Resilience and anxiety among intensive care unit professionals during the COVID-19 pandemic.

Nurs Crit Care 2021 Jul 28. Epub 2021 Jul 28.

Critical Care Unit, Hospital Universitario Fundación Alcorcón, Madrid, Spain.

Background: The situation of the COVID-19 global pandemic has generated an unprecedented state of emergency worldwide that has had a psychological impact on health care workers working in the ICU and this has created the need to implement different psychological strategies.

Aim: This study explores (a) the prevalence of symptoms associated with generalized anxiety disorder (GAD), (b) the relationship between GAD symptoms and resilience skills, and (c) which of the resilience skills were associated with a probable GAD among the ICU professionals during the COVID-19 pandemic.

Study Design: Cross-sectional survey design. Read More

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Slovenian midwifery professionalization: Perception of midwives and related health professions.

Eur J Midwifery 2021 20;5:30. Epub 2021 Jul 20.

Centre for Welfare Studies, Faculty of Social Sciences, University of Ljubljana, Ljubljana, Slovenia.

Introduction: This article presents research into the professionalization of midwifery in Slovenia. Since recognition by related occupations is important for professions, this comparative study asked doctors and nurses in Slovenia about their perceptions of the status of midwifery.

Methods: A questionnaire survey was conducted with 300 Slovenian midwives, 666 nurses and 416 obstetricians. Read More

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'Function First': how to promote physical activity and physical function in people with long-term conditions managed in primary care? A study combining realist and co-design methods.

BMJ Open 2021 07 27;11(7):e046751. Epub 2021 Jul 27.

Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.

Objectives: To develop a taxonomy of interventions and a programme theory explaining how interventions improve physical activity and function in people with long-term conditions managed in primary care. To co-design a prototype intervention informed by the programme theory.

Design: Realist synthesis combining evidence from a wide range of rich and relevant literature with stakeholder views. Read More

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Guidelines for Conducting Ethical Artificial Intelligence Research in Neurology: A Systematic Approach for Clinicians and Researchers.

Neurology 2021 Jul 27. Epub 2021 Jul 27.

Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA.

Pre-emptive recognition of the ethical implications of study design and algorithm choices in artificial intelligence (AI) research is an important but challenging process. AI applications have begun to transition from a promising future to clinical reality in neurology. As the clinical management of neurology is often concerned with discrete, often unpredictable, and highly consequential events linked to multimodal data streams over long timescales, forthcoming advances in AI have great potential to transform care for patients. Read More

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How do patients spend their time in stroke rehabilitation units in England? The REVIHR study.

Disabil Rehabil 2021 Aug 6;43(16):2312-2319. Epub 2019 Dec 6.

Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham, UK.

Aim: To examine how patients spend their time in stroke rehabilitation units in England.

Methods: We recruited 144 patients within a month after stroke from four stroke rehabilitation units and observed their activity type, interactions and location. Each participant was observed for 1 min every 10-minutes, for a total of 20 h, over three consecutive days. Read More

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Health behavior adherence and emotional adjustment during the COVID-19 pandemic in a US nationally representative sample: The roles of prosocial motivation and gratitude.

Soc Sci Med 2021 Jul 20;284:114243. Epub 2021 Jul 20.

Department of Psychology, Arizona State University, Tempe, AZ, 85287, USA.

Rationale: Substantial health behavior change (e.g., social distancing, mask-wearing) is needed to slow COVID-19. Read More

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The Role of Chiropractic Care in Providing Health Promotion and Clinical Preventive Services for Adult Patients with Musculoskeletal Pain: A Clinical Practice Guideline.

J Altern Complement Med 2021 Jul 26. Epub 2021 Jul 26.

University of Western States, Portland, Oregon, USA.

To develop evidence-based recommendations on best practices for delivery of clinical preventive services by chiropractors and to offer practical resources to empower provider applications in practice. Clinical practice guideline based on evidence-based recommendations of a panel of practitioners and experts on clinical preventive services. Synthesizing the results of a literature search for relevant clinical practice guidelines and systematic reviews, a multidisciplinary steering committee with training and experience in health promotion, clinical prevention, and/or evidence-based chiropractic practice drafted a set of recommendations. Read More

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Advancing Workplace Diversity Through the Culturally Responsive Teamwork Framework.

Am J Speech Lang Pathol 2021 Jul 27:1-13. Epub 2021 Jul 27.

Charles Sturt University, Bathurst, New South Wales, Australia.

Purpose Diversification of the profession is an important element of combating racism, bias, and prejudice in the speech-language pathology workforce at national and systemic levels. However, national and systemic change needs to be combined with equipping individual speech-language pathologists to adapt to the challenges that they face to engaging in culturally responsive practice. This paper presents four interacting levels of practice within the Culturally Responsive Teamwork Framework (CRTF): (a) intrapersonal practices, (b) interpersonal practices, (c) intraprofessional practices, and (d) the interprofessional practices. Read More

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