152,982 results match your criteria providers examinedresults

School-based depression and anxiety prevention programs: An updated systematic review and meta-analysis.

Clin Psychol Rev 2021 Aug 30;89:102079. Epub 2021 Aug 30.

Black Dog Institute, University of New South Wales, Sydney, NSW, Australia; School of Psychology, University of New South Wales, Sydney, NSW, Australia.

Depression and anxiety are often first experienced during childhood and adolescence, and interest in the prevention of these disorders is growing. The focus of this review was to assess the effectiveness of psychological prevention programs delivered in schools, and to provide an update to our previous review from five years ago (Werner-Seidler, Perry, Calear, Newby, & Christensen, 2017). Three electronic databases were systematically searched for published articles of randomised controlled trials (RCTs) evaluating the efficacy of school-based prevention programs until October 2020. Read More

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Reactogenicity of a third BNT162b2 mRNA COVID-19 vaccine among immunocompromised individuals and seniors - A nationwide survey.

Clin Immunol 2021 Sep 24:108860. Epub 2021 Sep 24.

Division of Health, Maccabi Healthcare Services, Tel Aviv, Israel.

Background: Since July 13, 2021, a third SARS-CoV-2 vaccine BNT162b2 was approved in Israel to immunocompromised and seniors 60 years of age or older. We aimed to evaluate vaccine's reactogenicity.

Methods: A retrospective cohort, using electronic surveys sent to booster vaccine recipients, during July 20-August 10, 2021. Read More

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September 2021

Impact of the COVID-19 Pandemic on Home Care Services Among Community-Dwelling Adults With Dementia.

J Am Med Dir Assoc 2021 Sep 6. Epub 2021 Sep 6.

ICES, Toronto, Ontario, Canada; Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.

Objective: To examine how the COVID-19 pandemic impacted use of home care services for individuals with dementia across service types and sociodemographic strata.

Design: Population-based time series analysis.

Setting And Participants: Community-dwelling adults with dementia in Ontario, Canada, from January 2019 to September 2020. Read More

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September 2021

Optimizing Sexual and Reproductive Health Across the Lifespan in People with Cystic Fibrosis.

Pediatr Pulmonol 2021 Sep 27. Epub 2021 Sep 27.

Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX.

With improved therapies, people with cystic fibrosis are living longer and healthier lives and increasingly have questions surrounding their sexual and reproductive health. This article will summarize the important issues of which providers should be aware during the lifespan of people with cystic fibrosis, including puberty, adulthood, and menopause. A wide range of sexual and reproductive health topics are addressed such as puberty, transgender and gender non-binary identities, contraception, sexually transmitted infections, hypogonadism, sexual functioning, cyclical hemoptysis, and urinary incontinence. Read More

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September 2021

Management of amended variant classification laboratory reports by genetic counselors in the United States and Canada: An exploratory study.

J Genet Couns 2021 Sep 27. Epub 2021 Sep 27.

Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA.

For the past two decades, the guidelines put forth by the American College of Medical Genetics and Genomics (ACMG) detailing providers' clinical responsibility to recontact patients have remained mostly unchanged, despite evolving variant interpretation practices which have yielded substantial rates of reclassification and amended reports. In fact, there is little information regarding genetic counselors' roles in informing patients of reclassified variants, or the process by which these amended reports are currently being handled. In this study, we developed a survey to measure current experiences with amended variant reports and preferences for ideal management, which was completed by 96 genetic counselors from the United States and Canada. Read More

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September 2021

The role of access to finance from different finance providers in production risks of horticulture in Indonesia.

PLoS One 2021 27;16(9):e0257812. Epub 2021 Sep 27.

Business Economics, Wageningen University, Wageningen, The Netherlands.

This paper aims to investigate the association between perceived production risk of horticultural farms and access to finance from different finance providers. The collection of data was conducted among 434 farmers in Indonesia particularly farmers produced mango, mangosteen, chili and red onion. Production risk was measured by the coefficient of variation, skewness, kurtosis and the 25th percentile. Read More

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September 2021

Adult Day Services Center Participant Characteristics: United States, 2018.

NCHS Data Brief 2021 Sep(411):1-8

An estimated 251,100 participants were enrolled in adult day services centers (ADSCs) in the United States in 2018 (1). Compared with users of other long-term care services, ADSC participants were younger and more racially and ethnically diverse (2). ADSC participants have a diverse set of needs, with many participants requiring assistance with activities of daily living (ADLs) and having chronic health conditions (3). Read More

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September 2021

Child adjustment to parental cancer: A latent profile analysis.

Health Psychol 2021 Sep 27. Epub 2021 Sep 27.

Department of Clinical Psychology.

Objective: This study aimed to identify latent classes of adjustment in children confronted with parental cancer, based on profiles of traumatic stress symptoms, health-related quality of life (HRQoL), and satisfaction with life. In addition, correlates of classes were examined.

Method: Families were recruited through social media, health care providers, and cancer support centers. Read More

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September 2021

Changes in knowledge, beliefs, self-efficacy, and affective commitment to change following trauma-informed care education for pediatric service providers.

Psychol Trauma 2021 Sep 27. Epub 2021 Sep 27.

Department of Public Health and Health Sciences.

Objective: As organizations strive to build trauma-informed care (TIC) systems, further understanding of individual and organizational characteristics that may impact implementation is needed. The objective of this study was to assess changes in affective commitment, beliefs, foundational knowledge, and self-efficacy following completion of a TIC curriculum for a group of interprofessional pediatric service providers. Understanding effects of training on the perceptions of organizational support held by participants was also central to our inquiry. Read More

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September 2021

Experiences of non-invasive prenatal screening: A survey study.

Aust N Z J Obstet Gynaecol 2021 Sep 27. Epub 2021 Sep 27.

School of Psychological Sciences, College of Engineering, Science and Environment, University of Newcastle, Callaghan, NSW, Australia.

Background: In Australia, using non-invasive prenatal testing (NIPT) to screen for fetal abnormalities is becoming more commonplace. However, there is a lack of standardised procedures surrounding pre-test counselling. This holds the potential for variability in pregnant people's experiences when undergoing NIPT, which subsequently may impact their ability to make informed decisions surrounding NIPT results. Read More

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September 2021

Exploring the Quality of Communication Between Patients with Psoriatic Arthritis and Physicians: Results of a Global Online Survey.

Rheumatol Ther 2021 Sep 27. Epub 2021 Sep 27.

Pfizer Ltd, Walton Oaks, Tadworth, Surrey, KT20 7NS, UK.

Introduction: Effective communication between patients with psoriatic arthritis (PsA) and their physicians is important for optimizing treatment outcomes. We assessed the quality of patient-physician communication in terms of awareness and impact of PsA symptoms, their levels of satisfaction, and their perceptions of communications.

Methods: A global online survey was conducted by The Harris Poll in adult patients with PsA and physicians managing patients with PsA in eight countries. Read More

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September 2021

Post-vaccination COVID Toes (Chilblains) Exacerbated by Rituximab Infusion Suggests Interferon Activation as Mechanism.

Mil Med 2021 Jul 23. Epub 2021 Jul 23.

Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA 17033, USA.

Coronavirus disease (COVID) toes are pernio-like skin lesions associated with severe acute respiratory syndrome coronavirus 2. We observed pernio-like skin findings presenting after a Pfizer BioNTech vaccine, which significantly worsened after an infusion of rituximab. This suggests that the mechanism for COVID toes is interferon activation. Read More

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[ANMCO Position paper: Cardio-oncology in the COVID-19 era].

G Ital Cardiol (Rome) 2021 Oct;22(10):800-825

U.O.C. Cardiologia Clinica e Riabilitativa, Presidio Ospedaliero San Filippo Neri - ASL Roma 1, Roma.

The COVID-19 pandemic and its impact on patients with cancer and cardiovascular disease have confirmed the particular vulnerability of this population. Indeed, not only a higher risk of contracting the infection has been reported, but also an increased occurrence of a more severe course and unfavorable outcome. Beyond the direct consequences of COVID-19, the pandemic has an enormous impact on global health systems. Read More

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October 2021

Anesthesia providers as stakeholders to adoption of pharmacogenomic information in perioperative care.

Pharmacogenet Genomics 2021 Sep 23. Epub 2021 Sep 23.

Department of Medicine Center for Personalized Therapeutics Committee on Clinical Pharmacology and Pharmacogenomics Department of Anesthesia and Critical Care Center for Research Informatics Department of Public Health Sciences Department of Pharmacy, University of Chicago, Chicago, Illinois, USA.

Objectives: Integration of pharmacogenomics into clinical care is being studied in multiple disciplines. We hypothesized that understanding attitudes and perceptions of anesthesiologists, critical care and pain medicine providers would uncover unique considerations for future implementation within perioperative care.

Methods: A survey (multiple choice and Likert-scale) was administered to providers within our Department of Anesthesia and Critical Care prior to initiation of a department-wide prospective pharmacogenomics implementation program. Read More

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September 2021

The Transition from Pediatric to Adult Health Care in Young Adults with Spina Bifida: Demographic and Physician-Related Correlates.

J Dev Behav Pediatr 2021 Sep 24. Epub 2021 Sep 24.

Department of Psychiatry and Behavioral Sciences, Section of Community Behavioral Health, Rush University Medical Center, Chicago, IL; and Psychology Department, Loyola University Chicago, Chicago, IL.

Objective: This study examined the transition to adult health care for individuals with spina bifida (SB) and explored demographic and relational associations with transition status.

Method: Young adults with SB (18-30; n = 326) were recruited to complete an anonymous, online survey. Frequencies of reported experiences, behaviors, and satisfaction with the transition to adult health care were examined. Read More

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September 2021

What Does It Mean to Be Breastfed? A Concept Analysis in the Context of Healthcare Research, Clinical Practice, and the Parent Perspective.

J Perinat Neonatal Nurs 2021 Sep 23. Epub 2021 Sep 23.

University of Minnesota School of Nursing, Minneapolis.

Over the past 3 decades, there have been attempts to define breastfeeding for scientific research. However, a lack of clarity remains, with concurrent ambiguity in clinical practice and insufficient inclusion of the parent perspective. Furthermore, previous concept analyses of "breastfeeding" may not fully represent what it means for an infant to be breastfed. Read More

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September 2021

Responding to COVID-19 Through Interhospital Resource Coordination: A Mixed-Methods Evaluation.

J Patient Saf 2021 Sep 23. Epub 2021 Sep 23.

From the Section of Hospital Medicine, Division of General Internal Medicine, Department of Medicine Department of Surgery, University of Minnesota Medical School Institute for Health Informatics, University of Minnesota Division of Critical Care, Department of Anesthesiology Division of Hematology and Oncology, Department of Medicine Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, University of Minnesota Medical School, Minneapolis, Minnesota.

Objectives: The COVID-19 pandemic stressed hospital operations, requiring rapid innovations to address rise in demand and specialized COVID-19 services while maintaining access to hospital-based care and facilitating expertise. We aimed to describe a novel hospital system approach to managing the COVID-19 pandemic, including multihospital coordination capability and transfer of COVID-19 patients to a single, dedicated hospital.

Methods: We included patients who tested positive for SARS-CoV-2 by polymerase chain reaction admitted to a 12-hospital network including a dedicated COVID-19 hospital. Read More

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September 2021

Critical Care Simulation Education Program During the COVID-19 Pandemic.

J Patient Saf 2021 Sep 24. Epub 2021 Sep 24.

From the Institute for Critical Care Medicine Departments of Emergency Medicine Anesthesiology, Perioperative, and Pain Medicine Medical Education Division of Pulmonary Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.

Background: Coronaviruses are important emerging human and animal pathogens. SARS-CoV-2, the virus that causes COVID-19, is responsible for the current global pandemic. Early in the course of the pandemic, New York City became one of the world's "hot spots" with more than 250,000 cases and more than 15,000 deaths. Read More

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September 2021

Health Care Providers' Acceptance of a Personal Health Record: Cross-Sectional Study.

J Med Internet Res 2021 Sep 26. Epub 2021 Sep 26.

Department of Health Administration, Virginia Commonwealth University, Richmond, US.

Background: Personal health records (PHRs) are eHealth tools designed to support patient engagement, patient empowerment, and patient- and person-centered care. Endorsement of a PHR by health care providers (HCPs) facilitates patient acceptance. As health care organizations in the Kingdom of Saudi Arabia begin to adopt PHRs, understanding the HCPs' perspectives is important since it can influence patient adoption. Read More

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September 2021

Worsening sleep quality across the lifespan and persistent sleep disturbances in persons with opioid use disorder.

J Clin Sleep Med 2021 Sep 28. Epub 2021 Sep 28.

Johns Hopkins University School of Medicine, Department of Psychiatry and Behavioral Sciences, Baltimore, MD.

Study Objectives: Individuals with opioid use disorder (OUD) may experience worsening sleep quality over time, and a subset of individuals may have sleep disturbances that precede opioid use and do not resolve following abstinence. The purpose of the present study was to 1) collect retrospective reports of sleep across the lifespan, and 2) identify characteristics associated with persistent sleep disturbance and changes in sleep quality in persons with OUD.

Methods: Adults with OUD (N = 154) completed a cross-sectional study assessing current and past sleep disturbance, opioid use history, and chronic pain. Read More

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September 2021

Human Trafficking: Empowering Healthcare Providers and Community Partners as Advocates for Victims.

J Holist Nurs 2021 Sep 27:8980101211045554. Epub 2021 Sep 27.

15621Gardner-Webb University.

Human trafficking, also known as modern-day slavery, is a public health crisis and a growing worldwide crime exploiting approximately 40.3 million victims. A decade ago approximately 79% of human trafficking crimes were related to sexual exploitation and 18% were related to forced labor, but more recent reports show approximately 50% and 38%, respectively. Read More

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September 2021

A Biodesign Approach to Designing, Packaging, and Scaling a Pediatric Weight Management Program: The Stanford CORD 3.0 Project.

Child Obes 2021 Sep;17(S1):S79-S85

Stanford Solutions Science Lab, Division of General Pediatrics, Department of Pediatrics, Stanford Prevention Research Center, Department of Medicine, and Department of Epidemiology and Population Health, Stanford University, Stanford, CA, USA.

Different frameworks and models exist for translating and disseminating public health policies, programs, and services. This article describes an approach, grounded in the Integrate, DEsign, Assess, and Share (IDEAS) framework for digital health innovation and the Stanford Byers Center biodesign innovation process, to design a way to make effective behavioral weight control more scalable and cost-effective for low-income children with overweight and obesity, to reduce obesity and associated morbidities. The process considered the relevant stakeholders, the current market landscape, and the potential market. Read More

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September 2021

Implementation of a Scalable Family-Based Behavioral Treatment for Childhood Obesity Delivered through Primary Care Clinics: Description of the Missouri Childhood Obesity Research Demonstration Study Protocol.

Child Obes 2021 Sep;17(S1):S39-S47

Pennington Biomedical Research Center, Baton Rouge, LA, USA.

Significant gaps exist in access to evidence-based pediatric weight management interventions, especially for low-income families who are disproportionately affected by obesity. As a part of the Centers for Disease Control and Prevention's Childhood Obesity Research Demonstration project (CORD 3.0), the Missouri team (MO-CORD) aims to increase access to and dissemination of an efficacious pediatric obesity treatment, specifically family-based behavioral treatment (FBT), for low-income families. Read More

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September 2021

[Clinical guidelines for the managment of intestinal failure secondary to pediatric short bowel syndrome].

Arch Argent Pediatr 2021 Oct;119(5):e441-e472

Hospital Italiano, Ciudad Autónoma de Buenos Aires, Argentina.

Intestinal failure secondary to short bowel syndrome in pediatrics, is a rare condition with high morbimortality. A follow up multidisciplinary team is necessary to minimize complications and optimize the intestinal rehabilitation. There are no gold standard guidelines for the management of this group of complex patients. Read More

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October 2021

When healthcare providers are supportive, 'I'd rather not test alone': Exploring uptake and acceptability of HIV self-testing for youth in Zimbabwe - A mixed method study.

J Int AIDS Soc 2021 Sep;24(9):e25815

Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.

Introduction: In sub-Saharan Africa, less than half of young people know their HIV status. HIV self-testing (HIVST) is a testing strategy with the potential to offer privacy and autonomy. We aimed to understand the uptake and acceptability of different HIV testing options for youth in Harare, Zimbabwe. Read More

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September 2021

Interoperable genetic lab test reports: mapping key data elements to HL7 FHIR specifications and professional reporting guidelines.

J Am Med Inform Assoc 2021 Sep 27. Epub 2021 Sep 27.

Department of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, Utah, USA.

Objective: In many cases, genetic testing labs provide their test reports as portable document format files or scanned images, which limits the availability of the contained information to advanced informatics solutions, such as automated clinical decision support systems. One of the promising standards that aims to address this limitation is Health Level Seven International (HL7) Fast Healthcare Interoperability Resources Clinical Genomics Implementation Guide-Release 1 (FHIR CG IG STU1). This study aims to identify various data content of some genetic lab test reports and map them to FHIR CG IG specification to assess its coverage and to provide some suggestions for standard development and implementation. Read More

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September 2021

Remote Patient Management: Balancing Patient Privacy, Data Security, and Clinical Needs.

Contrib Nephrol 2019 8;197:35-43. Epub 2019 Apr 8.

School of Nursing, Eastern Institute of Technology, Napier, New Zealand.

Remote monitoring of dialysis offers significant clinical benefits to patients and healthcare providers. However, the collection, transfer, and storage of large amounts of health data involved in remote monitoring require a careful consideration of privacy and data security concerns. Failure to adequately balance clinical utility with privacy has the potential to reduce patients' confidence in remote monitoring and could represent ethical and medicolegal risks for clinicians. Read More

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Can Remote Patient Management Improve Outcomes in Peritoneal Dialysis?

Contrib Nephrol 2019 8;197:113-123. Epub 2019 Apr 8.

Division of Nephrology, St. Michael's Hospital, Toronto, Ontario, Canada,

Remote patient management (RPM) for patients receiving peritoneal dialysis (PD) is an emerging technology whereby a patients' biometric information (including weight, blood pressure, and other parameters) can be remotely monitored by providers along with important PD treatment information. As part of an evolving field of telemedicine, RPM has the potential to improve clinical outcomes for patients receiving PD, reduce resource utilization, and improve PD uptake, and positively impact a patients' experience with PD. Preliminary reports of RPM are encouraging, however, research in the field is limited to small, single center studies, and remains largely observational; interventions have been heterogenous in terms of what clinical and treatment parameters are being remotely monitored and what outcomes are under evaluation. Read More

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Remote Patient Management in Peritoneal Dialysis Improves Clinical Outcomes.

Contrib Nephrol 2019 8;197:124-132. Epub 2019 Apr 8.

Department of Nephrology, Dialysis and Transplant, San Bortolo Hospital, Vicenza, Italy.

Chronic diseases are a global concern and a leading cause of death and disability. These conditions require intensive and ongoing medical assistance to maximize outcomes and avoid the risk of frequent flare-ups and hospitalizations, which increase the cost of healthcare. Remote patient management (RPM) is a strategy that allows for accurate home monitoring of chronic patients, enabling the team to improve care through prevention and early identification of problems, with consequent timely interventions. Read More

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Health Economic Implications of Remote Patient Management.

Contrib Nephrol 2019 8;197:133-142. Epub 2019 Apr 8.

Division of Nephrology, University of Virginia Health System, Charlottesville, Virginia, USA.

Remote patient management and telemedicine have great potential to improve the care of patients with end-stage kidney disease undergoing peritoneal dialysis (PD). Since PD is performed by patients and their families, typically in the home setting away from expert clinical support, remote monitoring of treatments may detect early problems, ensure compliance, and give both providers and patients a sense of reassurance that complications can be minimized and detected. These advantages may translate into improved outcomes and increased uptake of home dialysis therapies. Read More

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