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Long-Term Quality of Life in Patients Following Minimally Invasive Conjunctivodacryocystorhinostomy With StopLoss Jones Tube.

Ophthalmic Plast Reconstr Surg 2021 Jul 21. Epub 2021 Jul 21.

Department of Ophthalmology, Jozef Strus City Hospital, Poznan, Poland Department of Ophthalmology, Military Institute of Medicine, Warsaw, Poland Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India.

Purpose: To assess the long-term quality of life outcomes of minimally invasive conjunctivodacryocystorhinostomy with StopLoss Jones tubes.

Methods: A retrospective interventional case series was performed on all patients diagnosed with proximal bicanalicular obstruction who underwent a minimally invasive conjunctivodacryocystorhinostomy with StopLoss Jones tubes over a period of 5 years from October 2014 to September 2019. The procedure was performed as per standard published protocols of minimally invasive conjunctivodacryocystorhinostomy and StopLoss Jones tubes. Read More

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Multicomponent exercise to improve motor functions, cognition and well-being for nursing home residents who are unable to walk - A randomized controlled trial.

Exp Gerontol 2021 Jul 19:111484. Epub 2021 Jul 19.

Institute of Human Movement Science, University of Hamburg, Mollerstr, 10, 20148 Hamburg, Germany; Biological Psychology and Neuroergonomics, TU Berlin, Fasanenstr. 1, 10623 Berlin, Germany. Electronic address:

Background: Older nursing home residents are often characterized by multimorbidity and dependency in activities of daily living. Most exercise studies in this setting aim at residents who are still able to walk despite the huge group of residents that is unable to walk. Thus, little is known about the effectiveness to improve cognitive and motor functions as well as well-being within this target group, e. Read More

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Point-of-Care Virtual Radiology Consultations in Primary Care: A Feasibility Study of a New Model for Patient-Centered Care in Radiology.

J Am Coll Radiol 2021 Jul 19. Epub 2021 Jul 19.

Department of Radiology, University of Washington School of Medicine, Seattle, Washington.

Background: The goal of this study is to assess the value of point-of-care virtual consultations in radiology.

Methods: We conducted an institutional review board-approved feasibility study of video-based radiology consultations in an internal medicine primary care clinic at a quaternary academic medical center. The study included 3 primary care providers (PCPs) and enrolled 43 patients. Read More

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Making large changes or small changes to prevent weight gain in young adulthood: which is preferred and by whom?

Transl Behav Med 2021 Jul 22. Epub 2021 Jul 22.

Alpert Medical School of Brown University, Miriam Hospital, Providence, RI 02903, USA.

Knowledge of participant treatment preferences can inform decision-making regarding treatment dissemination and future participant adoption. To compare participant perceptions of two evidence-based approaches for weight gain prevention in young adults to identify the intervention with the greatest likelihood of adoption. As part of a randomized trial (Study of Novel Approaches to Weight Gain Prevention [SNAP]; n = 599) testing weight gain prevention interventions in young adults (18-35 years), individuals assigned to self-regulation interventions using either large changes or small changes reported on perceived personal effectiveness and difficulty of treatment over 3 years. Read More

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Donor orientation and service quality: Key factors in active blood donors' satisfaction and loyalty.

PLoS One 2021 22;16(7):e0255112. Epub 2021 Jul 22.

Department of Business Economics, Faculty of Legal and Business Sciences, Universidad Rey Juan Carlos, Madrid, Spain.

Faced with the increasing demand for blood and greater restrictions on ensuring the safety of transfusions, voluntary donation is currently the only and best alternative for the health system to have a sustainable and safe blood supply. In this context, one of the primary strategies of blood transfusion centres is to increase the satisfaction of their active donors so that they maintain their intention to donate in the future and, in turn, make the necessary recommendations so that third parties can become new donors. That is why this paper raises a question for research concerning, what should the premises be to guide the management of blood transfusion centres to maintain and even increase the satisfaction and loyalty of their active donors? In order to respond to this issue, a change in paradigm is proposed based on a management model supported by donor orientation and service quality as basic pillars, as well as on the development of a number of key social capital resources that explain this orientation toward the donor. Read More

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Validating the Michigan Hand Outcomes Questionnaire in patients with rheumatoid arthritis using Rasch analysis.

PLoS One 2021 22;16(7):e0254984. Epub 2021 Jul 22.

Section of Plastic Surgery, Michigan Medicine, Ann Arbor, Michigan, United States of America.

Introduction: The Michigan Hand Outcomes Questionnaire (MHQ) is a patient-reported outcome measure previously validated in patients with rheumatoid arthritis (RA) using classical test theory. Rasch analysis is a more rigorous method of questionnaire validation that has not been used to test the psychometric properties of the MHQ in patients with RA. The objective of this study is to evaluate the validity and reliability of the MHQ for measuring outcomes in patients with RA with metacarpophalangeal joint deformities. Read More

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Renovation priorities for old residential districts based on resident satisfaction: An application of asymmetric impact-performance analysis in Xi'an, China.

PLoS One 2021 22;16(7):e0254372. Epub 2021 Jul 22.

School of Management, Xi'an University of Architecture and Technology, Xi'an, China.

China is currently designing a regional economic layout for high-quality urban development, shifting its focus from the primary stage of beautifying cities to the next stage of profound urbanization aiming at strengthening industry. This is of high importance given that the urbanization rate of permanent residents by the end of 2019 was 60.60%, according to the National Bureau of Statistics of China. Read More

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Electronic patient-reported outcome measures using mobile health technology in rheumatology: A scoping review.

PLoS One 2021 22;16(7):e0253615. Epub 2021 Jul 22.

Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.

Objective: This scoping review aims to characterize the current literature on electronic patient-reported outcome measures (ePROMs) in rheumatology and assess the feasibility and utility of ePROMs and mobile health technology in the management of rheumatic disease.

Introduction: Patient-reported outcome measures (PROMs) are commonly used in rheumatology as they are important markers of disease activity and overall function, encourage shared decision-making, and are associated with high rates of patient satisfaction. With the widespread use of mobile devices, there is increasing interest in the use of mobile health technology to collect electronic PROMs (ePROM). Read More

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Addressing antimicrobial resistance by improving access and quality of care-A review of the literature from East Africa.

PLoS Negl Trop Dis 2021 Jul 22;15(7):e0009529. Epub 2021 Jul 22.

The Boyd Orr Centre for Population and Ecosystem Health, Institute of Biodiversity, Animal Health & Comparative Medicine, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, United Kingdom.

Universal access to healthcare, including quality medicines, is a fundamental human right but is still out of reach for many in low- and middle-income countries (LMICs). An existing framework capturing variability of access to healthcare in low-resource settings includes the 5 dimensions: availability, accessibility, affordability, adequacy, and acceptability. This framework encompasses key components, including health infrastructure and means to access it as well as service organisation, costs, and factors that influence users' satisfaction. Read More

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On being loyal to a casino: The interactive influence of tier status and disordered gambling symptomatology on attitudinal and behavioral loyalty.

J Behav Addict 2021 Jul 21. Epub 2021 Jul 21.

1Carleton University,Canada.

Background And Aims: Casino loyalty programs are marketing strategies designed to foster attitudinal (i.e., identification and satisfaction) and behavioral (i. Read More

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Internalization of body image as a potential mediator of the relationship between body acceptance by others and intuitive eating.

J Am Coll Health 2021 Jul 22:1-7. Epub 2021 Jul 22.

Department of Psychology, Oklahoma State University, Stillwater, Oklahoma, USA.

Objective: To investigate the role of internalization of body image ideals as a potential mediator between perceived body acceptance and intuitive eating among college students.

Participants/method: 168 undergraduates completed the Body Acceptance By Others Scale (BAOS), Sociocultural Attitudes Toward Appearance Questionnaire-3 (SATAQ-3; Internalization-Total and -General, -Athletic subscales), and Intuitive Eating Scale (IES).

Results: Internalization-Total mediated the relationship between BAOS and IES (=. Read More

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The Comparative Effect of Age on Clinical Outcomes Following Anatomic Total Shoulder Arthroplasty and Reverse Total Shoulder Arthroplasty.

Orthopedics 2021 Jul-Aug;44(4):e600-e606. Epub 2021 Jul 1.

At many institutions, the pendulum has swung toward reverse total shoulder arthroplasty (RTSA). Good results have been reported for patients older than 65 years with glenohumeral osteoarthritis with an intact rotator cuff, leading to questioning of the role of anatomic total shoulder arthroplasty (TSA) in the elderly. The purpose of this study was to compare outcome measures between TSA and RTSA patients using minimal clinically important difference (MCID) and substantial clinical benefit (SCB) as a function of age. Read More

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Liposomal Bupivacaine Versus Standard Bupivacaine in the Adductor Canal for Total Knee Arthroplasty: A Randomized, Controlled Trial.

Orthopedics 2021 Jul-Aug;44(4):249-255. Epub 2021 Jul 1.

Peripheral nerve blocks are commonly used in total knee arthroplasty (TKA). Liposomal bupivacaine is an extended-release anesthetic medication that maintains efficacy upwards of 72 hours. This study compared single-shot liposomal bupivacaine (LB) with the standard single-shot bupivacaine (SB) in a preoperative adductor canal block in TKA patients. Read More

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The Use of Telehealth for Orthopedic Consultations and Assessments: A Systematic Review.

Orthopedics 2021 Jul-Aug;44(4):198-206. Epub 2021 Jul 1.

As a result of the coronavirus disease 2019 (COVID-19) pandemic, tele-health for orthopedic care is expanding rapidly. The authors sought to identify the evidence describing the effectiveness, barriers, and clinical applications of telehealth for orthopedic assessments and consultations. MEDLINE, PubMed, EMBASE, and the Cochrane Library were searched from inception to March 2020. Read More

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Diabetes Mellitus Is Not a Negative Prognostic Factor for Patients Undergoing Hip Arthroscopy.

Orthopedics 2021 Jul-Aug;44(4):241-248. Epub 2021 Jul 1.

Diabetes mellitus (DM) has been associated with inferior clinical outcomes and comorbidities in general. The authors sought to compare the outcomes of hip arthroscopy at minimum 2-year follow-up for patients with DM with those of patients without DM. Data were prospectively collected and retrospectively reviewed for patients who underwent hip arthroscopy between February 2008 and December 2014. Read More

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Changes in Burnout Among Oncology Physician Assistants Between 2015 and 2019.

JCO Oncol Pract 2021 Jul 22:OP2100051. Epub 2021 Jul 22.

Fox Chase Cancer Center, Philadelphia, PA.

Purpose: Burnout has significant implications for the individual provider, the oncology workforce, and the quality of care for patients with cancer. The primary aim of this study was to explore temporal changes in burnout among physician assistants (PAs) in oncology in 2019 compared with 2015.

Methods: Oncology PAs were surveyed to assess for burnout using the Maslach Burnout Inventory according to the same cross-sectional design of the study performed in 2015. Read More

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Provider attitudes and satisfaction with rapid preoperative point-of-care COVID-19 testing using ID NOW™.

Can J Anaesth 2021 Jul 22. Epub 2021 Jul 22.

Department of Anesthesia and Perioperative Medicine, Royal Columbian Hospital, 330 E Columbia St, New Westminster, BC, V3L 3W7, Canada.

Purpose: Healthcare workers have experienced high levels of anxiety during the COVID-19 pandemic, particularly when caring for patients with unknown infection status. We trialled rapid preoperative point-of-care COVID-19 testing using the Abbott ID NOW™ COVID-19 for clinical validation in an urgent surgical population at a single centre in British Columbia, Canada. Here, we sought to determine the opinions and beliefs of operating room (OR) staff on the usefulness and effectiveness of point-of-care tests on workflow and wellbeing in the OR. Read More

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Intraoperative virtual reality distraction in TKA under spinal anesthesia: a preliminary study.

Arch Orthop Trauma Surg 2021 Jul 22. Epub 2021 Jul 22.

Institute for Locomotion, Department of Orthopedic Surgery, Aix-Marseille University, Sainte-Marguerite Hospital, 270, boulevard Sainte-Marguerite, 13009, Marseille, France.

Introduction: The effect of patient anxiety during the perioperative period has been shown to be of great importance in its influence on post-operative recovery. Over the last 10 years, virtual reality (VR) has been developed in anesthesia for patient's distraction by immersion. The aim of this study was to evaluate post-operative patient anxiety the day after TKA surgery under spinal anesthesia (SA) with or without VR distraction. Read More

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Survival benefit of percutaneous transhepatic biliary drainage for malignant biliary tract obstruction-a prospective study comparing external and internal drainage techniques.

Abdom Radiol (NY) 2021 Jul 22. Epub 2021 Jul 22.

Department of Biochemistry, All India Institute of Medical Sciences Patna, Phulwarisharif, Patna, Bihar, 801507, India.

Purpose: To evaluate the clinical results of percutaneous transhepatic biliary drainage (PTBD) in patients with non-operable malignant biliary tract obstruction (MBTO) and the survival benefit of internal drainage.

Methods: Prospective data of consecutive patients of PTBD from May 2014 to August 2017 was analyzed for 30-day, 90-day and 1-year mortality, and mean survival of patients undergoing external drainage (ED) and internal drainage (ID) using internal-external ring biliary catheterization or biliary stent were compared. Other important variables evaluated were drop in the total bilirubin (TBil) levels, improvement in pain and pruritus, procedure-related complications, and patient satisfaction. Read More

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Patient-Reported Aesthetic and Psychosocial Outcomes After Microvascular Reconstruction for Head and Neck Cancer.

JAMA Otolaryngol Head Neck Surg 2021 Jul 22. Epub 2021 Jul 22.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco.

Importance: Aesthetic outcomes are key determinants of psychosocial functioning among surgically treated patients with head and neck cancer (HNC); however, long-term aesthetic outcomes after microvascular free tissue transfer (MFTT) are not well described.

Objective: To examine risk factors for impaired long-term aesthetic satisfaction and appearance-related psychosocial functioning after HNC ablation with MFTT.

Design, Setting, And Participants: A cross-sectional, web-based survey was conducted at an academic tertiary care center. Read More

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Orbital Septum Fat Flap Transfer for Upper Eyelid Depression.

J Craniofac Surg 2021 Jul 20. Epub 2021 Jul 20.

Weifang Medical University, Weifang, China.

Background: Sunken upper eyelid makes people's eyes look gaunt and aging. At present, more and more people are paying attention to eye rejuvenation, and more and more people are asking for correction of sunken upper eyelid. Orbital septum fat plays an important role in the display of eye contour. Read More

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Understanding changes in eating behavior during the transition to university from a self-determination theory perspective: a systematic review.

J Am Coll Health 2021 Jul 22:1-18. Epub 2021 Jul 22.

Department of Psychology and Centre for Youth and Society, University of Victoria, Victoria, BC, Canada.

Objective: The objective of this systematic review was to understand how and why eating behavior changes during the transition to university, and interpret findings from a self-determination theory perspective (Ryan & Deci, 2000). We searched six databases and identified 51 articles with findings involving changes in eating behavior during the transition to university. During this transition, students eat less food, less healthy, and less regularly. Read More

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Improving physician wellness through electronic health record education.

Int J Psychiatry Med 2021 Jul 22:912174211034633. Epub 2021 Jul 22.

Ascension St Vincent Family Medicine Residency Program, Indianapolis, IN, USA.

Objective: Our goal is to improve the wellness of our Family Medicine residents now and in the future by educating them on more efficient use of our electronic health record (EHR). Resident physician burnout is a significant problem and is correlated with time spent using an EHR after work hours. Family physicians have the highest rate of burnout of all specialties, and the EHR is a significant contributor to this burnout. Read More

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Elementary school teacher well-being and supportive measures amid COVID-19: An exploratory study.

Sch Psychol 2021 Jul 22. Epub 2021 Jul 22.

Department of Education.

As frontline education providers, teachers have encountered many challenges since the outbreak of the COVID-19 pandemic. To better understand teacher well-being during this crisis and inform practices to support them, this study employed an online survey with a mixed-methods approach to assess teacher well-being and the support they need to work effectively. A sample of 151 elementary school teachers in the United States was recruited in summer 2020 to complete an online survey through emails and social media outlets. Read More

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Parental identity as a resource for parental adaptation during the COVID-19 lockdown.

J Fam Psychol 2021 Jul 22. Epub 2021 Jul 22.

Department of Developmental, Personality, and Social Psychology.

The lockdown measures that were taken to contain the worldwide outbreak of COVID-19 caused many parents to stay at home with their children. This unusual situation created both risks and opportunities for families. In the present study, we examined the role of parental identity as a resource for parental adaptation during this challenging period, thereby considering both parenthood experiences and parents' general mental health while also taking into account the cumulative risk to which parents were exposed (e. Read More

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Detecting false identities: A solution to improve web-based surveys and research on leadership and health/well-being.

J Occup Health Psychol 2021 Jul 22. Epub 2021 Jul 22.

Department of Management.

A challenge for leadership and health/well-being research and applications relying on web-based data collection is false identities-cases where participants are not members of the targeted population. To address this challenge, we investigated the effectiveness of a new approach consisting of using internet protocol (IP) address analysis to enhance the validity of web-based research involving constructs relevant in leadership and health/well-being research (e.g. Read More

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An m-Health Intervention for Rheumatoid Arthritis in China ("Rheumatism Center" app): Study Protocol for a Prospective Randomized Controlled Trial.

Nurs Open 2021 Jul 22. Epub 2021 Jul 22.

Rheumatology Department, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Aim: To study the feasibility and effectiveness of a m-Health app in improving the management of rheumatoid arthritis.

Design: Randomized controlled trial.

Methods: Sixty rheumatoid arthritis participants will be recruited for a 6-month feasibility study. Read More

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A one-week internal medicine procedure rotation designed to increase procedural opportunities and competency.

Hosp Pract (1995) 2021 Jul 22. Epub 2021 Jul 22.

Division of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland, Oregon.

Background: Mounting literature describes increased procedure volume and improvement in procedural skills following implementation of procedural curricula and standardized rotations, generally requiring at least two weeks and incorporating dedicated lecture and didactic efforts. It is unknown whether shorter rotations that feature self-directed curricula can achieve similar outcomes.

Methods: Housestaff participated in a one-week procedure rotation that coincided with pre-existing non-clinical blocks ("jeopardy"). Read More

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Professional quality of life, sleep disturbance and health among nurses: A mediation analysis.

Nurs Open 2021 Jul 22. Epub 2021 Jul 22.

Nursing Research and Translational Science, National Institutes of Health Clinical Center, Bethesda, MD, USA.

Aims: This study aimed to examine sleep disturbance as a mediator of the relationship between professional quality of life (compassion satisfaction, burnout, secondary traumatic stress) and health (physical and mental health) in nurses.

Design: Descriptive, cross-sectional study.

Methods: Three hundred eighteen Registered Nurses completed a web-based survey at the National Institutes of Health Clinical Center in the United States. Read More

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A Harvest of the Month Curriculum Increases Fruit and Vegetable Intake among 4th-6th Grade Students.

J Sch Health 2021 Jul 21. Epub 2021 Jul 21.

Alameda County Office of Education, 313 West Winton Avenue, Hayward, California, 94544, USA.

Background: Most children do not eat enough fruits and vegetables (FV). Schools are a critical setting for supporting children to consume FV. To fill a gap in available materials, a classroom curriculum was developed and evaluated to determine impacts on student FV-related knowledge, attitudes, and behaviors. Read More

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