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"Sharing Success with Someone": Building therapeutic alliance in physiotherapist-delivered physical activity coaching for healthy aging.

Physiother Theory Pract 2021 Jul 29:1-17. Epub 2021 Jul 29.

Institute for Musculoskeletal Health, University of Sydney and Sydney Local Health District, Level 10N King George V Building Royal Prince Alfred Hospital, Camperdown, NSW, Australia.

Introduction: Therapeutic alliance, a goal-orientated partnership between clients and practitioners, can enhance program engagement and adherence, and improve treatment outcomes and satisfaction.

Objectives: To develop an empirical model that describes how therapeutic alliances can be operationalized in clinical and research settings and use this in our evaluation of the Coaching for Healthy Ageing (CHAnGE) trial.

Methods: Secondary analysis of interviews with participants in the CHAnGE trial (n = 32) and a focus group with the physiotherapists who delivered health coaching in that trial (n = 3). Read More

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Polyhexamethylene biguanide discs versus unmedicated dressings for prevention of central venous catheter-associated infection in the intensive care unit: A pilot randomised controlled trial to assess protocol safety and feasibility.

Aust Crit Care 2021 Jul 25. Epub 2021 Jul 25.

Critical Care Research Group, The Prince Charles Hospital and University of Queensland, Queensland, Australia; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Queensland, Australia; School of Nursing and Midwifery, Griffith University, Queensland, Australia. Electronic address:

Background: Central venous catheters are prone to infectious complications, affecting morbidity, mortality and healthcare costs. Polyhexamethylene biguanide-impregnated discs at the catheter insertion site may prevent local and bloodstream infection; however, efficacy has not been established in a critical care setting.

Objective: The objective of this study was to pilot test polyhexamethylene biguanide-impregnated discs compared to standard unmedicated dressings for central venous catheter infection prevention in critically ill patients. Read More

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Oral acetaminophen as an adjunct to continuous epidural infusion and patient-controlled epidural analgesia in laboring parturients: a randomized controlled trial.

J Anesth 2021 Jul 27. Epub 2021 Jul 27.

Department of Obstetrics and Gynaecology, Government Medical College and Hospital, Chandigarh, India.

Background: Intravenous acetaminophen is safe and effective as an adjunct to labor analgesia with combined spinal-epidural (CSE) analgesia and patient-controlled epidural analgesia (PCEA). Oral acetaminophen is a much cheaper and safe option but has not been studied as an adjunct to labor analgesia till date. The aim of the present study is to evaluate the effect of oral acetaminophen as an adjunct in patients receiving local anesthetic-opioid combination using CSE analgesia. Read More

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A role for music in cataract surgery: a systematic review.

Int Ophthalmol 2021 Jul 26. Epub 2021 Jul 26.

Department of Ophthalmology, Marshall University School of Medicine, Huntington, WV, USA.

Purpose: There have been several studies that explore the anxiolytic effects of music during cataract surgery. This is the first systematic review of literature highlighting the effects of music on patients undergoing cataract surgery without pharmacological anxiolytics.

Methods: A systematic review of literature using PRISMA methodology identified randomized controlled trials involving patients undergoing cataract surgery with music as an intervention during the procedure with outcomes measured using at least one assessment of anxiety level, pain score, satisfaction, or vital sign measurements. Read More

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Healthcare interpreters and difficult conversations: a survey.

BMJ Support Palliat Care 2021 Jul 26. Epub 2021 Jul 26.

Palliative Care, Northern Adelaide Local Health Network, Adelaide, South Australia, Australia.

Objectives: The aims of this survey of healthcare interpreters were to assess the impacts of difficult conversations such as discussions involving explanation of a serious diagnosis, goals-of-care or death or dying and to discover interpreters' opinions on ways to improve these conversations.

Methods: A purpose derived survey incorporating the Professional Quality of Life measure 5 was distributed to all healthcare interpreters in an Australian state. Outcome measures were to quantify levels of compassion satisfaction (CS), burn-out and secondary traumatic stress (STS), as well as to determine how well interpreters believed difficult conversations were being conducted and suggestions for improvement. Read More

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Understanding the benefits and burdens associated with a malaria human infection study in Kenya: experiences of study volunteers and other stakeholders.

Trials 2021 Jul 26;22(1):494. Epub 2021 Jul 26.

Centre for Geographic Medicine Research (Coast), Kenya Medical Research Institute-Wellcome Trust Research Programme, Kilifi, Kenya.

Background: Human infection studies (HIS) that involve deliberately infecting healthy volunteers with a pathogen raise important ethical issues, including the need to ensure that benefits and burdens are understood and appropriately accounted for. Building on earlier work, we embedded social science research within an ongoing malaria human infection study in coastal Kenya to understand the study benefits and burdens experienced by study stakeholders in this low-resource setting and assess the wider implications for future research planning and policy.

Methods: Data were collected using qualitative research methods, including in-depth interviews (44), focus group discussions (10) and non-participation observation. Read More

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Radiographers in ultrasound: Motivation and role expansion. A survey of European Federation of Radiographer Societies (EFRS).

Radiography (Lond) 2021 Jul 19. Epub 2021 Jul 19.

European Federation of Radiographer Societies, Churchilllaan 11, GV Utrecht, 3527, the Netherlands; University Hospital Region of Southern Denmark, Vejle Hospital, Beriderbakken 4, 7100, Vejle, Denmark; University of Southern Denmark, Department of Regional Health, Odense, Denmark.

Introduction: Variability in non-medical ultrasound practice across Europe has been highlighted in studies. Meanwhile, advanced practice in radiography has undergone rapid development in the United Kingdom (UK). This survey aimed to review results relating to extended role and advanced practice skills, motivation and job satisfaction from a wider survey of radiographers undertaking ultrasound examinations across the European Federation of Radiographer Societies' (EFRS) community. Read More

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Multi-level determinants of failure to receive timely and complete measles vaccinations in Southwest China: a mixed methods study.

Infect Dis Poverty 2021 Jul 22;10(1):102. Epub 2021 Jul 22.

Department of Epidemiology and Biostatistics, School of Public Health, Guangxi Medical University, China. No. 22nd, Shuangyong Road, Nanning, Guangxi Zhuang Autonomous Region, 530021, People's Republic of China.

Background: Measles outbreaks re-emerged in 2013-2014 in Guangxi Zhuang Autonomous Region of China, where measles immunisation coverage is high. The discrepancy between the vaccination coverage and outbreaks indicates that timeliness is crucial, yet there is limited knowledge on the health system barriers to timely vaccination. Using integrated evidence at the household, village clinic, and township hospital levels, this study aimed to identify the determinants of failure in receiving timely measles vaccinations among children in rural Guangxi. Read More

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[Clinical application effect of latissimus dorsi muscle flap in reconstruction of muscle strength around shoulder after electric burns].

Zhonghua Shao Shang Za Zhi 2021 Jul;37(7):622-628

Department of Burns and Cutaneous Surgery, Burn Center of PLA, the First Affiliated Hospital of Air Force Medical University, Xi'an 710032, China.

To investigate the clinical application effect of latissimus dorsi muscle flap in reconstruction of muscle strength around shoulder after electric burns. From March 2014 to September 2020, 13 patients with electric burns and severe injury around shoulder were admitted to the First Affiliated Hospital of Air Force Medical University, including 11 males and 2 females, aged 19-55 years. A retrospective observational study was conducted. Read More

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A cost-consequence analysis of normalised advance care planning practices among people with chronic diseases in hospital and community settings.

BMC Health Serv Res 2021 Jul 23;21(1):729. Epub 2021 Jul 23.

Hunter Medical Research Institute, Lot 1, Kookaburra Circuit, New Lambton Heights, Newcastle, NSW, 2305, Australia.

Background: A growing body of international literature concurs that comprehensive and complex Advance Care Planning (ACP) programs involving specially qualified or trained healthcare professionals are effective in increasing documentation of Advance Care Directives (ACDs), improving compliance with patients' wishes and satisfaction with care, and quality of care for patients and their families. Economic analyses of ACDs and ACP have been more sporadic and inconclusive. This study aimed to contribute to the evidence on resource use associated with implementation of ACP and to inform key decision-makers of the resource implications through the conduct of a cost-consequence analysis of the Normalised Advance Care Planning (NACP) trial. Read More

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"You Can't Work with My People If You Don't Know How to": Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease.

Int J Environ Res Public Health 2021 Jul 6;18(14). Epub 2021 Jul 6.

South Western Sydney Local Health District, Liverpool, NSW 1871, Australia.

Indigenous Australians experience significantly poorer health compared to other Australians, with chronic disease contributing to two-thirds of the health gap. We report on an evaluation of an innovative model that leverages mainstream and Aboriginal health resources to enable safe, supported transfer of care for Aboriginal adults with chronic conditions leaving hospital. The multisite evaluation was Aboriginal-led and underpinned by the principles of self-determination and equity and Indigenous research protocols. Read More

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What can we learn from supermarkets? An application of the Poisson distribution (order-up-to) model to improve blood culture bottle supplies.

Future Healthc J 2021 Jul;8(2):e283-e287

St George's University Hospitals NHS Foundation Trust, London, UK.

Background: The order-up-to inventory model is a method for identifying and maintaining the optimal product level for items that that hold value over time and have recurring demand. Typically, supermarkets utilise it to manage stock-levels of non-perishable goods.

Local Problem: This project aimed to improve blood culture bottle supplies following reports by junior doctors of shortages when dealing with septic/unwell patients. Read More

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Rhomboid flap: Indications, applications, techniques and results. A comprehensive review.

Ann Med Surg (Lond) 2021 Aug 7;68:102544. Epub 2021 Jul 7.

Geisel Dartmouth Medical School, Hanover, NH, 03755, USA.

Cutaneous defects may result from trauma, infection, chronic illness, poor healing, or surgical resections. Traditionally, the concept of the reconstructive ladder suggests that primary closure and skin grafting should be considered first in reconstruction of such defects. However, these techniques may lead to increased likelihood of dehiscence, distortion of key structures, poor cosmetic outcomes, and less-than-total graft acceptance. Read More

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Imiquimod 5% Cream for an Annular Plaque with Progressive Pain on the Right Distal Arm in the Cubital Fossa: Acquired Tufted Angioma.

Clin Cosmet Investig Dermatol 2021 12;14:855-858. Epub 2021 Jul 12.

Department of Comprehensive Ward, Zhejiang Hospital, Hangzhou, Zhejiang Province, 310013, People's Republic of China.

Tufted angioma, also known as angioblastoma, is a rare benign vascular neoplasm of the skin and subcutaneous tissue. The natural history of tufted angioma is slow, progressive growth for several years, and tends to remain stable thereafter, resulting in disfiguring appearance. The main choice of treatment for tufted angioma is complete surgical excision, but local recurrence is frequent. Read More

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Malar augmentation with Hyaluronic acid enriched with glycine and proline: a clinical evaluation.

J Biol Regul Homeost Agents 2021 Mar-Apr;35(2 Suppl. 1):187-194

Department of Innovative Technologies in Medicine & Dentistry, University of Chieti-Pescara, Italy.

The aging process causes skin modification and wrinkle formation with an alteration of the face harmony and imperfections. The aim of the present investigation was to evaluate a cross-linked hyaluronic acid enriched with glycine and proline for zygomatic malar region infiltrations. A total of twenty healthy female patients were treated for zygomatic hypotonia. Read More

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Do I Belong Here? Confronting Imposter Syndrome at an Individual, Peer, and Institutional Level in Health Professionals.

MedEdPORTAL 2021 6;17:11166. Epub 2021 Jul 6.

Clinical Professor, Department of Pediatrics, Stanford School of Medicine.

Introduction: Imposter syndrome (IS) is a feeling of being an intellectual fraud and is common among health professionals, particularly those underrepresented in medicine. IS is accompanied by burnout, self-doubt, and beliefs of decreased success. This workshop aims to discuss the impact of IS and develop strategies to confront IS at the individual, peer, and institutional levels. Read More

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Efficacy of da Vinci robot-assisted lymph node surgery than conventional axillary lymph node dissection in breast cancer - A comparative study.

Int J Med Robot 2021 Jul 16:e2307. Epub 2021 Jul 16.

Research Institute of Human Morphology, Moscow, Russian Federation.

Background: da Vinci robot-assisted axillary lymph node dissection (dVALND) can be a minimally invasive technique to minimize post-operative complications.

Objective: To explore the clinical efficacy of dVALND in breast cancer (BC) patients for mitigating the postoperative complications than conventional ALND.

Methods: Total 60 female patients with BC were admitted to our hospitals since September 2018, and these patients segregated into two groups of 30 patients each. Read More

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Efficacy and Safety of Platelet-Rich Plasma in Melasma: A Systematic Review and Meta-Analysis.

Dermatol Ther (Heidelb) 2021 Jul 16. Epub 2021 Jul 16.

Department of Dermatology, West China Hospital, Sichuan University, No. 37, Guo Xue Xiang, Chengdu, 610041, Sichuan, China.

Introduction: Melasma is a chronic and recurrent skin problem for which an effective therapy is currently lacking. Platelet-rich plasma (PRP) has recently emerged as a novel treatment for melasma, but to date there has been no systematic evaluation of its efficacy and safety.

Methods: The Web of Science, PubMed, EMBASE, China National Knowledge Infrastructure (CNKI) and the Cochrane Library databases were searched for relevant articles using the search items "melasma," "chloasma" and "platelet-rich plasma. Read More

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Small surgeries, big smiles: using virtual reality to reduce the need for sedation or general anesthesia during minor surgical procedures.

Pediatr Surg Int 2021 Jul 16. Epub 2021 Jul 16.

Department of Surgery, Division of Pediatric Surgery, Stanford University, Center for Academic Medicine, 453 Quarry Road, Stanford, CA, 94305, USA.

Purpose: Children often require anesthesia for simple diagnostic and therapeutic procedures. The aim of this study was to evaluate the feasibility of using virtual reality (VR) to reduce sedation in children undergoing minor surgical procedures.

Method: In this prospective, non-randomized clinical trial, pediatric patients at a free-standing children's hospital undergoing hormone implant placement, removal, or exchange were recruited to use VR and local anesthesia instead of procedural sedation or general anesthesia (GA). Read More

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[Are the results of total knee arthroplasty after high tibial osteotomy worse?]

Orthopade 2021 Jul 16. Epub 2021 Jul 16.

UniversitätsCentrum für Orthopädie & Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

Background: In some cases, total knee arthroplasty (TKA) following high tibial osteotomy (HTO) is necessary. HTO can adversely affect anatomy and alignment resulting in more complicated and challenging TKA surgery. The aim of this study was to investigate whether patients having undergone HTO benefit from TKA to the same extent as patients with primary osteoarthritis of the knee. Read More

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Evaluation of local tranexamic acid on septoplastic surgery quality.

J Plast Reconstr Aesthet Surg 2021 Mar 24. Epub 2021 Mar 24.

Associate professor of anesthesiology department of AJA University of medical science, Tehran, Iran. Electronic address:

Background: Even a small amount of bleeding during nose surgery can impair the surgeon's vision, prolong the duration of operation, and affect surgery quality; therefore, various techniques have been proposed to control the bleeding. The aim of this study was to compare the efficacy of the local use of tranexamic acid (TXA) in the dry field of surgery.

Method: This randomized, double-blinded, controlled trial was conducted in the operation room of Imam Reza Hospital, Tehran, Iran, from January 10, 2016 to February 8, 2017. Read More

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A qualitative study of National Health Service (NHS) complaint-responses.

BMC Health Serv Res 2021 Jul 15;21(1):696. Epub 2021 Jul 15.

Newbattle Abbey College, Dalkeith, Scotland, UK.

Background: Healthcare complaints are grievances that may be indicative of some system failures, individual failings, or a combination of both. Moreover, the experience of making a complaint, including its outcome, often falls short of patient expectations, particularly in relation to the interpersonal conduct of National Health Service (NHS) staff. Over half of unresolved (local) complaints are subsequently upheld by the ombudsman with others potentially resulting in costly litigation. Read More

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Transnational and Local Co-ethnic Social Ties as Coping Mechanisms Against Perceived Discrimination - A Study on the Life Satisfaction of Turkish and Moroccan Minorities in the Netherlands.

Front Sociol 2021 28;6:671897. Epub 2021 Jun 28.

European Research Centre on Migration and Ethnic Relations (ERCOMER), Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, Netherlands.

Perceived ethnic discrimination is known to decrease minorities' life satisfaction. This research investigates the extent to which minorities' local and transnational co-ethnic social ties mitigate the negative effects of perceived discrimination on life satisfaction. Put differently, focusing on the experiences of Turkish and Moroccan minorities, we discuss whether co-ethnic social ties, both locally and transnationally embedded, can be considered as coping mechanisms against perceived discrimination. Read More

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Implementing information and communication technology education on food allergy and anaphylaxis in the school setting.

Clin Transl Allergy 2021 Jul 3;11(5):e12039. Epub 2021 Jul 3.

Allergy Department Hospital Universitario de Canarias Tenerife Spain.

Introduction: Every year, 1/10,000 children experiences a food-anaphylactic reaction. Most of these events, including attack-related deaths, may happen during the school hours. In the current study, we assessed the influence of information and communication technologies (ICT) in the school-staff's education on food allergy and anaphylaxis (FAA). Read More

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Ultrasound-guided genicular nerve blocks following total knee arthroplasty: a randomized, double-blind, placebo-controlled trial.

Reg Anesth Pain Med 2021 Jul 14. Epub 2021 Jul 14.

Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA

Introduction: Local anesthetic blockade of the genicular nerves, known targets of radiofrequency ablative techniques for knee pain, has not previously been studied in a randomized controlled trial evaluating acute pain after knee arthroplasty. We hypothesized that genicular nerve blockade added to an existing block regimen in total knee arthroplasty would result in a reduction in 24 hours opioid consumption.

Methods: Patients (American Society of Anesthesiologists 1-3, aged 18-85 years) undergoing primary total knee arthroplasty were randomized to receive single-injection nerve blocks of the superolateral, superomedial, and inferomedial genicular nerves with injectate (15 mL 0. Read More

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Oncophone20 study: Patients' perception of telemedicine in the COVID-19 pandemic during follow-up visits for gynecological and breast cancers.

Int J Gynaecol Obstet 2021 Jul 14. Epub 2021 Jul 14.

Department of Gynecology and Obstetrics Sant'Anna Hospital, AOU Citta della Salute e della Scienza di Torino, Torino, Italy.

Objective: To analyze oncological patients' perception of telemedicine during the COVID-19 pandemic.

Methods: A total of 345 women, of whom 267 experienced breast cancer and 78 experienced a gynecological cancer, were enrolled. Specific questionnaires about their experiences and feelings about telemedicine in the COVID-19 era were collected. Read More

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Measuring Success of Patients' Continuous Use of Mobile Health Services for Self-management of Chronic Conditions: Model Development and Validation.

J Med Internet Res 2021 Jul 13;23(7):e26670. Epub 2021 Jul 13.

Centre for Digital Transformation, School of Computing and Information Technology, Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, Australia.

Background: Mobile health services are gradually being introduced to support patients' self-management of chronic conditions. The success of these services is contingent upon patients' continuous use of them.

Objective: This study aims to develop a model to measure the success of patients' continuous use of mobile health services for the self-management of chronic conditions. Read More

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Community-based monitoring to facilitate water management by local institutions in Costa Rica.

Proc Natl Acad Sci U S A 2021 Jul;118(29)

Carey Business School, Johns Hopkins University, Baltimore, MD 21202.

Water scarcity is a global problem that can be compounded by inefficient water management, including underinvestment in infrastructure, underpricing of water use, and underenforcement of user rules. Here, we explore whether these inefficiencies can be reduced in rural Costa Rica via an externally driven community monitoring program (i.e. Read More

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Seven ways to get a grip on running a successful promotions process.

Simon Field

Can Med Educ J 2021 Jun 30;12(3):147-150. Epub 2021 Jun 30.

Department of Emergency Medicine, Dalhousie University, Nova Scotia, Canada.

Promotion within an academic institution is often a key component of a career; however, there are often barriers to successful applications. A streamlined and transparent process can assist faculty members in their goals of obtaining promotion, leading to greater security and satisfaction. This paper describes a methodology designed at a local level to maximize opportunities for success, in the hope that others may learn from the experience and advocate for similar changes within their own institutions. Read More

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Trust Buffers Against Reduced Life Satisfaction When Faced With Financial Crisis.

Front Psychol 2021 24;12:632585. Epub 2021 Jun 24.

Division of Mental and Physical Health, Department of Public Health Science, Norwegian Institute of Public Health, Oslo, Norway.

In light of the coronavirus disease 2019 (COVID-19) pandemic and its large economic consequences, we used a three-layer nested structural model (individual, community, and country), each with a corresponding measure of income, trust, and satisfaction, to assess change in their interrelationships following a global crisis; which, in this study, is the 2008/2009 financial crisis. With multilevel techniques, we analyzed data from two waves (2006 and 2012) of the European Social Survey (ESS) in 19 countries (weighted = 73,636) grouped according to their levels of trust. In high trust countries, personal life satisfaction (LS) was not related to personal, community, or national income before or after the crisis. Read More

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