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Barriers and facilitators to physical education, sport, and physical activity program participation among children and adolescents with psychiatric disorders: a systematic review.

Transl Behav Med 2021 Jun 24. Epub 2021 Jun 24.

Department of Public Health and Nutrition, School of Health Sciences, Merrimack College, North Andover, MA, USA.

Children and adolescents with heterogeneous psychiatric disorders, of whom over 50% have a second psychiatric comorbidity, have low rates of physical activity and experience unique challenges to engaging in community-based exercise programming, school-based physical education programming, and targeted physical activity interventions. This contributes to elevated rates of gross and fine motor delays, lower mood and self-regulation, and increased risk of chronic diseases such as obesity and type 2 diabetes. Perform a systematic scoping review of the literature to assess known barriers to and facilitators of engaging in physical activity programming among children and adolescents with heterogeneous and/or comorbid psychiatric disorders, in order to improve engagement among this population in real world intervention settings. Read More

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Exploring Staff Turnover, Burnout and Resilience in Cytology Reference Laboratories: A Workforce Qualitative Study.

Authors:
Paul Z Chiou

Cytopathology 2021 Jun 24. Epub 2021 Jun 24.

Faculty, Department of Clinical Laboratory and Medical Imaging Sciences, Rutgers University, 65 Bergen Street, Suite GB-1, Newark, NJ, 07107, USA.

Objectives: The specific aims of the study are to investigate cytology laboratory staff turnover in the context of workplace stressors and burnout and to explore qualities associated with long career tenure, in order to facilitate the development of future workplace intervention programs.

Methods: A basic interpretive qualitative study approach with semi-structured interviews was conducted and analyzed using a directed and conventional content analysis. Seven participants who had left large cytology reference laboratories were purposively sampled to interview about their experience of leaving the cytology reference laboratories. Read More

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Treatment Needs and Service Delivery for Patients with Dual Disorders During the COVID-19 Pandemic: Findings From the WADD Survey.

J Dual Diagn 2021 Jun 24:1-9. Epub 2021 Jun 24.

National Drug Dependence Treatment Center and Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

Objective: The COVID-19 pandemic has posed a great challenge for the existing health systems. The restrictions imposed across countries on the movement of people and the realignment of health care services in response to the pandemic are likely to negatively affect the health status and delivery of mental health services to persons with dual disorders (PWDD). An online survey was conducted among mental health professionals involved in providing care to PWDD to better understand the problems encountered and identify potential solutions in providing continued treatment for PWDD during the COVID-19 pandemic. Read More

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Critical Care Education and Skills Validation Course for Internal Medicine Physicians in the Military.

Mil Med 2021 Jun 23. Epub 2021 Jun 23.

Pulmonary & Critical Care Medicine Service, Department of Medicine, Brooke Army Medical Center, San Antonio, TX 78234, USA.

Introduction: Military internist and internal medicine (IM) subspecialist physicians must be prepared to function in both traditional inpatient and outpatient settings, as well as manage critically ill patients within a deployed austere environment. As many critical care procedures are not performed on a routine basis in general IM practice, many active duty IM physicians experience skills degradation and lack confidence in performing these procedures. In order to address this perceived deficiency, the U. Read More

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Transitioning to Remote Recruitment and Intervention: A Tale of Two Palliative Care Research Studies Enrolling Underserved Populations during COVID-19.

J Pain Symptom Manage 2021 Jun 20. Epub 2021 Jun 20.

University of Colorado School of Medicine, Division of General Internal Medicine.

Context: During the COVID-19 pandemic, community-based research studies experienced prolonged shutdowns unless able to pivot to remote study procedures.

Objectives: To describe the revision of two National Institutes of Health funded community-based palliative-focused clinical trials serving underserved populations to accommodate remote subject enrollment and examine its impact.

Methods: Transitioning to remote processes required multiple protocol and procedural changes including: altering informed consent processes; reducing the number of surveys administered; adding internet access as an inclusion criterion. Read More

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Potential Side Effects and Adverse Events of Antipsychotic Use for Residents With Dementia in Assisted Living: Implications for Prescribers, Staff, and Families.

J Appl Gerontol 2021 Jun 23:7334648211023678. Epub 2021 Jun 23.

The University of North Carolina at Chapel Hill, USA.

Antipsychotic medications are frequently prescribed to assisted living (AL) residents who have dementia, although there is a lack of information about the potential side effects and adverse events of these medications among this population. Oversight and monitoring by family members is an important component of AL care, and it is important to understand family awareness of antipsychotic use and reports of potential side effects and adverse events. This cross-sectional, descriptive study of family members of 283 residents with dementia receiving antipsychotic medications in 91 AL communities found high rates (93%) of symptoms that could be potential side effects and a 6% rate of potential adverse events. Read More

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Pain Behaviors and Pharmacological Pain Management Among Newly Admitted Nursing Home Residents.

Nurs Res 2021 Jul-Aug 01;70(4):273-280

Background: Clinicians may place more weight on vocal complaints of pain than the other pain behaviors when making decisions about pain management.

Objectives: We examined the association between documented pain behaviors and pharmacological pain management among nursing home residents.

Methods: We included 447,684 residents unable to self-report pain, with staff-documented pain behaviors (vocal, nonverbal, facial expressions, protective behaviors) and pharmacological pain management documented on the 2010-2016 Minimum Data Set 3. Read More

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A qualitative examination of responses from a survey of pharmacy staff in Georgia regarding access to Narcan®.

Health Educ Res 2021 Jun 23. Epub 2021 Jun 23.

School of Public Health, Georgia State University, 140 Decatur Street, UL 331, Atlanta, GA 30303, USA.

Georgia state lawmakers enacted legislation designed to reduce opioid overdose deaths by increasing public access to rescue products, such as Narcan®. This article explores whether pharmacy employees have effectively adopted such changes into pharmacy practice. We analyzed unsolicited remarks noted during a parent telephone survey of 120 Georgia pharmacy staff regarding price, availability and barriers to layperson purchase of Narcan®. Read More

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Randomized Study of Bedside vs Hallway Rounding: Neurology Rounding Study.

Neurology 2021 Jun 22. Epub 2021 Jun 22.

Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Over the last century, attending rounds have shifted away from the bedside. Despite evidence for greater patient satisfaction rates and improved nursing perception of teamwork with bedside presentations, residents and attending physicians are apprehensive of the bedside approach. There is lack of data to guide rounding practices within neurology, and therefore optimal rounding methods remain unclear. Read More

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Sustainment of a patient flow intervention in an intensive care unit in a regional hospital in Australia: a mixed-method, 5-year follow-up study.

BMJ Open 2021 Jun 22;11(6):e047394. Epub 2021 Jun 22.

Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.

Objective: In 2014, an escalation plan and morning handover meetings were implemented in an intensive care unit (ICU) to reduce access block for post-operative care. In this study, the improvement intervention is revisited 5 years on with the objective to see if the changes are sustained and to understand factors contributing to sustainability.

Design: A mixed-method approach was used, with quantitative analysis of ICU administrative data and qualitative analysis of interviews with hospital management and ICU staff. Read More

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Peripheral administration of SOD1 aggregates does not transmit pathogenic aggregation to the CNS of SOD1 transgenic mice.

Acta Neuropathol Commun 2021 Jun 22;9(1):111. Epub 2021 Jun 22.

Department of Clinical Sciences, Neurosciences, Umeå University, 90185, Umeå, Sweden.

The deposition of aggregated proteins is a common neuropathological denominator for neurodegenerative disorders. Experimental evidence suggests that disease propagation involves prion-like mechanisms that cause the spreading of template-directed aggregation of specific disease-associated proteins. In transgenic (Tg) mouse models of superoxide dismutase-1 (SOD1)-linked amyotrophic lateral sclerosis (ALS), inoculation of minute amounts of human SOD1 (hSOD1) aggregates into the spinal cord or peripheral nerves induces premature ALS-like disease and template-directed hSOD1 aggregation that spreads along the neuroaxis. Read More

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Virtual away rotations increase access to Radiation Oncology.

Pract Radiat Oncol 2021 Jun 19. Epub 2021 Jun 19.

Department of Radiation Oncology, Winship Cancer Institute at Emory University.

The COVID-19 pandemic altered the workplace for medical education. As restrictions ease, the opportunities provided by virtual rotations remain. Radiation Oncology rotations based around virtual participation with patients (consults, follow-ups, and brachytherapy), contouring and reviewing external beam plans, didactics, and unstructured office hours have been well-received at multiple institutions. Read More

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[Childhood emergencies-worsening healthcare bottlenecks for children in a systematic long-term analysis of the EMS system in a German metropolis].

Med Klin Intensivmed Notfmed 2021 Jun 22. Epub 2021 Jun 22.

Klinik für Allgemeine, Unfall und Wiederherstellungschirurgie, Notfallaufnahme Innenstadt, Klinikum der Ludwig-Maximilians-Universität München, München, Deutschland.

Background: Children have the right to the best possible medical care. The lack of treatment capacity is rising steadily and increasingly leads to forced centralized allocation of patients by the emergency medical services (EMS) to pediatric emergency departments that are, officially, temporarily "closed".

Aim: The aim of this study is to present trends in allocation of pediatric emergency patients in greater Munich. Read More

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The RELATE model: strategies to effectively engage healthcare organisations to create amenable contexts for implementation.

J Health Organ Manag 2021 Jun;ahead-of-print(ahead-of-print)

UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems (UCD IRIS), School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.

Purpose: The field of implementation science has emerged as a response to the challenges experienced in translating evidence-based practice and research findings to healthcare settings. Whilst the field has grown considerably in recent years, comparatively, there is a conspicuous lack of attention paid to the work of , that is, how we effectively engage with organisations to support the translation of research into practice. Securing the engagement and commitment of healthcare organisations and staff is key in quality improvement and organisational research. Read More

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Evaluation of sepsis teaching for medical and dental students at a British University.

Eur J Dent Educ 2021 Jun 15. Epub 2021 Jun 15.

Faculty of Health and Human Sciences (Medicine, Dentistry and Biomedical Sciences), University of Plymouth, Plymouth, UK.

Introduction: The aim of this study was to evaluate sepsis on undergraduate programmes in medicine (BMBS), dentistry (BDS) and dental therapy (BScDTH) at a university in England.

Materials And Methods: The study was carried out at the Faculty of Health, University of Plymouth. Questionnaires consisting of a series of closed and open-ended items were designed for students and faculty by a group of academics. Read More

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Lavender Aromatherapy as a Nurse-Driven Intervention for Preoperative Anxiety.

Authors:
Thomas Koehler

Nurs Womens Health 2021 Jun 18. Epub 2021 Jun 18.

Objective: To explore potential clinical applications, based on evidence and a nurse-driven test of change, of using lavender aromatherapy for preoperative anxiety as an intervention complementary to standard preoperative care.

Design: A pre- versus postaromatherapy comparison using a visual analog scale (VAS).

Setting: The preoperative department at a level 2 trauma hospital witsth 544 beds. Read More

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Implementation of telehealth antimicrobial stewardship through partnership of an academic medical center and a community hospital.

Am J Health Syst Pharm 2021 Jun 21. Epub 2021 Jun 21.

Department of Medicine, Division of Infectious Diseases, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Purpose: Small community hospitals often lack the human, financial, and technological resources necessary to implement and maintain successful antimicrobial stewardship programs now required by national regulatory and accrediting bodies. Creative solutions are needed to address this problem.

Summary: A 3-stage, quasi-experimental study including patients receiving antibiotics for pneumonia, skin and soft tissue infections, and urinary tract infections at a community hospital in Wisconsin from June 2013 to December 2015 was conducted. Read More

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Humanizing the ICU Patient: A Qualitative Exploration of Behaviors Experienced by Patients, Caregivers, and ICU Staff.

Crit Care Explor 2021 Jun 15;3(6):e0463. Epub 2021 Jun 15.

Division of Pulmonary Critical Care and Sleep Medicine, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, NY.

Objectives: To understand how patients and family members experience dehumanizing or humanizing treatment when in the ICU.

Design: Qualitative study included web-based focus groups and open-ended surveys posted to ICU patient/family social media boards. Focus groups were audio recorded and transcribed. Read More

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Re-opening hairdressing salons, barber shops and gyms following COVID-19 lockdown: reducing risks from species through successful domestic steam disinfection of showerheads.

Access Microbiol 2021 4;3(5):000229. Epub 2021 May 4.

School of Medicine, Dentistry and Biomedical Sciences, The Wellcome-Wolfson Institute for Experimental Medicine, Queen's University, Northern Ireland, Belfast BT9 7BL, UK.

Given the importance of disinfecting showerheads from species and the lack of instructions as to how to successfully achieve this, the aim of this study was to examine the ability of domestic steam disinfection to successfully disinfect showerheads from species. Steam disinfection of [=3; serogroup 2-15 (wildtype environmental water isolate); serogroup 1 NCTC11192 (reference strain); serogroup 1 (wildtype environmental water isolate)], (wildtype environmental water isolate) and CRM11368M (reference strain) were examined in this study. Steam disinfection employing a baby bottle steam disinfector device eradicated all organisms tested. Read More

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Lameness in Beef Cattle: A Cross-Sectional Descriptive Survey of On-Farm Practices and Approaches.

Front Vet Sci 2021 4;8:657299. Epub 2021 Jun 4.

Department of Livestock and One Health, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Neston, United Kingdom.

Cattle lameness is a concern to the United Kingdom (UK) cattle industry, negatively impacting upon welfare and production. Previous work involving one small study ( = 21) has identified that some UK beef farmers underestimate lameness prevalence, but also that farmers vary in their perception of the impact of lameness. Knowledge and skills of farmers were identified as a potential concern, and farmer-reported barriers were identified. Read More

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Pediatric Oncology Nursing Research in Low- and Middle-Income Countries: Exemplars from Three Regions.

Semin Oncol Nurs 2021 Jun 18:151168. Epub 2021 Jun 18.

School of Nursing, University of California San Francisco, San Francisco, CA. Electronic address:

Objective: This study examined the status of pediatric oncology nursing research in three low- and middle-income countries (LMICs) as examples across three World Health Organization regions: East Africa, Eastern Mediterranean region, and Latin America.

Data Sources: Published literature was identified from Google Scholar, PubMed, Scielo, Virtual Health Library, and reference lists of some articles.

Conclusion: The experiences of the three LMIC pediatric oncology nurses illustrate the situation of nurse research in their setting and identify relevant published literature. Read More

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Facilitators and barriers to effective supervision of maternal and newborn care: a qualitative study from Shinyanga region, Tanzania.

Glob Health Action 2021 Jan;14(1):1927330

Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden.

: Despite routine supportive supervision of health service delivery, maternal and newborn outcomes have remained poor in sub-Saharan Africa in general and in Tanzania in particular. There is limited research evidence on factors limiting the effectiveness of supportive supervision in improving the quality of maternal and newborn care.: This study explored enablers of and barriers to supportive supervision in maternal and newborn care at the district and hospital levels in Shinyanga region in Tanzania. Read More

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January 2021

Work-related stress and well-being of direct care workers in intellectual disability services: a scoping review of the literature.

Int J Dev Disabil 2019 Mar 27;67(1):1-22. Epub 2019 Mar 27.

Head of School of Health Sciences, Waterford Institute of Technology, Ireland.

Understanding the nature of work-related stress and burnout among intellectual disability care staff is important to protect the well-being of these workers and encourage their retention in the sector. Though reviews of specific aspects of this literature have been conducted no article has sought to fully chart the range and nature of this research. This article addresses this gap by synthesizing the findings of such research with consideration to the future implications for protecting the well-being of care workers. Read More

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How do psychologists experience working with staff in residential care settings for people with an intellectual disability?

Int J Dev Disabil 2018 Jun 8;64(3):144-157. Epub 2018 Jun 8.

School of Psychology, University of Birmingham, Birmingham, UK.

Background: While psychologists working with people with an intellectual disability routinely work with care staff in residential care homes there is a lack of research investigating how psychologists can effectively assess, collaborate, and engage with staff groups.

Aims: This research seeks to explore psychologists' experiences of working with staff in residential care homes in order to develop an understanding of how psychologists manage the work and to help generate clinical solutions to psychological problems.

Methods: Seven clinical psychologists and one counseling psychologist were interviewed using a semi-structured interview focusing on participants' interactions with staff. Read More

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Caregivers' perception of the caring challenges in coronavirus crisis (COVID-19): a qualitative study.

BMC Nurs 2021 Jun 19;20(1):102. Epub 2021 Jun 19.

Clinical Research Development Unit, Valiasr Hospital, Fasa University of Medical Sciences, Fasa, Iran.

Background: The nurses act as the guardians of people's health by preventing, controlling, and curing emerging diseases, including coronavirus, a highly infectious and contagious disease which has presented the caregivers in the Iranian healthcare system with many clinical challenges. In view of lack of research on the clinical challenges which arise during health crises, emerging diseases included, there is need for further investigation of those clinical challenges and dilemmas. The aim in present study was to describe the caregivers' experiences of the caring challenges in patients with coronavirus (COVID-19). Read More

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[Utilizing social media data in post-market safety surveillance].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Jun;53(3):623-627

Department of Epidemiology and Biostatistics, Peking University School of Public Health, Beijing 100191, Chian.

Post-marketing surveillance is the principal means to ensure drug use safety. The spontaneous report is the essential method of post-marketing surveillance for drug safety. Often, most spontaneous reports come from medical staff and sometimes come from patients who use the drug. Read More

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Awareness of pharmacy researchers about the national research code of ethics: A study from Jordan.

Heliyon 2021 Jun 2;7(6):e07180. Epub 2021 Jun 2.

Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.

Objective: In Jordan, research ethics have been subject to increasingly formal regulations and structuring. Recently the Ministry of Higher Education and Research Published the National Research Code of Ethics. However, little is known about the awareness of pharmacology researchers of this code and the extent of its applicability to their research. Read More

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A Mixed-Methods Approach to Investigating Social and Emotional Learning at Schools: Teachers' Familiarity, Beliefs, Training, and Perceived School Culture.

Front Psychol 2021 1;12:518634. Epub 2021 Jun 1.

Centre for International Student Assessment (ZIB) e.V., TUM School of Education, Technical University of Munich, Munich, Germany.

Education advocates argue that effective schools should foster multidimensional educational goals that not only include cognitive but also non-cognitive outcomes. One important non-cognitive outcome are social and emotional skills. Previous research showed that for enhancing students' social and emotional learning (SEL) one of the most important factor is the teacher. Read More

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A qualitative insight into time-poor/grade-hungry health studies students' perceptions of using assessment criteria and feedback in assignment writing.

Nurse Educ Today 2021 Jun 5;104:104999. Epub 2021 Jun 5.

School of Health and Life Sciences, University of the West of Scotland, UK.

Background: Grade-led study and surface-learning approaches compromise student success at undergraduate level. However, encouraging students to adopt deeper approaches to learning can feel like an endless challenge for staff in the current consumerist university climate.

Objective: This study explored undergraduate health studies students' current use, experiences and perceptions of assessment criteria in relation to their assignment writing and feedback. Read More

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What Determines Step-Rate at Work? An Investigation of Factors at the Shift, Worker, Ward, and Nursing Home Levels in Eldercare.

Ann Work Expo Health 2021 Jun 17. Epub 2021 Jun 17.

Centre for Musculoskeletal Research, Department of Occupational Health Sciences and Psychology, University of Gävle, Kungsbäcksvägen 47, 801 76 Gävle, Sweden.

Objectives: Current knowledge on the determinants of step-rate at different organizational levels is limited. Thus, our aim was to identify, in eldercare, at what workplace level differences in step-rate occur and to identify determinants of workers' step-rate at these levels.

Methods: Participants were 420 eldercare workers from 17 nursing homes (126 wards) in Denmark. Read More

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