18,698 results match your criteria supporting practice

Adoption of Telehealth by Pediatric Physical Therapists During COVID-19: A Survey Study.

Pediatr Phys Ther 2021 Jul 27. Epub 2021 Jul 27.

Department of Physical Therapy (Drs Hall and Woods), University of Missouri, Columbia, Missouri; Child's Play Therapy (Dr Luechtefeld), LLC, Clinton, Missouri.

Purpose: To describe the characteristics of pediatric physical therapy telehealth practice during COVID-19.

Methods: An anonymous, online survey was distributed to pediatric physical therapists (PTs) in the United States who transitioned to telehealth during COVID-19.

Results: Two hundred five respondents completed all quantitative questions. Read More

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Practitioners' and Policymakers' Successes, Challenges, Innovations, and Learning in Promoting Children's Well-being During COVID-19: Protocol for a Multinational Smartphone App Survey.

JMIR Res Protoc 2021 Jul 29;10(7):e31013. Epub 2021 Jul 29.

Digital Health & Wellness Group, Department of Computer & Information Sciences, University of Strathclyde, Glasgow, United Kingdom.

Background: The advent of COVID-19 abruptly thrust the health and safety of children and families into greater risk around the world. As regional and local governments, nongovernmental organizations, communities, families, and children grapple with the immediate public health impact of COVID-19, the rights and well-being of children, especially those who are already marginalized, have been overlooked. Those working with children have likely encountered unprecedented challenges and responded in innovative ways in efforts to address the needs and rights of all children. Read More

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Exposure of earthworm (Eisenia fetida) to rice straw biochar: Ecotoxicity assessments for soil-amended programmes.

Sci Total Environ 2021 Jun 30;794:148802. Epub 2021 Jun 30.

Key Laboratory of Zoonosis of Liaoning Province, College of Animal Science and Veterinary Medicine, Shenyang Agricultural University, Shenyang 110866, China.

Increasing attentions of agricultural straw-derived biochar on biological interactions in soil environment have been gained following the benefits obtained from its role of soil conditioner. However, scientific probing on its unintended effects on soil organisms remain largely understudied. In this study, an avoidance test and a 14-day of incubation experiment in earthworm Eisenia fetida were conducted in field soil amended with rice straw-derived biochar (RSB) to evaluate its eco-toxic effect. Read More

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C-Reactive Protein as a Potential Biomarker in Psychiatric Practice: Are We There Yet?

World J Biol Psychiatry 2021 Jul 29:1-37. Epub 2021 Jul 29.

Department of Psychiatry and Behavioral Neurosciences, Loyola University Chicago, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, USA.

Objectives: Serum or plasma levels of C-reactive protein (CRP) and high-sensitivity CRP (CRP) are widely used clinical markers of inflammation in other branches of medicine, whereas its clinical use in psychiatry has been limited to research studies. We aimed to assess the possibility of using CRP/CRP in psychiatric practice. This is a review and evaluation of various lines of evidence supporting the concept of CRP as a biomarker for psychiatric disorders in certain conditions. Read More

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Fragility of randomized trials supporting cancer drug approvals stratified by approval pathway and review designations.

Cancer Med 2021 Jul 28. Epub 2021 Jul 28.

Princess Margaret Cancer Centre, Department of Medical Oncology, University of Toronto, Toronto, ON, Canada.

Background: It has been suggested that the results from fragile trials are less likely to translate into benefit in routine clinical practice.

Methods: We searched the Food and Drug Administration (FDA) archives to identify drug approvals for solid organ malignancies between 2010 and 2019. We calculated the Fragility Index (FI) supporting each approval, using methods to account for time-to-event. Read More

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Happy Talk: A pilot effectiveness study of a targeted-selective speech-language and communication intervention for children from areas of social disadvantage.

Int J Lang Commun Disord 2021 Jul 28. Epub 2021 Jul 28.

Newcastle University, Newcastle upon Tyne, Newcastle, UK.

Background: Despite the public health implications of language difficulties associated with social disadvantage, there is a dearth of effectiveness studies investigating the effects of targeted speech and language programmes in this area.

Aims: To determine the effects of a targeted selective community-based child language intervention programme (Happy Talk), which simultaneously engaged with parents and early childhood educators, in the Republic of Ireland.

Methods & Procedures: A mixed methods methodology was applied with quantitative outcome and qualitative process data collected. Read More

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Effect of Pharmacogenetic-Based Decision Support Tools in Improving Depression Outcomes: A Systematic Review.

Neuropsychiatr Dis Treat 2021 21;17:2397-2419. Epub 2021 Jul 21.

Clinical Pharmacy and Practice, College of Pharmacy, QU Health, Qatar University, Doha, Qatar.

Objective: Evidence supporting the utility of pharmacogenetic (PGX) tests in depression is scarce. The main objectives of this study were to summarize, update, and assess the quality of the available evidence regarding PGX testing in depression as well as estimating the impact of using PGX testing tools in depression outcomes in the Middle East/North Africa (MENA) region.

Methodology: Scientific databases were systematically searched from inception to June 30, 2020 for systematic reviews and randomized controlled trials (RCTs) assessing the clinical utility of PGX tests in the treatment of depression. Read More

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Mothers' quality of life delivering kangaroo mother care at Malawian hospitals: a qualitative study.

Health Qual Life Outcomes 2021 Jul 28;19(1):186. Epub 2021 Jul 28.

Department of Pediatrics and Child Health, College of Medicine, University of Malawi, Blantyre, Malawi.

Introduction: Kangaroo mother care is known to help save the lives of preterm and low birthweight infants, particularly in resource-limited health settings, yet barriers to implementation have been documented. Mothers and their families are very involved in the process of providing kangaroo mother care and the impact on their well-being has not been well explored. The objective of this research was to investigate the perspectives and experiences of a mother's quality of life while delivering facility-based kangaroo mother care. Read More

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A qualitative study of community pharmacists' perceptions of their role in primary mental health care in New Zealand.

Int J Pharm Pract 2021 Jul 28. Epub 2021 Jul 28.

Department of Primary Health Care & General Practice, University of Otago, Wellington, New Zealand.

Objectives: Mental illness is an important public health issue internationally. As people with mild-to-moderate illness are usually cared for in primary health care, pharmacists are well placed to play an important role. The study objectives were to explore community pharmacists' perceptions of their role in primary mental health care and the barriers and facilitators to the provision of care in New Zealand. Read More

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The diversity of opinion among general practitioners regarding the threat and measures against COVID-19 - Cross-sectional survey.

Eur J Gen Pract 2021 Dec;27(1):176-183

Institute of General Practice and Health Services Research, Technical University Munich, Munich, Germany.

Background: After the 'first wave' in spring 2020, opinions regarding the threat and measures against COVID-19 seemed to vary among German general practitioners (GPs).

Objectives: To systematically investigate opinions and to identify subgroups of GPs sharing similar views.

Methods: A questionnaire was sent to all 210 practices accredited for undergraduate teaching of family medicine at the Medical Faculty of the Technical University of Munich. Read More

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December 2021

Reallocations in acne healthcare: exploring the possible roles and added value of non-physicians by a mixed-methods study design.

BMC Health Serv Res 2021 Jul 27;21(1):746. Epub 2021 Jul 27.

Department of Dermatology, Radboud university medical centre, Nijmegen, The Netherlands.

Background: A highly promoted opportunity for optimizing healthcare services is to expand the role of non-physician care providers by care reallocation. Reallocating care from physicians to non-physicians can play an important role in solving systemic healthcare problems such as care delays, hospital overcrowding, long waiting lists, high work pressure and expanding healthcare costs. Dermatological healthcare services, such as the acne care provision, are well suited for exploring the opportunities for care reallocation as many different types of care professionals are involved in the care process. Read More

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

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

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

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

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

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Digital Learning in Speech-Language Pathology, Phoniatrics, and Otolaryngology: Interdisciplinary and Exploratory Analysis of Content, Organizing Structures, and Formats.

JMIR Med Educ 2021 Jul 27;7(3):e27901. Epub 2021 Jul 27.

Clinic for Phoniatrics, Pedaudiology & Communication Disorders, University Hospital and Medical Faculty, RWTH Aachen University, Aachen, Germany.

Background: The digital revolution is rapidly transforming health care and clinical teaching and learning. Relative to other medical fields, the interdisciplinary fields of speech-language pathology (SLP), phoniatrics, and otolaryngology have been slower to take up digital tools for therapeutic, teaching, and learning purposes-a process that was recently expedited by the COVID-19 pandemic. Although many current teaching and learning tools have restricted or institution-only access, there are many openly accessible tools that have gone largely unexplored. Read More

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Precision bite ramps and aligners: An elective choice for deep bite treatment.

J Orthod 2021 Jul 27:14653125211034180. Epub 2021 Jul 27.

Private Practice, Rome, Italy.

Objective: To review a series of clinical studies demonstrating the clinical efficiency of aligners with bite ramps in the treatment of severe deep bite.

Materials And Methods: In order to predictably manage the correction of deep bite with aligners, precision bite ramps on maxillary incisors have been used while posterior extrusion and anterior intrusion in the lower jaw with lateral attachments and proper levelling of the curve of Spee have been planned. Transverse correction and controlled upper and lower incisors proclination completed the treatment plan. Read More

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Support needs of parents in neonatal intensive care unit: An integrative review.

J Clin Nurs 2021 Jul 26. Epub 2021 Jul 26.

School of Nursing and Midwifery, Edith Cowan University, Perth, Western Australia, Australia.

Background: Having an infant in the neonatal intensive care unit (NICU) is associated with intense emotional stress for both mothers and fathers. However, with the right support from staff, this stress can be reduced significantly. Although evidence on needs of parents in the neonatal unit exists, there is lack of a systematic integrative review on the support needs of parents in the neonatal unit. Read More

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Are patients willing to take a more active role? Questionnaires to measure patients' willingness to be empowered.

Patient Educ Couns 2021 Jul 7. Epub 2021 Jul 7.

Department of Surgery, SSORG - Scandinavian Surgical Outcomes Research Group, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital/Östra, Department of Surgery, Gothenburg, Sweden.

Objective: One crucial prerequisite for increased patient empowerment is the willingness among patients to take a more active role. The aim of this study was to develop questionnaires for measuring a patient's willingness to be empowered in general and by using e-health.

Methods: The study was based on a random sample from an online panel. Read More

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Facilitators and barriers for implementing patient-reported outcome measures in clinical care: An academic center's initial experience.

Health Policy 2021 Jul 8. Epub 2021 Jul 8.

Center for Medical Decision Making, Department of Public Health, Erasmus University Medical Center, Rotterdam, the Netherlands.

Objectives The aim of this study was to explore the perspectives of healthcare providers and researchers in a large academic hospital on facilitators and barriers for implementing patient-reported outcome measures (PROMs) in clinical care. Methods A customized web-based questionnaire was developed and disseminated to healthcare providers and researchers across multiple medical departments involved in a value-based health care initiative in the hospital. Questionnaire statements were rated using a 5-point Likert scale ranging from "strongly agree" to "strongly disagree". Read More

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Impact of a "vegetables first" approach to complementary feeding on later intake and liking of vegetables in infants: a study protocol for a randomised controlled trial.

Trials 2021 Jul 26;22(1):488. Epub 2021 Jul 26.

School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand.

Background: Vegetables as first complementary foods for infants may programme taste preferences that lead to improved vegetable intake in children. Yet few studies have investigated the impact of a "vegetables first" approach to complementary feeding, especially in New Zealand. The purpose of this randomised control trial is to investigate the effect of starting complementary feeding with vegetables only on infants' later intake and liking of vegetables, compared to those starting with fruit and vegetables. Read More

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Cochlear Implant Behavioral Outcomes for Children With Auditory Neuropathy Spectrum Disorder: A Mini-Systematic Review.

Am J Audiol 2021 Jul 23:1-13. Epub 2021 Jul 23.

Department of Audiology, Nova Southeastern University, Fort Lauderdale, FL.

Objective The aim of this mini-systematic review was to evaluate the evidence reporting speech, language, and auditory behavioral outcome measures for children with a diagnosis of auditory neuropathy spectrum disorder (ANSD) who received cochlear implants (CIs) prior to 3 years of age. Method A mini-systematic review of the literature supporting evidence-based practices was performed. Two databases were searched utilizing a search strategy derived from the PICO (patient, intervention, comparison, outcome) framework. Read More

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Client-led care in HIV: perspectives from community and practice.

HIV Med 2021 Jul;22 Suppl 1:3-14

Centre for Social Impact, University of New South Wales, Kensington, NSW, Australia.

Objectives: While current antiretroviral and care strategies can effectively suppress HIV, achieving optimal quality of life (QoL) requires a wider consideration of clients' well-being, the complexity of individuals' lives and social determinants of health. The objective of this commentary was to develop a definition of client-led care in the Australian context and its key supporting principles for people living with HIV (PLHIV).

Methods: The authors used two sources of evidence to support their HIV community experience with client-led care: (1) a scoping review of the literature, and (2) consultations with colleagues who were PLHIV advocates or HIV specialist physicians. Read More

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Community nurses' attitudes, knowledge and educational needs in relation to urinary continence, continence assessment and management: A systematic review.

J Clin Nurs 2021 Jul 22. Epub 2021 Jul 22.

School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.

Aims And Objectives: To identify, appraise and summarise the available evidence relating to community nurses' attitudes, knowledge and educational needs in relation to urinary continence.

Background: Community nurses play a pivotal role in identifying and supporting individuals who experience urinary continence issues. Gaps in nurses' continence-related education and knowledge may contribute to sub-optimal assessment and management across the continuum of care. Read More

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Reading Skills in Down Syndrome: Implications for Clinical Practice.

Semin Speech Lang 2021 Aug 26;42(4):330-344. Epub 2021 Jul 26.

School of Communication Science and Disorders at Florida State University, Tallahassee, Florida.

Though children with Down syndrome can learn to read, they may have difficulty developing some component skills, including phonological awareness and word decoding. Given reading's foundation in language, speech-language pathologists (SLPs) should play a central role in supporting access to and providing reading instruction for children with Down syndrome. This article reviews the available research on reading in Down syndrome and offers guidance for SLPs working with this population. Read More

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Responsive Parenting as a Target for Telehealth Language Interventions in Fragile X Syndrome: Implications for Scalability and Best Practices.

Semin Speech Lang 2021 Aug 26;42(4):287-300. Epub 2021 Jul 26.

MIND Institute, UC Davis Health, Sacramento, California.

This review highlights the ways in which telehealth procedures can be implemented to help bridge the research-to-practice gap in supporting developmental outcomes for youth with fragile X syndrome (FXS). We review how the literature to date has informed potential treatment targets in the areas of speech and language development with a focus on understanding and supporting the dyadic relationship between the child and their biological mother, who is also impacted biologically. Notably, parental responsivity is an area that is strongly related to child language outcomes, both early and into adolescence, and thus, it is an important treatment target for subsequent interventions. Read More

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Aphasia and Friendship: The Role and Perspectives of Speech-Language Pathologists.

Am J Speech Lang Pathol 2021 Jul 26:1-13. Epub 2021 Jul 26.

Department of Speech-Language Pathology, Duquesne University, Pittsburgh, PA.

Purpose Speech-language pathologists (SLPs) who work with people with aphasia focus on assessment and intervention to support improved communication outcomes for their clients. Friendship, a key component of quality of life, often depends on communicative interaction, and many people with aphasia report having reduced social circles. The purpose of this study was to explore the perceptions of SLPs working with clients with aphasia on their role in supporting friendship development and maintenance. Read More

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Selective non-operative management of penetrating abdominal injuries at Northern European trauma centers: the NordiPen Study.

Eur J Trauma Emerg Surg 2021 Jul 26. Epub 2021 Jul 26.

Department of Surgery, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.

Purpose: A selective nonoperative management (SNOM) of penetrating abdominal injuries (PAI) is a standard of care in numerous established trauma centers. However, available evidence supporting SNOM of PAI in European settings remains scarce. Thus, we performed a multi-center study at selected Northern European trauma centers to investigate the management and outcomes of PAI. Read More

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Using Appreciative Inquiry to Optimize a Person-Centered Care Training Program for Clinical Champions in Rural Critical Access Hospitals.

J Gerontol Nurs 2021 Aug 1;47(8):7-12. Epub 2021 Aug 1.

Person-centered care (PCC) involves shared decision-making between the individual and provider and is widely recognized as the gold standard of care. However, not all organizations have successfully implemented PCC, especially those in rural settings with limited resources. Implementation strategies, such as clinical champions, are key to PCC uptake. Read More

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Supporting people to implement a reduced carbohydrate diet: a qualitative study in family practice.

BMJ Nutr Prev Health 2021 10;4(1):226-234. Epub 2021 May 10.

Diabetes Research Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.

Introduction: Much of the science behind dietary guidelines for risk reduction and chronic disease management is equivocal, and there are well-accepted uncertainties and complexities relating to diet in everyday life, as well as physiological processes. Guidelines have therefore stopped short of aligning with one particular approach, instead highlighting several evidence-based options. However, reduced carbohydrate, or 'low-carb', diets have increasing traction in the media and with patients, practitioners and the general public. Read More

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A multi-data ensemble approach for predicting woodland type distribution: Oak woodland in Britain.

Ecol Evol 2021 Jul 21;11(14):9423-9434. Epub 2021 Jun 21.

Centre for Ecosystems Society and Biosecurity Forest Research Roslin UK.

Interactions between soil, topography, and climatic site factors can exacerbate and/or alleviate the vulnerability of oak woodland to climate change. Reducing climate-related impacts on oak woodland habitats and ecosystems through adaptation management requires knowledge of different site interactions in relation to species tolerance. In Britain, the required thematic detail of woodland type is unavailable from digital maps. Read More

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Predicting Patients' Intention to Use a Personal Health Record Using an Adapted UTAUT Model: Secondary Data Analysis.

JMIR Med Inform 2021 Jul 25. Epub 2021 Jul 25.

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

Background: With the rise in the use of information and communication technologies in health care, patients have been encouraged to use eHealth tools such as personal health records (PHRs) for better health and well-being services. PHRs support patient-centered care and patient engagement. To support the achievement of the Kingdom of Saudi Arabia's Vision 2030 ambitions, the National Transformation program provides a framework to use PHRs in meeting the triple aim for health care - increased access, reduced cost, and improved quality of care - and to provide patient- and person-centered care. Read More

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Thalamic volume and fear extinction interact to predict acute posttraumatic stress severity.

J Psychiatr Res 2021 Jul 14;141:325-332. Epub 2021 Jul 14.

Department of Emergency Medicine, Saint Joseph Mercy Hospital, Ann Arbor, MI, USA.

Posttraumatic stress disorder (PTSD) is associated with lower gray matter volume (GMV) in brain regions critical for extinction of learned threat. However, relationships among volume, extinction learning, and PTSD symptom development remain unclear. We investigated subcortical brain volumes in regions supporting extinction learning and fear-potentiated startle (FPS) to understand brain-behavior interactions that may impact PTSD symptom development in recently traumatized individuals. Read More

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