Laura A McGuinn, David C Bellinger, Elena Colicino, Brent A Coull, Allan C Just, Itai Kloog, Erika Osorio-Valencia, Lourdes Schnaas, Rosalind J Wright, Martha M Téllez-Rojo, Robert O Wright, Megan K Horton
BACKGROUND: Childhood exposure to air pollution has been linked with maladaptive cognitive development; however, less is known about the association between prenatal fine particulate matter (PM2.5 ) exposure and childhood behavior. OBJECTIVES: Our aim was to assess the association between prenatal PM2.5 exposure and behavioral development in 4-6 year old children residing in Mexico City. METHODS: We used data from 539 mother-child pairs enrolled in a prospective birth cohort in Mexico City...
September 17, 2020: Neurotoxicology
Lucinda B Leung, Danielle Rose, Lisa V Rubenstein, Rong Guo, Timothy R Dresselhaus, Susan Stockdale
BACKGROUND: Burnout among primary care clinicians (PCPs) is associated with negative health and productivity consequences. The Veterans Health Administration (VA) embedded mental health specialists and care managers in primary care to manage common psychiatric diseases. While challenging to implement, mental health integration is a team-based care model thought to improve clinician well-being. OBJECTIVE: To examine the relationships between PCP-reported burnout (and secondarily, job satisfaction) and mental health integration at provider and clinic levels DESIGN: Analysis of 286 cross-sectional surveys in 2012 (n = 171) and 2013 (n = 115) PARTICIPANTS: 210 PCPs in one VA region MAIN MEASURES: Outcomes were PCP-reported burnout (Maslach Burnout Inventory emotional exhaustion subscale), and secondarily, job satisfaction...
September 18, 2020: Journal of General Internal Medicine
Mr Vivak Hansrani, Mr Tamer Ghatwary Tantawy, Mr Haytham Al-Khaffaf
OBJECTIVES: Claims for clinical negligence awarded to patients and their families are on the increase. The annual 'cost of harm' is approximately £7-9 billion in the United Kingdom. In 2017, the National Health Service (NHS) resolution service reported that they mediated more claims than in their entire history. Vascular surgery is a specialty with a disproportionately higher number of claims for clinical negligence. The aim of this observational study is to review the trends of clinical negligence claims in vascular surgery within the United Kingdom...
September 15, 2020: Annals of Vascular Surgery
Betty Ferrell, Haley Buller, Judith A Paice
BACKGROUND: The literature has emphasized the importance of effective communication regarding psychosocial needs; however, other aspects of patient care, including attention to physical needs, are equally important. OBJECTIVES: The aims of this article are to (a) describe an Interprofessional Communication Curriculum (ICC) in oncology, (b) detail the curriculum content specifically focused on physical aspects of care, and (c) illustrate the importance of interprofessional care in oncology...
October 1, 2020: Clinical Journal of Oncology Nursing
Paul Burcher, Shazneen Hushmendy, Meredith Chan-Mahon, Megha Dasani, Jazmine Gabriel, Erin Crosby
Unplanned cesarean birth is associated with high levels of patient dissatisfaction and negative birth experiences, which in turn can negatively impact birth outcomes. Previous research has demonstrated that issues of physician-patient communication, mistrust, fear of the operating room (OR), and loss of control contribute to patient dissatisfaction with unplanned cesarean birth. We hypothesized that altering the nature and structure of the informed consent prior to the surgery might improve patient satisfaction and birth experience...
September 18, 2020: AJOB Empirical Bioethics
Moniek A C Voermans, Elsbeth F Taminiau, Sanne A H Giesbers, Petri J C M Embregts
BACKGROUND: Increasing the societal participation of people with intellectual disabilities via competitive employment requires a full understanding of what this means to them. This paper aims to provide an in-depth examination of the lived experiences of people with intellectual disabilities in competitive employment. METHOD: Interviews were conducted with six participants with mild intellectual disability or borderline functioning and good verbal communication skills...
September 17, 2020: Journal of Applied Research in Intellectual Disabilities: JARID
Tyrel J Starks, Travis I Lovejoy, Daniel Sauermilch, Gabriel Robles, Mark J Stratton, Demetria Cain, Sylvie Naar, Sarah W Feldstein Ewing
Couples HIV Testing and Counseling (CHTC) is now a standard of care for partnered sexual minority men. While adolescent sexual minority men (ASMM; ages 15-19) face disproportionate HIV risk, the emergent nature of relationships and communication skills may present challenges to accessing and engaging in CHTC. This study utilized qualitative data from 28 ASMM recruited in 4 urban centers in the USA during the formative stage of Adolescent Trials Network study ATN-156. Participants were cis-male, HIV-negative, and in a relationship with a similarly-aged cis-male partner...
September 17, 2020: AIDS and Behavior
Kathy Eljiz, David Greenfield, Anne Hogden, Robyn Taylor, Nazlee Siddiqui, Maria Agaliotis, Marianna Milosavljevic
Ineffective knowledge dissemination contributes to clinical practice and service improvements not being realised. Meaningful knowledge translation can occur through the understanding and matching of appropriate communication mediums that are relevant for different stakeholders or audiences. To this end, we present a dissemination instrument, the 'REAch and Diffusion of health iMprovement Evidence' (README) checklist, for the communication of research findings, integrating both traditional and newer communication mediums...
September 2020: BMJ Open Quality
Muhammad Irfan Jiwa, Shafeeq Armstrong, YiWen Shao, Yona Lunsky
BACKGROUND: Patients with intellectual and developmental disabilities (IDD) experience increased anxiety when undergoing medical imaging procedures for a variety of reasons including sensory overload, comprehension difficulty, and meeting unfamiliar people. There are several strategies that medical radiation technologists (MRTs) can apply to improve the imaging process. The purpose of this project was to work together with patients to develop educational modules and resources for MRTs on how to best support patients with IDD during medical imaging procedures...
September 14, 2020: Journal of Medical Imaging and Radiation Sciences
Roman Ayele, Kirstin A Manges, Chelsea Leonard, Marcie Lee, Emily Galenbeck, Mithu Molla, Cari Levy, Robert E Burke
INTRODUCTION: Improving hospital discharge processes and reducing adverse outcomes after hospital discharge to skilled nursing facilities (SNFs) are gaining national recognition. However, little is known about how the social-contextual factors of hospitals and their affiliated SNFs may influence the discharge process and drive variations in patient outcomes. We sought to categorize contextual drivers that vary between high- and low-performing hospitals in older adult transition from hospitals to SNFs...
September 14, 2020: Journal of the American Medical Directors Association
Ibrahim Dadari, Jude Ssenyonjo, Jenniffer Anga
Addressing vaccine management bottlenecks, including high vaccine wastage rates, has traditionally been addressed through health worker training and other didactic methods of technical assistance or support as required. It has been shown, though, that the high level of technical skills, expertise, and responsibility required in vaccine handling and management cannot be achieved by mere didactic learning. While gains have been made in vaccine management and handling with these approaches, there remain challenges of high vaccine wastage rates and poor vaccine management practices across the board...
September 14, 2020: Vaccine
Shefaly Shorey, Emily Ang, Esperanza Debby Ng, John Yap, Lydia Siew Tiang Lau, Chee Kong Chui
BACKGROUND: Modern medical pedagogical strategies are shifting toward the use of virtual patient simulations. OBJECTIVE: This study aims to examine students' users' attitudes and experiences and clinical facilitators' perspectives on student performances in the clinical setting post-virtual patient training. DESIGN: A descriptive qualitative study design was used. SETTING: Nursing faculty at a local university in Singapore...
September 4, 2020: Nurse Education Today
Christie J Rizzo, Christopher Houck, David Barker, Charlene Collibee, Erik Hood, Kelsey Bala
Despite broad calls for prevention programs to reduce adolescent dating violence (DV), there is a dearth of programs designed specifically for males. In fact, there are no programs that capitalize on the importance of parents in modeling and influencing the choices their sons make in future romantic relationships. To address these gaps, this study assessed the initial feasibility, acceptability, and efficacy of an online, parent-son intervention (STRONG) aimed at reducing DV among early adolescent males. One-hundred nineteen 7th- and 8th-grade boys were recruited, with a parent (90% mothers), from six urban middle schools in the Providence, RI area...
September 17, 2020: Prevention Science: the Official Journal of the Society for Prevention Research
Saori Yoshioka, Harumi Katayama
This study aimed to investigate actual situations of nursing activities in supporting the transition to homecare settings for end-stage cancer patients and to determine factors related to executing such nursing activities from the perspectives of communication skills and interprofessional collaboration. A cross-sectional study was conducted with 513 nurses who worked at designated cancer care hospitals in Japan. A total of 318 valid responses were obtained (valid response rate: 62.0%). Scores for nursing activities were higher for the following items: sharing information regarding the transition to homecare settings, intentionally engaging with patients after their medical conditions were explained, providing care for families, and understanding a patient's will about the transition to homecare settings...
September 17, 2020: American Journal of Hospice & Palliative Care
A Chrdle, M BalejovÁ
Tetanus is a disease caused by tetanotoxin produced in necrotic wounds by Clostridium tetani. It is a very rare disease in Czechia due to successful and effective population-wide vaccination programme, despite the fact that spores of C. tetani are permanently present in the environment. Groups with the highest risk of clinical tetanus include elderly people, immunocompromised individuals, residents of foreign origin with unclear vaccination history, and unvaccinated children. We present four case studies of severe and mild form of tetanus, wound infection with the presence of C...
2020: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Aaron D Baugh, Allison A Vanderbilt, Reginald F Baugh
In this commentary, we argue that the limited experiential exposure of medical students to different cultures makes the instruction devoted to communication skills inadequate. The relationship of these dynamics to honesty in clinical encounters is explored. Absent significant experiential exposure to differing group cultures to counter the natural tendency to favor one's own, discrimination prevails. Knowledge or awareness of cultural differences does not necessarily equate to communication proficiency. Critically, interactions based on lived experience offer a deeper knowledge and understanding of culturally meaningful nuances than that imparted through other formats...
December 2020: Medical Education Online
Onur Mendi, Nurdan Yildirim, Basak Mendi
PURPOSE: The aim of this study is to evaluate the psychometric properties of the Turkish version of the Health Professionals Communication Skills Scale (HP-CSS). METHODS: The HP-CSS was translated into Turkish following an international instrument translation guideline. A convenience sample of 394 health professionals participated in this study. Internal consistency reliability, content validity, test-retest reliability and convergent validity were assessed. Confirmatory factor analysis was conducted to evaluate the construct validity...
September 13, 2020: Asian Nursing Research
Laura C Myers
BACKGROUND: The intensive care unit (ICU) is a fast-paced setting, in which physicians from different specialties work. The goal of this study is to understand whether characteristics of medical malpractice claims occurring in the ICU differ by physician specialty. METHODS: A retrospective cohort study was performed using a national database called the Comparative Benchmarking System, which is operated by Harvard's malpractice insurer. Claims were included if the harm events occurred in the ICU and closed between 2007-2016...
September 16, 2020: Journal of Intensive Care Medicine
Ankur Khajuria
Annually, an estimated 234 million major surgical operations occur worldwide, with concomitant seven million complications and one million deaths. It is now well established that technical competence is necessary, but not sufficient for modern surgical practice and outcomes. Breakdown in non-technical skills has been attributed as a key root cause for near misses and patient harm in the operating room. This article discusses the multi-faceted skills-set that is necessary for the modern surgeon to succeed and for optimal patient outcomes...
May 2020: World Journal of Plastic Surgery
Noor M Alqudah, Hisham M Jammal, Omar Saleh, Yousef Khader, Nail Obeidat, Jumana Alqudah
Background: Electronic-learning (e-Learning) is a form of education that utilizes information and communications technology to access online teaching and learning. This study aims to evaluate the e-Learning experience among Jordanian academic ophthalmologists during the coronavirus disease 2019 (COVID-19) pandemic. Material and methods: A cross-sectional survey was applied by using a questionnaire that was distributed among 23 academic ophthalmologists working at 6 medical schools in Jordan during the lockdown...
November 2020: Annals of Medicine and Surgery
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