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JOURNAL ARTICLE
Rachelle Ashcroft, Matthew Menear, Simone Dahrouge, Jose Silveira, Monica Emode, Jocelyn Booton, Ravninder Bahniwal, Peter Sheffield, Kwame McKenzie
BACKGROUND: The expansion of the Patient-Centred Medical Home model presents a valuable opportunity to enhance the integration of team-based mental health services in primary care settings, thereby meeting the growing demand for such services. Understanding the organizational context of a Patient-Centred Medical Home is crucial for identifying the facilitators and barriers to integrating mental health care within primary care. The main objective of this paper is to present the findings related to the following research question: "What organizational features shape Family Health Teams' capacity to provide mental health services for depression and anxiety across Ontario, Canada?" METHODS: Adopting a constructivist grounded theory approach, we conducted interviews with various mental health care providers, and administrators within Ontario's Family Health Teams, in addition to engaging provincial policy informants and community stakeholders...
2024: PloS One
#2
JOURNAL ARTICLE
Nicole Leib, Mark Cheney, Joshua N Burkhardt, Eric Nelson, Shannon Diffley, Ann Salvator, Tyler Davis, F Eric Robinson, Daniel J Brown, Lane Frasier, Valerie Sams, Richard J Strilka
BACKGROUND: The Critical Care Air Transport (CCAT) Advanced Course utilizes fully immersive high-fidelity simulations to assess personnel readiness for deployment. This study aims to determine whether simple well-defined demographic identifiers can be used to predict CCAT students' performance at CCAT Advanced. MATERIALS AND METHODS: CCAT Advanced student survey data and course status (pass/fail) between March 2006 and April 2020 were analyzed. The data included students' Air Force Specialty Code (AFSC), military status (active duty and reserve/guard), CCAT deployment experience (yes/no), prior CCAT Advanced training (yes/no), medical specialty, rank, and unit sustainment training frequency (never, frequency less often than monthly, and frequency at least monthly)...
April 30, 2024: Military Medicine
#3
JOURNAL ARTICLE
Vikash Ranjan Keshri, Samina Parveen, Seye Abimbola, Brijesh Mishra, Mohammed Fahad Khurram, Margie Peden, Robyn Norton, Jagnoor Jagnoor
Delivering specialised care for major burns requires a multidisciplinary health workforce. While health systems 'hardware' issues, such as shortages of the healthcare workforce and training gaps in burn care are widely acknowledged, there is limited evidence around the systems 'software' aspects, such as interest, power dynamics, and relationships that impact the healthcare workforce performance. This study explored challenges faced by the health workforce in burn care to identify issues affecting their performance...
January 2024: Global Public Health
#4
JOURNAL ARTICLE
Sarah L Stenton, Melanie C O'Leary, Gabrielle Lemire, Grace E VanNoy, Stephanie DiTroia, Vijay S Ganesh, Emily Groopman, Emily O'Heir, Brian Mangilog, Ikeoluwa Osei-Owusu, Lynn S Pais, Jillian Serrano, Moriel Singer-Berk, Ben Weisburd, Michael W Wilson, Christina Austin-Tse, Marwa Abdelhakim, Azza Althagafi, Giulia Babbi, Riccardo Bellazzi, Samuele Bovo, Maria Giulia Carta, Rita Casadio, Pieter-Jan Coenen, Federica De Paoli, Matteo Floris, Manavalan Gajapathy, Robert Hoehndorf, Julius O B Jacobsen, Thomas Joseph, Akash Kamandula, Panagiotis Katsonis, Cyrielle Kint, Olivier Lichtarge, Ivan Limongelli, Yulan Lu, Paolo Magni, Tarun Karthik Kumar Mamidi, Pier Luigi Martelli, Marta Mulargia, Giovanna Nicora, Keith Nykamp, Vikas Pejaver, Yisu Peng, Thi Hong Cam Pham, Maurizio S Podda, Aditya Rao, Ettore Rizzo, Vangala G Saipradeep, Castrense Savojardo, Peter Schols, Yang Shen, Naveen Sivadasan, Damian Smedley, Dorian Soru, Rajgopal Srinivasan, Yuanfei Sun, Uma Sunderam, Wuwei Tan, Naina Tiwari, Xiao Wang, Yaqiong Wang, Amanda Williams, Elizabeth A Worthey, Rujie Yin, Yuning You, Daniel Zeiberg, Susanna Zucca, Constantina Bakolitsa, Steven E Brenner, Stephanie M Fullerton, Predrag Radivojac, Heidi L Rehm, Anne O'Donnell-Luria
BACKGROUND: A major obstacle faced by families with rare diseases is obtaining a genetic diagnosis. The average "diagnostic odyssey" lasts over five years and causal variants are identified in under 50%, even when capturing variants genome-wide. To aid in the interpretation and prioritization of the vast number of variants detected, computational methods are proliferating. Knowing which tools are most effective remains unclear. To evaluate the performance of computational methods, and to encourage innovation in method development, we designed a Critical Assessment of Genome Interpretation (CAGI) community challenge to place variant prioritization models head-to-head in a real-life clinical diagnostic setting...
April 29, 2024: Human Genomics
#5
JOURNAL ARTICLE
Andrés Martin, Madeline DiGiovanni, Amber Acquaye, Matthew Ponticiello, Débora Tseng Chou, Emilio Abelama Neto, Alexandre Michel, Jordan Sibeoni, Marie-Aude Piot, Michel Spodenkiewicz, Laelia Benoit
OBJECTIVE: Qualitative research methods are based on the analysis of words rather than numbers; they encourage self-reflection on the investigator's part; they are attuned to social interaction and nuance; and they incorporate their subjects' thoughts and feelings as primary sources. Despite appearing well suited for research in child and adolescent psychiatry (CAP), qualitative methods have had relatively minor uptake in the discipline. We conducted a qualitative study of CAPs involved in qualitative research to learn about these investigators' lived experiences, and to identify modifiable factors to promote qualitative methods within the field of youth mental health...
April 29, 2024: Child and Adolescent Psychiatry and Mental Health
#6
JOURNAL ARTICLE
Susannah H Mayhew, Kirkley Doyle, Lawrence S Babawo, Esther Mokuwa, Hana Rohan, Melisa Martinez-Alverez, Josephine Borghi, Catherine Pitt
BACKGROUND: Infectious disease outbreaks like Ebola and Covid-19 are increasing in frequency. They may harm reproductive, maternal and newborn health (RMNH) directly and indirectly. Sierra Leone experienced a sharp deterioration of RMNH during the 2014-16 Ebola epidemic. One possible explanation is that donor funding may have been diverted away from RMNH to the Ebola response. METHODS: We analysed donor-reported data from the Organisation for Economic Cooperation and Development (OECD)'s Creditor Reported System (CRS) data for Sierra Leone before, during and after the 2014-16 Ebola epidemic to understand whether aid flows for Ebola displaced aid for RMNH...
April 27, 2024: Conflict and Health
#7
JOURNAL ARTICLE
Kai-Uwe Lewandrowski, Heber Humberto Alfaro Pachicano, Rossano Kepler Alvim Fiorelli, John C Elfar, Stefan Landgraeber, Joachim Oertel, Stefan Hellinger, Álvaro Dowling, Paulo Sérgio Teixeira De Carvalho, Max R F Ramos, Helton Defino, João Paulo Bergamaschi, Paul Houle, Nicola Montemurro, Christopher Yeung, Marcelo Brito, Douglas P Beall, Gerd Ivanic, Zhang Xifeng, Zhen-Zhou Li, Hyeun-Sung Kim, Jin-Sung L Kim, Morgan P Lorio
BACKGROUND: Effective 1 January 2017, single-level endoscopic lumbar discectomy received a Category I Current Procedural Terminology (CPT) code 62380. However, no work relative value units (RVUs) are currently assigned to the procedure. An international team of endoscopic spine surgeons conducted a study, endorsed by several spine societies, analyzing the learning curve, difficulty, psychological intensity, and estimated work RVUs of endoscopic lumbar spinal decompression compared with other common lumbar spine surgeries...
April 27, 2024: International Journal of Spine Surgery
#8
JOURNAL ARTICLE
Dawda Jawara, Esra Alagoz, Kate V Lauer, Corrine I Voils, Luke M Funk
INTRODUCTION: Weight loss after bariatric surgery is impacted by several factors, and social support is one of them. Our objective was to characterize patient and provider perceptions about social support after bariatric surgery. METHODS: We reported a secondary analysis of qualitative data acquired from semi-structured interviews conducted from January-November 2020 with bariatric surgery patients and providers. Participants included primary care providers, health psychologists, registered dietitians, bariatric surgeons, and patients with at least 1 y of follow-up after their bariatric procedure...
April 26, 2024: Journal of Surgical Research
#9
JOURNAL ARTICLE
Faith E Metlock, Sarah Addison, Alicia McKoy, Yesol Yang, Aarhea Hope, Joshua J Joseph, Jing Zhang, Amaris Williams, Darrell M Gray, John Gregory, Timiya S Nolan
BACKGROUND: Black Americans remain significantly underrepresented and understudied in research. Community-based interventions have been increasingly recognized as an effective model for reckoning with clinical trial participation challenges amongst underrepresented groups, yet a paucity of studies implement this approach. The present study sought to gain insight into Black male participants' perception of clinical trials before and after participating in a community-based team lifestyle intervention in the United States...
April 6, 2024: International Journal of Environmental Research and Public Health
#10
JOURNAL ARTICLE
William G Weppner, Mamta K Singh, Joyce E Wipf, Rebecca Shunk, LeChauncy Woodard, Rebecca Brienza
BACKGROUND: Team-based care is critical to achieving health care value while maximizing patient outcomes. Few descriptions exist of graduate-level team training interventions and practice models. Experience from the multisite, decade-long Veterans Affairs (VA) Centers of Excellence in Primary Care Education provides lessons for developing internal medicine training experiences in interprofessional clinical learning environments. METHODS: A review of multisite demonstration project transforming traditional silo-model training to interprofessional team-based primary care...
April 26, 2024: BMC Medical Education
#11
REVIEW
Sally Boylan, Catherine Arsenault, Marcos Barreto, Fernando A Bozza, Adalton Fonseca, Eoghan Forde, Lauren Hookham, Georgina S Humphreys, Maria Yury Ichihara, Kirsty Le Doare, Xiao Fan Liu, Edel McNamara, Jean Claude Mugunga, Juliane F Oliveira, Joseph Ouma, Neil Postlethwaite, Matthew Retford, Luis Felipe Reyes, Andrew D Morris, Anne Wozencraft
The COVID-19 pandemic highlighted the importance of international data sharing and access to improve health outcomes for all. The International COVID-19 Data Alliance (ICODA) programme enabled 12 exemplar or driver projects to use existing health-related data to address major research questions relating to the pandemic, and developed data science approaches that helped each research team to overcome challenges, accelerate the data research cycle, and produce rapid insights and outputs. These approaches also sought to address inequity in data access and use, test approaches to ethical health data use, and make summary datasets and outputs accessible to a wider group of researchers...
May 2024: The Lancet. Digital health
#12
JOURNAL ARTICLE
Neel Vallurupalli, Kyle W Lawrence, Akram A Habibi, Joseph A Bosco, Claudette M Lajam
BACKGROUND: Since 2021, the Centers for Medicare and Medicaid Services have mandated that patients have open access to their medical records. Many institutions use online portals, which allow patients to access their health information and communicate with care teams. Our research aimed to evaluate demographic patterns for online patient portal utilization in patients undergoing total knee arthroplasty (TKA). Further, we assessed if and how portal engagement contributes to perioperative outcomes...
April 24, 2024: Journal of Arthroplasty
#13
REVIEW
Sandra Wolfe Citty, Mary Chew, Lynn D Hiller, Lisa A Maria
Enteral nutrition (EN) therapies are prescribed for patients not able to maintain adequate nutrition through the oral route. Medical errors and close calls associated with the provision of EN therapy leading to actual and potential patient harm have been reported. The purpose of this study was to determine the number, type, and severity of safety events related to the provision of EN therapies reported to a national database and provide workable recommendations from the literature to improve safety. An interdisciplinary team queried the National Center for Patient Safety (NCPS) Joint Patient Safety Reporting (JPSR) system using keywords related to EN therapy use...
April 26, 2024: Nutrition in Clinical Practice
#14
JOURNAL ARTICLE
Qammer H Abbasi
Recently, Tie Jun Cui and team members introduced innovative macroscopic and statistical models for digital coding metasurfaces, bridging the digital and electromagnetic realms and quantifying information loss for enhanced wireless communication system design. This is a highlight of it.
April 2024: National Science Review
#15
JOURNAL ARTICLE
Jason Johnson-Peretz, Titus O Arunga, Joi Lee, Cecilia Akatukwasa, Fredrick Atwine, Angeline Onyango, Lawrence Owino, Carol S Camlin
Qualitative methods encompass a variety of research and analysis techniques which have the common aim of uncovering what cannot be captured numerically through the quantification of data. For qualitative analytical methods in the interpretivist tradition (e.g. grounded theory, phenomenological, thematic, etc), inductive coding has become a mainstay but has not always lent itself to collaborative, remote team-based data interpretation among qualitative and mixed-methods clinical researchers. Finding ways to speed the inductive coding process without sacrificing rigour while remaining accessible to geographically dispersed teams remains a priority...
2024: International Journal of Qualitative Methods
#16
JOURNAL ARTICLE
Vivetha Thambinathan, Suvendrini Lena, Jordan Ramnarine, Helen Chuang, Luwam Ogbaselassie, Marc Dagher, Elaine Goulbourne, Sheila Wijayasinghe, Jessica Bawden, Logan Kennedy, Vanessa Wright
BACKGROUND: Individuals experiencing homelessness face unique physical and mental health challenges, increased morbidity, and premature mortality. COVID -19 creates a significant heightened risk for those living in congregate sheltering spaces. In March 2020, the COVID-19 Community Response Team formed at Women's College Hospital, to support Toronto shelters and congregate living sites to manage and prevent outbreaks of SARS-CoV-2 using a collaborative model of onsite mobile testing and infection prevention...
April 25, 2024: BMC Health Services Research
#17
JOURNAL ARTICLE
Jessie W Ho, Emily J Cerier, Carmen M Diaz, Yue-Yung Hu, Leah C Tatebe, Hasan B Alam, Julie K Johnson, Amy L Halverson
OBJECTIVE: Leadership is an essential skill for surgeons, but it is not systematically taught in residency. The objective of this study was to explore the current experiences, motivators, and perspectives on leadership training of general surgery residents. DESIGN/SETTING/PARTICIPANTS: Semi-structured focus groups were conducted with 20 general surgery residents at an academic training program. Six in-person sessions (one for each postgraduate year and research) were recorded, transcribed, and de-identified...
April 24, 2024: Journal of Surgical Education
#18
JOURNAL ARTICLE
Catherine Johnson, Autumn Chidester, Divya Chandramohan, Hueylie Lin, Nhat Minh Ho, Anna Taranova, Ank E Nijhawan, Susan Kools, Karen Ingersoll, Rebecca Dillingham, Barbara S Taylor
Youth with HIV (YWH) face challenges in achieving viral suppression, particularly in the Southern United States, and welcome novel interventions responsive to community needs. The Theory of Planned Behavior (TPB) describes factors that influence behavior change, and the Positive Youth Development (PYD) supports youth-focused program design. We applied TPB and PYD to explore factors supporting care engagement and challenges for YWH in South Texas. We conducted 14 semi-structured interviews with YWH and 7 focus groups with 26 stakeholders informed by TPB, PYD, and themes from a youth advisory board (YAB)...
April 25, 2024: AIDS Patient Care and STDs
#19
JOURNAL ARTICLE
Andrew T Olagunju, Oluyemi O Akanni, Stephen O Oluwaniyi, Ambrose O Lawani, Michael O Olutoki, Jeffrey Wang, Olajide Adelugba, Abdullah H Alqahtani, John W Bradford, Gary A Chaimowitz
Service linkage and skill enhancement strategies were devised in Nigerian prisons with inadequate mental health resources to support the provision of psycho-legal services, including the assessments, identification, and care of inmates and former inmates with mental illness. Over the study period, 74 individuals, consisting of 64 (86.5%) males with a mean age of 33.25 (SD=11.2) years received care or psycho-legal services through these strategies. Clinically, 49% of the participants were diagnosed with schizophrenia (International Classification of Diseases, Tenth Revision (ICD-10) diagnosis code: F20...
2024: Journal of Health Care for the Poor and Underserved
#20
JOURNAL ARTICLE
Melissa P Beauchemin, Samrawit Solomon, Claudia L Michaels, Kathryn McHenry, Eleanor Turi, Rhea Khurana, Gabriella Sanabria
PURPOSE: We qualitatively explored the unique needs and preferences for financial toxicity screening and interventions to address financial toxicity among adolescents and emerging adults (younger AYAs: 15-25 years) with cancer and their caregivers. METHODS: We recruited English- or Spanish-speaking younger AYAs who were treated for cancer within the past 2 years and their caregivers. Semi-structured interviews were conducted to explore preferences for screening and interventional study development to address financial toxicity...
April 2024: Cancer Medicine
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