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Advanced practitioner

Craig S Miller, Douglas E Peterson
There have been strategic clinical, educational, and research advances in the field of Oral Medicine over the past several decades. In many cases, Oral Medicine experts are contributing the lead role in these advances nationally and internationally. In addition, American Board of Dental Specialty recognition of Oral Medicine as a specialty in 2015 has positioned Oral Medicine professionals to substantively enhance the delivery of oral health care to medically complex patients as well. It is now important and timely to capitalize on this contemporary foundation, to advance the field of Oral Medicine in the United States for the next generation of Oral Medicine specialists and practitioners...
November 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Shiow-Luan Tsay, Shwu-Feng Tsay, Chia-Yen Ke, Ching-Mei Chen, Heng-Hsin Tung
BACKGROUND AND PURPOSE: To date, there has been no policy analysis or review of the effectiveness of the current nurse practitioner (NP) scope of practice regulations in Taiwan. The purpose is of this article was to provide a policy analysis of the NP scope of practice regulations in Taiwan. METHODS: The Longest policy cycle model was used to analyze the NP scope of practice regulations. Policy formation, policy implementation, and policy modification are three steps in this model...
December 12, 2018: Journal of the American Association of Nurse Practitioners
Ray Maher, Melanie Maher, Samuel Mann, Clive A McAlpine
Design disciplines have a long history of creating well-integrated solutions to challenges which are complex, uncertain and contested by multiple stakeholders. Society faces similar challenges in implementing the Sustainable Development Goals, so design methods hold much potential. While principles of good design are well established, there has been limited integration of design thinking with sustainability science. To advance this integration, we examine the process of designing MetaMAP: an interactive graphic tool for collaborating to understand social-ecological systems and design well-integrated solutions...
2018: Sustainability science
Yajnavalka Banerjee, Aida J Azar, Christopher Tuffnell, Peter J Lansberg, Riad Bayoumi, David Davis
BACKGROUND: Designers of undergraduate medical education (UME) need to address the exponentially expanding volume and variability of scientific knowledge, where by didactic teaching techniques need to be augmented by innovative student-centric pedagogical strategies and implementation of milieus, where information, communication and technology-enabled tools are seamlessly integrated, and lifelong information gathering, assimilation, integration and implementation is the ultimate goal...
December 12, 2018: BMC Medical Education
Usha Menon, Kimlin Ashing, Mei Wei Chang, Shannon M Christy, Katarina Friberg-Felsted, Virginia Gil Rivas, Clement K Gwede, Qian Lu, Cathy D Meade, Jamila Sly, Monica Wang, Betina Yanez, Karen Yeary, Jean C Yi, Kassandra I Alcaraz
BACKGROUND: An emphasis on precision health (PH) has stimulated precision medicine studies to focus on the interplay of biological, behavioral, and environmental factors with disease risks, treatments, prognoses, and outcomes affecting health disparities. It is imperative, as well, that improving health equity among underserved populations remains central to the efforts and aims of PH. OBJECTIVES: Apply the transdisciplinary ConNECT Framework: A model for advancing behavioral medicine science and practice to foster health equity to PH by integrating a population health agenda for reducing health disparities...
December 12, 2018: Nursing Research
Michelle L Litchman, Thomas Schlepko, Tom Rowley, Mary McFarland, Michelle Fiander
BACKGROUND AND PURPOSE: The Advanced Practice Registered Nurses (APRN) Consensus Model was produced by the APRN Joint Dialogue Group in 2008. The aim of the Consensus Model is to guide state boards on the implementation of APRN practice components, including licensure, accreditation, certification, and education and to clarify the legal scope of practice and APRN roles. The purpose of this scoping review and gap analysis was to appraise the evidence related to patient, nurse practitioner (NP) and organizational outcomes resulting from the Consensus Model...
December 2018: Journal of the American Association of Nurse Practitioners
Sarah M Dunkel-Jackson, Mark R Dixon
The Promoting the Emergence of Advanced Knowledge Relational Training System Generalization Module (PEAK-G; Dixon, 2014) was used within a community-based intensive behavioral intervention (IBI) program to enhance the generalized advanced language skills of children diagnosed with autism spectrum disorder. Four multiple-baseline, across-behaviors designs were used to assess the effectiveness of the PEAK-G "train and test" discrete trial training (DTT) method on directly trained and generalized language skills...
December 31, 2018: Behavior Analysis in Practice
Gabriela Casabona, Kai Kaye, Paula Barreto Marchese, Ricardo Boggio, Sebastian Cotofana
BACKGROUND: Botulinum toxin (BTX) products continue to be widely used for facial rejuvenation. Variables to consider prior to BTX treatment include the anatomical area to be treated, gender, muscle mass, ethnicity, skin thickness, and the effects of aging. OBJECTIVE: To describe a treatment algorithm which has been developed for facial rejuvenation to help physicians to easily and systematically customize BTX treatment, and to describe its use in a large number of patients...
December 10, 2018: Journal of Cosmetic Dermatology
Victoria Land, Ruth Parry, Marco Pino, Laura Jenkins, Luke Feathers, Christina Faull
OBJECTIVE: Giving terminally ill people opportunities to participate in advance care planning involves tensions between: endorsing and supporting patients' expectations, plans and decisions, and addressing how realistic these are. The latter risks exerting undue pressure to change plans; undermining autonomy; jeopardising therapeutic relationships. Our objective is to describe how experienced hospice doctors raise potential/actual problems with patients' expectations, plans or decisions...
November 15, 2018: Patient Education and Counseling
Chester J Donnally, Evan J Trapana, Spencer W Barnhill, Kevin J Bondar, Sebastian Rivera, Jonathan I Sheu, Michael Y Wang
OBJECTIVE: Management of odontoid fractures has improved and evolved due to advancing diagnostic guidelines and understanding of long-term outcomes. The aim of this study was to quantify the most frequently cited publications pertaining to odontoid fractures and determine their validity as a tool to practice evidence-based medicine. METHODS: A Clarivate Analytics Web of Science search was used to identify all articles related to odontoid fractures. The fifty most cited articles were reviewed...
December 5, 2018: World Neurosurgery
Douglas S Johnson, Klemens B Meyer
The leaders of 20th century kidney failure treatment took chances; 21st century leaders of integrated kidney care must do the same. Some risks are clinical, some are organizational, and some are financial. Decent and constructive leadership entails humility. A working practitioner is a better leader. Effective leaders empower their employees and collaborators to lead and encourage them to work together. Integrated kidney care leadership supports exchange of ideas within and among organizations, uninhibited by competitive considerations...
November 2018: Advances in Chronic Kidney Disease
(no author information available yet)
This award is intended to recognize outstanding practitioners in psychology. Nominations are considered for psychologists working in a wide variety of institutional practice settings (e.g., schools, military, state hospital, Department of Veterans Affairs). Services provided to diverse client groups or patient populations, including but not limited to children/adolescents/adults/older adults, urban/rural/ frontier populations, minority populations, and persons with serious mental illness, are considered. Contributions are judged distinguished by virtue of peer recognition, advancement of the public's recognition of psychology as a profession, relevant professional association honors, or other meritorious accomplishments denoting excellence as a practitioner, including improvement of institutional service delivery systems or development of psychologically informed public policy...
December 2018: American Psychologist
(no author information available yet)
This award is intended to recognize outstanding independent practitioners in psychology. Nominations are considered for psychologists working in any area of clinical specialization, health services provision, or consulting, and services provided to any patient population or professional clientele in an independent setting. Services provided to diverse client groups or patient populations, including but not limited to children/adolescents/adults/older adults, urban/rural/frontier populations, minority populations, and persons with serious mental illness are considered...
December 2018: American Psychologist
Jared M Gollie, Michael O Harris-Love, Samir S Patel, Sholey Argani
Skeletal muscle wasting has gained interest as a primary consequence of chronic kidney disease (CKD) due to the relationship between skeletal muscle mass, mortality and major adverse cardiovascular events in this population. The combination of reductions in physical function, skeletal muscle performance and skeletal muscle mass places individuals with CKD at greater risk of sarcopenia. Therefore the monitoring of skeletal muscle composition and function may provide clinical insight into disease progression...
December 2018: Clinical Kidney Journal
Frances Bunn, Jennifer Lynch, Claire Goodman, Rachel Sharpe, Catherine Walshe, Nancy Preston, Katherine Froggatt
BACKGROUND: Seventy percent of people with advanced dementia live and die in care homes. Multisensory approaches, such as Namaste Care, have been developed to improve the quality of life and dying for people with advanced dementia but little is known about effectiveness or optimum delivery. The aim of this review was to develop an explanatory account of how the Namaste Care intervention might work, on what outcomes, and in what circumstances. METHODS: This is a realist review involving scoping of the literature and stakeholder interviews to develop theoretical explanations of how interventions might work, systematic searches of the evidence to test and develop the theories, and their validation with a purposive sample of stakeholders...
December 6, 2018: BMC Geriatrics
Behnoosh Momin, Ena Wanliss, Lumbe Davis, Julie S Townsend, Kerri Lopez, Brooke Steele
Achieving health equity requires addressing social determinants of health. Promoting health equity as it relates to cancer control is one of six priorities of the National Comprehensive Cancer Control Program (NCCCP). This article describes recent activities implemented by three NCCCP awardees (North-west Portland Area Indian Health Board, Kansas, Michigan) and the CDC-funded National Behavior Health Network (NBHN), whose aim is to reduce health disparities among those with mental health and/or substance disorders...
December 4, 2018: Cancer Causes & Control: CCC
Tanya Halsall, Ian Manion, Joanna Henderson
Integrated youth service (IYS) is a collaborative approach that brings practitioners together from across disciplines to provide comprehensive services including mental health care for youth and their families. IYS models serve as an advancement in practice as they go beyond the capacity of individual programs and services to reduce the fragmentation of care. Yet, there continue to be opportunities to expand on this perspective and promote health beyond the scope of formalized services. The bioecological model is a theoretical model that examines individual development within multiple systems of influence as well as through interactional processes between the individual and their environment...
November 30, 2018: International Journal of Integrated Care
Karlijn H G Rutten, Reinier A P Raymakers, Bouke P C Hazenberg, Hans L A Nienhuis, Edo Vellenga, Monique C Minnema
BACKGROUND: Although survival has improved in recent decades, the short-term prognosis of patients with immunoglobulin light chain (AL) amyloidosis remains grim. We aimed to assess overall survival (OS) of AL amyloidosis patients by comparing cohorts in two consecutive time periods. METHODS: Data were collected and compared on 126 patients from two tertiary referral centres in The Netherlands during the time periods 2008-2012 and 2013-2016. RESULTS: There was a non-significant trend to improved 6-month OS in the last cohort (78% vs...
December 4, 2018: Amyloid: the International Journal of Experimental and Clinical Investigation
Siliang Zhang, Yunxiao Chen, Yang Liu
In this paper, we explore the use of the stochastic EM algorithm (Celeux & Diebolt (1985) Computational Statistics Quarterly, 2, 73) for large-scale full-information item factor analysis. Innovations have been made on its implementation, including an adaptive-rejection-based Gibbs sampler for the stochastic E step, a proximal gradient descent algorithm for the optimization in the M step, and diagnostic procedures for determining the burn-in size and the stopping of the algorithm. These developments are based on the theoretical results of Nielsen (2000, Bernoulli, 6, 457), as well as advanced sampling and optimization techniques...
December 3, 2018: British Journal of Mathematical and Statistical Psychology
Andrée-Anne Paré-Plante, Antoine Boivin, Djamal Berbiche, Mylaine Breton, Maryse Guay
BACKGROUND: First-contact accessibility remains an important problem in Canada, with this indicator staying the worst of all Organization for Economic Co-operation and Development countries. In the province of Quebec, a number of primary healthcare (PHC) organizations have adopted measures to improve access (e.g. advance access scheduling, expanded nursing role, electronic medical record, financial incentives). The impact of those changes is unknown. The goal of this study is to assess which PHC organizations' characteristics are associated with improved first-contact accessibility...
December 3, 2018: BMC Family Practice
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