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JOURNAL ARTICLE
Sophia Zhao, Walter Mathis
Individuals with severe mental illness and substance use disorders face complex barriers to achieving physical health. This study aims to explore the barriers and facilitators of primary care access among an Assertive Community Treatment (ACT) team. Semi-structured qualitative interviews were conducted with 14 clients and 7 clinicians from an ACT team at a community mental health center in Connecticut. Data analysis followed a grounded theory approach, with codes and themes emerging iteratively during the interview process...
May 3, 2024: Community Mental Health Journal
#22
JOURNAL ARTICLE
Paris Cooke, Mercedes M Morales-Alemán, Gwendolyn Ferreti
OBJECTIVES: Sixty-three percent of Latinos/as/x in Alabama, speak English "not well" or "not at all." Effective provider-patient communication is the foundation of successful clinical interactions. Medical interpretation is important to the healthcare provision for patients with limited English proficiency (LEP). We examined Alabama providers' perceptions of working with medical interpreters to identify strategies to improve healthcare provision for LEP patients. METHODS: We conducted nine semistructured qualitative interviews with primary healthcare providers in western Alabama...
May 2024: Southern Medical Journal
#23
JOURNAL ARTICLE
Zachary A Colton, Sophia M Liles, Megan M Griffith, Charis J Stanek, Joseph Walden, Allison King, Toyetta Barnard-Kirk, Susan Creary, Leena Nahata
BACKGROUND: As survival rates for individuals with sickle cell disease (SCD) increase, calls have been made to improve their reproductive healthcare and outcomes. The research team created a web-based program entitled Fertility edUcaTion to Understand ReproductivE health in Sickle cell disease (FUTURES). The study aim was to use the Consolidated Framework for Implementation Research (CFIR) during pre-implementation to identify challenges and opportunities from the individual to systems level of implementation to ultimately optimize the integration of FUTURES into clinical practice...
May 2, 2024: Journal of Pediatric Psychology
#24
JOURNAL ARTICLE
Andrea Sikora, Kelli Keats, David J Murphy, John W Devlin, Susan E Smith, Brian Murray, Mitchell S Buckley, Sandra Rowe, Lindsey Coppiano, Rishikesan Kamaleswaran
OBJECTIVE: Common data models provide a standard means of describing data for artificial intelligence (AI) applications, but this process has never been undertaken for medications used in the intensive care unit (ICU). We sought to develop a common data model (CDM) for ICU medications to standardize the medication features needed to support future ICU AI efforts. MATERIALS AND METHODS: A 9-member, multi-professional team of ICU clinicians and AI experts conducted a 5-round modified Delphi process employing conference calls, web-based communication, and electronic surveys to define the most important medication features for AI efforts...
July 2024: JAMIA Open
#25
JOURNAL ARTICLE
Fatemeh Ghani Dehkordi, Camellia Torabizadeh, Mahnaz Rakhshan, Fatemeh Vizeshfar
BACKGROUND AND AIM: It is essential that healthcare providers display ethical behavior toward their patients. Despite development of codes of ethics for clinical practice, the occurrence of unethical behaviors toward patients is alarmingly high. The present study was conducted to identify the barriers to ethical treatment of patients in clinical environments. METHODS: Through systematic narrative review, the present study investigated the barriers to ethical treatment of patients...
May 2024: Health Science Reports
#26
JOURNAL ARTICLE
Cristina Gago, Elaine De Leon, Soumik Mandal, Franze de la Calle, Masiel Garcia, Doreen Colella, Isaac Dapkins, Antoinette Schoenthaler
BACKGROUND: Despite decades of evidence demonstrating the efficacy of hypertension care delivery in reducing morbidity and mortality, a majority of hypertension cases remain uncontrolled. There is an urgent need to elucidate and address multilevel facilitators and barriers clinical staff face in delivering evidence-based hypertension care, patients face in accessing it, and clinical systems face in sustaining it. Through a rigorous pre-implementation evaluation, we aimed to identify facilitators and barriers bearing the potential to affect the planned implementation of a multilevel technology-facilitated hypertension management trial across six primary care sites in a large federally qualified health center (FQHC) in New York City...
May 2, 2024: Implementation science communications
#27
JOURNAL ARTICLE
Marilyn E Wende, M Renée Umstattd Meyer, Cynthia Perry, Tyler Prochnow, Christina N Bridges Hamilton, Christiaan G Abildso, Keshia M Pollack Porter
BACKGROUND: Play Streets, which are community-based environmental initiatives where public spaces/streets are temporarily closed to create safe, low-cost physical activity opportunities, have demonstrated feasibility and physical activity benefit in rural US areas. Yet, information is needed to identify implementation characteristics that may promote sustainability. This study examined rural Play Streets implementation characteristics that could impact sustainability from local partners' perspectives...
May 2, 2024: Implementation science communications
#28
JOURNAL ARTICLE
Implementing Behavioral Optimization and Outcomes Support Team in a Medical/Surgical Telemetry Unit.
Chikaodi Mba, Marilyn Miller, Brandon Buckingham
BACKGROUND: A community hospital reported 21 staff assaults with injuries and 242 emergency response code green (CG) calls for violent behaviors, resulting in a loss of time in the 2022 fiscal year. Evidence has shown that exposure to violent behavior can compromise effective patient care and lead to job dissatisfaction, high turnover, and higher healthcare costs. PURPOSE: This quality improvement project aims to develop and implement behavioral optimization and outcome support team (BOOST) in a medical-surgical telemetry unit to reduce patient-to-staff assaults/injuries...
April 30, 2024: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
#29
JOURNAL ARTICLE
Simon J Mills, Hannah Halstead, Joanne Howie, Selena Hutchins, Leah Forte, David Unsworth, Terri Walters, Miranda Jelbart, Beverley Dodd, Maayken van den Berg, Maggie Killington
PURPOSE: Describe clinical practice, inter-disciplinary clinical pathway and core principles of care within a mild traumatic brain injury (mTBI) rehabilitation team. METHODS: An observational study examined inter-disciplinary practice, nested within an observational trial investigating team-based mTBI rehabilitation. Data were collected to describe clinical service over 12 months. Activity data quantified clinical sessions per participant, mode of service delivery and content of sessions using custom-designed codes...
May 2, 2024: Brain Injury
#30
Kilian Bibby, Ian C Kenny, Róisín Cahalan, Helen Purtill, Tom M Comyns
BACKGROUND: Robust surveillance of injury aetiology and epidemiology is recognised as fundamental for effective injury reduction and management programmes. However, while sex-specific differences in injury type and nature are noted in the literature, it is unclear if these are reflected in surveillance practices, and how the athlete is affected. OBJECTIVE: Therefore, this study aimed to systematically review contact breast injuries (CBIs) among adult female athletes...
May 1, 2024: Sports Medicine
#31
JOURNAL ARTICLE
Kiley Nelson, Melissa Brooks, Carolyn Mead-Harvey, Janae Quill, Brigid Kiley, Charles Peworski, Adrienne Ritchie, Ayan Sen
OBJECTIVE: We describe the creation of a two-tier emergency response system with a nurse-led first responder program titled "MET-RN" (Medical Emergency Team-Registered Nurse) created for ambulatory settings supported by a critical care code blue team for escalation of care. This observational study evaluated the clinical characteristics and effects of a MET-RN program on the code blue response. METHODS: A retrospective review of the MET-RN response data was assessed from January 2016 to June 2021...
June 2024: Resuscitation plus
#32
JOURNAL ARTICLE
Steven Falk, Oliver Poole
We present a genome assembly from an individual male Myopa testacea (conopid fly; Arthropoda; Insecta; Diptera; Conopidae). The genome sequence is 243.3 megabases in span. Most of the assembly is scaffolded into 5 chromosomal pseudomolecules, including the X and Y sex chromosomes. The mitochondrial genome has also been assembled and is 17.61 kilobases in length. Gene annotation of this assembly on Ensembl identified 25,472 protein coding genes.
2024: Wellcome Open Research
#33
JOURNAL ARTICLE
Erin P Finley, Sheila B Frankfurt, Nipa Kamdar, David E Goodrich, Elyse Ganss, Chien J Chen, Christine Eickhoff, Alison Krauss, Brigid Connelly, Richard W Seim, Marianne Goodman, Joseph Geraci
OBJECTIVE: To evaluate the implementation and trust-building strategies associated with successful partnership formation in scale-up of the Veteran Sponsorship Initiative (VSI), an evidence-based suicide prevention intervention enhancing connection to U.S. Department of Veterans Affairs (VA) and other resources during the military-to-civilian transition period. DATA SOURCES AND STUDY SETTING: Scaling VSI nationally required establishing partnerships across VA, the U...
April 30, 2024: Health Services Research
#34
JOURNAL ARTICLE
Leonel Aguilar, Michal Gath-Morad, Jascha Grübel, Jasper Ermatinger, Hantao Zhao, Stefan Wehrli, Robert W Sumner, Ce Zhang, Dirk Helbing, Christoph Hölscher
Experiments as Code (ExaC) is a concept for reproducible, auditable, debuggable, reusable, & scalable experiments. Experiments are a crucial tool to understand Human-Building Interactions (HBI) and build a coherent theory around it. However, a common concern for experiments is their auditability and reproducibility. Experiments are usually designed, provisioned, managed, and analyzed by diverse teams of specialists (e.g., researchers, technicians, engineers) and may require many resources (e.g., cloud infrastructure, specialized equipment)...
April 30, 2024: Scientific Reports
#35
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
#36
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
#37
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
#38
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
#39
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
#40
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
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