Combined effects of social isolation and loneliness on patient-reported outcomes in older adults with HIV
. (Source: AIDS Care)
Source: AIDS Care - May 1, 2024 Category: Infectious Diseases Authors: Moka Yoo-JeongAnnie L. Nguyena Bouv é College of Health Sciences, School of Nursing, Northeastern University, Boston, MA, USAb Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA Source Type: research

Feasibility of In-Home Virtual Reality for Chronic Pain in Sickle Cell Disease
Sickle cell disease (SCD), the most commonly inherited group of red blood cell disorders in the United States (National Human Genome Research Institute, 2020), affects more than 100,000 people (Centers for Disease Control and Prevention, 2022). This pain condition causes a significant burden to individuals, families, and the healthcare infrastructure, with medical costs totaling approximately $2.98 billion annually (Huo et al., 2018). Chronic pain in SCD is ongoing pain that was present, in one or more locations, on most days for more than 6 months (Dampier et al., 2017). (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 1, 2024 Category: Nursing Authors: Nadine Matthie, Melinda Higgins, Ardith Doorenbos, Todd Maddox, Coretta Jenerette Tags: Original Research Source Type: research

Cost analysis for initiating an integrated package of essential non-communicable disease interventions (PEN-Plus) in Kondoa District Hospital, Tanzania: a time-driven activity-based costing (TDABC) study protocol
This study aims to estimate the cost of initiating PEN-Plus for rheumatic heart disease, sickle cell disease and type 1 diabetes at Kondoa district hospital in Tanzania. Methods and analysis We will employ time-driven activity-based costing (TDABC) to quantify the capacity cost rates (CCR), and capital and recurrent costs associated with the implementation of PEN-Plus. Data on resource consumption will be collected through direct observations and interviews with nurses, the medical officer in charge and the heads of laboratory and pharmacy units/departments. Data on contact times for targeted NCDs will be collected by obs...
Source: BMJ Open - May 1, 2024 Category: General Medicine Authors: Ndumwa, H. P., Mori, A. T., Ruhago, G. M., Willilo, R., McBain, R., Boudreaux, C., Wroe, E., Adler, A. J., Bukhman, G., Mayige, M. T., Kaarboe, O. Tags: Open access, Health economics Source Type: research

Status of the midwifery workforce and childbirth services and the impact of midwife staffing on birth outcomes in China: a multicentre cross-sectional study
Conclusion The rates of childbirth interventions including the overall caesarean section in China and the episiotomy rate, especially in the central region, remain relatively high. Improved midwife staffing was associated with reduced rates of instrumental vaginal delivery and episiotomy, indicating that further investments in the midwifery workforce could produce better childbirth outcomes. (Source: BMJ Open)
Source: BMJ Open - May 1, 2024 Category: General Medicine Authors: Zhu, W., Zhu, C., Min, H., Li, L., Wang, X., Wu, J., Zhu, X., Gu, C. Tags: Open access, Health services research Source Type: research

American Society for Pain Management Nursing and Hospice and Palliative Nurses Association Position Statement: Pain Management at the End of Life
Fundamental to the quality of life is assisting patients in relieving pain including at the end of life. Compassionate, effective, evidence-based pain care for the dying improves the quality of life for patients and may reduce distress and complicated bereavement in the loved ones witnessing this death. However, efforts designed to mitigate the consequences of the opioid epidemic have seriously compromised pain care at the end of life. This has created an urgent need to focus on the barriers to relief, and solutions necessary to provide safe and effective pain and symptom management in this population. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 1, 2024 Category: Nursing Authors: Patrick Coyne, Sarah Lowry, Carol Mulvenon, Judith A. Paice Source Type: research

Worry as Important “Feelers” in Clinical Anesthesia Practice: A Mixed-Methods Study
This study aimed to identify factors playing a role in the emergence of worry during anesthesia practice to clarify its concept. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - May 1, 2024 Category: Nursing Authors: Noa Robben, Angelique T.M. Dierick-van Daele, Arthur R.A. Bouwman, Fredericus H.J. van Loon Tags: Research Source Type: research

Impact of Rank, Provider Specialty, and Unit Sustainment Training Frequency on Military Critical Care Air Transport Team Readiness
CONCLUSION: Our main result is that simple readily available metrics available to unit commanders can identify those members at risk for poor performance at CCAT Advanced readiness training; these include RNs with rank Major or above, RTs with rank Senior Airman, and RTs who engage in unit sustainment training less often than monthly. Finally, MD specialties which are nontraditional for CCAT have significantly lower CCAT Advanced passing rates, reserve/guard students did not outperform active duty students, there was no difference in the performance between different RN specialties, and for MD and RN students' previous dep...
Source: Military Medicine - April 30, 2024 Category: International Medicine & Public Health Authors: 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 Source Type: research

Efficacy of a Single Day Extracorporeal Membrane Oxygenation Training Course for Critical Care Air Transport Team Eligible Personnel
CONCLUSIONS: An abbreviated 1-day lecture and hands-on task-trainer-based ECMO course resulted in a high rate of successful skill demonstration and improvement of physicians' and nurses' knowledge assessments and confidence levels, similar to our previous live-tissue training program. When compared to our previous studies, the addition of telemedicine and patient transportation to this study did not affect the duration or performance of procedures.PMID:38687647 | DOI:10.1093/milmed/usae138 (Source: Military Medicine)
Source: Military Medicine - April 30, 2024 Category: International Medicine & Public Health Authors: R Madelaine Paredes Brannon Inman William T Davis Maria Castaneda Allyson A Mireles Darren S Baldwin Dylan C Rodriguez Kimberly L Medellin Patrick C Ng Joseph K Maddry Source Type: research

Mechanical ventilation in older adults with dementia: opportunities to promote goal-concordant care
CONCLUSION: Future efforts to promote goal-concordant care surrounding mechanical ventilation use for people living with dementia should involve identifying barriers to goal-concordant care in pre-hospital settings, assessing the timeliness of in-hospital GOCD, and developing strategies for in-the-moment crisis communication across settings.PMID:38685288 | DOI:10.1016/j.jpainsymman.2024.04.021 (Source: Pain Physician)
Source: Pain Physician - April 30, 2024 Category: Anesthesiology Authors: Lauren R Pollack Jamie T Nomitch Lois Downey Sudiptho R Paul May J Reed Alison M Uyeda Whitney A Kiker Danae G Dotolo Elizabeth Dzeng Robert Y Lee Ruth A Engelberg Erin K Kross Source Type: research

Vaccine effectiveness against COVID-19 related hospital admission in the Netherlands by medical risk condition: A test-negative case-control study
CONCLUSION: Although VE against hospitalization was 78% and increased to 89% after boosting during the Delta-dominant study period, VE was lower in certain high risk groups, for which indirect protection or other protective measures might be of added importance.PMID:38688804 | DOI:10.1016/j.vaccine.2024.04.017 (Source: Vaccine)
Source: Vaccine - April 30, 2024 Category: Allergy & Immunology Authors: F A Niessen P C J L Bruijning-Verhagen M J M Bonten VECTOR study group M J Knol Source Type: research

Exploring clinical facilitation and student learning on undergraduate nursing placements through a community of practice lens: A qualitative study
Conclusions: The clinical facilitator role has an important function in preparing student nurses for practice and needs further recognition and continued professional development. Education providers and healthcare organisations need to examine strategies to provide inclusive and supportive work environments, building communities of practice for clinical facilitators and stakeholders to share their experiences and knowledge, promoting individual and group learning, thus improving the student placement experience and fostering the professional identity of clinical facilitators.PMID:38687302 | DOI:10.1080/10376178.2024.23478...
Source: Contemporary Nurse - April 30, 2024 Category: Nursing Authors: Felicity Walker Nicola Whiteing Christina Aggar Source Type: research

The Relationships among Internalized Stigma, Sense of Coherence, and Personal Recovery of Persons with Schizophrenia Living in the Community
Acta Med Okayama. 2024 Apr;78(2):171-184. doi: 10.18926/AMO/66926.ABSTRACTWe investigated (i) the relationships among internalized stigma (IS), sense of coherence (SOC), and the personal recovery (PR) of persons with schizophrenia living in the community, and (ii) how to improve the support for these individuals. A questionnaire survey on IS, SOC, and PR was sent by mail to 270 persons with schizophrenia living in the community who were using psychiatric daycare services, of whom 149 responded and 140 were included in the analysis. We established a hypothetical model in which IS influences PR, and SOC influences IS and PR,...
Source: Acta Medica Okayama - April 30, 2024 Category: General Medicine Authors: Aya Kuramoto Shinya Saito Kumi Watanabe Source Type: research

The mental workload of ICU nurses performing human-machine tasks and associated factors: A cross-sectional questionnaire survey
CONCLUSION: ICU nurses experience a medium MWL while performing human-machine tasks, but higher mental, temporal, and effort are perceived compared to physical demands. The MWL varied significantly across different human-machine tasks, among which are significantly higher: first aid and life support and information-based human-machine tasks. Task difficulty and system availability are decisive predictors of MWL.IMPACT: This is the first study to investigate the level of MWL of ICU nurses performing different representative human-machine tasks and to explore its predictors, which provides a reference for future research. Th...
Source: Adv Data - April 30, 2024 Category: Epidemiology Authors: Yan Yan Chenglei Zhao Xuanyi Bi Calvin Kalun Or Xuchun Ye Source Type: research

Pre-diagnostic plasma proteomics profile for hepatocellular carcinoma
CONCLUSION: However, the limited number of HCC cases in the cohorts necessitates caution in interpreting our findings, emphasizing the need for further validation in high-risk populations.PMID:38688524 | DOI:10.1093/jnci/djae079 (Source: Genomics Proteomics ...)
Source: Genomics Proteomics ... - April 30, 2024 Category: Genetics & Stem Cells Authors: Xinyuan Zhang Longgang Zhao Long H Ngo Simon T Dillon Xuesong Gu Michelle Lai Tracey G Simon Andrew T Chan Edward L Giovannucci Towia A Libermann Xuehong Zhang Source Type: research

The Relationships among Internalized Stigma, Sense of Coherence, and Personal Recovery of Persons with Schizophrenia Living in the Community
Acta Med Okayama. 2024 Apr;78(2):171-184. doi: 10.18926/AMO/66926.ABSTRACTWe investigated (i) the relationships among internalized stigma (IS), sense of coherence (SOC), and the personal recovery (PR) of persons with schizophrenia living in the community, and (ii) how to improve the support for these individuals. A questionnaire survey on IS, SOC, and PR was sent by mail to 270 persons with schizophrenia living in the community who were using psychiatric daycare services, of whom 149 responded and 140 were included in the analysis. We established a hypothetical model in which IS influences PR, and SOC influences IS and PR,...
Source: Acta Med Okayama - April 30, 2024 Category: Universities & Medical Training Authors: Aya Kuramoto Shinya Saito Kumi Watanabe Source Type: research