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Telehealth as an Effective Care Delivery Method During the COVID-19 Pandemic for the Rhode Island Behavioral Health Population
This study investigated (1) if telehealth allowed for patients who seek mental health services to maintain visit frequency and (2) if subpopulations were less likely to utilize telehealth. We used descriptive statistics to analyze the change in total number of visits, in-person visits from pre-waiver to post-waiver, and a multivariate linear regression to identify relationships between demographics and telehealth utilization. Participants were able to maintain the frequency of visits during the COVID-19 pandemic. Race/ethnicity, age, gender, employment status, and housing status were all statistically significant predictor...
Source: Community Mental Health Journal - September 22, 2023 Category: Psychiatry Authors: Demetria Flowers Emily Goodspeed Mackenzie Daly Source Type: research

Racism and discrimination in the context of health inequalities-a  narrative review
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Sep 21. doi: 10.1007/s00103-023-03764-7. Online ahead of print.ABSTRACTRacism and discrimination as social determinants of health are becoming increasingly recognised in public health research in Germany. Studies show correlations with physical and mental health and even changes at the cellular level. In addition to the adverse health effects of interpersonal and direct discrimination, the relevance of structural and institutional racism for health inequalities has been little explored. This narrative review synthesises and critically discusses relevant an...
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - September 21, 2023 Category: International Medicine & Public Health Authors: Katja Kajikhina Carmen Koschollek Kayvan Bozorgmehr Navina Sarma Claudia H övener Source Type: research

Geographic Disparity in Distance to Trauma Care in Secondary Schools across the United States
CONCLUSION: This study highlights geographic disparity in distance to trauma care for SSs in the United States. SSs located > 60 miles from trauma centers were at reduced odds of access to AT services. Identification of geographic trends of AT services relative to the location of tertiary trauma centers is a critical first step to prevent fatal consequences of catastrophic injuries.PMID:37734731 | DOI:10.4085/1062-6050-0149.23
Source: J Athl Train - September 21, 2023 Category: Sports Medicine Authors: Ayami Yoshihara Marcus B Olson Erica M Filep Donghyeon Kim Christianne M Eason Douglas J Casa Robert A Huggins Source Type: research

Fabrication of versatile polyvinyl alcohol and carboxymethyl cellulose-based hydrogels for information hiding and flexible sensors: Heat-induced adjustable stiffness and transparency
Int J Biol Macromol. 2023 Sep 18:126950. doi: 10.1016/j.ijbiomac.2023.126950. Online ahead of print.ABSTRACTWith the growing demand for wearable electronics, designing biocompatible hydrogels that combine self-repairability, wide operating temperature and precise sensing ability offers a promising scheme. Herein, by interpenetrating naturally derived carboxymethyl cellulose (CMC) into a polyvinyl alcohol (PVA) gel matrix, a novel hydrogel is successfully developed via simple coordination with calcium chloride (CaCl2). The chelation of CMC and Ca2+ is applied as a second crosslinking mechanism to stabilize the hydrogel at r...
Source: International Journal of Biological Macromolecules - September 20, 2023 Category: Biochemistry Authors: Yuanna Sun Fenling Shi Ruobing Tian Xiaoliang Zhao Qingshan Li Chen Song Ying Du Xinhai He Jun Fu Source Type: research

Functional and clinical outcomes in the Krukenberg amputation
J Hand Surg Eur Vol. 2023 Sep 20:17531934231202010. doi: 10.1177/17531934231202010. Online ahead of print.ABSTRACTWe evaluated the outcomes of the Krukenberg procedure conducted for the loss of a hand secondary to an electrical burn injury in six patients (10 hands). Patient demographics, indications for surgery, surgical strategy, complications, clinical measurements and Disabilities of the Arm, Shoulder and Hand (DASH) score were recorded, in addition to subjective outcome measures, including self-perception of social acceptance and employment status. The median DASH score at follow-up was 22 (range 4-50, interquartile r...
Source: Hand Surgery - September 20, 2023 Category: Surgery Authors: Weisang Luo Yongjune Kim Vichet Tan Picheata Ek Sophie Hunt Harriet Howells Source Type: research

H1B visa residency, transition to employment
Hi there, I was wondering what everyone's experience was in continuing their H1B visa status after residency. I am currently under this visa for residency, and was hoping to hear from others about how difficult it is to continue this visa after residency. From the current job search, most employers seem relatively uninformed about this visa but most have stated that they do sponsor the H1B. I am looking for work July 2024, and want to make sure I am not missing crucial details. Thank you.
Source: Student Doctor Network - September 20, 2023 Category: Universities & Medical Training Authors: Giovanotto Tags: General International Discussion Source Type: forums

Reasons, Rewards, and Tips for a More Accessible and Inclusive Web
The following is a guest article by Ben Cash, Founding Partner and CEO at Reason One The end of September marks International Week of the Deaf, followed soon after by Blind Americans Equality Day. Both are reminders of the need to make online resources accessible to all. Supporting this is the Americans with Disabilities Act (ADA), intended to protect the civil rights of persons with disabilities when it comes to areas like employment, government services, public accommodations, transportation, and telecommunications. For any organization – and particularly healthcare entities and systems – accessibility should...
Source: EMR and HIPAA - September 19, 2023 Category: Information Technology Authors: Guest Author Tags: C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Accessibility Ada Automated Tools Ben Cash DE&I Digital Accessibility ESG Healthcare Accessibility Reason One Scre Source Type: blogs

Differences in Child Language Assessment Practices Between School-Based and Non-School-Based Speech-Language Pathologists: Results From a Nationwide Survey
CONCLUSIONS: SLPs practicing in school-based settings seem to handle more employment-based factors that impact independent diagnostic decision making than SLPs working in different employment settings when assessing children for potential language disorders. Clinical recommendations are provided, and implications for implementation-based assessment research in child language are discussed.PMID:37725559 | DOI:10.1044/2023_LSHSS-22-00185
Source: Language, Speech, and Hearing Services in Schools - September 19, 2023 Category: Speech-Language Pathology Authors: Katrina Fulcher-Rood Anny Castilla-Earls Source Type: research

Institutional quality, oil price, and environmental degradation in MENA countries moderated by economic complexity and shadow economy
Environ Sci Pollut Res Int. 2023 Sep 18. doi: 10.1007/s11356-023-29758-1. Online ahead of print.ABSTRACTThis paper aims to analyze the link between environmental degradation and institutional quality and the price of oil moderated by economic complexity and the underground economy. We use quantile regressions with annual panel data for 15 countries in the Middle East and North Africa during 1995-2021. The findings indicate that institutional quality, economic complexity, and output positively and heterogeneously impact environmental degradation. However, the square of production has a negative impact, confirming an inverte...
Source: Environmental Science and Pollution Research International - September 18, 2023 Category: Environmental Health Authors: Lizeth Cuesta Rafael Alvarado Munir Ahmad Muntasir Murshed Abdul Rehman Cem I şık Source Type: research

Career goals of surgeons in Switzerland
CONCLUSION: The current study found that surgeons in Switzerland remain highly motivated to pursue leadership positions in their respective fields. Going forward, the challenge will lie in reconciling the needs of the respective departments with the personal ambition, career opportunities, and desired work-life balance of young trainees.PMID:37715800 | DOI:10.1007/s00423-023-03092-z
Source: Hand Surgery - September 16, 2023 Category: Surgery Authors: Diana Fenner Pascal Probst Jennifer M Klasen Pia Antony Fabian Hauswirth Markus K Muller Source Type: research

Genome and transcriptome of Selaginella kraussiana reveal evolution of root apical meristems in vascular plants
Curr Biol. 2023 Sep 6:S0960-9822(23)01141-7. doi: 10.1016/j.cub.2023.08.061. Online ahead of print.ABSTRACTThe evolution of roots allowed vascular plants to adapt to land environments. Fossil evidence indicates that roots evolved independently in euphyllophytes (ferns and seed plants) and lycophytes, the two lineages of extant vascular plants. Based on a high-quality genome assembly, mRNA sequencing (mRNA-seq) data, and single-cell RNA-seq data for the lycophyte Selaginella kraussiana, we show that the two root origin events in lycophytes and euphyllophytes adopted partially similar molecular modules in the regulation of r...
Source: Current Biology - September 16, 2023 Category: Biology Authors: Wu Liu Gui Cai Ning Zhai Hua Wang Tengfei Tang Yuyun Zhang Zhiyao Zhang Lijun Sun Yijing Zhang Tom Beeckman Lin Xu Source Type: research