Characteristics of perceived effective telesupervision practices: A case study of supervisees and supervisors
DiscussionFindings of this study have confirmed that telesupervision is suited to supervisees and supervisors with specific characteristics, who can navigate the risks and limitations of this mode of clinical supervision. Healthcare organisations can ensure availability of evidence-informed training on effective telesupervision practices, as well as investigate the role of blended supervision models to mitigate some risks of telesupervision. Further studies could investigate the effectiveness of utilising additional professional support strategies that complement telesupervision, including in nursing and medicine, and inef...
Source: PLoS One - July 11, 2023 Category: Biomedical Science Authors: Priya Martin Source Type: research

Acceptance of Insurance by Psychiatrists and Other Physicians, 2007-2016
CONCLUSIONS: In addition to general policy interventions to improve insurance network adequacy for psychiatric care, additional measures or incentives to promote insurance network participation should be considered for psychiatrists in solo practices and those in metropolitan areas.PMID:37424301 | DOI:10.1176/appi.ps.202100669 (Source: Psychiatric Services)
Source: Psychiatric Services - July 10, 2023 Category: Psychiatry Authors: Andrew D Carlo Anirban Basu J ürgen Unützer Neil Jordan Source Type: research

Building a Group Practice and Going Big
Guided by experiences learned over 50  years of guiding a solo practice to an independent private practice with 28 providers and 7 practice locations in southeastern Virginia, the author describes some of the pros and cons as well as pearls and pitfalls and gives practical advice on how to evolve from a small practice to a large group while maintaining independence in today’s ever-changing medical marketplace. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 6, 2023 Category: Dermatology Authors: David M. Pariser Source Type: research

Starting a Solo Practice
Opening a small private dermatology practice can be a rewarding experience. It may seem like a lot of trouble, but in no other setting will you have so much freedom, control, and directly be able to see the consequences of your efforts. Economically, you must realize that in other settings, all these “chores” you must do in a solo practice are paid for by you out of overhead, which can greatly exceed what it costs if you do it yourself in a small practice. That is, a small private practice can be economically more rewarding and flexible than working for a dermatology group, particularly a mu ltispecialty group. It requ...
Source: Dermatologic Clinics - June 26, 2023 Category: Dermatology Authors: Robert Skaggs, Brett Coldiron Source Type: research

Breath-centered virtual mind-body medicine reduces COVID-related stress in women healthcare workers of the Regional Integrated Support for Education in Northern Ireland: a single group study
ConclusionAmong RISE NI healthcare workers affected by COVID-related stress, participation in the BBMIC significantly reduced scores for Perceived Stress, Stress Overload, and Exhaustion. EFI Revitalization and Tranquility scores significantly improved. More than 60% of participants reported moderate to very strong improvements in 22 indicators of psychophysiological state, e.g., tension, mood, sleep, mental focus, anger, connectedness, awareness, hopefulness, and empathy. These results are consistent with the hypothesized mechanisms of action whereby voluntarily regulated breathing exercises change interoceptive messaging...
Source: Frontiers in Psychiatry - June 12, 2023 Category: Psychiatry Source Type: research

The impact of PD-L1 as a biomarker of cancer responses to combo anti-PD-1/CTLA-4
Pathol Res Pract. 2023 May 29;247:154583. doi: 10.1016/j.prp.2023.154583. Online ahead of print.ABSTRACTCombination therapy of solid tumors with immune checkpoint inhibitors (ICIs) is a promising and rapidly evolving area of clinical research. Combo nivolumab-ipilimumab therapy has demonstrated potent efficacy in recent years, and PD-L1 expression profile has shown to play a key role in determining the most optimal immunotherapeutic regimen in advanced cancer patients. Here, the focus is over the impact of PD-L1 on combo nivolumab-ipilimumab in advanced solid cancer patients. Interpretations of this review indicate that pa...
Source: Pathology, Research and Practice - June 2, 2023 Category: Pathology Authors: Sasan Parvini Jamal Majidpoor Keywan Mortezaee Source Type: research

The impact of PD-L1 as a biomarker of cancer responses to combo anti-PD-1/CTLA-4
Pathol Res Pract. 2023 May 29;247:154583. doi: 10.1016/j.prp.2023.154583. Online ahead of print.ABSTRACTCombination therapy of solid tumors with immune checkpoint inhibitors (ICIs) is a promising and rapidly evolving area of clinical research. Combo nivolumab-ipilimumab therapy has demonstrated potent efficacy in recent years, and PD-L1 expression profile has shown to play a key role in determining the most optimal immunotherapeutic regimen in advanced cancer patients. Here, the focus is over the impact of PD-L1 on combo nivolumab-ipilimumab in advanced solid cancer patients. Interpretations of this review indicate that pa...
Source: Pathology, Research and Practice - June 2, 2023 Category: Pathology Authors: Sasan Parvini Jamal Majidpoor Keywan Mortezaee Source Type: research

Good or best practice statements: proposal for the operationalisation and implementation of GRADE guidance
An evidence-based approach is considered the gold standard for health decision-making. Sometimes, a guideline panel might judge the certainty that the desirable effects of an intervention clearly outweigh its undesirable effects as high, but the body of supportive evidence is indirect. In such cases, the application of the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach for grading the strength of recommendations is inappropriate. Instead, the GRADE Working Group has recommended developing ungraded best or good practice statement (GPS) and developed guidance under which circumsances the...
Source: Evidence-Based Medicine - May 22, 2023 Category: Internal Medicine Authors: Dewidar, O., Lotfi, T., Langendam, M. W., Parmelli, E., Saz Parkinson, Z., Solo, K., Chu, D. K., Mathew, J. L., Akl, E. A., Brignardello-Petersen, R., Mustafa, R. A., Moja, L., Iorio, A., Chi, Y., Canelo-Aybar, C., Kredo, T., Karpusheff, J., Turgeon, A. F Tags: Open access Research methods and reporting Source Type: research

Nocardiosis pulmonar y del sistema nervioso central: el alcoholismo como factor de inmunocompromiso
Biomedica. 2023 Mar 30;43(1):37-43. doi: 10.7705/biomedica.6606.ABSTRACTLa nocardiosis es una enfermedad de distribución mundial; de forma habitual se encuentra en zonas tropicales y afecta principalmente a pacientes inmunocomprometidos, sin embargo, también existen casos reportados de infección en personas inmunocompetentes. Esta infección es causada por actinomicetos del género Nocardia spp. que son bacterias Gram positivas, saprófitos ambientales. Aunque la exposición a Nocardia spp. es casi universal, solo una pequeña fracción de las personas expuestas desarrollan la enfermedad. Se presenta el caso de un hombr...
Source: Biomedica : Revista del Instituto Nacional de Salud - May 11, 2023 Category: International Medicine & Public Health Authors: Adriana Isabel M árquez Eduardo Mora Andr és Felipe Bernal Andr és Felipe Salazar Diana Patricia Mora Ledmar Jovanny Vargas Source Type: research