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421
A perinatal psychiatry access program to address rural and medically underserved populations using telemedicine
Published 2025-01-01“…Moms IMPACTT [Improving Access to Perinatal Mental Health and Substance Use Disorder Care Through Telehealth and Tele-mentoring] leverages statewide partnerships and a virtual care model to provide: 1) people who are pregnant or within 1 year postpartum with immediate access by phone or internet to a clinician trained in perinatal psychiatric care coordination to assess and refer to an appropriate level of perinatal psychiatry services; 2) communication and care coordination with the person’s healthcare provider, as appropriate; and 3) healthcare provider training and real-time psychiatric consultation for the management and treatment of perinatal mental health and substance use disorders. …”
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422
Peer-assisted telemedicine hepatitis-C treatment for people who use drugs in rural communities: a mixed methods study
Published 2025-02-01“…A qualitative investigation queried telemedicine clinicians and peers about their experiences with the implementation of the model and key drivers of implementation effectiveness. …”
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423
Mixed methods evaluation of the Getting it Right First Time programme in elective orthopaedic surgery in England: an analysis from the National Joint Registry and Hospital Episode...
Published 2022-06-01“…Objective To evaluate the impact of the ‘Getting it Right First Time’ (GIRFT) national improvement programme in orthopaedics, which started in 2012.Design Mixed-methods study comprising statistical analysis of linked national datasets (National Joint Registry; Hospital Episode Statistics; Patient-Reported Outcomes); economic analysis and qualitative case studies in six National Health Service (NHS) Trusts.Setting NHS elective orthopaedic surgery in England.Participants 736 088 patients who underwent primary hip or knee replacement at 126 NHS Trusts between 1 April 2009 and 31 March 2018, plus 50 NHS staff.Intervention Improvement bundle including ‘deep dive’ visits by senior clinician to NHS Trusts, informed by bespoke set of routine performance data, to discuss how improvements could be made locally.Main outcome measures Number of procedures conducted by low volume surgeons; use of uncemented hip implants in patients >65; arthroscopy in year prior to knee replacement; hospital length of stay; emergency readmissions within 30 days; revision surgery within 1 year; health-related quality of life and functional status.Results National trends demonstrated substantial improvements beginning prior to GIRFT. …”
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424
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FERN: is it possible to conduct a randomised controlled trial of intervention or expectant management for early-onset selective fetal growth restriction in monochorionic twin pregn...
Published 2024-08-01“…WP1: A Prospective UK Multicentre Study, WP2A: a Qualitative Study Exploring Parents’ and Clinicians’ Views and WP3: a Consensus Development to Determine Feasibility of a Trial. …”
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426
Should Echocardiographic Evaluation Be Performed Routinely in the First 72 Hours in Extremely Low Birth Weight Babies?
Published 2021-08-01“…Conclusion:Performing early ECHO without symptoms in infants with ELBW may provoke the clinician to give PDA closure treatment earlier. In infants with ELBW,unnecessary closure treatment can be prevented by closely monitoring the symptoms of PDA and performing ECHO when necessary. …”
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427
Integrating Videoconferencing Therapist Guidance Into Stepped Care Internet-Delivered Cognitive Behavioral Therapy for Child and Adolescent Anxiety: Noninferiority Randomized Contr...
Published 2025-01-01“…The measures included a clinical diagnostic interview (Anxiety Disorders Interview Schedule) with clinician-rated severity rating as the primary outcome and parent- and child-reported web-based surveys assessing anxiety and anxiety-related interference (secondary outcomes). …”
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428
Understanding Community Health Care Through Problem-Based Learning With Real-Patient Videos: Single-Arm Pre-Post Mixed Methods Study
Published 2025-01-01“…ConclusionsCommunity-based PBL with real-patient videos effectively enhances medical students’ understanding of rural health care settings, clinician roles, and the social needs of rural patients. …”
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429
Evidence adaptation and tailored implementation of family bereavement support in specialised palliative care: A multi-method study
Published 2025-06-01“…A multifaceted implementation strategy with 16 distinct activities was developed to reach 70 % of bereaved families: designing a practical, implementable pathway, creating necessary team capacity and roles, optimizing workflow, offering education and clinician support, ensuring leadership and organisational commitment, and facilitating mutual exchange and learning. …”
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430
Bringing MDMA-assisted therapy for PTSD to traditional healthcare systems: tending to set and setting
Published 2025-01-01“…Mostly derived from our experience conducting clinical trials of MDMA-AT for PTSD in VHA, we present specific and practical suggestions for optimizing set and setting from both the participant’s and clinician’s perspective in a manner that both leverages the opportunities of such settings and adapts to their challenges. …”
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431
Meaningfulness, feasibility, and usability of quality-of-care measures for maternal and infant health: A structured mixed-methods review
Published 2025-01-01“…We assessed discrete elements relevant to meaningfulness, feasibility, and usability following AHRQ National Quality Strategy (NQS) criteria, with input from researcher, clinician, and citizen scientist investigators. Descriptive statistics on coded measures were calculated using SPSS. …”
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432
Novel Procedures for Evaluating Autism Online in a Culturally Diverse Population of Children: Protocol for a Mixed Methods Pathway Development Study
Published 2025-02-01“…CHATA comprises 2 key elements: online self-completed standardized autism questionnaires and a structured online interview and observation by a trained clinician. Out of 60 families near the top of the local waiting list will be invited to participate in the pilot evaluation, assessed using both the CHATA and usual assessment pathways. …”
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433
Impaired creatinine-based estimated glomerular filtration rate in Thai individuals switching to dolutegravir: illustrating the role of cystatin C testing to aid clinical decision m...
Published 2025-02-01“…Estimated GFR by cystatin C (eGFRcystC) was ordered at clinician’s discretion for decreased eGFRcre after switch. …”
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434
Clinical Gynecologic Endocrinology and Infertility /
Published 2011Table of Contents: “…Molecular biology for clinicians -- Hormone biosynthesis, metabolism, and mechanism of action -- The ovary-embryology and development -- The uterus -- Neuroendocrinology -- Regulation of the menstrual cycle -- Sperm and egg transport, fertilization, and implantation -- The endocrinology of pregnancy -- Normal and abnormal sexual development -- Normal and abnormal growth and pubertal development -- Amenorrhea -- Chronic anovulation and the polycystic ovary syndrome -- Hirsutism -- Menstrual disorders -- Abnormal uterine bleeding -- The breast -- Menopause and the perimenopausal transition -- Postmenopausal hormone therapy -- Obesity -- Reproduction and the thyroid -- Family planning, sterilization, and abortion -- Oral contraception -- Vaginal and transdermal estrogen-progestin contraception -- Long-acting methods of contraception -- Intrauterine contraception -- Barrier methods of contraception and withdrawal -- Female infertility -- Recurrent early pregnancy loss -- Endometriosis -- Male infertility -- Induction of ovulation -- Assisted reproductive technologies -- Ectopic pregnancy -- Appendix-I: Interpreting epidemiologic reports -- Appendix-II: Selected laboratory values and the international system of units (SI Units).…”
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435
Study protocol: type II hybrid effectiveness-implementation study of routine functional status screening in VA primary care
Published 2025-01-01“…Identifying functional impairments – defined as having difficulty or needing help performing these activities – is essential for clinicians to provide optimal care to older adults, and on a population level, understanding function can help anticipate service needs. …”
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436
Predictors of Functional and Quality of Life Outcomes following Deep Brain Stimulation Surgery in Parkinson’s Disease Patients: Disease, Patient, and Surgical Factors
Published 2017-01-01“…For global outcomes, we utilized the Patient Global Impression of Change Scale (PGIS) and the Clinician Global Impression of Change Scale (CGIS). …”
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437
Open-label dose-extending placebos for opioid use disorder: a protocol for a randomised controlled clinical trial with methadone treatment
Published 2019-06-01“…Throughout this study time period, methadone dosages will be adjusted by an addiction clinician blind to patient assignment, per standard clinical methods. …”
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438
Personality and help-seeking for psychological distress: a systematic review and meta-analysis
Published 2025-01-01“…Of the studies investigating behavior, three used external observations, the rest relied on self-reports/clinician-administered questionnaires. Evidence highlighted a dissociation between attitudes and behavior for schizotypal and borderline personality disorders, and neuroticism, which displayed negative help-seeking attitudes but more help-seeking behavior. …”
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