Barriers and Facilitators to Healthcare Access in Adults with Intellectual and Developmental Disorders and Communication Difficulties: an Integrative Review.

Unlabelled: This integrative review explores the barriers to and facilitators of healthcare access in adults with intellectual and developmental disorders (IDD) and communication difficulties (CD) using Levesque et al.'s conceptual framework of access to health. IDDs are a group of disorders that occur early in childhood and often involve language dysfunction.

Lavender Aromatherapy: Examining the Effects of Lavender Oil Patches on Patients in the Hematology-Oncology Setting.

Background: Lavender aromatherapy treatment has been used for the general inpatient population to promote relaxation during hospitalization; however, limited research has been conducted on its efficacy with an inpatient hematology-oncology population.

Objectives: The purpose of this mixed-methods study was to determine the feasibility of wearable overnight lavender aromatherapy skin patches as a patient-directed nursing intervention for 40 patients on an inpatient hematology-oncology unit.

Methods: Data were collected during a two-month period using the Lavender Satisfaction Assessment and the Generalized Anxiety Disorder-7 (GAD-7) scale.

MR diagnosis of rotator cuff tears of the shoulder: value of using T2-weighted fat-saturated images.

Objective: The purpose of this study was to compare the use of fat-saturated T2-weighted spin-echo MR imaging with that of conventional T2-weighted spin-echo MR imaging to detect full- and partial-thickness tears of the rotator cuff of the shoulder, using arthroscopy as the standard for the diagnosis.

Subjects And Methods: Forty-nine consecutive patients with shoulder pain who had both MR imaging and arthroscopy of their affected shoulders were studied. The study group consisted of 10 patients with full-thickness tears of the rotator cuff, 20 with partial-thickness tears of the rotator cuff, and 19 with intact rotator cuff tendons proved arthroscopically.

MR imaging of the adrenal glands.

MR imaging provides an excellent morphologic depiction of normal and abnormal adrenal glands. Although CT scanning remains the primary imaging technique for detecting adrenal lesions, MR imaging is being used increasingly for characterization of adrenal masses. Chemical shift imaging is the most recent MR technique to be evaluated for distinguishing benign from malignant masses, and it appears to be the most reliable; however, further validation of this technique is necessary.

Ultrasonographic evaluation of the biliary tree in patients with atypical chest pain.

We studied the use of gallbladder ultrasonography in the evaluation of atypical chest pain (ACP). During an 8-month period, 52 patients were referred for biliary ultrasonography with a chief complaint of chest pain. Twelve (32.