Publications by authors named "Sawyer K"

Background: Teaching collaborative practice behaviors (CPBs) to interprofessional healthcare students could improve healthcare for underserved populations.

Objective: This study explained the impact of Simulation Enhanced Interprofessional Education (SIM-IPE) on healthcare students' self-reported CPBs and their perceptions of utilizing CPBs when caring for underserved populations, as well as the differences among professions within interprofessional teams.

Design: Mixed methods explanatory design.

View Article and Find Full Text PDF

Purpose: To assess the level of moral distress (MD) and perceptions of ethical climate among pediatric hematology/oncology (PHO) nurses and to identify bioethics topics where increased education was desired.

Methods: In this cross-sectional study, we administered the 26-item Swedish Moral Distress Scale-Revised (sMDS-R), specifically revised and validated for pediatric oncology, in conjunction with the Clinical Ethics Needs Assessment Survey (CENAS). Electronic surveys were sent to inpatient and outpatient PHO nurses.

View Article and Find Full Text PDF

Background And Purpose: Collaborative clinical education models where 2 or more students are supervised by one clinical instructor in a clinical setting effectively support student learning and self-confidence. Use of collaborative models in specialized clinical education settings has not been widely adopted. This paper explores using Kern's 6-step approach to develop and implement a collaborative clinical education model.

View Article and Find Full Text PDF

People with functional seizures (FS) have frequent and disabling cognitive dysfunction and mental health symptoms, with low quality of life. However, interrelationships among these constructs are poorly understood. In this meta-analysis, we examined associations between objective (i.

View Article and Find Full Text PDF
Article Synopsis
  • The study systematically reviewed and analyzed the relationship between tobacco and cannabis use and the onset of various mental health disorders using longitudinal data from 75 studies up to November 2022.
  • Results indicated that tobacco use increased the risk of mood disorders, while cannabis use was linked to psychotic disorders; neither substance showed a consistent association with anxiety disorders.
  • The findings highlight that many studies had quality concerns, suggesting a need for future research to adopt stronger methodologies for more reliable conclusions.
View Article and Find Full Text PDF
Article Synopsis
  • Myelomeningocele (MMC) primarily impacts low-resource regions, especially where there is no mandatory folic acid fortification, but research on its neurosurgical management is concentrated in high-income countries (HICs).
  • A systematic review revealed that while HICs account for a small percentage of global neural tube defect cases, they dominate both authorship and patient representation in the research literature, with minimal contributions from lower-income countries.
  • Findings suggest a significant disparity in MMC research output relative to disease burden, highlighting an urgent need for increased scholarly attention and resource allocation in lower-income countries where MMC cases are more prevalent.
View Article and Find Full Text PDF
Article Synopsis
  • The review focuses on the evolving management strategies for noninfectious cystitis, categorizing it into different types like non-ulcerative and ulcerative cystitis, as well as specific causes such as eosinophilic and ketamine-induced cystitis.
  • Recent treatments showing potential include combination antihistamine therapy, phosphodiesterase 5 inhibitors, alpha lipoic acid, and onabotulinumtoxin A, while the adverse effects of pentosan polysulfate sodium are also highlighted.
  • Treatment plans should be personalized, starting with conservative measures and possibly moving to more invasive procedures based on the patient’s specific symptoms and underlying causes.
View Article and Find Full Text PDF

Objective: The primary objective of this study was to determine the frequency and nature of complications that occur during intrathecal baclofen (ITB) therapy, including nonsurgical complications as well as complications associated with both implantation surgeries and subsequent revisions.

Methods: The authors retrospectively reviewed the medical records of all patients who had baclofen pumps implanted at a tertiary children's hospital from 2006 through June 2019. The study employed appropriate descriptive statistics and statistical models to analyze patient demographics, improvements in tone, and clinical complications.

View Article and Find Full Text PDF

Objective: In this systematic review, we aim to propose evidence-based management for perioperative care to improve outcomes at the time of planned cesarean hysterectomy for placenta accreta spectrum, a procedure associated with significant maternal and neonatal morbidity.

Data Sources: We conducted a literature search for studies published in MEDLINE (via Ovid), Embase, CINAHL, and Cochrane/CENTRAL up until February 25, 2022. The search included free-text and controlled-vocabulary terms for cesarean section, cesarean delivery, and hysterectomy.

View Article and Find Full Text PDF

Introduction: Colorectal cancer (CRC) is the second leading cause of cancer-related death worldwide. There is a significant burden of mortality from colorectal cancer in Africa. Due to the heterogeneity of dietary and lifestyle practices throughout Africa, our work sought to define risk factors for the development of CRC in the African continent.

View Article and Find Full Text PDF

Context: Children are a uniquely vulnerable patient population with restricted abilities for self-advocacy and autonomy, risking infringement upon their dignity. Yet the concept of dignity in pediatrics remains underexplored relative to the adult literature and other outcome measures.

Objectives: To characterize how dignity is defined, evaluated, and/or measured in pediatrics.

View Article and Find Full Text PDF

Substance use disorders commonly onset during adolescence, yet the best available treatments yield only modest and transient effects. Elucidating treatment mediators is essential for improving treatment options. This review summarizes over 20 years of research on mediators of adolescent substance use treatment; = 17 studies assessing both treatment or treatment ingredient to mediator ( path) and mediator to treatment outcome ( path) paths were included.

View Article and Find Full Text PDF
Article Synopsis
  • This study looked at how well adults with functional seizures think and learn compared to those with epilepsy and healthy people who don’t have seizures.
  • Researchers checked a lot of articles (over 3,800) and ended up with 84 that gave information about cognitive tests from nearly 8,700 participants.
  • The findings showed that people with functional seizures did better on cognitive tests than those with epilepsy but there was some uncertainty in the findings due to moderate risks of bias.
View Article and Find Full Text PDF

Objective: Today's healthcare system requires interprofessional collaborative practice (IPCP) to improve health outcomes. IPCP often begins with interprofessional education (IPE), which should stimulate meaningful idea exchange. This study's purpose was to assess the impact of a photovoice-based IPE experience on the attitudes and beliefs of students in two health professions programs.

View Article and Find Full Text PDF

Background And Purpose: The purpose of this study was to investigate the 3-meter backward walk test (3MBWT) in individuals with Parkinson Disease (PD) to determine the following: (1) concurrent validity with other gait velocity measures and (2) interrater and intrarater reliability of in-person and video assessment.

Methods: A convenience sample of 25 people with PD participated. Forward gait velocity was measured using a computerized walkway (Zeno Walkway System), the 10-meter walk test (10MWT), and 4-meter walk test (4MWT).

View Article and Find Full Text PDF

Background: In the UK, smoking prevalence in people with depression (34%) and anxiety (29%) is more than double that of the general population (13%). People who stop smoking improve their mental health with comparable effect sizes found for antidepressants. In England, online psychological therapy is a standard treatment for depression and anxiety.

View Article and Find Full Text PDF

Recent research suggests that contemporary American society is marked by heightened hostile racial rhetoric, alongside increasing salience of White nationalists who justify an ideology of racial hierarchy with claims of biological superiority. Media coverage of such genetics research has often emphasized a deterministic (or causal) narrative by suggesting that specific genes directly increase negative outcomes and highlighting reported genetic differences between racial groups. Across two experimental studies, we examine the effect of the media's portrayal of scientific findings linking genes with negative health and behavioral outcomes on measures of racism.

View Article and Find Full Text PDF

Dogs are able to cooperate in reciprocal exchange with humans but little is known about the extent of these abilities (Range & Virányi, 2015). In the Still Face paradigm, infants reply to a sudden nonreciprocal facial expression with gaze aversion and an increase in re-engagement and distress behaviors (E. Tronick et al.

View Article and Find Full Text PDF

Background: While sudden cardiac arrest (CA) survivors are at risk for developing psychiatric disorders, little is known about the impact of preexisting mental health conditions on long-term survival or postacute healthcare utilization. We examined the prevalence of preexisting psychiatric conditions in CA patients who survived hospital discharge, characterized incidence and reason for inpatient psychiatry consultation during these patients' acute hospitalizations, and determined the association of pre-CA depression and anxiety with hospital readmission rates and long-term survival. We hypothesized that prior depression or anxiety would be associated with higher hospital readmission rates and lower long-term survival.

View Article and Find Full Text PDF

Background: Every year the American Heart Association's Resuscitation Science Symposium (ReSS) brings together a community of international resuscitation science researchers focused on advancing cardiac arrest care.

Methods And Results: The American Heart Association's ReSS was held in Chicago, Illinois from November 4th to 6th, 2022. This annual narrative review summarizes ReSS programming, including awards, special sessions and scientific content organized by theme and plenary session.

View Article and Find Full Text PDF

This article briefly reviews a 4-step process for implementing shared decision-making (SDM) in pediatrics. The authors address difficulties with determining whether SDM should occur and comment on how the SDM process relates to, and may be conflated with, other decision-making models that leverage similar patient-centered and family-centered communication strategies.

View Article and Find Full Text PDF