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The asthma diagnosis jigsaw puzzle: an adaptable teaching concept to facilitate the diagnosis of asthma in adults and children presenting to primary care.
NPJ Prim Care Respir Med
March 2025
The International Primary Care Respiratory Group, Larbert, UK.
The asthma diagnosis jigsaw puzzle is a clinical practice and teaching concept conceived in clinical practice and refined through an expert multidisciplinary consensus process by academics and clinicians with an interest in primary respiratory care. The concept incorporates guidance to facilitate the effective diagnosis of adults or children with asthma in primary care where misdiagnosis is common. The jigsaw puzzle metaphor teaches a problem-solving approach to diagnosis, introducing the concept of diagnosis over time and in no particular sequence.
View Article and Find Full Text PDFParent-Child Interactions in Context: A Comparison of OCD and Non-clinical Families.
Child Psychiatry Hum Dev
March 2025
Rivendell Child and Adolescent Unit, Sydney Local Health District, Thomas Walker Estate, Hospital Road, Concord West, NSW, 2138, Australia.
We investigated the context role of family factors in obsessive compulsive disorder (OCD) by comparing observed parent-child interaction behaviors of OCD and non-clinical families during three parent-child discussion tasks. We examined whether behaviors differentiating groups would be consistent across all discussions, or present only during specific tasks. We also investigated the effect of family-based cognitive behavior therapy on parent-child interactions and aimed to identify interaction behaviors associated with OCD symptom change.
View Article and Find Full Text PDFInfant development at 14 months in the context of maternal objective and subjective birth experience and infant hair glucocorticoids.
BMC Pediatr
March 2025
Department of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Background: Evidence suggests maternal birth experience impacts infant health. Alterations of the infant's hypothalamus-pituitary-adrenal (HPA) axis are discussed as one possible underlying mechanism. This study aimed to investigate both objective and subjective birth experience as potential predictors of offspring's hair glucocorticoid concentrations (GCs) and infant development, respectively.
View Article and Find Full Text PDFTHE USE OF DENTAL PATIENT-REPORTED OUTCOMES (dPROs) IN PREDICTION MODELING STUDIES IN ORAL HEALTH: A METHODOLOGICAL REVIEW.
J Evid Based Dent Pract
March 2025
Department of Oral Public Health, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Objective: Dental patient-reported outcomes (dPROs) are critical indicators of shared decision-making in oral healthcare. This study aimed to assess the frequency of use of dPROs and dPRO-related factors being used as predictors or predicted outcomes in clinical prediction models (CPMs) in oral health, and to identify variables associated with the use of dPROs and/or dPRO-related factors in CPMs.
Methods: A PubMed search was conducted on 17th May, 2024, to identify eligible studies.
Use of multimedia shared decision-making aids (EATING program) for improving advance care planning engagement among community-dwelling older adults with chronic diseases: A cluster randomized controlled trial.
Appl Nurs Res
April 2025
Institute of Community Health Care, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan; Cicely Saunders Institute, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, United Kingdom. Electronic address:
Background: Discussing advance care planning (ACP) preferences for nasogastric tube (NG) insertion remains challenging among older adults. Multimedia decision-making aids have demonstrated potential to enhance understanding and support informed decision-making.
Aim: To evaluate the effectiveness of the EATING program (multimedia decision-making aids + traditional educational module) compared to usual care (traditional educational module alone) in improving ACP readiness on NG insertion for community older adults with chronic illness.
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