Evidence-based Health Care (EBHC) has been influencing almost all fields of health care in the last fifteen years: clinical practice, professional education, health policy, consumer information, planning of clinical research. Criticisms and future challenges of EBHC suggest that a better implementation of evidence should be supported by integrate and collaborative efforts of health care systems. Recognizing EBHC as a powerful approach for integrating clinical practice and continuing education; establishing clinical governance as health policy strategy to improve the quality of care; managing consumer health information; financing independent research, especially towards grey zones relevant for public health.
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Associations between interpersonal and community-level violence experiences and HIV outcomes: implications for violence screening in Ryan White Clinics.
AIDS Care
January 2025
Department of Behavioral, Social, and Health Education Sciences, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Violence experience, interpersonal and community-level, is commonly reported by people living with HIV (PLWH). Understanding the impact of the various forms of violence on HIV outcomes is critical for prioritizing violence screening and support resources in care settings. From February 2021 to December 2022, among 285 PLWH purposively sampled to attain diversity by gender, race/ethnicity, and HIV care retention status in Atlanta, Georgia, we examined interpersonal and community violence experiences and proxy measures of violence (post-traumatic stress disorder (PTSD), anxiety, depression) and their associations with HIV outcomes (engagement and retention in care and HIV viral suppression) using multivariable analysis.
View Article and Find Full Text PDFEpidemiological Features, Clinical Symptoms, and Environmental Risk Factors for Notifiable Japanese Encephalitis in Taiwan From 2008 to 2020: Retrospective Study.
JMIR Public Health Surveill
January 2025
School of Public Health, National Defense Medical Center, Taipei City, Taiwan.
Background: Japanese encephalitis (JE) is a zoonotic parasitic disease caused by the Japanese encephalitis virus (JEV), and may cause fever, nausea, headache, or meningitis. It is currently unclear whether the epidemiological characteristics of the JEV have been affected by the extreme climatic conditions that have been observed in recent years.
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Digital Representation of Patients as Medical Digital Twins: Data-Centric Viewpoint.
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INSERM U1064, CR2TI - Center for Research in Transplantation and Translational Immunology, Nantes University, 30 Bd Jean Monnet, Nantes, 44093, France, 33 2 40 08 74 10.
Precision medicine involves a paradigm shift toward personalized data-driven clinical decisions. The concept of a medical "digital twin" has recently become popular to designate digital representations of patients as a support for a wide range of data science applications. However, the concept is ambiguous when it comes to practical implementations.
View Article and Find Full Text PDFThe Benefits of Intentional Nurse Rounds in Schools.
NASN Sch Nurse
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Nurse rounds have long been an established practice in clinical settings, resulting in improved patient care through accurate assessment, evaluation, and communication. This practice has also been shown to create seamless patient-centered care among the medical team, the patient, and their family members. While nurse rounds are an important component of clinical care, school nurses have not adopted this practice.
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