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National Telehealth Contingency Staffing Program and Primary Care Quality in the VHA.
JAMA Netw Open
January 2025
Center for Veteran-Centered and Value-Driven Care, Puget Sound VA Healthcare System, Seattle, Washington.
Importance: The Veterans Health Administration (VHA) launched the Clinical Resource Hub (CRH), a national telehealth contingency staffing program, to address primary care staffing shortages and improve veteran access to primary care. How this large-scale telehealth intervention affects quality of care is unknown.
Objective: To assess the quality of care for chronic disease management among US veterans receiving high vs low levels of CRH-delivered primary care services and whether racial and ethnic minority veterans experience outcomes similar to those of White veterans when receiving CRH-delivered care.
Multicenter research in dialysis centers in Brazil: recruitment and implementation of the SARC-HD study.
J Bras Nefrol
January 2025
Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil.
Introduction: Multicenter research initiatives in Brazilian dialysis centers are scarce. We described the recruitment and implementation phases of the SARC-HD study, aimed at investigating sarcopenia and its impact on adverse clinical outcomes.
Methods: The SARC-HD is a cohort study being conducted with patients on hemodialysis in Brazil.
Artificial intelligence for hemodynamic monitoring with a wearable electrocardiogram monitor.
Commun Med (Lond)
January 2025
Harvard-MIT Division of Health Sciences and Technology, Cambridge, MA, USA.
Background: The ability to non-invasively measure left atrial pressure would facilitate the identification of patients at risk of pulmonary congestion and guide proactive heart failure care. Wearable cardiac monitors, which record single-lead electrocardiogram data, provide information that can be leveraged to infer left atrial pressures.
Methods: We developed a deep neural network using single-lead electrocardiogram data to determine when the left atrial pressure is elevated.
Screening pediatric patients to determine need for child life services using the pediatric emotional safety screener.
J Child Health Care
January 2025
Child Life Department, Children's Hospital Colorado, Aurora, CO, USA.
There can be adverse psychosocial outcomes for children who have negative healthcare experiences. Identifying children's risk for experiencing elevated distress early on when entering the healthcare setting would allow targeted, proactive support to help mitigate negative psychological sequelae. The aim of this retrospective study was to evaluate the psychometric properties of the Pediatric Emotional Safety Screener (PESS), designed to screen for psychosocial distress for pediatric patients.
View Article and Find Full Text PDFIntegrating telerehabilitation and serious gaming during home-based exercise intervention after stroke: A randomized controlled pilot trial of the DISKO-tool.
Digit Health
January 2025
University Department of Rehabilitation Medicine, Danderyd Hospital, Stockholm, Sweden.
Article Synopsis
- The study aimed to evaluate the feasibility and effectiveness of home-based rehabilitation for stroke patients using a new tool called DISKO, which combines telerehabilitation and serious gaming focusing on balance improvement.
- The randomized trial involved patients 3-6 months post-stroke, comparing outcomes from 6 weeks of DISKO training at home to conventional therapy, showing significant improvements in balance for the DISKO group despite some technical challenges.
- Results indicate that DISKO is a feasible option for rehabilitation with a good safety record, high participant compliance, and positive user feedback, suggesting the potential for further research with broader participant inclusion.
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