What do patients with lumbar spinal stenosis think is physical therapy's best card? A survey of perceived message strength.

Objectives: Rising surgical rates for lumbar spinal stenosis (LSS) and underutilization of physical therapist services for this condition may increase patient risks and healthcare costs. Patient beliefs may also contribute to this problem. Therefore, our objective was to determine which messages about physical therapy were perceived as strongest by patients with LSS and whether those messages were influenced by patient factors.

From Leaky Gut to Leaky Skin: A Clinical Review of Lifestyle Influences on the Microbiome.

The microbiome connects the gut health to the rest of the body's organs, including the skin. The pathophysiology of intestinal dysbiosis leads to the expression "leaky gut." Ongoing speculations are aimed at restoring the gut microbiota via modulating lifestyle habits to prevent and potentially reverse autoimmunity.

Training, use, and modifications related to artificial intelligence in postgraduate orthodontic programs in North America.

Introduction: The use of artificial intelligence (AI) is growing quickly and has already had a significant impact on the practice of orthodontics. This study aimed to explore the degree to which the study and use of AI have been integrated into accredited postgraduate orthodontic programs in North America.

Methods: An anonymous electronic survey was sent to each of North America's 74 orthodontic residency programs, requesting information from either the program director or department chair.

Considerations of throwing athletes with upper extremity injury when completing the Single Assessment Numeric Evaluation (SANE).

Context: The Single Assessment Numeric Evaluation (SANE) is a widely used patient-reported outcome (PRO) measure that provides an efficient, but limited view of patient perceptions of health. Knowledge of what throwing athletes with upper extremity injury consider when answering the SANE would inform score interpretation and increase its value for clinical decision-making in this patient population.

Objective: To investigate the global rating of the SANE and its ability to capture constructs of health reflected in patient-reported outcome measures that are commonly used in throwing athletes with upper extremity sport-related injury.

Physical Therapists in Primary Care in the United States: An Overview of Current Practice Models and Implementation Strategies.

Unlabelled: In the USA, physician shortages and increases in noncommunicable disease burden have resulted in a growing demand for primary care providers (PCPs). Patients with physical and functional impairments have been especially affected by these challenges. However, physical therapists are well suited to meet patient needs in primary care settings by working alongside PCPs and other primary health care team members.

The Effectiveness of Instruction on Lumbar Spine Thrust Joint Manipulation Task Performance.

Introduction: Uncertainty exists regarding the best method for teaching thrust joint manipulation (TJM) to student physical therapists. The purpose of this study was to compare the effectiveness of Peyton's 4-step (P4) approach with the "see one, do one" (S1D1) approach for teaching students to perform a lumbar spine TJM task in an academic setting. Secondary objectives were to compare the effects of each instructional approach on students' attitudes and beliefs toward spinal TJM and on their motivation to learn to perform lumbar spine TJM.

The opportunity to lead facilitates PA professional well-being.

Objective: Physician associates/assistants (PAs) with mature careers represent an important leadership resource for healthcare employers. This study sought to determine whether PA leadership task responsibility interacted with experience level to predict professional well-being.

Methods: This quantitative study used an archival dataset from a national sample of PAs.

Postpandemic Changes to Employment and Employment Satisfaction in Early-Career and Career-Advancing Athletic Trainers.

Context: The labor market suffered a mass exodus of employees, including health care workers, due to the COVID-19 pandemic. Previous research has highlighted the vulnerability of young professional athletic trainers (YPATs) to attrition. Investigating pandemic-related employment changes and their impact is essential for developing strategies to improve the retention of YPATs.

Treating Lateral Epicondylopathy With Dry Needling and Exercise: A Case Series.

Context: Lateral epicondylopathy (LE) is a common overuse injury affecting elbow, wrist, and hand function. It is characterized by weakness and pain in the muscles and tendons of the forearm responsible for the extension of your wrist and fingers. Trigger point dry needling is a technique reported to be beneficial in managing pain and dysfunction after LE diagnosis.

Preparing your patient to travel the globe.

Many patients who travel internationally seek medical travel advice from their primary care provider, who may feel unprepared to provide this advice. This article describes online travel medicine resources and a structured approach to a basic pretravel assessment, office evaluation, and destination-specific consultation on travel health and safety.

Advancing Virtual at-Home Care for Community Health Center Patients Using Patient Self-Care Tools, Technology, and Education.

Introduction: Health centers are community-based, patient directed primary care providers that offer accessible, high-quality primary care within medically underserved communities. Screening for cancer and managing complex chronic conditions such as diabetes, hypertension, obesity, and depression are vital services for the vulnerable populations seen by community health centers. Delivering care for complex chronic conditions and preventive services using virtual models that integrate self-care tools and technology is an important approach to increasing access for hard-to-reach patients served by health centers.

Improving Athletic Trainers' Knowledge of Clinical Documentation Through Novel Educational Interventions: A Randomized Controlled Trial.

Context: Athletic trainers (ATs) have reported the need for more educational resources about clinical documentation.

Objective: To investigate the effectiveness of passive and active educational interventions to improve practicing ATs' clinical documentation knowledge.

Design: Randomized controlled trial, sequential explanatory mixed methods study.

Athletic Trainers' Perceptions of and Experiences With Professional Development Approaches for Enhancing Clinical Documentation.

Context: Little is known about how athletic trainers (ATs) learn clinical documentation, but previous studies have identified that ATs have a need for more educational resources specific to documentation.

Objective: To obtain ATs' perspectives on learning clinical documentation.

Design: Qualitative study.

How acculturation contributes to a rise of diabetes in Hmong Americans.

This article explores the reasons for the high prevalence of diabetes among Hmong Americans, who are at greater risk for diabetes compared with non-Hispanic White patients and have a higher prevalence of diabetes than other Asian Americans and other races. Knowledge of this issue may allow medical practitioners to identify, screen, and treat Hmong Americans more frequently and at earlier ages. Although better integration of healthcare services, access, and education are needed, earlier screening may help start the diabetes education process sooner; reduce hospital, ED, and office visits; reduce costs; and prevent end-organ damage.

Managing ascites in patients with cirrhosis.

Patients with cirrhosis have a 50% to 60% chance of developing ascites within 10 years of diagnosis. Once ascites has developed, patients have a predicted 50% mortality within 3 years. This article discusses the pathophysiology of ascites caused by cirrhosis, standards in diagnosing ascites, and the recommendations and guidelines for treating ascites.

Training Dental Hygiene Students to Care for Patients with Disabilities.

The purpose of this study was to evaluate the impact of a novel training program on dental hygiene students' knowledge, attitudes and beliefs about caring for individuals with disabilities. A mixed methods approach was used. Students from five dental hygiene programs based at community colleges completed a two-hour didactic training session to supplement their existing special care dentistry coursework.

Training dental hygiene students to care for patients with disabilities.

Objective: The purpose of this study was to evaluate the impact of a novel training programme on dental hygiene students' knowledge, attitudes, and beliefs about caring for individuals with disabilities.

Methods: A mixed methods approach was used. Students from five dental hygiene programmes based at community colleges completed a two-hour didactic training session to supplement their existing special care dentistry coursework.

Polycythemia Vera: Thinking Beyond the Hematocrit.

Polycythemia vera is a Philadelphia chromosome-negative myeloproliferative neoplasm that results in increased myeloproliferation. It is a debilitating disease characterized by the overproduction of red blood cells, but it also can result in increased white blood cells and platelets. Patients experience a shortened overall survival due to an increased risk of thrombotic events, including stroke, myocardial infarction, pulmonary embolism, and deep vein thrombosis.