7,202 results match your criteria: "National Centre for Clinical Outcomes Research Nursing & Midwifery[Affiliation]"

Purpose: The adoption of artificial intelligence (AI) in health care may afford new avenues for personalized and patient-centered care. This systematic review explored the role of AI in symptom monitoring for adult cancer survivors.

Methods: A comprehensive search was performed from inception to November 2023 in seven bibliographic databases and three clinical trial registries.

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A meta-analysis of technology-based interventions on treatment adherence and treatment success among TBC patients.

PLoS One

December 2024

Research Center for Pre-Clinical and Clinical Medicine, National Research and Innovation Agency, Cibinong Science Center, Cibinong, West Java, Indonesia.

Various technology-based interventions have been designed to improve medication adherence and treatment success. However, research on the most effective mode to address this issue is still limited. Our study evaluated the effectiveness of technology-based interventions in improving treatment adherence, completion, and treatment success among tuberculosis (TBC) patients.

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Background: Patients with high-risk feet and diabetes are prone to develop diabetes-related foot ulcers (DFUs). To prevent DFUs and their costs and impacts on diabetes mellitus (DM) patients' productivity and quality of life, patients' foot self-care (FSC) practices are essential to screen for DFUs. Our study aimed to assess the self-efficacy and outcome expectations about FSC and evaluate the knowledge about DFUs among patients with DM in Jordan.

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Background: People of all ages are affected by epilepsy, a prevalent chronic brain illness that is primarily found in underdeveloped nations. It is very necessary to implement epilepsy self-management techniques to support individuals with epilepsy in order to impact outcomes related to epilepsy. The purpose of this 2-site randomised controlled experiment is to investigate this further, based on encouraging preliminary evidence.

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Introduction: The evolving landscape of inflammatory bowel disease (IBD) necessitates refining colonoscopic surveillance guidelines. This study outlines methodology adopted by the British Society of Gastroenterology (BSG) Guideline Development Group (GDG) for updating IBD colorectal surveillance guidelines.

Methods And Analysis: The 'Grading of Recommendations, Assessment, Development and Evaluation' (GRADE) approach, as outlined in the GRADE handbook, was employed.

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Background: Autologous minced cartilage is a method for cartilage defect repair, and our study focuses on a newly developed biphasic cylindrical osteochondral construct designed for use in human knees. We aimed to compare its clinical effectiveness and safety with microfracture, the commonly utilized reparative treatment for knee chondral or osteochondral defects.

Materials And Methods: Conducted as a prospective multicenter, randomized controlled, non-inferiority trial across nine hospitals, the study involved 92 patients with International Cartilage Repair Society (ICRS) grade 3 to 4 chondral or osteochondral lesions on femoral condyles.

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Perspectives of people with schizophrenia on clinical outcome scales and patient-reported outcome measures: a qualitative study.

BMC Psychiatry

November 2024

Department of Community Mental Health & Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, 187-8553, Japan.

Background: Over the past half-century, numerous scales have been designed to quantify outcomes in people with severe mental health disorders. However, little is known about the views of people diagnosed with schizophrenia on individual outcome scales, particularly outside of European countries.

Aim: We conducted a qualitative study to examine the perspectives of people with schizophrenia on multiple scales in Japan.

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Health changes from trans-theoretical model-based education in older adults with mild cognitive impairment: A randomized controlled trial.

Int J Nurs Stud

November 2024

School of Medicine, Huzhou Key Laboratory of Precise Prevention and Control of Major Chronic Diseases, Huzhou University, Zhejiang 313000, China. Electronic address:

Article Synopsis
  • - The study highlights the importance of health education for older adults with mild cognitive impairment, focusing on improving awareness and adherence to management strategies.
  • - A randomized controlled trial with 100 participants in China tested a trans-theoretical model-based health education program over 20 weeks, showing significant improvements in disease knowledge, behavioral stage, and health management adherence compared to a wait-list control group.
  • - Results indicated that this health education approach not only enhanced knowledge and adherence but also positively impacted cognitive function, suggesting its effectiveness as an intervention for cognitive decline.
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Article Synopsis
  • This study investigates the prevalence of cardiovascular risk factors in children and adolescents during the COVID-19 pandemic using the Life's Essential 8 domains.
  • It analyzed 62 studies involving over 1.5 million participants from 42 countries, focusing on factors like diet, physical activity, and obesity.
  • The findings reveal significant prevalence rates of poor diet (26.69%), inadequate physical activity (70.81%), and other health issues, indicating a need for early prevention strategies to improve cardiovascular health.
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  • A comprehensive overview of Cochrane reviews was conducted to assess the effectiveness of various smoking cessation interventions, revealing diverse outcomes across studies.
  • The analysis included 71 reviews and 3022 trials, highlighting pharmacotherapy as a more reliable method for promoting long-term abstinence compared to non-pharmacological therapies, which showed considerable variability in effectiveness.
  • Overall, the methodological quality of the reviews was good, but further research is needed to better understand and integrate non-pharmacological interventions in smoking cessation efforts.
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Objectives: To describe end of life care in settings where, in the UK, most children die; to explore commonalities and differences within and between settings; and to test whether there are distinct, alternative models of end of life care.

Methods: An online survey of UK neonatal units (NNUs), paediatric intensive care units (PICUs) and children/young people's cancer principal treatment centres (PTCs) collected data on aspects of service organisation, delivery and practice relevant to end of life outcomes or experiences (referred to as the core elements of end of life care) across three domains: care of the child, care of the parent and bereavement care.

Results: 91 units/centres returned a survey (37% response rate).

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StrataXRT and Mepitel Film for Preventing Postmastectomy Acute Radiation Dermatitis in Breast Cancer: An Intrapatient Noninferiority Randomized Clinical Trial.

Int J Radiat Oncol Biol Phys

November 2024

Genesis Care Victoria, Ringwood Private Hospital, Ringwood East, Victoria, Australia; Olivia Newton John Cancer Wellness and Research Centre, Austin Hospital, Heidelberg, Victoria, Australia; Department of Medical Imaging and Radiation Sciences, School of Primary and Allied Health CareFaculty of Medicine, Nursing and Health Sciences Monash University, Clayton, Victoria, Australia; University of Melbourne, Melbourne, Victoria, Australia.

Purpose: Acute radiation dermatitis (ARD) is a notable challenge for patients with breast cancer undergoing postmastectomy radiation therapy (RT). This study evaluates the efficacy, safety, and user experience of StrataXRT versus Mepitel Film for ARD prevention.

Methods And Materials: This multicenter, noninferiority trial involved intrapatient randomization of 44 patients with histologically confirmed breast carcinoma who had undergone postmastectomy RT across 4 Australian hospitals from January 1 to December 31, 2017.

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Purpose: A previous integrated patient-level analysis demonstrated a significant benefit of implementing once-monthly injectable paliperidone palmitate (PP1M) earlier in the treatment course for schizophrenia. Earlier therapeutic interventions during the first 3-5 years after disease onset can positively impact long-term outcomes in schizophrenia. This present analysis evaluated the risk of relapse both overall and by different durations of illness (0-3 years, >3-5 years, and >5 years from diagnosis) in adult patients with schizophrenia who received PP1M or oral antipsychotics (OAPs).

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Background: Cancer navigation programs aim to support, educate, and empower patients and families, addressing barriers to diagnostics, treatment, and care. Navigators engage with people to ensure timely access to services and resources. While promising for older people with cancer, these programs are scarce in Europe, and research on their effectiveness and implementation is limited.

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Background: In an effort to combat burnout, a study investigates Mindfulness-Based Stress Reduction (MBSR) training for nurses. The goal is to reduce stress and improve job satisfaction, ultimately enhancing patient care. These findings may inspire the development of mindfulness-based support systems for healthcare professionals to promote overall well-being in the workplace.

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Finite clinical genetics services combined with expanding genomic testing have driven development of mainstreaming models-of-care for genomic testing: specifically genetic counselor embedded (GEM) and upskilled-clinician (UPC) models. To determine feasibility, acceptability, and health economic impact in cancer mainstreaming settings we conducted a scoping review of the literature. A comprehensive PubMed search identified relevant manuscripts, published in English between 2013 and 2023.

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Patients with COVID-19 suffering in the acute phase from both the sequelae of the disease and prolonged immobilization require a rehabilitation phase for functional recovery and a comprehensive functional evaluation. This study proposes using the 6-Minute Walk Test (6MWT) as a global functional assessment tool to quantify rehabilitation outcomes in post-COVID patients. Additionally, investigating the effect of High-Intensity Laser Therapy (HILT) on patients with musculoskeletal comorbidities was another key research question.

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The medial patellofemoral ligament (MPFL) is critical for patellar stability. This study investigates the efficacy of a one-year physical therapy rehabilitation program following MPFL reconstruction using Synthetic Graft (SG) and Quadriceps Tendon Autograft (QTA). Thirty-five patients aged 18-38 underwent MPFL reconstruction (20 SG, 15 QTA).

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Strengthening primary healthcare (PHC) is vital for enhancing efficiency and improving access, clinical outcomes, and population well-being. The World Health Organization emphasizes the role of effective PHC in reducing healthcare costs and boosting productivity. With growing healthcare demands and limited resources, efficient management is critical.

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Article Synopsis
  • PPHN (Persistent Pulmonary Hypertension of the Newborn) is a serious condition leading to neonatal respiratory failure, with high mortality rates, especially when combined with SARS-CoV-2 infection.
  • A systematic review of existing literature identified 21 relevant studies involving 36 neonates with PPHN and COVID-19, revealing that most were male, of Indian ethnicity, and born via caesarean section, with a majority having moderate to late preterm gestations.
  • The findings indicated significant severe cases of COVID-19 in these neonates, with symptoms like ARDS affecting over half, and notable occurrences of multisystem inflammatory syndrome in neonates, highlighting the need for close monitoring and care in this patient population
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Background: Prior to the COVID-19 pandemic there were midwifery workforce deficits reported in Australia, but inadequate workforce data to identify retention and attrition in the profession. In the post-pandemic era, workforce deficits continue. This paper reports on midwives' intentions to leave the profession and explores reasons for and factors associated with having high intention to leave, to inform strategies that can address retention and attrition of midwives.

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Background: Malnutrition and HIV interact in a vicious cycle for HIV-exposed infants (HEIs), increasing vulnerability and the severity of each condition and contributing to poor health outcomes. We identified multi-level factors influencing provider adherence to Kenyan HIV and nutrition guidelines for HEIs.

Methods: We conducted six focus group discussions and seven in-depth interviews using a semi-structured question guide.

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Identification of gasdermin B function in the progression of renal clear cell carcinoma by a pan-cancer analysis.

Discov Oncol

November 2024

Department of Nursing, Xiangya Hospital, Central South University, No.87, Xiangya Road, Kaifu District, Changsha, 410008, Hunan, China.

The Gasdermin (GSDM) protein family is critically involved in pyroptosis, which participates in the onset and progression of human malignancies. The exact role and impact of the GSDM family genes in various malignancies, particularly renal clear cell carcinoma (KIRC), is still uncertain. The present results indicated GSDMB gene expression significantly upregulated in individuals with KIRC, whose diagnostic effectiveness was confirmed through ROC analysis.

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Background: Decision-making in lumbar surgery for degenerative conditions is influenced by various factors, including patient expectations and empowerment. The role of patient-reported outcomes (PROs) in guiding these decisions is underexplored. This study aims to understand the perspectives of patients and spine surgeons in decision-making for lumbar surgery and explore their perspectives on the relevance and influence of pre- and post-surgery PROs.

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Article Synopsis
  • - The study explores how smartphone-based virtual reality relaxation (SVR) impacts comfort, anxiety, and pain levels in cancer patients undergoing chemotherapy, comparing this group to a control group receiving standard care.
  • - Conducted with 99 participants from March to May 2023, the trial involved a 10-minute immersive VR experience for the SVR group, while the control group received informational leaflets, assessing primary outcomes (comfort, anxiety, and pain) and secondary outcomes (blood pressure and pulse rate) at various stages.
  • - Results indicated that the SVR group experienced significantly improved comfort, reduced anxiety, and lower pain levels compared to the control group, highlighting the potential of VR as an effective non-drug intervention in cancer
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