Enhanced barrier precautions to prevent transmission of and Carbapenem-resistant organisms in nursing home chronic ventilator units.

Objective: Assess the feasibility and effect of Enhanced Barrier Precautions (EBP) on the transmission of (SA) and carbapenem-resistant organisms (CRO) among residents in nursing home chronic ventilator units (NH-CVU).

Design: Pre-post interventional study.

Setting: Two community-based nursing homes with CVUs in Maryland.

A Review of the Lived Experiences and Psychosocial and School Outcomes of Latinx Childhood Cancer Survivors With a Focus on Cultural Considerations.

Childhood cancer survivors are at risk for physiological, psychosocial, and school difficulties following treatment. It is well documented that Latinx childhood cancer survivors are underrepresented in the literature. Little is known about their lived experiences, the role of culture in their psychosocial or school outcomes, and their experiences with culturally relevant interventions.

Psychosocial burden of axial spondyloarthritis and impact of different disease domains: a systematic literature review.

Objective: To assess the psychosocial impact of axial spondyloarthritis (axSpA).

Methods: A literature search was conducted in two stages: stage 1 included all patients with axSpA and stage 2 focused on patients with inadequate response to prior TNF inhibitor treatment. Selection criteria included population (adults with axSpA), outcomes of interest (psychosocial factors potentially impacted by axSpA, e.

Promoting radical healing to facilitate community capacity building among formerly incarcerated Black and Latino men with substance use disorders.

This study reports on a qualitative thematic analysis of secondary data from group session recordings collected as part of the Community Wise Optimization Trial. Community Wise is a multilevel behavioral intervention designed to increase critical consciousness and reduce substance use among formerly incarcerated men living in predominantly Black and historically disinvested communities (BHDC). Radical healing is a process of recovering from the trauma of oppression based on identification with historically marginalized groups.

Best Practice Guidelines for Preparing Simulated Patients for Telehealth Simulation.

The exponential growth of telehealth in health care, triggered by the COVID-19 pandemic, has necessitated updates to educational standards including the integration of telehealth competencies in academic curricula to prepare students for technology-enabled clinical practice. Simulation-based experiences (SBEs) are a valuable pedagogical tool for teaching and assessing telehealth skills in safe and controlled virtual learning environments. Simulated or standardized patients (SPs) are an essential component of SBEs for creating high-quality and engaging learning experiences.

Latent class analysis of behavioral health service use among underserved youth in integrated primary care.

Objective: To identify distinct and heterogeneous typologies of behavioral health service use and associated factors based on need, predisposing, and enabling determinants, among a predominantly Black and publicly insured youth population in integrated pediatric primary care (IPPC). This study aims to address the unmet behavioral health needs of youth by understanding the characteristics associated with behavioral health engagement in order to tailor interventions accordingly.

Method: Latent class analysis was used to explore distinct subgroups among 416 youth ( = 10.

Routine comprehensive geriatric assessment is associated with improved detection of cognitive disorders in older people with giant cell arteritis.

Objectives: Giant cell arteritis (GCA) carries an increased risk of stroke and blindness. International guidelines recommend older people receive routine comprehensive geriatric assessment (RCGA) during unplanned hospital admissions to improve health outcomes. This quality improvement study addressed the need for RCGA in older people with GCA at an Australian tertiary hospital.

Comparative mutant analyses reveal a novel mechanism of ARF regulation in land plants.

The plant hormone auxin regulates a wide variety of transcriptional responses depending on the cell type, environment and species. How this diversity is achieved may be related to the specific complement of auxin-signalling components in each cell. The levels of activators (class-A AUXIN RESPONSE FACTORS) and repressors (class-B ARFs) are particularly important.

Clinical Validation and Outcome Measures From Bend Ease: A Novel, Sensor-Based Digital Measurement Tool for Assessing At-Home Morning Stiffness and Spinal Range of Motion in Axial Spondyloarthritis.

Introduction: To evaluate the accuracy, reliability, and usability of Bend Ease, a novel smartphone-based digital health technology (DHT), which objectively self-measures spinal range of motion (SRoM) and remotely assesses morning stiffness.

Methods: This phase 1 study involved healthy volunteers (HV) and patients with axial spondyloarthritis (axSpA). Participants used Bend Ease by placing a phone against their chest during a forward-flexion bend, and the application collected and processed accelerometry data to measure bend angle in both clinical and at-home settings.

Reducing Disparities in Access to Kidney Transplantation Regional Study: A Randomized Trial in the Southeastern United States.

Key Points: Declines in referral mirror national trends; however, declines were less for some groups receiving the intervention, warranting long-term follow-up. The findings provide important context for future modification and scale-up of multilevel, multicomponent interventions in dialysis settings.

Background: The Southeastern United States has among the lowest rates of kidney transplantation nationally and has documented racial and socioeconomic disparities in transplant access.

Optimizing the implementation of Enhanced Barrier Precautions in community-based nursing homes.

Background: Enhanced Barrier Precautions (EBPs) recommend using gowns and gloves for certain nursing home residents during specific high-contact care activities associated with multidrug-resistant organism (MDRO) transmission. Though EBP is included in published guidance as an MDRO control strategy, optimal implementation approaches remain unclear.

Methods: We implemented a quality improvement (QI) initiative using the 4E process model (engagement, education, execution, and evaluation) to optimize EBP implementation in 4 Maryland nursing homes.

Using digital communication tools to improve interprofessional collaboration and satisfaction in a student-run free clinic.

Background: Interprofessional collaboration can improve the quality of care in complex health conditions often seen in underserved populations. Communication is key to effective collaboration, and digital communication tools can enhance information sharing, collaboration, and satisfaction between professionals, especially when teams are distanced.

Local Problem: In a semirural student-run free clinic that provides care to uninsured and underinsured patients with multifaceted health issues, there is a gap in communication and collaboration across interprofessional teams because of the frequent rotation of various staff, part-time hours, and electronic health record (EHR) function and interoperability limitations.

Revisiting Race, Ethnicity, and Disparities in Rheumatology Educational Materials: An Update Since 2020.

Objective: In 2020, one study by Strait and colleagues raised awareness that the clinical images in rheumatology educational materials underrepresent people with skin of color (P-SOC). Since then, publishers of rheumatology educational materials have focused on addressing this shortcoming. This study investigates the change in representation of P-SOC following the review of Strait et al.

The NCCB Case Example: Reflections on a Successful Fourteen-Year CBPR Partnership.

The Newark Community Collaborative Board (NCCB) is in its fourteenth year of operation with nine successful research projects and more than six million dollars in funding. The NCCB began with a community needs assessment in Newark, New Jersey, that led to the subsequent establishment of a community collaborative board (CCB) of consumers, researchers, service providers, and residents committed to advocating for health equity through community engagement and research informed by critical thinking. This paper explores the NCCB's history and processes that allowed conducting community-based participatory research (CBPR) to reduce inequities related to social determinants of health (SDH).