Recent advancements in three-dimensional (3D) printing technology, particularly digital light processing (DLP) 3D printing, have enabled the customization of bone substitutes with specific shapes that match bone defect sizes and geometries. Magnesium calcium phosphate (MCP) has gained considerable attention due to its strong mechanical properties, degradability, and ability to promote bone regeneration. In this study, we prepared MCP samples with five different molar ratios via DLP 3D printing.
View Article and Find Full Text PDFIntroduction: Virtual reality (VR) is increasingly being explored in surgical education for its potential to create immersive training environments. However, many VR systems are expensive and require complex setups, limiting their accessibility. This survey study assesses the feasibility of cost-effective VR training on the education of oral maxillofacial surgical trainees and practitioners.
View Article and Find Full Text PDFBackground: Spontaneously reduced hip dislocation or reduced hip dislocation with a missing reduction history are challenge to the treating surgeon as the signs are usually subtle in such cases. The purpose of this study is to investigate and report on the incidence of the signs of femoral head notching and the presence of intracapsular air bubble in the computed tomography (CT) scans of hip dislocation cases in our center.
Methods: Cases of traumatic hip dislocation, either without associated acetabular fractures or with acetabular fractures that did not require surgery from 2002 to 2021 were included retrospectively.
Biomimetics (Basel)
February 2025
Isotropic shrinkage is critical for producing dimensionally accurate prostheses using zirconia. However, the anisotropic shrinkage of 3D-printed zirconia limits its utility in clinical applications. We aimed to evaluate the impact of specimen axis alterations on the shrinkage of digital light processing (DLP)-printed zirconia.
View Article and Find Full Text PDFJ Health Care Poor Underserved
May 2025
This study explores medical training programs within community health centers (CHCs) and investigates the organizational and environmental factors associated with these programs. Using cluster analysis, we identified four distinct clusters based on the prevalence of physician, nurse, advanced practitioner, and medical assistant trainees in CHCs. These clusters reveal variations in the composition of trainees within CHCs, indicating diverse training and recruitment priorities.
View Article and Find Full Text PDFJ Health Organ Manag
January 2025
Purpose: The need to match highly variable demand for healthcare services with existing capacity has been a significant health system challenge experienced by the COVID-19 pandemic. Despite mounting research on various COVID-19 responses in the recent literature, there has not been a structured review examining key determinants of health system volume flexibility. The focus of the present research is to review recent literature based on a conceptual framework developed based on the volume flexibility literature on COVID-19.
View Article and Find Full Text PDFQual Manag Health Care
April 2025
Background And Objectives: Health information technology (HIT) for patient-engagement can positively influence the quality and efficiency of health care delivery. Although this topic is of significant importance, it has not been fully addressed in the federally qualified health center (FQHC) context. This research investigates the relationship between the level of patient-engagement HIT and FQHC preventive health care quality outcomes.
View Article and Find Full Text PDFDodecamethylcyclohexasiloxane (D6) is a siloxane substance mainly used in cosmetics and personal care products. While octamethylcyclotetrasiloxane (D4) and decamethylcyclopentasiloxane (D5) were once commonly used in personal care products, their usage has been restricted due to the classification as persistent, bioaccumulative, and toxic (PBT)/very persistent and very bio-accumulative (vPvB) substances. While D6 has emerged as a substitute for D4 and D5, the risk assessment for D6 remains limited compared to the evaluations for D4 and D5.
View Article and Find Full Text PDFObjective: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with a wide spectrum of clinical manifestations. A decision aid (DA) for SLE was developed and implemented in 15 rheumatology clinics throughout the United States. This study explored the experiences of patients who viewed the DA to understand how patients engage with and respond to the SLE DA.
View Article and Find Full Text PDFJ Ambul Care Manage
May 2024
Federally Qualified Health Centers (FQHCs) are ideally positioned to identify and address health-related social needs, but little is understood about the relationship between social risk factor (SRF) screening and health outcomes. We studied 1352 FQHCs from the 2019 Uniform Data System. Ordinary least squares regression was used to estimate the relationship between SRF screening and the percentage of patients with adequately controlled diabetes and hypertension.
View Article and Find Full Text PDFJ Community Health
October 2024
Federally Qualified Health Centers (FQHCs) are pivotal in delivering healthcare services to underserved populations in the United States. While the number of FQHCs and FQHC look-alikes has been increasing, intensifying competition, limited research has examined the cost implications associated with this growing competition among FQHCs. This study aims to fill the research gap by analyzing the relationship between the level of competition among FQHCs and the cost of care per patient.
View Article and Find Full Text PDFBackground: The Black Lives Matter movement and COVID-19 pandemic motivated the wide-scale adoption of diversity, equity, inclusion, and belonging (DEIB) initiatives within healthcare organizations and the creation of DEIB top-level leader positions. The next step is to understand how these leaders contribute to the implementation of DEIB interventions, a task with notable salience due to not only the historical difficulties associated with DEIB strategy execution, but also the substantial evidence that leadership plays a significant role in implementation processes. Therefore, the objective of this qualitative study is to understand the role of top-level DEIB leaders in the implementation of healthcare organizational DEIB interventions.
View Article and Find Full Text PDFInt J Med Inform
September 2023
Objective: This paper aims to address the relationship between the community health center (CHC) patient mix and the level of patient engagement health information technology (HIT) comprehensiveness.
Participants: The study was conducted on sample CHCs (n = 3,592 CHC-years) active between 2016 and 2018.
Methods: Patient engagement HIT comprehensiveness was measured based on a framework of patient engagement through HIT that includes a two-part dichotomy of patient engagement and patient informing.
Introduction: A software program was developed to provide visual, guided feedback to students for access cavity preparations in preclinical learning. The specific aim of the study was to investigate students' overall experiences with the new learning method and compare their experiences with traditional teaching.
Materials And Methods: A workflow based on freely available software was designed to interactively register three-dimensional models of molars with access cavities, and to metrically compare these to instructor-prepared standard cavities.
This study examined whether an association exists between federally qualified health centers' (FQHCs') provision of medical training programs and clinical outcomes. Employing a cross-sectional data analysis of the sample FQHCs in the year 2019, the study found that FQHCs with medical training programs provided higher rates of immunization, screenings for cervical cancer, tobacco, statin use, and colorectal cancer. The FQHCs with medical training programs also reported a higher percentage of hypertensive patients properly managing blood pressure level.
View Article and Find Full Text PDFThe lesbian, gay, bisexual, transgender, and queer (LGBTQ) population deals with complex medical and behavioral issues coupled with barriers in accessing both healthcare and health insurance leading to poorer health outcomes as compared with the general population. Because this community is often overlooked in efforts to improve minority health disparities, in 2007, the Human Rights Campaign Foundation introduced the Healthcare Equality Index (HEI) for evaluating healthcare facilities' policies and practices related to the equity and inclusion of their LGBTQ patients, visitors, and employees. This study's aim was to determine whether the LGBTQ Healthcare Equality Leader institution designation advantage found by DiLeo et al (2020) has a continuing positive effect on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) performance.
View Article and Find Full Text PDFJ Public Health Manag Pract
July 2022
Objective: Patient engagement using health information technology (IT) functionalities can be a powerful tool in managing their own care for better health outcomes. Therefore, this study explores whether patient engagement IT functionalities and electronic health record (EHR) can affect patient safety outcomes.
Design: Using longitudinal study design for general acute care hospitals within the United States, we examine the interaction effects of EHR and patient engagement IT functionalities on patient safety outcomes (adverse incident rate) using a generalized estimating equation.
So-called "geographic expansion race," health care organizations expand physical facilities to different geographical locations as a way to foster growth. This study furthers knowledge on Federally Qualified Health Centers' (FQHCs') geographical expansion in relation to the local market's payer mix. The results indicated that areas with a higher proportion of Medicaid patients with fewer uninsured are more likely to see new FQHC sites opening.
View Article and Find Full Text PDFHealth Care Manage Rev
April 2022
Background: Federally qualified health centers (FQHCs) are pivotal safety net primary care providers for the medically underserved. FQHCs have complex organizational designs, with many FQHCs providing care at multiple physical locations ("sites"). The number of sites, however, varies considerably between FQHCs, which can have important implications for differential access that may perpetuate disparities in quality of care.
View Article and Find Full Text PDFPurpose: The objective of this research is to synthesize evidence on the relationship between context, strategies and performance in the context of federally qualified health centers (FQHCs), a core safety net health services provider in the United States. The research also identifies prior approaches to measure contextual factors, FQHC strategy and performance. Gaps in the research are identified, and directions for future research are provided.
View Article and Find Full Text PDFA unique thermostable amylosucrase from Bifidobacterium thermophilum was produced as a recombinant protein with the half-life of 577 h at 50 °C. By adding 1.0 M fructose, turanose yield was improved from 22.
View Article and Find Full Text PDFACS Appl Mater Interfaces
June 2016
The surface of olivine NaFePO4 was modified with polythiophene (PTh) to develop a high-performance cathode material for use in Na-ion batteries. The Rietveld refinement results of the prepared material reveal that PTh-coated NaFePO4 belongs to a space group of Pnma with lattice parameters of a = 10.40656 Å, b = 6.
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