Enhancing Communication Among Patients with Cancer, Caregivers, and Extended Family: Development of a Communication Module

1 month 3 weeks ago
Stephanie D Torres-Marrero
(1) Background: Coping with a cancer diagnosis can be a challenging process, in which patients and caregivers often require family support. For an adequate support network, there must be clear communication among patients, caregivers, and family members. However, the literature has not adequately discussed communication interventions with extended family members. Our research team identified the need to incorporate communication strategies among patients, caregivers, and extended family. For...

Navigating Research Challenges: Collaborative Insights from a Research Retreat During a Healthcare Emergency in Puerto Rico

1 month 3 weeks ago
Katherine Matos-Jiménez
Puerto Rico has faced significant damage from natural disasters and the COVID-19 pandemic, disrupting clinical services and scientific research logistics. In response, the RCMI-CCRHD Program at the UPR-MSC organized a retreat with the objective of understanding the challenges faced by its research network during the pandemic and strategies to overcome them. The retreat featured presentations on COVID-19 supplemental projects and included a discussion group. Twenty attendees identified the...

Persistent Habitat Instability and Patchiness, Sexual Attraction, Founder Events, Drift and Selection: A Recipe for Rapid Diversification of Orchids

1 month 3 weeks ago
James D Ackerman
Orchidaceae is one of the most species-rich families of flowering plants, with most current diversity having evolved within the last 5 My. Patterns associated with species richness and rapid diversification have been identified but have not often been associated with evolutionary processes. We review the most frequently identified correlates of diversity and suggest that the processes and rate by which they occur vary geographically and are largely dependent on persistent pulses of habitat...

The Clinical Utility of Precision-Guided Dosing for Adalimumab Therapy Optimization in Inflammatory Bowel Disease: A Clinical Experience Program

1 month 3 weeks ago
Stephen B Hanauer
Background/Objectives: This study aimed to establish the clinical utility of a therapeutic drug monitoring (TDM)-supported, model-informed precision dosing (MIPD) approach (precision-guided dosing [PGD]) by assessing the impact of pharmacokinetic (clearance [CL]) and clinical laboratory parameters on adalimumab (ADA) dosage adjustments during maintenance therapy for inflammatory bowel disease (IBD). Methods: In the EMPOWER study, blood was collected at any time post-ADA injection....

Application of Deliberative Democracy Processes in the Healthcare Setting to Determine Optimal Anal Cancer Screening Processes at a Ryan White Clinic

1 month 3 weeks ago
Riya Goel
CONCLUSION: SD methodology effectively facilitated consensus on the process for implementing ACS guidelines, demonstrating its utility in clinical settings. Decision-makers may consider adopting SD processes to streamline guideline implementation and optimise patient care across disease areas and clinical settings.

Henkel: Junior Process Engineer

1 month 3 weeks ago
Competitive: Henkel: What you´ll do Supervision and monitoring of technical instructions and aerospace industry standards Technical support to the production team Trans... Montornes del Valles, Catalonia, Spain

Development and Preliminary Validation of the Social Distance toward Bisexual Persons Scale

1 month 3 weeks ago
Caleb Esteban
This article details the development and preliminary validation of the Social Distance toward Bisexual Persons Scale (SDBPS). This secondary data research employed an instrumental design, based on a quantitative, non-experimental, cross-sectional study conducted with Hispanics in Puerto Rico. The scale's development involved multiple stages. The team developed a pool of 22 items with two dimensions measuring social distance towards bisexual individuals that were generated from research...

Association of Payment Model Changes With the Rate of Total Joint Arthroplasty in Patients Undergoing Kidney Replacement Therapy

1 month 3 weeks ago
Jennifer D Motter
CONCLUSION: There was no loss in access to TJA for medically complex patients receiving kidney replacement therapy. The increase in TJA incidence for patients after kidney transplant and decrease for patients receiving dialysis suggest that surgeons continued to provide care for higher risk patients whose risk of morbidity or mortality with total joint replacement has been maximally improved after transplantation.

Investigation of Lead and Chromium Exposure After Consumption of Contaminated Cinnamon-Containing Applesauce - United States, November 2023-April 2024

1 month 3 weeks ago
Alyssa N Troeschel
Although lead poisoning can cause detrimental health effects, it is largely preventable. Common exposure sources include contaminated soil, water, and lead-based paint in homes built before the 1978 ban on residential lead-containing paint. In North Carolina, testing for lead is encouraged for all children at ages 1 and 2 years, and is required for children covered by Medicaid. In October 2023, routine pediatric blood lead testing and follow-up investigations conducted by the North Carolina...