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Healthcare, Volume 7, Issue 4

2019 December - 54 articles

Cover Story: Increasing demands for high quality and safe patient care compel the need for competent healthcare professionals working in a collaborative team environment. Medical professionals are instrumental in leading the healthcare team; therefore, it is necessary to introduce interprofessional learning early in the medical curriculum. This exploratory study evaluated the perceptions of a sample of medical students undergoing training in the United States toward interprofessional education and collaboration in healthcare. The results reveal that medical students appreciate the importance of interprofessional education, embrace interprofessional learning, and welcome the opportunity to learn with other healthcare disciplines. Case studies and simulations were identified as potential methods to integrate with other healthcare disciplines. View this paper
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Articles (54)

  • Article
  • Open Access
17 Citations
6,818 Views
8 Pages

14 December 2019

Informed consent and patient autonomy rights require an optimal cancer diagnosis disclosure strategy to be used to update the patients and caregivers with the bad news. However, a cancer diagnosis disclosure may arouse anxiety and distress which incr...

  • Opinion
  • Open Access
7 Citations
4,744 Views
6 Pages

13 December 2019

Uterine cervical cancer is the fourth most common cancer in women, and its etiology has been recognized. High-risk human papilloma virus (HR-HPV) infection induces an opportunity for malignant transformation. This paper discusses the current issues b...

  • Article
  • Open Access
7 Citations
5,082 Views
9 Pages

The Feasibility of Using N-Of-1 Trials to Investigate Deprescribing in Older Adults with Dementia: A Pilot Study

  • Alexander J. Clough,
  • Sarah N. Hilmer,
  • Sharon L. Naismith and
  • Danijela Gnjidic

12 December 2019

N-of-1 trials may provide insights into the impact of deprescribing medications in populations where evidence is currently lacking, such as the effect of statins on cognition in people with dementia. For this pilot, N-of-1, double-blinded, deprescrib...

  • Article
  • Open Access
6 Citations
4,419 Views
14 Pages

7 December 2019

National basic public health services (BPHSs) are important for promoting the health of rural populations. A better understanding of rural BPHSs from the viewpoint of residents utilizing the services can help health-related departments and primary he...

  • Article
  • Open Access
7 Citations
5,009 Views
12 Pages

6 December 2019

The aim of this study was to explore the influence of workplace incivility on the emotional exhaustion of recreational sport/fitness club providers through a cross-level analysis. A total of 200 recreational sport/fitness club providers from Taiwan w...

  • Review
  • Open Access
38 Citations
18,030 Views
10 Pages

Differential Diagnosis of Uterine Leiomyoma and Uterine Sarcoma Using Magnetic Resonance Images: A Literature Review

  • Ayako Suzuki,
  • Masato Aoki,
  • Chiho Miyagawa,
  • Kosuke Murakami,
  • Hisamitsu Takaya,
  • Yasushi Kotani,
  • Hidekatsu Nakai and
  • Noriomi Matsumura

5 December 2019

MRI plays an essential role in patients before treatment for uterine mesenchymal malignancies. Although MRI includes methods such as diffusion-weighted imaging and dynamic contrast-enhanced MRI, the differentiation between uterine myoma and sarcoma a...

  • Article
  • Open Access
26 Citations
5,833 Views
14 Pages

3 December 2019

The rapid growth of population aging makes providing adequate long-term care (LTC) services for the elderly a serious social dilemma in China. Thus, it is necessary to carry out a theoretical discussion on the LTC service needs of the elderly and fin...

  • Article
  • Open Access
11 Citations
5,148 Views
13 Pages

2 December 2019

The positive impact of green spaces on public health has attracted increasing attention, and maternal health has also been shown to be related to green spaces. However, there are different kinds of green space indicators that represent different mec...

  • Article
  • Open Access
1 Citations
3,779 Views
14 Pages

2 December 2019

In prostate cancer external beam radiation therapy (EBRT), intra-fraction prostate drifts may compromise the treatment efficacy by underdosing the target and/or overdosing the organs at risk. In this study, a recently developed real-time adaptive pla...

  • Article
  • Open Access
16 Citations
7,048 Views
23 Pages

2 December 2019

Lyme disease and human babesiosis are the most common tick-borne zoonoses in the Temperate Zone of North America. The number of infected patients has continued to rise globally, and these zoonoses pose a major healthcare threat. This tick-host-pathog...

  • Article
  • Open Access
21 Citations
7,076 Views
14 Pages

What Motivates Chinese Young Adults to Use mHealth?

  • Wai-Ming To,
  • Peter K. C. Lee,
  • Jinxuan Lu,
  • Junhao Wang,
  • Yihan Yang and
  • Qingxin Yu

2 December 2019

mHealth is one of China’s national strategies that brings affordable, accessible, and convenient health care to its entire population, may they be in cities or rural areas. Although Chinese young adults are among the first to adopt mHealth, the...

  • Project Report
  • Open Access
1 Citations
4,970 Views
6 Pages

Medication Error Rate in Transition of Care: General Practitioner (GP) Referrals to a Regional Emergency Department

  • Sarah J. Prior,
  • Colleen Cheek,
  • Dong Cheah,
  • Christopher Etherington,
  • Abigail Williams and
  • Nicole S. Reeves

28 November 2019

Medication errors have a significant impact on patient outcomes, increase healthcare costs, and are a common cause of preventable morbidity. This single-site, observational, diagnostic accuracy study aimed to quantify medication discrepancies in tran...

  • Article
  • Open Access
6 Citations
5,286 Views
13 Pages

21 November 2019

From January 2016, nurses in Poland received new competencies for prescribing. The work is the first in Poland to elaborate on the subject of nurses’ readiness to learn and develop in the context of new nursing rights regarding autonomous presc...

  • Article
  • Open Access
18 Citations
5,351 Views
15 Pages

Study on the Recognition of Exercise Intensity and Fatigue on Runners Based on Subjective and Objective Information

  • Guozhong Chai,
  • Yinghao Wang,
  • Jianfeng Wu,
  • Hongchun Yang,
  • Zhichuan Tang and
  • Lekai Zhang

20 November 2019

A running exhaustion experiment was used to explore the correlations between the time-frequency domain indexes extracted from the surface electromyography (EMG) signals of targeted muscles, heart rate and exercise intensity, and subjective fatigue. T...

  • Article
  • Open Access
18 Citations
5,407 Views
14 Pages

19 November 2019

The new era of healthcare emphasizes the integration of nutritional care into healthcare management to improve patient outcomes. Previous studies indicated that nutritional knowledge among physicians is insufficient. Thus far, only a limited number o...

  • Article
  • Open Access
2 Citations
4,018 Views
9 Pages

Influence of Cardiorespiratory Clinical Placements on the Specialty Interest of Physiotherapy Students

  • Irene Torres Sánchez,
  • Laura López López,
  • Janet Rodríguez Torres,
  • Esther Prados Román,
  • María Granados Santiago and
  • Marie Carmen Valenza

17 November 2019

Clinical placements are an important part of health students’ training. Whilst much value is placed on the clinical environment as a place to learn, there is a paucity of direct evidence about its effectiveness. The aim of this study was to com...

  • Article
  • Open Access
27 Citations
7,401 Views
14 Pages

AR-Therapist: Design and Simulation of an AR-Game Environment as a CBT for Patients with ADHD

  • Saad Alqithami,
  • Musaad Alzahrani,
  • Abdulkareem Alzahrani and
  • Ahmed Mustafa

15 November 2019

Attention Deficit Hyperactivity Disorder is one of the most common neurodevelopmental disorders in which patients have difficulties related to inattention, hyperactivity, and impulsivity. Those patients are in need of a psychological therapy use Cogn...

  • Article
  • Open Access
7 Citations
5,198 Views
14 Pages

15 November 2019

Considering China is facing a precipitous decline in its population, there is an emerging trend of developing baby robots to encourage people’s willingness to become “parents”. Based on the decomposed theory of planned behavior and...

  • Article
  • Open Access
6 Citations
5,133 Views
9 Pages

Clinical Determinants Affecting Indications for Surgery and Chemotherapy in Recurrent Ovarian Granulosa Cell Tumor

  • Hidekatsu Nakai,
  • Eiji Koike,
  • Kosuke Murakami,
  • Hisamitsu Takaya,
  • Yasushi Kotani,
  • Rika Nakai,
  • Ayako Suzuki,
  • Masato Aoki,
  • Noriomi Matsumura and
  • Masaki Mandai

14 November 2019

Background: Because reports on the management of recurrent granulosa cell tumor have been sparse, a consensus as to which patients should undergo surgical resection and which patients should be considered for chemotherapy has not been established. Me...

  • Article
  • Open Access
37 Citations
11,801 Views
19 Pages

13 November 2019

Health problems are often idiosyncratic in nature and therefore require individualized diagnosis and treatment. In this paper, we show how single-case experimental designs (SCEDs) can meet the requirement to find and evaluate individually tailored tr...

  • Article
  • Open Access
3 Citations
4,261 Views
26 Pages

13 November 2019

Over the past few decades, China’s rapid economic, energy, and industrial developments have caused serious environmental damage. However, as there are large resource, energy use, economic, and environmental damage differences across Chinese reg...

  • Article
  • Open Access
25 Citations
14,192 Views
15 Pages

12 November 2019

Background: Nurses and midwives are central to the implementation and delivery of quality care through evidence-based practice (EBP). However, implementation of EBP in nursing and midwifery is under-researched with few examples of systematic and sust...

  • Review
  • Open Access
43 Citations
11,182 Views
12 Pages

Oral Appliances in Obstructive Sleep Apnea

  • Marijke Dieltjens and
  • Olivier M. Vanderveken

8 November 2019

Oral appliance therapy is increasingly prescribed as a non-invasive treatment option for patients diagnosed with obstructive sleep apnea. The custom-made titratable mandibular advancement devices (MAD) are the recommended type of oral appliances. Man...

  • Article
  • Open Access
3 Citations
4,932 Views
20 Pages

7 November 2019

Background: The number of persons who have to overcome extensive geographical distances for caring for their older parent(s), hereinafter referred to as long-distance caregiving relatives (LDCs), is rising. However, in the non-English-speaking Global...

  • Article
  • Open Access
10 Citations
5,090 Views
17 Pages

Parental Influence in Forming Preschool Children’s Eating Behaviors—A Cross-Sectional Survey in Chongqing, China

  • Hongmei Hu,
  • Chenlu Yang,
  • Fang Tan,
  • Xin Zhao,
  • Xingxing Du,
  • Jiyu Liang,
  • Tingting Wu,
  • Haozhuo Wang,
  • Zixin Qiu and
  • Weiwei Liu
  • + 2 authors

7 November 2019

Children’s eating habits are closely related to their health problems and the outlook for children’s nutritional statuses appears poor. A cross-sectional survey was conducted among parents of preschool children from December 2018 to Janua...

  • Protocol
  • Open Access
6 Citations
4,365 Views
5 Pages

6 November 2019

The n-of-1 trial can utilized in clinical practice as a decision support tool, which may improve patient outcomes by providing both the patient and the clinician with objective evidence to inform personalized treatment decisions. As its use broadens,...

  • Article
  • Open Access
39 Citations
7,385 Views
13 Pages

Comparison of Aggregated N-of-1 Trials with Parallel and Crossover Randomized Controlled Trials Using Simulation Studies

  • J. Walker Blackston,
  • Andrew G. Chapple,
  • James M. McGree,
  • Suzanne McDonald and
  • Jane Nikles

6 November 2019

Background: N-of-1 trials offer an innovative approach to delivering personalized clinical care together with population-level research. While increasingly used, these methods have raised some statistical concerns in the healthcare community. Methods...

  • Article
  • Open Access
24 Citations
4,463 Views
26 Pages

6 November 2019

There is a close and important relationship between environmental pollution and public health, and environmental pollution has an important impact on the public health. This study employed the two-stage meta-frontier dynamic network data envelopment...

  • Discussion
  • Open Access
6 Citations
5,382 Views
4 Pages

5 November 2019

In this paper we discuss the value of N-of-1 trials in personalising health care. We describe the challenges faced in implementing N-of-1 trials in the United Kingdom’s National Health Service and suggest how making greater use of these persona...

  • Article
  • Open Access
6 Citations
5,352 Views
11 Pages

Education and Protein Supplementation Improve Nutritional Biomarkers among Hypoalbuminemic Peritoneal Dialysis Patients: A Quasi-Experimental Design

  • Tuyen Van Duong,
  • Chang-An Tsao,
  • Evelyn Yang,
  • Ching-Hsiu Peng,
  • Yi-Cheng Hou,
  • Yan-Chen Su,
  • Jui-Ting Chang and
  • Shwu-Huey Yang

5 November 2019

Protein-energy wasting is prevalent in peritoneal dialysis patients, which causes a heavy burden for individuals and healthcare systems. We aimed to investigate the effect of nutritional education, and/or protein supplementation on nutritional biomar...

  • Article
  • Open Access
29 Citations
40,039 Views
11 Pages

4 November 2019

Transformational leadership (TL) is known to be essential to achieving Magnet® recognition, an internationally prestigious status for nursing care excellence. Since its inception in the 1980s, empirical studies have identified benefits of impleme...

  • Article
  • Open Access
13 Citations
5,176 Views
16 Pages

4 November 2019

Online depression communities give people additional opportunities to share their experiences and exchange social support to care for themselves in fighting against depression. We aimed to explore what drives patients to share in online depression co...

  • Article
  • Open Access
4 Citations
4,602 Views
10 Pages

3 November 2019

This paper examines the effects of China’s New Cooperative Medical Scheme (NCMS) on medical expenditure. Utilizing the quasi-random rollout of the NCMS for a difference-in-difference analysis, we find that the NCMS increased medical expenditure...

  • Article
  • Open Access
37 Citations
9,593 Views
13 Pages

Using Citizen Science to Explore Neighbourhood Influences on Ageing Well: Pilot Project

  • Helen Barrie,
  • Veronica Soebarto,
  • Jarrod Lange,
  • Fidelma Mc Corry-Breen and
  • Lauren Walker

1 November 2019

Outdoor and indoor environments impact older people’s mobility, independence, quality of life, and ability to “age in place”. Considerable evidence suggests that not only the amount, but also the quality, of public green spaces in t...

  • Article
  • Open Access
20 Citations
11,422 Views
10 Pages

1 November 2019

Healthcare Organisational Culture (OC) is a major contributing factor in serious failings in healthcare delivery. Despite an increased awareness of the impact that OC is having on patient care, there is no universally accepted way to measure culture...

  • Article
  • Open Access
12 Citations
6,402 Views
13 Pages

1 November 2019

Blood–saliva contamination negatively affects the bonding potential of adhesive agents. The study aimed to assess the effect of various cleaning protocols on micro-shear bond strength (μSBS) between blood–saliva-contaminated post-etche...

  • Protocol
  • Open Access
15 Citations
5,296 Views
14 Pages

Evaluating the Comparative Effectiveness of Two Diets in Pediatric Inflammatory Bowel Disease: A Study Protocol for a Series of N-of-1 Trials

  • Heather C. Kaplan,
  • Lisa Opipari-Arrigan,
  • Christopher H. Schmid,
  • Christine L. Schuler,
  • Shehzad Saeed,
  • Kimberly L. Braly,
  • Jennifer C. Burgis,
  • Kaylie Nguyen,
  • Sheri Pilley and
  • David L. Suskind
  • + 2 authors

1 November 2019

Inflammatory bowel disease (IBD) affects 3 million children and adults in the US. Treatment involves medications with considerable risk profiles. Dietary modification, such as the specific carbohydrate diet (SCD), may be helpful in treating IBD, but...

  • Commentary
  • Open Access
4 Citations
3,772 Views
12 Pages

31 October 2019

This paper tracked hepatitis B patients from Medan, Indonesia to Penang, Malaysia under transnational medical care and has an understanding of their medical history and socioeconomic status. The condition of these patients improved as a result of goo...

  • Article
  • Open Access
6 Citations
3,380 Views
15 Pages

Cancer Survival Data Representation for Improved Parametric and Dynamic Lifetime Analysis

  • Lode K.J. Vandamme,
  • Peter A.A.F. Wouters,
  • Gerrit D. Slooter and
  • Ignace H.J.T. de Hingh

28 October 2019

Survival functions are often characterized by a median survival time or a 5-year survival. Whether or not such representation is sufficient depends on tumour development. Different tumour stages have different mean survival times after therapy. The v...

  • Article
  • Open Access
5 Citations
4,571 Views
15 Pages

A New Methodology for Use by a Single Caregiver to Bathe Bedridden Elderly Persons Using Advanced Mechatronic Systems

  • Karolina Bezerra,
  • José Machado,
  • Vítor Carvalho,
  • Filomena Soares,
  • Demétrio Matos,
  • Marcelo Castro,
  • Filipe Pereira and
  • Hugo Lopes

28 October 2019

In the framework of this paper, we aimed to propose a methodology for giving baths to elderly, bedridden persons, when this task is performed by a single caregiver. Usually, two caregivers are required for nursing a bedridden patient, especially when...

  • Review
  • Open Access
4 Citations
4,197 Views
15 Pages

Healthcare Received in the Last Months of Life in Portugal: A Systematic Review

  • Alexandra Pereira,
  • Amélia Ferreira and
  • José Martins

24 October 2019

Background: While evidence demonstrates that end-of-life care practices vary across countries, there is still a lack of evidence regarding the healthcare that is received by adult individuals in the last months of life in Portugal. Methods: This is a...

  • Article
  • Open Access
10 Citations
7,516 Views
17 Pages

Line Immunoblot Assay for Tick-Borne Relapsing Fever and Findings in Patient Sera from Australia, Ukraine and the USA

  • Jyotsna S. Shah,
  • Song Liu,
  • Iris Du Cruz,
  • Akhila Poruri,
  • Rajan Maynard,
  • Mariia Shkilna,
  • Mykhaylo Korda,
  • Ivan Klishch,
  • Stepan Zaporozhan and
  • Ranjan Ramasamy
  • + 3 authors

21 October 2019

Tick-borne relapsing fever (TBRF) is caused by spirochete bacteria of the genus Borrelia termed relapsing fever Borreliae (RFB). TBRF shares symptoms with Lyme disease (LD) caused by related Lyme disease Borreliae (LDB). TBRF and LD are transmitted b...

  • Article
  • Open Access
4 Citations
4,644 Views
10 Pages

18 October 2019

Objective: The private healthcare providers (PHCP) are believed to improve access to healthcare services in public–private mix (PPM) projects, as they are considered first point of contact for healthcare. The purpose of this study was to determ...

  • Article
  • Open Access
18 Citations
4,331 Views
9 Pages

18 October 2019

Background: Sarcomas are rare and heterogeneous tumours with a large proportion of patients requiring palliative intervention. They are regarded as relatively radioresistant and therefore achieving good palliation with radiation may require larger do...

  • Article
  • Open Access
69 Citations
14,721 Views
11 Pages

15 October 2019

Qualified and competent healthcare professionals working in a collaborative team environment is a prerequisite for high quality patient care. In order to be successful in the healthcare working environment, medical students need to be exposed to inte...

  • Article
  • Open Access
22 Citations
7,678 Views
10 Pages

Feasibility of Ultrasound-Guided Trigger Point Injection in Patients with Myofascial Pain Syndrome

  • Jung Joong Kang,
  • Jungin Kim,
  • Seunghun Park,
  • Sungwoo Paek,
  • Tae Hee Kim and
  • Dong Kyu Kim

15 October 2019

We compared the feasibility of ultrasound (US)-guided myofascial trigger point (MTrP) injection with that of a blind injection technique following the use of shear wave elastography (SWE) for the measurement of stiffness at the MTrPs in patients with...

  • Article
  • Open Access
4 Citations
5,774 Views
12 Pages

14 October 2019

The concept of person-centred care (PCC) is considered one of the core competencies in Swedish healthcare. It has increasingly spread and involves treating the patient as a person who is decision-competent and part of the team. The PCC concept has be...

  • Article
  • Open Access
8 Citations
18,700 Views
17 Pages

14 October 2019

The Philippine health system has undergone various changes which addressed the needs of the time. These changes were reflected in the benchmarks and indicators of performance of the whole health system. To understand how these changes affected the he...

  • Review
  • Open Access
54 Citations
37,078 Views
28 Pages

There is often difficulty differentiating between psychosomatic, somatopsychic, multisystem illness, and different degrees of medical uncertainty. Uncommon, complex, and multisystem diseases are commonly misdiagnosed. Two case histories are described...

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Healthcare - ISSN 2227-9032