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Abstract Incorporating the leading practice provider in the field of tele critical care medicine addresses the critical care provider shortage. The current literature also includes details of future workflows, deployment challenges, and implementation results, although emphasizing expanding teleCCM service may be difficult. Here, we demonstrate the introduction of a telemedicine APP pilot service within an existing teleCCM program with the aim of determining the feasibility and ease of deployment. The objective is to evaluate the effectiveness and potential effects of an existing tele-ICU system in several hospitals affiliated with a large academic center. In summary, the eAPP can be quickly deployed in existing teleCCM settings, providing customizable and valuable care that meets the specific needs of various ICUs while simultaneously improving ICU care delivery.
Source link: https://doi.org/10.1186/s12913-022-08251-4
OBJECTIVE Breaking bad news is a difficult challenge in medical education. Several new breaking-bad-news preparation schemes have been suggested. The aim of this review was to compare the short- and long-term results of a training program for providing patients and their families with troubling news. METHODS Between 2012 and 2015, pediatric neurosurgery residents attended a preparation day on breaking bad news in pediatric neurosurgery with professional actors. RESULTS Seventeen participants from nine different countries were interviewed. All trainees needed more training sessions. The majority of students reported a positive influence of the education on their careers. During their stay, only 21% had another training session on breaking bad news during their stay. Even many years later, breaking-bad-news training has a long-term educational benefit. Pediatric neurosurgery residency should be integrated with such a training program.
Source link: https://doi.org/10.3171/2019.12.peds19554
Abstract Background: Comorbid anxiety disorders are common in children with autism spectrum disorders, but only a minority receives appropriate treatment for anxiety. Cognitive behavioral therapy has been shown to be highly effective in treating anxiety disorders. The aim of the present pilot study was to determine the comorbid anxiety disorders in children with ASD, as well as determine whether an increase in diagnostic outcomes for anxiety disorders and symptoms of anxiety was found after treatment. Participants were ten children with ASD and anxiety disorders. Child anxiety symptoms were recorded on the Revised Child Anxiety and Depression Scale, which was measured. Five of the seven children were free of all anxiety disorders, while two of them had less anxiety problems. Conclusion: The therapists found the Lefens stressu201d initiative to be a fruitful intervention in a small population of children with ASD and comorbid anxiety.
Source link: https://doi.org/10.21307/sjcapp-2021-005
Abstract Background: The start of a healthy life begins in pregnancy, and early adversity can have long-term consequences for affected children. Object: This paper examines the effects of the Incredible Years Parents and Babies initiative, which was developed as a universal parenting service to parents with newborn infants. No intervention effects were found on any of the primary or secondary parent-reported outcomes at a one-year follow-up study when the children were 18 months old. When examining the lowest-functioning mothers in moderator studies, we found that mothers assigned to the IYPB group had significantly lower ratings for the interest and curiosity subscale of the parent reflective function scale than control mothers. Conclusion: When offered as a universal solution to a relatively high level of typical care, we found no long-term consequences of the IYPB.
Source link: https://doi.org/10.21307/sjcapp-2020-012
Patients in the control group received standard rehabilitation after two sessions per day 5 days a week of physical therapy, whereas patients in the experimental group received a programme of conventional rehabilitation aided by a point-light display observation two times per day and three days a week. Conclusions: These findings support systematic point-light display observation to support functional recovery in patients with complete knee arthroplasty.
Source link: https://doi.org/10.3390/medicina58070868
Methods and analysis: This unblinded, cluster-controlled pilot study examines students in twelve classes ranging from kindergarten to thirteen in German public schools. The percentage of students taking baseline and follow-up surveys, a comparison of baseline characteristics between students in the retained subsample and those missing to follow-up, proportions of students taking online and paper-based surveys, and difficulties during data collection based on data reported by teachers were among the items included in the following tables. If proven effective and rolled out more widely, the Public Climate School has the potential to contribute significantly to national climate mitigation and adaptation efforts by reaching a significant number of adolescents in public schools, including those who are not normally involved in climate action.
Source link: https://doi.org/10.3390/ijerph19138039
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