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1

OTESSA. "OTESSA's Submission for the Government of Canada's Federal Pre-Budget Consultations." Open/Technology in Education, Society, and Scholarship Association Journal 1, no. 1 (2021): 1–6. http://dx.doi.org/10.18357/otessaj.2021.1.1.7.

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Governments have the opportunity to influence policy in education and to facilitate funding to support its implementation. This document contains seven recommendations made to the Government of Canada as part of its public consultation in developing its federal budget. It was developed with input from both members and public contributors involved with the Open/Technology in Education, Society, and Scholarship Association (OTESSA), then submitted to the Canadian federal government in August of 2021. The document was originally posted on a blog post on the OTESSA website at https://otessa.org
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Charles, Richard Oyier, and Amollo Odundo Paul. "PARTICIPATION OF SCIENCE TEACHERS IN BUDGETING FOR INSTRUCTIONAL RESOURCES SECONDARY SCHOOLS IN KENYA." International Journal of Research - Granthaalayah 5, no. 8 (2017): 236–51. https://doi.org/10.5281/zenodo.888031.

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Planning for instructional resources demands that money be set aside and budgeted for to make them available and adequate in secondary schools. To adequately avail science instructional resources a policy driven budgeting process is essential. The influence of budgeting process on instructional management and the extent of involvement of science teachers have not been highlighted through empirical data. This study adopted stakeholder theory and obtained information from science teachers in secondary schools within Nairobi County, Kenya. From 96 science teachers in 33 secondary schools of Nairo
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Fan, Xiucong, Danxia Chen, Siwei Bao, et al. "Integrating Multidisciplinary Individualized Medication Recommendations Into the Traditional Pharmacists’ Consultation Method: A Retrospective Study Using Propensity Score Matching Analysis." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 59 (January 2022): 004695802210814. http://dx.doi.org/10.1177/00469580221081437.

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Chinese clinical pharmacists consider improving the quantity and quality of consultations to be an important task in providing better pharmaceutical care. To achieve this goal, we developed a clinical pharmacist consultation method using multidisciplinary individualized medication recommendations (MIMRs) and studied the effects of its implementation. A retrospective study of 812 clinical pharmacist-led consultations was conducted. In the pre-intervention group, medication advice was given based on the purpose of the consultation. In the post-intervention group, a consultation method using MIMR
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Oyier, Charles Richard, and Paul Amollo Odundo. "PARTICIPATION OF SCIENCE TEACHERS IN BUDGETING FOR INSTRUCTIONAL RESOURCES SECONDARY SCHOOLS IN KENYA." International Journal of Research -GRANTHAALAYAH 5, no. 8 (2017): 236–51. http://dx.doi.org/10.29121/granthaalayah.v5.i8.2017.2219.

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Planning for instructional resources demands that money be set aside and budgeted for to make them available and adequate in secondary schools. To adequately avail science instructional resources a policy driven budgeting process is essential. The influence of budgeting process on instructional management and the extent of involvement of science teachers have not been highlighted through empirical data. This study adopted stakeholder theory and obtained information from science teachers in secondary schools within Nairobi County, Kenya. From 96 science teachers in 33 secondary schools of Nairo
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Estrada, Joana, Cláudia Conceição, Gonçalo Figueiredo Augusto, and Rosa Teodósio. "What Do Travelers Know about Traveler’s Diarrhea? Impact of a Pre-Travel Consultation in the Lisbon Area, Portugal." Tropical Medicine and Infectious Disease 9, no. 10 (2024): 232. http://dx.doi.org/10.3390/tropicalmed9100232.

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Traveler’s diarrhea (TD) is one of the most common travel-related health problems, largely interfering with planned activities and potentially contributing to antimicrobial resistance. This study aimed to characterize the knowledge about TD among pre-travel consultation users of one Portuguese travel clinic and determine the impact of the consultation on knowledge levels. Using a quasi-experimental, separate-sample pretest–posttest design, participants were randomly assigned to two groups: control/pre-consultation group (CG) or experimental/post-consultation group (EG). An anonymous self-admin
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Gül, Melike Kevser, Salih Güneş, Esra Özdemir, and Sevgi Özmen. "The impact of life events on child and adolescent psychiatry consultations." Cukurova Medical Journal 49, no. 3 (2024): 561–69. http://dx.doi.org/10.17826/cumj.1432763.

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Purpose: Children are exposed to many adverse life events, and this may cause psychiatric disorders. In this study, we aimed to investigate the effects of two different life events, the COVID-19 pandemic and the earthquake, on the consultations requested. Materials and Methods: 1268 consultations requested from the child and adolescent psychiatry department between March 2019 and March 2023 were reviewed from hospital records. The specified period was divided into four distinct parts with one-year intervals: pre-pandemic, the first year of the pandemic, the second year of the pandemic, and pos
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Moir, Rachel, Roshelle Ramkisson, Seri Abraham, and Shevonne Matheiken. "A quality improvement (QI) project on improving trainee confidence in conducting remote psychiatric consultations at Pennine Care National Health Service (NHS) Foundation Trust in the United Kingdom (UK)." BJPsych Open 7, S1 (2021): S209—S210. http://dx.doi.org/10.1192/bjo.2021.560.

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AimsWhen the coronavirus disease 2019 pandemic hit the UK, clinicians within Pennine Care NHS Foundation Trust (a five-borough mental health trust) were faced with the challenge of rapidly switching to a novel way of assessing patients remotely.The idea for a QI project on trainees’ experience with remote consultations was conceived in April 2020. We present our February 2021 results here.We aimed to improve trainee confidence in conducting remote psychiatric assessments by at least 40%, to ensure effective and safe patient care during their 6 months placement.MethodOur discovery process inclu
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Ritunga, Imelda, Mora Claramita, Sandra Widaty, and Hardyanto Soebono. "Challenges and recommendations in the implementation of audiovisual telemedicine communication: a systematic review." Korean Journal of Medical Education 36, no. 3 (2024): 315–26. http://dx.doi.org/10.3946/kjme.2024.305.

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This systematic review aims to identify the elements of doctor-patient communication in telemedicine, emerging challenges, and proposed recommendations. Four databases, including Science Direct, PubMed, Cochrane, and ProQuest, were searched using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The inclusion criteria consisted of original research papers, availability of free full text, and publications during the past 10 years. A total of 13 articles completed the selection process and satisfied the established criteria. The issues and recommendations of tele
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Musselman, Kelsey, Kristen Pepin, Nicole A. Lamparello, et al. "Evolving Referral Patterns and Management Following Implementation of a Multidisciplinary Fibroid Center: A Retrospective Cohort Study." Journal of Clinical Medicine 13, no. 13 (2024): 3632. http://dx.doi.org/10.3390/jcm13133632.

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Background/Objectives: Our objective was to evaluate changes in the management of symptomatic fibroids after establishing a multidisciplinary fibroid center with minimally invasive gynecologic surgery (MIGS) and interventional radiology (IR). Methods: A retrospective cohort study was conducted at the fibroid center created in September 2020. Patients were offered same-day consults with both MIGS and IR providers. Data were collected for patients with initial consultations from January to June 2019 (pre-fibroid center) and from January to June 2021 (post-fibroid center). Results: Among 615 pati
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Çakır Kardeş, V., and G. Telli. "The Evaluation of the Comparision Between pre- and post Pandemic Era Regarding Emergency Psychiatric Consultations." European Psychiatry 65, S1 (2022): S492. http://dx.doi.org/10.1192/j.eurpsy.2022.1251.

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Introduction COVID-19 had direct and indirect impacts on both mental health and healthcare systems. Evaluating urgent psychiatric consultations may be useful to determine the effects of COVID-19 pandemic since it reflects the condition of psychiatric patients and healthcare systems Objectives This study aims to determine the quantitative or qualitative changes in emergency psychiatry consultations after COVID-19 pandemic. Methods The socio-demographic characteristics and clinical features of two hundred thirty three patients were retrospectively collected and analyzed in order to compare the e
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Mulgund, Kavya, Monish Ahluwalia, Vandana Ahluwalia, Sangeeta Bajaj, Raman Joshi, and Tripti Papneja. "Impact of a Physician Extender on Outpatient Rheumatology Capacity and Wait Times." Journal of Rheumatology 52, Suppl 2 (2025): 101.2–101. https://doi.org/10.3899/jrheum.2025-0314.118.

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ObjectivesTo determine the impact of an unlicensed international medical graduate (IMG) in a physician extender role within a multi-doctor urban rheumatology clinic on the number and average wait times of new patient consultations.MethodsA retrospective quality improvement framework was adopted. Starting September 2022, an IMG served as a physician extender, assisting with new consultations 1 day per week for each of the 4 rheumatologists in the clinic. All new consultations seen between September 1st, 2021, and August 31st, 2023, were included in the study. The pre-IMG period was established
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Mansoor, Hassan, Saad Alam Khan, Tayyab Afghani, Muhammad Zaman Assir, Mahmood Ali, and Wajid Ali Khan. "Utility of teleconsultation in accessing eye care in a developing country during COVID-19 pandemic." PLOS ONE 16, no. 1 (2021): e0245343. http://dx.doi.org/10.1371/journal.pone.0245343.

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Objective To evaluate the utility of teleconsultation in the provision of eye care services during the COVID-19 lockdown. Disparities in the consultation burden of sub-specialities and socio-demographic differences in teleconsultation utilization were also assessed. Methods Al-Shifa Trust Eye Hospital Rawalpindi began audio and video teleconsultation using broadband telecommunication services during the lockdown. Patients’ and consultations’ data gathered during the first three weeks after the commencement of this programme were compared with data from the four weeks prior to lockdown. The wee
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Pant, Vivek. "The Evolving Role of Laboratory Doctors: A Shift towards Patient Consultation." Journal of Nepal Medical Association 62, no. 280 (2024): 854–57. https://doi.org/10.31729/jnma.8838.

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In developing countries such as Nepal, the scarcity of doctors and their constrained consultation time often hinder comprehensive patient education regarding laboratory pre-test preparations and post-test results counselling. This study examines the potential of integrating laboratory doctors and direct patient consultations as alternatives to improve patient management. By piloting this practice at our institution, this viewpoint highlight that the laboratory doctors, with their specialized knowledge, can effectively communicate pre-test and post-test information, thereby enhancing patient un
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Badami, Sunil, Insha Pun, Daniela Chala Garcia, Dmitry Tumin, and Yaolin Zhou. "Comprehensive molecular pathology review service to reduce barriers to precision oncology in rural eastern North Carolina." Journal of Clinical Oncology 42, no. 16_suppl (2024): 11129. http://dx.doi.org/10.1200/jco.2024.42.16_suppl.11129.

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11129 Background: ECU Health system serves a rural 29-county region where cancer mortality rates exceed those of the state’s remaining 71 counties combined. Insufficient tissue and lack of local infrastructure contribute to suboptimal precision oncology care. We aimed to enhance the clinical utility of send-out molecular tests for patients with solid cancers through a quality improvement (QI) initiative. Methods: We used the EPIDEM model of QI to explore, promote, and implement a molecular review service, which includes intervening on send-out molecular orders that would otherwise have been in
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Sayers, Caitlin, Jennifer Embree, Shawna Thomas, et al. "679 Utilization of a Palliative Care Assessment Tool Within a Verified Adult Burn Center." Journal of Burn Care & Research 46, Supplement_1 (2025): S237. https://doi.org/10.1093/jbcr/iraf019.308.

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Abstract Introduction Palliative care is a commonly used consultation service in the trauma world, however, interestingly, only 2% of burn patients, a subset of trauma patients, have the luxury of a palliative care consult during hospitalization. The early introduction of palliative care during a burn survivor’s hospitalization may reduce miscommunication, the feeling of hopelessness, and incongruent care coordination. The purpose of this study is to evaluate the incidence of palliative care consultations on a verified adult burn center by comparing pre- and post- intervention data following t
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Keogh, Kandice, Paul Clark, Patricia C. Valery, et al. "Use of telehealth to treat and manage chronic viral hepatitis in regional Queensland." Journal of Telemedicine and Telecare 22, no. 8 (2016): 459–64. http://dx.doi.org/10.1177/1357633x16673794.

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For regional and rural Queenslanders, chronic viral hepatitis treatment is a major unmet health need, with restricted access to specialists outside of tertiary, largely metropolitan hospitals. To increase treatment of chronic viral hepatitis in regional Queensland, a team-based telehealth model was expanded. This expansion embedded an initial nursing consultation prior to specialist telehealth consultation. We conducted a retrospective audit of the introduction and expansion of hepatology telehealth services. Activity from July 2014–June 2015 (pre-expansion) was compared with July 2015– June 2
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Preble, Kristen, and Bradford Benggio. "MANAGING THE RESOURCE CONSULTATION PROCESS: A CASE STUDY FROM THE JIREH GROUNDING RESPONSE." International Oil Spill Conference Proceedings 2014, no. 1 (2014): 686–96. http://dx.doi.org/10.7901/2169-3358-2014.1.686.

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ABSTRACT The grounding of the 202-foot freight vessel JIREH, which occurred on June 21, 2012 on the Mona Island Natural Reserve in Puerto Rico, triggered a three month long response in what is arguably the most environmentally sensitive location in Puerto Rico and much of the Caribbean. Prior to, during, and after the response, the Federal On-Scene Coordinator worked closely with United States Government and Commonwealth of Puerto Rico agencies to ensure all natural and historic resource consultation mandates required under Federal law were initiated properly. This paper explores how the Endan
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Khutkyy, Dmytro, and Olga Matveieva. "Sustainable Development, Digital Democracy, and Open Government: Co-Creation Synergy in Ukraine." Comparative Southeast European Studies 72, no. 4 (2024): 436–64. https://doi.org/10.1515/soeu-2024-0036.

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Abstract The article examines the interplay between the United Nations Sustainable Development Goals (SDGs), digital democracy, and open government in Ukraine in 2018 and 2020. The authors employ a mixed methods exploratory approach combining desk research with expert interviews. The study finds that during public consultations in Ukraine, the SDGs served as discussion themes, while the Open Government Partnership provided an executable platform. These e-consultations helped collect policy ideas, e-discussions facilitated policy drafting, and non-binding internet voting assisted in prioritisin
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Fujita, Dennis Minoru, Karina Takesaki Miyaji, Marta Heloisa Lopes, Heitor Franco de Andrade Júnior, and Expedito José de Albuquerque Luna. "Routine Vaccination for Travelers from Emerging Countries: Epidemiological Profile of a Public Travel Medicine Clinic in Sao Paulo/Brazil." International Journal of Travel Medicine and Global Health 7, no. 1 (2019): 13–17. http://dx.doi.org/10.15171/ijtmgh.2019.04.

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Introduction: Emerging countries have increased their presence in international travel (46.8% of travels). Pre- and post-travel consultations may provide insights about travelers’ health. Methods: A retrospective descriptive analysis of the medical data of all travelers assisted at Ambulatório dos Viajantes, a free public health clinic for travelers in São Paulo, Brazil, from January to December 2016 was performed. The patients were profiled based on post-travel consultation data and screened by gender, age according to the United Nations working-age population distribution (0-14 years, childr
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O'Mahony, Sean, Patricia Marthone, Gabriella Santoro, et al. "Preliminary Report of a Pilot Tele-Health Palliative Care and Bioethics Program for Residents in Skilled Nursing Facilities." Palliative Care: Research and Treatment 3 (January 2009): PCRT.S3296. http://dx.doi.org/10.4137/pcrt.s3296.

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Currently about 25% of Americans die in nursing homes, many with poorly controlled pain and other symptoms, with minimal provisions for psychosocial support. New models are necessary to lessen structural and process barriers to give effective end-of-life care in nursing homes. Objectives 1) To extend hospital-based Bioethics Consultation Services (BCS) and Palliative Care Services (PCS) at Montefiore Medical Center (MMC) in the Bronx to two local Skilled Nursing Facilities (SNFs), Morningside House Aging in America (MSH) using direct face-to-face consultations and Beth Abraham Health Systems (
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Offermann, Julia, and Martina Ziefle. "You Are Not Alone! Care Professionals’ Acceptance of Telemedicine in Nursing Homes Comparing Pre- and Post-Implementation Evaluations." Electronics 13, no. 15 (2024): 3022. http://dx.doi.org/10.3390/electronics13153022.

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A lack of personnel in care institutions and high proportions of older people in need of care pose central challenges for today’s aging society, often resulting in the hospitalization of geriatric patients. In many cases, these hospitalizations are not medically necessary and cause deterioration of health. Applying telemedicine in nursing homes represents one approach aimed at a reduction of unnecessary hospitalizations of geriatric patients and supporting care personnel in medically uncertain situations. For a sustainable and successful implementation of technical innovations such as telemedi
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Jepson, Marcus, Chris Salisbury, Matthew J. Ridd, Chris Metcalfe, Ludivine Garside, and Rebecca K. Barnes. "The ‘One in a Million’ study: creating a database of UK primary care consultations." British Journal of General Practice 67, no. 658 (2017): e345-e351. http://dx.doi.org/10.3399/bjgp17x690521.

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BackgroundAround 1 million primary care consultations happen in England every day. Despite this, much of what happens in these visits remains a ‘black box’.AimTo create an archive of videotaped consultations and linked data based on a large sample of routine face-to-face doctor–patient consultations with consent for use in future research and training.Design and settingCross-sectional study in 12 general practices in the west of England, UK.MethodUp to two GPs from each practice took part in the study. Over 1 to 2 days, consecutive patients were approached until up to 20 eligible patients for
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Kasten, Mary J., Abinash Virk, Jayawant Mandrekar, and Donna J. Springer. "1659. Electronic Consultations Combined with a Video Supported Powerpoint-based Pre-Travel Education Is Equivalent to In-Clinic Face-to-Face Pre-Travel Consultations in Appropriately Selected Travelers." Open Forum Infectious Diseases 6, Supplement_2 (2019): S607—S608. http://dx.doi.org/10.1093/ofid/ofz360.1523.

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Abstract Background Pre-travel consultation involves an in-clinic face-to-face consult (F2F) with a Travel Medicine provider. F2F involves education/counseling which is time-consuming for both patients and providers. Although electronic consultations (synchronous and asynchronous) are well established in many subspecialties, pretravel eConsults are not well known. We compared pretravel education via F2F to an innovative hybrid electronic consultation (HeC) combined with a Video Supported PowerPoint (VSP) for selected travelers. Methods We conducted a prospective trial comparing HeC-VSP to F2F
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Tellier, Geneviève. "Improving the Relevance of Parliamentary Institutions: An Examination of Legislative Pre-budget Consultations in British Columbia." Journal of Legislative Studies 21, no. 2 (2014): 192–212. http://dx.doi.org/10.1080/13572334.2014.953841.

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Tyler, Carl V., and Michael D. Wells. "A Community-Health System Intervention to Improve the Primary Healthcare of Adults With Down Syndrome Through Electronic Consultations." Intellectual and Developmental Disabilities 59, no. 3 (2021): 256–64. http://dx.doi.org/10.1352/1934-9556-59.3.256.

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Abstract Health systems often fail to tap the expertise of the developmental disabilities community support and service system. In this 9-month pilot health system-level quality improvement project, a multi-disciplinary team of physician, pharmacist, and disabilities advocate reviewed electronic records of patients with Down syndrome in advance of pre-scheduled appointments with their primary care physician (PCP) and generated 100 electronic consultations. Post-consultation chart review documented meaningful uptake of clinical recommendations, including screening for thyroid disease, celiac di
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Prezzi, Lucas Antonio, and Mauro Oscar Grossmann. "The COVID-19 pandemic and its impact on the search for mental health services at the Eurnekian Ezeiza hospital." SCT Proceedings in Interdisciplinary Insights and Innovations 1 (November 10, 2023): 137. http://dx.doi.org/10.56294/piii2023137.

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Background: The coronavirus (COVID-19) pandemic was an international public health crisis and presented a serious mental health challenge. During the pandemic, there were many associated psychological changes, ranging from isolated symptoms to complex disorders with significant functional impairment, such as insomnia, anxiety, depression, and post-traumatic stress disorder. Material and methods: An observational, descriptive, retrospective, quantitative and comparative study was carried out based on the patients of the Ezeiza Hospital who made psychiatric consultations in the period of June, J
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Jumiyati, Jumiyati, Atika Hendryani, Rinda Nur Hidayati, and Tetes Wahyu W. "Enhancing Adolescent Girls Anemia Prevention Knowledge and Attitudes through Nutritional Consultations." Media Gizi Indonesia 19, no. 1SP (2024): 20–28. http://dx.doi.org/10.20473/mgi.v19i1sp.20-28.

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Anemia is a public health problem in Indonesia that can affect all age groups, from toddlers to the elderly, and primarily affects adolescents. One way to prevent anemia among them is by increasing knowledge and attitudes through nutritional consultation to achieve promotive and preventive efforts. In 2018, anemia in women was higher (27.2%) than in men (20.3%). This study aimed to determine the effect of nutritional consultations on the knowledge and attitudes of young women in preventing anemia in Bengkulu City. A quasi-experimental study with a non-randomized control group design, pre-test,
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Kawasaki, Hiromi, Satoko Yamasaki, Natsu Kohama, Susumu Fukita, Miwako Tsunematsu, and Masayuki Kakehashi. "Analysis of the Training Effect of a Nursing Undergraduate Course on the Management of Radiation-Related Health Concerns—A Single Group Experiment." International Journal of Environmental Research and Public Health 17, no. 20 (2020): 7649. http://dx.doi.org/10.3390/ijerph17207649.

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After the 2011 Fukushima Daiichi accident, demands regarding nursing staff’s management of nuclear disasters have increased. This study aimed to evaluate a basic training program to teach undergraduate nursing students on how to deal with public anxiety following a nuclear disaster. We analyzed the data of 111 third-year nursing students attending a Japanese university. We set attainment goals in three domains (cognitive, affective, psychomotor) regarding their acquisition of consultation techniques for radiation-related health concerns. We compared pre- and post-class response scores on a kno
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Wong, Arkers Kwan Ching, Robbie Mian Wang, Frances Kam Yuet Wong, et al. "The feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic." BMJ Health & Care Informatics 32, no. 1 (2025): e101082. https://doi.org/10.1136/bmjhci-2024-101082.

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BackgroundTelecare may provide an alternative to maintaining post-acute stroke care services in making benefit to both the providers and the stroke survivors, although study is needed to investigate its feasibility and effectiveness in integrating this innovative delivery mode into a routine.ObjectivesThe objectives of this study are to assess the feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic.MethodsA pre- and post-test one group quasi-experimental design was adopted. Subjects were recruited in the clinic and received three secondary stroke car
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Kumar, Mandeep, Kathryn Wilkinson, Ya-Huei Li, et al. "Association of a Novel Electronic Form for Preoperative Cardiac Risk Assessment With Reduction in Cardiac Consultations and Testing: Retrospective Cohort Study." JMIR Perioperative Medicine 7 (September 13, 2024): e63076. http://dx.doi.org/10.2196/63076.

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Background Preoperative cardiac risk assessment is an integral part of preoperative evaluation; however, there is significant variation among providers, leading to inappropriate referrals for cardiology consultation or excessive low-value cardiac testing. We implemented a novel electronic medical record (EMR) form in our preoperative clinics to decrease variation. Objective This study aimed to investigate the impact of the EMR form on the preoperative utilization of cardiology consultation and cardiac diagnostic testing (echocardiograms, stress tests, and cardiac catheterization) and evaluate
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Dziadzko, Mikhail, Manon Belhassen, Eric Van Ganse, Claire Marant-Micallef, Valeria Martinez, and Frederic Aubrun. "Are Healthcare Resource Utilization Patterns for Pain Management Specific to Post-Acute COVID-19 Syndrome? A Study of Survivors from the First French Pandemic Wave." Journal of Clinical Medicine 13, no. 24 (2024): 7680. https://doi.org/10.3390/jcm13247680.

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Objectives: Chronic pain is a common symptom in Post-Acute COVID-19 Syndrome (PACS), affecting 11–60% of patients, but the link between COVID-19 and chronic pain remains unclear. This study assesses healthcare resource utilization (HRU) for pain management among French COVID-19 survivors, using the National French Claims Database (SNDS). We analyzed medical consultations, rehabilitation services, diagnostic procedures, and medication dispensing to identify PACS-related pain patterns and their impact on the healthcare system. Methods: The cohort included 68,822 patients hospitalized during the
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Harricharan, S., K. Biederman, A. M. Bombassaro, et al. "Adherence to, and outcomes of, a galactomannan screening protocol in high-risk hematology patients." Current Oncology 25, no. 2 (2018): 139. http://dx.doi.org/10.3747/co.25.3848.

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Background A twice-weekly galactomannan (gm) screening protocol was implemented in high-risk hematology inpatients. Study objectives were to determine adherence to the protocol, use of selected resources, and patient outcomes.Methods This retrospective cohort study compared outcomes of interest before and after implementation of gm screening. Adults undergoing matched related allogeneic hematopoietic stem-cell transplantation or induction chemotherapy for acute leukemia were eligible. Patients could be enrolled more than once and were evaluated as episodes. Adherence to the gm protocol was ass
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Rispoli, Rossella, Fabrizia Giorgiutti, Claudio Veltri, et al. "The Clinical Impact of a Multidisciplinary Strategy: Diagnostic and Therapeutic Flow-Chart for Vertebral Metastases with Spinal Cord Compression." Cancers 17, no. 9 (2025): 1479. https://doi.org/10.3390/cancers17091479.

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Introduction: Metastatic spinal cord compression (MSCC) is a life-threatening complication caused by the involvement of the spinal cord or nerve roots. It can result in severe neurological deficits, including paralysis, sensory loss, and bladder or bowel dysfunction, significantly affecting patients’ quality of life. Prompt diagnosis and intervention are critical to minimizing these outcomes and improving neurological recovery. This study evaluates the efficacy of a diagnostic and therapeutic protocol introduced at our institution in 2022, designed to enhance early detection, optimize manageme
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Benggio, Bradford, Debra Scholz, Dave Anderson, et al. "Addressing the Uncertainty and Requirements for Oil Spill Response Consultations." International Oil Spill Conference Proceedings 2014, no. 1 (2014): 1881–98. http://dx.doi.org/10.7901/2169-3358-2014.1.1881.

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ABSTRACT In the United States (U.S.), oil spill response planning, preparedness, and response requirements are dictated primarily by the National Oil and Hazardous Substances Pollution Contingency Plan, a regulation that implements the Oil Pollution Act of 1990, the Clean Water Act, and the Comprehensive Environmental Response, Compensation and Liability Act. At the planning stage, these regulations require the development of national, regional, and local response capabilities and promote overall coordination among responders. During a spill, these capabilities are utilized by the Federal On-S
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Matiello, Marcelo, Ashby C. Turner, Juan Estrada, et al. "Teleneurology-Enabled Determination of Death by Neurologic Criteria After Cardiac Arrest or Severe Neurologic Injury." Neurology 96, no. 15 (2021): e1999-e2005. http://dx.doi.org/10.1212/wnl.0000000000011751.

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ObjectiveTo determine whether providing teleneurology (TN) consultations aiding in determination of death by neurologic criteria (DNC) to a bedside intensivist is feasible and whether timely access and expert input increase the quality of the DNC examination and identification of potential organ donors, we reviewed retrospective data related to outcomes of such consultations.MethodsBetween November 2017 and March 2019, TN consults were requested for sequential comatose patients in the intensive care unit (ICU). We recorded patients' demographic information, causes leading to coma or suspected
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Sesay, Tom, Olga Denisiuk, and Rony Zachariah. "Paediatric morbidity and mortality in Sierra Leone. Have things changed after the 2014/2015 Ebola outbreak?" F1000Research 8 (June 6, 2019): 796. http://dx.doi.org/10.12688/f1000research.18552.1.

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Background: Sierra Leone was severely affected by the 2014/2015 Ebola outbreak and is likely to have had longer term repercussions on the health system including on paediatric morbidity and mortality. We thus assessed under-five morbidity and mortality for malaria, acute respiratory Infections (ARI)/pneumonia, watery diarrhoea and measles during the post-Ebola period in Sierra Leone and compared this with the pre- and intra-Ebola periods. Methods: This was a retrospective cross-sectional study using program data from the District Health Information system (DHIS2) and sourced from 14 districts
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Sesay, Tom, Olga Denisiuk, and Rony Zachariah. "Paediatric morbidity and mortality in Sierra Leone. Have things changed after the 2014/2015 Ebola outbreak?" F1000Research 8 (January 9, 2020): 796. http://dx.doi.org/10.12688/f1000research.18552.2.

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Background: Sierra Leone was severely affected by the 2014/2015 Ebola outbreak which is likely to have had longer term repercussions on the health system including on paediatric morbidity and mortality. We thus assessed under-five morbidity and mortality for malaria, acute respiratory Infections (ARI)/pneumonia, watery diarrhoea and measles during the post-Ebola period in Sierra Leone and compared this with the pre- and intra-Ebola periods. Methods: This was a retrospective cross-sectional study using program data from the District Health Information system (DHIS2) and sourced from 14 district
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Chitez, Madalina, and Loredana Bercuci. "Calibrating digital method integration into ESP courses according to disciplinary settings." New Trends and Issues Proceedings on Humanities and Social Sciences 7, no. 1 (2020): 20–29. http://dx.doi.org/10.18844/prosoc.v7i1.4862.

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This study aims to analyse the effects of a digitally enhanced teaching strategy in an ESP course. The intervention method consists of guided corpus linguistics exercises which are progressively introduced to improve the students’ academic writing. We collected data from various task-based corpus processing, consultation and analysis stages, each one having a different complexity level: compilation of a discipline-specific expert corpus, consultation of a native speaker English corpus and analyses of both types. The pre- and post-intervention results are quantitatively and qualitatively assess
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Biddle, Gregory James Hamilton, Nicholas Thomas, Charlotte L. Edwardson, Stacy A. Clemes, and Amanda J. Daley. "Feasibility and acceptability of general practitioners using sit–stand desks: a feasibility trial." BMJ Open 14, no. 6 (2024): e084085. http://dx.doi.org/10.1136/bmjopen-2024-084085.

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ObjectivesThe primary aim of this study was to investigate the feasibility and acceptability of general practitioners (GPs) using sit–stand desks to facilitate standing during consultations. A further aim was to examine the views of patients about GPs standing for their consultations.DesignA pre–post single-group experimental trial design.SettingGeneral practices in England, UK.Participants42 GPs (working a minimum of five clinical sessions per week) and 301 patients (aged ≥18 years).InterventionsThe intervention consisted of each GP having a sit–stand desk (Opløft Sit-Stand Platform) installe
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Hazeltine, Amanda, Kathryn Liziewski, Ashley Lin, et al. "Enhancing palliative care consultation workflow on an inpatient oncology unit." Journal of Clinical Oncology 39, no. 28_suppl (2021): 208. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.208.

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208 Background: The American Society of Clinical Oncology practice guidelines recommend early palliative care integration for all patients with cancer. At UMass Memorial Medical Center from Sept. to Nov. 2020, only 16% (29/184) of patients on the inpatient oncology unit received a palliative care consultation. Of these consultations, 55% (16/29) were placed within 72 hours of admission. Results from a pre-pilot survey of nurses (n = 20) and providers (n = 14) about attitudes toward palliative care, team communication, and perceptions of barriers to palliative care consultation highlighted a la
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Barradas-Lagunes, Marisol, Paola Bravo-De Avila, Raquel Colorado-Subizar, Maripi De Uriarte-Llorente, Rosario Gamboa-Huerta, and Rey Jesus Romero. "Assessment of factors influencing consultations after bariatric surgery." INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine) 17, no. 5 (2022): 393–99. http://dx.doi.org/10.22141/2224-0721.17.5.2021.241517.

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Background. Bariatric surgery programs are recognized as the best alternative for patients with severe obesity. Many studies conclude that bariatric surgery programs that include these pre- and postoperative consultations (PPC) by the multidisciplinary team have better overall outcome. The purpose of the present study was to evaluate factors that affect PPC during a bariatric surgery program in Mexico and assess the possible impact on the patients’ post-operative course. Materials and methods. In accordance with the the International Federation for the Surgery of Obesity and Metabolic Disorder
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Ardian, Junendri, M. Thonthowi Jauhari, Baiq Fitria Rahmiati, Wayan Canny Naktiani, and Novia Zuriatun Solehah. "Peningkatan Pengetahuan Tentang Gizi Seimbang pada Siswa siswi di SMPN 1 Peringgarata Lombok Tengah." JILPI : Jurnal Ilmiah Pengabdian dan Inovasi 1, no. 4 (2023): 875–84. http://dx.doi.org/10.57248/jilpi.v1i4.244.

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Adolescents are prone to nutritional problems, specific malnutrition problems such as anemia and overweight can also be experienced by adolescents. Nutritional problems in adolescents can occur due to bad eating patterns, this stems from a lack of knowledge about balanced nutrition among adolescents. The implementation of this community service was carried out with a pretest and posttest design regarding balanced nutritional knowledge of students, in addition to that, nutritional status assessments and nutritional consultations were also carried out for students as targets. To measure the succ
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Ribeiro Junior, Howard Lopes. "Advancements and Barriers in Teledentistry: Navigating in the Post-COVID Era." Brazilian Journal of Dentistry and Oral Radiology 2, no. 1 (2023): bjd21. http://dx.doi.org/10.52600/2965-8837.bjdor.2023.2.bjd21.

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Teledentistry has experienced a notable surge in popularity, particularly during the COVID-19 pandemic, as it offers a safer alternative for dental consultations, reducing contagion risks while maintaining access to care. Initially, teleconsultations began with online triage, evolving into a critical component of dental care during the pandemic. Studies show positive reception among dentists and patients, appreciating teledentistry's convenience and effectiveness. Despite pre-pandemic low engagement, the pandemic era witnessed a significant rise in teledentistry's awareness and usage among den
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Robinson, Louise, Claire Bamford, Ruth Briel, John Spencer, and Paula Whitty. "Improving patient-centered care for people with dementia in medical encounters: an educational intervention for old age psychiatrists." International Psychogeriatrics 22, no. 1 (2009): 129–38. http://dx.doi.org/10.1017/s1041610209990482.

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ABSTRACTBackground: Health care professionals are recommended to deliver patient-centered care in dementia; however, guidance and training on how to do this in practice is currently lacking. The aim of this study was to develop and evaluate pragmatically an educational intervention for old age psychiatrists to promote patient-centered care in their consultations with people with dementia and their carers.Methods: We used a range of methods to (i) identify the theoretical components of patient-centered care (literature review) and (ii) observe actual practice (video recording of 53 consultation
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Cano, Joseph J., Aaron P. Thrift, Maria E. Velez, and Hashem El-Serag. "Prospective Implementation of Algorithmic Patient Selection for Gastrostomy Tube Placement Consultations: A Pre-, Post-Analysis." Gastroenterology 152, no. 5 (2017): S851. http://dx.doi.org/10.1016/s0016-5085(17)32930-x.

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Wijaksono, Dimas Satrio, Reni Nuraeni, Freddy Yusanto, Fiqie Lavani Melano, and Jalesita Putri Pramitha. "Pelatihan Fotografi Produk bagi Pelaku UMKM di Kelurahan Baros, Kecamatan Cimahi Tengah." AJAD : Jurnal Pengabdian kepada Masyarakat 5, no. 1 (2025): 72–79. https://doi.org/10.59431/ajad.v5i1.450.

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Product photography training for MSMEs in Baros Village, Central Cimahi, aims to improve the visual and digital skills of business owners in marketing their products. This activity was carried out through three main stages: pre-production, production, and post-production. In the pre-production stage, material preparation, consultation with MSME players, and provision of tools were carried out. The production stage includes theory delivery, hands-on practice, and evaluation of photography skills. Meanwhile, the post-production stage focused on documentation, publication of results, and assessme
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Cho, Jungwon, Young Suk Park, Do Joong Park, et al. "Bridging Policy and Service Performance of Hospital-Based Nutrition Support by Healthcare Information Technology." Nutrients 13, no. 2 (2021): 595. http://dx.doi.org/10.3390/nu13020595.

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Although the healthcare policy was implemented to incentivize the multidisciplinary services of hospital-based nutrition support team (NST) in South Korea, timely completion of the services has been challenging in the hospitals. We enhanced NST healthcare information technology (NST−HIT) to bridge the gap between policy implementation and seamless execution of the policy in the hospital system. A 48 month pre-test−post-test study was performed, including a 12 month pre-intervention period, a six month intervention period, and a 30 month post-intervention period. The enhanced NST−HIT provided s
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Patel, Purvi. "IMPACT OF FRAILTY SCREENING IN A BURN CENTER: A QUALITY IMPROVEMENT PROJECT." Innovation in Aging 8, Supplement_1 (2024): 222. https://doi.org/10.1093/geroni/igae098.0718.

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Abstract Burn injuries create significant risk for the development of new or worsening frailty. Identifying risk for frailty is key to recognizing patients who are at risk for negative outcomes who may benefit from a comprehensive geriatric assessment (CGA). A quality improvement project was conducted in a burn center setting with the primary aim to determine if implementation of the FRAIL scale screening tool impacted frequency of consultation to the geriatric medicine team for a CGA within a 10-week pilot period. Secondary aims were to evaluate feasibility of implementation and to stratify p
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Nemani, Abhishek K., William D. Grant, and Léon-Paul Noël. "Education and Training of Referring Physicians Decreases At-Home Call Demand." Journal of Graduate Medical Education 5, no. 1 (2013): 138–41. http://dx.doi.org/10.4300/jgme-d-11-00317.1.

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Abstract Background Excessive, sometimes unnecessary consultation challenges the ophthalmology resident's ability to obtain adequate rest and personal time while taking at-home calls. Basic training of nonophthalmologists in assessing and treating common ophthalmic emergencies offers a potential solution to this problem by providing primary caregivers the knowledge base, tools, and confidence to manage them independently. Objective We measured ophthalmic consultation requests at a large teaching institution and the impact of an educational intervention on the number and type of requests. Metho
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Lyratzopoulos, Georgios. "Understanding variation in the timeliness of diagnosis of cancer in symptomatic patients." Journal of Clinical Oncology 32, no. 30_suppl (2014): 301. http://dx.doi.org/10.1200/jco.2014.32.30_suppl.301.

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301 Background: Diagnosing cancer promptly in symptomatic patients is a priority for healthcare systems worldwide, but little is known about how initiatives can be targeted to patients at greater risk. Methods: UK data on the number of consultations with a family doctor before specialist referral (‘pre-referral consultations’); the time interval from presentation to referral (‘primary care interval’); and stage at diagnosis, were analysed using multivariable regression models. Results: Both patient experience (41,299 patients, 24 cancers) and clinical audit (13,031 patients, 18 cancers) data i
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