Статті в журналах: "Exercise practitioner"

1

Kyei-Frimpong, Jamie, Jane Blood-Siegfried, Ruvini Wijetilaka, and Abigail Gendler. "Exercise as medicine: Providing practitioner guidance on exercise prescription." Preventive Medicine Reports 22 (June 2021): 101323. http://dx.doi.org/10.1016/j.pmedr.2021.101323.

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2

Costanzo, Dino G. "Optimizing Employability for the Exercise Practitioner." ACSM's Health & Fitness Journal 11, no. 6 (November 2007): 33–36. http://dx.doi.org/10.1249/01.fit.0000298454.55555.23.

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3

Jenkins, Mary, John Mallett, Carmel O'Neill, Mairead McFadden, and Helen Baird. "Insights into ‘Practice’ Communication: An Interactional Approach." British Journal of Occupational Therapy 57, no. 8 (August 1994): 297–302. http://dx.doi.org/10.1177/030802269405700804.

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This article presents data collected in actual occupational therapy practice settings. The purpose of this naturalistic exercise is to provide a better understanding of the characteristics of best practice across the spectrum of practitioners - diplomates, graduates, students and assistants - by exploring the relationships between practitioner and client and noting individual, intragroup and intergroup differences. Two Independent observers viewed and audio-taped eight treatment sessions undertaken by two practitioners from each group. Characterising the interactional process indicated that best practice arises when there is a more egalitarian relationship between practitioner and client and where the practitioner not only encourages but also invites client participation. This behaviour was most evident among diplomates.

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4

Barry, Henry C., and Scott W. Eathorne. "Exercise and aging: Issues for the Practitioner." Medical Clinics of North America 78, no. 2 (March 1994): 357–76. http://dx.doi.org/10.1016/s0025-7125(16)30164-x.

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5

Tompkins, Tawnya Horsley, Basia Belza, and Marie-Annette Brown. "Nurse practitioner practice patterns for exercise counseling." Journal of the American Academy of Nurse Practitioners 21, no. 2 (February 2009): 79–86. http://dx.doi.org/10.1111/j.1745-7599.2008.00388.x.

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6

Santa Mina, D., C. M. Sabiston, D. Au, A. J. Fong, L. C. Capozzi, D. Langelier, M. Chasen, et al. "Connecting people with cancer to physical activity and exercise programs: a pathway to create accessibility and engagement." Current Oncology 25, no. 2 (April 30, 2018): 149. http://dx.doi.org/10.3747/co.25.3977.

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Recent guidelines concerning exercise for people with cancer provide evidence-based direction for exercise assessment and prescription for clinicians and their patients. Although the guidelines promote exercise integration into clinical care for people with cancer, they do not support strategies for bridging the guidelines with related resources or programs. Exercise program accessibility remains a challenge in implementing the guidelines, but that challenge might be mitigated with conceptual frameworks (“pathways”) that connect patients with exercise-related resources. In the present paper, we describe a pathway model and related resources that were developed by an expert panel of practitioners and researchers in the field of exercise and rehabilitation in oncology and that support the transition from health care practitioner to exercise programs or services for people with cancer. The model acknowledges the nuanced distinctions between research and exercise programming, as well as physical activity promotion, that, depending on the available programming in the local community or region, might influence practitioner use. Furthermore, the pathway identifies and provides examples of processes for referral, screening, medical clearance, and programming for people after a cancer diagnosis. The pathway supports the implementation of exercise guidelines and should serve as a model of enhanced care delivery to increase the health and well-being of people with cancer.

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7

Simon, Gail. "Distinctions in Practitioner Research between Professional Practice and Research Practice." Murmurations: Journal of Transformative Systemic Practice 5, no. 2 (December 19, 2022): 82–119. http://dx.doi.org/10.28963/5.2.8.

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Practitioners undertaking research into their professional practice and those involved in evaluating it often struggle to identify distinctions between the professional practice under investigation and the research practice used to study it. This paper identifies ten areas of distinction between professional practice and research practice. It provides some example questions under each of the ten categories. These questions can be adapted for practitioner researchers as both a preparation exercise and to develop documentation to submit with research proposals or research ethics applications. The paper starts with a definition of practitioner research and then gives a brief history of practitioner research followed by reflections on the relationship between academic and professional knowledge and decolonising practitioner research. The material in this paper was originally delivered at the 7th International Conference on Professional and Practice Based Doctorates, UKCGE, 25th February 2021 (Simon, 2021).

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Henrotin, Yves, Cedric Tits, Jérôme Paul, Pierre Gramme, Thibault Helleputte, Alberto Migliore, Pascal Richette, et al. "Retreatment with Hyaluronic Acid Viscosupplementation in Knee Osteoarthritis: Agreement between EUROVISCO Guidelines and Current Medical Practice." CARTILAGE 13, no. 1_suppl (October 25, 2021): 1696S—1701S. http://dx.doi.org/10.1177/19476035211053827.

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Objectives This work studied if and how current clinical practice agrees with European Viscosupplementation Consensus Group (EUROVISCO) recommendations and how this agreement might be different according to physician’s specialization. In addition, this work aimed to identify key decision factors that practitioners consider in their decision to retreat or not a patient with hyaluronic acid viscosupplementation. Methods Practitioners have been invited by e-mail to participate in an online exercise on viscosupplementation retreatment. They received a fictional patient case at random among a set of predefined fictional cases. The platform asked the practitioner if he/she would retreat the patient with viscosupplementation or not. To take a decision, the practitioner could select questions among a list of predefined questions. Among them, some were related to criteria used in the EUROVISCO decision tree and others served as confounding factors. Results A total of 506 practitioners participated to the exercise, of which 399 gave their decision about the case assigned to them by the platform. The observed agreement between practitioner decisions and EUROVISCO recommendations was 58.89 ± 4.95% (95% confidence interval [CI]). Overall, the decision to retreat was taken in 47.87% of the cases, while the EUROVISCO guidelines follow-up would have led to 55.89% retreatment for the same cases ( P = 0.03). Conclusions In current practice, physicians tended to reinject their patients less than recommended, although EUROVISCO guidelines for viscosupplementation retreatment consider decision criteria that clearly correspond to those of practitioners in real life. These include the patients’ willingness to be treated or the patients’ perception of the effectiveness of the treatment.

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Mayor, David, Lara McClure, and J. Clayton McClure. "Individual Differences in Responsiveness to Acupuncture: An Exploratory Survey of Practitioner Opinion." Medicines 5, no. 3 (August 6, 2018): 85. http://dx.doi.org/10.3390/medicines5030085.

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Background: Previous research has considered the impact of personal and situational factors on treatment responses. This article documents the first phase of a four-stage project on patient characteristics that may influence responsiveness to acupuncture treatment, reporting results from an exploratory practitioner survey. Methods: Acupuncture practitioners from various medical professions were recruited through professional organisations to complete an online survey about their demographics and attitudes as well as 60 questions on specific factors that might influence treatment. They gave categorical (“Yes”, “No”, and “Don’t know”) and free-text responses. Quantitative and qualitative (thematic) analyses were then conducted. Results: There were more affirmative than negative or uncertain responses overall. Certain characteristics, including ability to relax, exercise and diet, were most often considered relevant. Younger and male practitioners were more likely to respond negatively. Limited support was found for groupings between characteristics. Qualitative data provide explanatory depth. Response fatigue was evident over the course of the survey. Conclusions: Targeting and reminders may benefit uptake when conducting survey research. Practitioner characteristics influence their appreciation of patient characteristics. Factors consistently viewed as important included ability to relax, exercise and diet. Acupuncture practitioners may benefit from additional training in certain areas. Surveys may produce more informative results if reduced in length and complexity.

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10

Shaughnessy, Michael F. "Patient Compliance- Practitioner to Patient Communication." Psychiatry 1, no. 1 (June 1, 2021): 25–28. http://dx.doi.org/10.46619/psy.2021.1.1005.

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Quite often, health care workers have to prompt, encourage and communicate certain concerns about patient’s health and well-being. These concerns can involve medication, diet, exercise, stress, and related factors. This paper will review the issues revolving around the communication and prompting as to life-style changes, dietary changes and medication regimens.

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11

Williams, Jodine Rianna. "Voices of the minority: Diverse experiences from practitioners in the field of sports and exercise psychology." Sport & Exercise Psychology Review 17, no. 2 (September 2022): 36–45. http://dx.doi.org/10.53841/bpssepr.2022.17.2.36.

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The purpose of this study was to explore the lived experiences of sports and exercise psychologists and sports and exercise psychology trainees from minority groups as they practice within the field. The experiences of UK minority sports and exercise psychologists and trainees within the field have not been widely explored in the literature. The lived experiences of three practitioners were explored through the lens of race, sexual orientation and religion. Forty-five-minute semi-structured interviews were analysed using an interpretive phenomenological analysis. The following themes arose from the study: the unseen minority, embed discrimination in sport, improving the field, journey barriers and the qualities of a practitioner. Based on the themes explored future research areas are discussed.

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12

Martin and Woolf-May. "The retrospective evaluation of a general practitioner exercise prescription programme." Journal of Human Nutrition and Dietetics 12, s1 (April 1999): 32–42. http://dx.doi.org/10.1046/j.1365-277x.1999.00005.x.

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13

Chiarella, Professor Mary. "Nurse practitioner roles — An exercise in professionalism, safety and quality." Australian Critical Care 16, no. 1 (February 2003): 4–5. http://dx.doi.org/10.1016/s1036-7314(03)80022-x.

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14

Huntley, Emma, and Nichola Kentzer. "Group-based reflective practice in sport psychology: Experiences of two trainee sport and exercise scientists." Sport & Exercise Psychology Review 9, no. 2 (September 2013): 57–67. http://dx.doi.org/10.53841/bpssepr.2013.9.2.57.

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Reflective practice is becoming increasingly recognised as a tool used to enhance the development and effectiveness of sport psychology practitioners. It has recently become an established feature within UK-based training and accreditation programmes for sport psychology practitioners and it was the personal benefit found by the authors of group-based reflections within their own training experiences that stimulated this reflection. This exploratory paper provides the personal accounts of two trainee sport and exercise scientists. The narratives outline the perceived importance of using group-based reflective practice to develop applied practitioner skills. These, in concert with literature from other fields, resulted in the development of a model for successful group-based reflective practice that outlines the conditions and skills that are proposed to be important for such practice as a tool for learning.

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15

Mas-Alòs, Sebastià, Antoni Planas-Anzano, Xavier Peirau-Terés, Jordi Real-Gatius, and Gisela Galindo-Ortego. "Feasibility Assessment of the Let’s Walk Programme (CAMINEM): Exercise Training and Health Promotion in Primary Health-Care Settings." International Journal of Environmental Research and Public Health 18, no. 6 (March 19, 2021): 3192. http://dx.doi.org/10.3390/ijerph18063192.

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Exercise is related to many individual health outcomes but impact evaluations of exercise programmes are seldom conducted. The purpose of the study is to evaluate the feasibility of an exercise prescription intervention in primary health-care settings (CAMINEM Programme) located in two socially disadvantaged neighbourhoods. The CAMINEM was a pragmatic-driven intervention with opportunistic recruitment. It followed the 5As framework for health promotion and also the exercise training principles. Feasibility was evaluated using the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance). Patients with non-communicable chronic diseases participated in a 12-month home-based moderate-intensity exercise program, counselled by exercise physiologists. Participants were grouped according to their physical activity behaviour at baseline and 6-month adherence. CAMINEM reached 1.49% (n = 229) of the eligible population (N = 15374) and included a final sample of 178. Health outcomes for adhered participants followed positive patterns. Non-adhered participants visited their practitioner more compared to adhered participants. Thirty-three practitioners (40%) referred patients. Nurses referred four times more than physicians (81% and 19% respectively). The delivery of exercise prescriptions proved to be easy to complete and record by participants as well as easy to monitor and adjust by the exercise physiologists. One out of four participants adhered during the 12-month intervention. This intervention has been feasible in primary care in Catalonia, Spain, to safely prescribe home-based exercise for several conditions.

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Scherzer, Carrie B., Britton W. Brewer, Allen E. Cornelius, Judy L. Van Raalte, Albert J. Petitpas, Joseph H. Sklar, Mark H. Pohlman, Robert J. Krushell, and Terry D. Ditmar. "Psychological Skills and Adherence to Rehabilitation after Reconstruction of the Anterior Cruciate Ligament." Journal of Sport Rehabilitation 10, no. 3 (August 2001): 165–72. http://dx.doi.org/10.1123/jsr.10.3.165.

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Objective:To examine the relationship between self-reported use of psychological skills and rehabilitation adherence.Design:Prospective correlational design.Setting:Outpatient physical-therapy clinic specializing in sports medicine.Patients:Fifty-four patients (17 women and 37 men) undergoing rehabilitation after anterior-cruciate-ligament reconstruction.Main Outcome Measures:An abbreviated version of the Sports Injury Survey (Ievleva & Orlick, 1991) was administered approximately 5 weeks after surgery to assess use of goal setting, imagery, and positive self-talk. Four adherence measures were obtained during the remainder of rehabilitation: attendance at rehabilitation sessions, practitioner ratings of patient adherence at rehabilitation sessions, patient self-reports of home exercise completion, and patient self-reports of home cryotherapy completion.Results:Goal setting was positively associated with home exercise completion and practitioner adherence ratings. Positive self-talk was positively correlated with home exercise completion.Conclusions:Use of certain psychological skills might contribute to better adherence to sport-injury rehabilitation protocols.

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17

Dugan, Mary. "Improving Physical Assessment Observational Skills in the Community Setting: An Experiential Exercise." Creative Nursing 22, no. 1 (2016): 24–28. http://dx.doi.org/10.1891/1078-4535.22.1.24.

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To become skilled providers, nurse practitioner students are required to expand observational skills and develop acumen in differential diagnosis. Good observational skills are essential for developing differential diagnoses, which are narrowed through diagnostic reasoning to reach an accurate final diagnosis. Teaching observational skills and differential diagnosis methods to nurse practitioner students can be challenging for nurse educators. The goal of an experiential assessment exercise (EAE) was to breathe life into an online course and have fun while learning to gather data about the health status and risk factors of people in the community environment.

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Jansen, Diana J., Nancy E. Robinson, and Marvin L. Birnbaum. "Diagnosis of Premature Ventricular Complexes: Common and Often Forgotten Rules." Prehospital and Disaster Medicine 6, no. 1 (March 1991): 47–56. http://dx.doi.org/10.1017/s1049023x00028077.

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Prehospital and hospital emergency medical care providers frequently rely on the electrocardiogram (ECG) to assist them in the differential diagnosis of complex patient problems and as such, the ECG often constitutes a major determinant of the definitive treatment selected. The purpose of this exercise is to review a small portion of the vast area of ECG interpretation: specifically, those rules that guide the practitioner in the diagnosis of Premature Ventricular Complexes (PVCs).Premature ventricular complexes (PVCs) occur in multiple individuals in multiple settings. Due to these differences, the causes, implications, and treatment of PVCs must be individualized. Thus, the scope possible for this discussion is huge. Consequently, this exercise will focus only on helping the practitioner correctly identify PVCs.

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Cunliffe, Ann L. "Republication of “On Becoming a Critically Reflexive Practitioner”." Journal of Management Education 40, no. 6 (October 24, 2016): 747–68. http://dx.doi.org/10.1177/1052562916674465.

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Critically reflexive practice embraces subjective understandings of reality as a basis for thinking more critically about the impact of our assumptions, values, and actions on others. Such practice is important to management education, because it helps us understand how we constitute our realities and identities in relational ways and how we can develop more collaborative and responsive ways of managing organizations. This article offers three ways of stimulating critically reflexive practice: (a) an exercise to help students think about the socially constructed nature of reality, (b) a map to help situate reflective and reflexive practice, and (c) an outline and examples of critically reflexive journaling.

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20

Fowles, Jonathon R. "Technical Issues in Quantifying Low-Frequency Fatigue in Athletes." International Journal of Sports Physiology and Performance 1, no. 2 (June 2006): 169–71. http://dx.doi.org/10.1123/ijspp.1.2.169.

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A recent review by Cairns and colleagues published in Exercise and Sport Sciences Reviews (2005:33[1]:9-16)1 described experimental models used to study neuromuscular fatigue and explained the inherent strengths and weaknesses of applied versus reductionist approaches. This technical report addresses some of the recommendations made in that review, from the perspective of the applied sport scientist or practitioner in evaluating fatigue in elite athletes. The goal here is to highlight the inherent difficulties in assessing fatigue in the applied sport setting and to provide practitioners with future directions for fatigue research. A particular type of fatigue, called low-frequency fatigue (LFF), is of particular interest to the applied sport scientist or practitioner and could be the focus of future work. This report identifies some of the technical challenges faced in developing a practical test of LFF for use in the field setting. The outcome of further work in this area will lead to a better understanding of athlete monitoring, training, and performance.

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Sjorberg, David, and Dennis McDermott. "The deconstruction exercise." International Journal of Critical Indigenous Studies 9, no. 1 (January 1, 2016): 28–48. http://dx.doi.org/10.5204/ijcis.v9i1.143.

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The ‘deconstruction exercise’ aims to give non-Indigenous health profession students the ability to recognise language that is imbued with power imbalance, so as to avoid the perpetuation of racialised ways of interacting with Indigenous peoples in the health system. Informed by Ngarrindjeri and Malak Malak perspectives, this is a measured anti–racism strategy, one able to address unexamined, racist language in a manner that avoids the emotive or combative nature of unstructured discussions around the impacts of racism. ISSN: ISSN 1837-0144 © International Journal of Critical Indigenous Studies 29 We argue that once a health care professional is able to exhibit decolonised language, together with a re-orientation towards decolonised practice, a door opens; one vital for the development of a more-effective, culturally-safe practitioner. In an academic setting, this ‘Ngarrindjeri way’ has shaped the deconstruction exercise, which ensures that students are ‘having the hard conversations’ in a pragmatic manner that challenges ‘whiteness’, whilst honouring each student’s dignity, on a learning journey that is informed by Indigenous methodologies.

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22

Yurevich, Dyrov Aleksandr. "MEANS OF PHYSICAL DEVELOPMENT MEASURES IN SPORTS AND PHYSICAL TRAINING." CURRENT RESEARCH JOURNAL OF PEDAGOGICS 03, no. 03 (March 1, 2022): 34–40. http://dx.doi.org/10.37547/pedagogics-crjp-03-03-08.

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Exercise is a means of physical training of a person, the actions used in accordance with the laws of physical education. Exercise has historically been structured and stylistically shaped as gymnastics, play, sports and tourism. As a means of physical education, exercise involves the active movement activity of the practitioner. The specific features of exercise are expressed in the desire to form and improve actions, the idea of the purpose of the action and the means to achieve it, as well as the intention and willpower to perform the action.

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23

Turner, Martin J., Gillian Aspin, Faye F. Didymus, Rory Mack, Peter Olusoga, Andrew G. Wood, and Richard Bennett. "One Case, Four Approaches: The Application of Psychotherapeutic Approaches in Sport Psychology." Sport Psychologist 34, no. 1 (March 1, 2020): 71–83. http://dx.doi.org/10.1123/tsp.2019-0079.

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Practitioners in sport and exercise psychology tasked with service provision in any environment can decide which framework(s) they draw on to inform their applied work. However, the similarities and differences between psychotherapeutic approaches are underrepresented in current literature. Therefore, this paper brings together practitioners from 4 dominant psychotherapeutic approaches to address a specific hypothetical case. Four different cognitive-behavioral approaches are outlined: rational emotive behavior therapy, cognitive therapy, schema therapy, and acceptance and commitment therapy. Each practitioner outlines the particular approach and proceeds to address the case by covering assessment, intervention, and evaluation strategies that are specific to it. Similarities and differences across the approaches are discussed, and implications for practice are put forth. Finally, two other practitioners introduce motivational interviewing as an additional framework to foster the working alliance.

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Jackson, Kelley L., Dennis Hunt, Deborah Chapa, and Sareen S. Gropper. "Sarcopenia-A baby boomers dilemma for nurse practitioners to discover, diagnose, and treat." Journal of Nursing Education and Practice 8, no. 9 (April 25, 2018): 77. http://dx.doi.org/10.5430/jnep.v8n9p77.

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Objective: Sarcopenia is a disease of low skeletal muscle mass and strength that occurs with aging. It is most commonly seen in individuals aged 50 years and over. Nurse practitioners can take a proactive approach to the understanding and screening of this disease in attempts to prolong its onset or to treat the condition before it leads to additional adverse consequences. Methods: A comprehensive review of the literature, including evidence-based literature from peer-reviewed articles, including randomized controlled trials, was conducted.Results: This review of the literature indicated patients can benefit greatly from nurse practitioner’s awareness and intervention by screening for sarcopenia as well as offering appropriate education and treatment to their patients. Once a diagnosis is reached, the nurse practitioner can then collaborate with other disciplines such as nutrition, medicine, exercise physiology and/or physical therapy to develop an intervention strategy that can treat or prevent this condition before it leads to decreased independence, early onset disability and decreased quality of life, among other adverse health outcomes.Conclusions: There is a call to action on the part of nurse practitioners in efforts to prevent and/or slow the onset of age-related sarcopenia and its adverse consequences.

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Hall-Alston, Jane. "Exercise and the Breast Cancer Survivor: The Role of the Nurse Practitioner." Clinical Journal of Oncology Nursing 19, no. 5 (October 1, 2015): E98—E102. http://dx.doi.org/10.1188/15.cjon.e98-e102.

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Huang, N. "60 The role of the general practitioner in exercise prescription and delivery." Journal of Science and Medicine in Sport 8 (December 2005): 41. http://dx.doi.org/10.1016/s1440-2440(17)30555-8.

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Craike, Melinda, Helena Britt, Alexandra Parker, and Christopher Harrison. "General practitioner referrals to exercise physiologists during routine practice: A prospective study." Journal of Science and Medicine in Sport 22, no. 4 (April 2019): 478–83. http://dx.doi.org/10.1016/j.jsams.2018.10.005.

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Maier, Evelyn, Louise Jensen, Brian Sonnenberg, and Stephen Archer. "Interpretation of exercise stress test recordings: Concordance between nurse practitioner and cardiologist." Heart & Lung 37, no. 2 (March 2008): 144–52. http://dx.doi.org/10.1016/j.hrtlng.2007.05.009.

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Keskula, Douglas R. "Clinical Implications of Eccentric Exercise in Sports Medicine." Journal of Sport Rehabilitation 5, no. 4 (November 1996): 321–29. http://dx.doi.org/10.1123/jsr.5.4.321.

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Returning an athlete to functional activity is the primary goal of the sports medicine practitioner. Eccentric exercise may be used throughout the rehabilitation program to improve muscle performance and restore normal function. The selection and progression of eccentric exercise are contingent on treatment goals and the individual's tolerance to activity. Basic concepts of eccentric muscle performance are discussed, and general treatment guidelines with an emphasis on specificity and intensity are presented, to enable the clinician to organize and implement relevant, prudent eccentric exercise within the restrictions of the clinical setting. The use of eccentric exercise in the management of tendinitis is briefly discussed.

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Tedesco, Janel. "Acute Care Nurse Practitioners in Transplantation: Adding Value to Your Program." Progress in Transplantation 21, no. 4 (December 2011): 278–83. http://dx.doi.org/10.1177/152692481102100404.

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Nurse practitioners are nurses who are prepared at the graduate level. They exercise autonomy in clinical decision making, perform physical examinations and obtain health histories, diagnose and treat a variety of illnesses, provide education and counseling to patients, perform procedures, and ultimately provide cost-effective care. The role of the nurse practitioner evolved in the 1960s, when nurse practitioners filled a void in response to the nationwide shortage of physicians. Today, nurse practitioners specialize both by degree and by certification examination. There are several types of nurse practitioners, including acute care, adult, family practice, and pediatric. The incorporation of acute care nurse practitioners (ACNPs) in transplant programs is an emerging field and varies across the country from center to center. The goals of this article are to (1) identify implications for ACNPs in transplant, (2) discuss the value of using ACNPs in practice, and (3) explore billing and regulatory aspects of ACNPs in transplant programs.

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Drew, Karla, and Robert Morris. "Emotional reflections of an athlete referral: The practitioner perspective." Sport & Exercise Psychology Review 16, no. 2 (December 2020): 84–92. http://dx.doi.org/10.53841/bpssepr.2020.16.2.84.

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In this case study the author outlines the impact of consultancy sessions with an athlete while enrolled on the British Psychological Society’s (BPS) Qualification in Sport and Exercise Psychology (QSEP). The case addresses a number of the consultancy related competencies (e.g. establish, develop and maintain working relationships with clients, conduct consultancy) but the main focus is on considering personal and professional standards and ethical issues. In doing so, the author briefly outlines the consultancy that took place as well as the steps taken during the process of seeking a clinical referral. The article concludes with personal reflections and an evaluation of the referral process from the perspective of a trainee sport psychologist.

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Ziegler, Erin, Sarah Kalvoda, Elyse Ancrum-Lee, and Erin Charnish. "I Have Never Felt so Novice: Using Narrative Reflection to Explore the Transition from Expert RN to Novice NP Student." Nurse Practitioner Open Journal 1, no. 1 (May 7, 2021): 1–8. http://dx.doi.org/10.28984/npoj.v1i1.342.

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Aim: To explore the experiences of nurse practitioner students moving from expert registered nurses to novice nurse practitioner program students. Background: Moving from registered nurse to nurse practitioner can be a time filled with mixed emotions, lack of confidence, adaptation, and competency development. Learning about and navigating the advanced practice nursing role can be challenging. Students in the nurse practitioner program are encouraged to engage in regular reflective writing to foster role development and learning. This paper aims to reflectively explore the experiences of transition from registered nurse to nurse practitioner student. Methods: Inspired by Benner’s Novice to Expert Theory and Carper’s ways of knowing, the authors personally reflected on their transition experiences during NP schooling and then collectively developed a composite reflection of the shared experience. From this exercise common themes were identified. Conclusion: This unique reflective paper identified common themes in the experience of transitioning to the student role. Potential areas for future research-based exploration of the nurse practitioner student experience were identified. By understanding these experiences, students can be better prepared in advance and faculty can design both formal and informal support measures to better support the student experience.

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Drăghici, Raluca, Cristina Teodora Preoteasa, Ana Maria Cristina Tancu, and Elena Preoteasa. "Impact of teeth color determination on dental eshtetic perception." Romanian Journal of Stomatology 61, no. 3 (September 30, 2015): 238–42. http://dx.doi.org/10.37897/rjs.2015.3.5.

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Aim. People with attractive facial appearance are more easily integrated in society and are considered to be more capable, more intelligent and more responsible. The aesthetic aspect is influenced by expression, by facial symmetry, facial contours and teeth colour. In dental restorations, the correct determination of teeth colour is a critical step with extreme importance for successful treatment. From this perspective the practitioner must have experience, must have the ability to distinguish colours and must train through repetitive visual practical exercises that can have an impact on the perception of dental aesthetics. Materials and method. The study followed comparatively the evolution of teeth colour determination and its impact on dental aesthetics perception. It was conducted on a group of fifth year students from the Faculty of Dental Medicine, Bucharest using the Tooth Training Box colour determination exercise that is based on the 3-D Master colour key principle. Results. Using training exercises to determine colour participants developed a better understanding of the physical principles behind the procedure but also a significant increase in accuracy of their measurements and confidence in their colour determinations. Conclusions. Using an aesthetic evaluation protocol that translates teeth colour in a universal language for both practitioners as well as dental technicians has a significant impact in aesthetic dentistry.

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Strang, Kenneth David. "Strategic analysis of CSF’s for not-for-profit organizations." Measuring Business Excellence 22, no. 1 (March 19, 2018): 42–63. http://dx.doi.org/10.1108/mbe-07-2016-0035.

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PurposeThe purpose of this study is to analyze how strategic planning is used as critical success factors (CSF’s) in not-for-profit (NFP) organizations. This was because many nonprofits had to innovate their operations owing to the global fiscal crises, the continuing international economic instability, natural disasters or the increasing man-made worldwide terrorism. Additionally, the objective is to identify what successful nonprofit organizations actually do to remain effective at the national association level of analysis. Design/methodology/approachA constructivist research design ideology is applied (in contrast to the customary positivist philosophy to collect quantitative). The literature is critically reviewed to identify NFP CSF’s and terms such as capacity building. NFP institutions are theoretically sampled using US-based retrospective data to identify practitioner CSF activities. Applying a constructivist research design ideology, the theoretical CSF’s from the literature review are compared to practitioner activities. Representatives of NFP organizations are invited to participate in a strategic planning exercise to identify the most important CSF’s from the literature and practice that would be needed in the future. FindingsSeven of the nine United Nations NFP capacity building CSF’s are similar to NFP nine practitioner best practices. In comparison to the general literature, NFP practitioners applied leadership, strategic planning, innovation, documented procedures/training, human/technology resource management, financial management, accountability practices, ethical standards with professional communications policies, collaborative fundraising and marketing initiatives along with performance success evaluations. Research limitations/implicationsThe sample was drawn theoretically from 44 nonprofit state-centered institutions in the USA. Although statistically the results pertain strictly to US-based nonprofits, the principles should generalize to other countries as revealed by the similarity with United Nations innovation and strategic planning recommendations. Originality/valueThe authors applied a strategic planning exercise with the 44 participants at their recommendations to prioritize the CSF’s. The result was an innovative SWOT-TOWS diagram that summarized how the nine CSF’s were prioritized and grouped into the three categories of market performance, ethical responsibility and human resources.

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Pritchard, Andrew, Paul Burns, Joao Correia, Patrick Jamieson, Peter Moxon, Joanna Purvis, Maximillian Thomas, Hannah Tighe, and Karl Peter Sylvester. "ARTP statement on cardiopulmonary exercise testing 2021." BMJ Open Respiratory Research 8, no. 1 (November 2021): e001121. http://dx.doi.org/10.1136/bmjresp-2021-001121.

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Cardiopulmonary exercise testing (CPET) has become an invaluable tool in healthcare, improving the diagnosis of disease and the quality, efficacy, assessment and safety of treatment across a range of pathologies. CPET’s superior ability to measure the global exercise response of the respiratory, cardiovascular and skeletal muscle systems simultaneously in a time and cost-efficient manner has led to the application of CPET in a range of settings from diagnosis of disease to preoperative assessment. The Association for Respiratory Technology and Physiology Statement on Cardiopulmonary Exercise Testing 2021 provides the practitioner and scientist with an outstanding resource to support and enhance practice, from equipment to testing to leadership, helping them deliver a quality assured service for the benefit of all patient groups.

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Dallman, Amber, Eydie Abercrombie, Rebecca Drewette-Card, Maya Mohan, Michael Ray, and Brian Ritacco. "Elevating Physical Activity as a Public Health Priority: Establishing Core Competencies for Physical Activity Practitioners in Public Health." Journal of Physical Activity and Health 6, no. 6 (November 2009): 682–89. http://dx.doi.org/10.1123/jpah.6.6.682.

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Background:Physical activity has emerged as a vital area of public health. This emerging area of public health practice has created a need to develop practitioners who can address physical activity promotion using population-based approaches. Variations in physical activity practitioners' educations and backgrounds warranted the creation of minimal standards to establish the competencies needed to address physical activity as a public health priority.Methods:The content knowledge of physical activity practitioners tends to fall into 2 separate areas—population-based community health education and individually focused exercise physiology. Competencies reflect the importance of a comprehensive approach to physical activity promotion, including areas of community health while also understanding the physiologic responses occurring at the individual level.Results:Competencies are organized under the Center for Disease Control and Prevention's 5 benchmarks for physical activity and public health practice.Conclusions:The greatest impact on physical activity levels may be realized from a well-trained workforce of practitioners. Utilization of the competencies will enable the physical activity practitioner to provide technical assistance and leadership to promote, implement, and oversee evaluation of physical activity interventions.

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Viljoen, Margaretha, and Johannes L. Roos. "Physical exercise and the patient with schizophrenia." Australian Journal of General Practice 49, no. 12 (December 1, 2020): 803–8. http://dx.doi.org/10.31128/ajgp-04-20-5384.

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Background Schizophrenia is a severe mental disorder with profound effects on a person’s life. In addition to the psychiatric symptoms, patients with schizophrenia generally have multiple somatic comorbidities, such as cardiovascular and metabolic disorders. The general practitioner (GP) is of key importance for the patient’s continuous care and holistic wellbeing. Objective The aim of this article is to emphasise the role of GPs in embracing physical exercise as add-on treatment to antipsychotic medications, and to illustrate the value of exercise for people with schizophrenia by summarising the effects on the psychiatric symptoms, neuroanatomical and neurochemical characteristics, and general physiological and psychological health. Discussion Physical exercise can lead to improvements in positive, negative and cognitive symptoms, as well as in somatic comorbidities, global functioning and quality of life. Physical exercise can be a valuable add-on intervention for people with schizophrenia. The GP is essential for prescribing and following up on exercise tailored for the individual.

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Tiwari, Vivekanand, Arthur Kavanaugh, George Martin, and Martin Bergman. "High Burden of Burnout on Rheumatology Practitioners." Journal of Rheumatology 47, no. 12 (April 1, 2020): 1831–34. http://dx.doi.org/10.3899/jrheum.191110.

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ObjectiveBurnout among physicians is common and has important implications. We assessed the extent of burnout among rheumatology practitioners and its associations.Methods.One hundred twenty-eight attendees at the 2019 Rheumatology Winter Clinical Symposium were surveyed using the Maslach Burnout Index (MBI) and a demographics questionnaire. Scores for emotional exhaustion (EE) ≥ 27, depersonalization (DP) ≥ 10, and personal accomplishment (PA) ≤ 33 were considered positive for burnout. Data regarding practitioner characteristics including age, sex, years in practice, and other demographics of interest were also collected. These data were used to determine prevalence and interactions of interest between practitioner characteristics and the risk of burnout.Results.Of the 128 respondents, 50.8% demonstrated burnout in at least 1 MBI domain. Dissatisfaction with electronic health records was associated with a 2.86-times increased likelihood of burnout (OR 2.86, 95% CI 1.23–6.65, P = 0.015). Similar results were found for lack of exercise (OR 5.00, 95% CI 1.3–18.5, P = 0.016) and work hours > 60 per week (OR 2.6, 95% CI 1.16–5.6, P = 0.019). Practitioners in group practice were 57% less likely to burn out (OR 0.43, 95% CI 0.20–0.92, P = 0.029), as were those who spend > 20% of their time in personally satisfying work (OR 0.32, 95% CI 0.15–0.71, P = 0.005).Conclusion.In what we believe to be one of the largest studies regarding burnout among rheumatology practitioners, we found a substantial prevalence of burnout, with 51% of all respondents meeting criteria in at least 1 domain defined by the MBI and 54% of physicians meeting these same criteria.

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Sulke, A. N., V. E. Paul, C. J. Taylor, R. H. Roberts, and ADC Norris. "Open Access Exercise Electrocardiography: A Service to Improve Management of Ischaemic Heart Disease by General Practitioners." Journal of the Royal Society of Medicine 84, no. 10 (October 1991): 590–94. http://dx.doi.org/10.1177/014107689108401007.

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An initial study of the use of open access exercise electrocardiography by general practitioners (GPs) in South East Kent showed that patient selection and interpretation of test results was frequently incorrect. After issuing guidelines, modifying the request form and instituting registrar review of all requests, significant improvements in both referral pattern, result interpretation and patient management have resulted. Forty-nine GPs requested 110 exercise tests during 1988/89. Twelve per cent were not undertaken after discussion with the referring practitioner. Eighty-four per cent of those tested would have been referred to the district general hospital cardiology outpatient department in the absence of open access exercise electrocardiography service. Six per cent of patients were referred directly for invasive investigation. Thirty-five per cent were referred to the district general hospital cardiology outpatient department, whilst 42% were spared hospital referral based on the result of the investigation. Better use of the modified service was suggested by: Referral of fewer patients with non-cardiac chest pains (P= 0.002); more patients with a moderate pre-test probability of ischaemic heart disease (P<0.05); fewer inappropriate requests (P<0.01); and fewer inappropriately undertaken tests (P< 0.001) than in the previous study. All patients with strongly positive test results were appropriately managed. Open access exercise electrocardiography in the format investigated is potentially a cost-effective and useful tool to improve diagnosis and management of heart disease bv GPs.

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Corrigan, Margaret, Gideon Hirschfield, Sheila Greenfield, and Jayne Parry. "Barriers to implementation of stratified care in primary biliary cholangitis: a scoping exercise." BMJ Open Gastroenterology 6, no. 1 (June 2019): e000226. http://dx.doi.org/10.1136/bmjgast-2018-000226.

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Patients with primary biliary cholangitis (PBC) can be stratified into low-risk and high-risk groups based on their response to treatment. Newly published guidelines from the British Society of Gastroenterology suggest low-risk patients can be managed substantially in primary care. This represents a shift from existing practice and makes assumptions about service capacity and the willingness of both patients and health care practitioners (HCPs) to make this change. The aim of this paper is to identify possible barriers to the implementation of these new care pathways through review of the PBC-specific literature and by identifying the experiences of patients and HCPs managing a different condition with comparable patients and disease characteristics. Searches of MEDLINE, CINAHL and EMBASE were undertaken. Within the existing PBC literature there is little data surrounding stakeholder perspectives on place of care. Review of the breast cancer literature highlights a number of barriers to change including primary care practitioner knowledge and work load, communication between healthcare settings, and the significance of the established doctor–patient relationship. Further research is needed to establish the extent to which these barriers may surface when changing PBC care pathways, and the actions required to overcome them.

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Royal, P. M., and M. B. Smith. "A UK Military nurse practitioner on Exercise SAIF SAREEA 3: the first Overseas deployment." BMJ Military Health 166, no. 6 (May 10, 2020): 425–28. http://dx.doi.org/10.1136/bmjmilitary-2020-001477.

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As the Queen Alexandra’s Royal Army Nursing Corps celebrates its 70th Anniversary, army nursing continues to advance patient care delivery to new levels. Advanced level nursing practice has moved from the relatively ‘calm’ confines of the NHS to the austere desert of Oman. This article will provide a personal account of the first deployment of a military nurse practitioner since it was formally introduced in 2012 to frontline medicine, leading an armoured prehospital treatment team.

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Cameron, Melainie, Emily Hewitt, Elizabeth Hollitt, Jacqueline Wood, and Samantha Brown. "Working like a Dog: Exploring the Role of a Therapy Dog in Clinical Exercise Physiology Practice." Animals 12, no. 10 (May 11, 2022): 1237. http://dx.doi.org/10.3390/ani12101237.

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Therapy animals in clinical settings are purported to reduce patients’ anxiety, decrease agitated behaviour, serve as social mediators, enhance the social atmosphere, and increase patients’ openness towards practitioners. A therapy dog worked alongside her exercise physiologist handler for approximately 1 day/week in a university clinic. The canine and handler functioned as a team, while the handler simultaneously undertook supervision of students. The clinic was open 24 h/week, and no other therapeutic animal was present for any part of the week. We explored, via surveys and interviews, human responses to the dog. The survey comprised 15 statement items regarding the canine’s role, behaviour, and acceptability in the clinic, ranked from strongly disagree (−2) to strongly agree (2), followed by an open item inviting participants to follow up interviews. Eleven (11) clinical clients and seven (7) students completed the survey. One client had not encountered the canine; these data were excluded. Four (4) participants from the client sample provided subsequent telephone interviews. All participants identified the canine as well-behaved; no participants considered that she detracted from their exercise sessions. Most participants were equivocal to statements regarding social lubrication and openness to practitioners; only three clients and two students identified that they felt more willing to share health information; three students identified that they felt they could confide more in the canine than in the practitioner. Interviewees’ reports were similarly favourable, reinforcing the information obtained from the surveys. Interview transcripts were subject to thematic analysis, which focussed around four key themes: (1) the canine’s good behaviour, (2) clients giving permission, and the canine as both (3) a pleasant distraction from the effort of exercise, and (4) nice to have. A therapy dog may enhance some aspects of exercise physiology service delivery.

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Dadabo, Joseph, Julia Fram, and Prakash Jayabalan. "Noninterventional Therapies for the Management of Knee Osteoarthritis." Journal of Knee Surgery 32, no. 01 (November 26, 2018): 046–54. http://dx.doi.org/10.1055/s-0038-1676107.

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AbstractThe goal of the practitioner managing a patient with knee osteoarthritis (OA) is to minimize pain and optimize their function. Several noninterventional (noninjectable) therapies are available for these individuals, each having varying levels of efficacy. An individualized approach to the patient is most beneficial in individuals with knee OA and the treatment plan the practitioner chooses should be based on this principle. The focus of this article is to provide an up-to-date overview of the treatment strategies available, evidence to support them, and in whom these treatments would be most appropriate. These include exercise (aerobic and resistance), weight loss, bracing and orthotics, topical and oral analgesic medications, therapeutic modalities, and oral supplements.

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Jandou, Issam, Alafifi Rania, Adil Kbirou, Alafifi Mahmoud, Amine Moataz, Mohammed Dakir, Adil Debbagh, Rachid Aboutaieb, and Samira Hassoune. "The role of the general practitioner in promoting organ donation." Journal of Drug Delivery and Therapeutics 12, no. 1-S (February 15, 2022): 42–45. http://dx.doi.org/10.22270/jddt.v12i1-s.5314.

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Introduction: The effectiveness of a health system is based on primary care, the conductor of which is the general practitioner, who is also an integral part of the organ donation promotion chain. At present, as the indications for transplantation are more and more widespread, an immense shortage of organs is declared. This pushes more than ever to multiply creative tactics to reduce the gap between the number of high demand and stingy supply. The main objective of this work is to particularize the involvement of the general practitioner in this process of encouraging donation, as well as to highlight his attitudes and his motivation during the consultation, and to identify the possible obstacles to the donation. Information and patient education on organ and tissue donation. Material and method: A quantitative descriptive cross-sectional study, based on a questionnaire with 20 closed questions, self-administered, sent by email address, completed anonymously and voluntarily intended for the general practitioner of the region of Casablanca. Questionnaire data were collected, coded, and analyzed using SPSS-PC (Version 21.0). Results: In total, 200 general practitioners were targeted by our study. 165 responded to the questionnaire, which gives an overall response rate of 82.5%. 35.5% of the participants were women, the duration of exercise varies between 1 and 40 years, 65% of the doctors practiced in the urban environment and approximately 59.5% worked in the liberal sector. 87% of the doctors questioned were in favor of organ donation. only 38% of doctors have already discussed this subject with their patients, of whom more than 64% were following the sole initiative of the patient himself and in none of the cases was awareness-raising through posters in the waiting room. Conclusion: The general practitioner is a cornerstone of the success of public health programs. Continuous training of this category of doctors ensures better promotion of organ and tissue donation in Morocco. Keywords: tissue donation, blood donation, donors and non-donors of the without, federating donors, Morocco

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Davis, Siobhan I., J. S. Biswas, and S. White. "Infection Prevention and Control Lead Link Practitioner: a new deployed role piloted on Exercise SAIF SAREEA 3." BMJ Military Health 166, no. 6 (December 2020): 411–13. http://dx.doi.org/10.1136/bmjmilitary-2020-001703.

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Disease non-battle injury has plagued British expeditionary forces through the ages. While in recent years significant mortality has reduced, it has had a large impact on operational effectiveness, at times leading to closure of major medical treatment facilities (MTFs).Infection Prevention and Control (IPC) benefits from a subject matter expert and champion to ensure it remains at the front of people’s minds and to be on hand to manage acute and dynamic situations. To mitigate the lack of an IPC Nursing Officer, we piloted a deployed military IPC Lead Link Practitioner (IPC-LL) for the first time on a large-scale overseas exercise (SAIF SAREEA 3). An experienced generalist nurse deploying as the IPC-LL (after specific training) provided pre-deployment IPC education and preparation, deployed IPC advice, undertook mandatory audits and monitored IPC compliance throughout the MTFs on the exercise. Data from 22 IPC audits conducted on the exercise showed that the presence of the IPC-LL improved IPC compliance and standards overall in the MTF where based, compared with others. In addition, a gastroenteritis outbreak occurred and was successfully managed with significant input from the IPC-LL. The IPC-LL was also able to add value by pre-empting potential IPC problems from occurring.There is a small pool of deployable Infection Prevention and Control Nursing Officers, so this new IPC-LL role could help to fill the capability gap. The IPC-LL could be the dedicated person focusing on IPC elements, reducing the IPC risk within the deployed field hospital setting where deployed experts are not available.

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Hitchings, Russell, and Alan Latham. "Indoor versus outdoor running: understanding how recreational exercise comes to inhabit environments through practitioner talk." Transactions of the Institute of British Geographers 41, no. 4 (August 11, 2016): 503–14. http://dx.doi.org/10.1111/tran.12138.

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Kasser, Susan L., and Terry Rizzo. "An exploratory study of fitness practitioner intentions toward exercise programming for individuals with multiple sclerosis." Disability and Health Journal 6, no. 3 (July 2013): 188–94. http://dx.doi.org/10.1016/j.dhjo.2012.12.002.

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Biswas, Aviroop, Guy E. Faulkner, Paul I. Oh, and David A. Alter. "Patient and practitioner perspectives on reducing sedentary behavior at an exercise-based cardiac rehabilitation program." Disability and Rehabilitation 40, no. 19 (June 6, 2017): 2267–74. http://dx.doi.org/10.1080/09638288.2017.1334232.

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Smith, Sarah. "How to interpret an electrocardiogram." UK-Vet Equine 5, no. 2 (March 2, 2021): 71–74. http://dx.doi.org/10.12968/ukve.2021.5.2.71.

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Electrocardiography is the ultimate tool for diagnosing suspected cardiac arrhythmia, and the required equipment is readily available to an equine practitioner. Careful interpretation is essential to determine whether an arrhythmia is significant, either as a cause of poor performance or as a risk for collapse and sudden death. A good quality electrocardiogram recording is essential, usually an exercising electrocardiogram and a recording over 24 hours. Electrocardiographical interpretation is aided by modern electrocardiogram analysis software, and technology enables access to a second opinion when required. Vagally-mediated arrhythmias are common in horses at rest, but should be overridden by exercise. Atrial fibrillation or frequent ectopic beats during exercise warrants further cardiac evaluation.

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Hardcastle, Sarah, and Adrian H. Taylor. "Looking for More than Weight Loss and Fitness Gain: Psychosocial Dimensions among Older Women in a Primary-Care Exercise-Referral Program." Journal of Aging and Physical Activity 9, no. 3 (July 2001): 313–28. http://dx.doi.org/10.1123/japa.9.3.313.

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There has been increasing interest in promoting health-enhancing exercise in primary-care services. One popular approach in the U.K. has been general practitioner (GP) exercise-referral plans in which mostly sedentary patients are referred by GPs to an exercise program at a local leisure center. It is not clear, however, how older women assimilate such a referral system into cognitive processes associated with physical activity involvement. This interpretivist study adopted unstructured interviewing and life-story technique to embrace subjectivity and contextuality in an attempt to capture the complex processes and to explore both common and diverse experience. The study explored referred older women's accounts of their past and current experiences of physical activity and their perceptions of what blocks or motivates them to be active. Fifteen newly referred older women (50–80 years old) were interviewed at various points during their prescribed 10-week exercise program. The findings highlight the importance of psychosocial dimensions and informal networks in the referral processes.

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