Use of in vitro and haptic assessments in the characterisation of surface lubricity

Lubricity is a key property of hydrophilic-coated urinary catheter surfaces. In vitro tests are commonly employed for evaluation of surface properties in the development of novel catheter coating technologies, however, their value in predicting the more subjective feeling of lubricity requires validation. We herein perform a range of in vitro assessments and human organoleptic studies to characterise surface properties of developmental hydrophilic coating formulations, including water wettability, coefficient of friction, dry-out kinetics and lubricity. Significant reductions of up to 40% in the contact angles and coefficient of friction values of the novel coating formulations in comparison to the control poly(vinyl pyrrolidone)-coated surfaces were demonstrated during quantitative laboratory assessments. In contrast, no significant differences in the more subjective feeling of lubricity between the novel formulations and the control-coated surfaces were observed when formulations were haptically assessed by the techniques described herein. This study, importantly, highlights the need for optimisation of in vitro and human haptic assessments to more reliably predict patient preferences

What kinds of social network groups do teachers find useful?

This paper presents results from a survey of teachers describing their two most useful Facebook groups (n=108 teachers). It addresses a gap in the literature, in that many studies investigate teachers within certain Facebook groups, but little is known about the types of groups that teachers-who-use-Facebook find to be most useful. Analysis of the survey results looks at the privacy, thematic focus, and regional focus of groups that teachers report to be useful. The study also addresses the question of “what kinds of peer support do teachers find within these useful Facebook groups?” The results show that useful Facebook groups tend to be private, positioned at a state/jurisdiction/national level, and have a clear thematic focus. Results also show that within these useful Facebook groups teachers report high levels of pragmatic support, with lower levels of modelling of practice, reflection and feedback, meaningful connections, and emotional support (in that order). The paper discusses the significance of these findings with respect to issues of policy, design, and facilitation of Social Network Sites (SNSs) as well as teacher preparation for competencies to thrive within SNSs

Patient Perspectives on the Development of a Novel Mobile Health (mHealth) Application for Dietary Supplement Tracking and Reconciliation—A Qualitative Focus Group Study

BackgroundMore than 170 million adults use dietary supplements (DS) in the United States, which can have both benefit and harm to patient health. DS use is often poorly documented in the medical record and can pose health risks if not properly communicated with providers. Reasons for poor DS documentation include low disclosure rates, time constraints of clinical encounters, and providers’ failure to inquire about DS use. This study was conducted to assess patients’ views on the facilitators and barriers to using a mobile health (mHealth) application (app) to collect and share DS information with their healthcare providers.MethodsUtilizing a theory-based conceptual model, we conducted 7 patient focus groups (FGs) to assess opinions on DS safety, provider communication, comfort with technology use, and our proposed mHealth app. Participants were recruited from the general public and through patient advisory groups. Patient views will inform the creation of an mHealth app to improve DS patient-provider communication and tracking and reconciliation in the electronic medical record (EMR).ResultsOverall, participants believe their DS information is inaccurately represented in the EMR, leading to safety concerns and negatively impacting overall quality of care. Participants desired an app designed with (1) Health Insurance Portability and Accountability Act (HIPAA) compliance; (2) ease of use for a variety of technical efficacy levels; (3) access to reliable DS information, including a DS-drug interaction checker; and (4) integration with the EMR.ConclusionAn app to simplify and improve DS entry and reconciliation was of interest to patients, as long as it maintained health autonomy and privacy and possessed key valuable features

Paramedic student accuracy at ECG interpretation

It is critical for patients that paramedics are able to correctly interpret and identify ECG rhythms. Management and treatment of several heart related conditions is dependent on the paramedics ability to recognize rhythms.Quantitative analysis study will be undertaken to examine students ECG interpretation abilities

Healthcare Professionals’ Perspectives on Improving Dietary Supplement Documentation in the Electronic Medical Record: Current Challenges and Opportunities to Enhance Quality of Care and Patient Safety

Background Around half the US population uses dietary supplements (DS), and concomitant use with medications is common. Many DS include bioactive substances that can interact with medications; therefore, accurate tracking is critical for patient safety. Unfortunately, documentation of patients’ DS use is often missing or incomplete in the electronic medical record (EMR), leaving patients susceptible to potential adverse events. Novel approaches to assist healthcare professionals (HCPs) in capturing patients’ DS use are needed. Objective To assess HCPs’ perspectives on challenges and facilitators of DS documentation in the EMR and their opinions on a proposed mHealth application (app) to aid in DS capture. Methods HCPs, recruited from professional networks, largely in North Carolina, using purposive sampling, took part in semi-structured interviews. We inquired about HCPs’ experiences with DS documentation in the EMR and their opinions about our proposed mHealth app. Interviews were recorded, transcribed, and coded. Thematic analysis included deductive codes based on the interview guide, and inductive codes that emerged during transcript review. Results HCPs (N = 30) included 60% females, mean age 46 ± 10; 70% White. Pharmacists (20%), nurses (17%), and physicians (17%) were the most represented professions. Years in practice ranged from 3–35 years. Most HCPs were concerned about DS safety and potential supplement-drug interactions, and cited several barriers to accurate EMR DS documentation including time constraints, database inconsistencies, and poor patient-HCP communication about DS. HCPs’ views on our proposed mHealth app were generally positive. They expressed that our proposed mHealth app could streamline documentation processes and enhance patient-provider communication. HCPs expressed desire for a high-quality mHealth app that includes access to evidence-based DS information, integrates with the EMR, and does not increase time burdens. Conclusion HCPs believe documentation of patients’ DS use is important but not accurately captured in the EMR. Support was expressed for our proposed barcode-scanning DS mHealth app

Planting Seeds of Victory: Creating Shared Meaning while Gardening amidst a Pandemic

The Victory2020 Garden Community Program was established by faculty members within the University of Florida (UF), Institute of Food and Agricultural Sciences (IFAS) in Marion and Columbia County Extension offices. In response to COVID-19, the purpose of the program was to provide online-mediated programs that could be completed at the desired pace of the participants, while promoting a self-reliant, science-based approach to learning about home food production through gardening. Due to food insecurity rates in both Marion (14.4%) and Columbia (15.2%) counties ranking above the statewide average in Florida, an immediate need to provide educational resources on becoming self-sufficient in growing one’s own food became increasingly important due to nationwide supply-chain shortages (Feeding America, 2020). 2,548 participants representing 43 states and six countries were provided access to eight learning modules hosted by Canvas, an online tool through UF. Participants were provided a package of free seeds, including corn, squash, cucumber, and cowpea to plant their Victory2020 Garden. A purposeful online community was established by extension agents in Marion and Columbia counties to facilitate quality discussion and growth, culminating in over 225,000 total impressions. The findings of the program revealed that 88% of gardening households began eating more fruits and vegetables while 73% are embracing new food safety techniques in both the garden and kitchen. Primary investigators and co-pi\u27s recommend an implementation of a program timeline to benefit the participants through diverse, online learning options. Continued programming addressing mental health, nutrition, and gardening is recommended across extension programs nationall

Self-report of current and prior antiretroviral drug use in comparison to the medical record among HIV-infected patients receiving primary HIV care

Patient antiretroviral (ARV) therapy knowledge is essential for regimen adherence, successful therapeutic response, and minimization of resistance evolution. Moreover, a complete and accurate patient ARV history is needed to construct efficacious and tolerable future regimens. In this study we assessed the ability of HIV-infected patients receiving care in a university infectious diseases clinic to accurately recall current and past ARVs

A randomized clinical trial on the effects of progestin contraception in the genital tract of HIV-infected and uninfected women in Lilongwe, Malawi: Addressing evolving research priorities

Hormonal contraception is central in the prevention of unintended pregnancy; however there are concerns that certain methods may increase the risk of HIV acquisition and transmission. Hormonal contraceptives may modify the genital mucosa in several ways, however the mechanisms are incompletely understood. Few studies have examined genital HIV shedding prospectively before and after initiation of hormonal contraception. The effects of hormonal contraception on genital HIV shedding in the setting of antiretroviral therapy (ART) are also unknown. We designed a pilot clinical trial in which HIV-infected and uninfected women were randomized to either depot medroxyprogesterone acetate (DMPA) injectable or levonorgestrel (LNG) implant in Lilongwe, Malawi. The objectives were to: 1) assess the effect and compare the impact of type of progestin contraception (injectable versus implant) on HIV genital shedding among HIV-infected women, 2) assess the effect and compare the impact of type of progestin contraception on inflammatory/immune markers in the genital tract of both HIV-infected and uninfected women, and 3) assess the interaction of progestin contraception and ART by examining contraceptive efficacy and ART efficacy. An additional study aim was to determine the feasibility and need for a larger study of determinants of HIV transmissibility and acquisition