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Genetic counselling resources in non-english languages: A scoping review.

OBJECTIVE: Genetic counselling is essential for individuals seeking genetic or genomic testing. Whereas innovative strategies for GC delivery are being explored to meet the growing demand on the clinical genetics workforce, it is essential to consider the unique needs of culturally and linguistically diverse populations. METHODS: We conducted a scoping review to examine the extent, range, and gaps in the body of non-English, patient-facing educational resources available for Limited English Proficient (LEP) patients accessing clinical genetics and genomics services. RESULTS: The literature s

Managing transitions: a qualitative study of undergraduate international nursing students' experience of a mentoring program.

BACKGROUND/OBJECTIVES: International nursing students (INS) enhance the diversity of the professional nursing workforce and offer universities substantial cultural, academic, economic, and social advantages. However, INS frequently face challenges in their educational experiences, particularly when targeted support is lacking. Guided by Bridges’ Transition Framework, this study examines the roles of a mentoring program on the academic, social, and personal development of undergraduate INS. METHODS: We conducted semi-structured interviews with seven participants (four mentors and three mentees)

Ageism toward older workers and wellbeing at work: a systematic review.

INTRODUCTION: In the context of unprecedented workforce age diversity, workplace ageism is increasingly reported. This review synthesizes empirical evidence on the relationship between workplace ageism and workplace wellbeing among workers aged 50 and older, focusing on how these effects unfold (mediation) and the conditions under which they are amplified or buffered (moderation). METHODS: A systematic literature review was conducted following PRISMA guidelines. Searches were conducted in major academic databases, including Web of Science, Scopus, Pubmed, among others. Of the 3,378 records id

Exposing gendered microaggressions: the experiences of female physiotherapists working in men's professional sport.

OBJECTIVES: The women's professional sports industry is experiencing rapid growth, and participation rates are higher than ever. This is encouraging more women to explore work opportunities in the industry. However, the sport workforce has a long-established hegemonic masculinity and many accepted behaviors and actions in male sport teams can be viewed as misogynistic. Despite initiatives to encourage more diversity, these behaviors can make it difficult for women to enter and challenging to remain working in men's professional sport. METHODS: To explore the lived experience of women working

From Echocardiography to CT/MRI: Lessons for AI Implementation in Cardiovascular Imaging in LMICs-A Systematic Review and Narrative Synthesis.

Objectives: The aim of this study was to synthesize current evidence on artificial intelligence (AI) adoption in cardiovascular imaging across low- and middle-income countries (LMICs), highlighting diagnostic performance, implementation barriers, and potential solutions. Methods: We conducted a systematic review of PubMed, Embase, Cochrane Library, Web of Science, and Scopus for studies evaluating AI-based echocardiography, cardiac CT, or cardiac MRI in LMICs. Articles were screened according to PRISMA guidelines, and data on diagnostic outcomes, challenges, and enabling factors were extracted

Giving while grieving: Racism-related stress and psychological resilience in Black/African American registered nurses.

BACKGROUND: Studies have found race-related stress psychologically and physiologically harms members of stigmatized racial groups. However, the stressor is racism, not race. PURPOSE: This study examined the relationship between racism-related stress and psychological resilience in Black/African American nurses. METHOD: This study used a cross-sectional, quantitative, correlational design with two instruments, an investigator-developed demographic questionnaire and a convenience sample. FINDINGS: Participants perceived they have low psychological resilience in stressful situations. With raci

Are mental health services fit for purpose in modern multicultural Australia?

Australia is one of the most culturally and linguistically diverse nations globally, yet its mental health system has not kept pace with its demography, resulting in persistent gaps in integration, service planning and delivery, and equity outcomes. This perspective draws on The State of Multicultural Mental Health in Australia, a national report commissioned by Mental Health Australia's Embrace Multicultural Mental Health project, and funded by the Australian Government Department of Health, Disability and Ageing. The research combined secondary analyses of the 2020-2022 National Study of Men

Understanding inequities in accessing neurodevelopmental pathways: a multiple methods study investigating healthcare professionals' views on access for minoritised ethnic families.

BACKGROUND: Minoritised ethnic families in England experience disproportionate barriers to accessing neurodevelopmental disorder (NDD) asses … ICATIONS: Embedding culturally informed communication, improving caregiver education, strengthening workforce diversity and coproducing service changes with communities may reduce avoidable delays and promote equitable access to neurodevelopmental assessment and support.

Subspecialization of Surgical Specialties in the US.

IMPORTANCE: Subspecialists-physicians with narrower clinical focus-play an increasing role in US health care, particularly in surgery, where most trainees now pursue fellowship training. Yet little is known about the degree of subspecialization among practicing surgeons and the evolving role of surgical generalists. OBJECTIVE: To quantify trends in surgical subspecialization and examine the geographic distribution of subspecialists and the procedural scope of surgical generalists. DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study using 100% Medicare Part B data from 2000, 2010,

Improving care for cancer-related and other forms of lymphoedema in low- and middle-income countries: a qualitative study.

BACKGROUND: Lymphoedema is a common, distressing and debilitating condition that can be related to cancer and its treatment or other conditions. Little is known about current practices in the diagnosis, assessment and management of lymphoedema in low- and middle-income countries (LMIC). AIM: To describe current practices in diagnosing, assessing and managing cancer-related and other forms of lymphoedema in LMIC, and related barriers and facilitators. METHODS: An exploratory-descriptive qualitative study. Participants were lymphoedema experts or health care professionals identified via publis

A Year in (Re)View from the Association of Pediatric Program Directors: 40th Anniversary Edition.

Academic Pediatrics has been the official journal of the Association of Pediatric Program Directors (APPD) since 2009. The View from the APPD section of the journal provides an important venue to highlight APPD members' scholarship regarding issues impacting residency and fellowship training. Since 2020, the annual commentary (Re)View from the APPD summarizes articles published in View over the past year including their alignment with overall APPD mission, values, and organizational priorities. The APPD's mission is to ensure the health and well-being of all children and serve pediatric progra

Language Services for Older Adults in China: Evidence from Administrative Enterprise Registration Data and Policy Implications.

Population aging and digital-by-default public service delivery make communication access a policy determinant of equitable aging. In China, dialect diversity, sensory decline, and low digital literacy can prevent older adults from understanding information and navigating health and social services. Yet the provider ecosystem that could deliver language support and age-friendly communication technologies remains poorly measured. This study maps the supply-side dynamics of China's Language Services for Older Adults (LSOA) industry - enterprises offering language-based interventions and communic

Несоответствия в изображениях и управлении множественным склерозом: обзор.

Несмотря на прогресс в области многоразового склероза (МС) и лечения, существуют различия и различия по признаку пола между социально-демографическими факторами (например, расой, этнической принадлежностью, социально-экономическим положением, медицинской грамотностью и географией), которые могут приводить к различным клиническим представлениям, диагностике, управлению и результатам. Эти социальные детерминанты здоровья часто пересекаются друг с другом, ограничивая доступ к МРТ или методам лечения болезней. Финансовые и географические барьеры могут замедлить диагностику и лечение, особенно в се

Совпадение в аннотации оригинала
Despite advancements in multiple sclerosis (MS) imaging and treatment, there are sex-specific differences and disparities across sociodemogr … alth equity by engaging in community outreach to improve health literacy and by working to increase workforce diversity. This review examines the intersection of clinical and radiologic disparities in MS, identifies key barriers to imaging access and utilization, and highlights how radiology can promote equitable MS care to improve outcomes across all populations.

The National Hemophilia Foundation State of the Science Research Summit initiative: executive summary.

INTRODUCTION: The National Hemophilia Foundation State of the Science Research Summit initiative sought to unify research efforts in the US inherited bleeding disorders (BDs) community around key topics of importance to people living with inherited BDs, the lived experience experts. AREAS COVERED: This community-led and -informed project focused on six broad areas - hemophilia A or B; von Willebrand Disease (VWD), platelet dysfunctions and other mucocutaneous inherited BDs; ultra-rare inherited BDs; the unique challenges of people with the potential to menstruate with inherited BDs; diversity

Stakeholder perspectives on sustainable antenatal point-of-care ultrasound (APOCUS) implementation in rural Australia: a qualitative study of professional body submissions and clinician focus groups.

BACKGROUND: Antenatal point-of-care ultrasound (APOCUS) may improve access to essential obstetric imaging in rural and remote settings where formal ultrasound services are limited. However, sustainable implementation requires accessible training, governance and accreditation pathways. OBJECTIVE: To explore stakeholder perspectives on the sustainable implementation of APOCUS training and practice in Australia. DESIGN: Qualitative descriptive study using online focus groups and invited written submissions from Australian professional organisations and colleges. SETTING AND PARTICIPANTS: Six o

South Africa's protracted struggle for equal distribution and equitable access - still not there.

The purpose of this contribution is to analyse and explain the South African HRH case, its historical evolution, and post-apartheid reform initiatives aimed at addressing deficiencies and shortfalls. HRH in South Africa not only mirrors the nature and diversity of challenges globally, but also the strategies pursued by countries to address these challenges. Although South Africa has strongly developed health professions, large numbers of professional and mid-level workers, and also well-established training institutions, it is experiencing serious workforce shortages and access constraints. Th

T-cell dynamics after high-dose chemotherapy in adults: elucidation of the elusive CD8+ subset reveals multiple homeostatic T-cell compartments with distinct implications for immune competence.

INTRODUCTION: Enhanced pharmacy services (EPS) are health related services above those normally available with the supply of medicines. Rural pharmacies could provide a diversity of EPS in response to the limited access and reduced health services available in rural areas. The objective of this study was to evaluate the provision of EPS in rural Western Australian (WA) pharmacies in 2006, compared with findings extracted from a national survey conducted in 2002. Barriers to and facilitators for the provision of ETS in rural settings were also analysed. METHODS: The survey was conducted in 200

Predicting resilience among health social workers during COVID-19.

Health social workers practicing in hospital settings were confronted with numerous personal and professional challenges during the COVID-19 pandemic. Resiliency among frontline health social workers was important for effective practice, retention, and workforce sustainability during the COVID-19 pandemic. The Transactional Model of Stress and Coping was used to better inform how frontline health social workers responded during the pandemic and to identify risk and protective factors for professional social work resiliency. This study examined 163 health social workers employed across several

Policy and service delivery proposals to improve primary care services in low-income and middle-income country cities.

The landscape of primary care services in low-income and middle-income country cities is diverse and dynamic, yet the quality of care received is too often low and the financial cost to the patient high. In the second Paper in this Series, we argue that shaping the primary care market is likely to provide larger returns to scale than individual quality improvement initiatives. Among other things, the market can be shaped by regulation and targeted public investment to crowd out poor providers and motivate those that remain to improve. Additional supply-side initiatives for which there is evide

Barriers to healing pressure ulcers within the community setting: a service evaluation.

To effectively support patients with wounds in the community, healthcare teams must adopt diverse and tailored approaches to care. Patients with pressure ulcers require a detailed assessment of all the factors which may cause pressure ulcers or delay healing. This assessment should be performed by specialists as evidence-based guidelines recommend this approach to achieve the best outcomes. This service evaluation explores some of the complexities of achieving this for a rural community nursing trust. A case study has been used for a patient with multi-morbidities and spina bifida within a rur