Objective: Familial hypercholesterolaemia (FH), an autosomal dominant disorder causing elevated low-density lipoprotein (LDL) cholesterol from birth resulting in premature cardiovascular disease, is only diagnosed in 10% of affected patients. This study involved partnering with patients with FH and with primary care providers (PCPs) to understand…

Adaptive care plans (ACPs) are an innovative method to providing care for children and adolescents with developmental disabilities who have challenging behaviors during healthcare encounters. ACPs take a family-centered approach to ensure that children with developmental disabilities are able to receive safe and appropriate healthcare by…

Background: People with post-stroke aphasia (PWA) are more likely to experience serious mood disorders compared with those without. Emotional regulation may be important for influencing life participation after stroke. Understanding emotional regulation in the context of aphasia is important for promoting personally defined recovery, psychological…

This study examined the relationships between clinical reasoning behaviors and diagnostic efficiency in the context of diagnosing a virtual patient in BioWorld, a technology-rich environment designed for medical students to practice clinical reasoning skills. Eighty-two medical students who correctly solved a patient case with Diabetes Mellitus…

The clinical similarity among different neuropsychiatric disorders (NPDs) suggested a shared genetic basis. We catalogued 23,109 coding de novo mutations (DNMs) from 6511 patients with autism spectrum disorder (ASD), 4,293 undiagnosed developmental disorder (UDD), 933 epileptic encephalopathy (EE), 1022 intellectual disability (ID), 1094…

Incidence of reported near-death experiences (NDEs) has increased over decades; however, they continue to be inappropriately pathologized or dismissed. These types of responses to disclosures of NDEs by patients can potentially lead to them having problems integrating the experience into their lives. The purpose of this study was to assess…

Purpose: Almost 90% of people with Parkinson's disease (PD) develop voice and speech disorders during the course of the disease. Ventilatory dysfunction is one of the main causes. We aimed to evaluate relationships between respiratory impairments and speech/voice changes in PD. Method: At Day 15 from admission, in consecutive clinically stable PD…

Purpose: This study sought to determine the minimally detectable change (MDC) of sentence intelligibility for speakers with multiple sclerosis (MS) and Parkinson's disease (PD). Method: Speakers included 78 participants consisting of 32 neurologically healthy control speakers, 30 speakers with MS, and 16 speakers with PD. All speakers were…

Purposes: The purposes of this study were to determine whether the acoustic measures from glottal stops distinguished between controls and patients with unilateral vocal fold paresis/paralysis (UVFP) at initial evaluation and posttreatment/ observation, to explore the types of false vocal fold (FVF) movement during glottal stop production in UVFP,…

Systems thinking is challenging but clearly important in higher education to understand relationships between different elements influencing the quality and student learning and achievement. A similar challenge is found in healthcare, where patient safety activities are more and more seen and dealt with in a broader system perspective. A…

Background: People with an intellectual disability who commit a criminal offence can be detained, by a court, in a forensic inpatient facility. There is limited understanding of how inpatients with an intellectual disability and their nurses navigate risk in U.K. forensic services. Methods: A traditional literature review design was followed to…

Alarm fatigue is a patient safety issue. The gap identified in practice is that nurses did not know how to navigate the monitoring system properly such that improper use of the alarm system was the result, which compromised patient safety. The goal of this project aimed to fill the gap in knowledge and skill among the staff and improve the…

The impact of the coronavirus (COVID-19) pandemic on families of young children with disabilities is well documented; however, there is little published research on the experiences of pediatricians and Part C Early Intervention (EI) personnel during the pandemic. This study examined the collective experiences of general pediatricians and Part C EI…

The authors, a museum educator and a psychiatrist, present a case study of their collaborative work to develop museum experiences for trauma survivors participating in an outpatient treatment program that uses Cognitive Processing Therapy. The thesis behind the program, now in its eighth year, was that an art museum experience could be designed to…

Breast cancer is a disease that requires palliative care and comfort. The current study aimed to adapt the scale used to assess the comfort level of breast cancer patients receiving palliative care, for the Turkish population, and to contribute to the literature. A total of 340 breast cancer patients who were registered at a university hospital's…