Team Of Health Professionals Research Articles

Role of prophylactic antibiotics in treating patients presenting to emergency care with dog bites.

Dog bites account for 250,000 attendances for urgent and emergency care each year. They pose risks including infections with potentially life-threatening complications. This article scrutinises the evidence underpinning the use of prophylactic antibiotics in dog bite wounds. A focused literature review involving four databases specialising in peer-reviewed healthcare literature was conducted to identify the highest quality evidence, which was then systematically appraised. The use of antibiotics in treating dog bite wounds to reduce the risk of infection is largely supported by the evidence. However, significant limitations exist in the research, with patient-specific criteria for administering prophylactic antibiotics and the associated risks and financial costs not addressed. Further research into antibiotic treatment for dog bites would help to support clinicians, nurse practitioners and the wider nursing and allied health professional team in urgent and emergency care by informing safe practice and in turn improving patient care, cost-effectiveness and antimicrobial stewardship.

The Evolution of a Digital Nurse, Midwife and Allied Health Professional Team.

Manchester University NHS Foundation Trust (MFT) underwent a successful implementation of their Electronic Patient Record (EPR), Hive, in September 2022. Part of this success is attributed to a strong Digital Nurse, Midwife and Allied Health Professional (NMAHP) Team acting as a bridge between clinical and technical teams. The role of the Digital NMAHP Team has rapidly evolved over the preparation, implementation and stabilisation phases of the transformation. This poster explains how the Digital NMAHP Team engaged end users during the preparation for Hive. How the Digital NMAHP role developed during the implementation and stabilisation of Hive, supported by What Good Looks Like [1]. And the future vision of the Digital NMAHP Team.

An Overview of the Project ECHO—Cervical Cancer Prevention in Mozambique

PURPOSE Cervical cancer is the most common cancer among women in Mozambique, a Portuguese-speaking country in sub-Saharan Africa. There is a shortage of health care providers to diagnose and treat preinvasive cervical disease. Therefore, training and mentoring to perform colposcopy, cervical biopsy, ablation and loop electrosurgical excision procedure (LEEP) is imperative. The purpose of this study is to describe our program to date. METHODS Our team of physicians, nurses and other health professionals from the United States (US) and Brazil provides in-person training for clinicians in Mozambique supplemented with Project ECHO® (Extension for Community Healthcare Outcomes), a telementoring program to provide virtual support and reinforce and amplify knowledge and skills to build capacity. In-person trainings are held 2-4 times per year. ECHO videoconferences are held monthly with Mozambican clinicians presenting de-identified patient cases for discussion with specialists from the US and Brazil and their peers. Training, lectures and discussions are held in Portuguese. In 2023 we launched a survey to assess the impact of Project ECHO to the participants. The survey covered the applicability of the content discussed in their practice and the content learned during case presentations. Data from the survey were stored in REDcap. RESULTS Since February 2019, we have held nine in-person and 16 virtual trainings supplemented with 59 ECHO telementoring sessions, with an average of 53 participants per session. Forty-eight cases were presented and discussed. Respondents included 182 participants. Of the 139 who answered their profession, the majority were nurses (83, 59.8%), followed by doctors (33, 23.7%) and others (23, 16.5%). When asked about applicability of the content discussed in ECHO, the majority agreed/strongly agreed that the content was applicable to their practice (78/79, 98.7%) and that they learned something new during the case presentations (114/116, 98.3%). Lastly, 93.2% (68/73) of responders said that they would make changes to their practice as a result of the Project ECHO participation. CONCLUSION Well-trained clinicians for the management of women with abnormal screening tests is critical for improving cervical cancer prevention. The ECHO project model facilitates and extends mentoring and training of healthcare professionals and keeps providers engaged in learning.

The cost effectiveness of early assessment and intervention by a dedicated health and social care professional team for older adults in the emergency department compared to treatment-as-usual: Economic evaluation of the OPTI-MEND trial.

Over 65s are frequent attenders to the Emergency Department (ED) and more than half are admitted for overnight stays. Early assessment and intervention by a dedicated ED-based Health and Social Care Professionals (HSCP) team reduces ED length of stay and the risk of hospital admissions among older adults while improving patient health-related quality-of-life and satisfaction with care. This study aims to evaluate whether augmenting the treatment as usual for older adults admitted to ED is cost-effective. Cost-effectiveness analysis (CEA), conducted alongside the OPTI-MEND randomised controlled trial of 353 patients aged ≥65 with lower urgency complaints compared the effectiveness of early assessment and intervention by a dedicated HSCP team in the ED to treatment as usual (TAU). An economic analysis estimated the average cost per older adults randomised to the HSCP team, and compared to TAU, how contact with HSCP team changed health care use, and associated total costs, and estimated the effect of HSCP on Quality-Adjusted Life Years (QALYs). Within the OPTI-MEND trial, the average cost of a contact with the HSCP team during ED attendance is estimated to be €801 per patient. Compared to TAU, the incremental QALY of intervention is 0.053 (95% CI: 0.023 to 0.0826, p<0.0001). Accounting for cost savings because of contact with HSCP team, the average incremental saving in the total cost, compared to TAU, is -€6,128 (95% CI: -€9,217 to -€3,038, p<0.0001). Given the incremental health gains and significant cost savings, bootstrapped cost CEA suggests that dedicated HSCP care dominates over TAU for low urgency older adults attending the ED. A dedicated HSCP team in the ED significantly improves overall health for lower acuity older adults and, by reducing inpatient length of stay, results in staggering cost savings. This economic evaluation conducted on the OPTI-MEND trial provides convincing evidence that HSCP should be adopted as part of treatment as usual in Irish EDs. ClinicalTrials.gov, NCT03739515; registered on 12th November 2018. https://classic.clinicaltrials.gov/ct2/show/NCT03739515.

Supporting Local Public Health and Planning Professionals to Implement Built Environment Changes: A Technical Assistance Program to Promote Physical Activity in Texas.

Built environment approaches that improve active transportation infrastructure and environmental design can increase physical activity. Funded by the Centers for Disease Control and Prevention, the Texas Department of State Health Services rejuvenated the Texas Plan4Health program from 2018 to 2023 to expand such approaches in Texas by providing technical assistance to teams of local public health professionals and planners to identify and implement projects connecting people to everyday destinations via active transport in their communities. However, the COVID-19 pandemic prompted Texas Plan4Health to modify the delivery of technical assistance to accommodate restrictions on travel and in-person gatherings. We used qualitative methods to conduct a postintervention process evaluation to describe the modified technical assistance process, understand the experiences of the 4 participating communities, and identify short-term outcomes and lessons learned. Texas Plan4Health helped communities overcome common barriers to built environment change, facilitated collaboration across community public health and planning professionals, and educated professionals about active transportation infrastructure and the relationship between their disciplines, thereby increasing community capacity to implement built environment improvements. This outcome, however, was mediated by the pre-existing resources and previous experiences with active transportation planning among the participating communities. Public health practitioners seeking to improve active transportation infrastructure and environmental design for physical activity should consider community-engaged approaches that advance partnership-building and collaborative experiential education among public health, planning, and other local government representatives, directing particular attention and additional training toward communities with fewer resources.

THANATOPHORIC DYSPLASIA: Birth, death, and the experience of family support and neonatal palliative care

Tanatophoric dysplasia is a usually lethal genetic syndrome in the perinatal period, which has a significant psychological impact on the pregnant woman and family. It necessitates careful monitoring by the health professionals involved in the care. The objective of this work is to present an experience report on the psychological and multidisciplinary monitoring of a pregnant woman diagnosed with type 2 tanatophoric dysplasia during prenatal screening. The methodology of the present study involves presenting a clinical case with a description of the clinical and psychological conditions of the pregnant woman, along with the interventions carried out by the health professionals involved in the case. The pregnant woman sought psychological care after receiving the diagnosis of type 2 tanatophoric dysplasia. Subsequently, the psychologist coordinated with other health professionals involved in the case and the institution where the delivery would take place, leading to the development of a collaborative planning and management approach. Upon discussion, the pregnant woman and her family opted for palliative care for the newborn. The team of professionals aligned their approach to meet the family’s wishes and needs. The newborn received supportive measures but survived for only a few hours before passing away. The integrated performance of the health team professionals and the flexibility of the hospital institution allowed the adequate planning of care actions and facilitated a positive reception experience for the family. This case highlights the importance of psychological support, individualized planning, and the relevance of teamwork in providing comprehensive care during such challenging circumstances.

Osteoporosis in community-dwelling older adults: Prevalence and prevention and control strategies in general practice

BackgroundThe rising number of people with osteoporosis and with low bone mass presents significant challenges to community-based prevention and treatment efforts for osteoporosis ObjectiveThis study aimed to identify the basic conditions of osteoporosis prevention and control in communities. This included assessing the basic process and costs associated with enrolling the target population, as well as examining the prevalence and risk factors of osteoporosis, to provide evidence supporting general practitioners to develop precise prevention and control strategies. MethodsFrom May to August 2021, the study encompassed 322 participants, who visit Bund Community Health Centre of Shanghai China for outpatient consultations or health check-up. We collected data on demographics, bone mineral density (BMD), and risk factors for osteoporosis through a questionnaire survey. ResultsThe average cost per person for enrolling participants for osteoporosis screening was 57.34 Yuan. Among the 322 participants, 27 (8.4 %) had normal bone mass, 157 (48.8 %) exhibited low bone mass, and 138 (42.8 %) were diagnosed with osteoporosis, resulting in a BMD abnormality rate (low bone mass and osteoporosis) of 91.6 %. There were statistically significant differences between genders and BMI among the normal bone mass, low bone mass and osteoporosis groups (P < 0.05). The average BMD for these groups was -0.72 ± 0.27, -1.88 ± 0.38, and -3.17 ± 0.53 AU/mm3, respectively. Regarding exercise habits, the prevalence of limited exercise in the normal bone mass, low bone mass, and osteoporosis groups was 37.0 % (10/27), 49.7 % (78/157) and 64.5 % (89/138), respectively; concerning exercise intensity, moderate-intensity exercise was prevalent at rates of 74.1 % (20/27), 79.6 % (125/157), and 80.4 % (111/138) in these groups. However, dietary habits and other osteoporosis risk factors, such as surgery history, smoking history, allergy history, and previous history, showed no significant differences among the three groups. Meanwhile, for dietary habits, 48.8 % (157/322) of all participants never consumed beer, liquor and red wine, 32.0 % (103/322) drank coffee 4–6 times per week, and 31.4 % (101/322) consumed pickled vegetables or smoked foods 4–6 times per week. ConclusionThe community setting is advantageous for preventing and treating osteoporosis due to the brief enrollment period and low cost. However, the exercise and dietary habits of community dwelling older adults need to be improved. Therefore, teams of primary care providers, including doctors, nurses, and other health professionals, should provide timely guidance to enhance dietary structures, foster healthy exercise habits, and actively control the progression of osteoporosis.

The experiences and perspectives of older adult mental health professional staff teams when supporting people with young-onset dementia.

Background. The diagnosis of young-onset dementia presents significant challenges both for the person and their families, which often differ from the challenges faced with late-onset dementia. Evidence of the experience of service users and carers tends to reveal a negative appraisal of the care received, citing longer diagnosis times, poor clinician knowledge and lack of age-appropriate care. However, evidence looking into staff experiences of supporting someone with young-onset dementia is relatively scarce. The aim of this study was to explore the experiences and reflections of health and social care staff who support people with young-onset dementia within older adult mental health services, and whether their knowledge of the systems they work in could reveal the existence of barriers or facilitators to young-onset dementia care. Methods. Health and social care professionals working with people and carers with young-onset dementia across England were remotely interviewed between September and December 2021. Data were analysed using inductive thematic analysis. Findings. Sixteen staff members were interviewed. Three themes were constructed with six sub-themes. The first theme related to the perception of greater complexity around young-onset dementia support. The second theme describes staff fears around their ability to effectively support people with young-onset dementia, including the perception that young-onset dementia requires specialist input. The final theme describes systemic and structural inefficiencies which provide additional challenges for staff. Conclusions. Providing effective support for people with young-onset dementia and their families requires adjustments both within the clinician role and mental health services. Staff considered young-onset dementia support to be a specialist intervention and felt the services they work for are suited to generic mental health and dementia provision. Findings are discussed with recommendations relating to developing a standardised model of dementia care for young-onset dementia which recognises and responds to the unique experiences of young-onset dementia.

Diplopia in Movement Disorders: A Systematic Review of the Literature.

Although the reported frequency of diplopia is between 10 to 40% of patients with Parkinson's disease (PD) and other movement disorders, it remains one of the most undiagnosed non-motor symptoms. Furthermore, it has a major impact on the quality of life of these patients. The aim of this study is to systematically review the literature regarding the frequency, causes, and implications of diplopia in movement disorders. An electronic search was conducted in March and June 2023 using the PubMed database in order to identify appropriate studies. Studies that were written in English, that represented observational, analytical studies, and case reports, and that provided information regarding diplopia in movement disorders were included in the systematic review. A total of 686 articles were identified out of which 43 met the inclusion criteria. The studies included in the systematic review ranged from descriptive studies (case reports and case series) to analytical-observational studies (cross-sectional studies, prospective and retrospective cohort studies, and case-control studies). In Parkinson's disease, the incidence of diplopia ranged from 10 to 38%. In these patients, diplopia was linked to the presence of visual hallucinations and cognitive decline but also to convergence insufficiency and the presence of motor fluctuations. Cases of diplopia secondary to deep brain stimulation were also reported. Diplopia was associated with longer disease duration and worse motor and non-motor scores. Diplopia was also reported in other movement disorders such as multiple system atrophy (frequency as high as 18%) and progressive supranuclear palsy (frequency as high as 39%) and was associated with increased mortality and shorter duration in life span. Diplopia occurs in up to 38% of patients with movement disorders and has a negative impact on their health-related quality of life. Treating physicians should actively ask about diplopia and other ophthalmological symptoms, as many patients do not spontaneously report them. The pathophysiology of diplopia is complex, and it involves heterogeneous peripheral and central mechanisms. The management of these patients should involve a multidisciplinary team of health professionals in order to provide appropriate, tailored management.

Prospective evaluation of parent and child outcomes following admission to a ‘virtual’ early parenting residential programme

ObjectivesAustralian early parenting residential services provide interventions for families experiencing complex early parenting issues. Many services have recently shifted to virtual care models but the clinical effectiveness of such programmes...

Broadening the capture of natural products mentioned in FAERS using fuzzy string-matching and a Siamese neural network

Increased sales of natural products (NPs) in the US and growing safety concerns highlight the need for NP pharmacovigilance. A challenge for NP pharmacovigilance is ambiguity when referring to NPs in spontaneous reporting systems. We used a combination of fuzzy string-matching and a neural network to reduce this ambiguity. Our aim is to increase the capture of reports involving NPs in the US Food and Drug Administration Adverse Event Reporting System (FAERS). For this, we utilized Gestalt pattern-matching (GPM) and Siamese neural network (SM) to identify potential mentions of NPs of interest in 389,386 FAERS reports with unmapped drug names. A team of health professionals refined the candidates identified in the previous step through manual review and annotation. After candidate adjudication, GPM identified 595 unique NP names and SM 504. There was little overlap between candidates identified by each (Non-overlapping: GPM 347, SM 248). We identified a total of 686 novel NP names from FAERS reports. Including these names in the FAERS collection yielded 3,486 additional reports mentioning NPs.

Development of multiprofessional teamwork in Finnish health and social service centers, achievements, and challenges

In Finland all health and social services are moved from the responsibility of municipalities to Well-being service counties in 2023. The reform emphasizes service integration. At practical level Health and social service centers (HSS) are developed for the first contact points in Finland. Long waiting times, shortage of staff and lack of coordination have been major problems in primary care. As a solution, multiprofessional teams of both health and social care professionals in HSS centers and better collaboration between professionals have been built. This study explores, how the teams work and what challenges they have. &#x0D; Methods: The study is based on 16 interviews of 25 managers and so far on 8 interviews of 10 employees (interviews are ongoing) in 5 HSS centers. The study is carried out in the territory of one future well-being services county, which launched the new organization beforehand. The county provided specialized care in the whole area. The primary care and social services were provided by the county in in two HSS centers. One HSS center was provided by a municipality, and two by a private firm. In the interviews the participants were asked about work organization and the functioning of the team model. The participants were GPs, registered nurses, psychiatric and substance abuse nurses, social workers and managers from different levels. The interviews were analyzed using content analysis. &#x0D; Results: The core team in HSS centers consisted of GPs and nurses, but also of psychiatric and substance abuse nurses, social worker and physiotherapist. The managers saw the team work as functioning rather well. The waiting times had shortened clearly. But the team model was only a part of the changes done. Ehealth services were started at the same time by an outsourced organization, which lowered the demands in the HSS centers. An important part of the changes was the new care process which highlighted the effective telephone services. Nurses answered the phone and started the care process. It was possible to guide the client to laboratory or directly (without referral) to some other professional (such as physiotherapist) or to prescribe medicine at phone. This was possible, because one GP was working as consulting the nurses without own appointments. The new service model included the task shifting and strengthening the role of nurses. &#x0D; Common facilities and close connection of all team members was seen as crucial as it enabled getting to know each other and the services they provided. In the teams the responsibility of care was on teams, not on single professionals. This raised a discussion of care continuity and due this of efficacy. The professionals saw it important to have one contact person for the client with chronic conditions. &#x0D; Conclusions: Multiprofessional work can streamline and improve the treatment process, but eHealth and task shifting are needed too. Teamwork requires participatory development and getting to know each other. Easy consultation of GP’s is required for task shifting. Despite the benefits of teamwork care continuity must be taken into account. &#x0D;

"Palliare" surrounded with care.

Introduction: Despite scientific evidence about the benefits of Advance Care Planning (ACP) for patients with non-curative treatment, ACP is rarely discussed in practice. Why is it difficult for health professionals to mention ACP? How can patients and their family caregivers take control of their own care process and be actively engaged?&#x0D; The aim of this project is to empower patients and their family caregivers to discuss their wishes and care goals in a palliative phase, and to provide health professionals with communication techniques and skills to use in a palliative conversation. A common language is introduced so that all parties can communicate more comfortably with each other.&#x0D; Target groups: We focus on oncology patients with non-curative therapy, their relatives and their professional care providers.&#x0D; To identify these palliative patients, physicians will have to indicate via MOC (multidisciplinary oncologic consultation) registration if the therapy of an oncology patient is curative or non-curative. If the patient can’t be cured, early palliative care needs to be integrated into daily oncology practice by offering an interactive meeting in group. The group of care providers is a multidisciplinary team with oncologists, oncology nurses, palliative care specialists, bedside nurses, social workers, psychologists, etc.&#x0D; Methodology: We started with a kick-off session in which the members of the project (oncologists, oncology nurse, palliative care specialist and palliative care nurse) explained the purpose of the project to healthcare professionals. We explained a number of concepts and suggested the specific language we want to maintain.&#x0D; After this first session, we organized interactive workshops for patients and their relatives to provide them with tools to establish and communicate about their end of life wishes and care goals. In this workshop, we explained the concept of ‘palliative care’ and the importance of an active involvement of the patient and his/ her relatives during this palliative phase. By performing a role play, we elaborated on the questions that are important to ask the physician, and how patients and relatives can ask these questions.&#x0D; In parallel we organized workshops for different teams of health professionals to provide them with more advanced communication skills and to learn them how to sense when patients are ready for a palliative care conversation. In these interactive workshops we also interspersed communication theory with role plays.&#x0D; Results: Surveys based on the validated PAM-13 questionnaire will be provided to all participants (patients and healthcare professionals). Because the project is still in full development at the moment, we don’t have results yet. We hope to present our results during the ICIC23 in May 2023 and to enthuse and inspire other healthcare professionals about the importance of patient empowerment during a palliative phase.

The Generative Role of Objects in Infrastructure Design: A Case of Designing a System for Continuity of Care

AbstractThis study explores the generative role of objects in design work. While the CSCW literature includes a range of contributions on infrastructure design and ways of accounting for diverse existing systems, practices and perspectives in design, the focus has typically been on the point of use, rather than the earlier stages of design processes. However, as more worker groups become involved in design there is a need to understand the microdynamics of collaborative design in this phase and the interplay between problem framing and exploration. We examined how the design of an information system in the health sector evolved through the instantiation and exploration of intermediary objects that become generative in the design process. The data comprised observations over 2 years from design meetings with a team of health professionals and software developers mandated to develop a system for the registration and sharing of patient information across primary care units. The analysis showed how intermediary objects formed focal points from which infrastructure design problems were framed and collectively explored. These processes required considerable negotiation and exploration within and between the interdependencies that become relevant in the design process. We identified how intermediary objects take different representational forms and become generative in two ways: By producing new or transformed objects, and by revealing layers of complexity inherent in the design problem. We discussed implications of the analysis as regards aspects of the infrastructure design that can be handled in the design team versus aspects that should be delegated to local adaptation.

Geriatric Interprofessional Team Transformation for Primary Care overview.

The Geriatric Interprofessional Team Transformation for Primary Care (GITT-PC) is a model developed to deliver optimal care to older adults in primary care. GITT-PC is an expansion of the John A. Hartford Foundation Geriatric Interdisciplinary Team Training (GITT) program developed at New York University and funded from 1995 to 2002 (Fulmer et al., 2004). GITT was designed to create training models that reflect the needs of the changing health care system and the challenge of caring for older adults with complex conditions (Fulmer et al., 2005). The GITT-PC model builds on the lessons learned from GITT and the development of curricula and training materials based on best practices. Implementation of GITT-PC is accomplished through systems and practices that meet the needs and preferences of patients and their families and that are implemented by teams of health professionals and community service providers. GITT-PC is focused on four core components of high-quality geriatric care: (1) health promotion and prevention, (2) chronic disease management, (3) advanced care planning, and (4) transitional care management, each component corresponding to a Medicare-reimbursable visit. Implementation of these reimbursable services enables practices to provide evidence-based geriatric care while realizing a potential significant return on investment. The GITT-PC model has evolved from an academic training program to a financially sustainable model that serves to improve the care of older adults through a systematic team transformation process that makes a clear business case for primary care (Tabbush et al., 2021). The GITT-PC training program can be implemented in primary care practices with a focus on improving or expanding delivery of annual wellness visits (AWVs) and, potentially, registered RN-led AWVs.

How to integrate a patient partner into a care team?

It is not rare anymore to find patients with knowledge and experience of a care pathway integrating a team of health professionals in order to improve the quality and relevance of their peers’ care pathways. The aim of this article is to propose practical methodological answers and structuring questions to institutions and any health actor interested in integrating a Patient Partner (PP) into a team of health professionals. The results of an action-research (AR) carried out within a Cancer Treatment Centre (CTC) provide both a methodological framework and answers to the questions raised by this experimentation: How did the team and the PP organize themselves to implement the mission of peer support? What evaluations of the project should be put in place? How does everyone find their place in the project? And finally, what are the operational procedures, limits, and levers for integrating the PP into the team? In the discussion section, we propose a model of experimentation based on AR, highlighting the main drivers and the interventions that feed them. Finally, we share a series of structuring questions arising from the co-construction work carried out by the people involved, which allowed us to build our action plan for the integration of a PP in the care team at the Rennes CTC, and which seems to us sufficiently generalizable to be tested and used by other teams and in other contexts.

Supporting patients in the transition to the revised pexidartinib dosing regimen: perspectives from the multidisciplinary clinical and allied health professional team

Pexidartinib is a colony-stimulating factor-1 receptor inhibitor approved in the United States for treatment of adult patients with symptomatic tenosynovial giant cell tumor (TGCT) associated with severe morbidity or functional limitations and not amenable to improvement with surgery. Because of the risk of severe and potentially fatal hepatotoxicity, pexidartinib is only available through a Risk Evaluation and Mitigation Strategy (REMS) program. Pexidartinib pharmacokinetics are influenced by the fat content of meals: compared with the fasted state, consuming a high-fat meal with pexidartinib increases pexidartinib absorption by 100%; a low-fat meal increases absorption by approximately 60%. Pexidartinib was initially authorized to be taken at 800 mg/day on an empty stomach; therefore, if this same dose of pexidartinib is taken with food, there is a risk of overexposure and potential toxicity. To reduce the risk of hepatotoxicity and improve patient compliance, pexidartinib has undergone a revised dosing regimen, from 800 mg/day (400 mg twice daily) fasted to 500 mg/day (250 mg twice daily) with a low-fat meal (approximately 11–14 g of total fat). The objective of this report is to educate clinical and allied health professionals on the revised dosing regimen and the importance of patient compliance with a low-fat meal. Healthcare professionals need to understand the rationale for the switch from pexidartinib dosing on an empty stomach to dosing with a low-fat meal and how meal composition and timing influence pharmacokinetics. Finally, we provide guidance for the healthcare team of prescribing providers, nurses, pharmacists, and dietitians who are caring for patients with TGCT on pexidartinib. It is important for healthcare providers to deliver consistent messaging on the low-fat meal requirement and help patients fit pexidartinib into their regular meal schedules. Consulting a dietitian may be helpful for patients, especially those with complex dietary needs. We provide an overview of the roles and responsibilities of each healthcare professional and outline steps to best support patients, including key questions and answers related to the revised dosing regimen. This report provides the information necessary to guide the multidisciplinary team caring for patients with TGCT and to support them through the pexidartinib dosing regimen change.

Conditioning the work of colleagues: health professionals’ explorative work in technology design

Professional learning at work is related to the opportunities to participate in explorative and constructive practices. Co-designing tools and technologies to support work offers such opportunities, which need to be better understood in the field of professional and vocational learning. As digitalisation initiatives become more ambitious and aim at wider service reorganisation, more professionals from nontechnical domains become involved in the work of designing technologies and developing routines for their practice. This study explores how health professionals participate in the design of a technology for the registration and sharing of patient information across healthcare units in a Norwegian city. Over a year, we observed the design meetings with a team of health professionals and IT developers. The health professionals were mandated this task as part of their regular work to ensure that the way of categorising and displaying patient information would serve the services’ needs. The interactions in the design meetings were analysed to examine how categories of patient information were explored and negotiated as objects of design. Our findings show how the team needed to test candidate categories for various contexts of use. This implied both negotiation of future service routines and efforts to reconfigure tasks and responsibilities in multiple service contexts. This work brings extended responsibilities and opportunities for learning to health professionals. We discuss how their decisions are consequential beyond their own workplace as the information system and its categories condition the work of colleagues in the wider service chain.

Interdisciplinary experiences between speech therapy and dentistry in the pre and postoperative period for bariatric surgery

The aim of this study was to report the experiences of interdisciplinary care between speech therapy and dentistry, for adult patient’s pre and postoperatively of gastroplasty, in Reference Service for Bariatric Surgery at the Clinics Hospital at the Federal University of Pernambuco, in the city of Recife, northeastern Brazil. This service has a multiprofessional team of health and social assistance professionals, who monitor individuals with obesity and associated comorbidities, mainly Diabetes and Systemic Arterial Hypertension (SAH), with a view to a comprehensive and humanized treatment, aiming at a better quality of life for this target population. After the beginning of the monitoring by Speech Therapy, there was the request for the opinion and intervention of Dentistry, particularly in the context of the performance of the masticatory function. As of the year 2022, 27 adult patients, aged between 18 and 59 years old received the evaluation, orientations and interventions together, particularly regarding orofacial motricity and oral rehabilitation. In this context, the biggest challenges are related to periodontal disease, with tooth mobility and the loss of many teeth due to caries lesions and to tooth fractures due to clenching and generalized sensitivity

Automated ventilator prototype for COVID-19 patient treatment: the design and development of the electronic system

&lt;p&gt;The coronavirus disease 2019 (COVID-19) pandemic has created an urgent global demand for ventilators, respirators and various resuscitation devices. Various research and development organizations, private companies and individual engineers have collaborated and carried out the development of low-cost ventilation prototypes. In turn, doctors and nurses are collapsed due to the exponential increase in COVID-19 cases. This scenario worsens more when the tasks are manual in nature. The article`s objective to describe the electronic system designed, developed and implemented in a functional prototype of an automatic ventilator in order to be evaluated by a team of health professionals to be later used in cases of health emergencies. This system automates the manual ventilation task aided by a few medical resources in a scenario of scarce resources and is a temporary solution when a respirator is not available.&lt;/p&gt;