Showing papers by "An Chen published in 2023"
TL;DR: In this article , a systematic review aims to synthesize available evidence on the acceptability of implementing Patient-reported Measures (PRMs) in routine maternity care, and synthesizes available evidence for implementing PRMs in routine care.
Abstract: Patient‐reported measures (PRMs) are becoming popular as they might influence clinical decisions, help to deliver patient‐centered care, and improve health care quality. However, the limited knowledge and consensus about the acceptability of implementing PRMs in maternity care hinder their widespread use in clinical practice, and evidence‐based recommendations are lacking. This systematic review aims to synthesize available evidence on the acceptability of implementing PRMs in routine maternity care.
1 citations
TL;DR: In this article , the authors present a list of the most influential women in the field of pharmacology: Jessica L. Ryan, PhD; Stephanie M. Franklin, MPS; Melanie Canterberry, PhD, Charron L. Long, PharmD; Andy Bowe, MPH; Brandy D. Roy, MD; Danielle Hessler, PhD and Benjamin Aceves, PhD.
Abstract: Jessica L. Ryan, PhD; Stephanie M. Franklin, MPS; Melanie Canterberry, PhD; Charron L. Long, PharmD; Andy Bowe, MPH; Brandy D. Roy, MD; Danielle Hessler, PhD; Benjamin Aceves, PhD; Laura M. Gottlieb, MD
TL;DR: In this paper , the authors provide policy, clinical practice, and education recommendations for telemedicine on behalf of the Society of General Internal Medicine (SGI), and highlight where key actions are needed.
Abstract: Telehealth services, specifically telemedicine audio-video and audio-only patient encounters, expanded dramatically during the COVID-19 pandemic through temporary waivers and flexibilities tied to the public health emergency. Early studies demonstrate significant potential to advance the quintuple aim (patient experience, health outcomes, cost, clinician well-being, and equity). Supported well, telemedicine can particularly improve patient satisfaction, health outcomes, and equity. Implemented poorly, telemedicine can facilitate unsafe care, worsen disparities, and waste resources. Without further action from lawmakers and agencies, payment will end for many telemedicine services currently used by millions of Americans at the end of 2024. Policymakers, health systems, clinicians, and educators must decide how to support, implement, and sustain telemedicine, and long-term studies and clinical practice guidelines are emerging to provide direction. In this position statement, we use clinical vignettes to review relevant literature and highlight where key actions are needed. These include areas where telemedicine must be expanded (e.g., to support chronic disease management) and where guidelines are needed (e.g., to prevent inequitable offering of telemedicine services and prevent unsafe or low-value care). We provide policy, clinical practice, and education recommendations for telemedicine on behalf of the Society of General Internal Medicine. Policy recommendations include ending geographic and site restrictions, expanding the definition of telemedicine to include audio-only services, establishing appropriate telemedicine service codes, and expanding broadband access to all Americans. Clinical practice recommendations include ensuring appropriate telemedicine use (for limited acute care situations or in conjunction with in-person services to extend longitudinal care relationships), that the choice of modality be done through patient-clinician shared decision-making, and that health systems design telemedicine services through community partnerships to ensure equitable implementation. Education recommendations include developing telemedicine-specific educational strategies for trainees that align with accreditation body competencies and providing educators with protected time and faculty development resources.
TL;DR: Wang et al. as discussed by the authors evaluated the effects of using the teach-back method among women with limited maternal health literacy (LMHL) on postpartum health behaviours and maternal-infant health outcomes.
Abstract: This study aimed to evaluate the effects of using the teach-back method among women with limited maternal health literacy (LMHL) on maternal health literacy(MHL), postpartum health behaviours and maternal-infant health outcomes.A randomized controlled study was conducted in the obstetrics department of Anhui Provincial Hospital, China. A total of 258 pregnant women with LMHL were recruited at the point of admission to the hospital for birth and randomly assigned to the control group (n = 130), where women received routine education sessions, and the teach-back group (n = 128), where women received routine education sessions plus a teach-back intervention. The two groups were assessed in terms of MHL before and after the intervention, breastfeeding execution, uptake of 42-day postpartum check-ups, complete uptake of one-time recommended vaccines, and physical health outcomes. Statistical tests were employed for data analysis.There was no significant difference between the two groups in terms of MHL and other social, demographic, and medical status at baseline. After the intervention, the teach-back group had a higher level of MHL (p < 0.001), better postpartum health behaviours in terms of exclusive breastfeeding within 24 hours postpartum (x2 = 22.853, p<0.001), exclusive breastfeeding within 42 days postpartum (x2 = 47.735, p<0.001), uptake of 42-day postpartum check-ups (x2 = 9.050, p = 0.003) and vaccination (x2 = 5.586, p = 0.018) and better maternal-infant health outcomes in terms of the incidence of subinvolution of the uterus (x2 = 6.499, p = 0.011), acute mastitis (x2 = 4.884, p = 0.027), postpartum constipation (x2 = 5.986, p = 0.014), overweight (x2 = 4.531, p = 0.033) and diaper dermatitis (x2 = 10.896, p = 0.001).This study shows that the teach-back method is effective for enhancing MHL, leading to positive postpartum health behaviours, and improving postpartum maternal-infant health outcomes among women with LMHL. The teach-back method may play an important role in improving postpartum maternal-infant health and could be considered in maternal health education.Our trial has been prospectively registered at ClinicalTrials.gov (Ref. No.: NCT04858945) and the enrollment date was 26/04/2021.
TL;DR: In this article , the bending performance of concrete sandwich walls under actual boundary conditions through experimental and analytical methods was investigated, and it was indicated that the bearing capacity of the walls under negative bending conditions was higher than that under positive bending conditions, owing to the additional constraints provided by the steel beams.
Abstract: Concrete sandwich walls are commonly used as the exterior wall panels of a structure, in which the wall suffers out-of-plane bending under strong wind conditions. This paper aims to investigate the bending performance of concrete sandwich walls under actual boundary conditions through experimental and analytical methods. In total, four concrete sandwich walls were tested to detect the influence of openings and loading direction. Typical failure patterns were characterized and discussed. The load-displacement curves of four test specimens were analyzed. It was indicated that the bearing capacity of the walls under negative bending conditions was higher than that under positive bending conditions, owing to the additional constraints provided by the steel beams. Strain distributions of wall specimens were also discussed in order to obtain the composite action of the sandwich walls between the upper and lower layers of concrete. In addition, the finite element model (FEM) was developed by ABAQUS to provide insights into the bending performance of the sandwich walls. Through comparison with the test results, the FEM was verified with a good level of accuracy. Subsequently, the degree of composite action of the sandwich walls was assessed in terms of both the moment of inertia and bearing capacity. From the experimental and numerical results, it demonstrated that the bearing capacity of concrete sandwiched wall under negative direction was higher than that under positive direction owing to the constraints of steel beam. The derived composite action degree could be employed to evaluate the out-plane bending stiffness and strength of sandwiched concrete wall. Both the experimental and analytical results in this paper are beneficial for the design of sandwich walls under bending conditions.
TL;DR: In this article , phase change paraffin microcapsule and aerated concrete are combined to construct a new type phase change concrete, and the optimal content of MPCM is 2.5%.
Abstract: In this paper, phase change paraffin microcapsule and aerated concrete are combined to construct a new type phase change aerated concrete. Four groups of specimens with 0%, 2.5%, 5%, and 7.5% of microcapsule phase change material (MPCM) were manufactured. Comprehensive tests, including microstructure characterization, dry density, compressive strength, and thermal parameter tests were conducted to evaluate the influence of MPCM on mechanical and thermal properties of the phase change aerated concrete. Scanning electron microscope diagrams show that the structure of MPCM is complete in the cement substrate without damage. The test results show that with the increase of the content of MPCM: (1) density, peak strain, specific heat capacity, and heat storage coefficient increase; (2) elastic modulus and thermal conductivity decrease; and (3) the cubic compressive strength and the ultimate prismatic strength increase first and then decrease. Based on this study, the optimal content of MPCM is 2.5%, which performs better than non-autoclaved aerated concrete without MPCM in terms of both mechanical and thermal properties.