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  1. Article: Same-site transdifferentiation of basal cell carcinoma to squamous cell carcinoma as a mechanism of vismodegib treatment resistance: Two cases requiring multimodal and multidisciplinary limb-sparing techniques.

    Burgess, Brooke A / Wang, Rebecca J / Owen, Joshua L

    JAAD case reports

    2023  Volume 44, Page(s) 17–19

    Language English
    Publishing date 2023-12-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2834220-3
    ISSN 2352-5126
    ISSN 2352-5126
    DOI 10.1016/j.jdcr.2023.12.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Achieving optimal cord management: a multidisciplinary quality improvement initiative.

    Burgess-Shannon, Jessica / Clarke, Rebecca / Rowell, Victoria / Aladangady, Narendra

    BMJ open quality

    2024  Volume 13, Issue 2

    Abstract: Optimal cord management (OCM), defined as waiting at least 60 seconds (s) before clamping the umbilical cord after birth, is an evidence-based intervention that improves outcomes for both term and preterm babies. All major resuscitation councils ... ...

    Abstract Optimal cord management (OCM), defined as waiting at least 60 seconds (s) before clamping the umbilical cord after birth, is an evidence-based intervention that improves outcomes for both term and preterm babies. All major resuscitation councils recommend OCM for well newborns.National Neonatal Audit Programme (NNAP) benchmarking data identified our tertiary neonatal unit as a negative outlier with regard to OCM practice with only 12.1% of infants receiving the recommended minimum of 60 s. This inspired a quality improvement project (QIP) to increase OCM rates of ≥ 60 s for infants <34 weeks. A multidisciplinary QIP team (Neonatal medical and nursing staff, Obstetricians, Midwives and Anaesthetic colleagues) was formed, and robust evidence-based quality improvement methodologies employed. Our aim was to increase OCM of ≥ 60 s for infants born at <34 weeks to at least 40%.The percentage of infants <34 weeks receiving OCM increased from 32.4% at baseline (June-September 2022) to 73.6% in the 9 months following QIP commencement (October 2022-June 2023). The intervention period spanned two cohorts of rotational doctors, demonstrating its sustainability. Rates of admission normothermia were maintained following the routine adoption of OCM (89.2% vs 88.5%), which is a complication described by other neonatal units.This project demonstrates the power of a multidisciplinary team approach to embedding an intervention that relies on collaboration between multiple departments. It also highlights the importance of national benchmarking data in allowing departments to focus QIP efforts to achieve long-lasting transformational service improvements.
    MeSH term(s) Infant, Newborn ; Humans ; Quality Improvement ; Infant, Premature ; Hospitalization ; Benchmarking
    Language English
    Publishing date 2024-04-15
    Publishing country England
    Document type Journal Article
    ISSN 2399-6641
    ISSN (online) 2399-6641
    DOI 10.1136/bmjoq-2023-002662
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Exploring the Experience of Breathlessness with the Common-Sense Model of Self-Regulation (CSM).

    Johnston, Kylie N / Burgess, Rebecca / Kochovska, Slavica / Williams, Marie T

    Healthcare (Basel, Switzerland)

    2023  Volume 11, Issue 12

    Abstract: Chronic breathlessness is a multidimensional, unpleasant symptom common to many health conditions. The Common-Sense Model of Self-Regulation (CSM) was developed to help understand how individuals make sense of their illness. This model has been underused ...

    Abstract Chronic breathlessness is a multidimensional, unpleasant symptom common to many health conditions. The Common-Sense Model of Self-Regulation (CSM) was developed to help understand how individuals make sense of their illness. This model has been underused in the study of breathlessness, especially in considering how information sources are integrated within an individual's cognitive and emotional representations of breathlessness. This descriptive qualitative study explored breathlessness beliefs, expectations, and language preferences of people experiencing chronic breathlessness using the CSM. Twenty-one community-dwelling individuals living with varying levels of breathlessness-related impairment were purposively recruited. Semi-structured interviews were conducted with questions reflecting components of the CSM. Interview transcripts were synthesized using deductive and inductive content analysis. Nineteen analytical categories emerged describing a range of cognitive and emotional breathlessness representations. Representations were developed through participants' personal experience and information from external sources including health professionals and the internet. Specific words and phrases about breathlessness with helpful or nonhelpful connotations were identified as contributors to breathlessness representations. The CSM aligns with current multidimensional models of breathlessness and provides health professionals with a robust theoretical framework for exploring breathlessness beliefs and expectations.
    Language English
    Publishing date 2023-06-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare11121686
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Thermal care for preterm infants in the delivery room has not been compromised since the routine adoption of delayed cord clamping in our unit.

    Clarke, Rebecca / Burgess-Shannon, Jessica / Howarth, Claire / Rowell, Victoria / Aladangady, Narendra

    Archives of disease in childhood. Fetal and neonatal edition

    2023  Volume 108, Issue 6, Page(s) 662

    MeSH term(s) Infant ; Pregnancy ; Female ; Infant, Newborn ; Humans ; Infant, Premature ; Delivery Rooms ; Umbilical Cord Clamping ; Umbilical Cord ; Constriction
    Language English
    Publishing date 2023-06-27
    Publishing country England
    Document type Letter
    ZDB-ID 2007331-8
    ISSN 1468-2052 ; 1359-2998
    ISSN (online) 1468-2052
    ISSN 1359-2998
    DOI 10.1136/archdischild-2023-325861
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Exploring the Experience of Breathlessness with the Common-Sense Model of Self-Regulation (CSM)

    Kylie N. Johnston / Rebecca Burgess / Slavica Kochovska / Marie T. Williams

    Healthcare, Vol 11, Iss 1686, p

    2023  Volume 1686

    Abstract: Chronic breathlessness is a multidimensional, unpleasant symptom common to many health conditions. The Common-Sense Model of Self-Regulation (CSM) was developed to help understand how individuals make sense of their illness. This model has been underused ...

    Abstract Chronic breathlessness is a multidimensional, unpleasant symptom common to many health conditions. The Common-Sense Model of Self-Regulation (CSM) was developed to help understand how individuals make sense of their illness. This model has been underused in the study of breathlessness, especially in considering how information sources are integrated within an individual’s cognitive and emotional representations of breathlessness. This descriptive qualitative study explored breathlessness beliefs, expectations, and language preferences of people experiencing chronic breathlessness using the CSM. Twenty-one community-dwelling individuals living with varying levels of breathlessness-related impairment were purposively recruited. Semi-structured interviews were conducted with questions reflecting components of the CSM. Interview transcripts were synthesized using deductive and inductive content analysis. Nineteen analytical categories emerged describing a range of cognitive and emotional breathlessness representations. Representations were developed through participants’ personal experience and information from external sources including health professionals and the internet. Specific words and phrases about breathlessness with helpful or nonhelpful connotations were identified as contributors to breathlessness representations. The CSM aligns with current multidimensional models of breathlessness and provides health professionals with a robust theoretical framework for exploring breathlessness beliefs and expectations.
    Keywords chronic breathlessness ; common sense model ; self-regulation theory ; qualitative research ; Medicine ; R
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Bmi1 suppresses protein synthesis and promotes proteostasis in hematopoietic stem cells.

    Burgess, Rebecca J / Zhao, Zhiyu / Nakada, Daisuke / Morrison, Sean J

    Genes & development

    2022  Volume 36, Issue 15-16, Page(s) 887–900

    Abstract: The polycomb complex component Bmi1 promotes the maintenance of stem cells in multiple postnatal tissues, partly by negatively regulating the expression of ... ...

    Abstract The polycomb complex component Bmi1 promotes the maintenance of stem cells in multiple postnatal tissues, partly by negatively regulating the expression of p16
    MeSH term(s) Cyclin-Dependent Kinase Inhibitor p16/genetics ; Hematopoietic Stem Cells ; Polycomb Repressive Complex 1/genetics ; Polycomb Repressive Complex 1/metabolism ; Protein Aggregates ; Proteostasis ; Proto-Oncogene Proteins/genetics ; Proto-Oncogene Proteins/metabolism ; RNA, Ribosomal/metabolism
    Chemical Substances Cyclin-Dependent Kinase Inhibitor p16 ; Protein Aggregates ; Proto-Oncogene Proteins ; RNA, Ribosomal ; Polycomb Repressive Complex 1 (EC 2.3.2.27)
    Language English
    Publishing date 2022-09-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 806684-x
    ISSN 1549-5477 ; 0890-9369
    ISSN (online) 1549-5477
    ISSN 0890-9369
    DOI 10.1101/gad.349917.122
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Importance of Autonomy and Performance Goals in Perceived Workload Among Behavioral Health Providers.

    Burgess, Jennifer / Kim, Hyungjin Myra / Porath, Brittany R / Van, Tony / Osatuke, Katerine / Boden, Matthew / Sripada, Rebecca K / Wong, Edwin S / Zivin, Kara

    Psychiatric services (Washington, D.C.)

    2024  , Page(s) appips20230406

    Abstract: Objective: The authors sought to assess workplace characteristics associated with perceived reasonable workload among behavioral health care providers in the Veterans Health Administration.: Methods: The authors evaluated perceived reasonable ... ...

    Abstract Objective: The authors sought to assess workplace characteristics associated with perceived reasonable workload among behavioral health care providers in the Veterans Health Administration.
    Methods: The authors evaluated perceived reasonable workload and workplace characteristics from the 2019 All Employee Survey (AES; N=14,824) and 2019 Mental Health Provider Survey (MHPS; N=10,490) and facility-level staffing ratios from Mental Health Onboard Clinical Dashboard data. Nine AES and 15 MHPS workplace predictors of perceived reasonable workload, 11 AES and six MHPS demographic predictors, and facility-level staffing ratios were included in mixed-effects logistic regression models.
    Results: In total, 8,874 (59.9%) AES respondents and 5,915 (56.4%) MHPS respondents reported having a reasonable workload. The characteristics most strongly associated with perceived reasonable workload were having attainable performance goals (average marginal effect [AME]=0.10) in the AES and ability to schedule patients as frequently as indicated (AME=0.09) in the MHPS. Other AES characteristics significantly associated with reasonable workload included having appropriate resources, support for personal life, skill building, performance recognition, concerns being addressed, and no supervisor favoritism. MHPS characteristics included not having collateral duties that reduce care time, staffing levels not affecting care, support staff taking over some responsibilities, having spirit of teamwork, primary care-mental health integration, participation in performance discussions, well-coordinated mental health care, effective veteran programs, working at the top of licensure, and feeling involved in improving access. Facility-level staffing ratios were not significantly associated with perceived reasonable workload.
    Conclusions: Leadership may consider focusing resources on initiatives that support behavioral health providers' autonomy to schedule patients as clinically indicated and develop attainable performance goals.
    Language English
    Publishing date 2024-03-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1220173-x
    ISSN 1557-9700 ; 1075-2730
    ISSN (online) 1557-9700
    ISSN 1075-2730
    DOI 10.1176/appi.ps.20230406
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Why are patients with acute traumatic brain injury not routinely assessed or treated for vestibular dysfunction in the UK? A qualitative study.

    Smith, Rebecca M / Burgess, Caroline / Tahtis, Vassilios / Marsden, Jonathan / Seemungal, Barry M

    BMJ open

    2023  Volume 13, Issue 1, Page(s) e067967

    Abstract: Objectives: Vestibular dysfunction is common in patients with acute traumatic brain injury (aTBI). Persisting vestibular symptoms (ie, dizziness and imbalance) are linked to poor physical, psychological and socioeconomic outcomes. However, routine ... ...

    Abstract Objectives: Vestibular dysfunction is common in patients with acute traumatic brain injury (aTBI). Persisting vestibular symptoms (ie, dizziness and imbalance) are linked to poor physical, psychological and socioeconomic outcomes. However, routine management of vestibular dysfunction in aTBI is not always standard practice. We aimed to identify and explore any healthcare professional barriers or facilitators to managing vestibular dysfunction in aTBI.
    Design: A qualitative approach was used. Data were collected using face to face, semi-structured interviews and analysed using the Framework approach.
    Setting: Two major trauma centres in London, UK.
    Participants: 28 healthcare professionals participated: 11 occupational therapists, 8 physiotherapists and 9 surgical/trauma doctors.
    Results: Vestibular assessment and treatment were not routinely undertaken by trauma ward staff. Uncertainty regarding responsibility for vestibular management on the trauma ward was perceived to lead to gaps in patient care. Interestingly, the term dizziness was sometimes perceived as an 'invisible' and vague phenomenon, leading to difficulties identifying or 'proving' dizziness and a tendency for making non-specific diagnoses. Barriers to routine assessment and treatment included limited knowledge and skills, a lack of local or national guidelines, insufficient training and concerns regarding the practical aspects of managing vestibular dysfunction. Of current trauma ward staff, therapists were identified as appropriate healthcare professionals to adopt new behaviours regarding management of a common form of vestibular dysfunction (benign paroxysmal positional vertigo). Strategies to support this behaviour change include heightened clarity around role, implementation of local or national guidelines, improved access to training and multidisciplinary support from experts in vestibular dysfunction.
    Conclusions: This study has highlighted that role and knowledge barriers exist to multidisciplinary management of vestibular dysfunction in aTBI. Trauma ward therapists were identified as the most appropriate healthcare professionals to adopt new behaviours. Several strategies are proposed to facilitate such behaviour change.
    Trial registration number: ISRCTN91943864.
    MeSH term(s) Humans ; Dizziness/etiology ; Dizziness/therapy ; Vertigo/etiology ; Vertigo/therapy ; Brain Injuries ; Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/therapy ; Physical Therapists ; United Kingdom
    Language English
    Publishing date 2023-01-02
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2022-067967
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: An update on cosmetic procedures in people of color. Part 2: Neuromodulators, soft tissue augmentation, chemexfoliating agents, and laser hair reduction.

    Quiñonez, Rebecca L / Agbai, Oma N / Burgess, Cheryl M / Taylor, Susan C

    Journal of the American Academy of Dermatology

    2022  Volume 86, Issue 4, Page(s) 729–739

    Abstract: Recent years have brought forth the undeniable practice gap in dermatology concerning knowledge and experience of cosmetic procedures in people of color (POC). A paucity in the literature regarding evidence-based recommendations for the management of POC ...

    Abstract Recent years have brought forth the undeniable practice gap in dermatology concerning knowledge and experience of cosmetic procedures in people of color (POC). A paucity in the literature regarding evidence-based recommendations for the management of POC undergoing cosmetic procedures and the rise of cosmetic procedures in dermatology serves as a call to action to provide education regarding differences in skin of color that may impact the cosmetic outcomes. To mitigate the current practice gap on the safety, use, and benefits of cosmetic procedures in POC, part 2 will discuss the authors' recommendations and clinical pearls, as well as evidence-based management for neuromodulators, soft tissue augmentation, chemexfoliating agents, and laser hair reduction in POC undergoing cosmetic procedures.
    MeSH term(s) Cosmetic Techniques ; Hair ; Humans ; Lasers ; Neurotransmitter Agents/therapeutic use ; Skin Pigmentation
    Chemical Substances Neurotransmitter Agents
    Language English
    Publishing date 2022-02-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603641-7
    ISSN 1097-6787 ; 0190-9622
    ISSN (online) 1097-6787
    ISSN 0190-9622
    DOI 10.1016/j.jaad.2021.07.080
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: An update on cosmetic procedures in people of color. Part 1: Scientific background, assessment, preprocedure preparation.

    Quiñonez, Rebecca L / Agbai, Oma N / Burgess, Cheryl M / Taylor, Susan C

    Journal of the American Academy of Dermatology

    2022  Volume 86, Issue 4, Page(s) 715–725

    Abstract: Increased life expectancy, focus on appearance, and readily available and accessible cosmetic procedures have served to drive an increase in the number of nonsurgical cosmetic procedures performed in the last 20 years. Demographic shifts in the United ... ...

    Abstract Increased life expectancy, focus on appearance, and readily available and accessible cosmetic procedures have served to drive an increase in the number of nonsurgical cosmetic procedures performed in the last 20 years. Demographic shifts in the United States, with increases in diverse populations that seek nonsurgical cosmetic procedures, have resulted in the need for a better understanding of cultural preferences as well as structural and biological differences in the skin of people of color (POC). Although many advances in the form of cosmeceuticals, cosmetics, and photoprotection have been made to address the aesthetic needs of and minimize complications in POC, nonsurgical cosmetic procedures are required to address common aesthetic concerns. Gaps remain in the education of dermatologists regarding the appropriate selection and execution of nonsurgical cosmetic procedures in POC. This educational initiative will facilitate a favorable outcome and optimal cosmetic results for POC.
    MeSH term(s) Cosmetic Techniques ; Cosmetics ; Esthetics ; Ethnicity ; Humans ; Skin Aging ; Skin Pigmentation ; United States
    Chemical Substances Cosmetics
    Language English
    Publishing date 2022-02-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603641-7
    ISSN 1097-6787 ; 0190-9622
    ISSN (online) 1097-6787
    ISSN 0190-9622
    DOI 10.1016/j.jaad.2021.07.081
    Database MEDical Literature Analysis and Retrieval System OnLINE

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