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  1. AU="Foster, Angel M"
  2. AU="Muzik, Otto"
  3. AU="De Leo, Pasqualina"
  4. AU="Chatterjee, Pabitra B"
  5. AU="Papandreou, Z"
  6. AU="Moore, E F"
  7. AU="Verhoeven, V"
  8. AU="Benchat, Noureddine" AU="Benchat, Noureddine"
  9. AU="El-Rayes, Mahmoud Kamil"
  10. AU="Aude de Watteville"
  11. AU="Balm, P W"
  12. AU="Peng, Zhenling"
  13. AU="Du, Peilin"
  14. AU="Yeh, Pamela"
  15. AU="Moloney, Gail"
  16. AU="Murphy, Ross G"
  17. AU="Petronilho, Sara"
  18. AU="Ordóñez, Raquel"
  19. AU="Mulvaney, Robert"
  20. AU="Amarin, Z"
  21. AU="Vadlin, S"
  22. AU="Erin E. Michalak"
  23. AU="Cassidy, Caitlin A"
  24. AU="Veronica Davalos"
  25. AU="Koba, Wade R"
  26. AU="Cui, Hongyan"
  27. AU="Ross, Nina E"
  28. AU="Atwa, Hanaa A"
  29. AU="Reid, Carly"

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  1. Artikel: Exploring Care and Recovery for Individuals With Post-traumatic Stress Disorder: A Scoping Review.

    Smith, Jennifer R / Drouillard, Kyle J / Foster, Angel M

    Cureus

    2024  Band 16, Heft 2, Seite(n) e53741

    Abstract: Most people experience trauma at some point in their lives. The sources of trauma can include accidents, natural disasters, physical or sexual assault, combat, torture, or the death of a loved one. Experiencing or witnessing any of these, or other ... ...

    Abstract Most people experience trauma at some point in their lives. The sources of trauma can include accidents, natural disasters, physical or sexual assault, combat, torture, or the death of a loved one. Experiencing or witnessing any of these, or other terrifying events, may make one susceptible to developing post-traumatic stress disorder (PTSD), a trauma- and stressor-related mental health condition. The common symptoms and consequences of PTSD include intrusive and distressing thoughts, memories, or flashbacks related to the traumatic event; avoidance of situations, people, or activities that remind one of the traumatic event; irritability, sleep difficulties, or hypervigilance; feelings of guilt, shame, or fear; substance use; strains on relationships; and suicidal thoughts and behaviors. These consequences can have devastating effects on the individual and their family members, friends, co-workers, peers, and communities. Effectively treating PTSD, therefore, is critical not only for the individual but also for the well-being of families, communities, and society at large. However, while treatments for PTSD exist, effectively treating patients with PTSD remains elusive. Further, despite the recognition that people's experiences are essential in understanding PTSD and provide valuable insights into what interventions are effective and how they impact recovery, patient perspectives and experiences of care and recovery have not been well-explored. We conducted a scoping review to address the following question: what is known about the experiences and perspectives of care and recovery for individuals with PTSD? We searched the Medical Literature Analysis and Retrieval System Online (MEDLINE), Embase, American Psychological Association's (APA) PsycInfo, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PTSDPubs, and Google Scholar for peer-reviewed and grey literature that used qualitative methods to report on the recovery or care experiences of adults with lived experiences of PTSD. We extracted information about study objectives, study characteristics, and key findings; reported summary statistics; and performed content and thematic analyses. We identified 14 relevant studies that provide insight into the participants' lived experiences and perspectives of PTSD care and recovery. Though limited, the body of literature sheds light on critical themes and processes in the journey of care of PTSD, which we organized into four overarching categories: pre-treatment understanding and experiences of PTSD, the experience of care or treatment, the importance of relationships and social support, and expanding the understandings of recovery. Living with and healing from PTSD are a unique and individualized human experience of developing and redeveloping relationships with oneself, with others, and with society. The recommendations for practice include educating and establishing well-informed support networks for individuals with PTSD, training healthcare practitioners in all aspects of formal and informal PTSD treatment and care needs, ensuring a continuum of care, and understanding the human experience of PTSD.
    Sprache Englisch
    Erscheinungsdatum 2024-02-06
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.53741
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Buch ; Online ; E-Book: Abortion pills, test tube babies, and sex toys

    Wynn, L. L. / Foster, Angel M.

    emerging sexual and reproductive technologies in the Middle East and North Africa

    2016  

    Verfasserangabe edited by L.L. Wynn and Angel M. Foster
    Sprache Englisch
    Umfang 1 Online-Ressource (xi, 252 Seiten), 24 cm
    Verlag Vanderbilt University
    Erscheinungsort Nashville
    Erscheinungsland Vereinigte Staaten
    Dokumenttyp Buch ; Online ; E-Book
    Bemerkung Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT019451702
    ISBN 978-0-8265-2129-3 ; 9780826521279 ; 0-8265-2129-0 ; 0826521274
    Datenquelle ZB MED Katalog Medizin, Gesundheit, Ernährung, Umwelt, Agrar

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  3. Artikel ; Online: Seeking support for abortion care from national hotlines in Canada: Caller characteristics and call outcomes, 2019-2021.

    Demont, Carly / Doctoroff, Jill / Neron, Britt / Foster, Angel M

    Perspectives on sexual and reproductive health

    2023  Band 55, Heft 3, Seite(n) 192–199

    Abstract: Objectives: Both the National Abortion Federation Canada and Action Canada for Sexual Health and Rights operate national toll-free hotlines that provide information, financial support, and travel assistance to abortion seekers. We aimed to characterize ... ...

    Abstract Objectives: Both the National Abortion Federation Canada and Action Canada for Sexual Health and Rights operate national toll-free hotlines that provide information, financial support, and travel assistance to abortion seekers. We aimed to characterize callers to both hotlines before and after the onset of the COVID-19 pandemic.
    Methods: Hotline personnel routinely document information about callers and type(s) of assistance needed and received. We received call logs from both organizations for a two-year period (April 1, 2019 through March 31, 2021). We exported these data to Microsoft Excel® and analyzed them using descriptive statistics. We analyzed case notes for content and themes.
    Results: Over the study period, the two hotlines worked with 270 unique callers. Nearly two-thirds of callers (n = 174) were seeking support to obtain abortion care for pregnancies after 14 weeks gestation, including 69 callers (26%) who were at or beyond 24 weeks gestation. Most callers were seeking support to obtain abortion care outside of their province of residence because services at their gestational age were not available. Caller needs were similar before and after the onset of the pandemic, but fewer traveled to the United States for abortion care in the COVID-19 era.
    Discussion: Assistance hotlines play an important role in helping some abortion seekers navigate the Canadian health system to obtain needed abortion care. The needs of those seeking care after the 14 weeks gestation points to gaps in current service availability. Identifying ways to expand later abortion care in Canada, particularly after 24 weeks, appears warranted.
    Mesh-Begriff(e) Pregnancy ; Female ; Humans ; United States ; Hotlines ; Pandemics ; Canada ; COVID-19/epidemiology ; Abortion, Induced
    Sprache Englisch
    Erscheinungsdatum 2023-07-24
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2075205-2
    ISSN 1931-2393 ; 1538-6341
    ISSN (online) 1931-2393
    ISSN 1538-6341
    DOI 10.1363/psrh.12239
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Exploring the Availability of Emergency Contraception in New Brunswick Pharmacies: A Mystery-Client Telephone Study.

    Borsella, Madison / Foster, Angel M

    Pharmacy (Basel, Switzerland)

    2020  Band 8, Heft 2

    Abstract: Although levonorgestrel-only emergency contraceptive pills (LNg-ECPs) have been available over the counter in Canada for more than a decade, barriers to access persist. We aimed to obtain information about the availability and cost of LNg-ECPs in New ... ...

    Abstract Although levonorgestrel-only emergency contraceptive pills (LNg-ECPs) have been available over the counter in Canada for more than a decade, barriers to access persist. We aimed to obtain information about the availability and cost of LNg-ECPs in New Brunswick. Using a mystery-client study design, we called all 207 non-specialty pharmacies in the province posing as a 17-year-old woman seeking something to prevent pregnancy after sex. We evaluated the information provided for accuracy and quality. The overwhelming majority of pharmacies (n = 180, 87%) had at least one brand of LNg-ECPs in stock; the price averaged CAD28.69 (USD21.65). Although the majority of pharmacy representatives provided accurate information about LNg-ECPs, a small number made incorrect statements about the timeframe for use, side effects, and mechanism of action. In nine interactions (4%) pharmacy representatives incorrectly indicated that a male partner could not obtain LNg-ECPs; none indicated that parental involvement was required to procure LNg-ECPs. None of the pharmacy representatives referenced any other modality of emergency contraception, including ulipristal acetate. Our findings suggest that LNg-ECPs are widely available and that most pharmacy representatives are providing accurate medical and regulatory information. However, supporting the continuing education of pharmacists and pharmacy staff, particularly around alternative modalities of emergency contraception, appears warranted.
    Sprache Englisch
    Erscheinungsdatum 2020-04-30
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2737194-3
    ISSN 2226-4787 ; 2226-4787
    ISSN (online) 2226-4787
    ISSN 2226-4787
    DOI 10.3390/pharmacy8020076
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Integrating mifepristone into primary care in Canada's capital: A multi-methods exploration of the Medical Abortion Access Project.

    LaRoche, Kathryn J / Wylie, Ariane / Persaud, Mira / Foster, Angel M

    Contraception

    2022  Band 109, Seite(n) 37–42

    Abstract: Objectives: Following the 2017 introduction of mifepristone in Canada and both ensuing regulatory changes and increased demand for medication abortion care, Planned Parenthood Ottawa created the Medical Abortion Access Project (MAAP). This study aimed ... ...

    Abstract Objectives: Following the 2017 introduction of mifepristone in Canada and both ensuing regulatory changes and increased demand for medication abortion care, Planned Parenthood Ottawa created the Medical Abortion Access Project (MAAP). This study aimed to document outcomes, identify facilitators and barriers, and distill learnings from an initiative that sought to recruit and support primary care clinicians in providing mifepristone/misoprostol in Canada's capital.
    Study design: We employed a multi-methods evaluation strategy that included reviewing MAAP-related documents, evaluating the project log, and conducting in-depth interviews with clinicians at 5 sites. In the final analytic phase, we integrated the findings from the different evaluation components.
    Results: From May 2017 through July 2018, the MAAP helped 14 primary care facilities in Ottawa become medication abortion providers; 9 began providing mifepristone/misoprostol to existing patients and 5 began offering mifepristone/misoprostol to the public. The program recruited 4 new pharmacies to stock the combination package and trained 2 sonography clinics in abortion-related protocols. Program participants identified patient demand as a key driver of medication abortion provision but required information and logistical support from the MAAP to operationalize service delivery. New abortion providers reflected positively on the community of practice that the MAAP created, which enabled them to offer and receive technical and emotional support from colleagues across the city.
    Conclusions: A number of primary care clinicians in Ottawa were able to successfully integrate medication abortion care into their practices with MAAP support. Future research should explore whether this type of community-based intervention can be replicated in other settings.
    Implications: Evidence-based regulation of mifepristone by health authorities is a critical step to increasing access to medication abortion care. However, deregulation alone was insufficient to integrate medication abortion services into primary care in Ottawa. Community-based programs like the MAAP can help providers make sense of shifting regulations and practice guidelines, overcome logistical barriers, and ultimately increase access to this medically necessary service. Establishing and facilitating communities of practice is especially important for new primary care providers.
    Mesh-Begriff(e) Abortion, Induced/methods ; Abortion, Spontaneous ; Canada ; Female ; Humans ; Mifepristone/therapeutic use ; Misoprostol/therapeutic use ; Pregnancy ; Primary Health Care
    Chemische Substanzen Misoprostol (0E43V0BB57) ; Mifepristone (320T6RNW1F)
    Sprache Englisch
    Erscheinungsdatum 2022-01-11
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2022.01.002
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Community-based distribution of misoprostol for early abortion: Outcomes from a program in Sindh, Pakistan.

    Foster, Angel M / Messier, Kassandre / Aslam, Muhammad / Shabir, Najma

    Contraception

    2022  Band 109, Seite(n) 49–51

    Abstract: Objective: To evaluate the outcomes of a community-based distribution program in which lay providers offer women in Sindh, Pakistan misoprostol for early abortion.: Study design: We reviewed monitoring logbooks to examine pregnancy outcomes and ... ...

    Abstract Objective: To evaluate the outcomes of a community-based distribution program in which lay providers offer women in Sindh, Pakistan misoprostol for early abortion.
    Study design: We reviewed monitoring logbooks to examine pregnancy outcomes and analyzed logbook data using descriptive statistics.
    Results: In late 2019, 120 women obtained abortion care through this program. None of the women (n = 0) were pregnant 4 weeks after initiating the regimen and none (n = 0) experienced complications requiring medical intervention.
    Conclusions: Outcomes from this initiative may be valuable for those working to expand access to misoprostol-alone for early abortion in other settings.
    Mesh-Begriff(e) Abortifacient Agents, Nonsteroidal ; Abortion, Induced ; Delivery of Health Care ; Female ; Humans ; Mifepristone ; Misoprostol ; Pakistan ; Pregnancy
    Chemische Substanzen Abortifacient Agents, Nonsteroidal ; Misoprostol (0E43V0BB57) ; Mifepristone (320T6RNW1F)
    Sprache Englisch
    Erscheinungsdatum 2022-01-23
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Review
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2022.01.005
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel ; Online: The ultimate gatekeepers: A qualitative exploration of pharmacists' contraceptive service delivery practices in Albania.

    Doci, Florida / Foster, Angel M

    Contraception

    2019  Band 101, Heft 3, Seite(n) 189–193

    Abstract: Objectives: Pharmacists play a key role in contraceptive service delivery in Albania. This qualitative study explores the availability and accessibility of different contraceptive methods in Tirana, Albania, as well as the knowledge, opinions, and ... ...

    Abstract Objectives: Pharmacists play a key role in contraceptive service delivery in Albania. This qualitative study explores the availability and accessibility of different contraceptive methods in Tirana, Albania, as well as the knowledge, opinions, and provision practices of retail pharmacists in the county.
    Methods: In 2016, we conducted 16 in-person interviews with retail pharmacists in Tirana county, Albania. We also observed practices and dynamics in the pharmacies. We analyzed our data using descriptive statistics and for content and themes using inductive and deductive techniques.
    Results: Our findings suggest that although a number of contraceptive methods are available in pharmacies, there are numerous barriers to access. Pharmacists were both uninformed and misinformed about reproductive health technologies, in general, and hormonal contraceptives, in particular. Pharmacists reported that the lack of awareness, fear of judgment, and embarrassment among women are some of the biggest obstacles for women seeking contraceptives from pharmacies. Yet few pharmacists reflected on their own lack of knowledge and the role that health service provider misinformation and judgment plays in contraceptive service delivery.
    Conclusion: Supporting continuing education efforts for pharmacists and pharmacists in training in Albania appears warranted. Improving pharmacists' knowledge of reproductive health technologies and fostering values clarification and transformation could address current barriers to access.
    Implications: Our findings shed light on the barriers to contraceptive access in Albanian pharmacies. Developing strategies to raise awareness about contraception, training pharmacists to provide medically accurate counselling, and improving knowledge within the community through culturally and linguistically resonant education campaigns appear warranted.
    Mesh-Begriff(e) Adult ; Albania ; Contraception/methods ; Family Planning Services/education ; Female ; Health Knowledge, Attitudes, Practice ; Health Services Accessibility ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Needs Assessment ; Pharmacies/organization & administration ; Qualitative Research ; Reproductive Health/education
    Sprache Englisch
    Erscheinungsdatum 2019-08-28
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2019.08.004
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; Online: The future of abortion is now: Mifepristone by mail and in-clinic abortion access in the United States.

    Mark, Alice / Foster, Angel M / Perritt, Jamila

    Contraception

    2021  Band 104, Heft 1, Seite(n) 38–42

    Abstract: The COVID-19 pandemic disrupted health care delivery in all aspects of medicine, including abortion care. For 6 months, the mifepristone Risk Evaluation and Mitigation Strategy (REMS) was temporarily blocked, allowing for the remote provision of ... ...

    Abstract The COVID-19 pandemic disrupted health care delivery in all aspects of medicine, including abortion care. For 6 months, the mifepristone Risk Evaluation and Mitigation Strategy (REMS) was temporarily blocked, allowing for the remote provision of medication abortion. Remote medication abortion may become a dominant model of care in the future, either through the formal health system or through self-sourced, self-managed abortion. Clinics already face pressure from falling abortion rates and excessive regulation and with a transition to remote abortion, may not be able to sustain services. Although remote medication abortion improves access for many, those who need or want in-clinic care such as people later in pregnancy, people for whom abortion at home is not safe or feasible, or people who are not eligible for medication abortion, will need comprehensive support to access safe and appropriate care. To understand how we may adapt to remote abortion without leaving people behind, we can look outside of the U.S. to become familiar with emerging and alternative models of abortion care.
    Sprache Englisch
    Erscheinungsdatum 2021-04-17
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2021.03.033
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Artikel ; Online: Outlier analysis for accelerating clinical discovery: An augmented intelligence framework and a systematic review.

    Janoudi, Ghayath / Uzun Rada, Mara / Fell, Deshayne B / Ray, Joel G / Foster, Angel M / Giffen, Randy / Clifford, Tammy / Walker, Mark C

    PLOS digital health

    2024  Band 3, Heft 5, Seite(n) e0000515

    Abstract: Clinical discoveries largely depend on dedicated clinicians and scientists to identify and pursue unique and unusual clinical encounters with patients and communicate these through case reports and case series. This process has remained essentially ... ...

    Abstract Clinical discoveries largely depend on dedicated clinicians and scientists to identify and pursue unique and unusual clinical encounters with patients and communicate these through case reports and case series. This process has remained essentially unchanged throughout the history of modern medicine. However, these traditional methods are inefficient, especially considering the modern-day availability of health-related data and the sophistication of computer processing. Outlier analysis has been used in various fields to uncover unique observations, including fraud detection in finance and quality control in manufacturing. We propose that clinical discovery can be formulated as an outlier problem within an augmented intelligence framework to be implemented on any health-related data. Such an augmented intelligence approach would accelerate the identification and pursuit of clinical discoveries, advancing our medical knowledge and uncovering new therapies and management approaches. We define clinical discoveries as contextual outliers measured through an information-based approach and with a novelty-based root cause. Our augmented intelligence framework has five steps: define a patient population with a desired clinical outcome, build a predictive model, identify outliers through appropriate measures, investigate outliers through domain content experts, and generate scientific hypotheses. Recognizing that the field of obstetrics can particularly benefit from this approach, as it is traditionally neglected in commercial research, we conducted a systematic review to explore how outlier analysis is implemented in obstetric research. We identified two obstetrics-related studies that assessed outliers at an aggregate level for purposes outside of clinical discovery. Our findings indicate that using outlier analysis in clinical research in obstetrics and clinical research, in general, requires further development.
    Sprache Englisch
    Erscheinungsdatum 2024-05-22
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ISSN 2767-3170
    ISSN (online) 2767-3170
    DOI 10.1371/journal.pdig.0000515
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  10. Artikel ; Online: Access for all: Research at the National Abortion Federation's 47th Annual Meeting.

    Mark, Alice / Foster, Angel M / Aguilar, Gabriela / Hailstorks, Tiffany / Jones, Rachel K / Madera, Melissa / Prager, Sarah W

    Contraception

    2024  Band 134, Seite(n) 110402

    Mesh-Begriff(e) Humans ; Female ; Abortion, Induced ; Pregnancy ; Health Services Accessibility
    Sprache Englisch
    Erscheinungsdatum 2024-04-29
    Erscheinungsland United States
    Dokumenttyp Congress ; Editorial ; Journal Article
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2024.110402
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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