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  1. Article ; Online: The perils of pillow talk with the other doctor in your life.

    Powell, Jessica

    BMJ (Clinical research ed.)

    2021  Volume 372, Page(s) m4970

    Language English
    Publishing date 2021-01-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.m4970
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  2. Article ; Online: The rise of the green general practice.

    Powell, Jessica

    BMJ (Clinical research ed.)

    2021  Volume 372, Page(s) m4827

    Language English
    Publishing date 2021-02-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.m4827
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Use of Dulaglutide, Semaglutide, and Tirzepatide in Diabetes and Weight Management.

    Powell, Jason / Taylor, James

    Clinical therapeutics

    2024  Volume 46, Issue 3, Page(s) 289–292

    Abstract: Purpose: Glucagon-like peptide 1 receptor agonists (GLP1-RA) are effective therapies in lowering glycosylated hemoglobin (HbA: Methods: Using recent published literature, along with clinical experience, it has become apparent that many GLP1-RAs have ... ...

    Abstract Purpose: Glucagon-like peptide 1 receptor agonists (GLP1-RA) are effective therapies in lowering glycosylated hemoglobin (HbA
    Methods: Using recent published literature, along with clinical experience, it has become apparent that many GLP1-RAs have become difficult to obtain for patients with diabetes.
    Findings: Many clinicians started to prescribe the brand Ozempic® (semaglutide*) and dulaglutide for weight loss despite neither of them being Food and Drug Administration (FDA) approved for this indication. Ozempic, having outperformed dulaglutide in in both HbA
    Implications: Insurance coverage for weight management remains sparse, and obtaining these therapies for diabetes has now become more burdensome, with insurance companies requiring a prior authorization proving FDA-approved diagnosis of T2DM. Hopefully, should more GLP1-Ras receive approval for weight loss, along with an increase in insurance coverage, the burden on patients with diabetes will be lessened as they are able to quickly obtain this highly effective therapy.
    MeSH term(s) Humans ; Diabetes Mellitus, Type 2/drug therapy ; Hypoglycemic Agents/therapeutic use ; Glucagon-Like Peptides/adverse effects ; Glucagon-Like Peptides/analogs & derivatives ; Weight Loss ; Glucagon-Like Peptide-1 Receptor/agonists ; Glucagon-Like Peptide-2 Receptor ; Gastric Inhibitory Polypeptide ; Immunoglobulin Fc Fragments ; Recombinant Fusion Proteins
    Chemical Substances semaglutide (53AXN4NNHX) ; Hypoglycemic Agents ; dulaglutide (WTT295HSY5) ; tirzepatide (OYN3CCI6QE) ; Glucagon-Like Peptides (62340-29-8) ; Glucagon-Like Peptide-1 Receptor ; Glucagon-Like Peptide-2 Receptor ; Gastric Inhibitory Polypeptide (59392-49-3) ; Immunoglobulin Fc Fragments ; Recombinant Fusion Proteins
    Language English
    Publishing date 2024-02-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603113-4
    ISSN 1879-114X ; 0149-2918
    ISSN (online) 1879-114X
    ISSN 0149-2918
    DOI 10.1016/j.clinthera.2023.12.014
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  4. Article ; Online: Medical Disinformation is Bad for Your Health.

    Zlatanovic, Petar / Powell, Janet

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2024  Volume 67, Issue 5, Page(s) 746

    MeSH term(s) Humans
    Language English
    Publishing date 2024-01-06
    Publishing country England
    Document type Editorial ; Journal Article
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2024.01.012
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  5. Article ; Online: Meet the medical media faces of the pandemic.

    Powell, Jessica

    BMJ (Clinical research ed.)

    2020  Volume 371, Page(s) m4707

    Language English
    Publishing date 2020-12-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.m4707
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  6. Article ; Online: Web Exclusive. Annals Graphic Medicine - Be Calm.

    Powell, Jesse

    Annals of internal medicine

    2020  Volume 172, Issue 11, Page(s) W136–W139

    Language English
    Publishing date 2020-05-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/G19-0052
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  7. Article ; Online: Using person-centred approaches to improve access to comprehensive cardiac rehabilitation.

    Powell, Jessica

    Nursing standard (Royal College of Nursing (Great Britain) : 1987)

    2020  Volume 35, Issue 2, Page(s) 69–74

    Abstract: Cardiac rehabilitation has significant benefits for patients with cardiovascular disease in terms of physical health and psychosocial well-being. Comprehensive cardiac rehabilitation programmes comprise graduated exercise, health education, psychological ...

    Abstract Cardiac rehabilitation has significant benefits for patients with cardiovascular disease in terms of physical health and psychosocial well-being. Comprehensive cardiac rehabilitation programmes comprise graduated exercise, health education, psychological support, advice on preventive medicines, and stress management. However, service provision in the UK is inconsistent. Not all eligible patients are referred to cardiac rehabilitation programmes, and there are inequities in patient access linked to socio-economic status, gender, ethnic background, mental health issues, age and frailty. A person-centred approach would improve equity of access to cardiac rehabilitation programmes and ensure that all patients receive a programme of cardiac rehabilitation that is tailored to their needs and preferences. This article outlines the core components of a cardiac rehabilitation programme, discusses inequities in patient access, and suggests person-centred approaches that nurses can use in cardiac rehabilitation and other healthcare settings.
    MeSH term(s) Cardiac Rehabilitation/statistics & numerical data ; Counseling ; Exercise ; Health Services Accessibility ; Humans ; United Kingdom
    Language English
    Publishing date 2020-01-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 645016-7
    ISSN 2047-9018 ; 0029-6570
    ISSN (online) 2047-9018
    ISSN 0029-6570
    DOI 10.7748/ns.2020.e11462
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  8. Article ; Online: Peri-operative derangement in liver function tests in older patients with neck of femur fracture.

    Powell, J / Michael, A

    Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA

    2021  Volume 32, Issue 6, Page(s) 1027–1030

    Abstract: Neck of femur fracture is a common consequence of falls in the elderly with a large burden of morbidity and mortality. Derangement in liver function tests (LFTs) is frequently seen in elderly people with neck of femur (NOF) fracture in the peri-operative ...

    Abstract Neck of femur fracture is a common consequence of falls in the elderly with a large burden of morbidity and mortality. Derangement in liver function tests (LFTs) is frequently seen in elderly people with neck of femur (NOF) fracture in the peri-operative period and can indicate serious and treatable underlying pathology as well as prognosis.On admission, raised alkaline phosphatase (ALP) levels with normal gamma-glutamyl transferase (GGT) suggest underlying bone pathology such as osteomalacia or Paget's disease but do not confirm or exclude osteoporosis. ALP can also be raised by non-bone pathology such as congestive cardiac failure and chronic kidney disease. LFT derangement in cardiac failure is associated with poorer prognosis. Post-operatively, ALP levels rise after the first week with a peak at 3-4 weeks and then fall thereafter. The rate at which they fall may help indicate bone healing in trochanteric fractures. Derangement in other LFTs is commonly due to hepatic injury; causes include trauma, alcohol, and viral hepatitis. There are also iatrogenic causes including surgery and commonly prescribed medication such as beta-lactam antibiotics, non-steroidal anti-inflammatories, and paracetamol.The differential diagnosis for deranged LFTs in the elderly peri-operatively is wide; however, most causes can be elicited through careful history and examination with occasional need for further investigations.
    MeSH term(s) Aged ; Femoral Neck Fractures/etiology ; Femoral Neck Fractures/surgery ; Hip Fractures ; Humans ; Liver Function Tests ; Osteoporosis ; Retrospective Studies
    Language English
    Publishing date 2021-01-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 1064892-6
    ISSN 1433-2965 ; 0937-941X
    ISSN (online) 1433-2965
    ISSN 0937-941X
    DOI 10.1007/s00198-021-05827-4
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  9. Article ; Online: Partnering for Better Health: Using Continuous Glucose Monitoring and Clinical Pharmacist Collaboration to Improve Glycemic Control in Underserved Patients With Type 2 Diabetes.

    Powell, Jason / Mulani, Shaunak R

    Clinical therapeutics

    2023  Volume 46, Issue 1, Page(s) e7–e11

    Abstract: Purpose: The purpose of this study was to examine the effect of initiating use of a continuous glucose monitor (CGM) in patients being treated for type 2 diabetes mellitus, specifically those who face barriers to obtaining this device because of its ... ...

    Abstract Purpose: The purpose of this study was to examine the effect of initiating use of a continuous glucose monitor (CGM) in patients being treated for type 2 diabetes mellitus, specifically those who face barriers to obtaining this device because of its cost.
    Methods: This retrospective medical record review compared diabetes control of patients before and after use of a CGM device within a single primary care office. Patient medical records were reviewed 18 months after initial CGM was provided, and only those who received a CGM directly from the clinic were included in the review. Statistical analysis comparing the difference in mean baseline glycosylated hemoglobin (HbA
    Findings: A total of 41 patients who obtained at least 1 CGM reader and a minimum of a 30-day supply of sensors from the clinic were included in the review. The primary outcome resulted in a significant reduction in the mean (SD) first HbA
    Implications: The results of this study suggest that the use of CGM in the underserved population can lead to a significant improvement in glycemic control in patients with diabetes, regardless of treatment therapies used. Involving a multidisciplinary team in diabetes management, including clinical pharmacists, may further improve outcomes. Access to these devices in the underserved population may be crucial in reducing the risk of developing complications related to uncontrolled diabetes.
    MeSH term(s) Humans ; Diabetes Mellitus, Type 2/diagnosis ; Diabetes Mellitus, Type 2/drug therapy ; Blood Glucose/analysis ; Hypoglycemic Agents/adverse effects ; Vulnerable Populations ; Pharmacists ; Hypoglycemia/chemically induced ; Diabetes Mellitus, Type 1/drug therapy ; Retrospective Studies ; Glycemic Control ; Blood Glucose Self-Monitoring/methods ; Continuous Glucose Monitoring ; Insulin/therapeutic use
    Chemical Substances Blood Glucose ; Hypoglycemic Agents ; Insulin
    Language English
    Publishing date 2023-10-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603113-4
    ISSN 1879-114X ; 0149-2918
    ISSN (online) 1879-114X
    ISSN 0149-2918
    DOI 10.1016/j.clinthera.2023.10.005
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  10. Article ; Online: The impact of social media influencers on health outcomes: Systematic review.

    Powell, John / Pring, Tabitha

    Social science & medicine (1982)

    2023  Volume 340, Page(s) 116472

    Abstract: A fast emerging area of public health interest is the potential role of social media influencers in spreading health information and affecting health behaviour. The aim of this research was to systematically synthesise evidence on the impact of social ... ...

    Abstract A fast emerging area of public health interest is the potential role of social media influencers in spreading health information and affecting health behaviour. The aim of this research was to systematically synthesise evidence on the impact of social media influencers on health outcomes. A systematic search of six databases (Medline, Embase, PsycINFO, CINAHL, Science Citation Index and Sociology Collection) was conducted in October 2021, with an update search in January 2023. Two reviewers independently screened titles and abstracts. We included interventional study designs which examined the effect of social media influencer as the primary or only exposure on a quantified health outcome. We used narrative synthesis to summarise the characteristics and main findings of studies within each of four main topic areas. We assessed quality using a critical appraisal checklist for quasi-experimental studies. We identified twelve studies across four areas that met the inclusion criteria: children's dietary behaviour (n = 5), body image dissatisfaction (n = 4), influenza and COVID-19 (n = 2), and social comparison and anxiety (n = 1). Influencer marketing of unhealthy foods had a statistically significant effect on increasing children's immediate energy intake, but no effect was found for influencer promotion of vegetables. When an unhealthy food is marketed by an influencer of unhealthy appearance, this led to an increased preference for healthy snacks. Exposure to idealised influencer body imagery had statistically significant negative impacts on body image and mood. Anxiety caused by viewing idealised portrayals of motherhood was the same whether or not the portrayal was by an influencer. Public health campaigns harnessing influencers to promote hygiene habits in the context of COVID-19 and influenza showed some positive changes in health behaviours. Most of the published studies are of poor methodological quality with poor generalisability and statistical weaknesses. We conclude that social media influencers have both negative and positive impacts on health outcomes, with negative impacts seen consistently in studies of body image dissatisfaction. Further research is needed to harness the potential positive health impact of social media influencers, while mitigating against harmful effects.
    MeSH term(s) Humans ; COVID-19 ; Health Behavior ; Health Promotion/methods ; Influenza, Human ; Social Media
    Language English
    Publishing date 2023-12-05
    Publishing country England
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2023.116472
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