Twin anemia-polycythemia sequence and routine monitoring practices amongst maternal-fetal medicine specialists in the United States: an initial investigation

2019 ◽  
Vol 47 (4) ◽  
pp. 388-392 ◽  
Author(s):  
Lauren D. Nicholas ◽  
Rebecca L. Fischbein ◽  
Surya S. Bhamidipalli
Keyword(s):  
United States ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine ◽  
Initial Investigation ◽  
Routine Monitoring ◽  
Gift Card ◽  
Twin Pregnancies

AbstractBackgroundThe purpose of this initial investigation was to begin to understand the routine twin anemia-polycythemia sequence (TAPS) monitoring practices of maternal-fetal medicine specialists (MFM specialists) in the United States in the absence of a formal guideline.MethodsThis study used an anonymous, online survey of 90 MFM specialists who were practicing in the United States. A $5 gift card to an online store was used to incentivize participants. Descriptive statistics were calculated.ResultsAll MFM specialists reported at least some familiarity (100.00%) with TAPS. Most participants (92.94%) were familiar with methods for monitoring patients for TAPS and nearly all (97.50%) responded that they use ‘Doppler MCA-PSV’ to make a prenatal TAPS diagnosis. Nearly two-thirds of MFM specialists surveyed (65.06%) reported performing regular TAPS monitoring for patients with monochorionic-diamniotic (MCDA) pregnancies.ConclusionDespite no formal guidelines, the majority of American MFM specialists surveyed are using routine TAPS screening in their management of MCDA twin pregnancies, suggesting that the MFM specialists included in this study consider it a valuable diagnostic tool. Future research should further explore this possible trend toward routine TAPS monitoring amongst MFM specialists in the United States, as well as the potential value of routine TAPS monitoring in MCDA pregnancy.

Video-Based Motion Analysis Use: A National Survey of Orthopedic Physical Therapists

2020 ◽  
Vol 100 (10) ◽  
pp. 1759-1770
Author(s):  
Craig P Hensley ◽  
Devyn Millican ◽  
Nida Hamilton ◽  
Amy Yang ◽  
Jungwha Lee ◽  
...  
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Treatment Outcomes ◽  
Motion Analysis ◽  
Online Survey ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Reliability And Validity ◽  
The United States ◽  
Future Research

Abstract Objectives Motion analysis is performed by physical therapists to assess and improve movement. Two-dimensional video-based motion analysis (VBMA) is available for smartphones/tablets and requires little to no equipment or cost. Research on VBMA use in clinical practice is limited. The purpose of this study was to examine the current use of VBMA in orthopedic physical therapist practice. Methods Members of the Academy of Orthopaedic Physical Therapy completed an online survey. Questions examined frequency of VBMA use, reasons for use, facilitators/barriers, device/apps used, practice patterns, other certificates/degrees, and demographic information. Results Among the final analysis sample of 477 respondents, 228 (47.8%) use VBMA. Of 228 VBMA users, 91.2% reported using it for ≤25% of their caseload, and 57.9% reported using their personal device to capture movement. Reasons for using VBMA included visual feedback for patient education (91.7%), analysis of movement (91.2%), and assessment of progress (51.8%). Barriers to use included lack of device/equipment (48.8%), lack of space (48.6%), and time restraint (32.1%). Those with ≤20 years of clinical experience (odds ratio [OR] = 1.83, 95% CI = 1.21–2.76), residency training (OR = 2.49, 95% CI = 1.14–5.43), and fellowship training (OR = 2.97, 95% CI = 1.32–6.66), and those from the West region of the United States (OR = 1.66, 95% CI = 1.07–2.56) were more likely to use VBMA. Conclusions More than 50% of surveyed orthopedic physical therapists do not use VBMA in clinical practice. Future research should be directed toward assessing reliability and validity of VBMA use by smartphones, tablets, and apps and examining whether VBMA use enhances treatment outcomes. Data security, patient confidentiality, and integration into the electronic medical record should be addressed. Impact This study is the first to our knowledge to describe the use of VBMA in orthopedic physical therapist practice in the United States. It is the first step in understanding how VBMA is used and might be used to enhance clinical assessment and treatment outcomes.

Variations in Low-Risk Cesarean Delivery Rates in the United States Using the Society for Maternal-Fetal Medicine Definition

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lijing Ouyang ◽  
Shanna Cox ◽  
Cynthia Ferre ◽  
Likang Xu ◽  
William M. Sappenfield ◽  
...  
Keyword(s):  
United States ◽  
Cesarean Delivery ◽  
The United States ◽  
Low Risk ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine

Bereavement Outcomes for Atheist Individuals: The Role of Spirituality, Discrimination, and Meaning

2020 ◽  
pp. 003022282097453
Author(s):  
Jacob S. Sawyer
Keyword(s):  
United States ◽  
Regression Analysis ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Meaning Reconstruction ◽  
Research And Practice ◽  
Group A ◽  
The Relationship

The present study applied several concepts typically included in thanatology research to an atheist sample. Atheists are a growing segment of the population in the United States, though little is known about this group. A sample of 355 adults who self-identify as atheist completed an online survey assessing forms of spirituality, anti-atheist discrimination, and meaning reconstruction in order to examine associations between these variables and bereavement outcomes of complicated grief and psychological distress. Results of a multiple regression analysis suggested that spirituality was not related to bereavement outcomes, anti-atheist discrimination was related to poorer bereavement outcomes, while the relationship between meaning reconstruction and bereavement outcomes was mixed. These results provide a foundation for additional exploration of bereavement processes in atheist individuals, and implications for future research and practice are discussed.

scholarly journals Examining the Knowledge, Skills, and Dispositions of 4-H Professionals Related to LGBTQ+ Youth

2021 ◽  
Vol 16 (5) ◽  
pp. 193-211
Author(s):  
Maru Gonzalez ◽  
Alex Barker ◽  
Megan Clarke ◽  
Christy M. Byrd
Keyword(s):  
United States ◽  
North Carolina ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Lgbtq Youth ◽  
Research And Practice ◽  
Lgb Youth ◽  
And Gender ◽  
Substantial Interest

Despite its status as the largest youth-serving organization in the United States, there is a dearth of empirical scholarship about LGBTQ+ youth within 4-H; research examining 4-H professionals’ competencies to effectively support LGBTQ+ youth is even more scarce. To address this gap in the literature, this quantitative study explored the knowledge, skills, and dispositions of 4-H professionals in North Carolina as they relate to working with LGBTQ+ youth. Seventy-five professionals responded to an online survey. Professionals displayed higher levels of knowledge than skills or dispositions, were more knowledgeable about how to support LGB youth compared to transgender and gender expansive youth, and expressed the need for and substantial interest in professional development. Rural professionals tended to report lower knowledge, skills, and dispositions compared to professionals working in urban/suburban settings. This article presents the study’s findings and explores implications for future research and practice.

scholarly journals Exploring Winery Visitors in the Emerging Wine Regions of the North Central United States

2020 ◽  
Vol 12 (4) ◽  
pp. 1642 ◽  
Author(s):  
Jenni Soo-Hee Lee ◽  
Dan McCole ◽  
Don Holecek
Keyword(s):  
United States ◽  
Structural Equation ◽  
Online Survey ◽  
The United States ◽  
Equation Modeling ◽  
Future Research ◽  
Wine Quality ◽  
The North ◽  
Central United States ◽  
E Mail

Most of the pioneering studies related to wineries were conducted in famous wine regions, the results of which were not especially applicable to the small and emerging wineries in the United States. These wineries rely heavily on visitors’ on-site purchases; this highlights the importance of understanding winery visitors’ behaviors. This study explored the sequential relationships among winery visitors’ pre-trip characteristics (motivation, wine involvement), on-site experiences (perceived value), and post-trip evaluations (satisfaction, place attachment, winery loyalty). Intercepted winery visitors provided their e-mail addresses and were sent an online survey. Partial-least-squares structural equation modeling results showed that leisure-motivated and low wine-involved visitors perceive more diverse values in their winery experiences. Visitors’ perceived services, social benefits, and wine-quality values contributed to the positive post-trip evaluations. Winery owners stand to benefit from this research by being able to design winery experiences that are highly valued. Limitations are discussed and future research is suggested.

Maternal-Fetal Medicine Workforce in the United States

2012 ◽  
Vol 29 (09) ◽  
pp. 741-746 ◽  
Author(s):  
William Rayburn ◽  
Jeffrey Klagholz ◽  
Erika Elwell ◽  
Albert Strunk
Keyword(s):  
United States ◽  
The United States ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine

scholarly journals Age, sex, and other demographic trends in sexual behavior in the United States: Initial findings of the sexual behaviors, internet use, and psychological adjustment survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255371
Author(s):  
Hannah Roberts ◽  
Angus Clark ◽  
Carter Sherman ◽  
Mary M. Heitzeg ◽  
Brian M. Hicks
Keyword(s):  
United States ◽  
Sexual Behavior ◽  
Romantic Relationships ◽  
Psychological Adjustment ◽  
Sexual Behaviors ◽  
Internet Use ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Use Of The Internet

It remains unclear how the seemingly ubiquitous use of the internet impacts user’s offline personal relationships, particularly those that are romantic or sexual. Therefore, we conducted a national online survey to better understand the associations among internet use, sexual behavior, and adjustment called the Sexual Behaviors, Internet Use, and Psychological Adjustment Survey (SIPS). Here, we report patterns of sexual behavior in a sample of adults (N = 1987; ages 18–70) in the United States to establish its representativeness and consistency with similar recent surveys. We found age- and sex-related trends in oral, vaginal, and anal sex in terms of prevalence, frequency, number of partners, and age of initiation consistent with prior studies. We also detected differences in sexual behaviors based on relationship status and sexual orientation, but small and relatively few significant differences across racial and ethnic groups. The results confirm and expand upon trends identified in prior national surveys of sexual behavior, establishing the representativeness of the SIPS sample for use in future research examining the links among sexual behaviors and romantic relationships, internet use, and adjustment.

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