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https://www.readbyqxmd.com/read/27923105/providing-palliative-care-in-rare-pediatric-diseases-a-case-series-of-three-children-with-congenital-disorder-of-glycosylation
#1
Amy Trowbridge, Miriam T Stewart, Eileen Rhee, Jennifer M Hwang
Pediatric palliative care providers often care for children with rare, poorly understood diseases. In addition to grappling with a life-limiting diagnosis, families face complexity in decision making stemming from the prognostic uncertainty surrounding their child's rare condition. We discuss several unique challenges, illustrated through case studies of three children who shared the rare diagnosis of congenital disorder of glycosylation.
December 6, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27905177/expressions-of-cultural-safety-in-public-health-nursing-practice
#2
Anna Richardson, Judy Yarwood, Sandra Richardson
Cultural safety is an essential concept within New Zealand nursing that is formally linked to registration and competency-based practice certification. Despite its centrality to New Zealand nursing philosophies and the stated expectation of cultural safety as a practice element, there is limited evidence of its application in the literature. This research presents insight into public health nurse's (PHN) experiences, demonstrating the integration of cultural safety principles into practice. These findings emerged following secondary analysis of data from a collaborative, educative research project where PHNs explored the use of family assessment tools...
November 30, 2016: Nursing Inquiry
https://www.readbyqxmd.com/read/27891432/perceived-hiv-related-stigma-among-patients-attending-art-center-of-a-tertiary-care-center-in-rural-west-bengal-india
#3
Saikat Datta, Sharmistha Bhattacherjee, Pasang Lahmu Sherpa, Smarajit Banik
INTRODUCTION: Despite the advent of modern technologies, India is still grappling with the HIV/AIDS pandemic. Stigma is one of the key aspects which can interfere with HIV test-seeking behaviour, care-seeking behaviour upon diagnosis, quality of care given to HIV-positive patients and perception and treatment of People Living with HIV/AIDS (PLHA) by communities, families, and partners. AIM: To determine the perceived stigma associated with HIV/AIDS and its correlates among PLHAs attending the Anti Retroviral Therapy (ART) centre of North Bengal Medical College, Darjeeling, West Bengal, India...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27886844/hand-and-wrist-injuries-in-boxing-and-the-martial-arts
#4
REVIEW
Benjamin Todd Drury, Thomas P Lehman, Ghazi Rayan
Hand and wrist injuries in martial arts are typically a reflection of the combat nature of this discipline. In striking sports, the axial load mechanism of injury is common and causes fractures and dislocations; in grappling sports, sprain injuries and degenerative changes predominate. There is clear evidence to support that hand protection reduces the risk of hand injury. Traditional training in martial arts on proper technique and target selection in striking sports reduces the risk of hand injury, and is an important component of hand and wrist injury prevention...
February 2017: Hand Clinics
https://www.readbyqxmd.com/read/27882392/-the-special-requirements-of-old-age-in-terms-of-dying
#5
Andreas Kruse
It is expected that the rising average life expectancy will leave ever more people with chronic progressive diseases of the body and brain. This then means not only having to deal with increasingly longer periods of care, but also possibly distinct neurocognitive disorders in the years prior to death and dying. The aim of this study is to report epidemiological data on the causes of death, as well as on the places of death. In addition, the attitudes and behaviour towards death and dying, as well as the different places of death will be discussed...
November 23, 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/27861038/the-effects-of-witnessing-violence
#6
(no author information available yet)
Mental health nurses in the UK are 10 times more likely to be assaulted than general nurses, but evidence on the effects of staff witnessing violence is lacking. After researching the effects on ten mental health nurses who had witnessed an episode of physical violence in the previous 6 months, David Jeffrey and Pauline Fuller reported their research findings in Mental Health Practice. The authors found that participants grappled with fear, guilt and anger, leaving them to seek resolution on five themes relating to personal and professional guilt...
November 2, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27834255/intoxicated-homeless-and-in-need-of-a-place-to-land
#7
Otis Warren
A patient with alcoholism cycles in and out of the emergency department as his providers grapple with an outdated system of care.
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27797649/state-of-training-clinical-services-and-research-on-dual-disorders-across-france-india-israel-and-spain
#8
Yatan Pal Singh Balhara, Shaul Lev-Ran, José Martínez-Raga, Amine Benyamina, Shalini Singh, Lisa Blecha, Nestor Szerman
OBJECTIVE: This article overviews training, clinical services, and research on dual disorders across four countries: France, India, Israel, and Spain. METHODS: The current dual disorders systems in each of the four countries were reviewed, with a focus on strengths and limitations of each. RESULTS: In France, psychiatric care occurs within the public health care system and involves little training of medical graduates for managing dual disorders...
July 2016: Journal of Dual Diagnosis
https://www.readbyqxmd.com/read/27782924/recovery-oriented-mental-health-practice-in-a-community-care-unit-an-exploratory-study
#9
Brian McKenna, Jane Oakes, Niki Fourniotis, Nigel Toomey, Trentham Furness
A recovery-oriented model of care has become the major focus of mental health service delivery in the state of Victoria, Australia. However, there is a total absence of knowledge of recovery-oriented mental health practice in community care units (CCUs). Therefore, the aims of this exploratory study were to: (a) describe what aspects of the current model of care fit within the domains of recovery; and (b) describe the pragmatic processes that staff use to mold their care within the domains of recovery. Twenty-one key stakeholders provided informed voluntary consent to participate in one-to-one interviews...
October 25, 2016: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/27729052/civic-engagement-among-orphans-and-non-orphans-in-five-low-and-middle-income-countries
#10
Christine L Gray, Brian W Pence, Lynne C Messer, Jan Ostermann, Rachel A Whetten, Nathan M Thielman, Karen O'Donnell, Kathryn Whetten
BACKGROUND: Communities and nations seeking to foster social responsibility in their youth are interested in understanding factors that predict and promote youth involvement in public activities. Orphans and separated children (OSC) are a vulnerable population whose numbers are increasing, particularly in resource-poor settings. Understanding whether and how OSC are engaged in civic activities is important for community and world leaders who need to provide care for OSC and ensure their involvement in sustainable development...
October 11, 2016: Globalization and Health
https://www.readbyqxmd.com/read/27716275/enhancing-implementation-science-by-applying-best-principles-of-systems-science
#11
Mary E Northridge, Sara S Metcalf
BACKGROUND: Implementation science holds promise for better ensuring that research is translated into evidence-based policy and practice, but interventions often fail or even worsen the problems they are intended to solve due to a lack of understanding of real world structures and dynamic complexity. While systems science alone cannot possibly solve the major challenges in public health, systems-based approaches may contribute to changing the language and methods for conceptualising and acting within complex systems...
October 4, 2016: Health Research Policy and Systems
https://www.readbyqxmd.com/read/27708281/the-fractal-heart-embracing-mathematics-in-the-cardiology-clinic
#12
REVIEW
Gabriella Captur, Audrey L Karperien, Alun D Hughes, Darrel P Francis, James C Moon
For clinicians grappling with quantifying the complex spatial and temporal patterns of cardiac structure and function (such as myocardial trabeculae, coronary microvascular anatomy, tissue perfusion, myocyte histology, electrical conduction, heart rate, and blood-pressure variability), fractal analysis is a powerful, but still underused, mathematical tool. In this Perspectives article, we explain some fundamental principles of fractal geometry and place it in a familiar medical setting. We summarize studies in the cardiovascular sciences in which fractal methods have successfully been used to investigate disease mechanisms, and suggest potential future clinical roles in cardiac imaging and time series measurements...
October 6, 2016: Nature Reviews. Cardiology
https://www.readbyqxmd.com/read/27672345/grappling-with-the-issue-of-homosexuality-perceptions-attitudes-and-beliefs-among-high-school-students-in-kenya
#13
Winnie Mucherah, Elizabeth Owino, Kaleigh McCoy
While the past decade has seen an improvement in attitudes toward homosexuality, negative attitudes are still prevalent in many parts of the world. In general, increased levels of education tend to be predictive of relatively positive attitudes toward homosexuality. However, in most sub-Saharan countries, it is still believed that people are born heterosexual and that nonheterosexuals are social deviants who should be prosecuted. One such country is Kenya, where homosexuality is illegal and attracts a fine or jail term...
2016: Psychology Research and Behavior Management
https://www.readbyqxmd.com/read/27664176/private-sector-participation-in-domestic-waste-management-in-informal-settlements-in-lagos-nigeria
#14
Akunnaya P Opoko, Adedapo A Oluwatayo
Lagos is one of the fastest growing cities in Africa, which is grappling with the challenges of poorly managed urbanisation. With an estimated population of about 17.5 million, solid waste management is one of the most pressing environmental challenges currently faced in the city. It is estimated that more than 9071847.4kg of urban waste is generated every day in the city. The city lacks the capacity to deal with such magnitude of waste. Consequently, the city has involved the private sector (private sector participation) in its waste management drive...
September 23, 2016: Waste Management & Research
https://www.readbyqxmd.com/read/27633951/detergents-friends-not-foes-for-high-performance-membrane-proteomics-toward-precision-medicine
#15
REVIEW
Xi Zhang
Precision medicine, particularly therapeutics, emphasizes the atomic-precise, dynamic, and systems visualization of human membrane proteins and their endogenous modifiers. For years, bottom-up proteomics has grappled with removing and avoiding detergents, yet faltered at the therapeutic-pivotal membrane proteins, which have been tackled by classical approaches and are known for decades refractory to single-phase aqueous or organic denaturants. Hydrophobicity and aggregation commonly challenge tissue and cell lysates, biofluids, and enriched samples...
September 16, 2016: Proteomics
https://www.readbyqxmd.com/read/27633856/grasping-for-traits-or-reasons-how-people-grapple-with-puzzling-social-behaviors
#16
Joanna Korman, Bertram F Malle
Within social psychology, it is well accepted that trait inference is the dominant tool for understanding others' behavior. Outside of social psychology, a different consensus has emerged, namely, that people predominantly explain behavior in terms of mental states. Both positions are based on limited evidence. The trait literature focuses on trait ascriptions to persons, not explanations of behavior. The mental state literature focuses on explanations of ordinary behaviors (for which social scripts provide mental states), not of expectancy-violating behaviors...
September 15, 2016: Personality & Social Psychology Bulletin
https://www.readbyqxmd.com/read/27584064/paradoxical-truths-and-persistent-myths-reframing-the-team-competence-conversation
#17
Lorelei Lingard
Medicine has conventionally had an individualist orientation to competence. Individual competence is conceptualized as a stable possession that, once acquired, holds across contexts. Individual competence is necessary; however, it is insufficient for quality health care. We also need to attend to collective competence in order to grapple with paradoxical truths about teamwork, such as: competent individuals can form incompetent teams. Collective competence is conceptualized as a distributed capacity of a system, an evolving, relational phenomenon that emerges from the resources and constraints of particular contexts...
2016: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/27574673/skin-tissue-engineering-advances-in-severe-burns-review-and-therapeutic-applications
#18
REVIEW
Alvin Wen Choong Chua, Yik Cheong Khoo, Bien Keem Tan, Kok Chai Tan, Chee Liam Foo, Si Jack Chong
Current advances in basic stem cell research and tissue engineering augur well for the development of improved cultured skin tissue substitutes: a class of products that is still fraught with limitations for clinical use. Although the ability to grow autologous keratinocytes in-vitro from a small skin biopsy into sheets of stratified epithelium (within 3 to 4 weeks) helped alleviate the problem of insufficient donor site for extensive burn, many burn units still have to grapple with insufficient skin allografts which are used as intermediate wound coverage after burn excision...
2016: Burns and trauma
https://www.readbyqxmd.com/read/27573806/how-do-we-actually-put-smarter-snacks-in-schools-nourish-nutrition-opportunities-to-understand-reforms-involving-student-health-conversations-with-food-service-directors
#19
Lindsay E Rosenfeld, Juliana Fw Cohen, Mary T Gorski, Andrés J Lessing, Lauren Smith, Eric B Rimm, Jessica A Hoffman
OBJECTIVE: In autumn 2012, Massachusetts schools implemented comprehensive competitive food and beverage standards similar to the US Department of Agriculture's Smart Snacks in School standards. We explored major themes raised by food-service directors (FSD) regarding their school-district-wide implementation of the standards. DESIGN: For this qualitative study, part of a larger mixed-methods study, compliance was measured via direct observation of foods and beverages during school site visits in spring 2013 and 2014, calculated to ascertain the percentage of compliant products available to students...
August 30, 2016: Public Health Nutrition
https://www.readbyqxmd.com/read/27569006/identifying-the-performance-characteristics-of-a-winning-outcome-in-elite-mixed-martial-arts-competition
#20
Lachlan P James, Sam Robertson, G Gregory Haff, Emma M Beckman, Vincent G Kelly
OBJECTIVES: To determine those performance indicators that have the greatest influence on classifying outcome at the elite level of mixed martial arts (MMA). A secondary objective was to establish the efficacy of decision tree analysis in explaining the characteristics of victory when compared to alternate statistical methods. DESIGN: Cross-sectional observational. METHODS: Eleven raw performance indicators from male Ultimate Fighting Championship bouts (n=234) from July 2014 to December 2014 were screened for analysis...
August 9, 2016: Journal of Science and Medicine in Sport
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