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https://www.readbyqxmd.com/read/29671734/instrumental
#1
Ryoko Hamaguchi
Incorporating classmates' unique one-word reflections on human anatomy and the experience of engaging with the bodies of our anatomical donors, this series captures a diverse spectrum of human emotions surrounding anatomical dissection. Grappling with the humanity of our varied reactions, we related ourselves-ethically and clinically, individually and collectively-to our first "patients" and their critical role in our education and growth as physicians.
April 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29663183/three-visions-of-doctoring-a-gadamerian-dialogue
#2
Benjamin Chin-Yee, Atara Messinger, L Trevor Young
Medicine in the twenty-first century faces an 'identity crisis,' as it grapples with the emergence of various 'ways of knowing,' from evidence-based and translational medicine, to narrative-based and personalized medicine. While each of these approaches has uniquely contributed to the advancement of patient care, this pluralism is not without tension. Evidence-based medicine is not necessary individualized; personalized medicine may be individualized but is not necessarily person-centered. As novel technologies and big data continue to proliferate today, the focus of medical practice is shifting away from the dialogic encounter between doctor and patient, threatening the loss of humanism that many view as integral to medicine's identity...
April 16, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29622381/harnessing-the-private-health-sector-by-using-prices-as-a-policy-instrument-lessons-learned-from-south-africa
#3
Sarah L Barber, Ankit Kumar, Tomas Roubal, Francesca Colombo, Luca Lorenzoni
Governments frequently draw upon the private health care sector to promote sustainability, optimal use of resources, and increased choice. In doing so, policy-makers face the challenge of harnessing resources while grappling with the market failures and equity concerns associated with private financing of health care. The growth of the private health sector in South Africa has fundamentally changed the structure of health care delivery. A mutually reinforcing ecosystem of private health insurers, private hospitals and specialists has grown to account for almost half of the country's spending on health care, despite only serving 16% of the population with the capacity to pay...
March 29, 2018: Health Policy
https://www.readbyqxmd.com/read/29601224/physical-therapists-perception-of-workplace-ethics-in-an-evolving-health-care-delivery-environment-a-cross-sectional-survey
#4
Roberto Cantu
Physical therapists are trained and obligated to deliver optimal health care and put patients first above all else. In the changing health-care environment, health-care organizations are grappling with controlling cost and increasing revenues. Moral distress may be created when physical therapists' desire to provide optimal care conflicts with their organization's goals to remain financially viable or profitable. Moral distress has been associated with low perception of ethical environment, professional burnout, and high turnover in organizations...
March 30, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29589806/how-physiotherapists-perceive-interpret-and-respond-to-the-ethical-dimensions-of-practice-a-qualitative-study
#5
Clare Delany, Ian Edwards, Caroline Fryer
The profile and reach of physiotherapy has expanded in areas of extended scope of practice, and broader engagement with population needs beyond the individual treatment encounter. These changes raise increasingly complex ethical challenges evidenced by growth in physiotherapy-based ethics studies and discussions. This paper examines how a broad cross section of Australian physiotherapists perceive, interpret, and respond to ethical challenges in their work contexts and how professional codes of conduct are used in their practice...
March 28, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29579490/evaluating-a-psychosocial-intervention-for-men-with-prostate-cancer-and-their-partners-outcomes-and-lessons-learned-from-a-randomized-controlled-trial
#6
Eilis McCaughan, Carol Curran, Laurel Northouse, Kader Parahoo
AIM: This study evaluated the process and outcome of a psychosocial intervention for men with prostate cancer and their partners. As more men survive prostate cancer, they and their partners need help and support to help them cope with the physical and psychosocial effects of the disease and treatment. There is a lack of psychosocial interventions for men with prostate cancer and their partners. METHODS: A randomized controlled trial was conducted with 34 participants to measure the effects of the intervention on selected psychosocial outcomes, post-intervention and at one month' follow-up...
April 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29575968/a-healthy-chubby-japanese-man-genki-na-debu-chan
#7
Genaro Castro-Vázquez
In light of official reports indicating a still prevalent tendency to masculinized obesity and overweight in Japan (Ministry of Health Labour and Welfare, 2015), this article explores the experiences of 28 Japanese men grappling with bodyweight control. Aged between 24 and 67, 3 of the men were postgraduate or undergraduate students, 7 self-employed, 17 company workers and 1 retired. Fourteen hold a university degree, 1 completed senior high school and 10 finished 3-year junior college. Twelve were married and 16 were single...
March 1, 2018: American Journal of Men's Health
https://www.readbyqxmd.com/read/29553938/grappling-with-the-health-consequences-of-floods-hurricanes-monsoons-and-heavy-rains-have-researchers-studying-how-to-prevent-the-diseases-that-often-follow
#8
Wudan Yan
In early September 2017, when the rains from Hurricane Harvey finally subsided in Houston, Texas, Seth Pedersen loaded up his pickup truck with sample collection kits, waders, rubber boots, buckets, and a small aluminum fishing boat. On that particular day, Pedersen, a second-year graduate student in environmental engineering at Rice University, was-along with a fellow graduate student-on a mission to test the water in homes flooded by Hurricane Harvey. He was looking specifically for E. coli bacteria, chemicals, heavy metals, and other pathogens (Figure 1)...
March 2018: IEEE Pulse
https://www.readbyqxmd.com/read/29536259/homosexual-behavior-between-male-spider-monkeys-ateles-geoffroyi
#9
Laura Busia, Anthony R Denice, Filippo Aureli, Colleen M Schaffner
Homosexual behavior is defined as genital contact or genital manipulation between same-sex individuals. In nonhuman primates, it may regulate social relationships by serving as a means of reconciliation, tension alleviation, or alliance formation. Grappling is a rare and complex behavior, which most frequently occurs between same-sex individuals of the genus Ateles and can include mutual manipulation of the genitalia. Here we report three cases of penile-anal intromission during grappling between wild male spider monkeys living in the natural protected area of Otoch Ma'ax Yetel Kooh, Mexico...
March 13, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29533091/inclusion-and-exclusion-in-the-globalisation-of-genomics-the-case-of-rare-genetic-disease-in-brazil
#10
Sahra Gibbon, Waleska Aureliano
Within the context of a globalising agenda for genetic research where 'global health' is increasingly seen as necessarily informed by and having to account for genomics, the focus on rare genetic diseases is becoming prominent. Drawing from ethnographic research carried out separately by both authors in Brazil, this paper examines how an emerging focus on two different arenas of rare genetic disease, cancer genetics and a class of degenerative neurological diseases known as Ataxias, is subject to and a product of the dynamics of inclusion and exclusion as this concerns participation in research and access to health care...
April 2018: Anthropology & Medicine
https://www.readbyqxmd.com/read/29513132/parent-coaching-increases-the-parents-capacity-for-reflection-and-self-evaluation-results-from-a-clinical-trial-in-autism
#11
M Siller, E Hotez, M Swanson, A Delavenne, T Hutman, M Sigman
Family-centered parent coaching interventions in autism strive to encourage family engagement and support parent reflection and self-evaluation. This includes the parents' capacity to: (1) carefully observe the child's behavior; (2) reflect upon the child's thoughts, motives, and feelings; (3) consider links between the child's internal experiences and observable behavior; and (4) grapple with the complex interplay among the child's experiences and behaviors, contextual factors, parenting strategies, as well as parental goals and emotions...
March 7, 2018: Attachment & Human Development
https://www.readbyqxmd.com/read/29484713/what-trainees-grapple-with-a-study-of-threshold-concepts-on-the-medicine-ward
#12
Chirag Bhat, Sarah Burm, Tricia Mohan, Saad Chahine, Mark Goldszmidt
OBJECTIVES: Socialisation theories of professional identity formation (PIF) consider clinical rotations to be critically intense transformative experiences. However, few studies have explored what trainees grapple with during these transformative experiences or their influence on performance. Applying a threshold concepts (TCs) lens, this study investigates and documents 'troublesome' and 'transformative' concepts that junior trainees may encounter during a clinical rotation. Insights gained are essential for supporting trainee development...
February 27, 2018: Medical Education
https://www.readbyqxmd.com/read/29471338/transitioning-from-river-blindness-control-to-elimination-steps-toward-stopping-treatment
#13
Paul T Cantey, Sharon L Roy, Daniel Boakye, Upendo Mwingira, Eric A Ottesen, Adrian D Hopkins, Yao K Sodahlon
The transition from onchocerciasis control to elimination requires country programmes to rethink their approach to a variety of activities as they move from addressing morbidity to addressing transmission of the parasite. Although the 2016 WHO guidelines provide extensive recommendations, it was beyond the scope of the document to provide guidance on all aspects of the transition. This paper will discuss some of the important issues that programmes are grappling with as they transition to elimination and provide some potential approaches that programmes can use to address them...
March 1, 2018: International Health
https://www.readbyqxmd.com/read/29463270/the-unfunded-priorities-an-evaluation-of-priority-setting-for-noncommunicable-disease-control-in-uganda
#14
Beverley M Essue, Lydia Kapiriri
BACKGROUND: The double burden of infectious diseases coupled with noncommunicable diseases poses unique challenges for priority setting and for achieving equitable action to address the major causes of disease burden in health systems already impacted by limited resources. Noncommunicable disease control is an important global health and development priority. However, there are challenges for translating this global priority into local priorities and action. The aim of this study was to evaluate the influence of national, sub-national and global factors on priority setting for noncommunicable disease control in Uganda and examine the extent to which priority setting was successful...
February 20, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29432082/enhancing-meaning-when-facing-later-life-losses
#15
Janet Anderson Yang, Breanna L Wilhelmi, Krista McGlynn
OBJECTIVE: This article presents several client cases to illustrate psychotherapeutic interventions for helping older adults facing later life losses enhance their sense of meaning. METHODS: Cases are derived from the client population of a community mental health clinic which provides psychotherapy for low income, seriously mentally ill, culturally diverse older adults, many of whom experience serious medical illnesses. Over the course of 24 years in this setting, the primary author has observed various interventions which offer possibilities to provide hope and meaning for clients with severe problems...
January 29, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29420793/injuries-sustained-during-modern-army-combatives-tournaments
#16
Jonathan I Stuart, Ian L Hudson, Simon A Sarkisian, Michael P Simpson, Benjamin P Donham
Introduction: Injuries sustained during Modern Army Combatives (MAC) tournaments can result in variable recovery time for involved competitors and unpredictable loss of readiness for military units. A paucity of MAC data is available to guide military medical providers and unit commanders on expected injuries or loss of readiness. Literature reviewing mixed martial arts competitions offers some insight but demonstrates variation in fight outcomes resulting in injuries ranging from 8.5% to 70% and it is difficult to effectively extrapolate such data to predict MAC tournament injuries...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29400074/scientific-authorship-pluralism-and-practice
#17
Barton Moffatt
In this article, I argue that understanding authorship requires that we grapple with the plurality of distinct accounts of scientific authorship. As a result, we should be careful in how we identify and quantify unethical practices such as ghostwriting. Judgements about who should be able to decide who is an author raise interesting questions about the autonomy of scientific practices.
February 21, 2018: Accountability in Research
https://www.readbyqxmd.com/read/29368059/lessons-learned-in-clinical-research-recruitment-of-immigrants-and-minority-group-members-with-first-episode-psychosis
#18
Mercedes Hernandez, Richard Franco, Alex Kopelowicz, Maria Y Hernandez, Yesenia Mejia, Concepción Barrio, Steven Regeser López
Recruitment of immigrants and racial and ethnic minorities with first-episode psychosis (FEP) for research studies presents numerous challenges. We describe methods used to recruit 43 U.S. Latinos with FEP and their family caregivers (n = 41) participating in a study to reduce duration of untreated psychosis. A key challenge was that patients were not continuing treatment at an outpatient clinic, as initially expected. To facilitate identification of patients prior to outpatient care, we collaborated with clinic and hospital administrators...
January 24, 2018: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/29283816/impact-of-disease-disclosure-on-stigma-an-experimental-investigation-of-college-students-reactions-to-inflammatory-bowel-disease
#19
Jacob A Rohde, Yue Wang, Chelsea M Cutino, Bonnie K Dickson, Marisa C Bernal, Serena Bronda, Aizhou Liu, Sai Indira Priyadarshini, Ling Guo, Jason S Reich, Francis A Farraye
Inflammatory bowel disease (IBD) is a serious chronic illness that affects 1 in 200 people in the United States with the majority of new cases of IBD diagnosed in young people under the age of 35. Despite the growing number of people who are diagnosed each year, the consequences of health-related stigma faced by young people grappling with the effects of IBD are understudied. This experimental investigation explored the existence of enacted stigma among college students, a population that faces many social and psychological challenges due to the added emotional stresses brought about by the transition from high school and adolescence to college and adulthood...
2018: Journal of Health Communication
https://www.readbyqxmd.com/read/29274616/integrating-social-justice-concerns-into-economic-evaluation-for-healthcare-and-public-health-a-systematic-review
#20
Vadim Dukhanin, Alexandra Searle, Alice Zwerling, David W Dowdy, Holly A Taylor, Maria W Merritt
Social justice is the moral imperative to avoid and remediate unfair distributions of societal disadvantage. In priority setting in healthcare and public health, social justice reaches beyond fairness in the distribution of health outcomes and economic impacts to encompass fairness in the distribution of policy impacts upon other dimensions of well-being. There is an emerging awareness of the need for economic evaluation to integrate all such concerns. We performed a systematic review (1) to describe methodological solutions suitable for integrating social justice concerns into economic evaluation, and (2) to describe the challenges that those solutions face...
February 2018: Social Science & Medicine
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