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https://www.readbyqxmd.com/read/29432082/enhancing-meaning-when-facing-later-life-losses
#1
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
#2
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
#3
Barton Moffatt
In this paper, 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 like ghostwriting. Judgements about who should be able to decide who is an author raise interesting questions about the autonomy of scientific practices.
February 5, 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
#4
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
#5
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...
December 28, 2017: 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
#6
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...
December 14, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29261540/looking-back-to-move-forward-first-year-medical-students-meta-reflections-on-their-narrative-portfolio-writings
#7
Hetty Cunningham, Delphine Taylor, Urmi A Desai, Samuel C Quiah, Benjamin Kaplan, Lorraine Fei, Marina Catallozzi, Boyd Richards, Dorene F Balmer, Rita Charon
The day-to-day rigors of medical education often preclude learners from gaining a longitudinal perspective on who they are becoming. Furthermore, the current focus on competencies, coupled with concerning rates of trainee burnout and a decline in empathy, have fueled the search for pedagogic tools to foster students' reflective capacity. In response, many scholars have looked to the tradition of narrative medicine to foster "reflective spaces" wherein holistic professional identity construction can be supported...
December 19, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29241428/state-targeted-funding-and-technical-assistance-to-increase-access-to-medication-treatment-for-opioid-use-disorder
#8
Amanda J Abraham, Christina M Andrews, Colleen M Grogan, Harold A Pollack, Thomas D'Aunno, Keith Humphreys, Peter D Friedmann
OBJECTIVE: As the United States grapples with an opioid epidemic, expanding access to effective treatment for opioid use disorder is a major public health priority. Identifying effective policy tools that can be used to expand access to care is critically important. This article examines the relationship between state-targeted funding and technical assistance and adoption of three medications for treating opioid use disorder: oral naltrexone, injectable naltrexone, and buprenorphine. METHODS: This study draws from the 2013-2014 wave of the National Drug Abuse Treatment System Survey, a nationally representative, longitudinal study of substance use disorder treatment programs...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29238946/papp-a2-a-new-key-regulator-of-growth
#9
Magdalena Banaszak-Ziemska, Marek Niedziela
Short stature is the main problem that paediatric endocrinologists have to grapple with. Endocrine disorders account for only 5% of patients with short stature, but this is still one of the most common causes of reports to the endocrine clinic and hospitalisation in the endocrine department. A properly functioning growth hormone/insulin-like growth factor (GH/IGF) axis is one of the most important factors in proper growth. A lot of genetic defects in this axis lead to syndromes marked by impaired growth, like Laron syndrome, muta-tions in the STAT5B, insulin-like growth factor 1 (IGF1), and insulin-like growth factor 1 receptor (IGF1R) and mutations in the acid labile subunit (ALS)...
2017: Endokrynologia Polska
https://www.readbyqxmd.com/read/29237354/the-views-of-the-public-on-youth-offenders-and-the-new-zealand-criminal-justice-system
#10
Craig Barretto, Sarah Miers, Ian Lambie
Public perceptions of crime and punishment have taken on increasing importance as countries grapple with how to address youth violence. The current study aimed to compare the views of those who have had personal experience of victimisation from youth offenders and those who have not, on what could be improved in managing youth offending in New Zealand. A qualitative methodology was used with data from open-ended survey responses from a nationally representative sample. Public sentiments favoured addressing systemic issues and providing rehabilitation as main emphases followed by more punitive measures, prevention, and restorative justice...
January 2018: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/29235962/perspectives-on-policy-and-the-value-of-nursing-science-in-a-big-data-era
#11
Sheila M Gephart, Mary Davis, Kimberly Shea
As data volume explodes, nurse scientists grapple with ways to adapt to the big data movement without jeopardizing its epistemic values and theoretical focus that celebrate while acknowledging the authority and unity of its body of knowledge. In this article, the authors describe big data and emphasize ways that nursing science brings value to its study. Collective nursing voices that call for more nursing engagement in the big data era are answered with ways to adapt and integrate theoretical and domain expertise from nursing into data science...
January 2018: Nursing Science Quarterly
https://www.readbyqxmd.com/read/29214488/electron-microscopic-observations-of-prokaryotic-surface-appendages
#12
REVIEW
Ki Woo Kim
Prokaryotic microbes possess a variety of appendages on their cell surfaces. The most commonly known surface appendages of bacteria include flagella, pili, curli, and spinae. Although archaea have archaella (archaeal flagella) and various types of pili that resemble those in bacteria, cannulae, and hami are unique to archaea. Typically involved in cell motility, flagella, the thickest appendages, are 20-26 nm and 10-14 nm wide in bacteria and archaea, respectively. Bacterial and archaeal pili are distinguished by their thin, short, hair-like structures...
December 2017: Journal of Microbiology / the Microbiological Society of Korea
https://www.readbyqxmd.com/read/29202096/trafficking-of-vietnamese-women-and-girls-for-marriage-in-china
#13
Heidi Stöckl, Ligia Kiss, Jobst Koehler, Dung Thuy Dong, Cathy Zimmerman
Background: Bride-trafficking has been a growing phenomenon in Southeast Asia, particularly in China, where one-child policies have resulted in demographic imbalances favoring males. Yet, empirical evidence about women and girls sold into marriage in China remains sparse. Methods: This study describes the experiences of 51 Vietnamese women and girls as young as 14 in post-trafficking services who were sold into marriage in China. A consecutive sample of individuals from five services in Vietnam were invited to be interviewed within the first 2 weeks of admission...
2017: Global health research and policy
https://www.readbyqxmd.com/read/29185057/implications-of-a-paediatrician-psychologist-tandem-for-sickle-cell-disease-care-and-impact-on-cognitive-functioning
#14
Adrienne Lerner, Hervé Picard, Adrien May, Vincent Gajdos, Louise Malou-Dhaussy, Flaviana Maroja-Cox, Laurence Salomon, Marie-Hélène Odièvre
Sickle cell disease (SCD), a life-threatening chronic disease, necessitates a paediatric treatment plan that considers the influence of psychological, family and intercultural factors. At the Louis-Mourier Hospital (APHP) in Colombes, France, we introduced an original paediatric-psychological partnership where a clinical psychologist accompanies the paediatrician at programmed consultations. We evaluated children and their parents treated in Colombes and in two other paediatric units using standardized culture-free tools and clinical interviews to evaluate the psychological repercussions of SCD...
November 29, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29172435/the-evolution-of-chemical-high-throughput-experimentation-to-address-challenging-problems-in-pharmaceutical-synthesis
#15
Shane W Krska, Daniel A DiRocco, Spencer D Dreher, Michael Shevlin
The structural complexity of pharmaceuticals presents a significant challenge to modern catalysis. Many published methods that work well on simple substrates often fail when attempts are made to apply them to complex drug intermediates. The use of high-throughput experimentation (HTE) techniques offers a means to overcome this fundamental challenge by facilitating the rational exploration of large arrays of catalysts and reaction conditions in a time- and material-efficient manner. Initial forays into the use of HTE in our laboratories for solving chemistry problems centered around screening of chiral precious-metal catalysts for homogeneous asymmetric hydrogenation...
November 27, 2017: Accounts of Chemical Research
https://www.readbyqxmd.com/read/29155392/green-synthesised-zinc-oxide-nanostructures-through-periploca-aphylla-extract-shows-tremendous-antibacterial-potential-against-multidrug-resistant-pathogens
#16
Fazal Abbas, Qaisar Maqbool, Mudassar Nazar, Nyla Jabeen, Syed Zaheer Hussain, Sadaf Anwaar, Nasir Mehmood, Muhammad Saleem Sheikh, Talib Hussain, Sidra Iftikhar
To grapple with multidrug resistant bacterial infections, implementations of antibacterial nanomedicines have gained prime attention of the researchers across the globe. Nowadays, zinc oxide (ZnO) at nano-scale has emerged as a promising antibacterial therapeutic agent. Keeping this in view, ZnO nanostructures (ZnO-NS) have been synthesised through reduction by P. aphylla aqueous extract without the utilisation of any acid or base. Structural examinations via scanning electron microscopy (SEM) and X-ray diffraction have revealed pure phase morphology with highly homogenised average particle size of 18 nm...
December 2017: IET Nanobiotechnology
https://www.readbyqxmd.com/read/29154468/fight-flight-or-remain-silent-juggling-multiple-accountabilities-throughout-the-formative-stage-of-a-neighborhood-revitalization-initiative
#17
Stacey M Kesten, Deborah A Perez, Denise S Marques, Scot D Evans, Adrienne Sulma
This paper describes the experiences of a research team as they navigated uncertain ethical and political terrain throughout the formative stage of a public housing redevelopment project. Specifically, we discuss the challenges related to balancing multiple accountabilities and the tensions among the various roles and responsibilities that emanated from different accountabilities. Due to contractual obligations to our funding source, established relations with community partners, and an ethical imperative to align with those holding the least power, we grappled with embodying multiple and often conflicting roles...
November 20, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29143888/-the-art-of-insulin-treatment-diabetes-insulin-and-the-1920s
#18
Kirsten E Gardner
Soon after the discovery of insulin in the early 1920s, the popular press celebrated the miraculous discovery. Although insulin had no curative effect on the chronic state of diabetes, it was frequently heralded as a "cure." This paper examines how the discovery of insulin intersected with the rise of diabetic technology and the transfer of medical technology to the home setting. By analyzing diabetic manuals written for patients and physicians, letters exchanged between patient and physician, medical journals, magazines and newspapers, I trace how patients learned about insulin and more significantly how patients adopted measurement technologies designed to allow better home administration of insulin...
November 16, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/29140737/older-americans-were-sicker-and-faced-more-financial-barriers-to-health-care-than-counterparts-in-other-countries
#19
Robin Osborn, Michelle M Doty, Donald Moulds, Dana O Sarnak, Arnav Shah
High-income countries are grappling with the challenge of caring for aging populations, many of whose members have chronic illnesses and declining capacity to manage activities of daily living. The 2017 Commonwealth Fund International Health Policy Survey of Older Adults in eleven countries showed that US seniors were sicker than their counterparts in other countries and, despite universal coverage under Medicare, faced more financial barriers to health care. The survey's findings also highlight economic hardship and mental health problems that may affect older adults' health, use of care, and outcomes...
November 15, 2017: Health Affairs
https://www.readbyqxmd.com/read/29133548/uganda-grapples-with-new-marburg-disease-outbreak
#20
Henry Wasswa
No abstract text is available yet for this article.
November 13, 2017: BMJ: British Medical Journal
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