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https://www.readbyqxmd.com/read/28430978/culture-matters-indigenizing-patient-safety-in-bhutan
#1
Rinchen Pelzang, Megan-Jane Johnstone, Alison M Hutchinson
Studies show that if quality of healthcare in a country is to be achieved, due consideration must be given to the importance of the core cultural values as a critical factor in improving patient safety outcomes. The influence of Bhutan's traditional (core) cultural values on the attitudes and behaviours of healthcare professionals regarding patient care are not known. This study aimed to explore the possible influence of Bhutan's traditional cultural values on staff attitudes towards patient safety and quality care...
April 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28429623/schema-therapy-for-personality-disorders-in-older-adults-a-multiple-baseline-study
#2
Arjan C Videler, Sebastiaan P J van Alphen, Rita J J van Royen, Christina M van der Feltz-Cornelis, Gina Rossi, Arnoud Arntz
OBJECTIVE: No studies have been conducted yet into the effectiveness of treatment of personality disorders in later life. This study is a first test of the effectiveness of schema therapy for personality disorders in older adults. METHOD: Multiple-baseline design with eight cluster C personality disorder patients, with a mean age of   69. After a baseline phase with random length, schema therapy was given during the first year, followed by follow-up sessions during six months...
April 21, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28382462/adolescent-agentic-orientations-contemporaneous-family-influence-parental-biography-and-intergenerational-development
#3
Monica Kirkpatrick Johnson, Steven Hitlin
Agentic orientations developed in adolescence have been linked to better health, well-being, and achievements in the years following. This study examines longitudinal parental influences on the development of adolescent children's agentic orientations, captured by the core constructs of mastery beliefs and generalized life expectations. Drawing on multigenerational panel data from the United States (1991-2011), the study examines contemporaneous family factors, but also how parental biographies (their own transition to adulthood) and parents' own adolescent agentic orientations influence their adolescent children...
April 5, 2017: Journal of Youth and Adolescence
https://www.readbyqxmd.com/read/28376669/factors-influencing-posttraumatic-growth-in-mothers-of-children-with-cancer
#4
Mi Young Kim
The psychological adaptation of mothers of children with cancer has a significant impact on the management of the disease. As the mothers' psychological adaptation and positive emotions have an impact on the psychological adaptation of the children, it is important to facilitate the positive growth of the mothers during their adjustment to their children's illness. Therefore, it is necessary to determine the factors that influence posttraumatic growth (PTG) in these mothers. This research aimed to test the variables of PTG based on an existing theoretical model of PTG in mothers of children with cancer...
April 1, 2017: Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses
https://www.readbyqxmd.com/read/28369366/banning-shisha-smoking-in-public-places-in-iran-an-advocacy-coalition-framework-perspective-on-policy-process-and-change
#5
Akram Khayatzadeh-Mahani, Eric Breton, Arne Ruckert, Ronald Labonté
Introduction: Shisha smoking is a widespread custom in Iran with a rapidly growing prevalence especially among the youth. In this article, we analyze the policy process of enforcing a federal/state ban on shisha smoking in all public places in Kerman Province, Iran. Guided by the Advocacy Coalition Framework (ACF), we investigate how a shisha smoking ban reached the political agenda in 2011, how it was framed by different policy actors, and why no significant breakthrough took place despite its inclusion on the agenda...
March 27, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28367446/systematic-comparison-of-brain-imaging-meta-analyses-of-tom-with-vpt
#6
Aditi Arora, Matthias Schurz, Josef Perner
In visual perspective taking (vPT) one has to concern oneself with what other people see and how they see it. Since seeing is a mental state, developmental studies have discussed vPT within the domain of "theory of mind (ToM)" but imaging studies have not treated it as such. Based on earlier results from several meta-analyses, we tested for the overlap of visual perspective taking studies with 6 different kinds of ToM studies: false belief, trait judgments, strategic games, social animations, mind in the eyes, and rational actions...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28339563/trauma-informed-social-work-practice
#7
Jill Levenson
Social workers frequently encounter clients with a history of trauma. Trauma-informed care is a way of providing services by which social workers recognize the prevalence of early adversity in the lives of clients, view presenting problems as symptoms of maladaptive coping, and understand how early trauma shapes a client's fundamental beliefs about the world and affects his or her psychosocial functioning across the life span. Trauma-informed social work incorporates core principles of safety, trust, collaboration, choice, and empowerment and delivers services in a manner that avoids inadvertently repeating unhealthy interpersonal dynamics in the helping relationship...
April 1, 2017: Social Work
https://www.readbyqxmd.com/read/28325130/antiretroviral-adherence-perspectives-of-pregnant-and-postpartum-women-in-guyana
#8
Deborah Vitalis, Zelee Hill
The Caribbean region has the second highest HIV prevalence after Sub-Saharan Africa. Guyana's adult HIV prevalence is 1.9% among pregnant women, with women accounting for an estimated 58% of all persons living with HIV. However, there are few studies on ART adherence in the Caribbean, none from Guyana, and none focusing on adherence in pregnancy and the postpartum period. The objective of this study was to explore the perspectives of HIV-infected pregnant and postpartum women and healthcare providers in Guyana about barriers and facilitators to ART adherence...
March 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28322222/white-matter-maturation-is-associated-with-the-emergence-of-theory-of-mind-in-early-childhood
#9
Charlotte Grosse Wiesmann, Jan Schreiber, Tania Singer, Nikolaus Steinbeis, Angela D Friederici
The ability to attribute mental states to other individuals is crucial for human cognition. A milestone of this ability is reached around the age of 4, when children start understanding that others can have false beliefs about the world. The neural basis supporting this critical step is currently unknown. Here, we relate this behavioural change to the maturation of white matter structure in 3- and 4-year-old children. Tract-based spatial statistics and probabilistic tractography show that the developmental breakthrough in false belief understanding is associated with age-related changes in local white matter structure in temporoparietal regions, the precuneus and medial prefrontal cortex, and with increased dorsal white matter connectivity between temporoparietal and inferior frontal regions...
March 21, 2017: Nature Communications
https://www.readbyqxmd.com/read/28295170/implementing-universal-cervical-length-screening-in-asymptomatic-women-with-singleton-pregnancies-challenges-and-opportunities
#10
Michelle K Pedretti, Brenda M Kazemier, Jan E Dickinson, Ben W J Mol
Cervical length (CL) screening has been successfully utilised to identify asymptomatic women, with a singleton pregnancy, at risk of preterm birth (PTB), thereby providing an opportunity to offer interventions that may reduce that risk. Cervical length screening with ultrasound is most effectively performed with a transvaginal approach. Universal cervical length screening, encompassing all singleton pregnancies rather than restricting screening to those considered at increased risk of PTB, is currently not widely used, despite a growing body of evidence in support of its utility for PTB prevention...
March 10, 2017: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/28284098/harm-reduction-as-a-strategy-for-supporting-people-who-self-harm-on-mental-health-wards-the-views-and-experiences-of-practitioners
#11
Karen James, Isaac Samuels, Paul Moran, Duncan Stewart
BACKGROUND: Harm reduction has had positive outcomes for people using sexual health and substance misuse services. Clinical guidance recommends these approaches may be appropriately adopted by mental health practitioners when managing some people who self-harm. There has, however, been very little research in this area. METHODS: We explored practitioners' views of harm reduction as a strategy for supporting people who self-harm. The Self Harm Antipathy Scale (SHAS) was administered to a random sample of 395 mental health practitioners working on 31 wards in England, semi-structured interviews were then conducted with 18 survey respondents...
May 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28272114/medical-student-perceptions-of-feedback-and-feedback-behaviors-within-the-context-of-the-educational-alliance
#12
Lucy Bowen, Michelle Marshall, Deborah Murdoch-Eaton
PURPOSE: Using the "educational alliance" as a conceptual framework, the authors explored medical students' beliefs about feedback and how their feedback behaviors reflect their perceptions. METHOD: Five focus groups (four to six medical students each) at one UK medical school in 2015 were used to capture and elucidate learners' feedback perceptions and behaviors within the context of the learner-educator relationship. A map of key feedback opportunities across the program was used as a tool for exploring student engagement with the feedback process...
March 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28271720/negotiating-health-and-chronic-illness-in-filipino-australians-a-qualitative-study-with-implications-for-health-promotion
#13
Della Maneze, Lucie Ramjan, Michelle DiGiacomo, Bronwyn Everett, Patricia Mary Davidson, Yenna Salamonson
OBJECTIVE: In spite of the healthy immigrant effect, the prevalence of lifestyle-related chronic diseases among migrants is reported to approximate that of the host country with longer duration of stay. For example, higher rates of chronic diseases such as Type 2 diabetes and hypertension have been observed among Filipino migrants and these have been linked to acculturation. The aim of this study was to explore the experiences of Filipino-Australian migrants in managing their chronic health conditions in a Western host country...
March 8, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28261139/assessment-of-dysfunctional-cognitions-in-binge-eating-disorder-factor-structure-and-validity-of-the-mizes-anorectic-cognitions-questionnaire-revised-mac-r
#14
Isabelle Carrard, Stephane Rothen, Maaike Kruseman, Yasser Khazaal
Background: Dysfunctional cognitions regarding weight and shape and their implications for self-esteem are considered core features of anorexia nervosa and bulimia nervosa. However, they have also been associated with the severity of binge eating disorder (BED). Therefore, they should be screened with appropriate instruments to tailor treatment to individual patient needs. The Mizes Anorectic Cognitions-Revised (MAC-R) is a self-report questionnaire that lists dysfunctional cognitions related to three hypothesized core beliefs typical of the psychopathology of eating disorders: weight and eating as the basis of approval from others; the belief that rigid self-control is fundamental to self-worth; and the rigidity of weight- and eating-regulation efforts...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28257853/cortical-features-of-distinct-developmental-trajectories-in-patients-with-delusional-infestation
#15
Dusan Hirjak, Markus Huber, Erwin Kirchler, Katharina M Kubera, Martin Karner, Fabio Sambataro, Roland W Freudenmann, Robert C Wolf
BACKGROUND: Although there is strong neuroimaging evidence that cortical alterations are a core feature of schizophrenia spectrum disorders, it still remains unclear to what extent such abnormalities occur in monothematic delusional disorders. In individuals with delusional infestation (DI), the delusional belief to be infested with pathogens, previous structural MRI studies have shown prefrontal, temporal, parietal, insular, thalamic and striatal gray matter volume changes. Differential contributions of cortical features of evolutionary and genetic origin (such as cortical thickness, area and folding) which may distinctly contribute to DI pathophysiology are unclear at present...
February 28, 2017: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/28248411/reflective-journals-unmasking-student-perceptions-of-anatomical-education
#16
Lelika Lazarus, Reshma Sookrajh, Kapil Sewsaran Satyapal
In medical education, reflection has been considered to be a core skill in professional competence. The anatomy laboratory is an ideal setting for faculty/student interaction and provides invaluable opportunities for active learning and reflection on anatomical knowledge. This study was designed to record student attitudes regarding human cadaveric dissection, explore their experiences of anatomy through an analysis of their journal-reflective writings and determine whether this type of creative writing had a beneficial effect on those students who chose to complete them...
March 1, 2017: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/28238788/childhood-vaccination-communication-outcomes-unpacked-and-organised-in-a-taxonomy-to-facilitate-core-outcome-establishment
#17
Jessica Kaufman, Rebecca Ryan, Claire Glenton, Simon Lewin, Xavier Bosch-Capblanch, Yuri Cartier, Julie Cliff, Angela Oyo-Ita, Heather Ames, Artur Manuel Muloliwa, Afiong Oku, Gabriel Rada, Sophie Hill
OBJECTIVE: We present a comprehensive taxonomy of outcomes for childhood vaccination communication interventions. Adding to our earlier map of trial outcomes, we aimed to: 1) identify relevant outcomes not measured in trials; 2) identify outcomes from stakeholder focus groups; and 3) organise outcomes into a taxonomy. STUDY DESIGN: We identified additional outcomes from non-vaccination health communication literature and through parent and healthcare professional focus groups...
February 23, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28229986/executive-function-training-for-children-with-attention-deficit-hyperactivity-disorder
#18
Lan Shuai, David Daley, Yu-Feng Wang, Jin-Song Zhang, Yan-Ting Kong, Xin Tan, Ning Ji
BACKGROUND: Accumulating evidence indicates that attention deficit hyperactivity disorder (ADHD) is associated with core deficits in executive function (EF) which predicts poorer academic and occupational functioning. This makes early intervention targeting EF impairments important to prevent long-term negative outcomes. Cognitive training is a potential ADHD treatment target. The present study aimed to explore the efficacy, feasibility, and acceptability of a cognitive training program (targeting child's multiple EF components and involving parent support in daily life), as a nonpharmacological intervention for children with ADHD...
March 5, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28154999/the-spiritual-and-theological-challenges-of-stillbirth-for-bereaved-parents
#19
Daniel Nuzum, Sarah Meaney, Keelin O'Donoghue
Stillbirth is recognized as one of the most challenging experiences of bereavement raising significant spiritual and theological questions. Semi-structured qualitative interviews were conducted with bereaved parents cared for in a tertiary maternity hospital to explore the spiritual impact of stillbirth. Data were analysed using interpretative phenomenological analysis. Stillbirth was identified as an immensely challenging spiritual and personal experience with enduring impact for parents. The superordinate themes to emerge were searching for meaning, maintaining hope and questioning core beliefs...
June 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28122413/the-heart-is-a-representation-of-life-an-exploration-of-illness-beliefs-in-couples-living-with-atrial-fibrillation
#20
Tomas Dalteg, Jonas Sandberg, Dan Malm, Anna Sandgren, Eva Benzein
AIMS AND OBJECTIVES: To explore illness beliefs in couples where one spouse has atrial fibrillation. BACKGROUND: Beliefs are the lenses through which we view the world, guiding our behaviour and constructing our lives. Couples evolve an ecology of beliefs from their interaction whereby their actions and choices arise from their beliefs. Atrial fibrillation is a common cardiac arrhythmia that has implications for both patients and partners. A couple's illness beliefs play an important role in convalescence and illness management, and no previous studies have explored illness beliefs in couples living with atrial fibrillation...
January 25, 2017: Journal of Clinical Nursing
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