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https://www.readbyqxmd.com/read/27879131/spatio-temporal-models-of-synthetic-genetic-oscillators
#1
Cicely K Macnamara, Mark A J Chaplain
Signal transduction pathways play a major role in many important aspects of cellular function e.g. cell division, apoptosis. One important class of signal transduction pathways is gene regulatory networks (GRNs). In many GRNs, proteins bind to gene sites in the nucleus thereby altering the transcription rate. Such proteins are known as transcription factors. If the binding reduces the transcription rate there is a negative feedback leading to oscillatory behaviour in mRNA and protein levels, both spatially (e...
February 1, 2017: Mathematical Biosciences and Engineering: MBE
https://www.readbyqxmd.com/read/27869574/international-study-of-chaplains-attitudes-about-research
#2
Austyn Snowden, George Fitchett, Daniel H Grossoehme, George Handzo, Ewan Kelly, Stephen D W King, Iain Telfer, Heather Tan, Kevin J Flannelly
An online survey was conducted by twelve professional chaplain organizations to assess chaplains' attitudes about and involvement in research. A total of 2,092 chaplains from 23 countries responded to the survey. Over 80% thought research was definitely important and nearly 70% thought chaplains should definitely be research literate. Just over 40% said they regularly read research articles and almost 60% said they occasionally did. The respondents rated their own research literacy as 6.5 on a 0-10 scale. Significant positive inter-correlations were found among all four measures: importance of (a) research and (b) research literacy; (c) frequency of reading articles; and (d) research literacy rating...
November 21, 2016: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27862140/the-role-of-icu-nurses-in-the-spiritual-aspects-of-end-of-life-care-in-the-icu-an-explorative-study
#3
Marijke Noome, Deirdre M Beneken Genaamd Kolmer, Evert van Leeuwen, Boukje M Dijkstra, Lilian C M Vloet
AIM: The aim of this study was to examine the role and responsibilities of intensive care unit (ICU) nurses regarding the spiritual aspects of end-of-life care in the ICU, from the chaplains' perspectives. METHOD: An explorative study including inductive thematic analysis was used. Two focus group interviews with in total eleven chaplains working in several Dutch ICUs were performed. RESULTS: The focus group interviews resulted in five themes: (i) awareness of ICU nurses, (ii) communication, (iii) nursing interventions, (iv) multidisciplinary care and (v) education...
November 14, 2016: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/27833190/pope-saint-john-xxiii-army-medic-and-military-hospital-chaplain
#4
Richard A Watson
No abstract text is available yet for this article.
May 2016: Linacre Quarterly
https://www.readbyqxmd.com/read/27810572/how-islam-influences-end-of-life-care-education-for-palliative-care-clinicians
#5
Madeline Leong, Sage Olnick, Tahara Akmal, Amanda Copenhaver, Rab Razzak
CONTEXT: According to the Joint Commission, cultural competency is a core skill required for end-of-life care. Religious and cultural beliefs predominantly influence patients' lives, especially during the dying process. Therefore, palliative care clinicians should have at least a basic understanding of major world religions. Islam is a major world religion with 1.7 billion followers. At our institution, a needs assessment showed a lack of knowledge with Islamic teachings regarding end-of-life care...
October 31, 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27810133/improving-first-case-start-times-using-lean-in-an-academic-medical-center
#6
Romina Deldar, Tahereh Soleimani, Carol Harmon, Larry H Stevens, Rajiv Sood, Sunil S Tholpady, Michael W Chu
BACKGROUND: Lean is a process improvement strategy that can improve efficiency of the perioperative process. The purpose of this study was to identify etiologies of late surgery start times, implement Lean interventions, and analyze their effects. METHODS: A retrospective review of all first-start surgery cases was performed. Lean was implemented in May 2015, and cases 7 months before and after implementation were analyzed. RESULTS: A total of 4,492 first-start cases were included; 2,181 were pre-Lean and 2,311 were post-Lean...
September 30, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27804316/the-existential-dimension-in-general-practice-identifying-understandings-and-experiences-of-general-practitioners-in-denmark
#7
Elisabeth Assing Hvidt, Jens Søndergaard, Jette Ammentorp, Lars Bjerrum, Dorte Gilså Hansen, Frede Olesen, Susanne S Pedersen, Helle Timm, Connie Timmermann, Niels Christian Hvidt
OBJECTIVE: The objective of this study is to identify points of agreement and disagreements among general practitioners (GPs) in Denmark concerning how the existential dimension is understood, and when and how it is integrated in the GP-patient encounter. DESIGN: A qualitative methodology with semi-structured focus group interviews was employed. SETTING: General practice setting in Denmark. SUBJECTS: Thirty-one GPs from two Danish regions between 38 and 68 years of age participated in seven focus group interviews...
November 2, 2016: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/27768141/factors-associated-with-post-traumatic-growth-quality-of-life-and-spiritual-well-being-in-outpatients-undergoing-bone-marrow-transplantation-a-pilot-study
#8
Shane Sinclair, Reanne Booker, Tak Fung, Shelley Raffin-Bouchal, Bert Enns, Kate Beamer, Naree Ager
PURPOSE/OBJECTIVES: To examine the relationships between spiritual, religious, and sociodemographic factors and post-traumatic growth, quality of life, and spiritual well-being in outpatients undergoing bone marrow and/or stem cell transplantation (BMSCT).
. DESIGN: Cross-sectional, descriptive, exploratory.
. SETTING: Outpatient bone marrow transplantation clinic at the Tom Baker Cancer Centre in Calgary, Alberta, Canada.
. SAMPLE: 100 patients (21 pre-BMSCT and 79 post-BMSCT) accrued consecutively via non-probability sampling...
November 1, 2016: Oncology Nursing Forum
https://www.readbyqxmd.com/read/27754765/nurses-experiences-of-spiritual-communication-with-seriously-iii-children
#9
Betty Ferrell, Elaine Wittenberg, Vanessa Battista, Gay Walker
OBJECTIVE: The goal of this study was to explore nurse experiences in communication with children about spiritual topics in order to develop training in this area. BACKGROUND: Although spiritual care is essential in pediatric palliative care, few providers receive training about communication with ill children about spirituality. METHODS: Researchers developed a brief survey to prompt nurses to reflect on pediatric palliative care experiences that included spiritual discussions...
November 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27719733/does-on-site-chaplaincy-enhance-the-health-and-well-being-of-fly-in-fly-out-fifo-personnel
#10
Angela Ebert, Karin Strehlow
Issue addressed: The fly-in, fly-out (FIFO) work style has been linked to mental-health and interpersonal issues and a need for strategies that maintain a healthy workforce. This study investigated whether 24/7 on-site chaplains deliver a service that promotes the health and well being of FIFO personnel.Methods: A phenomenological approach was used to explore the perceptions of FIFO personnel working in different roles and organisational sections on a remote mine site in Western Australia. Multi-pronged strategies recruited 29 participants who represented management, supervisors, workers and support staff...
October 6, 2016: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/27713033/a-10-year-longitudinal-study-of-effects-of-a-multifaceted-residency-spiritual-care-curriculum-clinical-ability-professional-formation-end-of-life-and-culture
#11
Gowri Anandarajah, Janet Roseman, Danny Lee, Nupur Dhandhania
CONTEXT: Although spiritual care (SC) is recognized as important in whole-person medicine, physicians infrequently address patients' spiritual needs, citing lack of training. Although many SC curricula descriptions exist, few studies report effects on physicians. OBJECTIVES: To broadly examine immediate and long-term effects of a required, longitudinal, residency SC curriculum, which emphasized inclusive patient-centered SC, compassion and spiritual self-care. METHODS: We conducted in-depth individual interviews with 26 physicians (13 intervention;13 comparison) trained at a 13-13-13 residency...
October 3, 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27708763/multimodality-imaging-and-mathematical-modelling-of-drug-delivery-to-glioblastomas
#12
Ahmed Boujelben, Michael Watson, Steven McDougall, Yi-Fen Yen, Elizabeth R Gerstner, Ciprian Catana, Thomas Deisboeck, Tracy T Batchelor, David Boas, Bruce Rosen, Jayashree Kalpathy-Cramer, Mark A J Chaplain
Patients diagnosed with glioblastoma, an aggressive brain tumour, have a poor prognosis, with a median overall survival of less than 15 months. Vasculature within these tumours is typically abnormal, with increased tortuosity, dilation and disorganization, and they typically exhibit a disrupted blood-brain barrier (BBB). Although it has been hypothesized that the 'normalization' of the vasculature resulting from anti-angiogenic therapies could improve drug delivery through improved blood flow, there is also evidence that suggests that the restoration of BBB integrity might limit the delivery of therapeutic agents and hence their effectiveness...
October 6, 2016: Interface Focus
https://www.readbyqxmd.com/read/27696892/-hospital-chaplain-or-spiritual-assistant-pitfalls-of-missing-legislative-framework
#13
Jana Maryšková
As military and prison chaplains have been active in the military or prison service for many years, nowadays, hospital chaplains have been active in many hospitals in the Czech Republic, too. The work of hospital chaplains, however, still lacks the necessary legislative framework and being embodied in law, which brings some drawbacks. These include primarily non-participation of the ministry of health as a contractual partner in the agreement on spiritual care in health care, the lack of a framework that would arrange the status of chaplains among other health professionals and the related uncertainty regarding career and competency profile of a chaplain...
2016: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/27693865/help-seeking-behaviors-and-mental-well-being-of-first-year-undergraduate-university-students
#14
John Goodwin, Laura Behan, Peter Kelly, Karen McCarthy, Aine Horgan
University students demonstrate poor help-seeking behatabviors for their mental health, despite often reporting low levels of mental well-being. The aims of this study were to examine the help-seeking intentions and experiences of first year university students in terms of their mental well-betabing, and to extaplore these students' views on formal (e.g. psychiatrists) and informal (e.g. friends) help-seeking. Students from a universitytab in the Republic of Ireland (n=220) completed an online questionnaire which focused on mental well-being and help-seeking behaviors...
September 17, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27661053/transcendence-religion-and-spirituality-in-medicine-medical-students-point-of-view
#15
Anahita Rassoulian, Charles Seidman, Henriette Löffler-Stastka
To explore how medical students-the doctors of tomorrow-reflect upon meeting the spiritual needs of their patients, and whether they have reflected on their own religious or spiritual beliefs, or not. The study also investigates to what extent the students feel comfortable with addressing spiritual issues in their patient care, and whether they feel this is beyond their role as medical doctors.A self-administered questionnaire was developed. The survey was administered in teaching classes at the medical university of Vienna...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27605652/few-hospital-palliative-care-programs-meet-national-staffing-recommendations
#16
Joanne Spetz, Nancy Dudley, Laura Trupin, Maggie Rogers, Diane E Meier, Tamara Dumanovsky
The predominant model for palliative care delivery, outside of hospice care, is the hospital-based consultative team. Although a majority of US hospitals offer palliative care services, there has been little research on the staffing of their program teams and whether those teams meet national guidelines, such as the Joint Commission's standard of including at least one physician, an advanced practice or other registered nurse, a social worker, and a chaplain. Data from the 2012-13 annual surveys of the National Palliative Care Registry indicate that only 25 percent of participating programs met that standard based on funded positions, and even when unfunded positions were included, only 39 percent of programs met the standard...
September 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27599724/advance-care-planning-understanding-clinical-routines-and-experiences-of-interprofessional-team-members-in-diverse-health-care-settings
#17
Kelly Arnett, Rebecca L Sudore, David Nowels, Cindy X Feng, Cari R Levy, Hillary D Lum
BACKGROUND: Interprofessional health care team members consider advance care planning (ACP) to be important, yet gaps remain in systematic clinical routines to support ACP. A clearer understanding of the interprofessional team members' perspectives on ACP clinical routines in diverse settings is needed. METHODS: One hundred eighteen health care team members from community-based clinics, long-term care facilities, academic clinics, federally qualified health centers, and hospitals participated in a 35-question, cross-sectional online survey to assess clinical routines, workflow processes, and policies relating to ACP...
September 6, 2016: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/27581914/the-extent-to-which-core-nursing-textbooks-inform-holistic-spiritual-care
#18
Fiona Timmins, Maryanne Murphy, Thelma Begley, Freda Neill, Greg Sheaf
National and international professional health and nursing guidelines recommend that attention should be given to the spiritual and religious needs of patients. This suggests that spiritual care is an important aspect of holistic patient care that needs to be considered and supported, if relevant, in a healthcare context. However, many nurses lack knowledge and awareness of the subject, and it is unclear to what extent core textbooks provide the information they need. This article reports on a study that explored the extent to which contemporary core nursing textbooks support and advocate the provision of spiritual care by nurses...
September 2016: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/27579913/race-ethnicity-and-end-of-life-care-among-veterans
#19
Ann Kutney-Lee, Dawn Smith, Joshua Thorpe, Cindy Del Rosario, Said Ibrahim, Mary Ersek
BACKGROUND: Few studies have examined comprehensively racial/ethnic variations in quality of end-of-life care. OBJECTIVE: Examine end-of-life care quality received by Veterans and their families, comparing racial/ethnic minorities to nonminorities. RESEARCH DESIGN: This is a retrospective, cross-sectional analysis of chart review and survey data. SUBJECTS: Nearly all deaths in 145 Veterans Affairs Medical Centers nationally (n=94,697) in addition to Bereaved Family Survey (BFS) data (n=51,859) from October 2009 to September 2014...
August 30, 2016: Medical Care
https://www.readbyqxmd.com/read/27532315/the-measurement-of-collaboration-within-healthcare-settings-a-systematic-review-of-measurement-properties-of-instruments
#20
Stephen John Walters, Cindy Stern, Suzanne Robertson-Malt
BACKGROUND: There is a growing call by consumers and governments for healthcare to adopt systems and approaches to care to improve patient safety. Collaboration within healthcare settings is an important factor for improving systems of care. By using validated measurement instruments a standardized approach to assessing collaboration is possible, otherwise it is only an assumption that collaboration is occurring in any healthcare setting. OBJECTIVES: The objective of this review was to evaluate and compare measurement properties of instruments that measure collaboration within healthcare settings, specifically those which have been psychometrically tested and validated...
April 2016: JBI Database of Systematic Reviews and Implementation Reports
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