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https://www.readbyqxmd.com/read/29776002/the-chaos-of-hospitalisation-for-patients-with-critical-limb-ischaemia-approaching-major-amputation
#1
Susan Monaro, Sandra West, Jana Pinkova, Janice Gullick
AIMS AND OBJECTIVES: To illuminate the hospital experience for patients and families when major amputation has been advised for critical limb ischaemia (CLI). BACKGROUND: CLI creates significant burden to the health system and the family, particularly as the person with CLI approaches amputation. Major amputation is often offered as a late intervention for CLI in response to the marked deterioration of an ischaemic limb, and functional decline from reduced mobility, intractable pain, infection and/or toxaemia...
May 18, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29774432/cross-modal-decoupling-in-temporal-attention-between-audition-and-touch
#2
Stefanie Mühlberg, Salvador Soto-Faraco
Temporal orienting leads to well-documented behavioural benefits for sensory events occurring at the anticipated moment. However, the consequences of temporal orienting in cross-modal contexts are still unclear. On the one hand, some studies using audio-tactile paradigms suggest that attentional orienting in time and modality are a closely coupled system, in which temporal orienting dominates modality orienting, similar to what happens in cross-modal spatial attention. On the other hand, recent findings using a visuo-tactile paradigm suggest that attentional orienting in time can unfold independently in each modality, leading to cross-modal decoupling...
May 17, 2018: Psychological Research
https://www.readbyqxmd.com/read/29772295/cognitive-defusion-and-guided-imagery-tasks-reduce-naturalistic-food-cravings-and-consumption-a-field-study
#3
Sophie Schumacher, Eva Kemps, Marika Tiggemann
The present study investigated the effect of two craving reduction techniques, namely, cognitive defusion and guided imagery, on naturalistic food cravings. These techniques targeted the intrusion and elaboration stages of the craving process, respectively (Kavanagh, Andrade, & May, 2005). Participants underwent a seven-day baseline period followed by a seven-day intervention period, during which they recorded their food cravings as they occurred using online diaries accessed via smartphone. In the intervention period, participants were randomly assigned to one of cognitive defusion, guided imagery or control conditions...
May 14, 2018: Appetite
https://www.readbyqxmd.com/read/29771904/development-of-an-otitis-media-strategy-in-the-pacific-key-informant-perspectives
#4
Elizabeth Holt, Judith McCool, Vili Nosa, Peter Thorne
AIM: Ear and hearing health services are scarce within Pacific Island countries. Where available, they remain under-resourced, despite there being a high estimated prevalence of otitis media and otitis media-related hearing loss. This study examines the potential for improving ear and hearing health strategies by examining key factors, opportunities and challenges, working with Fiji as a case study. METHOD: A series of semi-structured interviews were conducted with professionals who had experience in otitis media programme implementation and/or professionals with working experience within the Pacific region and the Fiji health system...
May 18, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29771359/neural-bases-of-social-communicative-intentions-in-speech
#5
Nele Hellbernd, Daniela Sammler
Our ability to understand others' communicative intentions in speech is key to successful social interaction. Indeed, misunderstanding an "excuse me" as apology, while meant as criticism, may have important consequences. Recent behavioural studies have provided evidence that prosody, i.e., vocal tone, is an important indicator for speakers' intentions. Using a novel audio-morphing paradigm, the present fMRI study examined the neurocognitive mechanisms that allow listeners to 'read' speakers' intents from vocal-prosodic patterns...
May 16, 2018: Social Cognitive and Affective Neuroscience
https://www.readbyqxmd.com/read/29771189/-i-m-just-trying-to-cope-for-both-of-us-challenges-and-supports-of-family-caregivers-in-participant-directed-programs
#6
Aimee Milliken, Ellen K Mahoney, Kevin J Mahoney, Kate Mignosa, Isabella Rodriguez, Catherine Cuchetti, Megumi Inoue
Recently, national attention has focused on the needs of family caregivers providing complex chronic care, noting the necessity to better understand the scope of challenges they encounter. Although a robust body of literature exists about the scope of family caregiving, little is known specifically about the experiences and perspectives of family caregivers who support participant directed (PD) participants, particularly across the caregiving trajectory. Therefore, the aim of this qualitative descriptive study was to describe what family caregivers of individuals with developmental disabilities, physical disabilities, aging, or chronic health conditions identify as the challenges they experience as complex, and their perceptions of the effectiveness and gaps in family support resources in PD...
May 17, 2018: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29770439/increase-of-frontal-neuronal-activity-in-chronic-neglect-after-training-in-virtual-reality
#7
U Ekman, H Fordell, J Eriksson, N Lenfeldt, A Wåhlin, A Eklund, J Malm
OBJECTIVES: A third of patients with stroke acquire spatial neglect associated with poor rehabilitation outcome. New effective rehabilitation interventions are needed. Scanning training combined with multisensory stimulation to enhance the rehabilitation effect is suggested. In accordance, we have designed a virtual-reality based scanning training that combines visual, audio and sensori-motor stimulation called RehAtt® . Effects were shown in behavioural tests and activity of daily living...
May 16, 2018: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/29768426/the-ryerson-audio-visual-database-of-emotional-speech-and-song-ravdess-a-dynamic-multimodal-set-of-facial-and-vocal-expressions-in-north-american-english
#8
Steven R Livingstone, Frank A Russo
The RAVDESS is a validated multimodal database of emotional speech and song. The database is gender balanced consisting of 24 professional actors, vocalizing lexically-matched statements in a neutral North American accent. Speech includes calm, happy, sad, angry, fearful, surprise, and disgust expressions, and song contains calm, happy, sad, angry, and fearful emotions. Each expression is produced at two levels of emotional intensity, with an additional neutral expression. All conditions are available in face-and-voice, face-only, and voice-only formats...
2018: PloS One
https://www.readbyqxmd.com/read/29766598/dying-at-home-in-rural-residential-aged-care-a-mixed-methods-study-in-the-snowy-monaro-region-australia
#9
Suzanne Rainsford, Christine B Phillips, Nicholas J Glasgow, Roderick D MacLeod, Robert B Wiles
Residential aged care (RAC) is a significant provider of end-of-life care for people aged 65 years and older. Rural residents perceive themselves as different to their urban counterparts. Most studies describing place of death (PoD) in RAC are quantitative and reflect an urban voice. Using a mixed-methods design, this paper examines the PoD of 80 RAC residents (15 short-stay residents who died in RAC during respite or during an attempted step-down transition from hospital to home, and 65 permanent residents), within the rural Snowy Monaro region, Australia, who died between 1 February 2015 and 31 May 2016...
May 16, 2018: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29765346/auditory-emotion-word-primes-influence-emotional-face-categorization-in-children-and-adults-but-not-vice-versa
#10
Michael Vesker, Daniela Bahn, Christina Kauschke, Monika Tschense, Franziska Degé, Gudrun Schwarzer
In order to assess how the perception of audible speech and facial expressions influence one another for the perception of emotions, and how this influence might change over the course of development, we conducted two cross-modal priming experiments with three age groups of children (6-, 9-, and 12-years old), as well as college-aged adults. In Experiment 1, 74 children and 24 adult participants were tasked with categorizing photographs of emotional faces as positive or negative as quickly as possible after being primed with emotion words presented via audio in valence-congruent and valence-incongruent trials...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29765009/parent-provider-communication-of-hpv-vaccine-hesitancy
#11
Laura A Shay, Austin S Baldwin, Andrea C Betts, Emily G Marks, Robin T Higashi, Richard L Street, Donna Persaud, Jasmin A Tiro
: media-1vid110.1542/5754332185001PEDS-VA_2017-2312 Video Abstract OBJECTIVES: To prevent human papillomavirus (HPV)-related cancers, providers must effectively communicate with HPV vaccine-hesitant parents. Here, we developed a typology characterizing parent-provider communication around HPV vaccine hesitancy. METHODS: We audio-recorded 43 visits with unvaccinated adolescents at 6 pediatric clinics in Dallas, Texas in which parents were undecided about HPV vaccination. We qualitatively coded how parents verbally expressed hesitancy (assertive response, asking a question, or expressing concern) and whether providers responded with acquiescence (agree to defer vaccination) and/or persistence (continue discussion)...
May 15, 2018: Pediatrics
https://www.readbyqxmd.com/read/29762793/a-qualitative-study-of-the-communication-process-for-medical-acupuncture-in-family-medicine
#12
Christy J W Ledford, Carla L Fisher, Paul Crawford
BACKGROUND AND OBJECTIVES: As evidence establishes the efficacy of medical acupuncture, more family physicians and family medicine residents may receive medical acupuncture training and need to know how to effectively communicate about the treatment option with patients. By identifying how physicians talk about acupuncture treatment with their patients, we aimed to develop a model for physician training that could enhance their ability to integrate and practice medical acupuncture in conventional clinical settings...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29760026/care-transitions-from-patient-and-caregiver-perspectives
#13
Suzanne E Mitchell, Vivian Laurens, Gabriela M Weigel, Karen B Hirschman, Allison M Scott, Huong Q Nguyen, Jessica Martin Howard, Lance Laird, Carol Levine, Terry C Davis, Brianna Gass, Elizabeth Shaid, Jing Li, Mark V Williams, Brian W Jack
PURPOSE: Despite concerted actions to streamline care transitions, the journey from hospital to home remains hazardous for patients and caregivers. Remarkably little is known about the patient and caregiver experience during care transitions, the services they need, or the outcomes they value. The aims of this study were to (1) describe patient and caregiver experiences during care transitions and (2) characterize patient and caregiver desired outcomes of care transitions and the health services associated with them...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29759096/australian-consumers-views-towards-an-environmentally-sustainable-eating-pattern
#14
Davina Mann, Lukar Thornton, David Crawford, Kylie Ball
OBJECTIVE: The present qualitative study aimed to gain an in-depth understanding of participants' attitudes, knowledge, perceived effectiveness (a person's belief that his/her behaviour can contribute to environmental preservation) and behaviours relating to a sustainable eating pattern. DESIGN: One-to-one interviews (either face-to-face or by telephone) were conducted following a structured interview schedule, audio-recorded, transcribed verbatim and analysed using inductive thematic analysis in NVivo 10...
May 15, 2018: Public Health Nutrition
https://www.readbyqxmd.com/read/29759070/identifying-frailty-in-primary-care-a-qualitative-description-of-family-physicians-gestalt-impressions-of-their-older-adult-patients
#15
Clara Korenvain, Ida-Maisie Famiyeh, Sheila Dunn, Cynthia R Whitehead, Paula A Rochon, Lisa M McCarthy
BACKGROUND: Many tools exist to guide family physicians' impressions about frailty status of older adults, but no single tool, instrument, or set of criteria has emerged as most useful. The role of physicians' subjective impressions in frailty decisions has not been studied. This study explores how family physicians conceptualize frailty, and the factors that they consider when making subjective decisions about patients' frailty statuses. METHODS: Descriptive qualitative study of family physicians who practice in a large urban academic family medicine center as they participated in one-on-one "think-aloud" interviews about the frailty status of their patients aged 80 years and over...
May 14, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29755328/evidence-for-a-resting-state-network-abnormality-in-adults-who-stutter
#16
Amir H Ghaderi, Masoud N Andevari, Paul F Sowman
Neural network-based investigations of stuttering have begun to provide a possible integrative account for the large number of brain-based anomalies associated with stuttering. Here we used resting-state EEG to investigate functional brain networks in adults who stutter ( AWS ). Participants were 19 AWS and 52 age-, and gender-matched normally fluent speakers. EEGs were recorded and connectivity matrices were generated by LORETA in the theta (4-8 Hz), alpha (8-12 Hz), beta1 (12-20 Hz), and beta2 (20-30 Hz) bands...
2018: Frontiers in Integrative Neuroscience
https://www.readbyqxmd.com/read/29755175/integrating-physiotherapists-into-primary-health-care-organizations-the-physiotherapists-perspective
#17
Sai Maharaj, Christine Chung, Inderdeep Dhugge, Maria Gayevski, Asya Muradyan, Katherine E McLeod, Amanda Smart, Cheryl A Cott
Purpose: This study's purpose was to gain insight into physiotherapists' perspectives on the perceived barriers and facilitators of integrating physiotherapists into primary health care (PHC) teams. Method: A qualitative descriptive approach consisting of semi-structured face-to-face or telephone interviews was used. Interviews were audio recorded, transcribed verbatim, and checked by the interviewers to ensure trustworthiness. Data were analyzed using Braun and Clarke's six steps to thematic analysis. Results: Eight participants were interviewed, representing physiotherapists from diverse demographics and geographical regions in Ontario...
2018: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/29754403/-one-size-does-not-fit-all-perspectives-on-diversity-in-community-aged-care
#18
Claudia Meyer, Arti Appannah, Sally McMillan, Colette Browning, Rajna Ogrin
OBJECTIVES: Typically, older people are viewed via a single health condition, yet health outcomes are likely impacted by the intersection of many individual characteristics. Promoting inclusive health care is underpinned by reducing bias, respectful communication and supporting individual needs and preferences. This study explores perspectives of community aged care workers on diversity training and implementing training into practice. METHODS: Ninety community aged care workers were telephone-interviewed three months after a one-day diversity training workshop...
May 13, 2018: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/29753137/perceptions-of-intersectional-stigma-among-diverse-women-living-with-hiv-in-the-united-states
#19
Whitney S Rice, Carmen H Logie, Tessa M Napoles, Melonie Walcott, Abigail W Batchelder, Mirjam-Colette Kempf, Gina M Wingood, Deborah J Konkle-Parker, Bulent Turan, Tracey E Wilson, Mallory O Johnson, Sheri D Weiser, Janet M Turan
Attitudes and behavior that devalue individuals based upon their HIV status (HIV-related stigma) are barriers to HIV prevention, treatment, and wellbeing among women living with HIV. Other coexisting forms of stigma (e.g., racism, sexism) may worsen the effects of HIV-related stigma, and may contribute to persistent racial and gendered disparities in HIV prevention and treatment. Few studies examine perceptions of intersectional stigma among women living with HIV. From June to December 2015, we conducted 76 qualitative interviews with diverse women living with HIV from varied socioeconomic backgrounds enrolled in the Women's Interagency HIV Study (WIHS) in Birmingham, Alabama; Jackson, Mississippi; Atlanta, Georgia; and San Francisco, California...
May 4, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29752847/an-interpretative-phenomenological-analysis-of-the-experience-of-living-with-colorectal-cancer-as-a-chronic-illness
#20
Grant J McGeechan, Kerri E McPherson, Karen Roberts
AIMS AND OBJECTIVES: The main aim of this study was to explore the lived experiences of patients living with cancer as a chronic illness. BACKGROUND: Due to recent advances in detection and treatment, cancer is now regarded as a chronic illness. However, living with cancer as a chronic illness can lead to a number of physical and psychosocial consequences all of which can lead to uncertainty over how patients view and plan for their future. DESIGN: A longitudinal qualitative study...
May 12, 2018: Journal of Clinical Nursing
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