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https://www.readbyqxmd.com/read/27902578/quality-improvement-project-decreasing-denials-in-a-small-community-hospital
#1
Sheila Lucas
No abstract text is available yet for this article.
January 2017: Professional Case Management
https://www.readbyqxmd.com/read/27900653/a-survey-of-authentication-schemes-in-telecare-medicine-information-systems
#2
Muhammad Umair Aslam, Abdelouahid Derhab, Kashif Saleem, Haider Abbas, Mehmet Orgun, Waseem Iqbal, Baber Aslam
E-Healthcare is an emerging field that provides mobility to its users. The protected health information of the users are stored at a remote server (Telecare Medical Information System) and can be accessed by the users at anytime. Many authentication protocols have been proposed to ensure the secure authenticated access to the Telecare Medical Information System. These protocols are designed to provide certain properties such as: anonymity, untraceability, unlinkability, privacy, confidentiality, availability and integrity...
January 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/27894465/is-denial-a-maladaptive-coping-mechanism-which-prolongs-pre-hospital-delay-in-patients-with-st-segment-elevation-myocardial-infarction
#3
X Y Fang, L Albarqouni, A F von Eisenhart Rothe, S Hoschar, J Ronel, K-H Ladwig
OBJECTIVE: During an acute myocardial infarction, patients often use denial as a coping mechanism which may provide positive mood regulating effects but may also prolong prehospital delay time (PHD). However, empirical evidences are still sparse. METHODS: This cross-sectional study included 533 ST-elevated myocardial infarction (STEMI) patients from the Munich Examination of Delay in Patients Experiencing Acute Myocardial Infarction (MEDEA) study. Data on sociodemographic, clinical and psycho-behavioral characteristics were collected at bedside...
December 2016: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/27887747/the-rise-of-invasive-species-denialism
#4
James C Russell, Tim M Blackburn
Scientific consensus on the negative impacts of invasive alien species (IAS) is increasingly being challenged. Whereas informed scepticism of impacts is important, science denialism is counterproductive. Such denialism arises when uncertainty on impacts is confounded by differences in values. Debates on impacts must take into account both the evidence presented and motivations.
November 22, 2016: Trends in Ecology & Evolution
https://www.readbyqxmd.com/read/27882865/community-perceptions-on-domestic-violence-against-pregnant-women-in-nepal-a-qualitative-study
#5
Kunta Devi Pun, Jennifer J Infanti, Rajendra Koju, Berit Schei, Elisabeth Darj
BACKGROUND: Globally, knowledge of health sector options to respond to domestic violence during pregnancy is increasing, but this topic is under-investigated in Nepal. This gap affects the provision of adequate antenatal care services and understanding of factors that influence women's willingness and ability to use available services. It is critical to know more about the social norms in a community that promote and prevent women experiencing domestic violence from seeking antenatal care...
2016: Global Health Action
https://www.readbyqxmd.com/read/27877024/understanding-the-physical-social-and-emotional-experiences-of-people-with-uncontrolled-type-2-diabetes-a-qualitative-study
#6
Anna Berenguera, Àngels Molló-Inesta, Manel Mata-Cases, Josep Franch-Nadal, Bonaventura Bolíbar, Esther Rubinat, Dídac Mauricio
PURPOSE: The purpose of this study was to identify the perceptions, barriers, and facilitators of self-management of Type 2 diabetes mellitus (T2DM) to determine the factors to consider when developing and implementing a person-centered intervention in patients with poor glycemic control attending primary care. METHODS: This was a qualitative study conducted in 6 primary care health centers in Catalonia. Patients who had been diagnosed with T2DM and had glycated hemoglobin of 9% or more were included...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27875651/religious-hospitals-and-patient-choice
#7
Nadia N Sawicki
Recent media reports have drawn widespread attention to the experiences of patients who are denied reproductive services at Catholic hospitals. For some patients, such as those experiencing miscarriage, denial of appropriate treatment can lead to serious health consequences. However, many patients are unaware of the limitations on services available at religiously affiliated health care institutions. As a result, patients' ability to make informed and autonomous decisions about where to seek treatment is hindered...
November 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27869452/dyadic-effects-of-attachment-on-mental-health-couples-in-a-postdisaster-context
#8
H Colin Gallagher, Dean Lusher, Lisa Gibbs, Philippa Pattison, David Forbes, Karen Block, Louise Harms, Colin MacDougall, Connie Kellett, Greg Ireton, Richard A Bryant
Research on mental health following disasters has led to the identification of many individual protective and risk factors for postdisaster mental health. However, there is little understanding of the exact influence that disasters have on the functioning of intimate relationships. Especially relevant are attachment styles, which are likely to play an important role in the provision and perception of social support between partners, and subsequent mental health outcomes. Heterosexual couples (N = 127) affected by the 2009 Victorian "Black Saturday" Bushfires in southeastern Australia were surveyed for disaster experiences, posttraumatic stress disorder (PTSD) symptoms, depression, and attachment style between May 2012 and January 2013, approximately 3 years after the disaster...
November 21, 2016: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/27865052/retention-in-care-and-reasons-for-discontinuation-of-lifelong-antiretroviral-therapy-in-a-cohort-of-cameroonian-pregnant-and-breastfeeding-hiv-positive-women-initiating-option-b-in-the-south-west-region
#9
Pascal N Atanga, Harrison T Ndetan, Eric A Achidi, Henry D Meriki, Michael Hoelscher, Arne Kroidl
OBJECTIVE: To assess linkage and retention in care along the PMTCT cascade in HIV-positive pregnant and breastfeeding women initiating Option B+ in Cameroon. METHODS: We prospectively determined uptake of HIV testing and counselling (HTC), uptake of ART and retention in care after Option B+ initiation between October 2013 and December 2014 in pregnant and breastfeeding women from five sites within the Kumba Health District. Retention in care was assessed over at least 12 months follow-up and estimated by Kaplan Meier analysis...
November 16, 2016: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/27862851/barriers-and-facilitators-to-initial-and-continued-attendance-at-community-based-lifestyle-programmes-among-families-of-overweight-and-obese-children-a-systematic-review
#10
REVIEW
E Kelleher, M P Davoren, J M Harrington, F Shiely, I J Perry, S M McHugh
The success of childhood weight management programmes relies on family engagement. While attendance offers many benefits including the support to make positive lifestyle changes, the majority of families referred to treatment decline. Moreover, for those who do attend, benefits are often compromised by high programme attrition. This systematic review investigated factors influencing attendance at community-based lifestyle programmes among families of overweight or obese children. A narrative synthesis approach was used to allow for the inclusion of quantitative, qualitative and mixed-method study designs...
November 10, 2016: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27858525/using-a-narrative-film-to-increase-knowledge-and-interpersonal-communication-about-psychosis-among-latinos
#11
Maria Y Hernandez, Yesenia Mejia, Doe Mayer, Steven R Lopez
Narrative communication is effective in increasing public awareness while generating dialogue about varied health topics. The current study utilized narrative communication in the form of a 15-minute motivational film titled La CLAve to help Latinos recognize symptoms of psychosis and begin a discussion about serious mental illness. The study aimed to explore the participants' response to the film and whether the film led to further dialogue about psychosis. Four focus groups were conducted with 40 Spanish-speaking participants, mostly foreign-born Latinas, with a mean age of 49 years...
November 18, 2016: Journal of Health Communication
https://www.readbyqxmd.com/read/27844123/barriers-to-seeking-care-for-accidental-bowel-leakage-a-qualitative-study
#12
Heidi Wendell Brown, Rebecca G Rogers, Meg E Wise
INTRODUCTION AND HYPOTHESIS: Fewer than 50 % of women with urinary incontinence (UI) and 30 % of women with accidental bowel leakage (ABL) seek care. We sought to describe barriers to care seeking for ABL to inform development of an instrument to measure these barriers. METHODS: We recruited women with ABL with varied prior care-seeking experiences to participate in focus groups and cognitive interviews so we could understand factors that may have prevented or delayed care seeking...
November 14, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27830362/numeracy-predicts-risk-of-pre-hospital-decision-delay-a-retrospective-study-of-acute-coronary-syndrome-survival
#13
Dafina Petrova, Rocio Garcia-Retamero, Andrés Catena, Edward Cokely, Ana Heredia Carrasco, Antonio Arrebola Moreno, José Antonio Ramírez Hernández
BACKGROUND: Many patients delay seeking medical attention during acute coronary syndromes (ACS), profoundly increasing their risk for death and major disability. Although research has identified several risk factors, efforts to improve patient decision making have generally been unsuccessful, prompting a call for more research into psychological factors. PURPOSE: The purpose of this study is to estimate the relationship between ACS decision delay and numeracy, a factor closely related to general decision making skill and risk literacy...
November 9, 2016: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
https://www.readbyqxmd.com/read/27827931/a-methodological-approach-for-assessing-amplified-reflection-distributed-denial-of-service-on-the-internet-of-things
#14
João José Costa Gondim, Robson de Oliveira Albuquerque, Anderson Clayton Alves Nascimento, Luis Javier García Villalba, Tai-Hoon Kim
Concerns about security on Internet of Things (IoT) cover data privacy and integrity, access control, and availability. IoT abuse in distributed denial of service attacks is a major issue, as typical IoT devices' limited computing, communications, and power resources are prioritized in implementing functionality rather than security features. Incidents involving attacks have been reported, but without clear characterization and evaluation of threats and impacts. The main purpose of this work is to methodically assess the possible impacts of a specific class-amplified reflection distributed denial of service attacks (AR-DDoS)-against IoT...
November 4, 2016: Sensors
https://www.readbyqxmd.com/read/27814313/correlations-between-postural-control-and-psychological-factors-in-vestibular-schwannoma-patients
#15
Laurence Ribeyre, Elisabeth Spitz, Julien Frère, Gerome Gauchard, Cécile Parietti-Winkler
BACKGROUND: Various individual factors have been described to influence postural performances related to vestibular schwannoma. However, psychological factors may also be involved in postural variations. OBJECTIVE: To identify relationships between postural performances, illness perceptions, coping, anxiety-depression and quality of life of patients with vestibular schwannoma. METHODS: Twenty-six patients who were scheduled for a surgical removal of a vestibular schwannoma underwent posturography tests and were asked to complete psychological questionnaires three days prior to surgery...
November 3, 2016: Journal of Vestibular Research: Equilibrium & Orientation
https://www.readbyqxmd.com/read/27812121/inferring-passenger-denial-behavior-of-taxi-drivers-from-large-scale-taxi-traces
#16
Sihai Zhang, Zhiyang Wang
How to understand individual human actions is a fundamental question to modern science, which drives and incurs many social, technological, racial, religious and economic phenomena. Human dynamics tries to reveal the temporal pattern and internal mechanism of human actions in letter or electronic communications, from the perspective of continuous interactions among friends or acquaintances. For interactions between stranger to stranger, taxi industry provide fruitful phenomina and evidence to investigate the action decisions...
2016: PloS One
https://www.readbyqxmd.com/read/27793239/ethical-and-legal-duty-of-anesthesiologists-regarding-jehovah-s-witness-patient-care-protocol
#17
Augusto Key Karazawa Takaschima, Thiago Mamôru Sakae, Alexandre Karazawa Takaschima, Renata Dos Santos Teodoro Takaschima, Breno José Santiago Bezerra de Lima, Roberto Henrique Benedetti
BACKGROUND AND OBJECTIVES: Jehovah's Witnesses patients refuse blood transfusions for religious reasons. Anesthesiologists must master specific legal knowledge to provide care to these patients. Understanding how the Law and the Federal Council of Medicine treat this issue is critical to know how to act in this context. The aim of this paper was to establish a treatment protocol for the Jehovah's Witness patient with emphasis on ethical and legal duty of the anesthesiologist. CONTENT: The article analyzes the Constitution, Criminal Code, resolutions of the Federal Council of Medicine, opinions, and jurisprudence to understand the limits of the conflict between the autonomy of will of Jehovah's Witnesses to refuse transfusion and the physician's duty to provide the transfusion...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27783795/experiences-in-the-therapeutic-itineraries-of-mothers-of-children-with-intellectual-disabilities
#18
Mércia Mascarenhas Fernandes Cerqueira, Rafanielly de Oliveira Alves, Maria Geralda Gomes Aguiar
The scope of this study is to describe the experiences of mothers of children with intellectual disabilities who have been treated in a specialized institution in Feira de Santana, State of Bahia, during their therapeutic itineraries. The study adopted a qualitative approach and was conducted by means of semi-structured interviews. The results revealed that the discovery that their child has an intellectual disability is accepted by their mothers with emotions of shock, denial, anger, negotiation, depression and subsequent acceptance...
October 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27780025/technical-standards-and-lawsuits-involving-accommodations-for-health-professions-students
#19
Samuel R Bagenstos
This article will discuss the legal obligations of medical schools to accommodate applicants and students with disabilities. The article begins by describing the problem of denial of medical education to such students, a problem that results from both discrimination in admissions and denial of accommodations to incumbent students with disabilities. The article then discusses the disability rights legislation that prohibits discrimination against-and requires reasonable accommodation of-qualified medical students with disabilities...
October 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27776159/marked-body-shape-concerns-in-female-patients-suffering-from-eating-disorders-relevance-of-a-clinical-sub-group
#20
Lucie Gailledrat, Morgane Rousselet, Jean-Luc Venisse, Sylvain Lambert, Bruno Rocher, Manon Remaud, Alice Guilleux, Anne Sauvaget, Emeline Eyzop, Marie Grall-Bronnec
Concerns about body shape and weight are core diagnostic criteria for eating disorders although intensity varies between patients. Few studies have focused on the clinical differences relative to the intensity of these concerns. Nonetheless, they might have a prognostic value. This study was aimed at identifying the characteristics associated with marked body shape concerns in patients with an eating disorder. Data was collected from a systematic and standardized clinical assessment of outpatients seeking treatment in our department for eating disorders...
2016: PloS One
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