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https://www.readbyqxmd.com/read/28107122/evaluating-the-impact-of-pharmacists-on-reducing-use-of-sedative-hypnotics-for-treatment-of-insomnia-in-long-term-care-facility-residents
#1
Maria Grazia Gemelli, Katherine Yockel, Kenneth C Hohmeier
OBJECTIVE: To determine if pharmacist intervention can decrease the use of inappropriate sedative/hypnotics in the elderly population in the long-term care facility setting. DESIGN: A multicenter, prospective chart review of sedative/hypnotic use for insomnia among long-term care facility residents. SETTING: Eleven regional long-term care facilities in Northeastern Tennessee. PARTICIPANTS: Long-term care facility residents older than 65 years of age, with confirmed insomnia diagnoses and no history of seizure or recent psychotropic gradual-dose reduction attempts...
November 1, 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/28106682/creating-a-culture-of-success-using-the-magnet-recognition-program%C3%A2-as-a-framework-to-engage-nurses-in-an-australian-healthcare-facility
#2
Sandra Moss, Marion Mitchell, Veronica Casey
An organizational culture that reflects distrust, fear of reprisal, reluctance to challenge the status quo, acceptance of poor practice, denial, and lack of accountability creates significant issues in healthcare in relation to employee retention, burnout, organizational commitment, and patient safety. Changing culture is one of the most challenging endeavors an organization will encounter. We highlight that the Magnet Recognition Program® can be implemented as an organizational intervention to positively impact on nursing workplace culture in an international healthcare facility...
February 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28104711/m%C3%A4-ori-patients-experiences-and-perspectives-of-chronic-kidney-disease-a-new-zealand-qualitative-interview-study
#3
Rachael C Walker, Shayne Walker, Rachael L Morton, Allison Tong, Kirsten Howard, Suetonia C Palmer
OBJECTIVES: To explore and describe Māori (the indigenous people of New Zealand) patients' experiences and perspectives of chronic kidney disease (CKD), as these are largely unknown for indigenous groups with CKD. DESIGN: Face-to-face, semistructured interviews with purposive sampling and thematic analysis. SETTING: 3 dialysis centres in New Zealand (NZ), all of which offered all forms of dialysis modalities. PARTICIPANTS: 13 Māori patients with CKD and who were either nearing the need for dialysis or had started dialysis within the previous 12 months...
January 19, 2017: BMJ Open
https://www.readbyqxmd.com/read/28092209/executive-function-is-an-important-consideration-for-coping-strategy-use-in-people-with-multiple-sclerosis
#4
Lisa B Grech, Litza A Kiropoulos, Katherine M Kirby, Ernest Butler, Mark Paine, Robert Hester
INTRODUCTION: Executive function deficits are prevalent in people with multiple sclerosis (PwMS), and PwMS use less adaptive coping than healthy controls. This cross-sectional study assessed whether there is a relationship between executive function and coping in PwMS. METHOD: One hundred and seven participants with relapsing remitting or secondary progressive MS (n = 83 and 24, respectively; age M = 48.8 ± 11.1 years) completed measures of coping and executive function...
January 16, 2017: Journal of Clinical and Experimental Neuropsychology
https://www.readbyqxmd.com/read/28068502/-our-time-is-up-a-relational-perspective-on-the-ending-of-a-single-psychotherapy-session
#5
Jerome S Gans
This paper, written from a relational perspective, examines the final minutes of an individual psychotherapy session, and is organized around the topics of boundary negotiation, unwitting self-disclosures, visual challenges, and countertransference. Attending to session-ending material is important because the separation involved lends heightened emotional intensity to the oftensignificant material that appears in the final minutes. This material often serves as a bridge to the psychotherapeutic work to be taken up in subsequent sessions...
December 31, 2016: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/28057629/alarming-prevalence-of-emergency-hypertension-levels-in-the-general-public-identified-by-a-hypertension-awareness-campaign
#6
Stephanie P B Caligiuri, Jose Alejandro Austria, Grant N Pierce
BACKGROUND: Hypertension is a major cause of mortality and morbidity today. The "silent" nature of hypertension makes it critical to determine its prevalence and its severity in the general public and to identify strategies to identify people unaware of its presence. A mobile hypertension awareness campaign was created to: (i) determine the prevalence and types of hypertension in an urban North American center, (ii) increase hypertension awareness, and (iii) identify reasons for lack of therapy adherence...
January 5, 2017: American Journal of Hypertension
https://www.readbyqxmd.com/read/28055000/personalising-care-of-adults-with-asthma-from-asia-a-modified-e-dephi-consensus-study-to-inform-management-tailored-to-attitude-and-control-profiles
#7
Alison Chisholm, David B Price, Hilary Pinnock, Tan Tze Lee, Camilo Roa, Sang-Heon Cho, Aileen David-Wang, Gary Wong, Thys van der Molen, Dermot Ryan, Nina Castillo-Carandang, Yee Vern Yong
REALISE Asia-an online questionnaire-based study of Asian asthma patients-identified five patient clusters defined in terms of their control status and attitude towards their asthma (categorised as: 'Well-adjusted and at least partly controlled'; 'In denial about symptoms'; 'Tolerating with poor control'; 'Adrift and poorly controlled'; 'Worried with multiple symptoms'). We developed consensus recommendations for tailoring management of these attitudinal-control clusters. An expert panel undertook a three-round electronic Delphi (e-Delphi): Round 1: panellists received descriptions of the attitudinal-control clusters and provided free text recommendations for their assessment and management...
January 5, 2017: NPJ Primary Care Respiratory Medicine
https://www.readbyqxmd.com/read/28047933/su-f-t-401-three-dimensional-conformal-planning-using-low-segment-multi-criteria-optimization-for-hippocampal-avoidance-whole-brain-radiotherapy
#8
X Zhang, J Penagaricano, G Narayanasamy, R Griffin, S Maraboyina, N Paudel, C Peter, S Morrill
PURPOSE: Hippocampus avoidance whole brain radiotherapy (HA-WBRT) has been shown to reduce the risk of neurocognitive dysfunction. This type of treatment has the potential of insurance company payment denial due to increased cost of intensity modulated radiotherapy (IMRT), while the accepted modality for WBRT is three-dimensional conformal radiotherapy (3DCRT). The purpose of this study is to assess HA-WBRT treatment plans using 3DCRT and multi-criteria optimization (MCO) that meets the RTOG 0933 criteria...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28029695/sense-of-control-in-end-of-life-decision-making
#9
Rafael D Romo, Theresa A Allison, Alexander K Smith, Margaret I Wallhagen
OBJECTIVES: To explore how older adults in the community with a limited life expectancy make healthcare decisions and the processes used when they are not in an acute crisis. DESIGN: Grounded theory. SETTING: Medical programs and geriatrics clinics at the University of California, San Francisco, and the San Francisco Veterans Affairs Medical Center. PARTICIPANTS: Community-dwelling adults aged 67 to 98 with a life expectancy of less than 1 year (N = 20)...
December 28, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28025903/antibacterial-coating-on-in-line-suction-respiratory-catheter-to-inhibit-the-bacterial-biofilm-formation-using-renewable-cardanyl-methacrylate-copolymer
#10
Denial Mahata, Ahindra Nag, Santi M Mandal, Golok B Nando
Health-care materials associated with infections are very common in hospital admitted patients. There are generally infected by contact with the catheter or other multipurpose devices which are contacted with microbes. The respiratory infections associated with the pathogens having strong biofilm forming ability on catheter surface, causes life-threatening in every year. Therefore, a catheter coating material is of great interest which inhibits the biofilm formation of pathogens on a catheter to prevent respiratory infections...
January 6, 2017: Journal of Biomaterials Science. Polymer Edition
https://www.readbyqxmd.com/read/28025285/elymus-repens-biomass-allocation-and-acquisition-as-affected-by-light-and-nutrient-supply-and-companion-crop-competition
#11
Björn Ringselle, Inés Prieto-Ruiz, Lars Andersson, Helena Aronsson, Göran Bergkvist
BACKGROUND AND AIMS: Competitive crops are a central component of resource-efficient weed control, especially for problematic perennial weeds such as Elymus repens Competition not only reduces total weed biomass, but denial of resources can also change the allocation pattern - potentially away from the underground storage organs that make perennial weeds difficult to control. Thus, the competition mode of crops may be an important component in the design of resource-efficient cropping systems...
December 26, 2016: Annals of Botany
https://www.readbyqxmd.com/read/27997434/the-crohn-s-and-colitis-foundation-of-america-survey-of-inflammatory-bowel-disease-patient-health-care-access
#12
David T Rubin, Lauren D Feld, Sarah R Goeppinger, Joel Margolese, Joel Rosh, Michele Rubin, Sandra Kim, Dylan M Rodriquez, Laura Wingate
BACKGROUND: Despite anecdotal information about unaffordable care for patients with inflammatory bowel disease (IBD), there are no data regarding access to health care resources and expert care for patients with IBD. Our study was designed to assess IBD patients' ability to access and use care, as well as the timeliness, affordability, and financial stressors related to care. METHODS: We modified the Centers for Disease Control National Health Interview Survey for IBD...
February 2017: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/27997287/acute-dissociative-reaction-to-spontaneous-delivery-in-a-case-of-total-denial-of-pregnancy-diagnostic-and-forensic-aspects
#13
Vedat Şar, Nazan Aydın, Onno van der Hart, A Steven Frankel, Meriç Şar, Oğuz Omay
This article presents the history of a 21-year-old female college student with total denial of pregnancy who experienced an acute dissociative reaction during the spontaneous delivery at home without medical assistance where the newborn died immediately. Psychiatric examination, self-report questionnaires, legal documents, and witness reports have been reviewed in evaluation of the case. Evidence pointed to total denial of pregnancy, that is, until delivery. The diagnoses of an acute dissociative reaction to stress (remitted) and a subsequent PTSD were established in a follow-up examination conducted 7 months after the delivery...
December 20, 2016: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/27995720/webs-of-denial-climate-change-and-the-challenge-to-public-health
#14
David Rosner
No abstract text is available yet for this article.
December 2016: Milbank Quarterly
https://www.readbyqxmd.com/read/27995609/factors-influencing-suicidal-ideation-among-chinese-patients-with-stomach-cancer-qualitative-study
#15
X K Zhang, N G Procter, Q Xu, X Y Chen, F L Lou
AIM: The aim of this qualitative descriptive study was to explore the influencing factors of suicidal ideation in Chinese patients diagnosed with stomach cancer. INTRODUCTION: More recently, links have been made between suicide and cancer. For inpatients with cancer, nurses are at the front line to cope with suicidal issues in clinical settings. METHOD: This study was part of a larger study that investigated psychological strains and related factors associated with suicidal ideation...
December 20, 2016: International Nursing Review
https://www.readbyqxmd.com/read/27987645/health-economics-as-rhetoric-the-limited-impact-of-health-economics-on-funding-decisions-in-four-european-countries
#16
Margreet Franken, Emelie Heintz, Andreas Gerber-Grote, James Raftery
BACKGROUND: A response to the challenge of high-cost treatments in health care has been economic evaluation. Cost-effectiveness analysis presented as cost per quality-adjusted life-years gained has been controversial, raising heated support and opposition. OBJECTIVES: To assess the impact of economic evaluation in decisions on what to fund in four European countries and discuss the implications of our findings. METHODS: We used a protocol to review the key features of the application of economic evaluation in reimbursement decision making in England, Germany, the Netherlands, and Sweden, reporting country-specific highlights...
December 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27979395/offline-syria-ending-the-state-of-denial
#17
Richard Horton
No abstract text is available yet for this article.
December 10, 2016: Lancet
https://www.readbyqxmd.com/read/27977065/experiences-of-patients-undergoing-dialysis-who-are-from-ethnic-and-racial-minorities
#18
Neha Nagpal, Carla Boutin-Foster, Jennifer Melendez, Patryk Kubiszeswki, Kamalani Uehara, Emanuela Offidani, Zenobia Faussett, Richie Chen, Cathy Redel, Clarence Waltrous, Barry Smith
BACKGROUND: Approximately 500,000 people in the United States are affected by end-stage kidney disease (ESKD), 53% of whom are Black or Latino. ESKD significantly impacts psychosocial health and quality of life. However, few studies address the psychosocial aspects of ESKD, especially among black and Latino adults. This study sought to understand the psychosocial context of living with ESKD among black and Latino adults who reside in a medically underserved community. STUDY DESIGN: A qualitative study...
December 15, 2016: Journal of Renal Care
https://www.readbyqxmd.com/read/27976984/retirement-planning-among-hispanics-in-god-s-hands
#19
Luisa R Blanco, Emma Aguila, Arturo Gongora, O Kenrik Duru
We conducted a qualitative study on retirement preparedness among middle-aged and older low-income Hispanics in Los Angeles. Data derived from four focus groups conducted in the greater Los Angeles area. Findings demonstrate how behavioral and cultural factors-family experiences, religiosity, and denial of retirement-explain the lack of savings and preparedness for retirement. Findings also indicate that the majority of participants want to be economically independent and to keep working until they are unable to do so...
December 15, 2016: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/27975360/-denial-of-pregnancy
#20
Peter Rott
With an incidence of 1:500, denial of pregnancy is a rather frequent incident in obstetrics. Strikingly, in our society, this issue is placed under a taboo. Reasons might be our moral values and socialization. Since pregnancy and motherhood have to be associated with joy, other sensations are often perceived as socially not accepted and thus denied. A similar phenomenon exists e. g. with postnatal depression.In all existing studies on denial of pregnancy, it was proven that there are no significant at-risk groups...
December 2016: Deutsche Medizinische Wochenschrift
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