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https://www.readbyqxmd.com/read/28086792/irish-general-practitioner-attitudes-toward-decriminalisation-and-medical-use-of-cannabis-results-from-a-national-survey
#1
Des Crowley, Claire Collins, Ide Delargy, Eamon Laird, Marie Claire Van Hout
BACKGROUND: Governmental debate in Ireland on the de facto decriminalisation of cannabis and legalisation for medical use is ongoing. A cannabis-based medicinal product (Sativex®) has recently been granted market authorisation in Ireland. This unique study aimed to investigate Irish general practitioner (GP) attitudes toward decriminalisation of cannabis and assess levels of support for use of cannabis for therapeutic purposes (CTP). METHODS: General practitioners in the Irish College of General Practitioner (ICGP) database were invited to complete an online survey...
January 13, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28076439/predictors-of-student-productivity-in-biomedical-graduate-school-applications
#2
Joshua D Hall, Anna B O'Connell, Jeanette G Cook
Many US biomedical PhD programs receive more applications for admissions than they can accept each year, necessitating a selective admissions process. Typical selection criteria include standardized test scores, undergraduate grade point average, letters of recommendation, a resume and/or personal statement highlighting relevant research or professional experience, and feedback from interviews with training faculty. Admissions decisions are often founded on assumptions that these application components correlate with research success in graduate school, but these assumptions have not been rigorously tested...
2017: PloS One
https://www.readbyqxmd.com/read/28071867/identifying-effective-nurse-led-care-transition-interventions-for-older-adults-with-complex-needs-using-a-structured-expert-panel
#3
Lianne Jeffs, Kerry Kuluski, Madelyn Law, Marianne Saragosa, Sherry Espin, Ella Ferris, Jane Merkley, Brenda Dusek, Monika Kastner, Chaim M Bell
BACKGROUND: Nursing plays a central role in facilitating care transitions for complex older adults, yet there is no consensus of the components of nurse-led care transitions interventions to facilitate high quality care transitions among complex older adults. A structured expert panel was established with the purpose of identifying effective nurse-led care transition interventions. METHODS: A modified Delphi consensus technique based on the RAND method was employed...
January 10, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28069776/orbital-angular-momentum-a-personal-memoir
#4
REVIEW
L Allen
A definitive statement of the model used to describe orbital angular momentum is essentially now available. Its early history, and the interaction of those who played key roles in its development over 20 years ago in its development, is outlined in this Memoir.This article is part of the themed issue 'Optical orbital angular momentum'.
February 28, 2017: Philosophical Transactions. Series A, Mathematical, Physical, and Engineering Sciences
https://www.readbyqxmd.com/read/28066521/interventions-to-manage-residual-limb-ulceration-due-to-prosthetic-use-in-individuals-with-lower-extremity-amputation-a-systematic-review-of-the-literature
#5
M Jason Highsmith, Jason T Kahle, Tyler D Klenow, Casey R Andrews, Katherine L Lewis, Rachel C Bradley, Jessica M Ward, John J Orriola, James T Highsmith
Patients with lower extremity amputation (LEA) experience 65% more dermatologic issues than non-amputees, and skin problems are experienced by ≈75% of LEA patients who use prostheses. Continuously referring LEA patients to a dermatologist for every stump related skin condition may be impractical. Thus, physical rehabilitation professionals should be prepared to recognize and manage common non-emergent skin conditions in this population. The purpose of this study was to determine the quantity, quality, and strength of available evidence supporting treatment methods for prosthesis-related residual limb (RL) ulcers...
September 2016: Technology and Innovation
https://www.readbyqxmd.com/read/28062339/defining-advance-care-planning-for-adults-a-consensus-definition-from-a-multidisciplinary-delphi-panel
#6
Rebecca L Sudore, Hillary D Lum, John J You, Laura C Hanson, Diane E Meier, Steven Z Pantilat, Daniel D Matlock, Judith A C Rietjens, Ida J Korfage, Christine S Ritchie, Jean S Kutner, Joan M Teno, Judy Thomas, Ryan D McMahan, Daren K Heyland
BACKGROUND: Despite increasing interest in advance care planning (ACP) and prior ACP descriptions, a consensus definition does not yet exist to guide clinical, research, and policy initiatives. OBJECTIVE: To develop a consensus definition of ACP for adults. DESIGN: Delphi Panel SETTING/PARTICIPANTS: Participants included a multidisciplinary panel of international ACP experts consisting of 52 clinicians, researchers, and policy leaders from 4 countries, and a patient/surrogate advisory committee...
January 3, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28056467/the-effects-of-self-disclosure-on-male-and-female-perceptions-of-individuals-who-stutter
#7
Courtney T Byrd, Megann McGill, Zoi Gkalitsiou, Colleen Cappellini
Purpose: The purpose of this study was to examine the influence of self-disclosure on observers' perceptions of persons who stutter. Method: Participants (N = 173) were randomly assigned to view 2 of 4 possible videos (i.e., male self-disclosure, male no self-disclosure, female self-disclosure, and female no self-disclosure). After viewing both videos, participants completed a survey assessing their perceptions of the speakers. Results: Controlling for observer and speaker gender, listeners were more likely to select speakers who self-disclosed their stuttering as more friendly, outgoing, and confident compared with speakers who did not self-disclose...
January 4, 2017: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/28052482/an-extra-care-community-s-perceived-priorities-for-whole-system-relationships-a-q-methodological-study
#8
Paul Grimshaw, Linda McGowan, Elaine McNichol
Health and social care settings worldwide need to sustainably improve the quality of relationships across communities or 'whole systems'. This research informs the development of a relational framework based on stakeholder perspectives. It is grounded in an action research project with practitioners, and draws on a previous literature review, to present the underpinning elements of quality relationships as statements, organised under the headings of integrity, respect, fairness, compassion and trust. Using Q methodology, 27 participants, comprising a range of stakeholders (staff, residents, family and service providers), rank-ordered 48 statements based on perceptions of the importance of differing aspects of relationships...
January 3, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28052165/integrating-spirituality-into-outpatient-practice-in-the-adventist-health-system
#9
Harold G Koenig, Kathleen Perno, Ted Hamilton
OBJECTIVES: We examined Adventist Health System (AHS)-affiliated providers and staff regarding controversial spiritual practices such as praying led by a practitioner, sharing of personal religious beliefs, and encouraging patients' religious beliefs for health reasons. METHODS: Approached were 1082 providers to participate in a project to integrate spirituality into outpatient care. Those who agreed were asked to identify staff in their practice to assist. Providers and staff were asked to complete a baseline questionnaire examining attitudes/practices concerning spiritual activities with patients...
January 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28051926/the-process-of-change-in-complicated-grief-group-therapy-for-bereaved-dementia-caregivers-an-evaluation-using-the-meaning-of-loss-codebook
#10
Katherine P Supiano, Lara Burns Haynes, Vicki Pond
Caring for a person with dementia is challenging and has adverse health and mental health effects that, for 9-25% of caregivers persist into bereavement in the form of complicated grief (CG). For those bereaved dementia caregivers unable to satisfactorily process grief, specialized Complicated Grief Group Therapy (CGGT) can restore a healthy grief process. We investigated the progression of therapeutic change in CGGT participants (N = 16 in three treatment groups), using an adapted version of Meaning of Loss Codebook (MLC; Gillies et al...
January 4, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28042038/exposure-to-food-cues-moderates-the-indirect-effect-of-reward-sensitivity-and-external-eating-via-implicit-eating-expectancies
#11
Aimee L Maxwell, Natalie J Loxton, Julie M Hennegan
Previous research has suggested that the expectancy "eating is rewarding" is one pathway driving the relationship between trait reward sensitivity and externally-driven eating. The aim of the current study was to extend previous research by examining the conditions under which the indirect effect of reward sensitivity and external eating via this eating expectancy occurs. Using a conditional indirect effects approach we tested the moderating effect of exposure to food cues (e.g., images) relative to non-food cues on the association between reward sensitivity and external eating, via eating expectancies...
December 29, 2016: Appetite
https://www.readbyqxmd.com/read/28041991/serial-multilevel-urine-pregnancy-testing-to-assess-medical-abortion-outcome-a-meta-analysis
#12
Elizabeth G Raymond, Tara Shochet, Jennifer Blum, Wendy R Sheldon, Ingrida Platais, Hillary Bracken, Rasha Dabash, Mark A Weaver, Nguyen Thi Nhu Ngoc, Paul D Blumenthal, Beverly Winikoff
OBJECTIVES: To summarize data on the accuracy of a strategy designed to exclude ongoing pregnancy after medical abortion treatment by observing a decline in urine human chorionic gonadotropin (hCG) concentration as estimated by multilevel urine pregnancy tests (MLPTs) performed before and after treatment. STUDY DESIGN: We collated original data from seven studies performed by our organization that evaluated the accuracy of the MLPT strategy for assessment of outcome of medical abortion...
December 29, 2016: Contraception
https://www.readbyqxmd.com/read/28034399/promoting-civility-in-the-or-an-ethical-imperative
#13
Cynthia M Clark, Diane Kenski
Recognizing, addressing, and preventing incivility in the health care environment, including the perioperative area, requires an intentional and informed approach to foster healthy workplaces and protect patient safety. Several important foundational documents and position statements speak directly to the nurse's responsibility to protect patient, coworker, and personal safety and promote civility and respect. In the complex, fast-paced environment of the OR, the pressure to meet patient needs, performance outcomes, and patient safety standards can lead to conflict and incivility...
January 2017: AORN Journal
https://www.readbyqxmd.com/read/28027689/entrustable-professional-activities-epas-for-teachers-in-medical-education-has-the-time-come
#14
Charlene M Dewey, Gersten Jonker, Olle Ten Cate, Teri L Turner
On a daily basis, patients put their trust in the healthcare system for safe and high-quality healthcare. However, what evidence do we have as an educational community that our supervising faculty members are competent to fulfill this responsibility? Few, if any, requirements exist for faculty members to have continuous professional development in the field of medical education. Many faculty "love to teach", however, this love of teaching does not make them competent to teach or assess the competence of trainees whom they supervise...
December 27, 2016: Medical Teacher
https://www.readbyqxmd.com/read/28019013/a-cultural-take-on-the-links-between-religiosity-identity-and-meaning-in-life-in-religious-emerging-adults
#15
Oana Negru-Subtirica, Alexandra Tiganasu, Jessie Dezutter, Koen Luyckx
Identity and meaning in life are core developmental assets in emerging adulthood. We analysed how religiosity is related to these intentional strivings in emerging adults enrolled in theological education, by depicting (1) identity strivings and meaning in life accounts in faith narratives (Study 1) and (2) links between personal identity and meaning in life profiles and religious beliefs, behaviours, and subjective experiences (Study 2). Both studies highlighted that a Foreclosed status, with high personal commitment and reduced exploration, was dominant in faith narratives and personal identity profiles...
December 26, 2016: British Journal of Developmental Psychology
https://www.readbyqxmd.com/read/28017179/does-mental-status-impact-therapist-and-patient-communication-in-emergency-department-brief-interventions-addressing-alcohol-use
#16
Brian Borsari, Timothy R Apodaca, Ali Yurasek, Peter M Monti
Motivational interviewing (MI) is often incorporated into screening, brief intervention, and referral to treatment (SBIRT) interventions in critical care settings to address alcohol and other drug use. However, cognitive status has been linked to differential response to MI sessions in emergency department (ED) settings. The current study examined one possible explanation for this differential response: whether higher versus lower mental status impacts patient response to clinician statements during MI sessions conducted in an ED...
February 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/27997660/serologic-screening-for-genital-herpes-an-updated-evidence-report-and-systematic-review-for-the-us-preventive-services-task-force
#17
Cynthia Feltner, Catherine Grodensky, Charles Ebel, Jennifer C Middleton, Russell P Harris, Mahima Ashok, Daniel E Jonas
Importance: Genital herpes simplex virus (HSV) infection is a prevalent sexually transmitted infection. Vertical transmission of HSV can lead to fetal morbidity and mortality. Objective: To assess the evidence on serologic screening and preventive interventions for genital HSV infection in asymptomatic adults and adolescents to support the US Preventive Services Task Force for an updated recommendation statement. Data Sources: MEDLINE, Cochrane Library, EMBASE, and trial registries through March 31, 2016...
20, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27997659/serologic-screening-for-genital-herpes-infection-us-preventive-services-task-force-recommendation-statement
#18
Kirsten Bibbins-Domingo, David C Grossman, Susan J Curry, Karina W Davidson, John W Epling, Francisco A R García, Alex R Kemper, Alex H Krist, Ann E Kurth, C Seth Landefeld, Carol M Mangione, William R Phillips, Maureen G Phipps, Michael P Pignone, Michael Silverstein, Chien-Wen Tseng
Importance: Genital herpes is a prevalent sexually transmitted infection in the United States, occurring in almost 1 in 6 persons aged 14 to 49 years. Infection is caused by 2 subtypes of the herpes simplex virus (HSV), HSV-1 and HSV-2. Antiviral medications may provide symptomatic relief from outbreaks but do not cure HSV infection. Neonatal herpes infection, while uncommon, can result in substantial morbidity and mortality. Objective: To update the 2005 US Preventive Services Task Force (USPSTF) recommendation on screening for genital herpes...
20, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27991827/bragging-on-facebook-the-interaction-of-content-source-and-focus-in-online-impression-formation
#19
Graham G Scott, Kirsty Ravenscroft
Warranting Theory proposes that third-party testimonials are more influential in online impression formation than target-authored statements. Individuals posting content on social media accurately convey their offline personality while endeavoring to present themselves in a positive light. In doing so, they may misjudge the psychological distance of the majority of viewers, who could view this positive self-presentation as bragging and form resultant negative impressions. In this study, we asked 136 participants to view the Facebook timelines of four female targets...
January 2017: Cyberpsychology, Behavior and Social Networking
https://www.readbyqxmd.com/read/27978446/students-perceptions-of-their-learning-experiences-a-repeat-regional-survey-of-healthcare-students
#20
Claire Hamshire, Neil Barrett, Mark Langan, Edwin Harris, Christopher Wibberley
BACKGROUND: Student experience is an international concern and recent research has focused on initiatives to improve students' learning experiences and ultimately reduce attrition levels. OBJECTIVE: To determine similarities and differences between students' perceptions of their learning experiences between 2011 and 2015 in relation to campus-based learning, placement-based learning and personal circumstances. DESIGN: A repeat online survey in 2011 and 2015; using a questionnaire developed from thematic analysis of narrative interviews with a subsample of the target population...
February 2017: Nurse Education Today
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