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https://www.readbyqxmd.com/read/29141015/nematocytes-discovery-and-characterization-of-a-novel-anculeate-hemocyte-in-drosophila-falleni-and-drosophila-phalerata
#1
Julianna Bozler, Balint Z Kacsoh, Giovanni Bosco
Immune challenges, such as parasitism, can be so pervasive and deleterious that they constitute an existential threat to a species' survival. In response to these ecological pressures, organisms have developed a wide array of novel behavioral, cellular, and molecular adaptations. Research into these immune defenses in model systems has resulted in a revolutionary understanding of evolution and functional biology. As the field has expanded beyond the limited number of model organisms our appreciation of evolutionary innovation and unique biology has widened as well...
2017: PloS One
https://www.readbyqxmd.com/read/29137836/how-participatory-action-research-changed-our-view-of-the-challenges-of-shared-decision-making-training
#2
Jette Ammentorp, Maiken Wolderslund, Connie Timmermann, Henry Larsen, Karina Dahl Steffensen, Annegrethe Nielsen, Marianne E Lau, Bodil Winther, Lars Henrik Jensen, Elisabeth Assing Hvidt, Niels Christian Hvidt, Pål Gulbrandsen
OBJECTIVE: This paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training. METHODS: Patients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops...
November 9, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29132946/an-interview-study-of-patient-and-caregiver-perspectives-on-advance-care-planning-in-esrd
#3
Marcus Sellars, Josephine M Clayton, Rachael L Morton, Tim Luckett, William Silvester, Lucy Spencer, Carol A Pollock, Rowan G Walker, Peter G Kerr, Allison Tong
BACKGROUND: Advance care planning (ACP) empowers patients to consider and communicate their current and future treatment goals. However, it can be an emotionally charged process for patients with kidney disease and their caregivers. This study aimed to describe the perspectives and attitudes of patients with end-stage renal disease (ESRD) and their caregivers toward ACP. STUDY DESIGN: Qualitative study. SETTING & PARTICIPANTS: Patients with ESRD (n=24) and their caregivers (n=15) aged 36 to 91 years at various stages of ACP ("not commenced," "in progress," or "completed") from 3 renal services...
November 10, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/29132509/goals-of-care-and-end-of-life-in-the-icu
#4
REVIEW
Ana Berlin
Despite advances in surgical critical care, critical illness remains traumatic and has long-term adverse sequelae. Unrealistic expectations and erroneous assumptions about outcomes acceptable to patients have been identified as drivers of goal-discordant treatment. Goal setting in the ICU begins with compassionately delivered, accurate, and honest prognostic information. Through skilled communication and shared decision making, clinicians forge a mutual understanding of patient values and priorities and the role of therapeutic options in achieving patient goals...
December 2017: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29130125/towards-the-womb-of-neonatal-intensive-care
#5
Michael A van Manen
Within the mother's womb, life finds its first stirrings. The womb shelters the fetus, the growing child within. We recognize the existential traces of a wombed existence when a newborn calms in response to being held; when a newborn stills in response to his or her mother's heartbeat; and, when a newborn startles in the presence of bright light. Yet, how does experiential human life begin within another human being? What are the conditions and paths of becoming for the fetus within the womb? And for the child born early, what "womb" welcomes the premature child in neonatal intensive care?...
November 13, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/29129680/existential-issues-in-sexual-medicine-the-relation-between-death-anxiety-and-hypersexuality
#6
REVIEW
Daniel N Watter
INTRODUCTION: Current sex therapy and sexual medicine protocols often ignore the existential dilemmas associated with sexual dysfunction and other problematic sexual problems. This oversight is especially apparent when assessing and treating the controversial phenomenon of hypersexuality, or "sexual addiction." A deeper understanding of the existential concept of death anxiety could offer an alternative treatment paradigm that might lead to a more effective treatment outcome. AIM: To explore the relation between the existential phenomenon of death anxiety and hypersexuality (ie, sexual addiction) and present an evaluation and treatment paradigm that is rooted in existential psychotherapy, a form of psychotherapy that is a deeply life-affirming and dynamic approach to therapy that focuses on concerns rooted in the individual's existence...
November 9, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29121480/palliative-care-planner-pcplanner-a-pilot-study-to-evaluate-acceptability-and-usability-of-an-electronic-health-records-system-integrated-needs-targeted-app-platform
#7
Christopher E Cox, Derek M Jones, Wen Reagan, Mary D Key, Vinca Chow, Jessica McFarlin, David Casarett, Claire J Creutzfeldt, Sharron L Docherty
RATIONALE: The quality and patient-centeredness of intensive care unit (ICU)-based palliative care delivery is highly variable. OBJECTIVE: To develop and pilot an app platform for clinicians, ICU patients, and their family members that enhances the delivery of needs-targeted palliative care. METHODS: In the Development Phase of the study, we developed an electronic health record (EHR) system-integrated mobile web app system prototype, PCplanner (Palliative Care Planner)...
November 9, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29119685/fundamental-care-and-knowledge-interests-implications-for-nursing-science
#8
José Granero-Molina, Cayetano Fernández-Sola, Ester Mateo Aguilar, Cayetano Aranda Torres, Pablo Román López, José Manuel Hernández-Padilla
AIMS AND OBJECTIVES: The aim of this discursive paper was to characterize the intra-theoretical interests of knowledge in nursing science as an epistemological framework for fundamental care. BACKGROUND: For Jürgen Habermas, theory does not separate knowledge interests from life. All knowledge, understanding and human research is always interested. Habermas formulated the knowledge interests in empirical-analytical, historical-hermeneutic and critical social sciences; but said nothing about health sciences and nursing science...
November 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29103307/children-s-spirituality-exploring-spirituality-in-the-lives-of-cancer-survivors-and-a-healthy-comparison-group
#9
Kelsey Moore, Victoria Talwar, Carlos Gomez-Garibello, Sandra Bosacki, Linda Moxley-Haegert
This study found that children with a history of cancer had higher scores on certain measures of spirituality compared to their healthy peers. Health history was found to significantly moderate the relations among spirituality and outcome variables, such as depression and anxiety. Furthermore, parent-child dyadscancer had more highly correlated scores than parent-child dyadshealthy on both the Depression subscale and the Existential Well-Being subscale, whereas parent-child dyadshealthy had more highly correlated scores than parent-child dyadscancer on the Duality factor...
November 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/29099640/religious-spiritual-struggle-in-young-adult-hematopoietic-cell-transplant-survivors
#10
Stephen D W King, George Fitchett, Patricia E Murphy, Geila Rajaee, Kenneth I Pargament, Elizabeth Trice Loggers, David A Harrison, Rebecca H Johnson
PURPOSE: This study describes the prevalence of religious and/or spiritual (R/S) struggle in long-term young adult (YA) survivors following hematopoietic cell transplantation (HCT) as well as existential concerns (EC), social support, and demographic, medical, and emotional correlates of R/S struggle. METHODS: Data were collected as part of an annual survey of survivors of HCT aged 18-39 years at survey completion; age at HCT was 1-39 years. Study measures included measures of R/S struggle (defined as any non-zero response on the negative religious coping subscale from Brief RCOPE), quality of life (QOL), and depression...
November 3, 2017: Journal of Adolescent and Young Adult Oncology
https://www.readbyqxmd.com/read/29082532/the-impact-of-death-awareness-on-sizes-of-self-representational-objects
#11
Simon McCabe, Kenneth E Vail, Jamie Arndt
People seem to have a tendency to increase the relative size of self-representational objects. Prior research suggests that motivational factors may fuel that tendency, so the present research built from terror management theory to examine whether existential motivations - engendered by concerns about death - may have similar implications for self-relevant size biases. Specifically, across two studies (total N = 288), we hypothesized that reminders of death would lead participants to inflate the size of self-representational objects...
October 30, 2017: British Journal of Social Psychology
https://www.readbyqxmd.com/read/29081547/the-dialectic-of-faith-and-reason-in-cornelio-fabro-s-reading-of-kierkegaard-s-theology
#12
Joshua Furnal
This essay explores the impact of Søren Kierkegaard upon the important Italian Thomist, Cornelio Fabro. Fabro rejected the caricature of Kierkegaard as an "irrationalist" and placed him firmly in the Christian tradition. By highlighting the influence of Kierkegaard upon a Thomist like Fabro, the relevance of Fabro's own thought is opened up for more contemporary debates in theology regarding the enduring legacies of German idealism, existentialism, and atheism.
September 2017: Theological Studies
https://www.readbyqxmd.com/read/29074693/books-the-future-of-the-professions-how-technology-will-transform-the-work-of-human-experts-existential-angst-in-a-digital-age
#13
William Mackintosh
No abstract text is available yet for this article.
November 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29065725/call-for-human-contact-and-support-an-interview-study-exploring-patients-experiences-with-inpatient-stroke-rehabilitation-and-their-perception-of-nurses-and-nurse-assistants-roles-and-functions
#14
Mia Ingerslev Loft, Bente Martinsen Woythal, Bente Appel Esbensen, Lone L Mathiesen, Helle K Iversen, Ingrid Poulsen
PURPOSE: To describe patients' experiences with inpatient stroke rehabilitation and their perception of nurses' and nurse assistants' roles and functions during hospitalisation. MATERIALS AND METHODS: In a qualitative study, 10 interviews with stroke patients were conducted, transcribed, and analysed using qualitative content analysis. RESULTS: The patients' experiences with inpatient stroke rehabilitation and their perception of nurses' and nurse assistants' roles and functions during hospitalisation were found to be related to one overall theme derived from 10 categories...
October 24, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29056645/fertility-lost-fertility-found-narratives-from-the-leading-edge-of-oncofertility
#15
Teresa K Woodruff
A cancer diagnosis at a young age creates one of the most existential crises one can imagine. The good news is that for many of these young patients, they will survive their diagnosis. They will be told of the side effects of treatment including loss of hair but will not be told of the other losses associated with their reproductive function-loss of menstrual cycles, early menopause and the potential for pregnancy for women, loss of viable sperm for men, and loss of sexual libido in both cases. Not all cancer treatments result in the same series of fertility effects so one of the issues that physicians face is determining what the best course of fertility sparing options should be...
2017: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/29024708/nationwide-quality-of-hospice-care-findings-from-the-centers-for-medicare-medicaid-services-cms-hospice-quality-reporting-program-hqrp
#16
Nan Tracy Zheng, Qinghua Li, Laura C Hanson, Kathryn L Wessell, Natalie Chong, Noha Sherif, Ila H Broyles, Jennifer Frank, M Alexis Kirk, Carol R Schwartz, Alan F Levitt, Franziska Rokoske
BACKGROUND: With increasing use of the Medicare hospice benefit, policymakers recognize the need for quality measurement to assure that terminally ill patients receive high quality care and have the information they need when selecting a hospice. Towards these goals, CMS has been collecting standardized patient-level quality data via the Hospice Item Set (HIS) since July 1, 2014. OBJECTIVES: This article presents a first look at the national hospice HIS quality data...
October 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29023537/development-and-validation-of-a-nursing-professionalism-evaluation-model-in-a-career-ladder-system
#17
Yeon Hee Kim, Young Sun Jung, Ja Min, Eun Young Song, Jung Hui Ok, Changwon Lim, Kyunghee Kim, Ji-Su Kim
BACKGROUND: The clinical ladder system categorizes the degree of nursing professionalism and rewards and is an important human resource tool for managing nursing. AIM: We developed a model to evaluate nursing professionalism, which determines the clinical ladder system levels, and verified its validity. METHODS: Data were collected using a clinical competence tool developed in this study, and existing methods such as the nursing professionalism evaluation tool, peer reviews, and face-to-face interviews to evaluate promotions and verify the presented content in a medical institution...
2017: PloS One
https://www.readbyqxmd.com/read/29020846/patients-and-caregivers-needs-experiences-preferences-and-research-priorities-in-spiritual-care-a-focus-group-study-across-nine-countries
#18
Lucy Ellen Selman, Lisa Jane Brighton, Shane Sinclair, Ikali Karvinen, Richard Egan, Peter Speck, Richard A Powell, Ewa Deskur-Smielecka, Myra Glajchen, Shelly Adler, Christina Puchalski, Joy Hunter, Nancy Gikaara, Jonathon Hope
BACKGROUND: Spiritual distress is prevalent in advanced disease, but often neglected, resulting in unnecessary suffering. Evidence to inform spiritual care practices in palliative care is limited. AIM: To explore spiritual care needs, experiences, preferences and research priorities in an international sample of patients with life-limiting disease and family caregivers. DESIGN: Focus group study. SETTING/PARTICIPANTS: Separate patient and caregiver focus groups were conducted at 11 sites in South Africa, Kenya, South Korea, the United States, Canada, the United Kingdom, Belgium, Finland and Poland...
October 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28988657/experiences-of-surviving-a-cardiac-arrest-after-therapeutic-hypothermia-treatment-an-interview-study
#19
Margareta Brännström, Camilla Niederbach, Ann-Charlotte Rödin
BACKGROUND: Cardiac arrest (CA) is often associated with high mortality. In Sweden, it is reported that 13-52 per 100,000 people suffer out-of-hospital CA, and survival to one month is 2-14%. OBJECTIVE: This study aimed to describe people's experiences of surviving a CA after therapeutic hypothermia treatment. METHOD: A descriptive qualitative design was used. Data were collected through individual interviews with seven CA survivors. The collected data were analyzed using qualitative content analysis...
October 4, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28983271/-health-in-the-mirror-an-unconventional-approach-to-unmet-psychological-needs-in-oncology
#20
Valentina E Di Mattei, Letizia Carnelli, Paola Taranto, Martina Bernardi, Chiara Brombin, Federica Cugnata, Angela Noviello, Morag Currin, Giorgia Mangili, Emanuela Rabaiotti, Lucio Sarno, Massimo Candiani
Background: The introduction of aesthetic care programs for cancer patients inside hospitals could help patients cope with the side effects of both disease and treatment. The specific objective of this study is to evaluate whether a complementary and supportive program, called "Health in the Mirror," has a positive effect on participants by analyzing certain psychological variables. Methods: Eighty-eight female cancer patients were included in this analysis. The support program is composed of three group aesthetic interventions that address both physical and psychological aspects that accompany cancer and its treatment...
2017: Frontiers in Psychology
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