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https://www.readbyqxmd.com/read/28644792/what-moral-distress-in-nursing-history-could-suggest-about-the-future-of-health-care
#1
Andrew Jameton
The concept of moral distress was defined in 1984 as (a) the psychological distress of (b) being in a situation in which one is constrained from acting (c) on what one knows to be right. A substantial literature on the subject has developed, primarily in nursing ethics. The aforementioned elements of distress are applied here to areas of clinical and organizational significance: (a) distress from causing intimate pain during care of the dying, (b) constraints stemming from proximate and background challenges of health care organizations, and (c) changing perspectives on therapeutic technologies derived from global environmental perspectives...
June 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28636668/microbiota-in-anorexia-nervosa-the-triangle-between-bacterial-species-metabolites-and-psychological-tests
#2
Francesca Borgo, Alessandra Riva, Alberto Benetti, Maria Cristina Casiraghi, Sara Bertelli, Stefania Garbossa, Simona Anselmetti, Silvio Scarone, Antonio E Pontiroli, Giulia Morace, Elisa Borghi
Anorexia nervosa (AN) is a psychiatric disease with devastating physical consequences, with a pathophysiological mechanism still to be elucidated. Metagenomic studies on anorexia nervosa have revealed profound gut microbiome perturbations as a possible environmental factor involved in the disease. In this study we performed a comprehensive analysis integrating data on gut microbiota with clinical, anthropometric and psychological traits to gain new insight in the pathophysiology of AN. Fifteen AN women were compared with fifteen age-, sex- and ethnicity-matched healthy controls...
2017: PloS One
https://www.readbyqxmd.com/read/28636409/subjective-well-being-of-visually-impaired-older-adults-living-in-the-community
#3
Liran Rafaely, Sara Carmel, Yaacov G Bachner
OBJECTIVES: Vision impairment is one of the most common disabilities among older adults, and it has a substantial impact on well-being. The present study constructs an integrative model to identify which variables derived from four dimensions of life (physical/functional, social, psychological and environmental) combined with sociodemographic variables explain the overall subjective well-being (SWB) visually impaired older adults living in the community. METHOD: A total of 121 severe visually impaired persons, aged 60 and over (M = 77...
June 21, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28633372/farmer-suicides-a-qualitative-study-from-australia
#4
M Perceval, K Kõlves, P Reddy, D De Leo
Background: Farmers in Australia, in general, have poorer health outcomes, including higher rates of suicide. Aims: To investigate risk and protective factors and attitudes towards suicide and help-seeking among farmers living and working in New South Wales and Queensland in Australia. Methods: A qualitative study in which three farming sites were selected in each state to represent an area with a suicide rate equal to, below and above the state average...
June 14, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/28629989/patient-proxy-agreement-on-the-health-related-quality-of-life-one-year-after-traumatic-brain-injury
#5
Hei-Fen Hwang, Chih-Yi Chen, Mau-Roung Lin
OBJECTIVE: To examine the level of agreement between patients and their proxies on a measure of health-related quality of life (HRQL) 1 year after traumatic brain injury (TBI). DESIGN: A cross-sectional study. PARTICIPANTS: and Setting: Eighty-eighty patients with TBI identified from discharge records of four hospitals in Taiwan and 88 family members or friends who could answer questions regarding the patient's health and HRQL 1 year after the injury...
June 16, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28628590/the-past-present-and-future-of-neurorehabilitation-from-nustep-through-iv-step-and-beyond
#6
Susan R Harris, Carolee J Winstein
PURPOSES: To present the history and aims of the STEP conferences; describe the interdependence of prevention, prediction, plasticity, and participation; reflect on where we stand today regarding those 4 Ps; and discuss how future neurorehabilitation should look for individuals with movement disorders. KEY POINTS: Physical therapists have focused primarily on tertiary prevention, emphasizing primary/secondary prevention far less. Predicting optimal response to intervention is essential for primary prevention...
July 2017: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/28628537/needs-of-stroke-survivors-as-perceived-by-their-caregivers-a-scoping-review
#7
Shilpa Krishnan, Monique R Pappadis, Susan C Weller, Marsja Stearnes, Amit Kumar, Kenneth J Ottenbacher, Timothy A Reistetter
OBJECTIVE: Caregivers usually are not involved while planning the stroke survivor's medical and rehabilitation goals and interventions. This review aimed to identify the needs of stroke survivors as perceived by their caregivers. DESIGN: A literature search from 2003 to 2014 was conducted using Medline, CINAHL, PsychINFO, and Google Scholar. Sixty-six studies were included. Most studies excluded did not encompass caregivers' perspectives. Four reviewers screened the titles, abstracts, and full texts of the articles for inclusion...
July 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28625227/a-brief-review-of-salient-factors-influencing-adult-eating-behaviour
#8
Christine Emilien, James H Hollis
A better understanding of the factors that influence eating behaviour is of importance as our food choices are associated with the risk of developing chronic diseases such as obesity, CVD, type 2 diabetes or some forms of cancer. In addition, accumulating evidence suggests that the industrial food production system is a major contributor to greenhouse gas emission and may be unsustainable. Therefore, our food choices may also contribute to climate change. By identifying the factors that influence eating behaviour new interventions may be developed, at the individual or population level, to modify eating behaviour and contribute to society's health and environmental goals...
June 19, 2017: Nutrition Research Reviews
https://www.readbyqxmd.com/read/28625102/spatiotemporal-meta-analysis-reviewing-health-psychology-phenomena-over-space-and-time
#9
Blair T Johnson, Ellen K Cromley, Natasza Marrouch
Individual studies of health psychology are samples taken in particular places at particular times. The results of such studies manifest multiple processes, including those associated with individual, sample, intervention, and study design characteristics. Although extant meta-analyses of health phenomena have routinely considered these factors to explain heterogeneity, they have tended to neglect the environments where studies are conducted, which is ironic, as health phenomena cluster in space and times (e...
June 18, 2017: Health Psychology Review
https://www.readbyqxmd.com/read/28624982/towards-ageing-well-use-it-or-lose-it-exercise-epigenetics-and-cognition
#10
Irene Maeve Rea
More and more people are living into the 90s or becoming centenarians. But, the gift of increased 'age span' seldom equates with an improved 'health-span'. Governments across the world are expressing concern about the epidemic of chronic disease, and have responded by initiating policies that make prevention, reduction and treatment of chronic disease, a public health priority. But understanding, how to age long and well, with the avoidance of chronic disease and later life complex disease morbidity is challenging...
June 17, 2017: Biogerontology
https://www.readbyqxmd.com/read/28624676/predictors-of-daily-life-suicidal-ideation-in-adults-recently-discharged-after-a-serious-suicide-attempt-a-pilot-study
#11
Mathilde Husky, Joel Swendsen, Adela Ionita, Isabelle Jaussent, Catherine Genty, Philippe Courtet
The aims of the study are to examine the predictive role of fluctuations in daily life mood, social contexts, and behavior on subsequent suicidal ideation (SI); and to identify clinical and psychological factors associated with the general frequency of SI in a high-risk sample. The sample comprised 42 adults (73.8% female) hospitalized for a suicide attempt. Immediately following hospital discharge, they used Ecological Momentary Assessment for seven consecutive days, providing repeated measures of SI, environmental, contextual, and behavioral factors...
June 12, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28622487/an-integrated-model-of-chronic-whiplash-associated-disorder
#12
David M Walton, James M Elliott
Synopsis The development of persistent symptoms following whiplash injury from a motor vehicle collision (MVC) is common and contributes substantially to societal and personal costs. The popular Quebec Task Force (QTF) classification system of whiplash-associated disorders (WAD) was meant to function as a prognostic and intervention decision aid, but its usefulness has been questioned. Emerging evidence highlights the heterogeneity of WAD by demonstrating physical and psychological impairments that are unique to those who develop persistent symptoms...
June 16, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28622282/towards-a-neurobiological-understanding-of-alexithymia
#13
REVIEW
Nicolás Meza-Concha, Marcelo Arancibia, Felicia Salas, Rosa Behar, Germán Salas, Hernán Silva, Rocío Escobar
Although the specialized literature on the etiology of alexithymia is controversial, neurobiological research has shown relevant advances. The aim of this review is to analyze the available evidence regarding the neurophysiological bases of alexithymia. A comprehensive review of available articles from Medline/PubMed, EBSCO and SciELO was conducted. Previously, alexithymia was linked to a reduced interhemispheric brain connection. From a childhood traumatic perspective, the right prefrontal cortex and the default mode network would experience alterations, first hypermetabolic (dopaminergic and glutamatergic dysregulation) and then hypometabolic-dissociative (serotonergic and opioid dysregulation), resulting in a distorted interoceptive and emotional awareness...
May 29, 2017: Medwave
https://www.readbyqxmd.com/read/28620335/a-different-way-to-stay-in-touch-with-urban-nature-the-perceived-restorative-qualities-of-botanical-gardens
#14
Giuseppe Carrus, Massimiliano Scopelliti, Angelo Panno, Raffaele Lafortezza, Giuseppe Colangelo, Sabine Pirchio, Francesco Ferrini, Fabio Salbitano, Mariagrazia Agrimi, Luigi Portoghesi, Paolo Semenzato, Giovanni Sanesi
Botanical gardens represent interesting arenas for research in environmental psychology and environment-behavior relations. They can be considered a very particular type of restorative environment and also have a relevant social function for the promotion of a more sustainable lifestyle in current societies. In this paper, we present a study assessing the relationship between the perceived restorativeness, the psychological and physical benefits experienced, and the subjective well-being reported by visitors of botanical gardens in four different cities in Italy (N = 127)...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28616697/borders-tensegrity-and-development-in-dialogue
#15
Giuseppina Marsico, Luca Tateo
In this article we propose a development of the Dialogical Self Theory by introducing the notions of borders, cogenetic logic and tensegrity that we have elaborated during the last 5 years, in order to introduce a stronger developmental and dynamic perspective within the theory. We start from the discussion of some recent advancements of the model proposed by Hermans et al. (Integrative Psychological and Behavioural Science, 51(4), 2017), who refer to the metaphor of democratic society of the Self to understand the challenges and possible directions of adaptation that the persons can face in those border-crossing processes characterizing contemporary western societies...
June 14, 2017: Integrative Psychological & Behavioral Science
https://www.readbyqxmd.com/read/28615278/individual-social-and-environmental-determinants-of-sleep-among-women-protocol-for-a-systematic-review-and-meta-analysis
#16
Lydi-Anne Vézina-Im, Jennette P Moreno, Debbe Thompson, Theresa A Nicklas, Tom Baranowski
INTRODUCTION: Sleep is important to promote optimal health and avoid negative health outcomes. Short-duration and low-quality sleep may be more common and more detrimental among women compared with men. Identifying the determinants of behaviour is one of the first steps in designing effective interventions. To our knowledge, no systematic review has identified the individual, social and environmental determinants of sleep among adult women. METHODS AND ANALYSIS: Studies reporting data on adult women from 18 to 64 years of age will be included...
June 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/28614538/patient-reported-measures-of-quality-of-life-and-functional-capacity-in-adhesive-capsulitis
#17
Marcos Rassi Fernandes
Objective: To evaluate patient-reported measures of quality of life and functional capacity in adhesive capsulitis before and after suprascapular nerve block treatment; to analyze the influence of clinical and sociodemographic variables on both the outcome and correlation between the respective instruments. Method: A prospective clinical study was performed with adhesive capsulitis patients. Inclusion criteria were clinical diagnosis of adhesive capsulitis and a shoulder imaging test...
April 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28611886/managing-acute-behavioural-disturbances-in-the-emergency-department-using-the-environment-policies-and-practices-a-systematic-review
#18
Tracey J Weiland, Sean Ivory, Jennie Hutton
INTRODUCTION: Effective strategies for managing acute behavioural disturbances (ABDs) within emergency departments (EDs) are needed given their rising occurrence and negative impact on safety, psychological wellbeing, and staff turnover. Non-pharmacological interventions for ABD management generally fall into four categories: environmental modifications; policies; practice changes; and education. Our objective was to systematically review the efficacy of strategies for ABD management within EDs that involved changes to environment, architecture, policy and practice...
June 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28610633/health-care-users-key-community-informants-and-primary-health-care-workers-views-on-health-health-promotion-health-assets-and-deficits-qualitative-study-in-seven-spanish-regions
#19
Mariona Pons-Vigués, Anna Berenguera, Núria Coma-Auli, Haizea Pombo-Ramos, Sebastià March, Angela Asensio-Martínez, Patricia Moreno-Peral, Sara Mora-Simón, Maria Martínez-Andrés, Enriqueta Pujol-Ribera
BACKGROUND: Although some articles have analysed the definitions of health and health promotion from the perspective of health-care users and health care professionals, no published studies include the simultaneous participation of health-care users, primary health care professionals and key community informants. Understanding the perception of health and health promotion amongst these different stakeholders is crucial for the design and implementation of successful, equitable and sustainable measures that improve the health and wellbeing of populations...
June 13, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28606800/physical-exercise-positively-influences-breast-cancer-evolution
#20
REVIEW
Kalliopi Adraskela, Eleftheria Veisaki, Michael Koutsilieris, Anastassios Philippou
Breast cancer is one of the most commonly diagnosed types of cancer in women. Its pathogenesis involves genetic, hormonal, and environmental factors. A large body of evidence indicates that physical activity has positive effects on every aspect of breast cancer evolution, including prevention, medical treatment, and aftercare clinical settings. Thus, different types of exercise can influence the prevention and progression of the disease through several common mechanisms, such as reduction of insulin resistance and improvement of immunity and cardiovascular function...
May 19, 2017: Clinical Breast Cancer
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