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https://www.readbyqxmd.com/read/28549459/-a-steep-learning-curve-junior-doctor-perspectives-on-the-transition-from-medical-student-to-the-health-care-workplace
#1
Nancy Sturman, Zachary Tan, Jane Turner
BACKGROUND: The transition from medical student to hospital-based first year junior doctor (termed "intern" in Australia) is known to be challenging, and recent changes in clinical learning environments may reduce graduate preparedness for the intern workplace. Although manageable challenges and transitions are a stimulus to learning, levels of burnout in junior medical colleagues are concerning. In order to prepare and support medical graduates, educators need to understand contemporary junior doctor perspectives on this transition...
May 26, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28548455/liminality-in-the-occupational-identity-of-mental-health-peer-support-workers-a-qualitative-study
#2
Alan Simpson, Candice Oster, Eimear Muir-Cochrane
Peer support is increasingly provided as a component of mental health care, where people in recovery from mental health problems use their lived experiences to provide support to those experiencing similar difficulties. In the present study, we explored the evolution of peer support workers' (PSW) occupational identities. A qualitative study was undertaken alongside a pilot randomized, controlled trial of peer support for service users discharged from a mental hospital in London, UK. Two focus groups were conducted with eight PSW...
May 26, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28546656/untroubling-abortion-a-discourse-analysis-of-women-s-accounts
#3
Siân M Beynon-Jones
In this paper, I highlight key differences between a discourse analytic approach to women's accounts of abortion and that taken by the growing body of research that seeks to explore and measure women's experiences of abortion stigma. Drawing on critical analyses of the conceptualisation of stigma in other fields of healthcare, I suggest that research on abortion stigma often risks reifying it by failing to consider how identities are continually re-negotiated through language-use. In contrast, by attending to language as a form of social action, discursive psychology makes it possible to emphasise speakers' capacity to construct "untroubled" (i...
May 2017: Feminism & Psychology
https://www.readbyqxmd.com/read/28544862/narcissistic-force-meets-systemic-resistance-the-energy-clash-model
#4
Constantine Sedikides, W Keith Campbell
This article focuses on the interplay between narcissistic leaders and organizations. It attempts to capture the gist of this interplay with a model outlining the narcissistic organizational trajectory. The Energy Clash Model borrows and adapts a phase/state physics metaphor to conceptualize narcissism as a force that enters or emerges in a stable system (i.e., organization) as a leader, destabilizes it, and stabilizes it at a different state or is expelled. The model consists of three time-contingent phases: perturbation, conflict, and resolution...
May 2017: Perspectives on Psychological Science: a Journal of the Association for Psychological Science
https://www.readbyqxmd.com/read/28544493/-it-s-a-fight-to-get-anything-you-need-accessing-care-in-the-community-from-the-perspectives-of-people-with-multimorbidity
#5
Julia W Ho, Kerry Kuluski, Jennifer Im
BACKGROUND: There is a growing interest in redesigning health-care systems to better manage the increasing numbers of people with multimorbidity. Knowing how patients experience health-care delivery and what they need from the health-care system are critical pieces of evidence that can be used to guide health system reforms. OBJECTIVE: The purpose of this study was to understand the challenges patients with multimorbidity face in accessing care in the community, and the implications for patients and their families...
May 24, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28544436/losing-the-breast-a-meta-synthesis-of-the-impact-in-women-breast-cancer-survivors
#6
REVIEW
Lingshan Sun, Emily Ang, Wei How Daryl Ang, Violeta Lopez
OBJECTIVES: To summarize qualitative studies exploring the impact of losing the breast in women breast cancer survivors. METHODS: We identify, appraise and synthesise 12 qualitative studies from 2000 to 2015. Quality appraisal of the studies was examined using the Critical Appraisal Skill Programme Checklist and Sandelowski and Barroso's step to synthesise the findings. RESULTS: The age of women in these studies ranged from 30-77 years. Losing the breast was regarded as disfigurement resulting in a discrepancy between self and societal image of a woman...
May 20, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28542239/projected-savings-through-public-health-voluntary-licences-of-hiv-drugs-negotiated-by-the-medicines-patent-pool-mpp
#7
Sandeep Juneja, Aastha Gupta, Suerie Moon, Stephen Resch
The Medicines Patent Pool (MPP) was established in 2010 to ensure timely access to low-cost generic versions of patented antiretroviral (ARV) medicines in low- and middle-income countries (LMICs) through the negotiation of voluntary licences with patent holders. While robust data on the savings generated by MPP and other major global public health initiatives is important, it is also difficult to quantify. In this study, we estimate the savings generated by licences negotiated by the MPP for ARV medicines to treat HIV/AIDS in LMICs for the period 2010-2028 and generate a cost-benefit ratio-based on people living with HIV (PLHIVs) in any new countries which gain access to an ARV due to MPP licences and the price differential between originator's tiered price and generics price, within the period where that ARV is patented...
2017: PloS One
https://www.readbyqxmd.com/read/28540621/universal-brca1-brca2-testing-for-ovarian-cancer-patients-is-welcomed-but-with-care-how-women-and-staff-contextualize-experiences-of-expanded-access
#8
Hannah Shipman, Samantha Flynn, Carey F MacDonald-Smith, James Brenton, Robin Crawford, Marc Tischkowitz, Nicholas J Hulbert-Williams
Decreasing costs of genetic testing and advances in treatment for women with cancer with germline BRCA1/BRCA2 mutations have heralded more inclusive genetic testing programs. The Genetic Testing in Epithelial Ovarian Cancer (GTEOC) Study, investigates the feasibility and acceptability of offering genetic testing to all women recently diagnosed with epithelial ovarian cancer (universal genetic testing or UGT). Study participants and staff were interviewed to: (i) assess the impact of UGT (ii) integrate patients' and staff perspectives in the development of new UGT programs...
May 24, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28538924/bioethics-of-protection-a-health-practice-evaluation-tool
#9
Fermin Roland Schramm
Bioethics of protection (BP) was proposed in the early 21st century in bioethics, built in Latin America following attempts by researchers to work on the possibilities of public health policies being morally legitimate, socially fair (equitable) and respectful of human rights, after noting the limits of traditional bioethical tools, essentially implemented in and restricted to interpersonal conflicts between moral agents and patients involved in the practice of biomedicine. Methodologically, BP tries to negotiate distinct problematic disciplinary realms that are, however, interlinked through interdisciplinary dialogue and common concern with the quality of life of the human population, considered in its natural, technological, social and cultural contexts: Public Health, concerned with the health and well-being of individuals and populations; Bioethics, concerned primarily with the moral legitimacy of practices that affect their quality of life; Biopolitics, concerned with the social effects of health policies...
May 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28538923/policy-of-labor-management-and-health-education-a-progesus-experience
#10
Carinne Magnago, Celia Regina Pierantoni, Tania França, Swheelen de Paula Vieira, Rômulo Gonçalves de Miranda, Dayane Nunes Nascimento
Aim: To evaluate the stage of labor management and education policies in municipal and state health secretariats (SMS and SES, respectively), having as reference the adherence to a qualification and structuring program of work management and education in the Unified Health System. Method: A descriptive and quantitative study, developed with 519 representatives from the Human Resources (HR) area of SMS and SES, through a survey composed of 56 questions, via a computer-assisted telephone interview in 2012...
May 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28538793/-evaluability-of-the-health-gym-program-in-recife-pernambuco-state-brazil
#11
Rafaela Niels da Silva, Flávio Renato Barros da Guarda, Pedro Curi Hallal, Petrônio José de Lima Martelli
Implementation of the Health Gym Program is one of the key strategies in the Brazilian National Health Promotion Policy, but thus far no evaluability studies have been performed on this intervention in Recife, Pernambuco State, one of the first cities in the country to implement this intervention. This study aimed to measure the evaluability of the Health Gym Program in the city of Recife, based on the description of the intervention and the elaboration of its log frame model and theoretical models for evaluation, in addition to identifying evaluative questions...
May 18, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28537790/lgbtq-women-appearance-negotiations-and-workplace-dress-codes
#12
Kelly L Reddy-Best
The purpose of this study was to explore LGBTQ women's experiences with unwritten or formal dress codes at work. I asked: what are LGBTQ women's experiences in the workplace with appearance management, and what are LGBTQ women's experiences navigating the written and unwritten dress codes in the workplace? To answer the research question, interviews were conducted with 24 self-identifying LGBTQ women. Six key themes emerged from the data. Themes included (1) expressed sexual identity in appearance, (2) unwritten dress codes in work environments did not always allow for expression of sexual identity in appearance, (3) motivations for pressure or desire to conceal expression of sexual identity in appearance at work, (4) negotiations of revealing or concealing sexual identity in appearance in the workplace impacted levels of comfort and confidence (5) verbal and non-verbal negative experiences related to appearance at work, and (6) received compliments about appearance at work...
May 24, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28535706/-contraceptive-care-for-adolescents-in-school-based-health-centers-is-essential
#13
Alison Moriarty Daley, E Carol Polifroni
Adolescents often face hurdles that may interfere with accessing contraceptive services. School-based health centers (SBHCs) are available to many teens in the United States; however, only half of SBHCs that serve adolescents are permitted to provide contraception. The aim of this descriptive phenomenological study was to describe the lived experience of nurse practitioners (NPs) providing contraceptive care to teens in SBHCs. Twelve NPs were interviewed and Colaizzi's method of descriptive phenomenological analysis was used to describe the lived experience of NPs providing contraceptive care to adolescents in SBHCs...
January 1, 2017: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/28533110/excretory-secretory-products-from-the-gastrointestinal-nematode-trichuris-muris
#14
Lucienne Tritten, Mifong Tam, Mireille Vargas, Armando Jardim, Mary M Stevenson, Jennifer Keiser, Timothy G Geary
To better control gastrointestinal nematode infections in humans and animals, it is important to understand the strategies used by these parasites to modulate the host immune system. In this regard, molecules released by parasites have been attributed crucially important roles in host-parasite negotiations. We characterized the excretory/secretory (E/S) microRNA (miRNA) and protein profiles from the mouse gastrointestinal nematode parasite Trichuris muris. Released miRNAs were subjected to miRNA sequencing and E/S proteins were analysed by mass spectrometry...
May 19, 2017: Experimental Parasitology
https://www.readbyqxmd.com/read/28532296/recently-released-black-men-s-perceptions-of-the-impact-of-incarceration-on-sexual-partnering
#15
Julie C Fields, Kelly M King, Kamila A Alexander, Katherine C Smith, Susan G Sherman, Amy Knowlton
Evidence suggests that men with recent histories of incarceration are more likely to engage in high-risk sexual activity, however there is limited research exploring how having been recently released from prison might impact men's sexual risk behaviours or sexual partnering. This qualitative study explores the ways in which exposure to incarceration impacts the dynamics of sexual partnering among recently released Black men in Baltimore, USA. In-depth interviews were conducted with 19 recently released Black men between 21-45 years of age living in the city...
May 23, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28530419/interpersonal-rivalries-gender-and-the-intellectual-and-scientific-making-of-psychoanalysis-in-1940s-britain
#16
Michal Shapira
This article examines the 1940s debates regarding the status and professional orthodoxy of psychoanalysis following Sigmund Freud's death, by exploring the Anna Freud-Melanie Klein Controversial Discussions in the British Psychoanalytical Society. Focusing on the work of now-forgotten analysts Melitta Schmideberg and Edward Glover, and on their relationship with Klein and her supporters, the article reveals how these neglected, yet important, debates were complicated by interpersonal and professional ties, processes of the professionalization, and changing gender norms...
May 2017: History of Psychology
https://www.readbyqxmd.com/read/28529231/alzheimer-s-disease-metaphors-as-mirror-and-lens-to-the-stigma-of-dementia
#17
Martina Zimmermann
This essay gives an overview of the metaphors that patients in comparison to caregivers employ to conceptualize their experience with the chronic degenerative, cognitive, and incurable aspects of Alzheimer's disease. It explores how the images (such as the journey, darkness, the death sentence, and torture) relate to the narration of cognitive decline and memory loss, and how these personal accounts negotiate with the culturally dominant dementia narrative that centers on the patient's passivity and dependence and is, usually, found in caregiver stories...
2017: Literature and Medicine
https://www.readbyqxmd.com/read/28528444/assembly-and-egress-of-an-alphaherpesvirus-clockwork
#18
Gregory A Smith
All viruses produce infectious particles that possess some degree of stability in the extracellular environment yet disassemble upon cell contact and entry. For the alphaherpesviruses, which include many neuroinvasive viruses of mammals, these metastable virions consist of an icosahedral capsid surrounded by a protein matrix (referred to as the tegument) and a lipid envelope studded with glycoproteins. Whereas the capsid of these viruses is a rigid structure encasing the DNA genome, the tegument and envelope are dynamic assemblies that orchestrate a sequential series of events that ends with the delivery of the genome into the nucleus...
2017: Advances in Anatomy, Embryology, and Cell Biology
https://www.readbyqxmd.com/read/28528245/can-inequality-be-tamed-through-boundary-work-a-qualitative-study-of-health-promotion-aimed-at-reducing-health-inequalities
#19
Pia Vivian Pedersen, Ulf Hjelmar, Mette Terp Høybye, Morten Hulvej Rod
This paper examines the organisational dynamics that arise in health promotion aimed at reducing health inequalities. The paper draws on ethnographic fieldwork among public health officers in Danish municipalities and qualitative interviews from an evaluation of health promotion programmes targeting homeless and other marginalised citizens. Analytically, we focus on 'boundary work', i.e. the ways in which social and symbolic boundaries are established, maintained, transgressed and negotiated, both at the administrative level and among frontline professionals...
May 10, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28527848/combined-therapy-for-a-rare-case-of-type-iii-dens-invaginatus-in-a-mandibular-central-incisor-with-a-periapical-lesion-a-case-report
#20
Ping Zhang, Xin Wei
Type III dens invaginatus has a complex root canal structure that poses a greater challenge when endodontic treatment is necessary. Type III dens invaginatus rarely affects mandibular central incisors. In this case, we reported a combined therapy of type III dens invaginatus in a mandibular central incisor with a periapical lesion. Cone-beam computed tomographic (CBCT) imaging was used in the diagnosis and management of the unusual anatomy of dens invaginatus. First, the hard tissue of the dens invaginatus was removed using a dental operating microscope...
May 17, 2017: Journal of Endodontics
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