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https://www.readbyqxmd.com/read/27843819/palliative-care-role-of-family-physicians
#1
REVIEW
R P J C Ramanayake, G V A Dilanka, L W S S Premasiri
Palliative care is the holistic approach to provide relief to patients suffering from life threatening diseases and their families throughout the disease. This is mainly through the prevention and relief of suffering by means of early identification, comprehensive assessment and management of physical, psychosocial and spiritual problems. With the rise of elderly population in the world patients needing palliative care will also increase. Family physicians who are closest to the community and easily accessible has a major role to play in providing palliative care...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27796100/practices-and-views-of-audiologists-regarding-aural-rehabilitation-services-for-adults-with-acquired-hearing-loss
#2
Musa Makhoba, Neethie Joseph
BACKGROUND: Hearing loss in adults is one of the leading disabilities globally. It is managed through aural rehabilitation for which there is a paucity of literature in South Africa. This raises the question of interest, the integrity of holistic service provision amongst audiologists and whether interest and challenges affect current practices. OBJECTIVES: To describe audiologists' practices and views on aural rehabilitation services for adults, including interest and challenges experienced...
September 29, 2016: South African Journal of Communication Disorders. die Suid-Afrikaanse Tydskrif Vir Kommunikasieafwykings
https://www.readbyqxmd.com/read/27738505/depression-masquerading-as-chest-pain-in-a-patient-with-wolff-parkinson-white-syndrome
#3
Rajashree Madabushi, Anil Agarwal, Saipriya Tewari, Sujeet K S Gautam, Sandeep Khuba
Wolff Parkinson White (WPW) syndrome is a condition in which there is an aberrant conduction pathway between the atria and ventricles, resulting in tachycardia. A 42-year-old patient, who was treated for WPW syndrome previously, presented with chronic somatic pain. With her cardiac condition in mind, she was thoroughly worked up for a recurrence of disease. As part of routine screening of all patients at our pain clinic, she was found to have severe depression as per the Patient Health Questionnaire-9 (PHQ-9) criteria...
October 2016: Korean Journal of Pain
https://www.readbyqxmd.com/read/27652228/psychosexual-therapy-for-delayed-ejaculation-based-on-the-sexual-tipping-point-model
#4
REVIEW
Michael A Perelman
The Sexual Tipping Point(®) (STP) model is an integrated approach to the etiology, diagnosis and treatment of men with delayed ejaculation (DE), including all subtypes manifesting ejaculatory delay or absence [registered trademark owned by the MAP Educational Fund, a 501(c)(3) public charity]. A single pathogenetic pathway does not exist for sexual disorders generally and that is also true for DE specifically. Men with DE have various bio-psychosocial-behavioral & cultural predisposing, precipitating, maintaining, and contextual factors which trigger, reinforce, or worsen the probability of DE occurring...
August 2016: Translational Andrology and Urology
https://www.readbyqxmd.com/read/27629548/rationale-and-design-of-the-multidisciplinary-team-intervention-in-cardio-oncology-study-titan
#5
Edith Pituskin, Mark Haykowsky, Margaret McNeely, John Mackey, Neil Chua, Ian Paterson
BACKGROUND: Cancer is the leading cause of premature death in Canada. In the last decade, important gains in cancer survival have been achieved by advances in adjuvant treatment. However, many oncologic treatments also result in cardiovascular "toxicity". Furthermore, cardiac risk factors such as hypertension, dyslipidemia, and diabetes mellitus are known to contribute to the progression of cardiac damage and clinical cardiotoxicity. As such, for many survivors, the risk of death from cardiac disease exceeds that of recurrent cancer...
September 15, 2016: BMC Cancer
https://www.readbyqxmd.com/read/27594708/integrating-professional-and-indigenous-therapies-an-urban-american-indian-narrative-clinical-case-study
#6
Dennis C Wendt, Joseph P Gone
We present a narrative case study of an urban American Indian male college student who integrated Indigenous and professional therapies during an acute period of stress, loss, and depression. The first published case of an American Indian in an urban context, this article expands on previous clinical cases by focusing on the perspective of the client relative to his own conceptions of help-seeking behaviors. Based on qualitative analysis of five audio-recorded interviews, this case utilizes an innovative methodology to portray four approaches to healing (medication, counseling, bonding, and spirituality), which contribute to holistic well-being...
July 2016: Counseling Psychologist
https://www.readbyqxmd.com/read/27540242/assessing-the-benefits-of-having-a-specialist-paediatric-pharmacist-and-physiotherapist-in-the-community-to-improve-childhood-asthma-outcomes
#7
Andrew Lilley, Leanne Turner
INTRODUCTION: The local Clinical Commissioning Group has funded an innovative one-year pilot project to assess the value of providing specialist paediatric pharmacist and physiotherapist support direct to families and health care professionals (GP's, community pharmacists, practice nurses etc.) regarding asthma in the primary care setting. Currently no such support is provided within community setting by physiotherapy or pharmacy. METHODS: Joint holistic reviews by the clinical specialist physiotherapist and specialist paediatric pharmacist were performed in the patient's home environment or school...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27509239/-i-have-to-push-him-with-a-wheelbarrow-to-the-clinic-community-health-workers-roles-needs-and-strategies-to-improve-hiv-care-in-rural-south-africa
#8
Kelsey B Loeliger, Linda M Niccolai, Lillian N Mtungwa, Anthony Moll, Sheela V Shenoi
With a 19.2% HIV prevalence, South Africa has the largest HIV/AIDS epidemic worldwide. Despite a recent scale-up of public sector HIV resources, including community-based programs to expand HIV care, suboptimal rates of antiretroviral therapy (ART) initiation and adherence persist. As community stakeholders with basic healthcare training, community health workers (CHWs) are uniquely positioned to provide healthcare and insight into potential strategies to improve HIV treatment outcomes. The study goal was to qualitatively explore the self-perceived role of the CHW, unmet CHW needs, and strategies to improve HIV care in rural KwaZulu-Natal, South Africa...
August 2016: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/27440738/developing-a-complex-intervention-programme-for-informal-caregivers-of-stroke-survivors-the-caregivers-guide
#9
Theresia Krieger, Frans Feron, Elisabeth Dorant
BACKGROUND: Stroke affects the entire family system. Failure to meet the needs of caregivers leads to physical and mental overburdening. Stroke caregivers may benefit from professional support. The literature reviews have shown that there is still no clarity concerning the most appropriate set-up of a support programme. In Germany, there is no stroke caregiver support programme that operates throughout the course of rehabilitation. AIM: The aim was to develop a complex intervention programme for stroke caregivers in North-Rhine Westphalia, Germany...
July 21, 2016: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/27427122/ramadan-and-diabetes-holistic-trial-design
#10
Fatema Jawad, Sanjay Kalra
Extensive work has been done to analyze the safety of various modern glucose-lowering drugs during Ramadan fasting. This editorial suggests the use of validated scales of religiosity/spirituality as an adjunct to pre-Ramadan counselling and risk stratification. The editors also propose a holistic trial design for future trials on glycaemic management during Ramadan. Such a design should include both spiritual and biomedical endpoints, while trying to assess correlation between religiosity/spirituality and biomedical outcomes after Ramadan fasting...
July 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27406011/the-experiences-of-survivors-and-trauma-counselling-service-providers-in-northern-uganda-implications-for-mental-health-policy-and-legislation
#11
H Liebling, L Davidson, G F Akello, G Ochola
Previous research in northern Uganda found high levels of trauma-related difficulties amongst the conflict-affected population. There is international evidence that psychological therapy can reduce depression, as one of the psychological effects of trauma, but very limited literature regarding the experiences of trauma counselling in Sub-Saharan Africa. The current British Academy and Leverhulme-funded research investigated the experiences of service users and providers of trauma services in Kitgum and Gulu, northern Uganda...
September 2016: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/27391695/co-designing-inflammatory-bowel-disease-ibd-services-in-scotland-findings-from-a-nationwide-survey
#12
Mariyana Schoultz, Leah Macaden, Angus J M Watson
BACKGROUND: The Scottish Government's ambition is to ensure that health services are co-designed with the communities they serve. Crohn's and Colitis UK and the Scottish Government acknowledged the need to review and update the current IBD care model. An online survey was conducted asking IBD patients about their experiences of the NHS care they receive. This survey was the first step of co-designing and developing a national strategy for IBD service improvement in Scotland. AIM: To explore IBD patients' experiences of current services and make recommendations for future service development...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27373236/motivational-interviewing-based-training-enhances-clinicians-skills-and-knowledge-in-psoriasis-findings-from-the-pso-well-%C3%A2-study
#13
A Chisholm, P A Nelson, C J Pearce, A J Littlewood, K Kane, A L Henry, R Thorneloe, M P Hamilton, J Lavallee, M Lunt, C E M Griffiths, L Cordingley, C Bundy
BACKGROUND: Psoriasis is a common long-term, immune-mediated skin condition associated with behavioural factors (e.g. smoking, excess alcohol, obesity) which increase the risk of psoriasis onset, flares, and comorbidities. Motivational interviewing (MI) is an evidence-based approach to health-related behaviour change that has been used successfully with patients with long-term conditions. This study assessed change in clinicians' MI skills and psoriasis knowledge following Psoriasis and Well-being (Pso Well(®) ) training...
July 4, 2016: British Journal of Dermatology
https://www.readbyqxmd.com/read/27372529/expanding-the-role-of-nurses-to-improve-hypertension-care-and-control-globally
#14
REVIEW
Cheryl R Dennison Himmelfarb, Yvonne Commodore-Mensah, Martha N Hill
The role of the nurse in improving hypertension control has expanded over the past 50 years, complementing and supplementing that of the physician. Nurses' involvement began with measuring and monitoring blood pressure (BP) and patient education and has expanded to become one of the most effective strategies to improve BP control. Today the roles of nurses and nurse practitioners (NPs) in hypertension management involve all aspects of care, including (1) detection, referral, and follow up; (2) diagnostics and medication management; (3) patient education, counseling, and skill building; (4) coordination of care; (5) clinic or office management; (6) population health management; and (7) performance measurement and quality improvement...
March 2016: Annals of Global Health
https://www.readbyqxmd.com/read/27264138/treatment-of-dravet-syndrome
#15
Elaine C Wirrell
Dravet syndrome is among the most challenging electroclinical syndromes. There is a high likelihood of recurrent status epilepticus; seizures are medically refractory; and patients have multiple co-morbidities, including intellectual disability, behaviour and sleep problems, and crouch gait. Additionally, they are at significant risk of sudden unexplained death. This review will focus predominantly on the prophylactic medical management of seizures, addressing both first-line therapies (valproate and clobazam) as well as second-line (stiripentol, topiramate, ketogenic diet) or later options (levetiracetam, bromides, vagus nerve stimulation)...
June 2016: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/27169713/role-of-health-coaches-in-pediatric-weight-management-patient-and-parent-perspectives
#16
Kerrilynn G Rice, Riana B Jumamil, Sarah M Jabour, Jennifer Kimberly Cheng
This study aims to describe patients' and families' perspectives regarding the ideal role and responsibilities of a health coach to facilitate pediatric weight management in the primary care setting. Systematic thematic analysis of semistructured interviews with overweight children and their parents was performed. The majority of participants self-identified as racial/ethnic minorities and were Medicaid eligible. Desired health coaching elements included (a) customized support and encouragement, including goal setting and maintenance, cultural sensitivity, and consideration of budget and lifestyle; (b) nutritional guidance, including meal planning, assistance obtaining healthy food, and education and counseling; and (c) linkage to resources, including social services, physical activity support, and programs for children with special health care needs...
May 11, 2016: Clinical Pediatrics
https://www.readbyqxmd.com/read/27021778/portuguese-family-with-the-co-occurrence-of-frontotemporal-lobar-degeneration-and-neuronal-ceroid-lipofuscinosis-phenotypes-due-to-progranulin-gene-mutation
#17
Maria R Almeida, Maria C Macário, Lina Ramos, Inês Baldeiras, Maria H Ribeiro, Isabel Santana
We and others have reported heterozygous progranulin mutations as an important cause of frontotemporal lobar degeneration (FTLD). It has been identified a complete progranulin deficiency because of a homozygous mutation in a sibling pair with neuronal ceroid lipofuscinosis (NCL). Here, we describe the first case of NCL caused by a homozygous progranulin mutation segregating in a family with neuropathological confirmed FTLD. In this FTLD-NCL family, we detail the clinical phenotype, neuropsychological evaluation and imaging data of our proband harboring a homozygous mutation, c...
May 2016: Neurobiology of Aging
https://www.readbyqxmd.com/read/27007070/exploring-involuntary-childlessness-in-men-a-qualitative-study-assessing-quality-of-life-role-aspects-and-control-beliefs-in-men-s-perception-of-the-fertility-treatment-process
#18
Maren Schick, Sabine Rösner, Bettina Toth, Thomas Strowitzki, Tewes Wischmann
The goal of this study was to explore the experience and perception of men during the diagnosis of infertility and subsequent treatment, and the impact on role concepts, control beliefs, and quality of life on these processes. Furthermore, it aimed to derive improvements in how men should be counselled. A qualitative study was conducted. It consisted of 13 semi-structured individual interviews with men undergoing or about to start fertility treatment at Heidelberg University Hospital. Data were analyzed using a grounded theory approach...
April 2016: Human Fertility: Journal of the British Fertility Society
https://www.readbyqxmd.com/read/26986015/proceedings-of-the-5th-kuwait-international-pharmacy-conference-february-1-3-2015
#19
Oludotun Adebayo Phillips, Monerah Al-Soraj
No abstract text is available yet for this article.
2016: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/26983110/-personal-and-dignified-death-the-role-of-pastoral-care-in-palliative-medicine
#20
Susanne Breit-Keßler
Palliative pastoral care is not about "adding days to life, but about "adding life to days". It does not matter whether the dying process is short or long. What matters is to ensure the best possible quality of life until the very end through mindful companionship. Palliative pastoral care is a path towards a personal dying, dying where the person is taken seriously as an individual until the last moment. Palliative care includes medical assistance, careful care, psychosocial support, and counselling that addresses the spiritual needs of the dying...
March 2016: Deutsche Medizinische Wochenschrift
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