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Family practice related

Lara Silvia Oliveira Conegundes, Juliana Y Valente, Camila Bertini Martins, Solange Andreoni, Zila M Sanchez
OBJECTIVE: To analyze the sociodemographic, school, and family factors associated with the patterns of binge drinking and frequent or heavy drinking among adolescents. METHODS: This was a cross-sectional study, nested in a randomized controlled trial, of 6285 seventh and eighth grade adolescent students from Brazilian public schools. The associations between binge drinking (consumption of five or more doses of alcohol on a single occasion) in the last 12 months and frequent or heavy drinking (alcohol consumption on six or more days) in the last month and the several factors were analyzed through weighted logistic regression...
October 11, 2018: Jornal de Pediatria
Ai-Leng Foong, Kelly A Grindrod, Tejal Patel, Jamie Kellar
OBJECTIVE: To review the symptoms of serotonin toxicity (commonly referred to as serotonin syndrome ) and the causative drugs and their mechanisms of action, and to equip primary care providers with practical strategies to prevent and identify serotonin toxicity. QUALITY OF EVIDENCE: PubMed and Google Scholar were searched for relevant articles on serotonin toxicity, the causes, and the differential diagnosis using search terms related to serotonin toxicity ( serotonin syndrome, serotonin toxicity, serotonin overdose ), causes (individual names of drug classes, individual drug names), and diagnosis ( differential diagnosis, neuroleptic malignant syndrome, anticholinergic toxicity, discontinuation syndrome, malignant hyperthermia, serotonin symptoms )...
October 2018: Canadian Family Physician Médecin de Famille Canadien
D A Singleton, F Sánchez-Vizcaíno, E Arsevska, S Dawson, P H Jones, P J M Noble, G L Pinchbeck, N J Williams, A D Radford
Pharmaceutical agents (PAs) are commonly prescribed in companion animal practice in the United Kingdom. However, little is known about PA prescription on a population-level, particularly with respect to PAs authorised for human use alone prescribed via the veterinary cascade; this raises important questions regarding the efficacy and safety of PAs prescribed to companion animals. This study explored new approaches for describing PA prescription, diversity and co-prescription in dogs, cats and rabbits utilising electronic health records (EHRs) from a sentinel network of 457 companion animal-treating veterinary sites throughout the UK over a 2-year period (2014-2016)...
November 1, 2018: Preventive Veterinary Medicine
Debra Rickwood, Marie Paraskakis, Diana Quin, Nathan Hobbs, Vikki Ryall, Jason Trethowan, Patrick McGorry
AIM: headspace is Australia's innovation in youth mental healthcare and comprises the largest national network of enhanced primary care, youth mental health centres world-wide. headspace centres aim to intervene early in the development of mental ill-health for young people aged 12 to 25 years by breaking down the barriers to service access experienced by adolescents and emerging adults and providing holistic healthcare. Centres have been progressively implemented over the past 12 years and are expected to apply a consistent model of integrated youth healthcare...
October 12, 2018: Early Intervention in Psychiatry
İlknur Göl, Özüm Erkin
OBJECTIVE: To determine the knowledge and practices related to skin cancer and skin self-examination of primary care providers. METHOD: This cross-sectional descriptive study was conducted in Turkey. The study was carried out in primary health centers such as family health centers, community health centers, early cancer detection centers and family planning centers in 2016-2017. Participants' socio-demographic characteristics, their knowledge and practices related to skin cancer, skin cancer risk factors and skin self-examination were determined...
October 4, 2018: Revista da Escola de Enfermagem da U S P
Denise Medico, Adèle Zufferey
Since 2011, a significant amount of evidence has been published on transgender children and adolescents, highlighting their needs and the best health and social practices. They are more at risk of suicide, discrimination, depression. Today, we better understand that the main causal factor linked with negative experiences is to be found in direct and indirect discriminations, subsequently causing personal and relational difficulties. When transgender youth are fully accepted and supported in their desired gender, they do not significantly differ from other youth...
October 3, 2018: Revue Médicale Suisse
Julian G Simmons, Francisco Azpitarte, Fatou Diallo Roost, Eric Dommers, Nicholas B Allen, Sophie Havighurst, Nick Haslam
Children from highly disadvantaged families tend to experience worse health, educational, and job outcomes than less disadvantaged peers. However, the mechanisms underlying these relationships remain to be explicated. In particular, few studies have investigated the relationships between the psychosocial influences that children are exposed to early in life, and longer-term cortisol output. This study aims to contribute to the literature by exploring how disadvantaged young children's experiences of family adversity, and parenting and family functioning, are related to their long-term cortisol levels...
October 10, 2018: Stress and Health: Journal of the International Society for the Investigation of Stress
Erin Relyea, Brooke MacDonald, Christina Cattaruzza, Denise Marshall
Schizophrenia is a serious chronic mental illness that results in marginalization and stigma for sufferers. It is the seventh leading cause for disability worldwide. The symptoms of the illness, including hallucinations, delusions, and extremely disordered thinking and behavior, may also introduce barriers to accessing treatment, education, housing, and employment. Little is known about end-of-life care for individuals with schizophrenia. To address this gap, a scoping review was conducted to enhance understanding of hospice and palliative care for patients with schizophrenia...
October 10, 2018: Journal of Palliative Care
Diana Teggi
The literature on death expectation in ill old age is mostly medical. A social science standpoint (especially quantitative) is practically absent. However, whether families, social and healthcare services can anticipate, support and prepare for the deaths of ill old adults is not reducible to the biomedical paradigm. Yet it is critical for end of life care (EOLC) policy. This study's aim is to investigate relatives' perception of death as unexpected in relation to both disease-related and care-related factors...
September 25, 2018: Social Science & Medicine
Elizabeth A Baker, Haylee DeLuca Bishop, Logan A Stigall, Manfred H M van Dulmen
Promoting positive parental engagement (e.g., reading to the child, practicing nursery rhymes with the child, playing with the child) is beneficial for children. Previous research has largely been limited to only maternal reports and relatively affluent families. The current study longitudinally investigated spillover between positive experiences in the mother-father relationship and positive parental engagement using an ethnically and economically diverse sample of parents. Using data from the Fragile Families and Child Wellbeing Study ( N = 3,780 mother-father dyads)-and guided by family systems theory-we tested a series of path analysis models...
October 8, 2018: Journal of Family Psychology: JFP
Evelyne Durocher, Elizabeth Anne Kinsella, Barbara E Gibson, Susan Rappolt, Carolyn Ells
BACKGROUND: Discharge decisions have significant implications for older adults and their involved family members. Evidence of older adult and family members' engagement in discharge decision-making, however, varies widely. Some recent work shows assumed associations between ageing, diminished participation in healthcare decision-making and increased reliance on family members. Other research suggests that family members adopt strategies to promote older adults' participation in decision-making...
October 9, 2018: Disability and Rehabilitation
Jonathan N Wells, Joseph A Marsh
Reconstructing evolutionary relationships in repeat proteins is notoriously difficult due to the high degree of sequence divergence that typically occurs between duplicated repeats. This is complicated further by the fact that proteins with a large number of similar repeats are more likely to produce significant local sequence alignments than proteins with fewer copies of the repeat motif. Furthermore, biologically correct sequence alignments are sometimes impossible to achieve in cases where insertion or translocation events disrupt the order of repeats in one of the sequences being aligned...
2019: Methods in Molecular Biology
Annick Delvigne, Lauren Becu, Johan van Wiemeersch, Michel Bossens, Jean Vandromme
CONTEXT AND OBJECTIVE: International data highlight the increasing participation of women in the workforce in the medical field and particularly among obstetricians and gynecologists (OB-GYN). Some studies reported a gender difference in work productivity and practice patterns. The aim of this study is to analyze whether disparities exist between male and female OB-GYN in their practices with potential consequences for the organization of the OB-GYN departments. METHODS: A survey of all active, Belgian OB-GYNs concerning their professional activity and well-being and a survey of the heads of OG departments evaluating the impact of feminisation on their department...
October 8, 2018: Archives of Gynecology and Obstetrics
Taniesha Burke, Leon Kuczynski
Research on Jamaican socialization of children has primarily focused on parental discipline practices. Little is known about children's responses to parental attempts to control their behavior. The present study investigated mothers' perceptions of children's strategies for resisting their rules and requests. Thirty mothers living in Kingston and St. Andrew, Jamaica, participated in a 1- to 1.5-h semi-structured, open-ended interview regarding their 8- to 12-year-old children. Mothers reported that their children's resistance strategies included assertive refusal, arguing, ignoring/avoiding, attitude, and negotiation...
2018: Frontiers in Psychology
A Jack-Waugh, L Ritchie, R MacRae
Increasing numbers of people with dementia are living longer with a higher likelihood of requiring hospital care for physical conditions including falls, infections and stroke (Boaden, 2016). However, the literature is replete with descriptions of poor care and hospital care experiences that have fallen well below the expectations of people with dementia, their families and friends. Although poor care is unacceptable, it is unsurprising given that dementia education for health and social care professionals is often inadequate and inconsistent...
September 29, 2018: Nurse Education Today
Camille Vatier, Marie-Christine Vantyghem, Caroline Storey, Isabelle Jéru, Sophie Christin-Maitre, Bruno Fève, Olivier Lascols, Jacques Beltrand, Jean-Claude Carel, Corinne Vigouroux, Elise Bismuth
Lipodystrophic syndromes are rare diseases of genetic or acquired origin characterized by partial or generalized lack of body fat. Early detection and diagnosis are crucial to prevent and manage associated metabolic dysfunctions, i.e. insulin resistance, dyslipidemia, fatty liver and diabetes, and to provide appropriate genetic counselling. By means of several representative case studies, this article illustrates the diagnostic and management challenges of lipodystrophic syndromes. Berardinelli-Seip congenital lipodystrophy (BSCL) is typically diagnosed at birth, or soon thereafter, with generalized lipoatrophy and hepatomegaly secondary to hepatic steatosis...
October 8, 2018: Current Medical Research and Opinion
Catherine Walker O'Neal, Evin W Richardson, Jay A Mancini
Military members and their spouses (n = 223 families) were selected from an Active Duty Army installation and assessed with regard to their connections with the military community, their levels of coping with military culture demands, and their reports of individual (depression and life satisfaction) and family well-being. Guided by the contextual model of family stress and the social organization theory of action and change, results from a structural equation model indicated that military community connections, for both military members and their civilian spouses, were related to coping with the military culture and its demands, which in turn was related to both individual and family well-being...
October 7, 2018: Family Process
Sandy Tubeuf, Eirini-Christina Saloniki, David Cottrell
OBJECTIVE: This article presents alternative parental health spillover quantification methods in the context of a randomised controlled trial comparing family therapy with treatment as usual as an intervention for self-harming adolescents, and discusses the practical limitations of those methods. METHODS: The trial followed a sample of 754 participants aged 11-17 years. Health utilities are measured using answers to the EuroQoL 5 Dimensions 3 Levels (EQ-5D-3L) for the adolescent and the Health Utility Index (HUI2) for one parent at baseline, 6 and 12 months...
October 8, 2018: PharmacoEconomics
Sandro Vento, Francesca Cainelli, Alfredo Vallone
Defensive medicine is widespread and practiced the world over, with serious consequences for patients, doctors, and healthcare costs. Even students and residents are exposed to defensive medicine practices and taught to take malpractice liability into consideration when making clinical decisions. Defensive medicine is generally thought to stem from physicians' perception that they can easily be sued by patients or their relatives who seek compensation for presumed medical errors. However, in our view the growth of defensive medicine should be seen in the context of larger changes in the conception of medicine that have taken place in the last few decades, undermining the patient-physician trust, which has traditionally been the main source of professional satisfaction for physicians...
October 6, 2018: World Journal of Clinical Cases
Saad U Khan, David J Bowrey, Robert N Williams, Jun Yi Soh, Aikaterini Peleki, Nazli Muhibullah, Peter W Waterland
Background: Informed consent obtained for day case surgery has been historically incomplete. An assessment of consenting practice for groin hernia was performed relative to existing gold standards and patient's perception of the consent process was evaluated with a questionnaire. The aim of the study was to identify areas of improvement to comply with best practice. Methods: A retrospective audit of adult patients undergoing groin hernia repair (June-November 2016) at a tertiary care centre was performed...
November 2018: Annals of Medicine and Surgery
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