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https://www.readbyqxmd.com/read/30343543/-community-pediatrics-in-israel-during-the-next-decade-a-need-for-a-change
#1
REVIEW
Jacob Kuint, Basil Porter
Community pediatrics in Israel is based on service by pediatricians who have been trained in hospitals in Israel or elsewhere. At the same time, the field of community pediatrics is changing its nature from the management of common acute diseases, to a field dealing with a variety of chronic problems, behavioral issues, family and social issues, developmental delays, problems relating to nutrition and growth' sleep problems, learning disabilities, and of late, excessive exposure to a host of digital media. In addition, lifestyle issues such as adequate physical activity, addictions, accidents and various types of abuse are increasingly part of the pediatric role...
October 2018: Harefuah
https://www.readbyqxmd.com/read/30343057/implementing-emotional-debriefing-in-pediatric-clinical-education
#2
Amanda D Osta, Marta A King, Janet R Serwint, Susan B Bostwick
Challenging situations and intense emotions are inherent to clinical practice. Failure to address these emotions has been associated with health care provider burnout. One way to combat this burnout and increase resilience is participation in emotional debriefing. Although there are many models of emotional debriefing, these are not commonly performed in clinical practice. We provide a guide for implementing emotional debriefing training, utilizing the AAP Resilience Curriculum, into clinical training programs with a focus on preparing senior residents and fellows to act as debriefing facilitators...
October 18, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/30342603/health-related-quality-of-life-and-neurodevelopmental-outcomes-among-children-with-intestinal-failure
#3
Maria Hukkinen, Laura Merras-Salmio, Mikko P Pakarinen
Treatment results of pediatric intestinal failure have improved markedly during the last decades. With improved survival the attention is turning to other essential outcomes including quality of life and neurodevelopment. So far, relatively few studies with limited number of patients and variable methodology have addressed these issues. Based on these studies using generic health related quality of life tools, children with intestinal failure demonstrate decreased physical health, while PN-dependence is also associated with compromised emotional functioning...
August 2018: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/30342539/movement-through-active-personalised-engagement-map-a-self-management-programme-designed-to-promote-physical-activity-in-people-with-multimorbidity-study-protocol-for-a-randomised-controlled-trial
#4
Helen Dallosso, Tom Yates, Hamidreza Mani, Laura J Gray, Nafeesa Dhalwani, Emma Baldry, Clare Gillies, Sue Cradock, Mark Batt, Melanie J Davies, Kamlesh Khunti
BACKGROUND: Multimorbidity, defined as two or more concurrent chronic diseases within the same individual, is becoming the clinical norm within primary care. Given the burden of multimorbidity on individuals, carers and health care systems, there is a need for effective self-management programmes. Promoting active participation within their clinical care and following a healthy lifestyle will help empower patients and target lifestyle factors that are exacerbating their conditions. The aim of this study is to establish whether a tailored, structured self-management programme can improve levels of physical activity at 12 months, in people with multimorbidity...
October 20, 2018: Trials
https://www.readbyqxmd.com/read/30342300/the-effectiveness-of-interventions-to-improve-resilience-among-health-professionals-a-systematic-review
#5
REVIEW
Michelle Cleary, Rachel Kornhaber, Deependra Kaji Thapa, Sancia West, Denis Visentin
OBJECTIVE: To assess the effectiveness of resilience interventions in improving resilience outcome among health professionals. BACKGROUND: The nature of health professionals' work is physically and emotionally demanding, with trauma a common consequence with the act of providing health care. DESIGN: A systematic review. DATA SOURCE: A comprehensive search of the literature was conducted in February 2018 using PubMed, PsychInfo, Cumulative Index of Nursing and Allied Health Literature (CIHAHL) and Scopus...
October 11, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/30341065/the-impact-of-northern-ireland-s-abortion-laws-on-women-s-abortion-decision-making-and-experiences
#6
Abigail R A Aiken, Elisa Padron, Kathleen Broussard, Dana Johnson
BACKGROUND: In Northern Ireland, abortion is illegal except in very limited circumstances to preserve a woman's life or to prevent permanent or long-term injury to her physical or mental health. Abortions conducted outside the law are a criminal offence punishable by imprisonment. We assessed the impacts of Northern Ireland's abortion laws on women's decision-making and experiences in accessing abortion. METHODS: Between April 2017 and February 2018 we interviewed 30 women living in Northern Ireland who had sought abortion by travelling to a clinic in Great Britain or by using online telemedicine to self-manage a medication abortion at home...
October 19, 2018: BMJ sexual & reproductive health
https://www.readbyqxmd.com/read/30341030/burnout-syndrome-in-orthopaedic-and-trauma-surgery-residents-in-france-a-nationwide-survey
#7
Grégoire Faivre, Hugo Kielwasser, Mickaël Bourgeois, Marie Panouilleres, François Loisel, Laurent Obert
BACKGROUND: Burnout syndrome is one of the manifestations of distress in healthcare workers and is characterised by emotional exhaustion (EE), depersonalisation (DP), and a sense of low personal accomplishment (PA). The surgical residency is a period of intense training that imposes major challenges on future surgeons, who may therefore be at high risk for burnout syndrome. Nevertheless, no data on burnout syndrome in orthopaedic and trauma surgery (OTS) residents in France is available...
October 16, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/30341004/a-survey-of-burnout-and-intentions-to-leave-the-profession-among-western-canadian-midwives
#8
Kathrin Stoll, Jocelyn Gallagher
PROBLEM: Midwives are at high risk for burnout and occupational stress. This has implications for workforce retention and quality of maternity care. AIM: We set out to understand how burnout and occupational stress are experienced by midwives in Western Canada, and whether burnout is linked to intentions to leave the profession and other factors. METHODS: Midwives were invited to participate in the international WHELM (work, health, and emotional lives of midwives) survey through invitations via their professional organizations...
October 17, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/30340779/-children-with-high-potential-and-difficulties-contributions-of-clinical-research
#9
S Tordjman, L Vaivre-Douret, S Chokron, S Kermarrec
We have been sensitized to children with high intellectual potential (HIP) having difficulties given the number of children consulting in our outpatient medico-psychological centres for scholastic problems (possibly leading to school failure), anxiety disorders or behavioral disorders such as attention deficit/hyperactivity disorder (ADHD), and in which a high intellectual potential was discovered during psychological assessments. It is the contrast, and more precisely the paradox, between the high intellectual potential of these children and their scholastic difficulties (including school failure), and the psychic suffering expressed by some of them, which led us to question, challenge and propose therapeutic and educational care adapted to these children...
October 16, 2018: L'Encéphale
https://www.readbyqxmd.com/read/30340485/explaining-burnout-and-the-intention-to-leave-the-profession-among-health-professionals-a-cross-sectional-study-in-a-hospital-setting-in-switzerland
#10
Oliver Hämmig
BACKGROUND: Burnout and the intention to leave the profession are frequently studied outcomes in healthcare settings that have not been investigated together and across different health professions before. This study aimed to examine work-related explanatory factors or predictors of burnout and the intention to leave the profession among health professionals in general, and nurses and physicians in particular. METHODS: Cross-sectional survey data of 1840 employees of six public hospitals and rehabilitation clinics recorded in 2015/16 in German-speaking Switzerland were used...
October 19, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/30340468/item-distribution-internal-consistency-and-structural-validity-of-the-german-version-of-the-demqol-and-demqol-proxy
#11
Christian G G Schwab, Martin Nikolaus Dichter, Martin Berwig
BACKGROUND: Accurate assessment of health-related quality of life as an endpoint in intervention studies is a major challenge in dementia research. The DEMQOL (29 items) and the proxy version (32 items), which is partly based on the DEMQOL, are internationally used instruments. To date, there is no information on the structural validity, item distribution, or internal consistency for the German language version of these questionnaires. METHODS: This psychometric study is based on a secondary data analysis of a sample of 201 outpatients with a mild form of Alzheimer's disease (AD) and their informal caregivers...
October 19, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30340446/behavioural-health-risks-during-early-adolescence-among-perinatally-hiv-infected-south-african-adolescents-and-same-age-hiv-uninfected-peers
#12
Kirsty Brittain, Landon Myer, Nicole Phillips, Lucie D Cluver, Heather J Zar, Dan J Stein, Jacqueline Hoare
Behavioural health risks, including substance use, early sexual debut, bullying and suicidality, are common during adolescence, but may be complicated among perinatally HIV-infected adolescents. However, there are few data exploring these behaviours in sub-Saharan Africa. We compared behavioural health risks (any self-report of substance use, sexual activity, bullying others or suicidality, or a positive urine toxicology screen) among perinatally-infected adolescents ages 9-14 years to that of an HIV-uninfected comparator group; and explored the effect of behavioural health risks on adolescent and caregiver report of adolescent suboptimal adherence (missed antiretroviral therapy dose(s) on ≥1 day during the preceding 30 days) and elevated HIV viral load (≥50 and ≥1000 copies/mL in sensitivity analyses) in multivariable logistic regression models...
October 19, 2018: AIDS Care
https://www.readbyqxmd.com/read/30340102/eating-pattern-and-psychological-symptoms-a-cross-sectional-study-based-on-a-national-large-sample-of-chinese-adolescents
#13
Honglv Xu, Ying Sun, Yuhui Wan, Shichen Zhang, Huiqiong Xu, Rong Yang, Wei Wang, Hanjun Zeng, Shaojun Xu, Jiahu Hao, Fangbiao Tao
BACKGROUND: Previous studies showed inconsistent results of the relationship between eating patterns and mental health in adolescents, and little is known in Chinese adolescents. METHODS: A multi-center population-based survey was conducted in 32 schools in 4 provinces across China. A total of 14,500 adolescents at grade 7-12 completed eligible questionnaires. Emotional, conduct and social adaptation problems were assessed using Multi-dimensional Sub-health Questionnaire of Adolescents (MSQA), while eating pattern was collected using the semi-quantitative food frequency questionnaire (SQFFQ)...
October 6, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/30339725/on-being-mother-and-patient-dialectical-struggles-during-medically-high-risk-pregnancy
#14
Judith L M Mccoyd, Shari Munch, Laura Curran
Medically high-risk pregnancy (MHRP) affects 3 to 10% (diagnosis-dependent) of pregnant women in the United States (National Institute of Child Health Development, 2015), threatening maternal and fetal well-being. Although mothers' prenatal distress and mother-infant attachment after birth have been quantitatively researched, little research has examined women's lived experiences of MHRP in the United States. We examined 16 women's experiences of MHRP during hospitalization at an urban, Northeastern U.S. hospital using an interpretive phenomenological approach...
October 19, 2018: Infant Mental Health Journal
https://www.readbyqxmd.com/read/30338853/health-professionals-roles-and-practices-in-supporting-women-experiencing-miscarriage-a-qualitative-study
#15
Kirsten L B Jensen, Meredith J Temple-Smith, Jade E Bilardi
BACKGROUND: Miscarriage can result in significant psychological morbidity. Research suggests health professionals play a role in shaping women's experience of miscarriage. AIMS: This study explored the views and practices of Australian health professionals in caring for women experiencing miscarriage. MATERIALS AND METHODS: Twelve health professionals from disciplines including medicine, midwifery and sonography were purposively sampled. Semi-structured interviews were recorded, transcribed and subjected to thematic analysis...
October 19, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/30338707/work-environment-and-elderly-abuse-in-nursing-homes-the-mediating-role-of-burnout
#16
Marie Andela, Didier Truchot, Virginie Huguenotte
The present study focuses on elderly abuse committed by nurses and nurses' aides in nursing homes. Elderly abuse includes neglect and abusive behaviors deleterious to the health and welfare of the elderly. The study aimed at a better understanding of neglect and abusive behaviors by considering caregiver burnout and the work context of these professionals. To achieve this goal, direct effects of job demands (workload and emotional demands) and organizational resources (quality of relationships with colleagues and with the supervisor) on elderly abuse were analyzed...
October 19, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/30338615/biopsychosocial-approach-to-understanding-resilience-stress-habituation-and-where-to-intervene
#17
Jeanette M Bennett, Nicolas Rohleder, Joachim P Sturmberg
BACKGROUND: Resilience in the face of adversity is a human experience that leads to better health, both mentally and physically. We briefly review its historical origins rooted in ecological biology and its adoption into health care. Resilience is the common response to adversity or potential traumatic events. Individual differences in emotion regulation and coping skills as well as social capital and one's physical environment influence a person's ability to achieve resilience. PROPOSED MECHANISM: One potential biopsychosocial measure of resilience includes stress habituation to repeated stress as demonstrated in the laboratory, possibly providing a tool to observe mastery of resilience training in the clinic...
October 18, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/30338579/posttraumatic-stress-disorder-symptoms-temperament-and-the-pathway-to-cellular-senescence
#18
Samantha L Connolly, Tawni B Stoop, Mark W Logue, Esther Hana Orr, Immaculata De Vivo, Mark W Miller, Erika J Wolf
Traumatic stress is thought to be associated with shortened telomere length (TL) in leukocytes, an age-related marker of increased risk for cellular senescence, although findings thus far have been mixed. We assessed associations between posttraumatic stress disorder (PTSD) symptom severity, temperament, and TL in a sample of 453 White, non-Hispanic, middle-aged, trauma-exposed male and female veterans and civilians. Given that prior research has suggested an association between PTSD and accelerated cellular age, we also examined associations between TL and an index of accelerated cellular age derived from DNA methylation data (DNAm age)...
October 19, 2018: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/30338544/when-nowhere-is-safe-interpersonal-trauma-and-attachment-adversity-as-antecedents-of-posttraumatic-stress-disorder-and-developmental-trauma-disorder
#19
Joseph Spinazzola, Bessel van der Kolk, Julian D Ford
Developmental trauma disorder (DTD) has been proposed as clinical framework for the sequelae of complex trauma exposure in children. In this study, we investigated whether DTD is associated with different traumatic antecedents than posttraumatic stress disorder (PTSD). In a multisite sample of 236 children referred from pediatric or mental health treatment, DTD was assessed using the DTD Structured Interview. Trauma history was assessed using the Traumatic Events Screening Instrument (TESI). On an unadjusted basis, both DTD, odds ratios (ORs) = 2...
October 19, 2018: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/30338006/pain-the-neglect-issue-in-old-people-s-life
#20
Maryam Noroozian, Shima Raeesi, Rezvan Hashemi, Leila Khedmat, Zahra Vahabi
BACKGROUND: As the elderly population increases dramatically, the chronic age-related disease should be noted. In the elderly, chronic pain is a common health problem. METHODS: This search was performed in 3 databases (PubMed, Google Scholar, Embase). We have reviewed articles related to pain management in the elderly. RESULT: The prevalence of pain in people aged above 60 is twice that in younger people. Pain is estimated to be 45-85 per cent in the elderly...
September 25, 2018: Open Access Macedonian Journal of Medical Sciences
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