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https://www.readbyqxmd.com/read/28749562/school-based-systems-change-for-obesity-prevention-in-adolescents-outcomes-of-the-australian-capital-territory-it-s-your-move
#1
Mary Malakellis, Erin Hoare, Andrew Sanigorski, Nicholas Crooks, Steven Allender, Melanie Nichols, Boyd Swinburn, Cal Chikwendu, Paul M Kelly, Solveig Petersen, Lynne Millar
OBJECTIVE: The Australian Capital Territory 'It's Your Move!' (ACT-IYM) was a three-year (2012-2014) systems intervention to prevent obesity among adolescents. METHODS: The ACT-IYM project involved three intervention schools and three comparison schools and targeted secondary students aged 12-16 years. The intervention consisted of multiple initiatives at individual, community, and school policy level to support healthier nutrition and physical activity. Intervention school-specific objectives related to increasing active transport, increasing time spent physically active at school, and supporting mental wellbeing...
July 27, 2017: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/28749523/questionnaire-of-core-beliefs-related-to-drug-use-and-craving-for-assessment-of-relapse-risk
#2
José Miguel Martínez-González, Raquel Vilar López, Oscar Lozano-Rojas, Antonio Verdejo-García
This study was aimed at designing a questionnaire for the assessment of addiction-related core beliefs and craving. The sample comprised 215 patients (85.8% males and 14.2% females) in treatment for dependence to alcohol (40%), cocaine (36.3%) and cannabis (23.7%). Descriptive statistics were used to characterize the sample. Variance, regression and factorial analyses were conducted to study the questionnaire structure and its relation with variables such as abstinence and craving. Items about drug-related beliefs yielded a four-factor structure: what patient think that they could not do without drug use, lack of withdrawal, conditions required to use drugs again, and use of drugs as the only way to feel good...
July 12, 2017: Adicciones
https://www.readbyqxmd.com/read/28749238/aesthetic-and-functional-outcomes-using-a-multiloop-edgewise-archwire-for-camouflage-orthodontic-treatment-of-a-severe-class-iii-open-bite-malocclusion
#3
Guido Artemio Marañón-Vásquez, Luciano Carlos Soldevilla Galarza, Freddy Antonio Tolentino Solis, Cliff Wilson, Fábio Lourenço Romano
Occasionally, orthodontists will be challenged to treat malocclusions and skeletal disharmonies, which by their complexity one might think that the only treatment alternative is the surgical-orthodontic approach. A male patient, aged 17 years old, was diagnosed with a skeletal Class III malocclusion, anterior open bite and negative overjet. An unpleasant profile was the patient's 'chief complaint' showing interest in facial aesthetics improvement. Nevertheless, the patient and his parents strongly preferred a non-surgical treatment approach...
July 27, 2017: Journal of Orthodontics
https://www.readbyqxmd.com/read/28749063/patients-as-rights-holders
#4
Johan Brännmark
Autonomy and consent have been central values in Western moral and political thought for centuries. One way of understanding the bioethical models that started to develop, especially in the 1970s, is that they were about the fusion of a long-standing professional ethics with the core values underpinning modern political institutions. That there was a need for this kind of fusion is difficult to dispute, especially since the provision of health care has in most developed countries become an ever more important concern of our political institutions, with governments playing a significant role in regulating and facilitating the provision of health care and in many countries even largely organizing it...
July 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28749059/expanding-the-horizon-of-our-obligations-in-the-clinician-patient-relationship
#5
Robert D Truog
Johan Brännmark's article "Patients as Rights Holders," in this issue of the Hastings Center Report, squarely identifies some important problems with the way we in clinical practice conceive of our obligations to our patients. As a solution, he helpfully suggests augmenting our focus on autonomy and informed consent with a broader menu of considerations drawn from the literature on human rights. Respect for autonomy is, of course, one of the hallowed principles of bioethics. In our traditional understanding, our patients deserve our respect because they are capable of autonomous choice, and the way we demonstrate our respect is by seeking their informed consent for our care...
July 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28748747/association-between-metabolic-syndrome-and-overactive-bladder-a-case-control-study
#6
Zana Saratlija Novakovic, Roberta Andrea Tesija, Livia Puljak
OBJECTIVE: The aim of this case-control study was to investigate the association between overactive bladder (OAB) and metabolic syndrome (MetS). The primary hypothesis was that OAB is significantly more prevalent among patients with MetS than in control participants. MATERIALS AND METHODS: A case-control study was conducted among 114 patients, with 57 patients in the MetS group and 57 in the control group. Study participants were recruited in a family medicine practice...
July 27, 2017: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/28747933/i-think-i-m-going-to-be-sick-an-eight-year-old-boy-with-emetophobia-and-secondary-food-restriction
#7
Sarabpreet Dosanjh, William Fleisher, Diana Sam
We present a case of an eight-year-old boy with a specific phobia of vomiting who developed subsequent food restriction and weight loss. Our case report includes a review of treatment modalities for specific phobias including cognitive behavioural and exposure therapy in young children and the importance of parental involvement in the treatment process. After an initial assessment and diagnosis of this boy with emetophobia, treatment took place over ten subsequent visits, one hour each in duration. His treatment included a cognitive approach utilizing exposure therapy to re-introduce foods to his diet, working through a fear hierarchy, addressing cognitive distortions/misconceptions and psychoeducational supports...
July 2017: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/28747903/stoichiometric-mismatch-between-consumers-and-resources-mediates-the-growth-of-rocky-intertidal-suspension-feeders
#8
Matthew E S Bracken
The concept of ecological stoichiometry-the balancing of elemental ratios in ecological interactions-has transformed our thinking about processes in natural systems. Here, this perspective is applied to rocky shore ecosystems to explore the consequences of variation in internal nutrient ratios across two trophic levels. Specifically, I measured the internal concentrations of carbon (C) and nitrogen (N) in mussels (Mytilus spp.) and particulate organic matter (POM) to evaluate the effects of stoichiometric mismatch-the difference in the carbon-to-nitrogen ratio (C:N) between a consumer and its resources-on mussel growth at sites on the coasts of Oregon, USA, and the South Island of New Zealand...
2017: Frontiers in Microbiology
https://www.readbyqxmd.com/read/28747388/neuronal-p2x7-receptors-revisited-do-they-really-exist
#9
Peter Illes, Tahir Muhammad Khan, Patrizia Rubini
P2X7 receptors (Rs) constitute a subclass of ATP-sensitive ionotropic receptors (P2X1-P2X7). P2X7Rs have many distinguishing features, mostly based on their long intracellular C terminus regulating trafficking to the cell membrane, protein-protein interactions, and post-translational modification. Their C-terminal tail is especially important in enabling the transition from the nonselective ion channel mode to a membrane pore allowing the passage of large molecules. There is an ongoing dispute on the existence of neuronal P2X7Rs with consequences for our knowledge on their involvement in neuroinflammation, aggravating stroke, temporal lobe epilepsy, neuropathic pain, and various neurodegenerative diseases...
July 26, 2017: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/28747295/motivate-a-pretreatment-web-based-program-to-improve-attendance-at-uk-outpatient-services-among-adults-with-eating-disorders
#10
Sarah Muir, Ciarán Newell, Jess Griffiths, Kathy Walker, Holly Hooper, Sarah Thomas, Peter W Thomas, Jon Arcelus, James Day, Katherine M Appleton
BACKGROUND: In the UK, eating disorders affect upward of 725,000 people per year, and early assessment and treatment are important for patient outcomes. Around a third of adult outpatients in the UK who are referred to specialist eating disorder services do not attend, which could be related to patient factors related to ambivalence, fear, and a lack of confidence about change. This lack of engagement has a negative impact on the quality of life of patients and has implications for service costs...
July 26, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28747278/essential-tremor-then-and-now-how-views-of-the-most-common-tremor-diathesis-have-changed-over-time
#11
Elan D Louis
BACKGROUND: Essential tremor (ET) is the most prevalent tremor diathesis. In this "then" and "now" piece, I detail how views of this disorder have changed over time. METHODS: A PubMed search was conducted on June 15, 2017. The term "essential tremor" was crossed in sequential order with 14 s search terms (e.g., genetics, clinical). RESULTS: The traditional view of ET was that it was monosymptomatic. An emerging view of ET is as a more clinically-complex entity with a range of possible motor and non-motor features...
July 13, 2017: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/28746802/leading-by-gaslight-nursing-s-academic-leadership-struggles
#12
EDITORIAL
David R Thompson, Alexander M Clark
What characterizes strong nursing leadership in academia? Not what you might think. Popular mythology may suggest strength and certainty: people who transcend, get their way, and "call" the important decisions (Brown 2014). Yet, historian Archie Brown (2014) analyzing hundreds of leaders over hundreds of years suggests otherwise, with: integrity, relationship building, collegiality, curiosity, willingness to seek disparate views, empathy and energy being far more important (Brown 2014). Stereotypical strength, it transpires, is steadfast weakness...
July 26, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28746768/de-extinction-and-the-community-of-being
#13
Curt Meine
Extinction deeply colors the way we think about conservation and the role of humans in nature. It is easy to overlook how recently, in fact, it has entered our consciousness. Only in the last two centuries has science sought to critically study life's origins, development, and diversification. Only in the last several generations have we identified and calibrated life's five major extinction events and speculated on their causes and effects. And only in recent decades have we come to appreciate the still-unfolding fate of life's diversity under the increasing influence of humanity...
July 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28746765/the-spectacular-garden-where-might-de-extinction-lead
#14
Gregory E Kaebnick
The emergence of de-extinction is a study in technological optimism. What has already been accomplished in recovering ancient genomes, recreating them, and reproducing animals with engineered genomes is amazing but also has a long ways to go to achieve "de-extinction" as most people would understand that term. Still, with some caveats in place, creating a functional replacement for an extinct species may sometimes be doable, and given the right goals, might sometimes make sense. The International Union for Conservation of Nature guidelines for de-extinction do a reasonable job of keeping the caveats in place and clarifying the goals...
July 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28746764/de-extinction-and-taking-control-of-earth-s-metabolism
#15
Christopher J Preston
In a laboratory on a university campus in Santa Cruz, California, Ben Novak is doing everything he can to bring Ectopistes migratorius back from the dead. Using techniques now available in genome reading and gene synthesis, he and paleogenomicist Beth Shapiro hope that, by 2032, a flock of passenger pigeons ten thousand or more strong will have resumed an ecologically significant role in the mast forests of the Eastern United States. Novak knows-and the International Union for Conservation of Nature (IUCN) affirms-that the challenges involved in making de-extinction work are far from solely genetic...
July 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28746757/de-extinction-and-barriers-to-the-application-of-new-conservation-tools
#16
Philip J Seddon
Decades of globally coordinated work in conservation have failed to slow the loss of biodiversity. To do better-even if that means nothing more than failing less spectacularly-bolder thinking is necessary. One of the first possible conservation applications of synthetic biology to be debated is the use of genetic tools to resurrect once-extinct species. Since the currency of conservation is biodiversity and the discipline of conservation biology was formed around the prevention of species extinctions, the prospect of reversing extinctions might have been expected to generate unreserved enthusiasm...
July 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28745956/new-standards-and-framework-will-map-out-the-future-of-nursing
#17
Duncan Hamilton
Duncan Hamilton, Second Year Student, Adult Nursing, University of Surrey, shares what he thinks is missing from the Nursing and Midwifery Council's draft Standards of Proficiency and Education Framework.
July 27, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28745949/short-term-psychodynamic-therapy-for-obsessive-compulsive-disorder-a-manual-guided-approach-to-treating-the-inhibited-rebel
#18
Falk Leichsenring, Christiane Steinert
Obsessive-compulsive disorder (OCD) is a chronic disabling disorder characterized by recurrent obsessions and uncontrolled compulsions. Recent research on anxiety disorders suggests that manual-guided short-term psychodynamic therapy (STPP) may be a promising approach. Building on this, a model of STPP for OCD was developed based on Luborsky's supportive-expressive (SE) therapy. Treatment consists of 12 modules, which include the characteristic elements of SE therapy, that is, a focus on the Core Conflictual Relationship Theme (CCRT) associated with OCD symptoms and on establishing a secure alliance...
July 26, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745163/when-parents-no-longer-trust-the-professionals
#19
Doreen Crawford
Away from the media spotlight, nurses in neonatal and intensive care units across the UK continue to do their jobs. Difficult ethical cases in these units, such as the one at the centre of the High Court challenge by the parents of baby Charlie Gard (pictured), are more common than people might think.
July 26, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28745107/effectiveness-of-psychotherapy-in-adult-adhd-what-do-patients-think-results-of-the-compas-study
#20
Vivien Groß, Caroline Lücke, Erika Graf, Alexandra P Lam, Swantje Matthies, Patricia Borel, Esther Sobanski, Michael Rösler, Wolfgang Retz, Christian Jacob, Michael Colla, Michael Huss, Thomas Jans, Bernhard Kis, Mona Abdel-Hamid, Ludger Tebartz van Elst, Alexandra Philipsen
OBJECTIVE: In the multicenter study Comparison of Methylphenidate and Psychotherapy in Adult ADHD (COMPAS), the efficacy of treatments has been primarily evaluated by observer-rated symptom change. Here, we additionally analyzed the patients' subjective evaluation of therapy effects. METHOD: COMPAS compared ADHD-specific group therapy with unspecific clinical management with/without concomitant pharmacotherapy in a four-armed design. Evaluation through the patients' retrospective perspective was performed after 1 year (post-treatment) and after another 1...
July 1, 2017: Journal of Attention Disorders
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