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Violence in emergency

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https://www.readbyqxmd.com/read/28210353/prevalence-of-horizontal-violence-among-emergency-attending-physicians-residents-and-physician-assistants
#1
Nico B Volz, Ryan Fringer, Bradford Walters, Terry Kowalenko
INTRODUCTION: Horizontal violence (HV) is malicious behavior perpetrated by healthcare workers against each other. These include bullying, verbal or physical threats, purposeful disruptive behavior, and other malicious behaviors. This pilot study investigates the prevalence of HV among emergency department (ED) attending physicians, residents, and mid-level providers (MLPs). METHODS: We sent an electronic survey to emergency medicine attending physicians (n=67), residents (n=25), and MLPs (n=24) in three unique EDs within a single multi-hospital medical system...
February 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28207914/memories-of-intimate-partner-violence-and-the-process-of-change
#2
Matan White, David E Pollio, Barry A Hong, Carol S North
BACKGROUND: One in 4 U.S. women experience intimate partner violence (IPV) during their lives. Despite the magnitude of this problem, little is known about the natural history of relationships involving IPV and how women exit them. METHODS: Narrative interviews were conducted using open-ended qualitative narrative techniques with a convenience sample of 7 women who had ended a relationship of ≥6 months' duration involving IPV at least 6 months ago. The interviews were audio recorded and transcribed...
February 2017: Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists
https://www.readbyqxmd.com/read/28195533/ethical-concerns-related-to-mandatory-reporting-of-sexual-violence
#3
N Jagadeesh, Padma Bhate-Deosthali, Sangeeta Rege
The provision of care for survivors of sexual violence is a medico-legal emergency. However, due to social issues, healthcare providers face several ethical and legal dilemmas when administering care to such survivors at hospitals. Added to these are the compulsions under mandatory reporting laws, which oblige healthcare providers to abide by the ethical commitments of care and treatment, and make it mandatory for them to report cases of sexual violence to the police, failing which they face legal sanctions...
November 25, 2016: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28165695/is-there-a-cure-for-violence
#4
Charles Bouchard
If you want to avoid violence, stay away from hospitals. The first time I went to an emer- gency room, to pick up an elderly friar who had taken a fall, I was shocked to encounter armed guards, metal detectors, police officers and even a handcuffed prisoner sitting in the waiting area. Was I in a hospital or a jail? This brief, daytime experience changed my im- age of emergency care forever. Since that first visit, I have learned that things are even worse than they appeared that day. Hospitals are dangerous places...
July 2016: Health Progress
https://www.readbyqxmd.com/read/28165691/de-escalate-tense-talk-five-simple-strategies-to-help-keep-things-cool
#5
Ann M Garrido
The tensions of the wider world all too frequently erupt in our nation's emergency rooms in the form of gunshot wounds and domestic battery, gang brawls and road rage accidents. As health care professionals, you generally are called into action after things have taken a turn toward violence. Even as you suture and bandage and console frightened family members, I imagine you sigh: "Why did things have to go this far?"
July 2016: Health Progress
https://www.readbyqxmd.com/read/28165686/violence-is-one-small-part-of-childhood-trauma-so-why-do-we-tend-to-focus-on-it-alone
#6
Jane Stevens
Many people and organizations focus on preventing violence with the belief that if our society can stop violence against chil- dren, then most childhood trauma will be eradicated. How- ever, research that has emerged over the last 20 years clearly shows that focusing primarily on violence prevention - physical and sexual abuse, in particular - doesn't eliminate the trauma that children experience, and it won't even prevent further violence.
July 2016: Health Progress
https://www.readbyqxmd.com/read/28155816/crisis-affected-populations-and-tuberculosis
#7
Dominik Zenner
By definition, humanitarian crises can severely affect human health, directly through violence or indirectly through breakdown of infrastructure or lack of provision for basic human needs, such as safe shelter, food, clean water, and suitable clothing. After the initial phase, these indirect effects are the most important determinants of morbidity and mortality in humanitarian emergencies, and infectious diseases are among the most significant causes of ill health. Tuberculosis (TB) incidence in humanitarian emergencies varies depending on a number of factors, including the country background epidemiology, but will be elevated compared with precrisis levels...
January 2017: Microbiology Spectrum
https://www.readbyqxmd.com/read/28148311/special-considerations-for-mass-violence-events-in-senior-living-facilities-a-case-report-on-the-pinelake-health-and-rehab-center-shooting
#8
Cody Martin, David Powell
The 2009 Pinelake Health and Rehab Center shooting in Carthage, North Carolina, presents a unique case study for examining the specific considerations for mass violence events in senior living facilities. A variety of factors, including reduced sensory perception, reduced mobility, and cognitive decline, may increase the vulnerability of the populations of senior living facilities during mass violence events. Management of response aspects such as evacuation, relocation, and reunification also require special consideration in the context of mass violence at senior living facilities...
February 2, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28147213/improving-the-ascertainment-of-refugee-background-people-in-health-datasets-and-health-services
#9
Jane Yelland, Elisha Riggs, Josef Szwarc, Dannielle Vanpraag, Wendy Dawson, Stephanie Brown
Ascertainment of vulnerable populations in health datasets is critical to monitoring disparities in health outcomes, enables service planning and guides the delivery of health care. There is emerging evidence that people of refugee backgrounds in Australia experience poor health outcomes and barriers to accessing services, yet a clear picture of these disparities is limited by what is routinely collected in health datasets. There are challenges to improving the accuracy of ascertainment of refugee background, with sensitivities for both consumers and providers about the way questions are asked...
February 2, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28137783/juggling-confidentiality-and-safety-a-qualitative-study-of-how-general-practice-clinicians-document-domestic-violence-in-families-with-children
#10
Jessica Drinkwater, Nicky Stanley, Eszter Szilassy, Cath Larkins, Marianne Hester, Gene Feder
BACKGROUND: Domestic violence and abuse (DVA) and child safeguarding are interlinked problems, impacting on all family members. Documenting in electronic patient records (EPRs) is an important part of managing these families. Current evidence and guidance, however, treats DVA and child safeguarding separately. This does not reflect the complexity clinicians face when documenting both issues in one family. AIM: To explore how and why general practice clinicians document DVA in families with children...
January 30, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28133724/mentalizing-family-violence-part-2-techniques-and-interventions
#11
Eia Asen, Peter Fonagy
This is the second of two companion papers that provide an overview of mentalization-based concepts and techniques when working with the seeming "mindlessness" of intra-family violence. The focus of this paper is on general mentalization-oriented approaches and specific interventions that aim to (1) disrupt the non-mentalizing cycles that can generate intra-family violence and (2) encourage the emergence of patterns of family interactions that provide the foundation for non-violent alternatives. Various playful exercises and activities are described, including the taking of "mental state snapshots" and "selfies" in sessions and staging inverted role-plays, as well as using theatrical masks and creating body-mind maps and scans...
January 29, 2017: Family Process
https://www.readbyqxmd.com/read/28130901/trauma-center-youth-violence-screening-and-brief-interventions-a-multisite-pilot-feasibility-study
#12
Donna M Kazemi, David G Jacobs, Sharon G Portwood, Laura Veach, Weihua Zhou, Melissa Johnson Hurley
Every day, 16 American youths between the ages of 10 and 24 years are murdered; 84% of these fatalities involve a firearm. Nearly half of traumatic youth deaths result from violence-related injuries. In 2013, 580,250 youth suffered nonfatal, assault-related injuries, necessitating emergency department treatment. The aim of this multisite pilot study was to examine the process, feasibility, and challenges of violence brief interventions (VBIs). The participants were youth between 15 and 25 years of age, at 2 major Level 1 trauma centers (TCs; TC1, TC2) in the Southeastern United States...
January 27, 2017: Violence and Victims
https://www.readbyqxmd.com/read/28116589/identifying-health-experiences-of-domestically-sex-trafficked-women-in-the-usa-a-qualitative-study-in-rikers-island-jail
#13
Anita Ravi, Megan Rose Pfeiffer, Zachary Rosner, Judy A Shea
While sex trafficking in the USA is a significant medical and public health issue, there is sparse data on the healthcare needs of and access for this population. This study was designed to identify experiences of domestically sex-trafficked women regarding healthcare access, reproductive health, and infectious diseases while trafficked. Trafficking survivors incarcerated in New York City's Rikers Island women's jail participated in audio-recorded interviews between July and September 2015. Recordings were transcribed, and a content analysis was completed to identify health-related themes...
January 23, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28114774/relational-wellbeing-following-traumatic-interpersonal-events-and-challenges-to-core-beliefs
#14
Julia S Kaufman, Lucy J Allbaugh, Margaret O'Dougherty Wright
OBJECTIVE: Prior research has found that the degree to which a traumatic event challenges core beliefs is associated with adjustment problems; however, how such experiences impact relational wellbeing has received little attention. The current study examined whether negative posttraumatic cognitions mediated the relation between examination of core beliefs and relational wellbeing in young adults following experiences of interpersonal trauma. METHOD: A moderated parallel mediation model investigated the relation between core beliefs and relational wellbeing through negative cognitions about the self, the world and others, self-blame, and depressive symptoms, following interpersonal violence (IPV; n = 168) and violent loss (VL; n = 102), with ego-resilience moderating the paths from examination of core beliefs to each mediator and relational wellbeing...
January 23, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28107371/sexual-reproductive-health-needs-and-rights-of-young-people-in-slum-areas-of-kampala-uganda-a-cross-sectional-study
#15
Andre M N Renzaho, Joseph K Kamara, Nichole Georgeou, Gilbert Kamanga
BACKGROUND: Young people in Uganda face various sexual and reproductive health risks, especially those living in urban slums. The aim of this study was to examine factors associated with comprehensive categories of sexual and reproductive health, including sexual behaviours; sexual education and access to contraceptive services; family planning; prevention of STDs; sexual consent as a right; gender based violence; as well as HIV testing, counselling, disclosure and support. METHODS: The study was cross-sectional in design and was carried out in July 2014 in Makindye and Nakawa Divisions of Kampala City, Uganda...
2017: PloS One
https://www.readbyqxmd.com/read/28103896/sexual-and-reproductive-health-services-utilization-by-female-sex-workers-is-context-specific-results-from-a-cross-sectional-survey-in-india-kenya-mozambique-and-south-africa
#16
Yves Lafort, Ross Greener, Anuradha Roy, Letitia Greener, Wilkister Ombidi, Faustino Lessitala, Jolene Skordis-Worrall, Mags Beksinska, Peter Gichangi, Sushena Reza-Paul, Jenni A Smit, Matthew Chersich, Wim Delva
BACKGROUND: Female sex workers (FSWs) are extremely vulnerable to adverse sexual and reproductive health (SRH) outcomes. To mitigate these risks, they require access to services covering not only HIV prevention but also contraception, cervical cancer screening and sexual violence. To develop context-specific intervention packages to improve uptake, we identified gaps in service utilization in four different cities. METHODS: A cross-sectional survey was conducted, as part of the baseline assessment of an implementation research project...
January 19, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28103871/a-descriptive-survey-study-of-violence-management-and-priorities-among-psychiatric-staff-in-mental-health-services-across-seventeen-european-countries
#17
Seamus Cowman, Anna Björkdahl, Eric Clarke, Georgina Gethin, Jim Maguire
BACKGROUND: In mental health services what is commonplace across international frontiers is that to prevent aggressive patients from harming themselves, other patients or staff, coercive measures and foremost, violence management strategies are required. There is no agreement, recommendations or direction from the EU on which measures of coercion should be practiced across EU countries, and there is no overall one best practice approach. METHODS: The project was conceived through an expert group, the European Violence in Psychiatry Research Group (EViPRG)...
January 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28078529/rethinking-preconception-care-a-critical-women-s-health-perspective
#18
Erika L Thompson, Coralia Vázquez-Otero, Cheryl A Vamos, Stephanie L Marhefka, Nolan S Kline, Ellen M Daley
Objectives Preconception care aims to provide care to reproductive aged individuals in order to improve pregnancy and birth outcomes. Given that preconception care is a public health priority, it is important to evaluate the evolution of this health paradigm and the promotion of preconception messages that are obtained by the public. We identified online preconception health messages, which were critically assessed through a women's health perspective. Methods We searched for "preconception care" on three major search engines...
January 11, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28077220/examining-the-impact-of-suicide-attempt-function-and-perceived-effectiveness-in-predicting-reattempt-for-emergency-medicine-patients
#19
Stephen S O'Connor, Katherine Anne Comtois, David C Atkins, Amanda H Kerbrat
While previous studies have examined motivational aspects of self-directed violence, few studies have included specific motivations in predictive models for future suicide attempts. The current study utilized a sample of 160 individuals treated in an acute emergency setting following a suicide attempt who completed an interview battery that included an assessment of functional aspects of the index suicide attempt. A follow-up interview was conducted at 6 months to ascertain subsequent suicide attempts. The functional domains of suicide attempts were labeled as reduction-of-distress, communication, perceived better alternative to living, and self-loathing...
January 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28076579/factors-that-influence-career-choice-in-primary-care-among-medical-students-starting-social-service-in-honduras
#20
E Benjamín Puertas, Tamara Y Rivera
Objective: To 1) describe patterns of specialty choice; 2) investigate relationships between career selection and selected demographic indicators; and 3) identify salary perception, factors that influence career choice in primary care, and factors that influence desired location of future medical practice. Methods: The study used a mixed-methods approach that included a cross-sectional questionnaire survey applied to 234 last-year medical students in Honduras (September 2014), and semi-structured interviews with eight key informants (October 2014)...
November 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
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