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https://www.readbyqxmd.com/read/28324139/-diagnosis-and-treatment-of-dysphagia
#1
S Cantemir, A Laubert
Most swallowing problems can be treated, although the treatment depends on the type of dysphagia. A multidisciplinary team of surgeons, phoniatrists, and speech-language therapists is necessary to develop the appropriate treatment strategy. A thorough medical history, clinical investigation of the swallowing muscles, and fiberoptic endoscopic evaluation of swallowing with foods of different consistencies help to decide whether swallowing exercises alone are sufficient, or whether an additional pharmacologic or surgical treatment is needed to prevent aspiration, malnutrition, and dehydration...
March 21, 2017: HNO
https://www.readbyqxmd.com/read/28323747/supporting-a-youth-with-cerebellar-ataxia-into-adolescence
#2
Veronica Meneses, Zurisadai Gonzalez-Castillo, Veronica B Edgar, Marilyn Augustyn
Zoe, a 13-year-old white girl, presents as a new patient to your pediatric clinic with complaints of frequent emesis, anxiety, and learning problems, and previous diagnosis of cerebellar ataxia. Parents accompany Zoe and state, "it is really hard for her to go out, she gets sick and falls easily." She was born full term by vaginal delivery without complications. Given globally delayed milestones, she received early intervention services. Feeding problems began at infancy, including gastroesophageal reflux and aspiration pneumonia...
March 17, 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/28323590/the-ecology-of-medical-care-among-israeli-military-aviators
#3
Barak Gordon, Yuval Levy, Tal Yemini, Erez Carmon, Yifat Erlich, Doron Hermoni
BACKGROUND: The ecology of medical care model has been used in various populations with varying results. We aimed to apply this model in the population of Israeli Air Force (IAF) aviators. METHODS: An anonymous questionnaire was presented to all Israeli Air Force aviators during their mandatory yearly check-up over 1 yr starting on November 26th, 2012. The questionnaire contained items on demographic, personal, and military details, as well as items on the presence of clinical symptoms, and various health care contacts in the previous month...
December 1, 2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28319696/behavioral-activation-versus-physical-activity-via-the-internet-a-randomized-controlled-trial
#4
Markus B T Nyström, Andreas Stenling, Emma Sjöström, Gregory Neely, Philip Lindner, Peter Hassmén, Gerhard Andersson, Christopher Martell, Per Carlbring
BACKGROUND: A major problem today is that only about fifty percent of those affected by depression seeks help. One way to reach more sufferers would be by offering easily accessible internet based treatments. The purpose of this study was to compare/evaluate four therapist supported internet administered treatments. METHOD/RESULTS: Two hundred eighty six participants were included. The treatment period lasted twelve weeks, consisting of the following treatments: 1) physical activity without treatment rational, 2) physical activity with treatment rational, 3) behavioral activation without treatment rational and 4) behavioral activation with treatment rational...
March 15, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28318413/treatment-strategies-for-programming-and-ritual-abuse
#5
Colin Ross
Individuals in treatment for dissociative identity disorder not uncommonly describe childhood involvement in organized, multi-perpetrator ritual abuse. They described being "programmed" by the perpetrators and feel that the programming is out of their control. The author has developed a set of treatment strategies and interventions for such cases. These are based on the principle of therapeutic neutrality and can be used no matter what assumptions the therapist makes about the historical accuracy of the memories and beliefs...
February 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28318387/a-qualitative-study-of-the-challenges-of-providing-pre-prosthetic-rehabilitation-in-rural-south-africa
#6
Liezel Ennion, Anton Johannesson Johannesson
BACKGROUND: There is a known shortage of rehabilitation staff in rural settings and a sharp increase in the number of lower limb amputations being performed. A lack of adequate pre-prosthetic rehabilitation will result in worse physical and psychological outcomes for a person with a lower limb amputation, and they will not be eligible to be fitted with a prosthesis. OBJECTIVE: To explore therapists' experiences with providing pre-prosthetic rehabilitation in a rural setting...
March 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28318278/therapist-effects-on-dropout-from-a-college-counseling-center-practice-research-network
#7
Henry Xiao, Louis G Castonguay, Rebecca A Janis, Soo Jeong Youn, Jeffrey A Hayes, Benjamin D Locke
Dropout has been a pervasive and costly problem in psychotherapy, particularly for college counseling centers. The present study examined potential predictors of dropout using a large data set (N = 10,147 clients, 481 therapists) that was gathered through a college counseling center practice research network as a replication and extension of recent findings regarding therapist effects on dropout. The final model resulted in a dropout rate of 15.9% and a therapist effect of 9.51% on dropout variance. Therapist demographic variables were investigated, though none were found to be significant...
March 20, 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28317236/rehabilitation-of-revision-total-hip-replacement-a-multi-centre-survey-of-current-practice
#8
Meredith Newman, Karen Barker
BACKGROUND: Demand for revision total hip replacement (RTHR) is increasing. Outcomes after RTHR are varied, with reasonable pain relief but smaller gains in function and mobility. Whether sub-optimal rehabilitation contributes to poorer functional outcomes is unclear. Current rehabilitation is not well defined and there is little research into RTHR rehabilitation. AIMS AND OBJECTIVES: To gather information about the current rehabilitation of patients undergoing planned, single-stage revision or re-revision THR surgery...
March 20, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28317215/practice-requirements-for-psychotherapeutic-treatment-of-cancer-patients-in-the-outpatient-setting-a-survey-among-certified-psychotherapists-in-germany
#9
Susanne Singer, Erika Kojima, Jutta Beckerle, Bernhard Kleining, Erhard Schneider, Katrin Reuter
PURPOSE: The aim of this study was to delineate the challenges psychotherapists encounter when they treat cancer patients and how they organise their practices to be able to treat them. METHODS: A random sample of certified psychotherapists, licensed by the health authorities, with training in psycho-oncology, was asked to complete a questionnaire covering the following issues: therapists' qualifications, organisation of the practice, dealing with appointment cancellations, financing, and networking...
March 20, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28316270/the-prosthetist-role-expectations-scale-development-and-initial-validation-of-a-scale-for-clinical-settings
#10
Renee L Mackenzie, Meg E Morris, Gregory Murphy, Margaret C Hodge
BACKGROUND: The role of the prosthetist has changed substantially over the past century. In the transition from 'limb-maker' to 'clinician', the expectations of prosthetics professionals have also changed. OBJECTIVES: To develop and test a new scale capable of assessing and comparing current expectations of the roles of the prosthetist. STUDY DESIGN: Scale development and validation. METHODS: A new scale was constructed in accordance with Organizational Role Theory...
March 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28316266/differing-perspectives-on-parent-access-to-their-child-s-electronic-medical-record-during-neonatal-intensive-care-hospitalization-a-pilot-study
#11
Rebecca K Chung, Una Olivia Kim, Mir Abdul Basir
OBJECTIVE: To improve informed medical decision-making, principles for family-centered neonatal care recommends that parents have access to their child's medical record on an ongoing basis during neonatal intensive unit care (NICU) hospitalization. Currently many NICUs do not allow independent parent access to their child's electronic medical record (EMR) during hospitalization. We undertook a cross-sectional survey pilot study of medical professionals and parents to explore opinions regarding this practice...
March 19, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28306684/implementation-and-outcomes-of-a-community-based-pulmonary-rehabilitation-program-in-rural-appalachia
#12
Daniel Doyle, Chaffee Tommarello, Mike Broce, Mary Emmett, Cecil Pollard
PURPOSE: To report on the implementation and clinical outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. METHODS: Three rural health centers and a large referral hospital worked together to establish pulmonary rehabilitation services based on AACVPR guidelines. Each site hired at least 1 respiratory therapist. To measure clinical outcomes, a retrospective medical record study compared pre- and post-program values for the modified Medical Research Council dyspnea level, 6-minute walk test (6MWT), negative inspiratory force (NIF), respiratory disease knowledge, St George Respiratory Questionnaire (SGRQ), BODE index (body mass index, airflow obstruction, dyspnea and exercise capacity), and smoking status...
March 16, 2017: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/28306230/the-evidence-based-rationale-for-physical-therapy-treatment-of-children-adolescents-and-adults-diagnosed-with-joint-hypermobility-syndrome-hypermobile-ehlers-danlos-syndrome
#13
Raoul H H Engelbert, Birgit Juul-Kristensen, Verity Pacey, Inge de Wandele, Sandy Smeenk, Nicoleta Woinarosky, Stephanie Sabo, Mark C Scheper, Leslie Russek, Jane V Simmonds
New insights into the phenotype of Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome-hypermobile type (hEDS) have raised many issues in relation to classification, diagnosis, assessment, and treatment. Within the multidisciplinary team, physical therapy plays a central role in management of individuals with hypermobility related disorders. However, many physical therapists are not familiar with the diagnostic criteria, prevalence, common clinical presentation, and management. This guideline aims to provide practitioners with the state of the art regarding the assessment and management of children, adolescents, and adults with JHS/hEDS...
March 2017: American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
https://www.readbyqxmd.com/read/28303693/the-opinions-of-radiographers-nuclear-medicine-technologists-and-radiation-therapists-regarding-technology-in-health-care-a-qualitative-study
#14
Sil Aarts, Forra Cornelis, Yke Zevenboom, Patrick Brokken, Nicole van de Griend, Miriam Spoorenberg, Wendy Ten Bokum, Eveline Wouters
INTRODUCTION: New technology is continuously introduced in health care. The aim of this study was (1) to collect the opinions and experiences of radiographers, nuclear medicine technologists and radiation therapists regarding the technology they use in their profession and (2) to acquire their views regarding the role of technology in their future practice. METHODS: Participants were recruited from five departments in five hospitals in The Netherlands. All radiographers, nuclear medicine therapists and radiation therapists who were working in these departments were invited to participate (n = 252)...
March 2017: Journal of Medical Radiation Sciences
https://www.readbyqxmd.com/read/28303351/therapist-specific-factors-and-psychotherapy-outcomes-of-adult-and-youth-clients-seen-in-a-psychology-training-clinic
#15
Kerry K Prout, M Scott DeBerard
The current study investigated therapist demographic and level of experience in relation to psychotherapy outcomes for adult and child clients. The OQ-45 and Y-OQ 2.01 were used to assess outcomes for 199 adults and 169 youth clients seen for psychotherapy by graduate-level student therapists. Analyses included calculation of Pearson correlation coefficients for each therapist-specific factors (e.g., therapist age, sex) and total score change amount on the OQ-45/Y-OQ 2.01 by treatment outcome subgroup (e.g...
March 16, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28302189/temporal-dynamics-of-rituals-in-obsessive-compulsive-disorder
#16
Robert W Bond, Stephen J Guastello, Andrea D Guastello
Obsessive-compulsive disorder (OCD) is characterized by obsessions, defined as intrusive and persistent thoughts, and compulsions, defined as repetitive ritualistic behaviors that attempt to neutralize the anxiety associated with the obsessions. The present study investigated the patterns of symptoms as they occur over time in order to generate new insights about the triggers to symptoms. Fourteen adult participants who met the DSM-5 criteria for OCD completed 7-day logbooks of daily activities including the times when they engaged in compulsive rituals...
April 2017: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/28302187/dynamical-systems-theory-in-quantitative-psychology-and-cognitive-science-a-fair-discrimination-between-deterministic-and-statistical-counterparts-is-required
#17
Adam Gadomski, Marcel Ausloos, Tahlia Casey
This article addresses a set of observations framed in both deterministic as well as statistical formal guidelines. It operates within the framework of nonlinear dynamical systems theory (NDS). It is argued that statistical approaches can manifest themselves ambiguously, creating practical discrepancies in psychological and cognitive data analyses both quantitatively and qualitatively. This is sometimes termed in literature as 'questionable research practices.' This communication points to the demand for a deeper awareness of the data 'initial conditions, allowing to focus on pertinent evolution constraints in such systems...
April 2017: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/28302081/patient-reported-questionnaires-in-ms-rehabilitation-responsiveness-and-minimal-important-difference-of-the-multiple-sclerosis-questionnaire-for-physiotherapists-msqpt
#18
Nico Arie van der Maas
BACKGROUND: The Multiple Sclerosis Questionnaire for Physical Therapists (MSQPT) is a patient-rated outcome questionnaire for evaluating the rehabilitation of persons with multiple sclerosis (MS). Responsiveness was evaluated, and minimal important difference (MID) estimates were calculated to provide thresholds for clinical change for four items, three sections and the total score of the MSQPT. METHODS: This multicentre study used a combined distribution- and anchor-based approach with multiple anchors and multiple rating of change questions...
March 16, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28301799/does-participating-in-a-clinical-trial-affect-subsequent-nursing-management-post-trial-care-for-participants-recruited-to-the-intact-pressure-ulcer-prevention-trial-a-follow-up-study
#19
Joan Webster, Tracey Bucknall, Marianne Wallis, Elizabeth McInnes, Shelley Roberts, Wendy Chaboyer
BACKGROUND: Participation in a clinical trial is believed to benefit patients but little is known about the post-trial effects on routine hospital-based care. OBJECTIVES: To describe (1) hospital-based, pressure ulcer care-processes after patients were discharged from a pressure ulcer prevention, cluster randomised controlled trial; and (2) to investigate if the trial intervention had any impact on subsequent hospital-based care. METHODS: We conducted a retrospective analysis of 133 trial participants who developed a pressure ulcer during the clinical trial...
February 28, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28301173/psychotherapy-practices-for-veterans-with-ptsd-among-community-based-providers-in-texas
#20
Erin P Finley, Polly H Noël, Shuko Lee, Elizabeth Haro, Hector Garcia, Craig Rosen, Nancy Bernardy, Mary Jo Pugh, Jacqueline A Pugh
Significant changes in national health policy, like the Veterans Choice Act, have created growing opportunities for veterans to receive care outside of the Veterans Administration (VA), yet little is known about the attitudes and practices in PTSD care of community providers, particularly their use of evidence-based psychotherapies (EBPs). The authors assessed psychotherapy practices of community providers serving veterans with PTSD in Texas. They surveyed Texas mental health providers regarding their patient population, practice setting, and posttraumatic stress disorder (PTSD)-related screening, assessment, and treatment practices...
March 16, 2017: Psychological Services
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