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https://www.readbyqxmd.com/read/29129715/reducing-barriers-to-healthy-weight-planned-and-responsive-adaptations-to-a-lifestyle-intervention-to-serve-people-with-impaired-mobility
#1
Andrea C Betts, Katherine Froehlich-Grobe, Simon Driver, Danielle Carlton, M Kaye Kramer
BACKGROUND: People with impaired mobility (IM) disabilities have a higher prevalence of obesity and obesity-related chronic conditions; however, lifestyle interventions that address the unique needs of people with IM are lacking. OBJECTIVE: This paper describes an adapted evidence-based lifestyle intervention developed through community-based participatory research (CBPR). METHODS: Individuals with IM, health professionals, disability group representatives, and researchers formed an advisory board to guide the process of thoroughly adapting the Diabetes Prevention Program Group Lifestyle Balance (DPP GLB) intervention after a successful pilot in people with IM...
October 27, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/29121623/metabolic-monitoring-in-new-zealand-district-health-board-mental-health-services
#2
Aimee Staveley, Ian Soosay, Anthony J O'Brien
AIM: To audit New Zealand district health boards' (DHBs) metabolic monitoring policies in relation to consumers prescribed second-generation antipsychotic medications using a best practice guideline. METHODS: Metabolic monitoring policies from DHBs and one private clinic were analysed in relation to a best practice standard developed from the current literature and published guidelines relevant to metabolic syndrome. RESULTS: Fourteen of New Zealand's 20 DHBs currently have metabolic monitoring policies for consumers prescribed antipsychotic medication...
November 10, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29121265/decisions-at-the-end-of-life-the-inimitable-hallmark-of-the-lawyer
#3
Mary Donnelly
THIS case commentary analyses the application of the best interests standard in section 4 of the Mental Capacity Act 2005 by the Court in the decision in Abertawe Bro Morgannwg University Local Health Board v RY (by his litigation friend the official solicitor) and CP [2017] EWCOP 2. It evaluates the way in which the law impacted on how clinical decisions in respect of RY were made and identifies systemic concerns arising from the case.
November 7, 2017: Medical Law Review
https://www.readbyqxmd.com/read/29117426/get-on-board-realizing-full-partnerships-in-health-care
#4
Jake Creviston, Michael Polacek
Psychiatric-mental health nurses (PMHNs) have a strong leadership history, but challenges (e.g., subordinate roles to physicians) to presenting a professional persona have made it difficult to actualize nursing leadership and realize full partnership in health care reform. Physicians outnumber nurses approximately four to one on hospital and other boards, and data suggest this gap is widening. Time, preparation, desire to serve, lack of a unified voice, and being viewed as employees versus professionals are barriers to optimal nursing leadership...
November 8, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29093936/child-and-youth-mental-health-in-postwar-sri-lanka
#5
Miyuru Chandradasa, K A L A Kuruppuarachchi
Sri Lanka's civil war and the tsunami in 2004 had enormous psychological impacts on the country's children. Tackling these issues has been difficult due to the lack of specialists in child and adolescent psychiatry. The end of the war in 2009 opened new avenues for the development of mental health services for children and youth in Sri Lanka. The year 2016 was historic in that the first board-certified child and adolescent psychiatrists assumed services in the country, after training in Australia.
May 2017: BJPsych Int
https://www.readbyqxmd.com/read/29061627/smartphone-enhanced-low-threshold-intervention-for-adolescents-with-anorexia-nervosa-seltian-waiting-for-outpatient-psychotherapy-study-protocol-of-a-randomised-controlled-trial
#6
David R Kolar, Florian Hammerle, Ekkehart Jenetzky, Michael Huss
INTRODUCTION: As smartphones are widely distributed nowadays, mental health apps seem to be a promising treatment tool. First self-help apps for eating disorders have been developed recently. However, studies assessing the efficacy of such apps are scarce. A smartphone app could prevent further weight reduction and increase commitment during waiting time for outpatient treatment, especially for adolescents with anorexia nervosa (AN). In this study protocol, a randomised controlled trial to assess the efficacy of a smartphone-enhanced low-threshold intervention for AN during waiting time is described...
October 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29042376/protocol-for-a-cohort-study-of-adolescent-mental-health-service-users-with-a-nested-cluster-randomised-controlled-trial-to-assess-the-clinical-and-cost-effectiveness-of-managed-transition-in-improving-transitions-from-child-to-adult-mental-health-services-the
#7
Swaran P Singh, Helena Tuomainen, Giovanni de Girolamo, Athanasios Maras, Paramala Santosh, Fiona McNicholas, Ulrike Schulze, Diane Purper-Ouakil, Sabine Tremmery, Tomislav Franić, Jason Madan, Moli Paul, Frank C Verhulst, Gwen C Dieleman, Jane Warwick, Dieter Wolke, Cathy Street, Claire Daffern, Priya Tah, James Griffin, Alastair Canaway, Giulia Signorini, Suzanne Gerritsen, Laura Adams, Lesley O'Hara, Sonja Aslan, Frédérick Russet, Nikolina Davidović, Amanda Tuffrey, Anna Wilson, Charlotte Gatherer, Leanne Walker
INTRODUCTION: Disruption of care during transition from child and adolescent mental health services (CAMHS) to adult mental health services may adversely affect the health and well-being of service users. The MILESTONE (Managing the Link and Strengthening Transition from Child to Adult Mental Healthcare) study evaluates the longitudinal course and outcomes of adolescents approaching the transition boundary (TB) of their CAMHS and determines the effectiveness of the model of managed transition in improving outcomes, compared with usual care...
October 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29037973/comparison-of-anterior-posterior-vertebral-column-resection-versus-anterior-posterior-spinal-fusion-for-severe-and-rigid-scoliosis
#8
Chunguang Zhou, Limin Liu, Yueming Song, Ganjun Feng, Xi Yang, Lei Wang
BACKGROUND CONTEXT: Many different correction methods have been reported to treat severe and rigid scoliosis. In the past, anterior/posterior spinal fusion (APSF), which included an anterior release followed by posterior instrumented fusion was widely applied. In recent years, anterior/posterior vertebral column resection (APVCR) is used to treat severe and rigid scoliosis. PURPOSE: To compare the clinical results of APSF and APVCR for severe and rigid scoliosis...
October 13, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29018072/association-between-home-visiting-interventions-and-first-nations-families-health-and-social-outcomes-in-manitoba-canada-protocol-for-a-study-of-linked-population-based-administrative-data
#9
Marni D Brownell, Nathan C Nickel, Jennifer E Enns, Mariette Chartier, Rhonda Campbell, Wanda Phillips-Beck, Dan Chateau, Elaine Burland, Rob Santos, Alan Katz
INTRODUCTION: First Nations people are descendants of Canada's original inhabitants. In consequence of historical and ongoing structural injustices, many First Nations families struggle with challenging living conditions, including high rates of poverty, poor housing conditions, mental illness and social isolation. These risk factors impede caregivers' abilities to meet their children's basic physical and psychosocial needs. Home visiting programmes were developed to support child developmental health in families facing parenting challenges...
October 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28992045/a-descriptive-analysis-of-the-educational-perceptions-professional-identity-and-professional-practices-of-dual-trained-music-therapists-as-counselors
#10
Emily E Sevcik, Jennifer D Jones, Charles E Myers
Background: Given the rise in music therapy master's programs that offer dual degrees in music therapy and counseling or programs that satisfy state mental health counseling licensure laws, the professional counseling field is playing an increased role in the advanced education and professional practices of music therapists. Objective: To identify factors that lead music therapists to pursue advanced education with an emphasis in professional counseling, perceptions about benefits and drawbacks for three advanced degree options (i...
November 1, 2017: Journal of Music Therapy
https://www.readbyqxmd.com/read/28986993/children-in-out-of-home-care-are-at-high-risk-of-somatic-dental-and-mental-ill-health
#11
L S Randsalu, L Laurell
AIM: The Swedish Social Board has implemented a support strategy to guide out-of-home care for children, which translates as children's needs in focus (CNIF) and includes a systematic health assessment. It was fully introduced into the Skåne province in 2012 and our study covered the first four years of the CNIF health assessments, from 2012 to 2015. METHODS: We studied children aged 0-17 years in out-of-home care who had been referred by social workers for a CNIF health assessment, using their medical records to investigate both their health and the value of the health assessments...
October 7, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28982484/medical-licensure-questions-and-physician-reluctance-to-seek-care-for-mental-health-conditions
#12
Liselotte N Dyrbye, Colin P West, Christine A Sinsky, Lindsey E Goeders, Daniel V Satele, Tait D Shanafelt
OBJECTIVE: To determine whether state medical licensure application questions (MLAQs) about mental health are related to physicians' reluctance to seek help for a mental health condition because of concerns about repercussions to their medical licensure. METHODS: In 2016, we collected initial and renewal medical licensure application forms from 50 states and the District of Columbia. We coded MLAQs related to physicians' mental health as "consistent" if they inquired only about current impairment from a mental health condition or did not ask about mental health conditions...
October 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28959452/predicting-early-transition-from-sub-syndromal-presentations-to-major-mental-disorders
#13
Shane P M Cross, Jan Scott, Ian B Hickie
BACKGROUND: Transition from at-risk state to full syndromal mental disorders is underexplored for unipolar and bipolar disorders compared with psychosis. AIMS: Prospective, trans-diagnostic study of rates and predictors of early transition from sub-threshold to full syndromal mental disorder. METHOD: One-year outcome of 243 consenting youth aged 15-25 years with a sub-syndromal presentation of a potentially severe mental disorder. Survival analysis and odds ratio (OR) for predictors of transition identified from baseline clinical and demographic ratings...
September 2017: BJPsych Open
https://www.readbyqxmd.com/read/28953817/working-in-psychiatry-in-new-zealand-experiences-of-international-non-new-zealand-medical-graduates
#14
Ahmed Hankir, Mohammad Shuaib, Sohail Akthtar, Aala Ali, Rashid Zaman
On the 11(th) of February 2016, the Health Secretary in the United Kingdom (UK) Jeremy Hunt announced his plan to impose the Junior Doctor Contract despite thousands of healthcare professionals storming the streets of Westminster in defiant protest. A leading member of the Royal College of Psychiatrists Psychiatric Trainee Committee described the Junior Doctor Contract as 'poisonous', exclaiming that it would be a 'disaster for mental health' and that it would 'disincentivize doctors to work in an already desperately under-resourced specialty'...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28951143/which-involuntary-admissions-are-revoked-by-mental-health-tribunals-a-report-from-the-dublin-involuntary-admission-study-dias
#15
Brendan D Kelly, Richard M Duffy, Aoife Curley
Little is known about which involuntary psychiatry patients are likely to have their involuntary admission orders revoked by mental health tribunals or review boards and which are not. We studied 2940 admissions, of which 423 (14.4%) were involuntary, at three adult psychiatry units covering a population of 552,019 people in Dublin. A majority of involuntary admission orders were revoked by psychiatrists (94.6%) rather than tribunals (3.0%). Revocation by tribunal was associated with older age and a diagnosis of schizophrenia...
September 20, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28911130/on-the-ferries-the-unmet-health-care-needs-of-transiting-refugees-in-greece
#16
REVIEW
Clare K Shortall, Rosanna Glazik, Alvin Sornum, Ceri Pritchard
Background: In 2015, over 850 000 refugees, asylum seekers and migrants arrived in Greece. In response to an overwhelming need for access to healthcare for them, Doctors of the World established the Refugee Ferry Project, which comprised of a clinic providing primary health care, and integrated mental health and psychosocial support on board a commercial ferry. Methods: Of the 1405 service users, 87.5% (1229/1405) originated from Syria, Afghanistan and Iraq. The majority were women 801/1405 (57%) and children 511/1405 (36%), including 50 pregnant women and 19 unaccompanied minors...
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28904813/seasonal-affective-disorder-and-non-seasonal-affective-disorders-results-from-the-nesda-study
#17
Wim H Winthorst, Annelieke M Roest, Elisabeth H Bos, Ybe Meesters, Brenda W J H Penninx, Willem A Nolen, Peter de Jonge
BACKGROUND: Seasonal affective disorder (SAD) is considered to be a subtype of depression. AIMS: To compare the clinical picture of SAD to non-seasonal affective disorders (non-SADs). METHOD: Diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) were established in 2185 participants of the Netherlands Study of Depression and Anxiety. The Seasonal Pattern Assessment Questionnaire was administered to diagnose SAD...
July 2017: BJPsych Open
https://www.readbyqxmd.com/read/28885954/medical-evaluation-board-for-mental-health-condition-u-s-army-officer-medical-evaluation-board-data-by-branch-and-component
#18
William A Thomas, Eric L Doane, Robert H Gallavan, Spencer Tavares, Mark C Jones
OBJECTIVE: A retrospective review of Medical Evaluation Board (MEB) data to determine the effect of career field or Army component on the relative risk for mental health (MH) related MEBs among Army Officers, may identify specific populations for enhanced screening before accession, or groups that may require targeted preventive resources during their careers. METHOD: 4 years' of data available on Army Officers from the Department of the Army's Electronic Disability Evaluation System database, contained specific information on the officers' physical profiles, career fields, and service component...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28885932/screening-for-complicated-grief-in-a-military-mental-health-clinic
#19
Eileen M Delaney, Kathryn J Holloway, Derek M Miletich, Jennifer A Webb-Murphy, Nicole M Lanouette
INTRODUCTION: Bereavement is one of the most common and stressful life experiences one can endure. Typical grief reactions follow a course of recovery in which individuals come to terms with the loss and resume functioning within weeks to months. However, for some, grief remains indefinitely distressing. Complicated Grief (CG) refers to significant chronic impairment that stems from bereavement. Military service members experience myriad factors that likely increase their risk for developing CG...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28885930/therapeutic-lifestyle-changes-impact-on-weight-quality-of-life-and-psychiatric-symptoms-in-veterans-with-mental-illness
#20
Jillian M Tessier, Zachary D Erickson, Hilary B Meyer, Matthew R Baker, Hollie A Gelberg, Irina Y Arnold, Crystal Kwan, Valery Chamberlin, Jennifer A Rosen, Chandresh Shah, Gerhard Hellemann, Melissa M Lewis, Charles Nguyen, Neena Sachinvala, Binyamin Amrami, Joseph M Pierre, Donna Ames
INTRODUCTION: Veterans with mental illness tend to have shorter life spans and suboptimal physical health because of a variety of factors. These factors include poor nutrition, being overweight, and smoking cigarettes. Nonphysical contributors that may affect quality of life are the stigma associated with mental illness, social difficulties, and spiritual crises. Current mental health treatment focuses primarily on the delivery of medication and evidence-based psychotherapies, which may not affect all the above areas of a Veteran's life as they focus primarily on improving psychological symptoms...
September 2017: Military Medicine
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