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https://www.readbyqxmd.com/read/28818249/health-literacy-cancer-prevention-strategies-for-early-adults
#1
Robert A Simmons, Susan C Cosgrove, Martha C Romney, James D Plumb, Rickie O Brawer, Evelyn T Gonzalez, Linda G Fleisher, Bradley S Moore
Health literacy, the degree to which individuals have the capacity to obtain, process, and understand health information and services needed to make health decisions, is an essential element for early adults (aged 18-44 years) to make informed decisions about cancer. Low health literacy is one of the social determinants of health associated with cancer-related disparities. Over the past several years, a nonprofit organization, a university, and a cancer center in a major urban environment have developed and implemented health literacy programs within healthcare systems and in the community...
September 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28815488/exploring-vaccine-hesitancy-through-an-artist-scientist-collaboration-visualizing-vaccine-critical-parents-health-beliefs
#2
Kaisu Koski, Johan Holst
This project explores vaccine hesitancy through an artist-scientist collaboration. It aims to create better understanding of vaccine hesitant parents' health beliefs and how these influence their vaccine-critical decisions. The project interviews vaccine-hesitant parents in the Netherlands and Finland and develops experimental visual-narrative means to analyse the interview data. Vaccine-hesitant parents' health beliefs are, in this study, expressed through stories, and they are paralleled with so-called illness narratives...
August 16, 2017: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/28813432/basic-reversal-learning-capacity-in-flies-suggests-rudiments-of-complex-cognition
#3
Brad R Foley, Paul Marjoram, Sergey V Nuzhdin
The most basic models of learning are reinforcement learning models (for instance, classical and operant conditioning) that posit a constant learning rate; however many animals change their learning rates with experience. This process is sometimes studied by reversing an existing association between cues and rewards, and measuring the rate of relearning. Augmented reversal-learning, where learning rates increase with practice, can be an important component of behavioral flexibility; and may provide insight into higher cognition...
2017: PloS One
https://www.readbyqxmd.com/read/28813355/the-generalizability-of-working-memory-capacity-in-the-sport-domain
#4
REVIEW
Tim Buszard, Rich Sw Masters, Damian Farrow
Working-memory capacity has been implicated as an influential variable when performing and learning sport-related skills. In this review, we critically evaluate evidence linking working-memory capacity with performing under pressure, tactical decision making, motor skill acquisition, and sport expertise. Laboratory experiments link low working-memory capacity with poorer performance under pressure and poorer decision making when required to inhibit distractions or resolve conflict. However, the generalizability of these findings remains unknown...
August 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813240/when-does-therapeutic-misconception-affect-surrogates-or-subjects-decision-making-about-whether-to-participate-in-dementia-research
#5
Laura B Dunn, Barton W Palmer
"Therapeutic misconception" (TM) refers to inappropriate assumptions and beliefs on the part of research participants regarding key distinctions between the purpose, methods, intended benefits, and potential disadvantages of research compared to those of clinical care. Despite an extensive literature describing TM across varied types of research and populations, minimal work has addressed TM in the context of dementia research. This is a serious gap, for several reasons: people with dementia are at significant risk of diminished capacity; surrogate decision makers are typically asked to provide consent on behalf of the person with dementia; and available treatments for dementia are quite limited...
July 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28812832/exploring-the-functioning-of-decision-space-a-review-of-the-available-health-systems-literature
#6
REVIEW
Tamlyn Eslie Roman, Susan Cleary, Diane McIntyre
BACKGROUND: The concept of decision space holds appeal as an approach to disaggregating the elements that may influence decision-making in decentralized systems. This narrative review aims to explore the functioning of decision space and the factors that influence decision space. METHODS: A narrative review of the literature was conducted with searches of online databases and academic journals including PubMed Central, Emerald, Wiley, Science Direct, JSTOR, and Sage...
February 27, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28811893/knowledge-of-obstetric-danger-signs-and-associated-factors-among-pregnant-women-attending-antenatal-care-at-health-facilities-of-yirgacheffe-town-gedeo-zone-southern-ethiopia
#7
Desalegn Tsegaw Hibstu, Yadeshi Demisse Siyoum
BACKGROUND: Obstetric danger signs are not the literal obstetric complications, merely symptoms that are well named by non-clinical personnel. The identification of these danger signs and its relation with complications during pregnancy would increase the capacity of women, their partners and families to seek for timely health care, following the appropriate steps to insure a safe birth and post-partum. The aim of this study was to assess the knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care in Yirgacheffe town, Gedeo zone, Southern Ethiopia...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/28810973/the-influence-of-combat-experience-on-psychologically-healthy-soldiers-attentiveness-to-environmental-threats
#8
Bethany Ranes, Chris P Long, Stephanie Traynham, Amanda Hayes
INTRODUCTION: In contrast to previous research that has primarily examined how psychological disorders (e.g., post-traumatic stress disorder [PTSD], anxiety) are affected by and affect individuals' threat perceptions, this study examines the relationship between combat experience and threat-monitoring in psychologically healthy Soldiers. Existing research has established how prolonged or intense experiences with war-related stressors can lead individuals to undergo an unconscious fear-conditioning process that affects the circuitry of the prefrontal cortex, hippocampus, amygdala, and anterior cingulate cortex regions of the brain...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28807433/influences-on-decision-making-regarding-antipsychotic-prescribing-in-nursing-home-residents-with-dementia-a-systematic-review-and-synthesis-of-qualitative-evidence
#9
REVIEW
Kieran A Walsh, Rebecca Dennehy, Carol Sinnott, John Browne, Stephen Byrne, Jennifer McSharry, Eoin Coughlan, Suzanne Timmons
BACKGROUND: Antipsychotic prescribing is prevalent in nursing homes for the management of behavioral and psychological symptoms of dementia (BPSD), despite the known risks and limited effectiveness. Many studies have attempted to understand this continuing phenomenon, using qualitative research methods, and have generated varied and sometimes conflicting findings. To date, the totality of this qualitative evidence has not been systematically collated and synthesized. AIMS: To synthesize the findings from individual qualitative studies on decision-making and prescribing behaviors for antipsychotics in nursing home residents with dementia, with a view to informing intervention development and quality improvement in this field...
August 11, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28803565/evidence-informed-decision-making-for-nutrition-african-experiences-and-way-forward
#10
Richmond Aryeetey, Michelle Holdsworth, Christine Taljaard, Waliou Amoussa Hounkpatin, Esi Colecraft, Carl Lachat, Eunice Nago, Tesfaye Hailu, Patrick Kolsteren, Roos Verstraeten
Although substantial amount of nutrition research is conducted in Africa, the research agenda is mainly donor-driven. There is a clear need for a revised research agenda in Africa which is both driven by and responding to local priorities. The present paper summarises proceedings of a symposium on how evidence can guide decision makers towards context-appropriate priorities and decisions in nutrition. The paper focuses on lessons learnt from case studies by the Evidence Informed Decision Making in Nutrition and Health Network implemented between 2015 and 2016 in Benin, Ghana and South Africa...
August 14, 2017: Proceedings of the Nutrition Society
https://www.readbyqxmd.com/read/28803394/generation-and-management-of-waste-electric-vehicle-batteries-in-china
#11
ChengJian Xu, Wenxuan Zhang, Wenzhi He, Guangming Li, Juwen Huang, Haochen Zhu
With the increasing adoption of EVs (electric vehicles), a large number of waste EV LIBs (electric vehicle lithium-ion batteries) were generated in China. Statistics showed generation of waste EV LIBs in 2016 reached approximately 10,000 tons, and the amount of them would be growing rapidly in the future. In view of the deleterious effects of waste EV LIBs on the environment and the valuable energy storage capacity or materials that can be reused in them, China has started emphasizing the management, reuse, and recycling of them...
August 12, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28800808/legal-and-ethical-challenges-part-1-general-population
#12
REVIEW
Britta Ostermeyer, Anim N Shoaib, Swapna Deshpande
Several federal and state laws and regulations, as well as ethical medical principles, govern the emergency clinician's practice of care. Although some common legal-medical and ethical principles are shared with other medical specialties, emergency medicine and emergency psychiatry have unique legal and ethical challenges. This article presents and discusses these challenges, including the physician-patient relationship, malpractice, confidentiality and privilege, duty to report, decision-making capacity and vicarious decision-making, the Emergency Medical Treatment and Labor Act, right to treatment, hospital admissions, involuntary commitment, forced medication administration, and child and elder abuse...
September 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28792623/delay-discounting-of-losses-in-alcohol-use-disorders-and-antisocial-psychopathology-effects-of-a-working-memory-load
#13
Kyle Gerst, Rachel L Gunn, Peter R Finn
BACKGROUND: Alcohol use disorders (AUDs) are associated with increased discounting of delayed rewards and reduced executive working memory (eWM) capacity. This association is amplified when comorbid with antisocial psychopathology (AP). Furthermore, recent studies suggest that reduced WM capacity is associated with disinhibited decisions reflected by increased impulsive decision-making on the delay discounting of rewards task. While discounting of delayed rewards is well studied, the discounting of delayed losses (DDL) has received significantly less experimental attention...
August 9, 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/28792247/role-of-emotion-and-cognition-on-age-differences-in-the-framing-effect
#14
Bingyan Pu, Huamao Peng, Shiyong Xia
Framing effect studies indicate that individuals are risk averse for decisions framed as gains but risk-seeking for decisions framed as losses. Findings of age-related differences in susceptibility to framing are mixed. In the current study, we examined emotional arousal in two decision tasks (life saving vs. money gambling) to evaluate the effects of emotion on age differences in the framing effect. When cognitive abilities and styles were controlled, there was a framing effect in the younger group in the life-saving task, a high-emotional arousal task, while older adults did not display this classic framing effect pattern...
September 2017: International Journal of Aging & Human Development
https://www.readbyqxmd.com/read/28777233/validating-performance-of-a-hospital-discharge-planning-decision-tool-in-community-hospitals
#15
Diane E Holland, Cheryl Brandt, Paul V Targonski, Kathryn H Bowles
PURPOSE OF STUDY: The Early Screen for Discharge Planning (ESDP) is a decision support tool developed in an urban academic medical center. High ESDP scores identify patients with nonroutine discharge plans who would benefit from early discharge planning intervention. We aimed to determine the predictive performance of the ESDP in a different practice setting. PRIMARY PRACTICE SETTING: Rural regional community hospital. METHODOLOGY AND SAMPLE: We designed a comparative, descriptive survey study and enrolled a convenience sample of 222 patients (identified at admission) who provided informed consent...
September 2017: Professional Case Management
https://www.readbyqxmd.com/read/28771393/single-dose-testosterone-administration-impairs-cognitive-reflection-in-men
#16
Gideon Nave, Amos Nadler, David Zava, Colin Camerer
In nonhumans, the sex steroid testosterone regulates reproductive behaviors such as fighting between males and mating. In humans, correlational studies have linked testosterone with aggression and disorders associated with poor impulse control, but the neuropsychological processes at work are poorly understood. Building on a dual-process framework, we propose a mechanism underlying testosterone's behavioral effects in humans: reduction in cognitive reflection. In the largest study of behavioral effects of testosterone administration to date, 243 men received either testosterone or placebo and took the Cognitive Reflection Test (CRT), which estimates the capacity to override incorrect intuitive judgments with deliberate correct responses...
August 1, 2017: Psychological Science
https://www.readbyqxmd.com/read/28767299/the-mental-capacity-act-best-interests-a-review-of-the-literature
#17
Helen Marshall, Sally Sprung
The Mental Capacity Act (MCA) is statutory legislation introduced in 2007 in order to provide a consistent, robust framework with the aim to protect and empower people to make decisions themselves. However, an assessment as per the MCA may demonstrate that a person is lacking mental capacity and therefore unable to make an autonomous decision at the time it needs to be made. In this case, a 'best interests' decision may be made on their behalf, ensuring their wishes and beliefs are at the centre of the decision-making process...
August 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28766384/-did-i-make-the-right-decision-the-difficult-and-unpredictable-journey-of-being-a-surrogate-decision-maker-for-a-person-living-with-dementia
#18
Deirdre Fetherstonhaugh, Linda McAuliffe, Christopher Shanley, Michael Bauer, Elizabeth Beattie
Many people living with dementia eventually lose the capacity to make their own decisions and will rely on another person - a surrogate decision maker - to make decisions on their behalf. It is important - especially with the increasing prevalence of dementia - that the role of surrogate decision maker is understood and supported. This qualitative study explored the experiences of 34 surrogate decision makers of persons living with dementia in Australia. Face-to-face and telephone interviews were conducted over six months in 2014...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/28765415/making-difficult-decisions-with-older-patients-on-medical-wards
#19
Bushra Khizar, Rowan H Harwood
Decision making with older people can be difficult because of medical complexity, uncertainty (about prognosis, treatment effectiveness and priorities), difficulties brought by cognitive and communication impairment and the multiple family and other stakeholders who may need to be involved. The usual approach, based on balancing benefits and burdens of a treatment, and then deciding on the basis of autonomy (or best interests for someone lacking mental capacity), within the constraints of resources and equity, remains valid, but is often inadequate...
July 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/28764787/assessing-the-capacity-of-ministries-of-health-to-use-research-in-decision-making-conceptual-framework-and-tool
#20
Daniela C Rodríguez, Connie Hoe, Elina M Dale, M Hafizur Rahman, Sadika Akhter, Assad Hafeez, Wayne Irava, Preety Rajbangshi, Tamlyn Roman, Marcela Ţîrdea, Rouham Yamout, David H Peters
BACKGROUND: The capacity to demand and use research is critical for governments if they are to develop policies that are informed by evidence. Existing tools designed to assess how government officials use evidence in decision-making have significant limitations for low- and middle-income countries (LMICs); they are rarely tested in LMICs and focus only on individual capacity. This paper introduces an instrument that was developed to assess Ministry of Health (MoH) capacity to demand and use research evidence for decision-making, which was tested for reliability and validity in eight LMICs (Bangladesh, Fiji, India, Lebanon, Moldova, Pakistan, South Africa, Zambia)...
August 1, 2017: Health Research Policy and Systems
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