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https://www.readbyqxmd.com/read/28432912/the-embodied-spaces-of-children-with-complex-care-needs-effects-on-the-social-realities-and-power-negotiations-of-families
#1
Roberta L Woodgate, Melanie Zurba, Marie Edwards, Jacquie D Ripat, Gina Rempel
This paper presents research findings that advance knowledge around the power and agency families with children with complex care needs (CCN). Our conceptual framework uses concepts from geography towards situating the experiences and social realities of family carers within the 'embodied space of care'. The data originate from a longitudinal qualitative study of Canadian families with children with CCN. Findings reveal that interactions and decision-making processes relating to health and everyday life were complex and socially interconnected, and emphasize the need for provisions for family-based decision-making and enhanced social inclusion of families and the importance of the renegotiation of power...
April 19, 2017: Health & Place
https://www.readbyqxmd.com/read/28432883/sagittal-plane-joint-kinetics-during-stair-ascent-in-patients-with-peripheral-arterial-disease-and-intermittent-claudication
#2
Stephanie L King, Natalie Vanicek, Thomas D O'Brien
Stair negotiation poses a substantial physical demand on the musculoskeletal system and this challenging task can place individuals at risk of falls. Peripheral arterial disease (PAD) can cause intermittent claudication (IC) pain in the calf and results in altered gait mechanics during level walking. However, whether those with PAD-IC adopt alternate strategies to climb stairs is unknown. Twelve participants with PAD-IC (six bilateral and six unilateral) and 10 healthy controls were recruited and instructed to ascend a five-step staircase whilst 3D kinematic data of the lower-limbs were recorded synchronously with kinetic data from force plates embedded into the staircase on steps two and three...
March 28, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28429990/medicaid-waivers-and-negotiated-federalism-in-the-us-is-there-relevance-to-other-federal-systems
#3
Carol S Weissert, William G Weissert
Medicaid waivers have been a principal tool of innovation in health policy in the US since at least the mid 1970s. As Republicans seek to give the states more flexibility in their implementation and management of both Medicaid and the Affordable Care Act or its replacement, waiver authority is likely to be one of the key work arounds for avoiding political barriers in the US Senate. While block-granting Medicaid may require 60 senate votes, waiver authority already exists in both Medicaid law and the Affordable Care Act...
January 1, 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429158/food-insecurity-substance-use-and-sexual-transmission-risk-behavior-among-people-living-with-hiv-a-daily-level-analysis
#4
Jennifer A Pellowski, Tania B Huedo-Medina, Seth C Kalichman
People living with HIV in poverty have limited tangible and mental resources coupled with competing demands for these resources. Competing demands require individuals to make choices that may be beneficial to them in the short term but not in the long term. Past research has shown that food insecurity is related to sexual risk behaviors among people living with HIV. Individuals who are food insecure may sell sex in order to obtain food or lack of food may lead to a depletion of mental resources to negotiate safe sex...
April 20, 2017: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/28429061/natural-resource-management-schemes-as-entry-points-for-integrated-landscape-approaches-evidence-from-ghana-and-burkina-faso
#5
Samson Foli, Mirjam A F Ros-Tonen, James Reed, Terry Sunderland
In recognition of the failures of sectoral approaches to overcome global challenges of biodiversity loss, climate change, food insecurity and poverty, scientific discourse on biodiversity conservation and sustainable development is shifting towards integrated landscape governance arrangements. Current landscape initiatives however very much depend on external actors and funding, raising the question of whether, and how, and under what conditions, locally embedded resource management schemes can serve as entry points for the implementation of integrated landscape approaches...
April 20, 2017: Environmental Management
https://www.readbyqxmd.com/read/28426304/a-significant-and-quiet-threat-to-public-health-in-the-united-states-state-preemption
#6
Jennifer L Pomeranz, Mark Pertschuk
State and local governments traditionally protect the health and safety of their populations more strenuously than does the federal government. Preemption, when a higher level of government restricts or withdraws the authority of a lower level of government to act on a particular issue, was historically used as a point of negotiation in the legislative process. More recently, however, 3 new preemption-related issues have emerged that have direct implications for public health. First, multiple industries are working on a 50-state strategy to enact state laws preempting local regulation...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28426245/visualizing-tensions-in-an-ethnographic-moment-images-and-intersubjectivity
#7
Jerome W Crowder
Images function as sources of data and influence our thinking about fieldwork, representation and intersubjectivity. In this article, I show how both the ethnographic relationships and the working method of photography lead to a more nuanced understanding of a healing event. I systematically analyze 33 photographs made over a 15 minute period during the preparation and application of a poultice (topical cure) in a rural Andean home. The images chronicle the event, revealing my initial reaction and the decisions I made when tripping the shutter...
April 20, 2017: Medical Anthropology
https://www.readbyqxmd.com/read/28426022/republican-scientists-negotiate-the-trump-era
#8
Sara Reardon
No abstract text is available yet for this article.
April 18, 2017: Nature
https://www.readbyqxmd.com/read/28425889/soap-methodology-in-general-practice-family-medicine-teaching-in-practical-context
#9
Luiz Miguel Santiago, Isabel Neto
INTRODUCTION: Medical records in General Practice/Family Medicine are an essential information support on the health status of the patient and a communication document between health professionals. The development of competencies in General Practice/Family Medicine during pre-graduation must include the ability to make adequate medical records in practical context. As of 2012, medicine students at the University of Beira Interior have been performing visits using the Subjective, Objective, Assessment and Plan - SOAP methodology, with a performance evaluation of the visit, with the aim to check on which Subjective, Objective, Assessment and Plan - SOAP aspects students reveal the most difficulties in order to define improvement techniques and to correlate patient grade with tutor evaluation...
December 30, 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28425118/engaging-conceptions-of-identity-in-a-context-of-medical-pluralism-explaining-treatment-choices-for-everyday-illness-in-niger
#10
Kelley Sams
This article uses ethnographic research to reflect upon how the treatment of 'everyday' illnesses in Niger engages concepts of social identity. Inspired by Bourdieu's concept of social distinction, as well as Appadurai's edited volume on the 'social lives' of 'things', I present an analysis of how medications are understood by their users in terms of social and ideological meaning in one rural Hausa village. Decisions about medication choice were framed by three main themes: belonging to the 'modern' world, 'traditional' Hausa culture, and religious identity...
April 20, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28424971/high-frequency-of-illegal-drug-use-influences-condom-use-among-female-transgender-sex-workers-in-argentina-impact-on-hiv-and-syphilis-infections
#11
María M Avila, María S Dos Ramos Farías, Lucía Fazzi, Marcela Romero, Elena Reynaga, Rubén Marone, María A Pando
The high prevalence of HIV and syphilis found among female transgender sex workers (FTSWs) in Argentina calls for the study of factors leading to negative health consequences. Given the particular characteristics observed in this population (high marginalization, school dropout, and low adherence to healthcare services), we explored the association of several socio-demographic characteristics with syphilis and HIV infections, and the determinants of condom use. This study revealed that FTSWs from Argentina were exposed to several risk factors decreasing thus their ability to negotiate condom use and leading to increased risk for transmission of HIV and other sexually transmitted infections (STIs)...
April 19, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28423478/a-qualitative-study-of-community-nurses-decision-making-around-the-anticipatory-prescribing-of-end-of-life-medications
#12
Ben Bowers, Sarah Redsell
AIMS: To explore community nurses' decision-making processes around the prescribing of anticipatory medications for people who are dying. BACKGROUND: Community nurses frequently initiate the prescribing of anticipatory medications to help control symptoms in those who are dying. However, little is known about their decision-making processes in relation to when they instigate anticipatory prescribing and their discussions with families and General Practitioners. DESIGN: A qualitative interpretive descriptive enquiry...
April 19, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28420990/managed-entry-agreements-for-oncology-drugs-lessons-from-the-european-experience-to-inform-the-future
#13
Kim Pauwels, Isabelle Huys, Sabine Vogler, Minne Casteels, Steven Simoens
Objectives: The aim of this study is to conduct an analysis on the regulation and application of managed entry agreements (MEA) for oncology drugs across different European countries. Methods: Literature search and document analysis were performed between September 2015 and June 2016 to collect information on the regulatory framework and practice of MEA in Belgium, The Netherlands, Scotland, England and Wales, Sweden, Italy, Czech Republic and France. An overview of the content and typology of MEA applied for oncology drugs between 2008 and 2015 was generated based on publically available sources and contributions by national health authorities...
2017: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/28418558/lectures-on-inhumanity-teaching-medical-ethics-in-german-medical-schools-under-nazism
#14
Florian Bruns, Tessa Chelouche
Nazi medicine and its atrocities have been explored in depth over the past few decades, but scholars have started to examine medical ethics under Nazism only in recent years. Given the medical crimes and immoral conduct of physicians during the Third Reich, it is often assumed that Nazi medical authorities spurned ethics. However, in 1939, Germany introduced mandatory lectures on ethics as part of the medical curriculum. Course catalogs and archival sources show that lectures on ethics were an integral part of the medical curriculum in Germany between 1939 and 1945...
April 18, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28417198/biases-in-the-production-and-reception-of-collective-knowledge-the-case-of-hindsight-bias-in-wikipedia
#15
Aileen Oeberst, Ina von der Beck, Mitja D Back, Ulrike Cress, Steffen Nestler
The Web 2.0 enabled collaboration at an unprecedented level. In one of the flagships of mass collaboration-Wikipedia-a large number of authors socially negotiate the world's largest compendium of knowledge. Several guidelines in Wikipedia restrict contributions to verifiable information from reliable sources to ensure recognized knowledge. Much psychological research demonstrates, however, that individual information processing is biased. This poses the question whether individual biases translate to Wikipedia articles or whether they are prevented by its guidelines...
April 17, 2017: Psychological Research
https://www.readbyqxmd.com/read/28416314/the-use-of-a-novel-approach-for-the-instrumentation-of-a-cone-beam-computed-tomography-discernible-lateral-canal-in-an-unusual-maxillary-incisor-case-report
#16
Antonis Chaniotis, Christos G Filippatos
Lateral and apical ramifications of the main root canal create potential pathways through which bacteria can spread and remain unaffected by treatment procedures. It is a challenge for the specialty to find techniques that can predictably reach, disinfect, and obturate these ramifications. Here, we report the use of a novel instrumentation approach to aid in the negotiation and management of a lateral canal discernible on cone-beam computed tomography (CBCT) in an unusual maxillary central incisor. A 23-year-old female patient was referred for evaluation and possible treatment of tooth 9...
April 14, 2017: Journal of Endodontics
https://www.readbyqxmd.com/read/28416084/a-conceptual-framework-for-negotiating-public-involvement-in-municipal-waste-management-decision-making-in-the-uk
#17
Kenisha Garnett, Tim Cooper, Philip Longhurst, Simon Jude, Sean Tyrrel
The technical expertise that politicians relied on in the past to produce cost-effective and environmentally sound solutions no longer provides sufficient justification to approve waste facilities. Local authorities need to find more effective ways to involve stakeholders and communities in decision-making since public acceptance of municipal waste facilities is integral to delivering effective waste strategies. This paper presents findings from a research project that explored attitudes towards greater levels of public involvement in UK waste management decision-making...
April 13, 2017: Waste Management
https://www.readbyqxmd.com/read/28415303/generic-patterns-in-the-evolution-of-urban-water-networks-evidence-from-a-large-asian-city
#18
Elisabeth Krueger, Christopher Klinkhamer, Christian Urich, Xianyuan Zhan, P Suresh C Rao
We examine high-resolution urban infrastructure data using every pipe for the water distribution network (WDN) and sanitary sewer network (SSN) in a large Asian city (≈4 million residents) to explore the structure as well as the spatial and temporal evolution of these infrastructure networks. Network data were spatially disaggregated into multiple subnets to examine intracity topological differences for functional zones of the WDN and SSN, and time-stamped SSN data were examined to understand network evolution over several decades as the city expanded...
March 2017: Physical Review. E
https://www.readbyqxmd.com/read/28412903/phage-life-cycles-behind-bacterial-biodiversity
#19
Tomasz Olszak, Agnieszka Latka, Bartosz Roszniowski, Miguel Angel Valvano, Zuzanna Drulis-Kawa
Bacteriophages (phages or bacterial viruses) are the most abundant biological entities in our planet; their influence reaches far beyond the microorganisms they parasitize. Phages are present in every environment and shape up every bacterial population in both active and passive ways. They participate in the circulation of organic matter and drive the evolution of microorganisms by horizontal gene transfer at unprecedented scales. The mass flow of genetic information in the microbial world influences the biosphere and poses challenges for science and medicine...
April 13, 2017: Current Medicinal Chemistry
https://www.readbyqxmd.com/read/28412766/integrative-governance-of-environmental-water-in-australia-s-murray-darling-basin-evolving-challenges-and-emerging-pathways
#20
Zachary Bischoff-Mattson, Amanda H Lynch
Integration, a widely promoted response to the multi-scale complexities of social-environmental sustainability, is diversely and sometimes poorly conceptualized. In this paper we explore integrative governance, which we define as an iterative and contextual process for negotiating and advancing the common interest. We ground this definition in a discussion of institutional factors conditioning integrative governance of environmental water in Australia's Murray-Darling Basin. The Murray-Darling Basin is an iconic system of social-ecological complexity, evocative of large-scale conservation challenges in other developed arid river basins...
April 15, 2017: Environmental Management
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