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https://www.readbyqxmd.com/read/29776821/wide-step-width-reduces-knee-abduction-moment-of-obese-adults-during-stair-negotiation
#1
Derek Yocum, Joshua T Weinhandl, Jeffrey T Fairbrother, Songning Zhang
PURPOSE: An increased likelihood of developing obesity-related knee osteoarthritis may be associated with increased peak internal knee abduction moments (KAbM). Increases in step width (SW) may act to reduce this moment. The purpose of this study was to determine the effects of increased SW on knee biomechanics during stair negotiation of healthy-weight and obese participants. METHODS: Participants (24: 10 obese and 14 healthy-weight) used stairs and walked over level ground while walking at their preferred speed in two different SW conditions - preferred and wide (200% preferred)...
May 15, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29773302/experiences-and-perceptions-of-black-men-who-have-sex-with-men-about-acquiring-hiv-a-qualitative-narrative-perspective
#2
Austin Nation, Catherine M Waters, Carol Dawson-Rose
In the United States, Black men who have sex with men (MSM), between the ages of 18 and 34 years, have the highest rates of new HIV infections. The prevalence of HIV in this population is three to four times higher than their White MSM counterparts. Twelve Black MSM from the Bay Area, nine with HIV and three without HIV, were interviewed regarding their experiences and perceived risks of acquiring HIV. Narrative analysis revealed these themes: (a) tested regularly for HIV, (b) HIV knowledge varied before arriving in San Francisco, (c) condom use typically nonexistent when under the influence of alcohol and other drugs, (d) inability to negotiate sex and condom usage, and (e) sense of anticipation, resignation, and acceptance about acquiring HIV...
April 25, 2018: Journal of the Association of Nurses in AIDS Care: JANAC
https://www.readbyqxmd.com/read/29772396/understanding-the-conceptualisation-of-risk-in-the-context-of-community-dementia-care
#3
Marissa Dickins, Dianne Goeman, Fleur O'Keefe, Steve Iliffe, Dimity Pond
Risk has become a ubiquitous presence in modern society. For individuals diagnosed with dementia this preoccupation with risk can affect their day-to-day life in many ways. Maintaining autonomy while balancing risks is a continual struggle not only for those living with the disease, but also their carers, family and health professionals. To understand how these different groups of individuals conceptualise the issue of risk for those living with dementia, 83 semi-structured interviews were conducted with people living with dementia, carers, older people without significant experience of dementia, and registered nurses, and staff from a community nursing organisation...
May 9, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29771624/virtual-reality-training-to-enhance-behavior-and-cognitive-function-among-children-with-attention-deficit-hyperactivity-disorder-brief-report
#4
Shirley Shema-Shiratzky, Marina Brozgol, Pablo Cornejo-Thumm, Karen Geva-Dayan, Michael Rotstein, Yael Leitner, Jeffrey M Hausdorff, Anat Mirelman
PURPOSE: To examine the feasibility and efficacy of a combined motor-cognitive training using virtual reality to enhance behavior, cognitive function and dual-tasking in children with Attention-Deficit/Hyperactivity Disorder (ADHD). METHODS: Fourteen non-medicated school-aged children with ADHD, received 18 training sessions during 6 weeks. Training included walking on a treadmill while negotiating virtual obstacles. Behavioral symptoms, cognition and gait were tested before and after the training and at 6-weeks follow-up...
May 17, 2018: Developmental Neurorehabilitation
https://www.readbyqxmd.com/read/29767897/-oncology-trajectories-of-elderly-patients-in-a-palliative-situation-%C3%A2-the-long-and-winding-road-%C3%A2
#5
Annick Anchisi, Rose-Anna Foley, Claire Ansermet, Sandro Anchisi
This paper focuses on trajectories of elderly patients with metastatic cancer who experience several lines of systemic palliative cancer treatments. Based on photographs representing paths, the representations between patients and professional caregivers vary. Where the latter see wearisome treatments and spaces of negotiation, the patients wish to be seen as fighters, a figure that ought to be adopted to face cancer and its treatments, day after day, to meet medical and social expectations.
May 16, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29767766/cost-transparency-in-neurosurgery-a-single-institution-analysis-of-patient-out-of-pocket-spending-in-13-673-consecutive-neurosurgery-cases
#6
Michael A Mooney, Seungwon Yoon, Tyler Cole, John P Sheehy, Michael A Bohl, F David Barranco, Peter Nakaji, Andrew S Little, Michael T Lawton
BACKGROUND: Patient out-of-pocket (OOP) spending is an increasingly discussed topic; however, there is minimal data available on the patient financial burden of surgical procedures. OBJECTIVE: To analyze hospital and surgeon expected payment data and patient OOP spending in neurosurgery. METHODS: This is a retrospective cohort study of neurosurgical patients at a tertiary-referral center from 2013 to 2016. Expected payments, reflecting negotiated costs-of-care, as well as actual patient OOP payments for hospital care and surgeon professional fees were analyzed...
May 15, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29767432/open-sepulchers-and-closed-boundaries-biodistance-analysis-of-cemetery-structure-and-postmarital-residence-in-the-late-prehispanic-andes
#7
Matthew C Velasco
OBJECTIVES: In the Late Intermediate Period Andes (AD 1100-1450), the proliferation of above-ground sepulchers reconfigured social boundaries within and between communities engaged in protracted conflict. However, the biosocial dimensions of these mortuary practices, and their implications for conflict and alliance formation, remain unexplored. This study examines patterns of phenotypic variation to: (1) evaluate if open sepulchers were organized on the basis of biological relatedness, and (2) explore if sex-specific phenotypic variability conforms to models of postmarital residence...
May 16, 2018: American Journal of Physical Anthropology
https://www.readbyqxmd.com/read/29767215/and-now-please-sign-on-the-dotted-line-teaching-residents-about-professional-life-after-residency
#8
Sherine Salib, Victoria Valencia, Alejandro Moreno
OBJECTIVES: Despite possible long-term repercussions, few training programs teach their residents about the business of medicine. In particular, certain contractual issues can adversely affect a young physician's career mobility. METHODS: We designed a business-of-medicine curriculum and used a survey to determine whether the curriculum satisfied attendees' perceived knowledge gaps about the topics covered in the course, which included four key contractual matters: physician employment contracts (including restrictive covenants), malpractice insurance, job search, and interviewing skills...
May 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29764911/a-deal-for-open-access-the-negotiations-between-the-german-deal-project-and-publishers-have-global-implications-for-academic-publishing-beyond-just-germany
#9
https://www.readbyqxmd.com/read/29764879/quest-for-certainty-regarding-early-discharge-in-paediatric-low-risk-febrile-neutropenia-a-multicentre-qualitative-focus-group-discussion-study-involving-patients-parents-and-healthcare-professionals-in-the-uk
#10
Jessica E Morgan, Bob Phillips, Lesley A Stewart, Karl Atkin
OBJECTIVES: A systematic review of paediatric low-risk febrile neutropenia found that outpatient care is safe, with low rates of treatment failure. However, this review, and a subsequent meta-ethnography, suggested that early discharge of these patients may not be acceptable to key stakeholders. This study aimed to explore experiences and perceptions of patients, parents and healthcare professionals involved in paediatric febrile neutropenia care in the UK. SETTING: Three different centres within the UK, purposively selected from a national survey on the basis of differences in their service structure and febrile neutropenia management...
May 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29764310/conflicting-contraceptive-norms-for-men-equal-responsibility-versus-women-s-bodily-autonomy
#11
Laurie James-Hawkins, Cristen Dalessandro, Christie Sennott
Most research investigating how men and women in heterosexual relationships negotiate contraceptive use focuses on the women's point of view. Using a sample of 44 interviews with men attending a western US university, this study examines norms governing men's participation in contraceptive use and pregnancy prevention and their responses to those norms. The paper demonstrates how competing norms around sexual health decision-making and women's bodily autonomy contribute to unintended outcomes that undermine young people's quest for egalitarian sexual relationships...
May 15, 2018: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/29763995/the-meaning-of-co-production-for-clinicians-an-exploratory-case-study-of-practitioner-trainers-in-one-recovery-college
#12
Mark Dalgarno, Jennifer Oates
INTRODUCTION: Co-production between service users and clinicians is a desirable element of recovery-oriented practice in mental health but the effect of co-production on clinicians has not been explored thoroughly. AIM: to explore the meaning of co-production for clinicians based on their experience of co-production in a Recovery College Method: Thematic analysis of eight semi-structured interviews with clinicians who have co-produced and co-delivered workshops with a Recovery College Peer Trainer...
May 15, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29761752/addressing-cancer-patient-and-caregiver-role-transitions-during-home-hospice-nursing-care
#13
Janella Hudson, Maija Reblin, Margaret F Clayton, Lee Ellington
OBJECTIVE: Many family caregivers and hospice patients experience role changes resulting from advancing illness and the need for increased caregiver responsibility. Successful navigation of conflicts that arise because of these role transitions has been linked to higher quality of patient care and improved caregiver bereavement adjustment. Nursing communication with patients and their caregivers plays an important role in facilitating these transitions. Our objective is to describe patient-caregiver-nurse communication during transitions at end of life...
May 15, 2018: Palliative & Supportive Care
https://www.readbyqxmd.com/read/29757091/striving-for-liminality-eating-disorders-and-social-suffering
#14
Karin Eli
In this article, I argue that eating disorders constitute a form of social suffering, in which sufferers embody liminality as a response to, and a reflection of, oppressive sociality, structural violence, and institutional constraints. Based on the illness narratives of people with anorexia nervosa, bulimia nervosa, and their subclinical variants in Israel, the analysis draws the experiential, the social, and the structural into critical focus. These narratives, which delineate lived experiences of self-starving, bingeing, and purging, and the attendant viscerality of hunger, fullness, and emptiness, reveal how participants developed an embodied drawing inward and away, being at once within and without society for extended periods of time, through eating disordered practices...
January 1, 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29754895/drug-consumption-rooms-comparing-times-spaces-and-actors-in-issues-of-social-acceptability-in-french-public-debate
#15
Marie Jauffret-Roustide, Isabelle Cailbault
BACKGROUND: In October 2016, the first French drug consumption room (DCR) opened in Paris. We propose to examine the process through which this issue has been framed as a matter of public concern, after being ignored for almost 20 years. Our analysis of the controversy on DCRs investigates how public conversations on harm reduction evolve according to the time period (from the 1990s to the present), scale of discourse (local vs. national), and involved actors (politicians, professionals, local residents, and drug users)...
May 10, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29754443/group-benefits-in-joint-perceptual-tasks-a-review
#16
REVIEW
Basil Wahn, Alan Kingstone, Peter König
In daily life, humans often perform perceptual tasks together to reach a shared goal. In these situations, individuals may collaborate (e.g., by distributing task demands) to perform the task better than when the task is performed alone (i.e., attain a group benefit). In this review, we identify the factors influencing if, and to what extent, a group benefit is attained and provide a framework of measures to assess group benefits in perceptual tasks. In particular, we integrate findings from two frequently investigated joint perceptual tasks: visuospatial tasks and decision-making tasks...
May 12, 2018: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29751812/negotiating-health-patients-and-guardians-perspective-on-failed-patient-professional-interactions-in-the-context-of-the-swedish-health-care-system
#17
Roland Koch, Stefanie Joos, Elsa-Lena Ryding
BACKGROUND: Sweden has a largely tax-funded health care system that aims at providing equal access for everyone. However, the individual's perception and experience of the health care system remains a relevant topic for researchers. The aim of this study is to learn the patient's perspective on how patients and professionals negotiate in the social context of the Swedish health care system. METHODS: Eight essays that had spontaneously been contributed to a medical writing contest were analyzed using narrative methods...
May 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29748787/rethinking-risk-culture-and-intervention-in-collective-sex-environments
#18
Katherine Frank
This article provides a narrative overview of research on HIV/STI risk and collective sexual behavior based on an inclusive analysis of research on environments where people gather for sexual activity-sex clubs, swingers' clubs, bathhouses, parks, private sex parties, etc. The aim is to analyze how collective sex has been approached across disciplines to promote conversation across paradigms and suggest new lines of inquiry. Attention to context-such as the location of sex-was a necessary redress to universalizing models of sexual risk-taking behavior, leading to insights rooted in the particularities of each environment and its users...
May 10, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29744694/is-there-a-duty-to-participate-in-digital-epidemiology
#19
Brent Mittelstadt, Justus Benzler, Lukas Engelmann, Barbara Prainsack, Effy Vayena
This paper poses the question of whether people have a duty to participate in digital epidemiology. While an implied duty to participate has been argued for in relation to biomedical research in general, digital epidemiology involves processing of non-medical, granular and proprietary data types that pose different risks to participants. We first describe traditional justifications for epidemiology that imply a duty to participate for the general public, which take account of the immediacy and plausibility of threats, and the identifiability of data...
May 9, 2018: Life Sciences, Society and Policy
https://www.readbyqxmd.com/read/29744286/adolescent-pregnancy-and-challenges-in-kenyan-context-perspectives-from-multiple-community-stakeholders
#20
Manasi Kumar, Keng-Yen Huang, Caleb Othieno, Dalton Wamalwa, Beatrice Madeghe, Judith Osok, Simon Njuguna Kahonge, Joyce Nato, Mary McKernon McKay
Objective: The key objective of this paper is to provide a phenomenological account of the mental health challenges and experiences of adolescent new mothers. We explore the role of social support and the absence of empathy plays in depression among pregnant adolescents. The project also collected data on the adolescents' caregiving environment which includes the adolescents' mothers, their partners, the community, and health care workers, as well as feedback from staff nurses at the maternal and child health centers...
March 2018: Global Social Welfare: Research, Policy & Practice
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