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https://www.readbyqxmd.com/read/29933511/partiality-impartiality-and-the-ethics-of-triage
#1
Ndukaku Okorie
In this paper, I discuss the question of partiality and impartiality in the application of triage. Triage is a process in medical research which recommends that patients should be sorted for treatment according to the degree or severity of their injury. In employing the triage protocol, however, the question of partiality arises because socially vulnerable groups will be neglected since there is the likelihood that the social determinants of a patient's health may diminish her chance of survival. As a process that is based on the severity of a patient's injury, triage will be unfair, and hence negatively partial, to socially vulnerable people...
June 22, 2018: Developing World Bioethics
https://www.readbyqxmd.com/read/29933493/the-impact-of-aphasia-camp-participation-on-quality-of-life-a-primary-progressive-aphasia-perspective
#2
Esther S Kim, Mathieu Figeys, H Isabel Hubbard, Carlee Wilson
Individuals with primary progressive aphasia (PPA) and their caregivers are at risk for decreased quality of life (QoL) due to their progressive condition. Aphasia camps are an intervention that can improve QoL, yet individuals with PPA are underrepresented at aphasia camps relative to those with poststroke aphasia. The purpose of this exploratory case study was to examine the effect of participation in aphasia camp on the QoL of a couple impacted by PPA. The Living with Aphasia: Framework for Outcome Measurement (A-FROM) was used to guide a semistructured interview with an individual with PPA and her spouse, both of whom had attended the Alberta Aphasia Camp for 4 years...
July 2018: Seminars in Speech and Language
https://www.readbyqxmd.com/read/29933492/group-communication-treatment-for-individuals-with-ppa-and-their-partners
#3
Aimee Mooney, Naomi Beale, Melanie Fried-Oken
Primary progressive aphasia (PPA) is a neurodegenerative syndrome characterized by insidious language deterioration. This young-onset disorder leaves adults with reduced communication skills for participation in social activities. There is limited evidence regarding group treatment for individuals with PPA, though the principles of chronic aphasia groups can be applied to this clinical population. We developed a PPA group treatment model incorporating compensatory strategies from augmentative and alternative communication (AAC), communication partner training from aphasia rehabilitation, and systematic instruction from dementia management...
July 2018: Seminars in Speech and Language
https://www.readbyqxmd.com/read/29933447/increasing-residency-research-output-while-cultivating-community-research-collaborations
#4
Sally P Weaver
BACKGROUND AND OBJECTIVES: Having a research curriculum in addition to hosting a resident research day stimulates research activity in residency programs. Research collaborations outside an individual residency program may also promote research in residency. This paper describes a community-wide health research forum that engages faculty and residents in research while bringing together potential research collaborators from the community. METHODS: A yearly research forum has been held at a large community-based family medicine residency program for the past 10 years...
June 2018: Family Medicine
https://www.readbyqxmd.com/read/29933426/social-representations-of-violence-against-women-for-a-group-of-rural-elderly
#5
Maiara Carmosina Hirt, Marta Cocco da Costa, Jaqueline Arboit, Marinês Tambara Leite, Lilian Zielke Hesler, Ethel Bastos da Silva
OBJECTIVE: Understand the social representations of violence against rural women, from the perspective of the elderly, considering how the generation and gender influence this aggravation. METHODS: Qualitative study, based on the Theory of Social Representations.It was carried out with 12 elderly rural women from a city of Rio Grande do Sul, in July and August of 2013. The data obtained through a projective technique and semi-structured interviews has been analyzed through the reference of the Social Representations and content analysis...
June 7, 2018: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/29933419/scale-for-supported-care-in-primary-care-a-methodological-study
#6
Elis Martins Ulbrich, Maria de Fátima Mantovani, Ângela Taís Mattei, Felismina Rosa Parreira Mendes
OBJECTIVE: To develop a predictive scale for determining complications in adults with hypertension and actions for care supported in primary care. METHOD: Methodological research developed in the municipality of Curitiba-PR in 2013 and 2014, carried out in two stages, the first through the collection of data from 387 adults with hypertension through a structured interview and anxiety scales, depression, quality of life, medication adherence and social support. The second step was the construction of the scale from the statistically significant variables in the multivariate analysis...
June 7, 2018: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/29933365/traditions-of-research-in-community-mental-health-care-planning-and-care-coordination-a-systematic-meta-narrative-review-of-the-literature
#7
Aled Jones, Ben Hannigan, Michael Coffey, Alan Simpson
CONTEXT: In response to political and social factors over the last sixty years mental health systems internationally have endeavoured to transfer the delivery of care from hospitals into community settings. As a result, there has been increased emphasis on the need for better quality care planning and care coordination between hospital services, community services and patients and their informal carers. The aim of this systematic review of international research is to explore which interventions have proved more or less effective in promoting personalized, recovery oriented care planning and coordination for community mental health service users...
2018: PloS One
https://www.readbyqxmd.com/read/29933336/determinants-of-patient-satisfaction-two-year-after-spinal-deformity-surgery-a-latent-class-analysis
#8
Jingyan Yang, Virginie Lafage, Renaud Lafage, Justin Smith, Eric O Klineberg, Christopher I Shaffrey, Gregory Mundis, Richard Hostin, Douglas Burton, Christopher P Ames, Shay Bess, Han Jo Kim, Frank Schwab
STUDY DESIGN: Retrospective review of prospective multicenter database. OBJECTIVE: To investigate the determinants of patient satisfaction with respect to changes in functional limitations two-year after spinal deformity surgery. SUMMARY OF BACKGROUND DATA: For operatively treated adult spine deformity (ASD), patient satisfaction has become an important component of evaluating quality of care. METHODS: 430 operative ASD patients with two-year follow-up were analyzed...
June 21, 2018: Spine
https://www.readbyqxmd.com/read/29933311/longitudinal-analysis-of-the-relationships-between-social-support-and-health-related-quality-of-life-in-hematopoietic-stem-cell-transplant-recipients
#9
Yongchun Liang, Haifang Wang, Meie Niu, Xiaming Zhu, Jianzheng Cai, Xiubei Wang
BACKGROUND: The correlation between social support and health-related quality of life (HRQOL) has been well documented, but whether social support changes or whether social support consistently plays a significant role in the various phases of the treatment process remains unknown among hematopoietic stem cell transplantation (HSCT) patients. OBJECTIVES: The aims of this study were to assess the changing trends of HRQOL and social support and evaluate the relationship between HRQOL and social support before and after transplantation...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933308/hopelessness-death-anxiety-and-social-support-of-hospitalized-patients-with-gynecologic-cancer-and-their-caregivers
#10
Fatma Uslu-Sahan, Fusun Terzioglu, Gulten Koc
BACKGROUND: Gynecologic cancer can create hopelessness and death anxiety and alter the lifestyle of the affected women and their caregivers. Perceived social support may facilitate coping with this illness. OBJECTIVE: The aim of this study was to determine whether hospitalized patients with gynecologic cancer and their caregivers differ in feelings of hopelessness and death anxiety and how those conditions may be related to their social support. METHODS: Two hundred patients with gynecologic cancer and their 200 caregivers from 1 university hospital were enrolled in this descriptive correlational study...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933211/understanding-the-health-and-wellbeing-challenges-of-the-food-banking-system-a-qualitative-study-of-food-bank-users-providers-and-referrers-in-london
#11
C Thompson, D Smith, S Cummins
In the UK, food poverty has been associated with conditions such as obesity, malnutrition, hypertension, iron deficiency, and impaired liver function. Food banks, the primary response to food poverty on the ground, typically rely on community referral and distribution systems that involve health and social care professionals and local authority public health teams. The perspectives of these key stakeholders remain underexplored. This paper reports on a qualitative study of the health and wellbeing challenges of food poverty and food banking in London...
May 16, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29933210/social-capital-outpatient-care-utilization-and-choice-between-different-levels-of-health-facilities-in-rural-and-urban-areas-of-bhutan
#12
Chantal Herberholz, Sonam Phuntsho
This study examines the factors that explain outpatient care utilization and the choice between different levels of health facilities in Bhutan, focusing on individual social capital, given Bhutan's geography of remote and sparsely populated areas. The more isolated the living, the more important individual social capital may become. Standard factors proposed by the Andersen model of healthcare utilization serve as control variables. Data for 2526 households from the 2012 Bhutan Living Standards Survey, which contains a social capital module covering structural, cognitive and output dimensions of social capital, are used...
June 18, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29933198/the-influence-of-social-relationships-and-school-engagement-on-academic-achievement-in-maltreated-adolescents
#13
Mary A Hershberger, Martin H Jones
Adolescents who have experienced maltreatment face many developmental and educational challenges compared with their non-maltreated peers. Research demonstrates the importance of social relationships in academic achievement among non-maltreated youth, and suggests the influence of parent and peer relationships for academic success in maltreated youth as well, including the potential benefit of school engagement. Data for the study comes from the first wave of the second National Survey of Child and Adolescent Well-Being (NSCAW II), a nationally-representative sample of children involved in Child Protective Services in the United States...
June 19, 2018: Journal of Adolescence
https://www.readbyqxmd.com/read/29933178/theory-of-mind-and-social-competence-in-children-and-adolescents-with-genetic-generalised-epilepsy-gge-relationships-to-epilepsy-severity-and-anti-epileptic-drugs
#14
Elizabeth Stewart, Cathy Catroppa, Deepak Gill, Richard Webster, John Lawson, Anna Mandalis, Mark Sabaz, Belinda Barton, Suncica Lah
PURPOSE: This study aimed to examine Theory of Mind (ToM) and social competence in children and adolescents with genetic generalised epilepsy (GGE), and explore how they relate to neurocognitive and epilepsy variables. METHODS: Twenty-two children and adolescents with GGE (8-16 years old) and 22 typically developing controls completed two behavioural tasks (faux-pas, strange stories) assessing cognitive and affective ToM, and a battery of standardised neuropsychological tests...
June 18, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/29933142/estimating-economic-and-environmental-trade-offs-of-managing-nitrogen-in-australian-sugarcane-systems-taking-agronomic-risk-into-account
#15
John Kandulu, Peter Thorburn, Jody Biggs, Kirsten Verburg
Use of chemical agricultural inputs such as nitrogen fertilisers (N) in agricultural production can cause diffuse source pollution thereby degrading the health of coastal and marine ecosystems in coastal river catchments. Previous reviewed economic assessments of N management in agricultural production seldom consider broader environmental impacts and uncertain climatic and economic conditions. This paper presents an economic risk framework for assessing economic and environmental trade-offs of N management strategies taking into account variable climatic and economic conditions...
June 19, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29933054/imaging-correlates-of-behavioral-impairments-an-experimental-pet-study-in-the-rat-pilocarpine-epilepsy-model
#16
Valentina Di Liberto, R Maarten van Dijk, Matthias Brendel, Ann-Marie Waldron, Christina Möller, Ines Koska, Isabel Seiffert, Fabio Gualtieri, Franz Josef Gildehaus, Barbara von Ungern-Sternberg, Magdalena Lindner, Sibylle Ziegler, Rupert Palme, Rainer Hellweg, Peter Gass, Peter Bartenstein, Heidrun Potschka
Psychiatric comorbidities are prevalent in patients with epilepsy and greatly contribute to the overall burden of disease. The availability of reliable biomarkers to diagnose epilepsy-associated comorbidities would allow for effective treatment and improved disease management. Due to their non-invasive nature, molecular imaging techniques such as positron emission tomography (PET) are ideal tools to measure pathologic changes. In the current study we investigated the potential of [18 F]fluoro-2-deoxy-d-glucose ([18 F]FDG) and 2'-methoxyphenyl-(N-2'-pyridinyl)-p-18 F-fluoro-benzamidoethylpiperazine ([18 F]MPPF) as imaging correlates of neurobehavioral comorbidities in the pilocarpine rat model of epilepsy...
June 19, 2018: Neurobiology of Disease
https://www.readbyqxmd.com/read/29933031/social-influences-on-microglial-reactivity-and-neuronal-damage-after-cardiac-arrest-cardiopulmonary-resuscitation
#17
Monica M Gaudier-Diaz, Adam H Haines, Ning Zhang, A Courtney DeVries
Social isolation presents a risk factor and worsens outcome to cerebrovascular diseases; however, the underlying mechanisms remain underspecified. This study examines the effect of social environment on microglial reactivity after global cerebral ischemia, to test the hypothesis that social isolation leads to greater microglial responses. Adult female and male mice were pair-housed or socially isolated for one week prior to cardiac arrest/cardiopulmonary resuscitation (CA/CPR) or the sham procedure, and following either 2 or 24 h of reperfusion, microglia samples were enriched and analyzed for gene expression...
June 19, 2018: Physiology & Behavior
https://www.readbyqxmd.com/read/29933007/gaba-a-receptors-in-the-ventral-tegmental-area-control-the-outcome-of-a-social-competition-in-rats
#18
Michael A van der Kooij, Ioannis Zalachoras, Carmen Sandi
Social dominance can be attained through social competitions. Recent work in both humans and rodents has identified trait anxiety as a crucial predictor of social competitiveness. In addition, the anxiolytic GABAA positive modulator, diazepam, injected either systemically or into the ventral tegmental area (VTA) was shown to increase social dominance. Here, we investigated the impact of pharmacologically targeting GABAA receptors in the VTA for the outcome of a social competition between two unfamiliar male rats, one of them infused with vehicle and the other one with the drug under study...
June 19, 2018: Neuropharmacology
https://www.readbyqxmd.com/read/29932951/stress-axis-regulation-during-social-ascension-in-a-group-living-cichlid-fish
#19
Brett M Culbert, Kathleen M Gilmour, Sigal Balshine
Animals living in groups often form social hierarchies, with characteristic behaviours and physiologies associated with rank. However, when social opportunities arise and a subordinate ascends into a dominant position, quick adjustments are necessary to secure this position. Such periods of social transition are typically associated with elevated glucocorticoid production, but the precise regulation of the stress axis during these occasions is not well understood. Using the group-living cichlid, Neolamprologus pulcher, the effects of social ascension on the stress axis were assessed...
June 19, 2018: Hormones and Behavior
https://www.readbyqxmd.com/read/29932875/perceptions-of-rehabilitation-and-return-to-sport-among-high-school-athletes-with-acl-reconstruction-a-qualitative-research-study
#20
Justin DiSanti, Caroline Lisee, Karl Erickson, David Bell, Michael Shingles, Christopher Kuenze
Study Design Phenomenographic, cross-sectional. Background Adolescent athletes struggle to return to sport (RTS) following ACL reconstruction (ACLR) for a number of physical and psychosocial reasons. The ability to incorporate contextual evidence obtained directly from patients with the growing body of quantitative rehabilitation research may aid clinicians in taking an evidence-based approach to rehabilitation and return to sports within the adolescent population.. Objectives To assess perceived barriers to RTS as well as positive and negative factors influencing recovery among high school athletes with recent history of ACLR...
June 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
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