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https://www.readbyqxmd.com/read/27898210/the-role-of-early-maternal-support-in-balancing-full-time-work-and-infant-exclusive-breastfeeding-a-qualitative-study
#1
Lea Pounds, Christopher M Fisher, Debora Barnes-Josiah, Jason D Coleman, R Craig Lefebvre
INTRODUCTION: Support of others is a key factor for mothers who choose to breastfeed their infants, including those who balance work outside the home and breastfeeding. However, little research has been done to understand how maternal support during the postpartum period impacts mothers' ability to later balance work and breastfeeding, in particular full-time work and exclusive breastfeeding. The results of this qualitative study indicate that the timing of support plays a key role in mothers' ability to successfully overcome barriers during the early postpartum period, thus building maternal self-efficacy in addressing problems encountered when they return to work...
November 29, 2016: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/27895974/genetic-screening-in-patients-with-craniofacial-malformations
#2
REVIEW
Amanda J Yoon, Binh N Pham, Katrina M Dipple
Craniofacial malformations include a variety of anomalies, including cleft lip with or without cleft palate, craniosynostosis, microtia, and hemifacial microsomia. All of these anomalies can be either isolated or part of a defined genetic syndrome. A clinical geneticist or genetic counselor should be a member of the craniofacial team to help determine which patients have isolated anomalies and which are likely to have a syndrome. They would then arrange for the appropriate genetic testing to confirm the diagnosis of the specific syndrome...
December 2016: Journal of Pediatric Genetics
https://www.readbyqxmd.com/read/27891554/teaching-genetic-counseling-skills-incorporating-a-genetic-counseling-adaptation-continuum-model-to-address-psychosocial-complexity
#3
Andrea Shugar
Genetic counselors are trained health care professionals who effectively integrate both psychosocial counseling and information-giving into their practice. Preparing genetic counseling students for clinical practice is a challenging task, particularly when helping them develop effective and active counseling skills. Resistance to incorporating these skills may stem from decreased confidence, fear of causing harm or a lack of clarity of psycho-social goals. The author reflects on the personal challenges experienced in teaching genetic counselling students to work with psychological and social complexity, and proposes a Genetic Counseling Adaptation Continuum model and methodology to guide students in the use of advanced counseling skills...
November 28, 2016: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/27886657/receipt-of-addiction-treatment-as-a-consequence-of-a-brief-intervention-for-drug-use-in-primary-care-a-randomized-trial
#4
Theresa W Kim, Judith Bernstein, Debbie M Cheng, Christine Lloyd-Travaglini, Jeffrey H Samet, Tibor P Palfai, Richard Saitz
BACKGROUND AND AIMS: Screening, brief intervention and 'referral to treatment' programs have been widely promoted as US federal policy. Little is known about the efficacy of the RT component (referral to treatment) of brief intervention for motivating patients with unhealthy drug use identified by screening to use addiction treatment. This study aimed to compare receipt of addiction treatment following two types of brief intervention for drug use vs a no-intervention control group among primary care patients screening positive for drug use...
November 25, 2016: Addiction
https://www.readbyqxmd.com/read/27878832/prenatal-cfdna-screening-results-indicative-of-maternal-neoplasm-survey-of-current-practice-and-management-needs
#5
Meagan E Giles, Lauren Murphy, Nevena Krstić, Cathy Sullivan, Syed S Hashmi, Blair Stevens
OBJECTIVE: To determine genetic counselors' current practices and management needs for patients with prenatal cfDNA screening results indicative of maternal neoplasm. METHODS: A survey was completed by genetic counselors recruited via the National Society of Genetic Counselors (NSGC). RESULTS: Over 300 genetic counselors were surveyed. Almost all participants (95%) were aware that NIPT results may suggest maternal neoplasm and 77% reported they would disclose such results...
November 23, 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27873131/2017-national-society%C3%A2-of-genetic-counselors-presidential-address-do-something-that-scares-you
#6
EDITORIAL
Mary E Freivogel
No abstract text is available yet for this article.
November 21, 2016: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/27873027/assessing-clinical-improvement-in-school-based-treatment-for-social-anxiety-disorder-agreement-between-adolescents-parents-and-independent-evaluators
#7
Jeremy K Fox, Carrie Masia Warner
The Clinical Global Impressions of Improvement (CGI-I) scale is widely used in clinical trials to monitor clinically meaningful change during treatment. Although it is standard practice in research to have independent evaluators (IEs) complete the CGI-I, this approach is not practical in school and community settings. Few studies have explored the potential utility of other informants, such as youth and parents. Therefore, this study aimed to investigate agreement between IEs and both adolescents and parents in CGI-I improvement ratings in the context of a randomized controlled trial of cognitive-behavioral therapy for social anxiety disorder, as delivered by psychologists and school counselors...
November 22, 2016: Child Psychiatry and Human Development
https://www.readbyqxmd.com/read/27870147/management-strategies-in-lynch-syndrome-and-familial-adenomatous-polyposis-a-national-healthcare-survey-in-japan
#8
Tomoki Yamano, Michiko Hamanaka, Akihito Babaya, Kei Kimura, Masayoshi Kobayashi, Miki Fukumoto, Kiyoshi Tsukamoto, Masafumi Noda, Nagahide Matsubara, Naohiro Tomita, Kenichi Sugihara
Lynch syndrome (LS) and familial adenomatous polyposis (FAP) are major sources of hereditary colorectal cancer (CRC) and associated with other malignancies. There is some heterogeneity in management strategies in Japan. We performed a survey of management of hereditary CRC in hospitals that are members of the Japan Society of Colorectal Cancer Research (JSCCR). One hundred and ninety departments responded, of which 127 were from designated cancer care hospitals (DCCHs) according to the Japanese government. There were 25 488 operations for CRC in these departments in 2015...
November 21, 2016: Cancer Science
https://www.readbyqxmd.com/read/27864203/implementation-of-a-multidisciplinary-pharmacogenomics-clinic-in-a-community-health-system
#9
Henry M Dunnenberger, Matthew Biszewski, Gillian C Bell, Annette Sereika, Holley May, Samuel G Johnson, Peter J Hulick, Janardan Khandekar
PURPOSE: The development and implementation of a multidisciplinary pharmacogenomics clinic within the framework of an established community-based medical genetics program are described. SUMMARY: Pharmacogenomics is an important component of precision medicine that holds considerable promise for pharmacotherapy optimization. As part of the development of a health system-wide integrated pharmacogenomics program, in early 2015 Northshore University Health-System established a pharmacogenomics clinic run by a multidisciplinary team including a medical geneticist, a pharmacist, a nurse practitioner, and genetic counselors...
December 1, 2016: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/27862088/prognostic-dilemmas-and-genetic-counseling-for-prenatally-detected-fragile-x-gene-expansions
#10
Brenda Finucane, Sharyn Lincoln, Lindsay Bailey, Christa Lese Martin
With widespread adoption of fragile X carrier screening in pregnant women, the number of expectant couples receiving news of an unanticipated Fragile X Mental Retardation 1 (FMR1) gene expansion has increased. The most common abnormal result from maternal FMR1 testing involves an intermediate allele, also known as a gray zone result, which requires genetic counseling but poses minimal risk for an adverse developmental outcome. By contrast, the finding of a maternal FMR1 pre- or full mutation during pregnancy has important implications for the woman herself, her unborn child, and her extended family...
November 11, 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27862072/views-of-american-ob-gyns-on-the-ethics-of-prenatal-whole-genome-sequencing
#11
Michelle J Bayefsky, Amina White, Paul Wakim, Sara Chandros Hull, David Wasserman, Stephanie Chen, Benjamin E Berkman
OBJECTIVE: Given public demand for genetic information, the potential to perform prenatal whole-genome sequencing (PWGS) non-invasively in the future, and decreasing costs of whole-genome sequencing, it is likely that OB/GYN practice will include PWGS. The goal of this project was to explore OB/GYNs' views on the ethical issues surrounding PWGS and their preparedness for counseling patients on its use. METHODS: A national survey was administered to 2,500 members of ACOG...
November 16, 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27849369/understanding-barriers-to-scaling-up-hiv-assisted-partner-services-in-kenya
#12
Marielle Goyette, Beatrice Muthoni Wamuti, Mercy Owuor, David Bukusi, Peter Mutiti Maingi, Felix Abuna Otieno, Peter Cherutich, Anne Ng'ang'a, Carey Farquhar
Assisted partner services (APS) are more effective than passive referral in identifying new cases of HIV in many settings. Understanding the barriers to the uptake of APS in sub-Saharan Africa is important before its scale up. In this qualitative study, we explored client, community, and healthcare worker barriers to APS within a cluster randomized trial of APS in Kenya. We conducted 20 in-depth interviews with clients who declined enrollment in the APS study and 9 focus group discussions with health advisors, HIV testing and counseling (HTC) counselors, and the general HTC client population...
November 2016: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/27846828/the-potential-effectiveness-of-the-nutrition-improvement-program-on-infant-and-young-child-feeding-and-nutritional-status-in-the-northwest-and-southwest-regions-of-cameroon-central-africa
#13
Kate Reinsma, Godlove Nkuoh, Emmanuel Nshom
BACKGROUND: Despite the recent international focus on maternal and child nutrition, little attention is paid to nutrition capacity development. Although infant feeding counselling by health workers increases caregivers' knowledge, and improves breastfeeding, complementary feeding, and children's linear growth, most of the counselling in sub-Saharan Africa is primarily conducted by nurses or volunteers, and little is done to develop capacity for nutrition at the professional, organizational, or systemic levels...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27832511/communication-about-congenital-adrenal-hyperplasia-perspective-of-filipino-families
#14
Peter James B Abad, Cora A Anonuevo, Sandra Daack-Hirsch, Lorna R Abad, Carmencita D Padilla, Mercy Y Laurino
Congenital adrenal hyperplasia (CAH), like other genetic conditions, is a relational disease from both the biological and psychosocial perspectives since the diagnosis gives rise to a variety of health, reproductive, and psychosocial implications. It is in these contexts that family communication of genetic information is important to study. Hence, this research aimed to explore genetic information communication in Filipino families affected with CAH. Using a qualitative descriptive design, families with a child affected with CAH were recruited through the CAH parent support group and were interviewed...
November 10, 2016: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/27832510/the-impact-of-living-with-klinefelter-syndrome-a-qualitative-exploration-of-adolescents-and-adults
#15
Amy Turriff, Ellen Macnamara, Howard P Levy, Barbara Biesecker
Klinefelter syndrome (XXY) is a common yet significantly underdiagnosed condition with considerable medical, psychological and social implications. Many health care providers lack familiarity with XXY, resulting in medical management challenges and a limited understanding of the personal impact of the condition. Genetic counselors benefit from understanding the challenges adolescents and men with XXY face to effectively address their medical and psychosocial needs. The purpose of this study was to understand the impact of living with XXY as an adolescent or an adult...
November 10, 2016: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/27832509/genetic-counseling-assistants-an-integral-piece-of-the-evolving-genetic-counseling-service-delivery-model
#16
Sara Pirzadeh-Miller, Linda S Robinson, Parker Read, Theodora S Ross
This study explores the potential impact of the genetic counseling assistant (GCA) position on the efficiency of the genetic counseling field, evaluates attitudes regarding expansion of the genetic counseling field to include the GCA, and presents data on GCA endeavors and GCA job tasks as reported by GCAs, certified genetic counselors (CGCs), and program directors (PDs). Data on GCA roles and attitudes toward different aspects of the GCA position were collected via surveys of CGCs who have worked with GCAs, PDs who have and have not had experience with GCAs in their programs, and GCAs...
November 10, 2016: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/27830644/-i-ve-gone-through-this-my-own-self-so-i-practice-what-i-preach-strategies-to-enhance-understanding-and-other-valued-outcomes-in-hiv-vaccine-trials-in-south-africa
#17
Catherine Slack, Siya Thabethe, Graham Lindegger, Limba Matandika, Peter A Newman, Philippa Kerr, Doug Wassenaar, Surita Roux, Linda-Gail Bekker
There has not been enough study of the processes by which site staff help participating community members and potential participants to understand complicated concepts for HIV vaccine trials. This article describes strategies reported in six focus group discussions with Community Advisory Board members, educators, and consent counselors at an active HIV vaccine trial site in South Africa. Thematic analysis identified a considerable range of strategies, and findings suggest that such staff do not only try to promote understanding of critical information but also try to build trust in communicated information, to respect cultural differences, and to promote voluntariness...
November 8, 2016: Journal of Empirical Research on Human Research Ethics: JERHRE
https://www.readbyqxmd.com/read/27825956/psychosocial-factors-influencing-preferences-for-food-and-nutritional-supplements-among-people-living-with-hiv-in-bangkok-thailand
#18
Santiago Rodas-Moya, Supabhorn Pengnonyang, Stephen Kodish, Saskia de Pee, Praphan Phanuphak
Malnutrition and HIV are often coincident and may lead to wasting, a strong predictor of mortality. However; ready to use therapeutic foods (RUTF) are showing promising results in restoring the nutritional status of adult people living with HIV (PLHIV) in resource constrained settings but, its acceptability seems low. This study aimed to identify the psychosocial factors influencing general preferences for food and responses to five potential nutritional supplements to guide the development of novel products to treat malnutrition among PLHIV...
November 5, 2016: Appetite
https://www.readbyqxmd.com/read/27821076/three-novel-mutations-of-stk11-gene-in-chinese-patients-with-peutz-jeghers-syndrome
#19
Hu Tan, Libin Mei, Yanru Huang, Pu Yang, Haoxian Li, Ying Peng, Chen Chen, Xianda Wei, Qian Pan, Desheng Liang, Lingqian Wu
BACKGROUND: Peutz-Jeghers syndrome (PJS) is a rare autosomal dominant inherited disorder characterized by gastrointestinal (GI) hamartomatous polyps, mucocutaneous hyperpigmentation, and an increased risk of cancer. Mutations in the serine-threonine kinase 11 gene (SKT11) are the major cause of PJS. CASE PRESENTATION: Blood samples were collected from six PJS families including eight patients. Mutation screening of STK11 gene was performed in these six families by Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA) assay...
November 8, 2016: BMC Medical Genetics
https://www.readbyqxmd.com/read/27800705/an-assessment-of-quality-of-home-based-hiv-counseling-and-testing-performed-by-lay-counselors-in-a-rural-sub-district-of-kwazulu-natal-south-africa
#20
Vuyolwethu Magasana, Wanga Zembe, Hanani Tabana, Reshma Naik, Debra Jackson, Sonja Swanevelder, Tanya Doherty
HIV counseling and testing (HCT) has been prioritized as one of the prevention strategies for HIV/AIDS, and promoted as an essential tool in scaling up and improving access to treatment, care and support especially in community settings. Home-based HCT (HBHCT) is a model that has consistently been found to be highly acceptable and has improved HCT coverage and uptake in low- and middle-income countries since 2002. It involves trained lay counselors going door-to-door offering pre-test counseling and providing HCT services to consenting eligible household members...
December 2016: SAHARA J: Journal of Social Aspects of HIV/AIDS Research Alliance
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