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https://www.readbyqxmd.com/read/28301348/discord-among-radiation-oncologists-and-urologists-in-the-postoperative-management-of-high-risk-prostate-cancer
#1
Amar U Kishan, Gillian Duchesne, Pin-Chieh Wang, Jean-Claude M Rwigema, Arun U Kishan, Christopher Saigal, Matthew Rettig, Michael L Steinberg, Christopher R King
OBJECTIVE: To query specialty-specific differences regarding postoperative radiotherapy (RT) for high-risk prostate cancer. MATERIALS AND METHODS: Electronic mail survey of radiation oncologists (ROs) and urologists. We sought to maximize absolute response number to capture contemporary practice ethos. The outcome of interest was association between response and specialty. Training level/expertise, practice setting, percentage of consultation caseload consisting of high-risk prostate cancer, and nationality were set as effect modifiers for multivariate logistic regression...
March 15, 2017: American Journal of Clinical Oncology
https://www.readbyqxmd.com/read/28295980/mental-health-status-and-its-predictors-among-call-center-employees-a-cross-sectional-study
#2
Hyunjin Oh, Heyeon Park, Sunjoo Boo
In this study, we assessed the mental health of Korean call center employees and investigated the potential predictors of their mental health status. A cross-sectional study using self-completing questionnaire was conducted for employees working for a credit card call center. A total of 306 call center employees completed the Depression Anxiety Stress Scale, the Emotion Labor Scale, and the Korean Occupational Stress Scale. The results showed that more than half of the participants reported high levels of depression, anxiety, and stress...
March 15, 2017: Nursing & Health Sciences
https://www.readbyqxmd.com/read/28291105/escalation-of-commitment-in-the-surgical-icu
#3
Carla C Braxton, Celia N Robinson, Samir S Awad
OBJECTIVES: Escalation of commitment is a business term that describes the continued investment of resources into a project even after there is objective evidence of the project's impending failure. Escalation of commitment may be a contributor to high healthcare costs associated with critically ill patients as it has been shown that, despite almost certain futility, most ICU costs are incurred in the last week of life. Our objective was to determine if escalation of commitment occurs in healthcare settings, specifically in the surgical ICU...
April 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28290744/psychosocial-predictors-of-physical-activity-change-among-college-students-in-an-obesity-prevention-trial
#4
Danielle Arigo, Paul Rohde, Heath Shaw, Eric Stice
BACKGROUND: Moderate-to-vigorous physical activity (MVPA) is critical for maintaining a healthy weight, although little is known about psychological barriers to maintaining MVPA in at-risk groups. Identifying characteristics associated with poor MVPA maintenance in obesity prevention programs could improve participant outcomes. METHODS: Toward this end, we examined predictors of MVPA in an obesity prevention trial for college students at risk for weight gain (n = 333; 72% female, MBMI = 23...
March 14, 2017: Journal of Physical Activity & Health
https://www.readbyqxmd.com/read/28287919/cost-effectiveness-of-achieving-clinical-improvement-with-a-dissonance-based-eating-disorder-prevention-program
#5
Laura Akers, Paul Rohde, Eric Stice, Meghan L Butryn, Heather Shaw
Using data from an effectiveness trial delivered by college clinicians, we examined the cost-effectiveness of the dissonance-based Body Project program for reducing eating disorder symptoms in women with body dissatisfaction. The outcome of interest was individual-level change; 14.9% of Body Project participants attained clinically meaningful improvement vs. 6.7% of controls. Delivering the intervention costs approximately $70 (2012 U.S. dollars) per person. Incremental cost-effectiveness was $838 for each additional at-risk person reducing eating disorder symptomology to a clinically meaningful degree...
March 13, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28287800/how-does-brief-motivational-intervention-change-heavy-drinking-and-harm-among-underage-young-adult-drinkers
#6
Molly Magill, Suzanne M Colby, Lindsay Orchowski, James G Murphy, Ariel Hoadley, Linda A Brazil, Nancy P Barnett
OBJECTIVE: This study tested mediating processes hypothesized to explain the therapeutic benefit of an efficacious motivational interview (MI). The constructs of interest were motivation to change, cognitive dissonance about current drinking, self-efficacy for change, perceived young adult drinking norms, future drinking intentions, and the use of protective behavioral strategies. METHOD: A randomized controlled trial compared the efficacy of a brief MI to a time- and attention-matched control of meditation and relaxation training for alcohol use...
March 13, 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28286489/attitudes-vs-purchase-behaviors-as-experienced-dissonance-the-roles-of-knowledge-and-consumer-orientations-in-organic-market
#7
María Hidalgo-Baz, Mercedes Martos-Partal, Óscar González-Benito
This research focuses on the incongruity between positive attitudinal responses but a lack of purchase behavior in organic markets. According to cognitive dissonance theory, consumer orientations toward the benefits attributed to organic products (environmental protection, health, hedonic) relieve the dissonance that results from this attitude-behavior incongruity. Knowledge also functions as a transmitter, from positive attitudes to purchase behaviors, thereby reducing the incongruity. Using quota sampling in a survey study, this paper tests the hypotheses from linear regression models...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28249107/a-controlled-randomized-preliminary-trial-of-a-modified-dissonance-based-eating-disorder-intervention-program
#8
M A Green, M Willis, K Fernandez-Kong, S Reyes, R Linkhart, M Johnson, T Thorne, J Lindberg, E Kroska, H Woodward
OBJECTIVE: We conducted a controlled randomized preliminary trial of a modified dissonance-based eating disorder program (n = 24) compared to an assessment-only control condition (n = 23) via a longitudinal design (baseline, postintervention, 2-month follow-up) in a community sample of women (N = 47) with clinical (n = 22) and subclinical (n = 25) eating disorder symptoms. METHOD: The traditional content of the Body Project, a dissonance-based eating disorder prevention program, was modified to include verbal, written, and behavioral exercises designed to dissuade self-objectification and maladaptive social comparison...
March 1, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28247208/unmasking-identity-dissonance-exploring-medical-students-professional-identity-formation-through-mask-making
#9
Kimera Joseph, Karlen Bader, Sara Wilson, Melissa Walker, Mark Stephens, Lara Varpio
PURPOSE: Professional identity formation is an on-going, integrative process underlying trainees' experiences of medical education. Since each medical student's professional identity formation process is an individual, internal, and often times emotionally charged unconscious experience, it can be difficult for educators to understand each student's unique experience. We investigate if mask making can provide learners and educators the opportunity to explore medical students' professional identity formation experiences...
February 28, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28241949/promoting-resilience-in-new-perioperative-nurses
#10
Teresa M Stephens, Pamela Smith, Caitlin Cherry
New nursing graduates experience many challenges when transitioning from the academic environment to the practice setting. For many, the period of transition from student to employee is less than optimal, with many still experiencing reality shock, cognitive dissonance, and theory-practice gaps. The Stephens Model of Nursing Student Resilience addresses the unique issues faced by new graduate nurses to assist them in developing healthy coping strategies and to promote resilience. This model forms the basis of the RN Personal Resilience Enhancement Plan, a supplemental onboarding program created to assist new nurses in confidently facing challenges encountered during orientation and successfully moving forward as nursing professionals...
March 2017: AORN Journal
https://www.readbyqxmd.com/read/28235694/nurses-resilience-and-the-emotional-labour-of-nursing-work-an-integrative-review-of-empirical-literature
#11
REVIEW
Cynthia Delgado, Dominic Upton, Kristen Ranse, Trentham Furness, Kim Foster
BACKGROUND: The emotional labour of nursing work involves managing the emotional demands of relating with patients, families and colleagues. Building nurses' resilience is an important strategy in mitigating the stress and burnout that may be caused by ongoing exposure to these demands. Understandings of resilience in the context of emotional labour in nursing, however, are limited. OBJECTIVES: To investigate the state of knowledge on resilience in the context of emotional labour in nursing...
February 12, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28222910/agents-of-the-father-s-law-in-a-society-of-brothers-a-philosophic-and-psychoanalytic-perspective-on-legitimate-use-of-violence
#12
Efrat Even-Tzur, Uri Hadar
This paper explores subjective processes of "Agents of Law" - individuals who the state grants the authority to use violence - and the dissonance stemming from the contradictory demands posed on them as legitimate users of violence despite the societal taboo against violence. A conceptual model will be offered based on two theoretical legs, Lacanian psychoanalysis and political theories of legitimacy. Specifically, psychoanalytic ideas would serve to examine unconscious processes, subject position and various identifications related to the question of "self-legitimacy" of Agents of Law...
February 17, 2017: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/28214633/prevention-of-eating-disorders-a-systematic-review-and-meta-analysis
#13
REVIEW
Long Khanh-Dao Le, Jan J Barendregt, Phillipa Hay, Cathrine Mihalopoulos
OBJECTIVE: To systematically review and quantify the effectiveness of Eating Disorder (ED) prevention interventions. METHODS: Electronic databases (including the Cochrane Controlled Trial Register, MEDLINE, PsychInfo, EMBASE, and Scopus) were searched for published randomized controlled trials of ED prevention interventions from 2009 to 2015. Trials prior to 2009 were retrieved from prior reviews. RESULTS: One hundred and twelve articles were included...
February 12, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28212196/prison-nursing-formation-of-a-stable-professional-identity
#14
REVIEW
Khurshid Choudhry, David Armstrong, Alexandru Dregan
AIM: The aim of this study was to analyze how working within prison environments can influence the self-identity and professional identity of nurses. BACKGROUND: The prison environment can be a difficult environment for nurses to deliver care within, with nurses having to carry out activities that seem to go against their professional role, while at the same time providing care to prisoners who have greater health needs than the general population. There is a lack of theoretical consideration of how prison nurses carry out their role in the face of such challenges...
January 2017: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/28195025/the-depth-of-fields-managing-focus-in-the-epistemic-subcultures-of-mind-and-brain-science
#15
David Peterson
The 'psy' sciences emerged from the tangled roots of philosophy, physiology, biology and medicine, and these origins have produced heterogeneous fields. Scientists in these areas work in a complex, overlapping ecology of fields that results in the constant co-presence of dissonant theories, methods and research objects. This raises questions regarding how conceptual clarity is maintained. Using the optical metaphor 'depth of field', I show how researchers in all fields marginalize potential threats to routine scientific work by framing them as either too broad and imprecise or too narrow and technical...
February 2017: Social Studies of Science
https://www.readbyqxmd.com/read/28186486/-the-shock-of-reality-of-new-nurses
#16
Johannie Roy, Fanny Robichaud
The shock of reality expresses a dissonance between reality what was imagined about the labor world. It is part of the integration process of new nurses that join a health care setting for the first time. This major step, related to the first work experience, places recruits in a state of vulnerability in their new profession. While several retirements are expected among baby boomers, finding solutions to ease the transition to the professional role among younger nurses is crucial. This narrative literature review attempts to answer the following questions : What characterizes the reality shock among new nurses in a context of role transition from student to professional ? CINAHL and MEDLINE databases were consulted in addition to reports issued by the OIIQ...
2016: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28158954/abortion-in-tunisia-after-the-revolution-bringing-a-new-morality-into-the-old-reproductive-order
#17
Irene Maffi
The emergence of Islamist movements and religious symbolic repertoires in the aftermath of the Tunisian revolution has elicited the political, moral, and practical contestation of women's right to abortion. While, after several heated debates, the law was eventually not modified, several practitioners working in government family planning clinics have changed their behaviour preventing women getting abortions. Pre-existing state and medical logics, political uncertainties, and new religious and moralising discourses have determined abortion practices in the government health-care facilities generating unequal treatments according to women's marital status, class, and education...
February 3, 2017: Global Public Health
https://www.readbyqxmd.com/read/28143413/use-of-the-empower-brochure-to-deprescribe-sedative-hypnotic-drugs-in-older-adults-with-mild-cognitive-impairment
#18
Philippe Martin, Cara Tannenbaum
BACKGROUND: Evidence-based mailed educational brochures about the harms of sedative-hypnotic use lead to discontinuation of chronic benzodiazepine use in older adults. It remains unknown whether patients with mild cognitive impairment (MCI) are able to understand the information in the EMPOWER brochures, and whether they achieve similar rates of benzodiazepine discontinuation. METHODS: Post-hoc analysis of the EMPOWER randomized, double-blind, wait-list controlled trial that assessed the effect of a direct-to-consumer educational intervention on benzodiazepine discontinuation...
January 31, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28138406/inability-of-shear-wave-elastography-to-distinguish-malignant-from-benign-prostate-tissue-a-comparison-of-biopsy-whole-mount-sectioning-and-shear-wave-elastography
#19
Markus Porsch, Claudia Görner, Johann Jakob Wendler, Uwe-Bernd Liehr, Anke Lux, Sandra Siedentopf, Martin Schostak, Maciej Pech
AIM: This study was designed to assess the possible usefulness of shear-wave elastography in differentiating between benign and malignant tissue in prostate neoplasia. PATIENTS AND METHODS: A total of 120 prostate tissue samples were obtained from 10 patients treated by radical prostatectomy and investigated pre-operatively by ultrasound elastography followed by directed biopsy. After resection, whole-mount sectioning and histological examination was performed. The predictions based on shear-wave elastography were compared with biopsy and histological results...
December 2016: Journal of Ultrasonography
https://www.readbyqxmd.com/read/28134683/cognitive-dissonance-in-training-a-view-from-the-middle
#20
Robert A Swendiman
No abstract text is available yet for this article.
January 27, 2017: Annals of Surgery
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