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https://www.readbyqxmd.com/read/28524236/commitment-to-care-the-most-important-coping-strategies-among-family-caregivers-of-patients-undergoing-haemodialysis
#1
Shahriar Salehi-Tali, Fazlollah Ahmadi, Kourosh Zarea, Malek Fereidooni-Moghadam
BACKGROUND: Caregivers of patients undergoing haemodialysis often experience an intensive burden of care; therefore, it is important to understand the type of strategies that are used by caregivers to adapt and to commit themselves to caring for another individual. AIM: The aim of this study was to explore the specific coping strategies used by family caregivers of patients undergoing haemodialysis. METHODS: In this qualitative study, 16 family caregivers of patients undergoing haemodialysis were selected through purposive sampling in four dialysis centres in south of Iran...
May 19, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28521360/exposure-of-the-external-carotid-artery-through-the-posterior-triangle-of-the-neck-a-novel-approach-to-facilitate-bypass-procedures-to-the-posterior-cerebral-circulation
#2
Ali Tayebi Meybodi, Michael T Lawton, Pooneh Mokhtari, Olivia Kola, Ivan H El-Sayed, Arnau Benet
BACKGROUND: The external carotid artery (ECA) is the main high-flow donor for extracranial-intracranial revascularization procedures. However, anatomic restraints limit the availability of ECA in posterior exposures of the craniocervical junction aimed for bypass to distal vertebral artery segments. OBJECTIVE: To examine the feasibility and safety of exposure of the ECA through the posterior triangle of the neck. METHODS: A preliminary feasibility study on the posterior neck exposure of the ECA was performed in 1 cadaveric head (2 sides) followed by a morphometric study on 9 cadaveric heads (18 sides)...
June 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28521032/a-neglected-cause-of-iatrogenic-brachial-plexus-injuries-in-psychiatric-patients
#3
José Fernando Guedes-Corrêa, Maristella Reis da Costa Pereira, Francisco José Lourenço Torrão-Junior, José Vicente Martins, Daniel Alves Neiva Barbosa
BACKGROUND: Psychiatric patients are often kept immobilized during hospitalization to avoid self-inflicted injuries and danger to third parties. Inadequate positioning can lead to brachial plexus injuries (BPI). OBJECTIVE: To present a series of 5 psychiatric patients with BPI after being left sedated and restrained for prolonged periods of time during hospitalization. METHODS: We retrospectively reviewed the charts of 5 psychiatric patients with iatrogenic BPI referred by other institutions to our service...
May 18, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28513876/the-inter-play-between-facilitation-and-context-in-the-promoting-action-on-research-implementation-in-health-services-framework-a-qualitative-exploratory-implementation-study-embedded-in-a-cluster-randomised-controlled-trial-to-reduce-restraint-in-nursing-homes
#4
Tone Elin Mekki, Christine Øye, Bodil Margrete Kristensen, Helen Dahl, Astrid Haaland, Kristin Aas Nordin, Marta R Strandos, Toril Marie Terum, Arnt Egil Ydstebø, Brendan Mccormack
AIM: To explore the inter-play between external facilitation and nursing home contexts relative to intervention outcomes. BACKGROUND: The Promoting Action on Research Implementation in Health Services framework is frequently used to theoretically inform implementation and research in nursing and recent reviews indicate high face validity for health services. However, the inter-play and relationship between framework sub- elements of evidence, context and facilitation and the prospective utility in non-English speaking contexts warrant further illumination...
May 17, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28513397/congress-backs-summer-of-protest-over-pay
#5
Matthew Mckew
Nurses across the UK could be set for a historic summer of protest after an RCN poll revealed strong support for strikes over pay restraint. The college warned that unless the next government scraps the 1% pay cap it will hold a ballot on industrial action later this year, threatening the first ever members' strikes in the RCN's 100-year history.
May 17, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28511569/weightbearing-vs-gravity-stress-radiographs-for-stability-evaluation-of-supination-external-rotation-fractures-of-the-ankle
#6
Angela Seidel, Fabian Krause, Martin Weber
BACKGROUND: Isolated lateral malleolar fractures may result from a supination-external rotation (SER) injury of the ankle. Stable fractures maintain tibiotalar congruence due to competent medial restraints and can be treated nonoperatively with excellent functional results and long-term prognosis. Stability might be assessed with either stress radiographs or weightbearing radiographs. METHODS: A consecutive series of patients with closed SER fractures (presumed AO 44-B1) were prospectively enrolled from 2008 to 2015...
May 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28511283/a-different-inhibitor-is-required-for-overcoming-entecavir-resistance-a-comparison-of-four-rescue-therapies-in-a-retrospective-study
#7
Guosheng Yuan, Chengguang Hu, Yuchen Zhou, Junwei Liu, Huaping Huang, Yuan Li, Dinghua Yang, Fuyuan Zhou, Yong-Yuan Zhang, Yuanping Zhou
AIMS: Little clinical data are available regarding reestablishing the effective inhibition of entecavir (ETV)-resistant mutants. In this retrospective study, we aimed to compare the efficacies of four treatment regimens as rescue therapy for those chronic hepatitis B (CHB) patients with ETV resistance. METHODS: A total of 65 patients with ETV resistance were assigned either with tenofovir disoproxil fumarate (TDF) monotherapy (n=21), ETV (0.5 mg) plus adefovir (ADV) combination therapy (n=19), ETV (1...
May 16, 2017: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28507317/elevation-of-p11-in-lateral-habenula-mediates-depression-like-behavior
#8
J-S Seo, P Zhong, A Liu, Z Yan, P Greengard
The lateral habenula (LHb) is a key brain region involved in the pathophysiology of depression. It is activated by stimuli associated with negative experiences and is involved in encoding aversive signals. Hyperactivity of LHb is found in both rodent models of depression and human patients with depression. However, little is known about the underlying molecular mechanisms. Here we show that in LHb neurons, p11, a multifunctional protein implicated in depression, is significantly upregulated by chronic restraint stress...
May 16, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28506820/seasonal-variation-of-hospital-violence-seclusion-and-restraint-in-a-forensic-psychiatric-hospital
#9
Satu Kuivalainen, Katri Vehviläinen-Julkunen, Olavi Louheranta, Anu Putkonen, Eila Repo-Tiihonen, Jari Tiihonen
Several epidemiological studies have reported seasonal patterns in both violent and self-destructive behaviour. However, a few studies on hospital violence have found contradictory results. The aim of this study was to investigate whether there was any seasonal variation of violence in a forensic psychiatric hospital providing care for persons suffering from psychotic disorders and violent or self-destructive behaviour. Seasonal variation of the prevalence of seclusion and restraint was also investigated. Reports of violent incidents and seclusion and restraint statistics from between 2007 and 2012 were examined with Poisson regression analysis...
May 12, 2017: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/28505494/melatonin-protects-mice-against-stress-induced-inflammation-through-enhancement-of-m2-macrophage-polarization
#10
Woo-Jin Yi, Tae Sung Kim
Stress is known to cause neuropsychiatric diseases, and it has a detrimental impact on the function of the immune system. Melatonin (MLT), a pineal gland hormone, exhibits potent anti-inflammatory properties and it plays a fundamental role in neuroimmunomodulation. In the present study, we investigated the molecular mechanisms of MLT in stress-induced inflammation, focusing on macrophage polarization. MLT (50 and 100mg/kg) or a vehicle control (5% ethanol in saline) was intraperitoneally administered to mice once a day for 5days...
May 12, 2017: International Immunopharmacology
https://www.readbyqxmd.com/read/28503194/what-are-effective-strategies-for-implementing-trauma-informed-care-in-youth-inpatient-psychiatric-and-residential-treatment-settings-a-realist-systematic-review
#11
REVIEW
Stephanie A Bryson, Emma Gauvin, Ally Jamieson, Melanie Rathgeber, Lorelei Faulkner-Gibson, Sarah Bell, Jana Davidson, Jennifer Russel, Sharlynne Burke
BACKGROUND: Many young people who receive psychiatric care in inpatient or residential settings in North America have experienced various forms of emotional trauma. Moreover, these settings can exacerbate trauma sequelae. Common practices, such as seclusion and restraint, put young people at risk of retraumatization, development of comorbid psychopathology, injury, and even death. In response, psychiatric and residential facilities have embraced trauma-informed care (TIC), an organizational change strategy which aligns service delivery with treatment principles and discrete interventions designed to reduce rates of retraumatization through responsive and non-coercive staff-client interactions...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28502161/formation-and-inhibition-of-metallic-lithium-microstructures-in-lithium-batteries-driven-by-chemical-crossover
#12
Wangda Li, Un-Hyuck Kim, Andrei Dolocan, Yang-Kook Sun, Arumugam Manthiram
The formation of metallic lithium microstructures in the form of dendrites or mosses at the surface of anode electrodes (e.g., lithium metal, graphite, and silicon) leads to rapid capacity fade and poses grave safety risks in rechargeable lithium batteries. We present here a direct, relative quantitative analysis of lithium deposition on graphite anodes in pouch cells under normal operating conditions, paired with a model cathode material, the layered nickel-rich oxide LiNi0.61Co0.12Mn0.27O2, over the course of 3000 charge-discharge cycles...
May 16, 2017: ACS Nano
https://www.readbyqxmd.com/read/28501588/oligomeric-structure-of-anabaena-sensory-rhodopsin-in-a-lipid-bilayer-environment-by-combining-solid-state-nmr-and-long-range-deer-constraints
#13
Sergey Milikisiyants, Shenlin Wang, Rachel A Munro, Matthew Donohue, Meaghan E Ward, David Bolton, Leonid S Brown, Tatyana I Smirnova, Vladimir Ladizhansky, Alex I Smirnov
Oligomerization of membrane proteins is common in nature. Here, we combine spin-labeling Double Electron-Electron Resonance (DEER) and solid-state NMR (ssNMR) spectroscopy to refine the structure of an oligomeric integral membrane protein, Anabaena Sensory Rhodopsin (ASR), reconstituted in a lipid environment. An essential feature of such a combined approach is that it provides structural distance restraints spanning a range of ca. 3-60Å, while using the same sample preparation (i.e., mutations, paramagnetic labeling, and reconstitution in lipid bilayers) for both ssNMR and DEER...
May 10, 2017: Journal of Molecular Biology
https://www.readbyqxmd.com/read/28501425/the-effects-of-kratom-on-restraint-stress-induced-analgesia-and-its-mechanisms-of-action
#14
José Luis Vázquez López, Lorenz Schild, Thomas Günther, Stefan Schulz, Hartmud Neurath, Axel Becker
ETHNOPHARMACOLOGICAL RELEVANCE: Mitragyna speciosa and its extracts are called kratom (dried leaves, extract). They contain several alkaloids with an affinity for different opioid receptors. They are used in traditional medicine for the treatment of different diseases, as a substitute by opiate addicts, and to mitigate opioid withdrawal symptoms. Apart from their medical properties, they are used to enhance physical endurance and as a means of overcoming stress. PURPOSE: The aim of this study was to determine the mechanisms underlying the effects of kratom on restraint-stress-induced analgesia which occurs during or following exposure to a stressful or fearful stimulus...
May 10, 2017: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/28500621/symptoms-predicting-psychosocial-impairment-in-bulimia-nervosa
#15
Paul E Jenkins, Jessica Staniford, Amy Luck
PURPOSE: The current study aimed to determine which particular eating disorder (ED) symptoms and related features, such as BMI and psychological distress, uniquely predict impairment in bulimia nervosa (BN). METHODS: Two hundred and twenty-two adults with BN completed questionnaires assessing ED symptoms, general psychological distress, and psychosocial impairment. Regression analyses were used to determine predictors which account for variance in impairment. RESULTS: Four variables emerged as significant predictors of psychosocial impairment: concerns with eating; concerns with weight and shape; dietary restraint; and general psychological distress...
May 12, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28500543/impact-of-spin-label-rigidity-on-extent-and-accuracy-of-distance-information-from-pre-data
#16
K A Schnorr, D B Gophane, C Helmling, E Cetiner, K Pasemann, B Fürtig, A Wacker, N S Qureshi, M Gränz, D Barthelmes, H R A Jonker, E Stirnal, S Th Sigurdsson, H Schwalbe
Paramagnetic relaxation enhancement (PRE) is a versatile tool for NMR spectroscopic structural and kinetic studies in biological macromolecules. Here, we compare the quality of PRE data derived from two spin labels with markedly different dynamic properties for large RNAs using the I-A riboswitch aptamer domain (78 nt) from Mesoplamsa florum as model system. We designed two I-A aptamer constructs that were spin-labeled by noncovalent hybridization of short spin-labeled oligomer fragments. As an example of a flexible spin label, (Ureido)U-TEMPO was incorporated into the 3' terminal end of helix P1 while, the recently developed rigid spin-label Çm was incorporated in the 5' terminal end of helix P1...
May 12, 2017: Journal of Biomolecular NMR
https://www.readbyqxmd.com/read/28500477/impact-of-a-program-for-the-management-of-aggressive-behaviors-on-seclusion-and-restraint-use-in-two-high-risk-units-of-a-mental-health-institute
#17
Steve Geoffrion, Jane Goncalves, Charles-Édouard Giguère, Stéphane Guay
The Omega Program for the Management of Aggressive Behaviors aims to reduce patients' dangerous behaviors, towards themselves or others, and to reduce the use of seclusion and restraint (S/R). A previous study in a Mental Health Institute (Montreal, Canada) showed that implementing this program allowed employees of the intensive care and emergency units to gain confidence in coping with patients' aggressions and to reduce their psychological distress. The present study, conducted in the same high-risk units, assesses the effect of the program on S/R use...
May 13, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28499676/articles-that-may-change-your-practice-chemical-restraint-of%C3%A2-agitated-patients
#18
REVIEW
Russell D MacDonald, Suad Albulushi
No abstract text is available yet for this article.
May 2017: Air Medical Journal
https://www.readbyqxmd.com/read/28499567/the-effect-of-the-psychiatric-nursing-approach-based-on-the-tidal-model-on-coping-and-self-esteem-in-people-with-alcohol-dependency-a-randomized-trial
#19
Ayşegül Savaşan, Olcay Çam
INTRODUCTION: People with alcohol dependency have lower self-esteem than controls and when their alcohol use increases, their self-esteem decreases. Coping skills in alcohol related issues are predicted to reduce vulnerability to relapse. It is important to adapt care to individual needs so as to prevent a return to the cycle of alcohol use. The Tidal Model focuses on providing support and services to people who need to live a constructive life. AIM: The aim of the randomized study was to determine the effect of the psychiatric nursing approach based on the Tidal Model on coping and self-esteem in people with alcohol dependency...
June 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/28499419/across-proteome-modeling-of-dimer-structures-for-the-bottom-up-assembly-of-protein-protein-interaction-networks
#20
Surabhi Maheshwari, Michal Brylinski
BACKGROUND: Deciphering complete networks of interactions between proteins is the key to comprehend cellular regulatory mechanisms. A significant effort has been devoted to expanding the coverage of the proteome-wide interaction space at molecular level. Although a growing body of research shows that protein docking can, in principle, be used to predict biologically relevant interactions, the accuracy of the across-proteome identification of interacting partners and the selection of near-native complex structures still need to be improved...
May 12, 2017: BMC Bioinformatics
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