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https://www.readbyqxmd.com/read/28551773/should-physicians-tell-the-truth-without-taking-social-complications-into-account-a-striking-case
#1
Ercan Avci
The principle of respect for autonomy requires informing patients adequately and appropriately about diagnoses, treatments, and prognoses. However, some clinical cases may cause ethical dilemmas regarding telling the truth. Under the existence especially of certain cultural, social, and religious circumstances, disclosing all the relevant information to all pertinent parties might create harmful effects. Even though the virtue of telling the truth is unquestionable, sometimes de facto conditions compel physicians to act paternalistically to protect the patient/patients from imminent dangers...
May 27, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28551006/the-public-s-opinions-on-a-new-school-meals-policy-for-childhood-obesity-prevention-in-the-u-s-a-social-media-analytics-approach
#2
Yin Kang, Youfa Wang, Dongsong Zhang, Lina Zhou
OBJECTIVES: This study investigates the public's opinions on a new school meals policy for childhood obesity prevention, discovers aspects concerning those opinions, and identifies possible gender and regional differences in the U.S. METHODS: We collected 14,317 relevant tweets from 11,715 users since the national policy enactment on Feb 9, 2010 through Dec 31, 2015. We applied opinion mining techniques to classify tweets into positive, negative, and neutral categories, and conducted content analysis to gain insights into aspects of opinions in terms of target, holder, source, and function...
July 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28550726/indices-of-stress-and-immune-function-in-arctic-barnacle-goslings-branta-leucopsis-were-impacted-by-social-isolation-but-not-a-contaminated-grazing-environment
#3
Margje E de Jong, Isabella B R Scheiber, Nico W van den Brink, Anna Braun, Kevin D Matson, Jan Komdeur, Maarten J J E Loonen
In many areas around the Arctic remains and spoil heaps of old mines can be found, which have been abandoned after their heydays. Runoff from tailings of these abandoned mines can directly contaminate the local environment with elevated concentrations of trace metals. Few studies have investigated the possible negative effects of contaminants on Arctic terrestrial animals that use these areas. Trace metals can accumulate in animals and this accumulation has been linked to negative effects on fitness. Both, the hypothalamus-pituitary-adrenal (HPA) axis and/or the immune system have been named as possible underlying causes for these observations...
May 24, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28548615/social-media-networking-in-pediatric-hydrocephalus-a-point-prevalence-analysis-of-utilization
#4
Ghassan Awad Elkarim, Naif M Alotaibi, Nardin Samuel, Shelly Wang, George M Ibrahim, Aria Fallah, Alexander G Weil, Abhaya V Kulkarni
OBJECTIVE A recent survey has shown that caregivers of children with shunt-treated hydrocephalus frequently use social media networks for support and information gathering. The objective of this study is to describe and assess social media utilization among users interested in hydrocephalus. METHODS Publicly accessible accounts and videos dedicated to the topic of hydrocephalus were comprehensively searched across 3 social media platforms (Facebook, Twitter, and YouTube) throughout March 2016. Summary statistics were calculated on standard metrics of social media popularity...
May 26, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28548461/attending-learning-and-socioeconomic-disadvantage-developmental-cognitive-and-social-neuroscience-of-resilience-and-vulnerability
#5
REVIEW
Kylie Schibli, Kyle Wong, Nina Hedayati, Amedeo D'Angiulli
We review current findings associating socioeconomic status (SES), development of neurocognitive functions, and neurobiological pathways. A sizeable interdisciplinary literature was organized through a bifurcated developmental trajectory (BiDeT) framework, an account of the external and internal variables associated with low SES that may lead to difficulties with attention and learning, along with buffers that may protect against negative outcomes. A consistent neurocognitive finding is that low-SES children attend to information nonselectively, and engage in late filtering out of task-irrelevant information...
May 2017: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/28546656/untroubling-abortion-a-discourse-analysis-of-women-s-accounts
#6
Siân M Beynon-Jones
In this paper, I highlight key differences between a discourse analytic approach to women's accounts of abortion and that taken by the growing body of research that seeks to explore and measure women's experiences of abortion stigma. Drawing on critical analyses of the conceptualisation of stigma in other fields of healthcare, I suggest that research on abortion stigma often risks reifying it by failing to consider how identities are continually re-negotiated through language-use. In contrast, by attending to language as a form of social action, discursive psychology makes it possible to emphasise speakers' capacity to construct "untroubled" (i...
May 2017: Feminism & Psychology
https://www.readbyqxmd.com/read/28545242/public-open-spaces-and-leisure-time-walking-in-brazilian-adults
#7
Alex Antonio Florindo, Ligia Vizeu Barrozo, William Cabral-Miranda, Eduardo Quieroti Rodrigues, Gavin Turrell, Moisés Goldbaum, Chester Luiz Galvão Cesar, Billie Giles-Corti
Access to public open space is important to increase leisure-time walking (LTW) in high-income countries, but there is little evidence in middle-income countries. We conducted a cross-sectional analysis to examine the relationship between LTW and the presence of different public open spaces (parks, bike paths, and squares) and the mix of these recreational destinations near the homes of adults participating in the Sao Paulo Health Survey (n = 3145). LTW was evaluated by a questionnaire. We delineated buffers (500, 1000, and 1500 m) from the geographic coordinates of the adults' residential addresses using a geographic information system...
May 23, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28544871/signs-of-social-class-the-experience-of-economic-inequality-in-everyday-life
#8
Michael W Kraus, Jun Won Park, Jacinth J X Tan
By some accounts, global economic inequality is at its highest point on record. The pernicious effects of this broad societal trend are striking: Rising inequality is linked to poorer health and well-being across countries, continents, and cultures. The economic and psychological forces that perpetuate inequality continue to be studied, and in this theoretical review, we examine the role of daily experiences of economic inequality-the communication of social class signals between interaction partners-in this process...
May 2017: Perspectives on Psychological Science: a Journal of the Association for Psychological Science
https://www.readbyqxmd.com/read/28543651/the-past-present-and-future-of-mexico-s-national-bioethics-commission
#9
Manuel Ruiz de Chavez, Aidee Orozco, Gustavo Olaiz
The establishment of Mexico's National Bioethics Commission (Comisión Nacional de Bioética), in 1992, was conceived within the context of a global movement aimed at raising awareness of the ethical implications of technological and scientific development, especially in biomedicine. In 2005, a new decree put the commission under the scope of the Secretariat of Health and granted it technical and operational autonomy, allowing it to become a regulatory agency aimed at promoting a culture of bioethics, encouraging reflection on human health, and developing guidelines for health care, research, and education, through a global, secular, and democratic perspective...
May 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28542978/procedural-outcomes-and-long-term-survival-following-lead-extraction-in-octogenarians
#10
Mikhael F El-Chami, Michael N Sayegh, Adarsh Patel, Jad El-Khalil, Yaanik Desai, Angel R Leon, Faisal M Merchant
BACKGROUND: Octogenarians account for a significant percentage of patients with indwelling pacemakers or defibrillators. OBJECTIVES: To determine procedural outcomes and long-term survival after Lead Extraction (LE) in octogenarians. METHODS: We retrospectively identified all patients who underwent defibrillator or pacemaker LE at our institution between January 1(st) 2007 and May 31(st) 2016. Patients were stratified based on age into two groups: < 80 years old (Group 1, n = 674) or ≥ 80 (Group 2, n = 100)...
May 24, 2017: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/28542578/illness-experiences-of-diabetes-in-the-context-of-malaria-in-settings-experiencing-double-burden-of-disease-in-southeastern-tanzania
#11
Emmy Metta, Ajay Bailey, Flora Kessy, Eveline Geubbels, Hinke Haisma
BACKGROUND: Tanzania is doubly burdened with both non-communicable and infectious diseases, but information on how Tanzanians experience the co-existence of these conditions is limited. Using Kleinman's eight prompting questions the study synthesizes explanatory models from patients to describe common illness experiences of diabetes in a rural setting where malaria is the predominant health threat. METHODS: We conducted 17 focus group discussions with adult members of the general community, diabetes patients, neighbours and relatives of diabetes patients to gain insight into shared experiences...
2017: PloS One
https://www.readbyqxmd.com/read/28542455/factors-influencing-interest-in-recreational-sports-participation-and-its-rural-urban-disparity
#12
Chiehfeng Chen, Liang-Ting Tsai, Ching-Feng Lin, Chun-Ching Huang, Yao-Tsung Chang, Ruey-Yu Chen, Shu-Yu Lyu
OBJECTIVES: Recreational sports are important leisure activities. However, most studies investigating barrier factors and motivation for participation in recreational sports have been limited to specific areas (e.g., a city or school) or demographic groups (e.g., adolescents). Therefore, this study set out to gain a more comprehensive understanding of the behavioral and socioeconomic factors influencing interest in recreational sports participation in Taiwan, as well as to evaluate the effect of any urban-rural divide...
2017: PloS One
https://www.readbyqxmd.com/read/28541923/does-verruca-vulgaris-affect-social-anxiety-and-self-esteem-in-adolescents
#13
Dilek Unal, Fatma Pelin Cengiz, Nazan Emiroglu
Objective Sensitivity about appearance is one of the sine qua non of adolescence and adolescents' self-esteem effecting their socialization processes. We explored if verruca vulgaris, a common visible infectious skin disease, affects social anxiety levels and self-esteem in adolescents compared to controls. Also, the difference in sociodemographic properties between two groups and the effect of clinical properties (the distribution and number of warts) on these parameters were investigated in the patient group...
May 24, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/28541171/modeling-the-social-dynamics-of-moral-enhancement-social-strategies-sold-over-the-counter-and-the-stability-of-society
#14
Anders Sandberg, Joao Fabiano
How individuals tend to evaluate the combination of their own and other's payoffs-social value orientations-is likely to be a potential target of future moral enhancers. However, the stability of cooperation in human societies has been buttressed by evolved mildly prosocial orientations. If they could be changed, would this destabilize the cooperative structure of society? We simulate a model of moral enhancement in which agents play games with each other and can enhance their orientations based on maximizing personal satisfaction...
July 2017: Cambridge Quarterly of Healthcare Ethics: CQ: the International Journal of Healthcare Ethics Committees
https://www.readbyqxmd.com/read/28541072/associations-between-spontaneous-parental-perspective-taking-and-stimulated-cytokine-responses-in-children-with-asthma
#15
Erika M Manczak, Cynthia S Levine, Katherine B Ehrlich, Devika Basu, Dan P McAdams, Edith Chen
OBJECTIVES: Cognitive empathy in parents-reflecting the extent to which one considers the perspectives and emotions of others-is hypothesized to contribute to family social environments in ways that affect youths' physical health. Using a novel assessment technique for cognitive empathy, the current study examined associations between spontaneous parental perspective-taking and key inflammatory processes implicated in pediatric asthma. METHOD: One hundred thirty children (ages 9-17) with physician-diagnosed asthma, along with 1 parent, participated in the current study...
May 25, 2017: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
https://www.readbyqxmd.com/read/28539119/towards-the-concept-of-disease-modifier-in-post-stroke-or-vascular-cognitive-impairment-a-consensus-report
#16
Régis Bordet, Ralf Ihl, Amos D Korczyn, Giuseppe Lanza, Jelka Jansa, Robert Hoerr, Alla Guekht
BACKGROUND: Vascular cognitive impairment (VCI) is a complex spectrum encompassing post-stroke cognitive impairment (PSCI) and small vessel disease-related cognitive impairment. Despite the growing health, social, and economic burden of VCI, to date, no specific treatment is available, prompting the introduction of the concept of a disease modifier. CONSENSUS AND SUGGESTIONS: Within this clinical spectrum, VCI and PSCI remain advancing conditions as neurodegenerative diseases with progression of both vascular and degenerative lesions accounting for cognitive decline...
May 24, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28538920/the-national-permanent-health-education-policy-in-public-health-schools-reflections-from-practice
#17
Maria Lúcia de Macedo Cardoso, Patricia Pol Costa, Delaine Martins Costa, Caco Xavier, Rosa Maria Pinheiro Souza
This study aimed to analyze aspects of the implementation of the National Permanent Health Education Policy of the Brazilian Ministry of Health, based on the experiences of Public Health Schools. Five workshops were held in schools located in different regions of the country, taking into account an analysis of the conceptual and organizational basis of the policy. The methodological premises hinged on a reflexivist approach based on a dialogue between the research team and school participants, which built on the identification and meaning of the experiences of these institution in permanent health education (PHE)...
May 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28538870/liquid-silicone-used-for-esthetic-purposes-as-a-potentiator-for-occurrence-of-post-radiotherapy-genital-lymphedema-case-report
#18
Raíssa Quaiatti Antonelli, Davi Reis Calderoni, Igor Ferreira Garcia, Rafael Fantelli Stelini, Adriano Fregonesi, Paulo Kharmandayan
CONTEXT: Lymphedema consists of extracellular fluid retention caused by lymphatic obstruction. In chronic forms, fat and fibrous tissue accumulation is observed. Genital lymphedema is a rare condition in developed countries and may have primary or acquired etiology. It generally leads to urinary, sexual and social impairment. Clinical treatment usually has low effectiveness, and surgical resection is frequently indicated. CASE REPORT: We report a case of a male-to-female transgender patient who was referred for treatment of chronic genital lymphedema...
March 2017: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/28537860/global-skin-diseases-on-instagram-hashtags
#19
Taylor Braunberger, Jessica Mounessa, Kyle Rudningen, Cory A Dunnick, Robert P Dellavalle
Recently named one of the most influential phone applications, Instagram continues to grow in popularity [1]. Instagram consists of images and video posts, making it ideal for education and communication within the visual field of dermatology. In this study, we seek to determine the presence of dermatology-related content with regard to the most common cutaneous diseases of the world. We searched the account types and hashtags associated with the eight most common skin diseases globally as identified by the Global Burden of Disease (GBD) study by Hollenstein et al...
May 15, 2017: Dermatology Online Journal
https://www.readbyqxmd.com/read/28536091/evaluating-the-social-media-performance-of-hospitals-in-spain-a-longitudinal-and-comparative-study
#20
Antonio Martinez-Millana, Carlos Fernandez-Llatas, Ignacio Basagoiti Bilbao, Manuel Traver Salcedo, Vicente Traver Salcedo
BACKGROUND: Social media is changing the way in which citizens and health professionals communicate. Previous studies have assessed the use of Health 2.0 by hospitals, showing clear evidence of growth in recent years. In order to understand if this happens in Spain, it is necessary to assess the performance of health care institutions on the Internet social media using quantitative indicators. OBJECTIVES: The study aimed to analyze how hospitals in Spain perform on the Internet and social media networks by determining quantitative indicators in 3 different dimensions: presence, use, and impact and assess these indicators on the 3 most commonly used social media - Facebook, Twitter, YouTube...
May 23, 2017: Journal of Medical Internet Research
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