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https://www.readbyqxmd.com/read/29457304/-everyone-has-an-agenda-professionals-understanding-and-negotiation-of-risk-within-the-guardianship-system-of-victoria-australia
#1
Aaron Wyllie, Bernadette J Saunders
It is frequently asserted that pressures to assess and manage risk have eroded the therapeutic, rights-based foundation of the human services profession. Some argue that human service workers operate in a culture of fear in which self-protection and blame avoidance, rather than clients' needs, primarily drive decision-making. In the field of Adult Guardianship, it has been suggested that organisational risk avoidance may be motivating applications for substitute decision-makers, unnecessarily curtailing clients' rights and freedoms...
February 19, 2018: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29456450/survey-on-patient-safety-culture-in-the-republic-of-moldova-a-baseline-study-in-three-healthcare-settings
#2
Carmen Tereanu, Giuseppe Sampietro, Francesco Sarnataro, Dumitru Siscanu, Rodica Palaria, Victor Savin, Tatiana Cliscovscaia, Valentina Pislaru, Valeriu Oglinda, Larisa Capmare, Mugurel Stefan Ghelase, Tamara Turcanu
Background and aims: The Republic of Moldova is a small ex-soviet country in the Central Eastern European group of states, whose official language is Romanian. In countries with limited resources, quality improvement in healthcare and patient safety are very challenging. This study aims to identify which areas of the patient safety culture (PSC) need prompt intervention. Methods: A cross-sectional study was conducted in three Moldovan healthcare settings, using the Romanian translation of the US Hospital Survey on Patient Safety Culture HSOPSC...
2018: Clujul Medical (1957)
https://www.readbyqxmd.com/read/29455898/does-emotional-talk-vary-with-fears-of-cancer-recurrence-trajectory-a-content-analysis-of-interactions-between-women-with-breast-cancer-and-their-therapeutic-radiographers
#3
L Barracliffe, Y Yang, J Cameron, C Bedi, G Humphris
Fears of cancer recurrence (FCR) in patients with breast cancer are hypothesised to develop over the period from diagnosis, through treatment and thereafter. A crucial point may be the contact that patients have with their therapeutic radiographer in review appointments. The study aimed to (1) describe and categorise the content of the identified emotional talk, and (2) consider the evidence for an association of content with FCR trajectory. METHODS: A concurrent mixed methods approach was applied as part of a larger investigation (FORECAST) of breast cancer patients (n=87)...
March 2018: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/29455160/children-and-adolescents-experiences-of-primary-lymphoedema-semistructured-interview-study
#4
Camilla S Hanson, Johanna Newsom, Davinder Singh-Grewal, Nicholas Henschke, Margaret Patterson, Allison Tong
BACKGROUND: Congenital lymphoedema is a lifelong condition that has detrimental physical and psychosocial outcomes for young patients and burdensome treatment responsibilities that may hamper patients' motivation for self-management. There is limited research from the perspective of young people with primary lymphoedema. We aimed to describe the experiences and views of children and adolescents with lymphoedema to inform patient-centred practice. METHODS: Twenty patients (aged 8-21 years) with primary lymphoedema were purposively sampled from two paediatric clinics in Sydney, Australia, to participate in a semistructured interview...
February 17, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29453641/factor-structure-and-psychometric-properties-of-the-thoughts-about-psychotherapy-survey-in-a-parent-sample
#5
Erlanger A Turner
Researchers have noted that treatment fearfulness (e.g., embarrassment or negative attitudes) causes individuals to avoid seeking therapy. The purpose of this study was to examine the psychometric properties of the Thoughts About Psychotherapy Survey (TAPS; Kushner and Sher in Prof Psychol Res Prac 20(4):251-257, 1989) in a sample of parents. This study also examined differences in therapy fears among parents with and without a history of using mental health services. Using a sample of 138 parents (87% female), findings indicated that a three factor structure of the TAPS was a good fit for the data...
February 16, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29451665/mirror-therapy-a-potential-intervention-for-pain-management
#6
Priscilla G Wittkopf, Mark I Johnson
The consequences of chronic pain and associated disabilities to the patient and to the health care system are well known. Medication is often the first treatment of choice for chronic pain, although side effects and high costs restrict long-term use. Inexpensive, safe and easy to self-administer non-pharmacological therapies, such as mirror therapy, are recommended as adjuncts to pain treatment. The purpose of this review is to describe the principles of use of mirror therapy so it can be incorporated into a health care delivery...
November 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/29449764/the-effect-of-manual-therapy-and-neuroplasticity-education-on-chronic-low-back-pain-a-randomized-clinical-trial
#7
Adriaan Louw, Kevin Farrell, Merrill Landers, Martin Barclay, Elise Goodman, Jordan Gillund, Sara McCaffrey, Laura Timmerman
Objective: To determine if a neuroplasticity educational explanation for a manual therapy technique will produce a different outcome compared to a traditional mechanical explanation. Methods: Sixty-two patients with chronic low back pain (CLBP) were recruited for the study. Following consent, demographic data were obtained as well as pain ratings for low back pain (LBP) and leg pain (Numeric Pain Rating Scale), disability (Oswestry Disability Index), fear-avoidance (Fear-Avoidance-Beliefs Questionnaire), forward flexion (fingertips-to-floor), and straight leg raise (SLR) (inclinometer)...
December 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29445036/transition-by-head-on-collision-mechanically-mediated-manoeuvres-in-cockroaches-and-small-robots
#8
Kaushik Jayaram, Jean-Michel Mongeau, Anand Mohapatra, Paul Birkmeyer, Ronald S Fearing, Robert J Full
Exceptional performance is often considered to be elegant and free of 'errors' or missteps. During the most extreme escape behaviours, neural control can approach or exceed its operating limits in response time and bandwidth. Here we show that small, rapid running cockroaches with robust exoskeletons select head-on collisions with obstacles to maintain the fastest escape speeds possible to transition up a vertical wall. Instead of avoidance, animals use their passive body shape and compliance to negotiate challenging environments...
February 2018: Journal of the Royal Society, Interface
https://www.readbyqxmd.com/read/29438542/discovery-and-development-of-new-antibacterial-drugs-learning-from-experience
#9
Nicole Jackson, Lloyd Czaplewski, Laura J V Piddock
Antibiotic (antibacterial) resistance is a serious global problem and the need for new treatments is urgent. The current antibiotic discovery model is not delivering new agents at a rate that is sufficient to combat present levels of antibiotic resistance. This has led to fears of the arrival of a 'post-antibiotic era'. Scientific difficulties, an unfavourable regulatory climate, multiple company mergers and the low financial returns associated with antibiotic drug development have led to the withdrawal of many pharmaceutical companies from the field...
February 9, 2018: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/29438156/anxiety-sensitivity-physical-and-cognitive-concerns-in-relation-to-smoking-oriented-cognition-an-examination-among-treatment-seeking-adults-who-smoke
#10
Kirsten J Langdon, Jafar Bakhshaie, Alicia Lopez, Niloofar Tavakoli, Lorra Garey, Amanda M Raines, Brooke Y Kauffman, Norman B Schmidt, Michael J Zvolensky
OBJECTIVES: Elevated levels of anxiety sensitivity (AS; fear of anxiety and internal sensations) is highly common among adults who smoke, and contributes to several maladaptive smoking beliefs and behaviors. AS is comprised of 3 empirically established factors, relating to fears of social concerns, fears of physical symptoms, and fears of cognitive dyscontrol. Relatively few studies have examined how these 3 subscales pertain to smoking processes. The aim of the present investigation was to examine, among treatment-seeking adults who smoke, the interactive effects of AS-physical and cognitive concerns in relation to: perceived barriers to smoking cessation; smoking-related negative reinforcement expectancies; and smoking-related avoidance and inflexibility...
February 12, 2018: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29437982/anxiety-after-stroke-the-importance-of-subtyping
#11
Ho-Yan Yvonne Chun, William N Whiteley, Martin S Dennis, Gillian E Mead, Alan J Carson
BACKGROUND AND PURPOSE: Anxiety after stroke is common and disabling. Stroke trialists have treated anxiety as a homogenous condition, and intervention studies have followed suit, neglecting the different treatment approaches for phobic and generalized anxiety. Using diagnostic psychiatric interviews, we aimed to report the frequency of phobic and generalized anxiety, phobic avoidance, predictors of anxiety, and patient outcomes at 3 months poststroke/transient ischemic attack. METHODS: We followed prospectively a cohort of new diagnosis of stroke/transient ischemic attack at 3 months with a telephone semistructured psychiatric interview, Fear Questionnaire, modified Rankin Scale, EuroQol-5D5L, and Work and Social Adjustment Scale...
February 6, 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29433483/control-of-staphylococcus-aureus-in-dairy-herds-in-a-region-with-raw-milk-cheese-production-farmers-attitudes-knowledge-behaviour-and-belief-in-self-efficacy
#12
Marie-Eve Cousin, Maria Christina Härdi-Landerer, Verena Völk, Michèle Bodmer
BACKGROUND: Contagious mastitis is an important disease in dairy cattle, and the causative agent S. aureus can also impair raw milk cheese quality. In a confined region in eastern Switzerland attitude, knowledge and behaviour towards S. aureus und S. aureus control was assessed in 90 dairy farmers with communal alpine pasturing including raw milk cheese production with the aid of a questionnaire. RESULTS: Forty-three out of 90 questionnaires were returned (48% return rate)...
February 13, 2018: BMC Veterinary Research
https://www.readbyqxmd.com/read/29427968/incidence-of-malignant-lymphoma-in-adolescents-and-young-adults-in-the-58-counties-of-california-with-varying-synthetic-turf-field-density
#13
Archie Bleyer, Theresa Keegan
BACKGROUND: Case reports of cancer among soccer players raised concerns that the crumb rubber infill in synthetic turf fields may cause malignant lymphoma. One prior epidemiologic study on the topic found no association. METHODS: An ecologic evaluation of county-level incidence of lymphomas by race/ethnicity and socioeconomic status for the state of California with data obtained from the National Cancer Institute Surveillance, Epidemiology, and End Results Program...
February 7, 2018: Cancer Epidemiology
https://www.readbyqxmd.com/read/29426826/neurodynamics-and-connectivity-during-facial-fear-perception-the-role-of-threat-exposure-and-signal-congruity
#14
Cody A Cushing, Hee Yeon Im, Reginald B Adams, Noreen Ward, Daniel N Albohn, Troy G Steiner, Kestutis Kveraga
Fearful faces convey threat cues whose meaning is contextualized by eye gaze: While averted gaze is congruent with facial fear (both signal avoidance), direct gaze (an approach signal) is incongruent with it. We have previously shown using fMRI that the amygdala is engaged more strongly by fear with averted gaze during brief exposures. However, the amygdala also responds more to fear with direct gaze during longer exposures. Here we examined previously unexplored brain oscillatory responses to characterize the neurodynamics and connectivity during brief (~250 ms) and longer (~883 ms) exposures of fearful faces with direct or averted eye gaze...
February 9, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29425903/efficacy-and-safety-of-five-day-challenge-for-the-evaluation-of-non-severe-amoxicillin-allergy-in-children
#15
Roxane Labrosse, Louis Paradis, Jonathan Lacombe, Kathryn Samaan, François Graham, Jean Paradis, Philipps Bégin, Anne Des Roches
BACKGROUND: Penicillin allergy is the most frequent drug allergy, among which aminopenicillins are reputed for causing delayed rashes in children, particularly in the context of viral infections. Despite a negative allergy evaluation, a significant proportion of individuals continue to avoid penicillin antibiotics for fear of an allergic reaction. OBJECTIVES: This study sought to evaluate the safety and efficacy of a five-day challenge to amoxicillin and the proportion of subsequent use of amoxicillin...
February 6, 2018: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/29424113/effect-of-a-matter-of-balance-programme-on-avoidance-behaviour-due-to-fear-of-falling-in-older-adults
#16
Cecelia Sartor-Glittenberg, Elton Bordenave, Curt Bay, Lori Bordenave, Jeffrey L Alexander
BACKGROUND: Fear of falling (FOF) is associated with restricted activities, increased risk of falling, and decreased quality of life. A Matter of Balance (AMOB) is an evidence-based programme designed to decrease FOF. The current study investigated the influence of the AMOB on activity avoidance caused by FOF in older adults using the Fear of Falling Avoidance Behavior Questionnaire (FFABQ), health-related quality of life, and a question regarding concerns about falling. METHODS: Participants of this quasi-experimental, one-group, pretest-post-test study design were older adults from community sites in the Phoenix, Arizona, metropolitan area...
February 8, 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://www.readbyqxmd.com/read/29416838/investigating-the-role-of-interpersonal-sensitivity-anger-and-perfectionism-in-social-anxiety
#17
Youkhabeh Mohammadian, Behzad Mahaki, Mahmoud Dehghani, Mohammadkazem Atef Vahid, Fahimeh Fathali Lavasani
Background: The investigation of personality characteristics and emotional experiences of the people suffering from anxiety disorders is one of the most important issues which are considered by researchers and clinicians. Perfectionism, sensitivity to interpersonal rejection, and anger are personality traits related to social anxiety. In social anxiety disorder, it has also been focused on anger as a personality characteristic and as an emotional condition. The main purpose of this work is to investigate the role of these variables in predicting social anxiety among a nonclinical group of Iranian students...
2018: International Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29416278/an-overview-of-serum-prostatic-surface-antigen-cut-points-for-recommendation-of-prostatic-biopsy
#18
Sujata K Patwardhan, Bhushan P Patil, Umesh Ravikant Shelke, Abhishek G Singh
Introduction: Patients in India frequently present with prostatic surface antigen (PSA) report and request for prostatic biopsy to rule out malignancy. With fear of harboring malignancy set in patient's mind, it becomes difficult to counsel them about absolute indications and need of biopsy. Whether serum PSA has same predictability in symptomatic patients in the Indian context for advising prostatic biopsy at same reference ranges as in western countries, remains to be answered. Materials and Methods: Symptomatic patients between 45 and 70 years of age presenting with either raised serum PSA (>4 ng/ml) reports or abnormal digital rectal examination (DRE) were considered as cases...
January 2018: Urology Annals
https://www.readbyqxmd.com/read/29415222/military-tailored-yoga-for-veterans-with-post-traumatic-stress-disorder
#19
Robin E Cushing, Kathryn L Braun, Susan W Alden C-Iayt, Alan R Katz
Introduction: Among veterans of post-9/11 conflicts, estimates of post-traumatic stress disorder (PTSD) range from 9% shortly after returning from deployment to 31% a year after deployment. Clinical and pharmaceutically based treatments are underutilized. This could be due to concerns related to lost duty days, as well as PTSD patients' fears of stigma of having a mental health condition. Yoga has been shown to reduce PTSD symptoms in the civilian population, but few studies have tested the impact of yoga on veterans of post-9/11 conflicts...
February 5, 2018: Military Medicine
https://www.readbyqxmd.com/read/29410582/comparison-of-pain-disorder-back-performance-and-psychological-factors-in-patients-with-low-back-pain-and-radicular-pain
#20
Seunghwan Kim, Jung Hyun Kim, You Lim Kim, Suk Min Lee
[Purpose] This study investigated the relationship between pain intensity, lumber disability, and psychological factors in patients with low back pain. [Subjects and Methods] A total of 166 outpatients (116 female, 50 male) with chronic low back pain presenting for physical therapy participated in this study. Patients were divided into two groups: those with low back pain alone and those with both low back pain and radicular pain. Pain intensity and lumbar disability were measured using a visual analogue scale and the Roland-Morris Disability Questionnaire...
January 2018: Journal of Physical Therapy Science
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