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https://www.readbyqxmd.com/read/29677413/survey-assessing-medical-student-and-physician-knowledge-and-attitudes-regarding-the-opioid-crisis
#1
Skyler Chouinard, Aman Prasad, Randall Brown
BACKGROUND: There is a national opioid misuse and overdose crisis. Consensus guidelines seek to inform practice and reduce risk; however, effect on clinician attitudes and knowledge remains unclear. METHODS: We surveyed 228 medical students and physicians in Wisconsin to assess their knowledge regarding at-risk patients, alternatives to opioids, and best treatment practices for opioid addiction. We also assessed attitudes about prescribing naloxone, relapse likelihood, and responsibility for the crisis...
March 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29676199/adolescents-multiple-versus-single-primary-attachment-figures-reorganization-of-attachment-hierarchy-and-adjustments-the-important-people-interview-approach
#2
Tomotaka Umemura, Lenka Lacinová, Jakub Kraus, Eliška Horská, Lenka Pivodová
Using 212 adolescents from a central-European country (mean age = 14.02, SD = 2.05, ranged from 11 to 18 years; females = 54%) and a multi-informant method to measure adolescents' behavioral and emotional adjustments, the present study explored three aspects regarding the attachment hierarchy. (1) The three types of behavioral systems of Rosenthal and Kobak's important people interview (IPI) were initially validated using an exploratory factor analysis with a US sample. Using a confirmatory factor analysis with a Czech sample, we replicated these three behavioral systems: attachment bond, support seeking, and affiliation...
April 20, 2018: Attachment & Human Development
https://www.readbyqxmd.com/read/29675556/patients-perspectives-on-urethral-bulk-injection-therapy-and-mid-urethral-sling-surgery-for-stress-urinary-incontinence
#3
Fenne M Casteleijn, Sandra E Zwolsman, Claudia R Kowalik, Jan-Paul P W R Roovers
INTRODUCTION AND HYPOTHESIS: The aim of this study was to identify all treatment decision factors that determined the preference for peri-urethral bulk injection therapy (PBI) or mid-urethral sling (MUS) surgery in patients with primary stress urinary incontinence (SUI). Second, we explored what patients expect from treatment for SUI and whether patients would consider PBI as a primary treatment option. METHODS: In a qualitative design, 20 semi-structured, face-to-face interviews were conducted in women with primary SUI...
April 19, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29672813/-topics-on-which-relatives-of-persons-with-dementia-seek-counseling-over-telephone-or-email-current-results-of-a-nationwide-counseling-service-of-the-german-alzheimer-society
#4
Anna Pendergrass, Saskia Weiß, Elmar Gräßel
BACKGROUND: Since 15 years, the Alzheimer 's Telephone of the German Alzheimer Society (Deutsche Alzheimer Gesellschaft e.V.; DAlzG), a nationwide psychosocial counseling service, has been offering support for people with dementia (PwD) and their families. The aim of this study was to evaluate: a) why informal PwD caregivers seek telephone counseling, b) whether these telephone calls are one-time counseling or long-term support, and c) whether the telephone inquiries differ from the email-based inquiries with regard to the addressed issues...
April 19, 2018: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29671791/the-antecedents-and-consequences-of-health-literacy-in-an-ecological-perspective-results-from-an-experimental-analysis
#5
Chiara Lorini, Francesca Ierardi, Letizia Bachini, Martina Donzellini, Fabrizio Gemmi, Guglielmo Bonaccorsi
This study analyses the relationship between the antecedents and consequences of health literacy (HL) at the ecological level among the nations involved in the European Health Literacy Survey (HLS-EU). The antecedents and consequences were investigated by means of proxy indicators. The HL was measured using the 47-item HLS-EU questionnaire (HLS-EUQ47) and the Newest Vital Sign (NVS). The two measures stood in significant correlation to the outcomes of the sub-discipline of the Euro Health Consumer Index (r = 0...
April 19, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29671662/goal-setting-dynamics-that-facilitate-or-impede-a-client-centered-approach
#6
Dorothy Kessler, Ian Walker, Katrine Sauvé-Schenk, Mary Egan
BACKGROUND: Client-centred goal setting is central to the process of enabling occupation. Yet, there are multiple barriers to incorporating client-centred goal setting in practice. We sought to determine what might facilitate or impede the formation of client-centred goals in a context highly supportive of client-centred goal setting Methods: We used conversational analysis to examine goal-setting conversations that took place during a pilot trial of Occupational Performance Coaching for stroke survivors...
April 19, 2018: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/29670992/promotion-of-hand-hygiene-the-experience-of-the-orthopaedic-hospital-gaetano-pini-cto-milan-italy
#7
M Nobile, C Conti, A Bastianelli, A Piscitelli, G M Calori, P Navone
BACKGROUND: Hand hygiene is the primary preventive measure against health care-associated infections in terms of cost-effectiveness. In 2005, the WHO proposed the "Global Patient Safety Challenge" campaign, with the aim of reducing the overall incidence of such infections, through multimodal programs and strategies, interactive training tools and standardised methods for monitoring compliance. STUDY DESIGN: On the basis of project "Rimani", sponsored by the Health and Social Care Authority of Emilia-Romagna, the Istituto Ortopedico Gaetano Pini has implemented a project which seeks to increase healthcare staff's compliance with hand hygiene...
May 2018: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/29670337/uk-south-asian-patients-experiences-of-and-satisfaction-toward-receiving-information-about-biologics-in-rheumatoid-arthritis
#8
Kanta Kumar, Sabrina R Raizada, Christian D Mallen, Rebecca J Stack
Background: Rheumatoid arthritis (RA) causes painful joint inflammation and is incurable, but treatments control RA. Drug regimens are complex, and patients often do not take their medication as expected. Poor medication adherence can lead to poorly controlled disease and worse patient outcomes. Biologics treatments are expensive and require full engagement from patients. We have previously shown that patients from Black ethnic minority backgrounds do not fully engage into treatment plan...
2018: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29669567/the-herrespect-intervention-to-address-violence-against-female-garment-workers-in-bangladesh-study-protocol-for-a-quasi-experimental-trial
#9
Mahfuz Al Mamun, Kausar Parvin, Marat Yu, Jessica Wan, Samantha Willan, Andrew Gibbs, Rachel Jewkes, Ruchira Tabassum Naved
BACKGROUND: Women in Bangladesh experience high rates of Intimate Partner Violence (IPV). IPV is more prevalent against income earning women compared to their non-earning counterparts, and Workplace Violence (WPV) is also common. Such violence is a violation of women's rights, and also constrains them from contributing to their personal growth, household, community and the economy at large. There is limited evidence on what works to prevent IPV and WPV amongst garment workers. This paper describes an evaluation of HERrespect, an intervention which aims to reduce IPV and WPV against female garment workers in and around Dhaka, Bangladesh...
April 18, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29669191/perspectives-of-rheumatoid-arthritis-patients-on-electronic-communication-and-patient-reported-outcome-data-collection-a-qualitative-study
#10
Iris Navarro-Millán, Anne Zinski, Sally Shurbaji, Bernadette Johnson, Liana Fraenkel, James Willig, Maria I Danila, Huifeng Yun, Jeffrey R Curtis, Monika M Safford
OBJECTIVE: To identify the perspectives of patients with rheumatoid arthritis (RA) on electronic recording of between-visit disease activity and other patient-reported outcomes (PROs), and sharing this information with health care providers or peers. METHODS: Patients with RA were recruited to participate in focus groups from December 2014 to April 2015. The topic guide and analysis were based on Andersen and Newman's framework. Sessions were audio recorded, transcribed, independently coded, and analyzed for themes...
April 18, 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29668841/the-impact-of-social-isolation-on-pain-interference-a-longitudinal-study
#11
Nicholas V Karayannis, Isabel Baumann, John A Sturgeon, Markus Melloh, Sean C Mackey
Background: Evidence suggests social interactions play an important role in pain perception. Purpose: The aim of this study was to determine whether social isolation (SI) in people with persistent pain determines pain interference (PI) and physical function over time. Methods: Patients seeking care at a tertiary pain management referral center were administered the Patient Reported Outcome Measurement Information System (PROMIS®) SI, PI, physical function, depression, and average pain intensity item banks at their initial consultation and subsequent visits as part of their routine clinical care...
April 12, 2018: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
https://www.readbyqxmd.com/read/29668811/evaluation-of-the-family-health-support-centers-focusing-on-the-integration-to-supported-teams
#12
Thaís Titon de Souza, Maria Cristina Marino Calvo
OBJECTIVE: To evaluate the Brazilian Family Health Support Centers focusing on the integration to supported teams. METHODS: This is an evaluation study in which we carried out a documentary analysis and modeling of the intervention focusing on the work integrated to the supported teams, which has allowed us to describe dimensions, objectives, and expected results. We defined the outcome indicators and their respective measures and sources of information. We used consensus techniques with key informants to validate the models and the matrix of indicators...
2018: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29668600/chilean-gastric-cancer-task-force-a-study-protocol-to-obtain-a-clinical-and-molecular-classification-of-a-cohort-of-gastric-cancer-patients
#13
Gareth I Owen, Mauricio P Pinto, Ignacio N Retamal, María F Fernádez, Betzabe Cisternas, Sebastian Mondaca, Cesar Sanchez, Hector Galindo, Bruno Nervi, Carolina Ibañez, Francisco Acevedo, Jorge Madrid, José Peña, Maria Loreto Bravo, Maria Jose Maturana, Miguel Cordova-Delgado, Diego Romero, Nathaly de la Jara, Javiera Torres, Maria Rodriguez-Fernandez, Manuel Espinoza, Carlos Balmaceda, Matías Freire, Valentina Gárate-Calderón, Fernando Crovari, Paula Jimenez-Fonseca, Alberto Carmona-Bayonas, Ariel Zwenger, Ricardo Armisen, Alejandro H Corvalan, Marcelo Garrido
Gastric cancer (GC) is the world's second-leading cause of neoplastic mortality. Genetic alterations, response to treatments, and mortality rates are highly heterogeneous across different regions. Within Latin America, GC is the leading cause of cancer death in Chile, affecting 17.6 per 100,000 people and causing >3000 deaths/y. Clinical outcomes and response to "one size fits all" therapies are highly heterogeneous and thus a better stratification of patients may aid cancer treatment and response...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29668533/motor-learning-in-dystonia-distorted-feedback-results-in-distorted-motor-learning-and-information-seeking-compensatory-behaviour
#14
Edit Nagy
Motor learning is possible in dystonia, but distorted feedback results in distorted motor performance and information-seeking compensatory behavior, as observed in this case. With globus pallidus internal segment deep brain stimulation, the postural background of hand writing improved, but the learned left compensatory grip did not change.
April 17, 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29668522/the-art-and-artifice-of-seeking-feedback-clerkship-students-approaches-in-asking-for-feedback
#15
Robert Bing-You, Victoria Hayes, Tamara Palka, Marybeth Ford, Robert Trowbridge
PURPOSE: As attention has shifted to learners as significant partners in feedback interactions, it is important to explore what feedback-seeking behaviors medical students use and how the faculty-student relationship affects feedback-seeking behaviors. METHOD: This qualitative study was inspired by the organizational psychology literature. Third-year medical students were interviewed at Maine Medical Center in April-May 2017 after completing a traditional block-rotation clerkship or a nine-month longitudinal integrated clerkship (LIC)...
April 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29667312/predatory-publishing-and-cybercrime-targeting-academics
#16
Mary Grace Umlauf, Yuki Mochizuki
The purpose of this report is to inform and warn academics about practices used by cybercriminals who seek to profit from unwary scholars and undermine the industry of science. This report describes the signs, symptoms, characteristics, and consequences of predatory publishing and related forms of consumer fraud. Methods to curb these cybercrimes include educating scholars and students about tactics used by predatory publishers; institutional changes in how faculty are evaluated using publications; soliciting cooperation from the industries that support academic publishing and indexing to curb incorporation of illegitimate journals; and taking an offensive position by reporting these consumer fraud crimes to the authorities...
April 2018: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/29666773/estimating-intraspecific-genetic-diversity-from-community-dna-metabarcoding-data
#17
Vasco Elbrecht, Ecaterina Edith Vamos, Dirk Steinke, Florian Leese
Background: DNA metabarcoding is used to generate species composition data for entire communities. However, sequencing errors in high-throughput sequencing instruments are fairly common, usually requiring reads to be clustered into operational taxonomic units (OTUs), losing information on intraspecific diversity in the process. While Cytochrome c oxidase subunit I (COI) haplotype information is limited in resolving intraspecific diversity it is nevertheless often useful e.g. in a phylogeographic context, helping to formulate hypotheses on taxon distribution and dispersal...
2018: PeerJ
https://www.readbyqxmd.com/read/29666461/the-neural-encoding-of-information-prediction-errors-during-non-instrumental-information-seeking
#18
Maja Brydevall, Daniel Bennett, Carsten Murawski, Stefan Bode
In a dynamic world, accurate beliefs about the environment are vital for survival, and individuals should therefore regularly seek out new information with which to update their beliefs. This aspect of behaviour is not well captured by standard theories of decision making, and the neural mechanisms of information seeking remain unclear. One recent theory posits that valuation of information results from representation of informative stimuli within canonical neural reward-processing circuits, even if that information lacks instrumental use...
April 17, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29666140/understanding-students-and-clinicians-experiences-of-informal-interprofessional-workplace-learning-an-australian-qualitative-study
#19
Charlotte E Rees, Paul Crampton, Fiona Kent, Ted Brown, Kerry Hood, Michelle Leech, Jennifer Newton, Michael Storr, Brett Williams
OBJECTIVES: While postgraduate studies have begun to shed light on informal interprofessional workplace learning, studies with preregistration learners have typically focused on formal and structured work-based learning. The current study investigated preregistration students' informal interprofessional workplace learning by exploring students' and clinicians' experiences of interprofessional student-clinician (IPSC) interactions. DESIGN: A qualitative interview study using narrative techniques was conducted...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29663579/analyzing-medical-costs-with-time-dependent-treatment-the-nested-g-formula
#20
Andrew Spieker, Jason Roy, Nandita Mitra
As medical expenses continue to rise, methods to properly analyze cost outcomes are becoming of increasing relevance when seeking to compare average costs across treatments. Inverse probability weighted regression models have been developed to address the challenge of cost censoring in order to identify intent-to-treat effects (i.e., to compare mean costs between groups on the basis of their initial treatment assignment, irrespective of any subsequent changes to their treatment status). In this paper, we describe a nested g-computation procedure that can be used to compare mean costs between two or more time-varying treatment regimes...
April 16, 2018: Health Economics
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