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Professional self regulation

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https://www.readbyqxmd.com/read/28653585/international-workshop-on-professionalism-in-the-practice-of-medicine-where-are-we-now
#1
Ora Paltiel, Lior Lowenstein, Jonathan Demma, Orly Manor
Medical professionalism refers to attributes, values, behaviors, responsibilities and commitments of physicians that are congruent with the public's expectations. An international workshop on medical professionalism took place at the Dead Sea, Israel, on December 11-12, 2016. The meeting brought together local medical professionals, physicians and others, as well as international experts, to discuss definitions of professionalism and wrestle with current challenges facing the profession including its perceived status and physician satisfaction, unprofessional behavior and its relation to health care quality and patient safety, and professionalism as a learned competence...
April 3, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28640035/the-professionalism-and-integrity-in-research-program-description-and-preliminary-outcomes
#2
James M DuBois, John T Chibnall, Raymond Tait, Jillon S Vander Wal
Violations of rules and regulations in research can cause significant problems for human participants, animal subjects, data integrity, institutions, and investigators. The Professionalism and Integrity in Research Program (PI Program) provides remediation training that addresses the root causes of violations of rules and regulations in research. Through assessments, a three-day workshop, and follow-up coaching calls, the PI Program teaches evidence-based decision-making strategies designed to help researchers to compensate for bias, uncertainty, and work-related stress, and foster the skills needed to oversee research projects in today's complex regulatory environments...
June 20, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28630519/strategies-for-improving-learner-metacognition-in-health-professional-education
#3
REVIEW
Melissa S Medina, Ashley N Castleberry, Adam M Persky
Metacognition is an essential skill in critical thinking and self-regulated, lifelong learning. It is important for learners to have skills in metacognition because they are used to monitor and regulate reasoning, comprehension, and problem-solving, which are fundamental components/outcomes of pharmacy curricula. Instructors can help learners develop metacognitive skills within the classroom and experiential setting by carefully designing learning activities within courses and the curriculum. These skills are developed through intentional questioning, modeling techniques, and reflection...
May 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28608402/does-the-severity-of-psychopathology-of-italian-students-receiving-counselling-services-increase-over-time-a-5-year-analysis-and-a-comparison-with-a-clinical-and-non-clinical-sample
#4
Maria Grazia Strepparava, Marco Bani, Federico Zorzi, Umberto Mazza, Francesca Barile, Giorgio Rezzonico
Psychological problems-from the most minor such as exams anxiety to the more severe such as personality disorders-are not rare in young adults. University Counselling Services often present the only opportunity for undergraduates to meet health professionals and to be confronted with their difficulties in a non-clinical setting or-in cases of more severe psychopathology-to be referred to mental health services. Recent research attests to the increasing severity of psychological problems among undergraduate and graduate university students...
June 13, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28598405/design-and-validation-of-a-breathing-detection-system-for-scuba-divers
#5
Corentin Altepe, S Murat Egi, Tamer Ozyigit, D Ruzgar Sinoplu, Alessandro Marroni, Paola Pierleoni
Drowning is the major cause of death in self-contained underwater breathing apparatus (SCUBA) diving. This study proposes an embedded system with a live and light-weight algorithm which detects the breathing of divers through the analysis of the intermediate pressure (IP) signal of the SCUBA regulator. A system composed mainly of two pressure sensors and a low-power microcontroller was designed and programmed to record the pressure sensors signals and provide alarms in absence of breathing. An algorithm was developed to analyze the signals and identify inhalation events of the diver...
June 9, 2017: Sensors
https://www.readbyqxmd.com/read/28589268/e-cigarette-users-attitudes-on-the-banning-of-sales-of-nicotine-e-liquid-its-implication-on-e-cigarette-use-behaviours-and-alternative-sources-of-nicotine-e-liquid
#6
Li Ping Wong, Haridah Alias, Nasrin Agha Mohammadi, Azadeh Ghadimi, Victor Chee Wai Hoe
The banning of sales of nicotine e-liquid in e-cigarette shops has been implemented in several states in Malaysia. The distribution of nicotine e-liquid can only be allowed by licensed pharmacies or registered medical practitioners. This study aimed to evaluate e-cigarette users' responses to the control policy in a cross-sectional survey of 851 e-cigarette users by utilizing a self-report questionnaire that assessed (1) attitudes on regulation policy of e-cigarette banning; (2) e-cigarette use behaviors; and (3) sources of e-liquid after the regulation policy has been implemented...
June 6, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28581540/self-injury-placement-in-mental-disorders-classifications-risk-factors-and-primary-mechanisms-review-of-the-literature
#7
REVIEW
Kamila Lenkiewicz, Ewa Racicka, Anita Bryńska
Self-injury is a common phenomenon among adolescents and young adults, however its prevalence in clinical population is estimated at 40-80%, especially in regard to patients during puberty. Symptoms usually appear between 12th and 14th year of age, and their average duration is approx. 2 years. According to accepted sociocultural norms self-injury can be regarded as a normal behavior. Nevertheless, the prevalence of body art phenomenon in Western culture including professional tattooing, piercing, scarification, burning tattoos and other body modification typical for tribal cultures, has forced the need to redefine the boundaries for normative behavior...
April 30, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/28567300/quality-of-primary-health-care-and-autonomous-motivation-for-effective-diabetes-self-management-among-patients-with-type-2-diabetes
#8
Anne M Koponen, Nina Simonsen, Sakari Suominen
This study showed, in line with self-determination theory, that of the six central quality dimensions of primary health care (access to care, continuity of care, diabetes counseling, autonomy support from one's physician, trust, patient-centered care), autonomy support from one's physician was most strongly associated with autonomous motivation (self-regulation) for effective diabetes self-management among patients with type 2 diabetes (n = 2866). However, overall support for diabetes care received from friends, family members, other patients with diabetes, and health care professionals may even play a greater role...
January 2017: Health Psychology Open
https://www.readbyqxmd.com/read/28552684/-primary-care-in-italy
#9
T Sánchez-Sagrado
Italy is not a country where Spanish doctors emigrate, as there is an over-supply of health care professionals. The Italian Servizio Sanitario Nazionale has some differences compared to the Spanish National Health System. The Servizio Sanitario Nazionale is financed by national and regional taxes and co-payments. There are taxes earmarked for health, and Primary Care receives 50% of the total funds. Italian citizens and residents in Italy have the right to free health cover. However, there are co-payments for laboratory and imaging tests, pharmaceuticals, specialist ambulatory services, and emergencies...
May 25, 2017: Semergen
https://www.readbyqxmd.com/read/28549476/comparing-motivational-self-regulatory-and-habitual-processes-in-a-computer-tailored-physical-activity-intervention-in-hospital-employees-protocol-for-the-paths-randomised-controlled-trial
#10
Dominika Kwasnicka, Corneel Vandelanotte, Amanda Rebar, Benjamin Gardner, Camille Short, Mitch Duncan, Dawn Crook, Martin S Hagger
BACKGROUND: Most people do not engage in sufficient physical activity to confer health benefits and to reduce risk of chronic disease. Healthcare professionals frequently provide guidance on physical activity, but often do not meet guideline levels of physical activity themselves. The main objective of this study is to develop and test the efficacy of a tailored intervention to increase healthcare professionals' physical activity participation and quality of life, and to reduce work-related stress and absenteeism...
May 26, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28544334/corruption-or-professional-dignity-an-ethical-examination-of-the-phenomenon-of-red-envelopes-monetary-gifts-in-medical-practice-in-china
#11
Wei Zhu, Lijie Wang, Chengshang Yang
In the medical practice in China, giving and taking "red envelopes" (monetary gifts) is a common phenomenon although few openly admit it. This paper, based on our empirical study including data collected from interviews and questionnaires with medical professionals and patients, attempts to explore why "red envelopes" have become a serious problem in the physician-patient relationship and how the situation can be improved. Previous studies show that scholars tend to correlate the spread of "red envelopes" in health care sector to the commercialization trend, the general erosion of traditional values, and the lowering of the moral level in the medical field...
May 21, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/28532470/health-care-professionals-attitudes-towards-evidence-based-medicine-in-the-workers-compensation-setting-a-cohort-study
#12
Nieke A Elbers, Robin Chase, Ashley Craig, Lyn Guy, Ian A Harris, James W Middleton, Michael K Nicholas, Trudy Rebbeck, John Walsh, Simon Willcock, Keri Lockwood, Ian D Cameron
BACKGROUND: Problems may arise during the approval process of treatment after a compensable work injury, which include excess paperwork, delays in approving services, disputes, and allegations of over-servicing. This is perceived as undesirable for injured people, health care professionals and claims managers, and costly to the health care system, compensation system, workplaces and society. Introducing an Evidence Based Medicine (EBM) decision tool in the workers' compensation system could provide a partial solution, by reducing uncertainty about effective treatment...
May 22, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28525612/an-effectiveness-hierarchy-of-preventive-interventions-neglected-paradigm-or-self-evident-truth
#13
Simon Capewell, Ann Capewell
Non-communicable disease prevention strategies usually target the four major risk factors of poor diet, tobacco, alcohol and physical inactivity. Yet, the most effective approaches remain disputed. However, increasing evidence supports the concept of an effectiveness hierarchy. Thus, 'downstream' preventive activities targeting individuals (such as 1:1 personal advice, health education, 'nudge' or primary prevention medications) consistently achieve a smaller population health impact than interventions aimed further 'upstream' (for instance, smoke-free legislation, alcohol minimum pricing or regulations eliminating dietary transfats)...
May 19, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28525588/diving-and-long-term-cardiovascular-health
#14
K Åsmul, Å Irgens, M Grønning, A Møllerløkken
Background: Short-term cardiovascular effects from ambient pressure exposure are known. However, long-term cardiovascular effects from diving in humans have been less studied. Aims: To examine possible long-term cardiovascular health effects from occupational diving. Methods: We compared the prevalence of cardiovascular disease in former divers to non-divers. We obtained data on male former divers with a certificate valid for professional diving after 1980, from the Norwegian Diver 2011 project, and matched data on the general male population from the HUNT3 Survey...
May 19, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/28514199/drawing-asthma-an-exploration-of-patients-perceptions-and-experiences
#15
Melissa Mei Yin Cheung, Bandana Saini, Lorraine Smith
OBJECTIVE: As an art form, drawings can facilitate the tangible expression of patients' inner images and feelings in a range of health conditions. However, there are currently no published studies investigating adults' perspectives of asthma using drawings. This study aimed to explore how adults' drawings illustrate their perceptions and experiences of asthma. METHODS: Adults with asthma participated in a one-on-one drawing activity. Analysis was grounded in the participants' accounts of their drawing, which were examined alongside the relevant image...
May 17, 2017: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/28514133/-the-influence-of-the-israeli-legislation-on-the-relationship-between-physicians-and-pharmaceutical-companies
#16
Rachel Nissanholtz-Gannot, Ariel Yankellevich, Nurit Nirel
INTRODUCTION: The relationship between physicians and pharmaceutical-companies raises many dilemmas. There are two types of solutions to these dilemmas: self-regulation and government regulation. Our goal was to review in what way legislative intervention and self-regulation standardize and affect the relationship. In addition, we examined the positions of relevant stakeholders regarding: 1. The relationship between physicians and pharmaceutical companies; 2. Future measures we should take to address the ethical dilemmas inherent in this relationship...
July 2016: Harefuah
https://www.readbyqxmd.com/read/28498053/autism-behavior-inventory-a-novel-tool-for-assessing-core-and-associated-symptoms-of-autism-spectrum-disorder
#17
Abi Bangerter, Seth Ness, Michael G Aman, Anna J Esbensen, Matthew S Goodwin, Geraldine Dawson, Robert Hendren, Bennett Leventhal, Anzalee Khan, Mark Opler, Adrianne Harris, Gahan Pandina
OBJECTIVE: Autism Behavior Inventory (ABI) is a new measure for assessing changes in core and associated symptoms of autism spectrum disorder (ASD) in participants (ages: 3 years-adulthood) diagnosed with ASD. It is a web-based tool with five domains (two ASD core domains: social communication, restrictive and repetitive behaviors; three associated domains: mental health, self-regulation, and challenging behavior). This study describes design, development, and initial psychometric properties of the ABI...
May 12, 2017: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/28493091/-violence-against-the-elderly-in-domestic-care-settings-short-profile-of-an-interdisciplinary-research-project
#18
REVIEW
Anna Schwedler, Nadine Konopik, Lukas Heber, Marina Wellenhofer, Frank Oswald, Gisela Zenz, Ludwig Salgo
Most elderly people wish to remain and be cared for in their own home. Approximately 1.38 million people in Germany are cared for without professional support. However, domestic care by relatives can be a risk factor for violence against the elderly. This research project deals with the issue from a legal and social sciences perspective. The aim of the project is to develop a regulatory framework providing aid-oriented prevention and intervention in the family care of vulnerable elderly people by public agencies and courts...
May 10, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28460757/our-intellectuals-have-failed-us-system-of-a-down
#19
EDITORIAL
Sundeep Mishra
Medical profession is at cross-roads. On one hand are issues like medical mal-practice and negligence but on the other are loss of respect, low re-imbursement, lawsuits against medical professionals, violence against physicians all contributing to a lot of stress as also a high suicide rate among medical practitioners. While some of the problems seem related to changing societal norms, most of them seem to stem from a failure, active or passive on the part of medical intellectual, moving away from altruism, justice and self regulation to pursuance of self interest with a consequent loss of trust in doctor-patient relationship...
March 2017: Indian Heart Journal
https://www.readbyqxmd.com/read/28393646/-start-development-of-an-intervention-for-a-first-stabilization-and-arousal-modulation-for-highly-stressed-minor-refugees
#20
Andrea Dixius, Eva Möhler
START - Development of an Intervention for a First Stabilization and Arousal-modulation for Highly Stressed Minor Refugees This article focuses on the development of an intervention called "Stress-Traumasymptoms- Arousal-Regulation-Treatment" (START), through the process of working with refugeed minors in acute stress during the clearing process immediately on arrival in Germany. START is a short manualized structured intervention for crisis intervention and stabiliziation of children and adolescents suffering from intense stress and acute tension or desperation...
April 2017: Praxis der Kinderpsychologie und Kinderpsychiatrie
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