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https://www.readbyqxmd.com/read/29621165/keeping-antibiotics-at-home-promotes-self-medication-with-antibiotics-among-chinese-university-students
#1
Xiaomin Wang, Leesa Lin, Ziming Xuan, Lu Li, Xudong Zhou
BACKGROUND: Inappropriate use of antibiotics has caused antimicrobial resistance, presenting a major health challenge to the world population. Self-medication with antibiotics (SMA) is currently at an alarming level in China. OBJECTIVES: To determine the sources of antibiotics leftover at home, the risk factors of keeping antibiotics at home, and the associations between keeping antibiotics at home and SMA among Chinese university students. METHODS: Six provinces were purposely selected from six regions of China, and one multi-disciplinary university was selected from each chosen province...
April 5, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29601224/physical-therapists-perception-of-workplace-ethics-in-an-evolving-health-care-delivery-environment-a-cross-sectional-survey
#2
Roberto Cantu
Physical therapists are trained and obligated to deliver optimal health care and put patients first above all else. In the changing health-care environment, health-care organizations are grappling with controlling cost and increasing revenues. Moral distress may be created when physical therapists' desire to provide optimal care conflicts with their organization's goals to remain financially viable or profitable. Moral distress has been associated with low perception of ethical environment, professional burnout, and high turnover in organizations...
March 30, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29575290/the-influence-of-psychosocial-factors-in-veteran-adjustment-to-civilian-life
#3
Margaret A Bowes, Nuno Ferreira, Mike Henderson
AIM: Although most veterans have a successful transition to civilian life when they leave the military, some struggle to cope and adjust to the demands and challenges of civilian life. This study explores how a variety of psychosocial factors influence veteran adjustment to civilian life in Scotland, UK, and which of these factors predict a poor adjustment. METHODS: One hundred and fifty-four veterans across Scotland completed a set of questionnaires that measured veteran adjustment difficulty, quality of life, mental health, stigma, self-stigma, attitude towards help-seeking, likelihood of help-seeking, experiential avoidance, reappraisal and suppression...
March 25, 2018: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/29574944/brain-themed-self-help-and-the-healthcare-provider-in-the-united-states
#4
Tracy D Gunter
People commonly use the Internet to search for health information and tend to use the information they find without regard to source or credibility. Although regulation plays some role in minimizing false claims made by manufacturers of self-help products, effective communication with health professionals likely offers greater protection to the patient or consumer accessing self-help materials. In order to best serve patients (or healthcare consumers), providers should educate them about their healthcare needs, inquire about self-help product use, understand appropriate use, discuss the risks and benefits of use, monitor the patients' condition during use, and document these conversations...
March 25, 2018: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/29552350/start-making-sense-art-informing-health-psychology
#5
REVIEW
Ad A Kaptein, Brian M Hughes, Michael Murray, Joshua M Smyth
Growing evidence suggests that the arts may be useful in health care and in the training of health care professionals. Four art genres - novels, films, paintings and music - are examined for their potential contribution to enhancing patient health and/or making better health care providers. Based on a narrative literature review, we examine the effects of passive (e.g. reading, watching, viewing and listening) and active (e.g. writing, producing, painting and performing) exposure to the four art genres, by both patients and health care providers...
January 2018: Health Psychology Open
https://www.readbyqxmd.com/read/29535617/yoga-therapy-and-polyvagal-theory-the-convergence-of-traditional-wisdom-and-contemporary-neuroscience-for-self-regulation-and-resilience
#6
Marlysa B Sullivan, Matt Erb, Laura Schmalzl, Steffany Moonaz, Jessica Noggle Taylor, Stephen W Porges
Yoga therapy is a newly emerging, self-regulating complementary and integrative healthcare (CIH) practice. It is growing in its professionalization, recognition and utilization with a demonstrated commitment to setting practice standards, educational and accreditation standards, and promoting research to support its efficacy for various populations and conditions. However, heterogeneity of practice, poor reporting standards, and lack of a broadly accepted understanding of the neurophysiological mechanisms involved in yoga therapy limits the structuring of testable hypotheses and clinical applications...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29528424/do-the-public-think-medical-regulation-keep-them-safe
#7
Carrie Ho-Kwan Yam, Eliza Lai-Yi Wong, Sian M Griffiths, Eng-Kiong Yeoh
Objective: To assess public knowledge and expectations of the ways to assess doctors' competence to ensure patient safety. Design setting and participants: Telephone survey of a random sample of 1000 non-institutionalized Hong Kong residents. Measures and results: Only 5% of public were correct that doctors are not required to periodically be assessed, and 9% were correct that the doctors are not required to update knowledge and skills for renewing their license...
March 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29505459/bariatric-outcomes-self-management-for-sustained-surgical-success-a-multicomponent-treatment-for-dysregulated-overeating-in-bariatric-surgery-patients
#8
Laura M Anderson, Thomas P Chacko
Binge eating disorder, food addiction, and dysregulated overeating are common among people with severe obesity and prevalent among bariatric surgery populations. These problematic eating habits share commonalities with other addictions. Effective, holistic self-management is needed to promote long-term weight loss and psychosocial adjustment among patients who are severely obese who undergo surgery, especially those with clinically remarkable levels of binge eating, food addiction, or dysregulated overeating...
January 2018: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/29503607/effect-of-somatic-experiencing-resiliency-based-trauma-treatment-training-on-quality-of-life-and-psychological-health-as-potential-markers-of-resilience-in-treating-professionals
#9
Neal E Winblad, Michael Changaris, Phyllis K Stein
Background: Individuals who treat trauma are at significant risk of vicarious traumatization and burnout. Somatic Experiencing® (SE®) is a resiliency-focused trauma treatment modality designed to address autonomic nervous system (ANS) dysregulation and its impacted physical health and mental health symptoms e.g., anxiety, depression, post-traumatic stress disorder, migraines, fibromyalgia, and chronic fatigue, etc. The SE® training supports the development of clinical skills to reduce physical health/mental health symptoms as well as increase clinician resilience...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29485480/time-variable-training-in-medicine-theoretical-considerations
#10
Olle Ten Cate, Larry D Gruppen, Jennifer R Kogan, Lorelei A Lingard, Pim W Teunissen
The introduction of competency-based medical education has shifted thinking from a fixed-time model to one stressing attained competencies, independent of the time needed to arrive at those competencies. In this article, the authors explore theoretical and conceptual issues related to time variability in medical training, starting with the Carroll model from the 1960s that put time in the equation of learning. They discuss mastery learning, deliberate practice, and learning curves.While such behaviorist theories apply well to structured courses and highly structured training settings, learning in the clinical workplace is not well captured in such theories or in the model that Carroll proposed...
March 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29484312/is-liberal-independent-dental-practice-in-danger-assessing-forms-of-dental-practice-in-the-european-regional-organization-ero-zone-of-the-fdi-world-dental-federation
#11
Thomas Gerhard Wolf, Gerhard Konrad Seeberger, Angelika Callaway, Benjamín Briseño-Marroquín, Philippe Rusca, Michael Frank, Ernst-Jürgen Otterbach
OBJECTIVE: A trend towards increasingly new forms of dental practice has been observed in the FDI World Dental Federation. Elementary foundations such as the free dentist and therapy choice, and independent, free, self-responsible professional practice may be undermined. The current study is aimed at analyzing the general training framework, organization, and professional types of dental practice in the European Regional Organization (ERO) zone and at critically discussing selected aspects of changes in the dental profession...
February 26, 2018: Quintessence International
https://www.readbyqxmd.com/read/29472677/what-do-dental-codes-of-ethics-and-conduct-suggest-about-attitudes-to-raising-concerns-and-self-regulation
#12
A Holden
Background The ability of the dental profession to self-regulate and address poor performance or impairment is crucial if practitioners are to demonstrate a public commitment to patient safety. Failure of the profession to actively engage in this activity is likely to call into question trustworthiness and ability to place the interests of patients and the public first.Aim To investigate attitudes towards self-regulation and the raising of concerns as expressed through the ethical codes of different dental professional and regulatory organisations...
February 23, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29463488/digital-health-interventions-for-adults-with-type-2-diabetes-qualitative-study-of-patient-perspectives-on-diabetes-self-management-education-and-support
#13
Kingshuk Pal, Charlotte Dack, Jamie Ross, Susan Michie, Carl May, Fiona Stevenson, Andrew Farmer, Lucy Yardley, Maria Barnard, Elizabeth Murray
BACKGROUND: The prevalence of type 2 diabetes is increasing globally, and health services in many countries are struggling with the morbidity, mortality, and costs associated with the complications of this long-term condition. Diabetes self-management education (DSME) and behavioral support can reduce the risks of developing diabetes-related complications and improve glycemic control. However, their uptake is low. Digital health interventions (DHI) can provide sustained support and may overcome challenges associated with attending diabetes self-management sessions...
January 29, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29462144/perceptions-on-evaluative-and-formative-functions-of-external-supervision-of-rwandan-primary-healthcare-facilities-a-qualitative-study
#14
Michael Schriver, Vincent Kalumire Cubaka, Sylvere Itangishaka, Laetitia Nyirazinyoye, Per Kallestrup
BACKGROUND: External supervision of primary healthcare facilities in low- and middle-income countries often has a managerial main purpose in which the role of support for professional development is unclear. AIM: To explore how Rwandan primary healthcare supervisors and providers (supervisees) perceive evaluative and formative functions of external supervision. DESIGN: Qualitative, exploratory study. DATA: Focus group discussions: three with supervisors, three with providers, and one mixed (n = 31)...
2018: PloS One
https://www.readbyqxmd.com/read/29436708/nursing-wound-care-practices-in-haiti-facilitators-and-barriers-to-quality-care
#15
B A Timmins, C Thomas Riché, M W Saint-Jean, J Tuck, L Merry
AIM: To describe the facilitators and barriers for nurses to perform quality wound care in three surgical wards of a hospital in Port-au-Prince, Haiti. BACKGROUND: Up to a quarter of patients in low- and middle-income countries may acquire at least one infection while hospitalized. There is a paucity of research investigating nursing wound care practices in low- and middle-income countries regarding the prevention of hospital-acquired infections. METHODS: The design was qualitative descriptive...
February 13, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29435394/mentor-mentee-relationship-a-win-win-contract-in-graduate-medical-education
#16
EDITORIAL
Hale Z Toklu, Jacklyn C Fuller
Scholarly activities (i.e., the discovery of new knowledge; development of new technologies, methods, materials, or uses; integration of knowledge leading to new understanding) are intended to measure the quality and quantity of dissemination of knowledge. A successful mentorship program is necessary during residency to help residents achieve the six core competencies (patient care, medical knowledge, practice-based learning and improvement, systems-based practice, professionalism, interpersonal and communication skills) required by the Accreditation Council for Graduate Medical Education (ACGME)...
December 5, 2017: Curēus
https://www.readbyqxmd.com/read/29431689/dysregulated-th1-immune-and-vascular-responses-in-scrub-typhus-pathogenesis
#17
REVIEW
Lynn Soong
Scrub typhus is an emerging, insect-transmitted disease caused by Orientia tsutsugamushi, a Gram- and LPS-negative bacterium that replicates freely within professional phagocytes and endothelial cells. Scrub typhus is prevalent with high mortality rates, but information regarding its molecular pathogenesis, microbial virulence determinants, and key immune responses is limited. Improved animal models have recently been developed that respectively resemble the pathological features of self-limiting or severe scrub typhus in humans...
February 15, 2018: Journal of Immunology: Official Journal of the American Association of Immunologists
https://www.readbyqxmd.com/read/29421640/sustaining-a-newly-implemented-competence-based-midwifery-programme-in-lesotho-emerging-issues
#18
Champion N Nyoni, Yvonne Botma
The need to develop midwives who improve maternal and neonatal outcomes underpins decisions to adopt competence-based education models in low- and middle-income countries. Competence-based education means a shift in the training of midwives to include student self-directed performance-oriented training. Sustaining the implementation of a curricular innovation, such as a competence-based curriculum, requires new skills and resources by countries adopting such innovation. The skills and resources needed to sustain such a curricular innovation are influenced by issues that arise during implementation of the curricular innovation...
February 5, 2018: Midwifery
https://www.readbyqxmd.com/read/29384307/-analysis-of-interventions-designed-to-improve-clinical-supervision-of-student-nurses-in-benin
#19
André Otti, Magali Pirson, Danielle Piette, Yves Coppieters T Wallant
INTRODUCTION: The absence of an explicit and coherent conception of the articulation between theory and practice in the reform of nursing training in Benin has resulted in poor quality clinical supervision of student nurses. The objective of this article is to analyze two interventions designed to improve the quality of supervision. METHODS: A student welcome booklet developed by means of a consultative and provocative participatory approach was tested with twelve student nurses versus a control group...
December 5, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/29374004/ehealth-technologies-multimorbidity-and-the-office-visit-qualitative-interview-study-on-the-perspectives-of-physicians-and-nurses
#20
Graham G Macdonald, Anne F Townsend, Paul Adam, Linda C Li, Sheila Kerr, Michael McDonald, Catherine L Backman
BACKGROUND: eHealth is a broad term referring to the application of information and communication technologies in the health sector, ranging from health records to telemedicine and multiple forms of health education and digital tools. By providing increased and anytime access to information, opportunities to exchange experiences with others, and self-management support, eHealth has been heralded as transformational. It has created a group of informed, engaged, and empowered patients as partners, equipped to take part in shared decision making and effectively self-manage chronic illness...
January 26, 2018: Journal of Medical Internet Research
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