keyword
MENU ▼
Read by QxMD icon Read
search

Case conceptualization

keyword
https://www.readbyqxmd.com/read/28435419/the-process-of-creating-integrated-home-care-in-lithuania-from-idea-to-reality
#1
Ramunė Jurkuvienė, Lina Danusevičienė, Rūta Butkevičienė, Indrė Gajdosikienė
BACKGROUND: The article presents an analysis of the formulation and implementation of a social innovation: integrated home care (IHC) in post-soviet Lithuania. From 1998 a series of top-down orders to implement IHC were issued, however, home nursing did not start. In 2011 the Ministry of Social Security and Labour began a process to develop integrated home care using new, collaborative processes. The result was 21 pilot projects with well-conceptualized IHC services. METHOD: Using data from focus groups, interviews, and recorded observations, the research team systematically documented the innovation process, including themes and deviations, employing Smale's Innovation Trinity framework to organize the larger picture...
August 19, 2016: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28435417/the-evolution-of-an-interprofessional-shared-decision-making-research-program-reflective-case-study-of-an-emerging-paradigm
#2
Maman Joyce Dogba, Matthew Menear, Dawn Stacey, Nathalie Brière, France Légaré
INTRODUCTION: Healthcare research increasingly focuses on interprofessional collaboration and on shared decision making, but knowledge gaps remain about effective strategies for implementing interprofessional collaboration and shared decision-making together in clinical practice. We used Kuhn's theory of scientific revolutions to reflect on how an integrated interprofessional shared decision-making approach was developed and implemented over time. METHODS: In 2007, an interdisciplinary team initiated a new research program to promote the implementation of an interprofessional shared decision-making approach in clinical settings...
July 19, 2016: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28434821/an-overview-of-geophysical-technologies-appropriate-for-characterization-and-monitoring-at-fractured-rock-sites
#3
Frederick D Day-Lewis, Lee D Slater, Judy Robinson, Carole D Johnson, Neil Terry, Dale Werkema
Geophysical methods are used increasingly for characterization and monitoring at remediation sites in fractured-rock aquifers. The complex heterogeneity of fractured rock poses enormous challenges to groundwater remediation professionals, and new methods are needed to cost-effectively infer fracture and fracture-zone locations, orientations and properties, and to develop conceptual site models for flow and transport. Despite the potential of geophysical methods to "see" between boreholes, two issues have impeded the adoption of geophysical methods by remediation professionals...
April 20, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28427405/ceiling-effect-in-emr-system-assimilation-a-multiple-case-study-in-primary-care-family-practices
#4
Marie-Claude Trudel, Josianne Marsan, Guy Paré, Louis Raymond, Ana Ortiz de Guinea, Éric Maillet, Thomas Micheneau
BACKGROUND: There has been indisputable growth in adoption of electronic medical record (EMR) systems in the recent years. However, physicians' progress in using these systems has stagnated when measured with maturity scales. While this so-called ceiling effect has been observed and its consequences described in previous studies, there is a paucity of research on the elements that could explain such an outcome. We first suggest that in the context of EMR systems we are in presence of a "tiered ceiling effect" and then we show why such phenomenon occurs...
April 20, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28426824/becoming-more-oneself-changes-in-personality-following-dbs-treatment-for-psychiatric-disorders-experiences-of-ocd-patients-and-general-considerations
#5
Sanneke de Haan, Erik Rietveld, Martin Stokhof, Damiaan Denys
Does DBS change a patient's personality? This is one of the central questions in the debate on the ethics of treatment with Deep Brain Stimulation (DBS). At the moment, however, this important debate is hampered by the fact that there is relatively little data available concerning what patients actually experience following DBS treatment. There are a few qualitative studies with patients with Parkinson's disease and Primary Dystonia and some case reports, but there has been no qualitative study yet with patients suffering from psychiatric disorders...
2017: PloS One
https://www.readbyqxmd.com/read/28426397/a-successful-debrief-program-for-house-staff
#6
Victoria Leff, Adrienne Klement, Anthony Galanos
Challenging end-of-life encounters can be stressful and may lead to burnout. Monthly debriefing sessions are led by a physician and clinical social worker (LCSW). Sessions focus on experiences and emotional reactions rather than case details. Themes identified included; feeling unsupported after difficult deaths, identifying with patients emotionally, and conceptualizing a "good" versus "bad" death. Debriefing provides opportunities for residency physicians to reflect on the affective side of their work and helps promote resiliency...
April 20, 2017: Journal of Social Work in End-of-life & Palliative Care
https://www.readbyqxmd.com/read/28423062/filamentous-fungal-carbon-catabolite-repression-supports-metabolic-plasticity-and-stress-responses-essential-for-disease-progression
#7
Sarah R Beattie, Kenneth M K Mark, Arsa Thammahong, Laure Nicolas Annick Ries, Sourabh Dhingra, Alayna K Caffrey-Carr, Chao Cheng, Candice C Black, Paul Bowyer, Michael J Bromley, Joshua J Obar, Gustavo H Goldman, Robert A Cramer
Aspergillus fumigatus is responsible for a disproportionate number of invasive mycosis cases relative to other common filamentous fungi. While many fungal factors critical for infection establishment are known, genes essential for disease persistence and progression are ill defined. We propose that fungal factors that promote navigation of the rapidly changing nutrient and structural landscape characteristic of disease progression represent untapped clinically relevant therapeutic targets. To this end, we find that A...
April 19, 2017: PLoS Pathogens
https://www.readbyqxmd.com/read/28422566/content-uniformity-testing-for-stratified-samples-via-parametric-tolerance-interval-testing
#8
Steven Novick, Buffy Hudson-Curtis
Historically in the biopharmaceutical setting, USP <905>has been used to establish that a batch of drug product has acceptable content uniformity. More recently, alternative approaches, such as the two one-sided parametric tolerance interval test (PTI-TOST), have been proposed to establish content uniformity. Traditionally, the PTI-TOST is implemented as a sequential, two-tiered test, under the generally accepted assumption that the data are independently and identically distributed. Since the material is sequenced through the manufacturing process over a period of time, there are conceptually arguable locations within each batch, for instance: beginning, middle, and end...
April 19, 2017: Journal of Biopharmaceutical Statistics
https://www.readbyqxmd.com/read/28416084/a-conceptual-framework-for-negotiating-public-involvement-in-municipal-waste-management-decision-making-in-the-uk
#9
Kenisha Garnett, Tim Cooper, Philip Longhurst, Simon Jude, Sean Tyrrel
The technical expertise that politicians relied on in the past to produce cost-effective and environmentally sound solutions no longer provides sufficient justification to approve waste facilities. Local authorities need to find more effective ways to involve stakeholders and communities in decision-making since public acceptance of municipal waste facilities is integral to delivering effective waste strategies. This paper presents findings from a research project that explored attitudes towards greater levels of public involvement in UK waste management decision-making...
April 13, 2017: Waste Management
https://www.readbyqxmd.com/read/28406869/concept-communication-and-interpretation-of-illness-a-holistic-model-of-understanding-in-nursing-practice
#10
Halvor Nordby
To ensure patient communication in nursing, certain conditions must be met that enable successful exchange of beliefs, thoughts, and other mental states. The conditions that have received most attention in the nursing literature are derived from general communication theories, psychology, and ethical frameworks of interpretation. This article focuses on a condition more directly related to an influential coherence model of concept possession from recent philosophy of mind and language. The basic ideas in this model are (i) that the primary source of understanding of illness experiences is communicative acts that express concepts of illness, and (ii) that the key to understanding patients' concepts of illness is to understand how they depend on patients' lifeworlds...
May 2017: Holistic Nursing Practice
https://www.readbyqxmd.com/read/28405338/what-we-have-changed-our-minds-about-part-2-borderline-personality-disorder-epistemic-trust-and-the-developmental-significance-of-social-communication
#11
REVIEW
Peter Fonagy, Patrick Luyten, Elizabeth Allison, Chloe Campbell
In Part 1 of this paper, we discussed emerging evidence suggesting that a general psychopathology or 'p' factor underlying the various forms of psychopathology should be conceptualized in terms of the absence of resilience, that is, the absence of positive reappraisal mechanisms when faced with adversity. These impairments in the capacity for positive reappraisal seem to provide a comprehensive explanation for the association between the p factor and comorbidity, future caseness, and the 'hard-to-reach' character of many patients with severe personality pathology, most notably borderline personality disorder (BPD)...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28404803/neuropsychiatric-symptoms-predict-hypometabolism-in-preclinical-alzheimer-disease
#12
Kok Pin Ng, Tharick A Pascoal, Sulantha Mathotaarachchi, Chang-Oh Chung, Andréa L Benedet, Monica Shin, Min Su Kang, Xiaofeng Li, Maowen Ba, Nagaendran Kandiah, Pedro Rosa-Neto, Serge Gauthier
OBJECTIVE: To identify regional brain metabolic dysfunctions associated with neuropsychiatric symptoms (NPS) in preclinical Alzheimer disease (AD). METHODS: We stratified 115 cognitively normal individuals into preclinical AD (both amyloid and tau pathologies present), asymptomatic at risk for AD (either amyloid or tau pathology present), or healthy controls (no amyloid or tau pathology present) using [(18)F]florbetapir PET and CSF phosphorylated tau biomarkers...
April 12, 2017: Neurology
https://www.readbyqxmd.com/read/28403746/feed-forwardness-of-spinal-networks-in-posture-and-locomotion
#13
Yury Gerasimenko, Dimitry Sayenko, Parag Gad, Chao-Tuan Liu, Niranjala J K Tillakaratne, Roland R Roy, Inessa Kozlovskaya, V Reggie Edgerton
We present a new perspective on the concept of feed-forward compared to feedback mechanisms for motor control. We propose that conceptually all sensory information in real time provided to the brain and spinal cord can be viewed as a feed-forward phenomenon. We also propose that the spinal cord continually adapts to a broad array of ongoing sensory information that is used to adjust the probability of making timely and predictable decisions of selected networks that will execute a given response. One interpretation of the term feedback historically entails responses with short delays...
December 1, 2016: Neuroscientist: a Review Journal Bringing Neurobiology, Neurology and Psychiatry
https://www.readbyqxmd.com/read/28401136/patient-family-physician-and-community-pharmacist-perspectives-on-expanded-pharmacy-scope-of-practice-a-qualitative-study
#14
Maoliosa Donald, Kathryn King-Shier, Ross T Tsuyuki, Yazid N Al Hamarneh, Charlotte A Jones, Braden Manns, Marcello Tonelli, Wendy Tink, Nairne Scott-Douglas, Brenda R Hemmelgarn
BACKGROUND: The RxEACH trial was a randomized trial to evaluate the efficacy of community pharmacy-based case finding and intervention in patients at high risk for cardiovascular (CV) events. Community-dwelling patients with poorly controlled risk factors were identified and their CV risk reduced through patient education, prescribing and follow-up by their pharmacist. Perspectives of patients, family physicians and community pharmacists were obtained regarding pharmacists' identification and management of patients at high risk for CV events, to identify strategies to facilitate implementation of the pharmacist's expanded role in routine patient care...
January 2017: CMAJ Open
https://www.readbyqxmd.com/read/28399720/-there-is-nothing-wrong-with-me-disability-invisibility-in-a-rural-south-african-town
#15
Surona Visagie, Leslie Swartz
BACKGROUND: At a political and academic level, South Africa propagates a rights-based approach to disability. The aim of this paper is to explore how disability is conceptualized by persons with disabilities living in a rural area of South Africa. METHODS: In keeping with explorative studies, the study utilized a qualitative design in the form of eight case studies. Case study participants were sampled purposively and data were collected through semi-structured interviews...
April 11, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28398488/who-are-community-health-workers-and-what-do-they-do-development-of-an-empirically-derived-reporting-taxonomy
#16
Beck Taylor, Jonathan Mathers, Jayne Parry
Objectives: To develop an empirically-informed reporting taxonomy for Community Health Worker (CHW) services to address concerns about the transparency and consistency of descriptions of these interventions in the existing literature. Methods: We undertook in-depth interviews (n = 43) with CHWs and service staff working in four case studies selected using maximum variation sampling. Interviewees were encouraged to talk about the service, how they had become involved with the service, the CHW role and relationship with clients...
April 7, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28391051/a-conceptual-model-for-the-pathways-of-effect-for-intermediary-organizations-a-case-study-from-maternal-and-child-health
#17
Nancy L Weaver, Jill Thompson, Catherine R Shoff, Kendra Copanas, Stephen Edward McMillin
No abstract text is available yet for this article.
March 23, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28390223/an-integrative-review-of-interventions-to-promote-breastfeeding-in-the-late-preterm-infant
#18
REVIEW
JoAnna Cartwright, Teresa Atz, Susan Newman, Martina Mueller, Jill Radtke Demirci
OBJECTIVE: To define the different breastfeeding interventions that promote breastfeeding exclusivity and duration in the late preterm infant and to synthesize findings from the published empirical literature on late preterm infant breastfeeding interventions. DATA SOURCES: The databases CINAHL, Scopus, and PubMed were searched for primary research articles on breastfeeding interventions for late preterm infants. Inclusion criteria included original research studies in which authors examined a breastfeeding intervention or second-line strategy in a sample inclusive of but not necessarily limited to the gestational age range of 34 to 3667 weeks gestation, written in English, and published between 2005 and 2015...
April 5, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28390066/the-many-faces-of-fear-a-synthesis-of-the-methodological-variation-in-characterizing-predation-risk
#19
REVIEW
Remington J Moll, Kyle M Redilla, Tutilo Mudumba, Arthur B Muneza, Steven M Gray, Leandro Abade, Matt W Hayward, Joshua J Millspaugh, Robert A Montgomery
1.Predators affect prey by killing them directly (lethal effects) and by inducing costly antipredator behaviors in living prey (risk effects). Risk effects can strongly influence prey populations and cascade through trophic systems. A prerequisite for assessing risk effects is characterizing the spatiotemporal variation in predation risk. 2.Risk effects research has experienced rapid growth in the last several decades. However, preliminary assessments of the resultant literature suggest that researchers characterize predation risk using a variety of techniques...
April 8, 2017: Journal of Animal Ecology
https://www.readbyqxmd.com/read/28389824/perils-of-ad-hoc-approximations-for-the-activity-function-of-chemically-powered-colloids
#20
M N Popescu, W E Uspal, M Tasinkevych, S Dietrich
Colloids can achieve motility by promoting at their surfaces chemical reactions in the surrounding solution. A well-studied case is that of self-phoresis, in which motility arises due to the spatial inhomogeneities in the chemical composition of the solution and the distinct interactions of the solvent molecules and of the reaction products with the colloid. For simple models of such chemically active colloids, the steady-state motion in an unbounded solution can be derived analytically in closed form. In contrast, for such chemically active particles moving in the vicinity of walls, the derivation of closed-form and physically intuitive solutions of the equations governing their dynamics turns out to be a severe challenge even for simple models...
April 2017: European Physical Journal. E, Soft Matter
keyword
keyword
45010
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"