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https://www.readbyqxmd.com/read/29324089/development-and-content-validation-of-a-questionnaire-to-assess-moral-distress-among-social-workers-in-long-term-care-facilities
#1
Sagit Lev, Liat Ayalon
OBJECTIVE: Despite the significance of ethical issues faced by social workers, research on moral distress among social workers has been extremely limited. The aim of the current study is to describe the development and content validation of a unique questionnaire to measure moral distress among social workers in long-term care facilities for older adults in Israel. METHODS: The construction of the questionnaire was based on a secondary analysis of a qualitative study that addressed the moral dilemma of social workers in nursing homes in Israel...
January 11, 2018: Social Work in Health Care
https://www.readbyqxmd.com/read/29313832/elastic-moduli-of-a-smectic-membrane-a-rod-level-scaling-analysis
#2
H Wensink, Libertad Morales Anda
Chiral rodlike colloids exposed to strong depletion attraction may self-assemble into chiral membranes whose twisted director field differs from that of a 3D bulk chiral nematic. We formulate a simple microscopic variational theory to determine the elastic moduli of rods assembled into a bidimensional smectic membrane. The approach is based on a simple Onsager-Straley theory for a non-uniform director field that we apply to describe rod twist within the membrane. A microscopic approach enables a detailed estimate of the individual Frank elastic moduli (splay, twist and bend) as well as the twist penetration depth of the smectic membrane in relation to the rod density and shape...
January 9, 2018: Journal of Physics. Condensed Matter: An Institute of Physics Journal
https://www.readbyqxmd.com/read/29306305/prevalence-of-the-consumption-of-anticholinergic-drugs-in-hiv-patients
#3
Andrea Casajús-Navasal, Raquel Marín-Gorricho, Jara Gallardo-Anciano, María José Nebot-Villacampa, Ricardo Zafra-Morales, Yared González-Pérez
OBJECTIVE: To analyse anticholinergic agent consumption in HIV patients 50  years or older; to determine anticholinergic risk using the ACB and ARS scales;  and to determine if these patients use any type of benzodiazepine. METHOD: A descriptive observational study of 256 HIV patients 50 years or  older. RESULTS: 73.1% were men. Mean age was 56 ± 5.9 years. 55.9% of the  patients were coinfected with HCV. Excluding HIV drugs, mean drug consumption was 2...
January 1, 2018: Farmacia Hospitalaria
https://www.readbyqxmd.com/read/29304845/testing-decision-making-competency-of-schizophrenia-participants-in-clinical-trials-a-meta-analysis-and-meta-regression
#4
Sorin Hostiuc, Mugurel Constantin Rusu, Ionut Negoi, Eduard Drima
BACKGROUND: The process of assessing the decision-making capacity of potential subjects before their inclusion in clinical trials is a legal requirement and a moral obligation, as it is essential for respecting their autonomy. This issue is especially important in psychiatry patients (such as those diagnosed with schizophrenia). The primary purpose of this article was to evaluate the degree of impairment in each dimension of decision-making capacity in schizophrenia patients compared to non-mentally-ill controls, as quantified by the (MacCAT-CR) instrument...
January 5, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29291174/clinical-study-to-assess-the-outcome-in-surgically-managed-patients-of-spontaneous-intracerebral-hemorrhage
#5
Yashwanth S Sandeep, M Raja Guru, Ranjan Kumar Jena, Veldurti Ananta Kiran Kumar, Amit Agrawal
Introduction: Spontaneous intracerebral hemorrhage (SICH) subtype of stroke is characterized by bleeding into brain parenchyma which is not accompanied by trauma. Emergency surgical evacuation of large size SICH increases the chances of survival but does not help in functional recovery of the patients. The present study was conducted to assess the outcome of surgical management in patients with SICH. Materials and Methods: All patients who were diagnosed with SICH and underwent surgical evacuation of the hematoma included in the study...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29285620/effect-of-the-combined-treatment-of-albumin-with-plasma-synthesised-pyrrole-polymers-on-motor-recovery-after-traumatic-spinal-cord-injury-in-rats
#6
Omar Fabela-Sánchez, Hermelinda Salgado-Ceballos, Luis Medina-Torres, Laura Álvarez-Mejía, Stephany Sánchez-Torres, Rodrigo Mondragón-Lozano, Axayácatl Morales-Guadarrama, Araceli Díaz-Ruiz, María-Guadalupe Olayo, Guillermo J Cruz, Juan Morales, Camilo Ríos, Roberto Olayo
Traumatic spinal cord injury (TSCI) is a health problem for which there is currently no treatment or definitive therapy. Medicine has explored therapeutic options for patients with TSCI with the aim to improve their quality of life. One alternative has been the development of biomaterials that offer neuroprotection or neuroregeneration of damaged nerve tissue. The microinjection of iodine-doped polypyrrole particles synthesised by plasma (PPPy/I) has shown neuroprotective effects that favour motor function recovery in experimental animals with TSCI...
December 28, 2017: Journal of Materials Science. Materials in Medicine
https://www.readbyqxmd.com/read/29284569/epidemiology-of-stroke-in-costa-rica-a-7-year-hospital-based-acute-stroke-registry-of-1319-consecutive-patients
#7
Gabriel Torrealba-Acosta, Kenneth Carazo-Céspedes, Sy Han Chiou, Anthony Terrence O'Brien, Huberth Fernández-Morales
BACKGROUND: Limited data on stroke exist for Costa Rica. Therefore, we created a stroke registry out of patients with stroke seen in the Acute Stroke Unit of the Hospital Calderon Guardia. METHODS: We analyzed 1319 patients enrolled over a 7-year period, which incorporated demographic, clinical, laboratory, and neuroimaging data. RESULTS: The mean age of patients with stroke was 68.0 ± 15.5 years. Seven hundred twenty-five were men and the age range was 13-104 years...
December 25, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29282787/development-and-evaluation-of-the-expressions-of-moral-injury-scale-military-version
#8
Joseph M Currier, Jacob K Farnsworth, Kent D Drescher, Ryon C McDermott, Brook M Sims, David L Albright
There is consensus that military personnel can encounter a far more diverse set of challenges than researchers and clinicians have historically appreciated. Moral injury (MI) represents an emerging construct to capture behavioural, social, and spiritual suffering that may transcend and overlap with mental health diagnoses (e.g., post-traumatic stress disorder and major depressive disorder). The Expressions of Moral Injury Scale-Military Version (EMIS-M) was developed to provide a reliable and valid means for assessing the warning signs of a MI in military populations...
December 28, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/29277132/a-second-order-confirmatory-factor-analysis-of-the-moral-distress-scale-revised-for-nurses
#9
Hamid Sharif Nia, Vida Shafipour, Kelly-Ann Allen, Mohammad Reza Heidari, Jamshid Yazdani-Charati, Armin Zareiyan
BACKGROUND: Moral distress is a growing problem for healthcare professionals that may lead to dissatisfaction, resignation, or occupational burnout if left unattended, and nurses experience different levels of this phenomenon. OBJECTIVES: This study aims to investigate the factor structure of the Persian version of the Moral Distress Scale-Revised in intensive care and general nurses. RESEARCH DESIGN: This methodological research was conducted with 771 nurses from eight hospitals in the Mazandaran Province of Iran in 2017...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29275138/does-a-history-of-psychoactive-substances-abuse-play-a-role-in-the-level-of-pain-of-the-patient-with-severe-trauma
#10
C López-López, A Arranz-Esteban, M V Martinez-Ureta, M C Sánchez-Rascón, C Morales-Sánchez, M Chico-Fernández
OBJECTIVE: To analyse the influence of psychotropic substance use on the level of pain in patients with severe trauma. DESIGN: Longitudinal analytical study. SCOPE: Intensive Care Unit (ICU) of Trauma and Emergencies. PATIENTS: severe trauma, non-communicative and mechanical ventilation >48hours. Two groups of patients were created: users and non-users of psychotropic substances according to medical records. INTERVENTIONS: Measurement of pain level at baseline and during mobilization, using the Pain Indicator Behaviour Scale...
December 20, 2017: Enfermería Intensiva
https://www.readbyqxmd.com/read/29249300/incidence-and-etiological-mechanism-of-stroke-in-cardiac-surgery
#11
J M Arribas, E Garcia, R Jara, F Gutierrez, L Albert, D Bixquert, J García-Puente, C Albacete, S Canovas, A Morales
OBJECTIVE: We studied patients who had experienced a stroke in the postoperative period of cardiac surgery, aiming to analyse their progression and determine the factors that may influence prognosis and treatment. METHODS: We established a protocol for early detection of stroke after cardiac surgery and collected data on stroke onset and a number of clinical, surgical, and prognostic variables in order to perform a descriptive analysis. RESULTS: Over the 15-month study period we recorded 16 strokes, which represent 2...
December 14, 2017: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/29244775/spatial-temporal-and-dietary-variables-associated-with-elevated-mercury-exposure-in-peruvian-riverine-communities-upstream-and-downstream-of-artisanal-and-small-scale-gold-mining
#12
Lauren Wyatt, Ernesto J Ortiz, Beth Feingold, Axel Berky, Sarah Diringer, Ana Maria Morales, Elvis Rojas Jurado, Heileen Hsu-Kim, William Pan
Artisanal and small-scale gold mining (ASGM) is a primary contributor to global mercury and its rapid expansion raises concern for human exposure. Non-occupational exposure risks are presumed to be strongly tied to environmental contamination; however, the relationship between environmental and human mercury exposure, how exposure has changed over time, and risk factors beyond fish consumption are not well understood in ASGM settings. In Peruvian riverine communities (n = 12), where ASGM has increased 4-6 fold over the past decade, we provide a large-scale assessment of the connection between environmental and human mercury exposure by comparing total mercury contents in human hair (2-cm segment, n = 231) to locally caught fish tissue, analyzing temporal exposure in women of child bearing age (WCBA, 15-49 years, n = 46) over one year, and evaluating general mercury exposure risks including fish and non-fish dietary items through household surveys and linear mixed models...
December 15, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29241820/outcomes-of-adjunctive-therapy-with-intrathecal-or-intraventricular-administration-of-colistin-for-post-neurosurgical-meningitis-and-ventriculitis-due-to-carbapenem-resistant-acinetobacter-baumannii
#13
Sarunyou Chusri, Ittichai Sakarunchai, Narongdet Kositpantawong, Siripen Panthuwong, Wichai Santimaleeworagun, Sutthiporn Pattharachayakul, Kamonnut Singkhamanan, Yohei Doi
The efficacy and safety of intrathecal or intraventricular (ITH/IVT) colistin in addition to intravenous (IV) colistin for meningitis and ventriculitis due to carbapenem-resistant Acinetobacter baumannii (CRAB) is unclear. In this retrospective observational study of 40 patients with post-neurosurgical meningitis and ventriculitis due to CRAB, 33 patients without concomitant infection received appropriate dosage regimens of IV colistin. Seventeen of the 33 patients received additional ITH/IVT colistin and 16 patients received only IV colistin...
December 11, 2017: International Journal of Antimicrobial Agents
https://www.readbyqxmd.com/read/29240816/the-sociotype-construct-gauging-the-structure-and-dynamics-of-human-sociality
#14
Pedro C Marijuán, Jesús Montero-Marín, Jorge Navarro, Javier García-Campayo, Raquel Del Moral
Exploring the pertinence of a "sociotype" construct, established along the conceptual chain genotype-phenotype-sociotype, is the essential purpose of the present paper. Further, by following the sociotype's conceptual guidelines, a new psychometric indicator has been developed in order to gauge the level of social interaction around each individual-the sociotype questionnaire (SOCQ). A first version of this questionnaire has been elaborated by gathering data about the different classes of social bonds (family, friends, acquaintances, and work/study colleagues) in general population and about the dynamic update of these bonds via face-to-face conversation and other modes of interaction...
2017: PloS One
https://www.readbyqxmd.com/read/29237460/validity-and-reliability-of-the-mexican-resilience-measurement-scale-in-families-of-children-with-chronic-conditions
#15
Filiberto Toledano-Toledano, José Moral de la Rubia, Laurie D McCubbin, Linda Liebenberg, Jesús Alejandro Vera Jiménez, Leonor Rivera-Rivera, Angie Hart, Leticia Andrea Barajas Nava, Marcela Salazar García, Silvia Martínez Valverde, Sofía Rivera Aragón, Concepción Sánchez Gómez, Laura Villavicencio Guzmán, Victor Granados García, Juan Garduño Espinosa
BACKGROUND: The resilience to face disease is a process of positive adaptation despite the loss of health. It involves developing vitality and skills to overcome the negative effects of adversity, risks, and vulnerability caused by disease. In Mexico, the Mexican Resilience Measurement Scale (RESI-M) has been validated with a general population and has a five-factor structure. However, this scale does not allow evaluation of resilience in specific subpopulations, such as caregivers. METHOD: This study investigated the psychometric properties of RESI-M in 446 family caregivers of children with chronic diseases...
December 13, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29226780/individuals-perception-about-upper-limb-influence-on-participation-after-stroke-an-observational-study
#16
Renata Morales Banjai, Sandra Maria Sbeghen Ferreira de Freitas, Flavia Paiva da Silva, Sandra Regina Alouche
Background Stroke can compromise upper limb performance and influence the individual's participation in real life situations. Objective To investigate how components of body function and activity affect the individuals' self-perception of their participation after stroke. Methods In this observational study, the International Classification of Functioning, Disability and Health was used as model. Body function was assessed by palmar grip and pinch strength; Ashworth modified scale; Fugl-Meyer scale; and Motor-Free Visual Perception Test...
December 10, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29225142/ethical-concerns-regarding-animal-use-mediate-the-relationship-between-variety-of-pets-owned-in-childhood-and-vegetarianism-in-adulthood
#17
Sydney Heiss, Julia M Hormes
Plant-based and vegetarian diets have been shown to have diverse health and environmental benefits and also serve to reduce farmed animal exploitation. It is therefore worthwhile to gain a better understanding of the factors that play a role in the decision to refrain from animal products. Past studies have shown that childhood pet ownership predicts the likelihood of adherence to a vegetarian diet in adulthood. Building on this research, we tested the hypothesis that the number of different types of pets owned in childhood is positively associated with degree of restriction of animal products in adulthood, and that this relationship is mediated by pro-animal attitudes...
December 7, 2017: Appetite
https://www.readbyqxmd.com/read/29224952/mul-do-a-multicomponent-index-for-the-quick-diagnosis-of-peritonitis-in-peritoneal-dialysis-patients
#18
Miguel Núñez Moral, Pablo Martínez-Camblor, Alejandra Méndez González, Carmen Rodríguez Suárez, Jose Emilio Sánchez Álvarez
Peritoneal infection is a common problem that has a negative impact on the survival of patients and the technique. The early administration of peritoneal infection treatment reduces complications. The goal of this study is to propose a multicomponent index (MUL+DO) for the quick and efficient diagnosis of peritoneal infection. We selected a training cohort of peritoneal effluent samples which were analysed by Multistix ® 10 SG Siemens test strips for leukocyte detection. Then, each sample was examined according to the gold standard: number of leukocytes, polymorphonuclear percentage and microbiological culture...
December 7, 2017: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://www.readbyqxmd.com/read/29217349/arthrodesis-of-the-proximal-interphalangeal-joint-of-the-4th-and-5th-finger-using-an-interlocking-screw-device-to-treat-severe-recurrence-of-dupuytren-s-disease
#19
C D Novoa-Parra, D Montaner-Alonso, J I Pérez-Correa, J Morales-Rodríguez, J L Rodrigo-Pérez, M Morales-Suarez-Varela
OBJECTIVE: To assess the radiological and functional outcome of arthrodesis of the 4th and 5th finger using the APEX™ (Extremity Medical, Parsippany,NJ)intermedullary interlocking screw system in patients with severe recurrence of Dupuytren's disease. MATERIAL AND METHOD: The DASH questionnaire and the VAS scale were used to assess the clinical outcomes. The angle of arthrodesis, fusion time and implant fixation were evaluated on x-rays. The patients were monitored for complications during surgery and the follow-up period...
December 4, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29209622/exploration-of-the-association-between-nurses-moral-distress-and-secondary-traumatic-stress-syndrome-implications-for-patient-safety-in-mental-health-services
#20
Maria Christodoulou-Fella, Nicos Middleton, Elizabeth D E Papathanassoglou, Maria N K Karanikola
Work-related moral distress (MD) and secondary traumatic stress syndrome (STSS) may be associated with compromised health status among health professionals, reduced productivity, and inadequate safety of care. We explored the association of MD with the severity of STSS symptoms, along with the mediating role of mental distress symptoms. Associations with emotional exhaustion and professional satisfaction were also assessed. This cross-sectional survey conducted in 206 mental health nurses (MHNs) was employed across public sector community and hospital settings in Cyprus...
2017: BioMed Research International
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