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https://www.readbyqxmd.com/read/28330379/patient-self-defined-goals
#1
Sandra Ellen Schellinger, Eric Worden Anderson, Monica Schmitz Frazer, Cindy Lynn Cain
This research, a descriptive qualitative analysis of self-defined serious illness goals, expands the knowledge of what goals are important beyond the physical-making existing disease-specific guidelines more holistic. Integration of goals of care discussions and documentation is standard for quality palliative care but not consistently executed into general and specialty practice. Over 14 months, lay health-care workers (care guides) provided monthly supportive visits for 160 patients with advanced heart failure, cancer, and dementia expected to die in 2 to 3 years...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28322881/the-cost-of-implementing-two-small-media-interventions-to-promote-hpv-vaccination
#2
Siddharth S Karanth, David R Lairson, Danmeng Huang, Lara S Savas, Sally W Vernon, María E Fernández
OBJECTIVE: To estimate the cost of implementing lay health worker delivered print-based photonovella intervention and iPad-based tailored interactive multimedia intervention (TIMI) to promote Human Papillomavirus (HPV) vaccine uptake and completion among Hispanic parents of daughters 9-17years old. METHODS: We recruited 301 participants in control, 422 in photonovella, and 239 in TIMI clinics. Intervention costs were estimated using micro-costing from the societal perspective...
March 16, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28301248/small-poultry-flocks-in-alberta-demographics-and-practices
#3
Chunu Mainali, Ilona Houston
The distribution, composition, and management characteristics of small "backyard" poultry flocks may have important implications in the spread of both avian diseases and zoonoses of public health concern. Although the prevalence of small poultry flocks has increased in Alberta, Canada, in recent years, there is minimal demographic information available for these populations. To gain initial epidemiologic insight into this growing population and potential areas of risk, a survey was conducted to characterize the sector...
March 2017: Avian Diseases
https://www.readbyqxmd.com/read/28300460/smartphone-based-photoplethysmographic-imaging-for-heart-rate-monitoring
#4
Maha Alafeef
The purpose of this study is to make use of visible light reflected mode photoplethysmographic (PPG) imaging for heart rate (HR) monitoring via smartphones. The system uses the built-in camera feature in mobile phones to capture video from the subject's index fingertip. The video is processed, and then the PPG signal resulting from the video stream processing is used to calculate the subject's heart rate. Records from 19 subjects were used to evaluate the system's performance. The HR values obtained by the proposed method were compared with the actual HR...
March 16, 2017: Journal of Medical Engineering & Technology
https://www.readbyqxmd.com/read/28291302/psychosocial-group-interventions-to-improve-psychological-well-being-in-adults-living-with-hiv
#5
REVIEW
Ingrid van der Heijden, Naeemah Abrahams, David Sinclair
BACKGROUND: Being diagnosed with human immunodeficiency virus (HIV), and labelled with a chronic, life-threatening, and often stigmatizing disease, can impact on a person's well-being. Psychosocial group interventions aim to improve life-functioning and coping as individuals adjust to the diagnosis. OBJECTIVES: To examine the effectiveness of psychosocial group interventions for improving the psychological well-being of adults living with HIV/AIDS. SEARCH METHODS: We searched the following electronic databases up to 14 March 2016: the Cochrane Central Register of Controlled Trials (CENTRAL) published in the Cochrane Library (Issue 2, 2016), PubMed (MEDLINE) (1996 to 14 March 2016), Embase (1996 to 14 March 2016), and Clinical Trials...
March 14, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28276938/relationship-power-among-same-sex-male-couples-in-new-york-and-san-francisco-laying-the-groundwork-for-sexual-risk-reduction-interventions-focused-on-interpersonal-power
#6
Shari L Dworkin, Jennifer M Zakaras, Chadwick Campbell, Patrick Wilson, Kirk Grisham, Deepalika Chakravarty, Torsten B Neilands, Colleen Hoff
Research is clear that power differentials between women and men shape women's human immunodeficiency virus (HIV) risks; however, little research has attempted to examine power differentials within same-sex male (SSM) couples and whether these influence sexual risk outcomes. To produce the first quantitative scale that measures power in SSM relationships, the current work was a Phase 1 qualitative study that sought to understand domains of relationship power and how power operated in the relationship among 48 Black, White, and interracial (Black-White) SSM couples recruited from San Francisco and New York...
February 16, 2017: Journal of Sex Research
https://www.readbyqxmd.com/read/28274245/identifying-barriers-to-and-facilitators-of-tuberculosis-contact-investigation-in-kampala-uganda-a-behavioral-approach
#7
Irene Ayakaka, Sara Ackerman, Joseph M Ggita, Phoebe Kajubi, David Dowdy, Jessica E Haberer, Elizabeth Fair, Philip Hopewell, Margaret A Handley, Adithya Cattamanchi, Achilles Katamba, J Lucian Davis
BACKGROUND: The World Health Organization recommends routine household tuberculosis contact investigation in high-burden countries but adoption has been limited. We sought to identify barriers to and facilitators of TB contact investigation during its introduction in Kampala, Uganda. METHODS: We collected cross-sectional qualitative data through focus group discussions and interviews with stakeholders, addressing three core activities of contact investigation: arranging household screening visits through index TB patients, visiting households to screen contacts and refer them to clinics, and evaluating at-risk contacts coming to clinics...
March 9, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28272299/evaluating-changes-in-omega-3-fatty-acid-intake-after-receiving-personal-fads1-genetic-information-a-randomized-nutrigenetic-intervention
#8
Kaitlin Roke, Kathryn Walton, Shannon L Klingel, Amber Harnett, Sanjeena Subedi, Jess Haines, David M Mutch
Nutrigenetics research is anticipated to lay the foundation for personalized dietary recommendations; however, it remains unclear if providing individuals with their personal genetic information changes dietary behaviors. Our objective was to evaluate if providing information for a common variant in the fatty acid desaturase 1 (FADS1) gene changed omega-3 fatty acid (FA) intake and blood levels in young female adults (18-25 years). Participants were randomized into Genetic (intervention) and Non-Genetic (control) groups, with measurements taken at Baseline and Final (12 weeks)...
March 6, 2017: Nutrients
https://www.readbyqxmd.com/read/28268186/lay-persons-alerted-by-mobile-application-system-initiate-earlier-cardio-pulmonary-resuscitation-a-comparison-with-sms-based-system-notification
#9
Maria Luce Caputo, Sandro Muschietti, Roman Burkart, Claudio Benvenuti, Giulio Conte, François Regoli, Romano Mauri, Catherine Klersy, Tiziano Moccetti, Angelo Auricchio
AIM: We compared the time to initiation of cardiopulmonary resuscitation (CPR) by lay responders and/or first responders alerted either via Short Message Service (SMS) or by using a mobile application-based alert system (APP). METHODS: The Ticino Registry of Cardiac Arrest collects all data about out-of-hospital cardiac arrests (OHCAs) occurring in the Canton of Ticino. At the time of a bystander's call, the EMS dispatcher sends one ambulance and alerts the first-responders network made up of police officers or fire brigade equipped with an automatic external defibrillator, the so called "traditional" first responders, and - if the scene was considered safe - lay responders as well...
March 6, 2017: Resuscitation
https://www.readbyqxmd.com/read/28241872/contextual-variations-in-costs-for-a-community-health-strategy-implemented-in-rural-peri-urban-and-nomadic-sites-in-kenya
#10
Charles Ouma Wafula, Nancy Edwards, Dan C O Kaseje
BACKGROUND: Many low and middle income countries have developed community health strategies involving lay health workers, to complement and strengthen public health services. This study explores variations in costing parameters pertinent to deployment of community health volunteers across different contexts outlining considerations for costing program scale-up. METHODS: The study used quasi experimental study design and employed both quantitative and qualitative methods to explore community health unit implementation activities and costs and compare costs across purposively selected sites that differed socially, economically and ecologically...
February 28, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28240978/evaluation-of-the-self-fitting-process-with-a-commercially-available-hearing-aid
#11
Elizabeth Convery, Gitte Keidser, Mark Seeto, Margot McLelland
BACKGROUND: Hearing aids and personal sound amplification products that are designed to be self-fitted by the user at home are becoming increasingly available in the online marketplace. While these devices are often marketed as a low-cost alternative to traditional hearing health-care, little is known about people's ability to successfully use and manage them. Previous research into the individual components of a simulated self-fitting procedure has been undertaken, but no study has evaluated performance of the procedure as a whole using a commercial product...
February 2017: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/28218590/professional-reward-in-the-academic-fieldwork-coordinator-role
#12
Patricia Stutz-Tanenbaum, David Greene, Debra J Hanson, Jeanette Koski
The purpose of this national survey was to explore perceptions of professional reward among occupational therapist (OT) and occupational therapy assistant (OTA) academic fieldwork coordinators (AFWCs). Agreement was found in ranking the value of six role factors: (1) fieldwork data management, (2) fieldwork site management, (3) fieldwork teaching and consultation, (4) departmental and institutional compliance, (5) scholarship and accreditation, and (6) laying groundwork for students in fieldwork. Both levels of AFWC indicated teaching and consultation had the highest value and data management the least...
March 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28194769/precision-medicine-nobody-is-average
#13
EDITORIAL
A A Vinks
Medicine gets personal and tailor-made treatments are underway. Hospitals have started to advertise their advanced genomic testing capabilities and even their disruptive technologies to help foster a culture of innovation. The prediction in the lay press is that in decades from now we may look back and see 2017 as the year precision medicine blossomed. It is all part of the Precision Medicine Initiative that takes into account individual differences in people's genes, environments, and lifestyles.
March 2017: Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/28168581/-letting-go-from-ancient-to-modern-perspectives-on-relinquishing-personal-control-a-theoretical-perspective-on-religion-and-coping-with-cancer
#14
Thomas V Merluzzi, Errol J Philip
The concept of "letting go" or relinquishing control has a long intellectual history, including the earliest Taoist writings, long-standing religious traditions, modern conceptualizations of religious coping, and current psychological control theory. This paper briefly traces the ancient roots of "letting go," with an emphasis on Stoic philosophers, and plants it firmly in current control theory and religious coping research, with a focus on its more modern conceptualization, that of secondary control. Presenting the theoretical perspective, which is grounded in religious conceptions of control of outcomes integrated with modern control theory in psychology, is the main goal of this paper...
February 6, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28164820/medical-care-of-the-homeless-an-american-and-international-issue
#15
REVIEW
Sheryl B Fleisch, Robertson Nash
Homeless persons die significantly younger than their housed counterparts. In many cases, relatively straightforward primary care issues escalate into life-threatening, expensive emergencies. Poor health outcomes driven by negative interactions between comorbid symptoms meet the definition of a health syndemic in this population. Successful primary care of patients struggling with homelessness may result in long-term lifesaving measures along with decreased expenditure to hospital systems. This primary prevention requires patience, creativity, and acknowledgment that the source of many confounders may lay outside the control of these patients...
March 2017: Primary Care
https://www.readbyqxmd.com/read/28156563/barriers-and-facilitators-of-navigator-led-advance-care-planning-conversations-in-older-patients-with-cancer
#16
Chao-Hui Huang, Soumya J Niranjan, J Nicholas Dionne-Odom, Kelly Kenzik, Kerri S Bevis, Gabrielle Betty Rocque
17 Background: National guidelines and most individuals endorse advance care planning (ACP) as essential; however, few individuals engage in such planning. Little is known about the role of lay navigators in supporting ACP. We sought to understand facilitators and barriers of successful implementation of ACP conducted by lay cancer navigators. METHODS: Semi-structured interviews were conducted with 26 lay navigators at 11 sites across the Southeast who were engaged in ACP implementation using Respecting Choices©...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28155008/perception-of-sexual-orientation-from-facial-structure-a-study-with-artificial-face-models
#17
Julio González-Álvarez
Research has shown that lay people can perceive sexual orientation better than chance from face stimuli. However, the relation between facial structure and sexual orientation has been scarcely examined. Recently, an extensive morphometric study on a large sample of Canadian people (Skorska, Geniole, Vrysen, McCormick, & Bogaert, 2015) identified three (in men) and four (in women) facial features as unique multivariate predictors of sexual orientation in each sex group. The present study tested the perceptual validity of these facial traits with two experiments based on realistic artificial 3D face models created by manipulating the key parameters and presented to Spanish participants...
February 2, 2017: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/28153159/role-of-facial-attractiveness-in-patients-with-slight-to-borderline-treatment-need-according-to-the-aesthetic-component-of-the-index-of-orthodontic-treatment-need-as-judged-by-eye-tracking
#18
Elizabeth K Johnson, Henry W Fields, F Michael Beck, Allen R Firestone, Stephen F Rosenstiel
INTRODUCTION: Previous eye-tracking research has demonstrated that laypersons view the range of dental attractiveness levels differently depending on facial attractiveness levels. How the borderline levels of dental attractiveness are viewed has not been evaluated in the context of facial attractiveness and compared with those with near-ideal esthetics or those in definite need of orthodontic treatment according to the Aesthetic Component of the Index of Orthodontic Treatment Need scale...
February 2017: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/28148227/effective-team-based-primary-care-observations-from-innovative-practices
#19
Edward H Wagner, Margaret Flinter, Clarissa Hsu, DeAnn Cromp, Brian T Austin, Rebecca Etz, Benjamin F Crabtree, MaryJoan D Ladden
BACKGROUND: Team-based care is now recognized as an essential feature of high quality primary care, but there is limited empiric evidence to guide practice transformation. The purpose of this paper is to describe advances in the configuration and deployment of practice teams based on in-depth study of 30 primary care practices viewed as innovators in team-based care. METHODS: As part of LEAP, a national program of the Robert Wood Johnson Foundation, primary care experts nominated 227 innovative primary care practices...
February 2, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28116964/between-the-patient-and-the-next-of-kin-in-end-of-life-care
#20
Ellen Ramvi, Venke Irene Ueland
BACKGROUND: For the experience of end-of-life care to be 'good' many ethical challenges in various relationships have to be resolved. In this article, we focus on challenges in the nurse-next of kin relationship. Little is known about difficulties in this relationship, when the next of kin are seen as separate from the patient. Research problem: From the perspective of nurses: What are the ethical challenges in relation to next of kin in end-of-life care? RESEARCH DESIGN: A critical qualitative approach was used, based on four focus group interviews...
January 1, 2017: Nursing Ethics
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