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Acceptance and commitment

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https://www.readbyqxmd.com/read/29906299/eluding-liver-transplantation-in-posttext-iii-and-iv-hepatoblastoma
#1
Ahmed El-Gendi, Shady Fadel, Mohamed El-Shafei, Ahmed Shawky
BACKGROUND: Primary liver transplantation is recommended for central POSTTEXT III and POSTTEXT IV hepatoblastoma. Aim is to prospectively assess safety, oncological efficacy of aggressive non-transplant extended hepatic resections in those patients. METHODS: A prospective study included 18 children with central PRETEXT III and IV, 3 had primary liver transplantation whereas 15 underwent hepatic resection after neoadjuvant chemotherapy. RESULTS: Median tumor volume was 317 ml (range 135-546)...
June 15, 2018: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/29892214/exploratory-study-of-rtms-neuromodulation-effects-on-electrocortical-functional-measures-of-performance-in-an-oddball-test-and-behavioral-symptoms-in-autism
#2
Estate M Sokhadze, Eva V Lamina, Emily L Casanova, Desmond P Kelly, Ioan Opris, Allan Tasman, Manuel F Casanova
There is no accepted pathology to autism spectrum disorders (ASD) but research suggests the presence of an altered excitatory/inhibitory (E/I) bias in the cerebral cortex. Repetitive transcranial magnetic stimulation (rTMS) offers a non-invasive means of modulating the E/I cortical bias with little in terms of side effects. In this study, 124 high functioning ASD children (IQ > 80, <18 years of age) were recruited and assigned using randomization to either a waitlist group or one of three different number of weekly rTMS sessions (i...
2018: Frontiers in Systems Neuroscience
https://www.readbyqxmd.com/read/29884172/working-among-the-rural-communities-in-ghana-why-doctors-choose-to-engage-in-rural-practice
#3
Anthony Amalba, Francis A Abantanga, Albert J J A Scherpbier, W N K A van Mook
BACKGROUND: An unequal distribution of health personnel, leading to unfavourable differences in health status between urban and rural populations, is a serious cause for concern globally. Part of the solution to this problem lies in attracting medical doctors to rural, remote communities, which presents a real challenge. The present study therefore explored the factors that influence medical doctors' decision to practise in rural Ghana. METHODS: We conducted a cross-sectional descriptive study based on questionnaires...
June 8, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29874680/acceptance-and-commitment-therapy-for-the-management-of-suicidal-patients-a-randomized-controlled-trial
#4
Déborah Ducasse, Isabelle Jaussent, Véronique Arpon-Brand, Marina Vienot, Camelia Laglaoui, Séverine Béziat, Raffaella Calati, Isabelle Carrière, Sébastien Guillaume, Philippe Courtet, Emilie Olié
BACKGROUND: The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies to improve suicide prevention. METHODS: We conducted a randomized controlled trial comparing a 7-week acceptance and commitment therapy (ACT) versus relaxation group, as adjunct to treatment as usual for adult outpatients suffering from a current suicidal behavior disorder. The primary outcome was the rate of change in the Columbia Suicide Severity Rating Scale suicidal ideation subscore (adding severity and intensity subscores)...
June 6, 2018: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/29871691/assessing-the-reliability-and-validity-of-the-danish-version-of-organizational-readiness-for-implementing-change-oric
#5
Marie Höjriis Storkholm, Pamela Mazzocato, Mesfin Kassaye Tessma, Carl Savage
BACKGROUND: Organizational change initiatives in health care frequently achieve only partial implementation success. Understanding an organizational readiness for change (ORC) may be a way to develop more effective and efficient change strategies. Denmark, like many countries, has begun a major system-wide structural reform which involves considerable changes in service delivery. Due to the lack of a validated Danish instrument, we aimed to translate and validate a Danish version of the Organizational Readiness for Implementing Change (ORIC) questionnaire...
June 5, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29870870/the-effect-of-nursing-internship-program-on-burnout-and-professional-commitment
#6
Sultan Ayaz-Alkaya, Şengül Yaman-Sözbir, Burcu Bayrak-Kahraman
BACKGROUND: Professional commitment is defined as a belief in and acceptance of the values of the profession which is chosen, effort to actualize these values, desire to improve him/herself. Nurses' professional and organizational commitment are influenced by factors such as job stress, job satisfaction and burnout. OBJECTIVE: This study was conducted to determine the effect of nursing internship program on professional commitment and burnout of senior nursing students...
May 26, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29862928/molecular-basis-of-functional-myogenic-specification-of-bona-fide-multipotent-adult-cardiac-stem-cells
#7
Eleonora Cianflone, Iolanda Aquila, Mariangela Scalise, Pina Marotta, Michele Torella, Bernardo Nadal-Ginard, Daniele Torella
Ischemic Heart Disease (IHD) remains the developed world's number one killer. The improved survival from Acute Myocardial Infarction (AMI) and the progressive aging of western population brought to an increased incidence of chronic Heart Failure (HF), which assumed epidemic proportions nowadays. Except for heart transplantation, all treatments for HF should be considered palliative because none of the current therapy can reverse myocardial degeneration responsible for HF syndrome. To stop the HF epidemic will ultimately require protocols to reduce the progressive cardiomyocyte (CM) loss and to foster their regeneration...
June 3, 2018: Cell Cycle
https://www.readbyqxmd.com/read/29857597/civil-commitment-laws-for-substance-abuse-treatment-an-acceptable-option
#8
Herbert Rakatansky
[Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29808970/effects-of-singing-groups-on-staff-well-being-a-feasibility-study
#9
Ann Skingley, Louise Ross
AIMS: To determine the feasibility of recruiting and retaining staff 'singing for well-being' groups over three months and the acceptability of the proposed intervention and data collection methods, and to explore the potential effects of singing groups on staff well-being. METHOD: This was a feasibility study that used a two-group wait-list crossover design. Standardised measures of well-being, engagement, burnout and organisational commitment were used, alongside participant feedback...
May 29, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29794458/no-removal-and-inactivation-of-carious-tissue-non-restorative-cavity-control
#10
Guus van Strijp, Cor van Loveren
Non-restorative cavity control (NRCC) is a 3-part treatment option for dentine cavities in the primary dentition, for root carious lesions and cavitated coronal smooth surface lesions. The first part is that the patient's oral hygiene procedure/habits improve and involve the exposed dentine. For this, it may be necessary to expose the cavity (second part) so that it is accessible for the toothbrush (the lesion exposure method). As long as the dentine carious lesion is diagnosed as active or there is increased risk that carious lesion activity will recur, it is advisable to support the treatment with a 38% silver diamine fluoride (SDF) or a 5% sodium fluoride (NaF) varnish therapy (third part)...
May 24, 2018: Monographs in Oral Science
https://www.readbyqxmd.com/read/29793385/box-ticking-and-olympic-high-jumping-physicians-perceptions-and-acceptance-of-national-physician-validation-systems
#11
Carolin Sehlbach, Marjan J B Govaerts, Sharon Mitchell, Gernot G U Rohde, Frank W J M Smeenk, Erik W Driessen
PURPOSE: National physician validation systems aim to ensure lifelong learning through periodic appraisals of physicians' competence. Their effectiveness is determined by physicians' acceptance of and commitment to the system. This study, therefore, sought to explore physicians' perceptions and self-reported acceptance of validation across three different physician validation systems in Europe. MATERIALS AND METHODS: Using a constructivist grounded-theory approach, we conducted semi-structured interviews with 32 respiratory specialists from three countries with markedly different validation systems: Germany, which has a mandatory, credit-based system oriented to continuing professional development; Denmark, with mandatory annual dialogs and ensuing, non-compulsory activities; and the UK, with a mandatory, portfolio-based revalidation system...
May 24, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29791729/implementation-of-reach-up-early-childhood-parenting-program-acceptability-appropriateness-and-feasibility-in-brazil-and-zimbabwe
#12
Joanne A Smith, Helen Baker-Henningham, Alexandra Brentani, Rose Mugweni, Susan P Walker
Young children need nurturing care, which includes responsive caregiver-child interactions and opportunities to learn. However, there are few extant large-scale programs that build parents' abilities to provide this. We have developed an early childhood parenting training package, called Reach Up, with the aim of providing an evidence-based, adaptable program that is feasible for low-resource settings. Implementation of Reach Up was evaluated in Brazil and Zimbabwe to inform modifications needed and identify challenges that implementers and delivery agents encountered...
May 2018: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29788083/evaluation-of-an-intensive-interdisciplinary-pain-treatment-based-on-acceptance-and-commitment-therapy-for-adolescents-with-chronic-pain-and-their-parents-a-nonrandomized-clinical-trial
#13
Mike K Kemani, Marie Kanstrup, Abbie Jordan, Line Caes, Jeremy Gauntlett-Gilbert
Objective: Parental factors are central in the development and maintenance of chronic pain in youths. Only a handful of studies have investigated the impact of psychological treatments for pediatric chronic pain on parental factors, and the relationships between changes in parental and adolescent factors. In the current study, we evaluated the effects of an intensive interdisciplinary pain treatment (IIPT) program based on Acceptance and Commitment Therapy (ACT) for adolescents with chronic pain, on adolescent and parental variables, and the relationship between parental psychological flexibility and adolescent pain acceptance...
May 17, 2018: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29777950/acceptance-and-commitment-therapy-for-prevention-of-chronic-post-surgical-pain-and-opioid-use-in-at-risk-veterans-a-pilot-randomized-controlled-study
#14
Lilian Dindo, M Bridget Zimmerman, Katherine Hadlandsmyth, Barbara StMarie, Jennie Embree, James Marchman, Toni Tripp-Reimer, Barbara Rakel
High levels of pain, significant anxiety, and/or depressive symptoms prior to surgery put patients at elevated risk forchronic pain and prolonged opioid use following surgery. The purpose of this preliminary study was to assess the efficacy of a one-day Acceptance and Commitment Therapy (ACT) workshop in "at-risk" Veterans for the prevention of chronic pain and opioid use following orthopedic surgery. In a randomized controlled trial, 88 at-risk Veterans undergoing orthopedic surgery were assigned to Treatment as Usual (TAU; N =44) or TAU plus a 1-day ACT workshop (N = 44)...
May 16, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29771140/the-informal-caregiver-s-lived-experience-of-being-present-with-a-patient-who-receives-a-diagnosis-of-dementia-a-phenomenological-inquiry
#15
Barbara E Champlin
This article describes the lived experience of informal caregivers who accompany loved ones as the loved ones receive a diagnosis of dementia. Each of 12 informal caregivers participated in a face-to-face interview that was audiotaped and transcribed. Analysis of the interview text revealed seven constituents as central to the general structure of this experience: (a) having anticipated the diagnosis; (b) feeling relief; (c) feeling the gravitas of the words; (d) grieving the loss; (e) watching for the patient's reaction; (f) accepting the diagnosis and taking action; and (g) committing to care...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29770210/identification-of-publicly-available-data-sources-to-inform-the-conduct-of-health-technology-assessment-in-india
#16
Laura Downey, Neethi Rao, Lorna Guinness, Miqdad Asaria, Shankar Prinja, Anju Sinha, Rajni Kant, Arvind Pandey, Francoise Cluzeau, Kalipso Chalkidou
Background: Health technology assessment (HTA) provides a globally-accepted and structured approach to synthesising evidence for cost and clinical effectiveness alongside ethical and equity considerations to inform evidence-based priorities. India is one of the most recent countries to formally commit to institutionalising HTA as an integral component of the heath resource allocation decision-making process. The effective conduct of HTA depends on the availability of reliable data.   Methods : We draw from our experience of collecting, synthesizing, and analysing health-related datasets in India and internationally, to highlight the complex requirements for undertaking HTA, and explore the availability of such data in India...
2018: F1000Research
https://www.readbyqxmd.com/read/29749042/miscommunication-in-doctor-patient-communication
#17
Rose McCabe, Patrick G T Healey
The effectiveness of medical treatment depends on the quality of the patient-clinician relationship. It has been proposed that this depends on the extent to which the patient and clinician build a shared understanding of illness and treatment. Here, we use the tools of conversation analysis (CA) to explore this idea in the context of psychiatric consultations. The CA "repair" framework provides an analysis of the processes people use to deal with problems in speaking, hearing, and understanding. These problems are especially critical in the treatment of psychosis where patients and health care professionals need to communicate about the disputed meaning of hallucinations and delusion...
April 2018: Topics in Cognitive Science
https://www.readbyqxmd.com/read/29748943/integration-of-mental-health-into-primary-healthcare-perceptions-of-stakeholders-in-pakistan
#18
Syed S Hussain, Murad Khan, Raisa Gul, Nargis Asad
Background: In Pakistan, there is high prevalence of mental health disorders, but mental health services to address these are not well developed. To provide effective mental health services, the World Health Organization emphasizes the integration of mental health into primary health care (PHC). Objectives: This study aimed to assess the views of key stakeholders about integration of mental health into PHC in Karachi, Pakistan. Methods: A qualitative, exploratory study was conducted between June and September 2013 among 15 decision-making (from the Department of Health) and implementation-level stakeholders (mental health and public health professionals and primary care staff) from both the public and private sectors...
May 3, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29747712/remote-delivery-of-psychological-interventions-for-parkinson-s-disease
#19
Caitlin Swalwell, Nancy A Pachana, Nadeeka N Dissanayaka
ABSTRACTObjective:Over two-thirds of Parkinson's disease (PD) patients experience comorbid neuropsychiatric symptoms, which adversely impact their quality of life and often require intervention. There is a preference for non-pharmacological, psychological approaches in addressing these symptoms. Given mobility limitations, travel burden, and cost, accessibility to psychological treatment can be problematic in this population. There has been a recent shift toward delivering care via telehealth in PD. Accordingly, this review aimed to examine remotely delivered psychological interventions for PD patients...
May 11, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29740436/understanding-the-cellular-origin-of-the-mononuclear-phagocyte-system-sheds-light-on-the-myeloid-postulate-of-immune-paralysis-in-sepsis
#20
REVIEW
Lionel Franz Poulin, Corentin Lasseaux, Mathias Chamaillard
Sepsis, in essence, is a serious clinical condition that can subsequently result in death as a consequence of a systemic inflammatory response syndrome including febrile leukopenia, hypotension, and multiple organ failures. To date, such life-threatening organ dysfunction remains one of the leading causes of death in intensive care units, with an increasing incidence rate worldwide and particularly within the rapidly growing senior population. While most of the clinical trials are aimed at dampening the overwhelming immune response to infection that spreads through the bloodstream, based on several human immunological investigations, it is now widely accepted that susceptibility to nosocomial infections and long-term sepsis mortality involves an immunosuppressive phase that is characterized by a decrease in some subsets of dendritic cells (DCs)...
2018: Frontiers in Immunology
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