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Demoralization

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https://www.readbyqxmd.com/read/29761579/latent-class-analysis-differentiation-of-adjustment-disorder-and-demoralization-more-severe-depressive-and-anxiety-disorders-and-somatic-symptoms-in-patients-with-cancer
#1
I Bobevski, D W Kissane, S Vehling, D P McKenzie, H Glaesmer, A Mehnert
OBJECTIVES: Demoralization as a form of existential distress involves poor coping, low morale, hopelessness, helplessness and meaninglessness. In a secondary analysis of a cohort of German cancer patients, we aimed to explore latent class structure to assess the contribution that symptoms of demoralization make to anhedonic depression, anxiety, adjustment and somatic disorders. METHODS: Measures of demoralization, depression, anxiety, physical symptoms and functional impairment had been completed cross-sectionally by 1527 patients with early or advanced cancer...
May 14, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29621933/challenges-in-day-to-day-midwifery-practice-a-qualitative-study-from-a-regional-referral-hospital-in-dar-es-salaam-tanzania
#2
Hanna Strømholt Bremnes, Åsil Kjøl Wiig, Muzdalifat Abeid, Elisabeth Darj
BACKGROUND: Maternal and infant mortality rates in Tanzania have decreased over the past decades, but remain high. One of the challenges the country faces, is the lack of skilled health care workers. High fertility rates make midwives and their patients particularly susceptible to stress as a result of understaffing. OBJECTIVE: This paper explores the challenges midwives face in their day-to-day practice at a regional referral hospital in Tanzania, and investigates which measures the midwives themselves find necessary to implement to improve their situation...
2018: Global Health Action
https://www.readbyqxmd.com/read/29618626/demoralization-in-parkinson-disease
#3
Brian B Koo, Christopher A Chow, Divya R Shah, Farhan H Khan, Brittani Steinberg, Danielle Derlein, Keerthana Nalamada, Kiran Sai Para, Vikramjeet M Kakade, Amar S Patel, John M de Figueiredo, Elan D Louis
OBJECTIVE: To determine the prevalence and associated features of demoralization in Parkinson disease (PD). METHODS: Participants with PD and controls were prospectively recruited from outpatient movement disorder clinics and the community. Demoralization was defined as scoring positively on the Diagnostic Criteria for Psychosomatic Research, Demoralization questionnaire or Kissane Demoralization Scale score ≥24. Depression was defined as Patient Health Questionnaire-9 score ≥10...
April 4, 2018: Neurology
https://www.readbyqxmd.com/read/29610089/design-and-simulation-of-a-ring-shaped-linear-array-for-microultrasound-capsule-endoscopy
#4
Holly S Lay, Benjamin F Cox, Vipin Seetohul, Christine E M Demore, Sandy Cochran
Video capsule endoscopy (VCE) has significantly advanced visualization of the gastrointestinal tract since its introduction in the last 20 years. Work is now under way to combine VCE with microultrasound imaging. However, small maximum capsule dimensions, coupled with the electronics required to integrate ultrasound imaging capabilities, pose significant design challenges. This paper describes a simulation process for testing transducer geometries and imaging methodologies to achieve satisfactory imaging performance within the physical limitations of the capsule size and outlines many of the tradeoffs needed in the design of this new class of ultrasound capsule endoscopy (USCE) device...
April 2018: IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control
https://www.readbyqxmd.com/read/29606086/the-brazilian-public-health-in-contemporary-capitalism
#5
Virgínia Junqueira, Áquilas N Mendes
This article examines some political and economic facts that led to an intensification of austerity measures by the Brazilian government, including ones against the Unified Health System (SUS) and its progressive dismantling. In a country where fundamental human rights were never fully respected, nowadays social and labor rights are under severe attacks. The deepening of the capital crisis and the rise of interest-bearing capital dominance have been causing unemployment, social insecurity growth, and resulting public fund appropriation by the private capital...
January 1, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/29587726/perceptions-experiences-and-expectations-of-iraqi-medical-students
#6
Riyadh Lafta, Waleed Al-Ani, Saba Dhiaa, Megan Cherewick, Amy Hagopian, Gilbert Burnham
BACKGROUND: The environment for medical education in Iraq has been difficult for many years. The 2003 invasion of Iraq accelerated a steady emigration of faculty and graduates. Kidnappings and deaths of doctors became commonplace. To understand current career plans, expectations and perceptions of medical students, three Baghdad medical schools were surveyed. METHODS: Written questionnaires were completed by 418 medical students variously in their 4th, 5th and 6th (final)years of training...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29553967/traf3-interacting-protein-3-a-new-oncotarget-promotes-tumor-growth-in-melanoma
#7
Patrick Nasarre, Ingrid V Bonilla, John S Metcalf, Eleanor G Hilliard, Nancy Klauber-DeMore
TRAF3-interacting protein 3 (TRAF3IP3) is expressed in the immune system and participates in cell maturation, tissue development, and immune response. In a previous study, we reported that TRAF3IP3 levels were substantially increased in the vasculature of breast cancer tissues, suggesting a proangiogenic role. In this study, we investigated TRAF3IP3 tumorigenic function. TRAF3IP3 protein was present in several cancer cell lines, with highest levels in melanoma. In addition, tumor microarray analysis on 23 primary melanoma and nine positive lymph nodes revealed that 70% of human primary melanoma and 66% of lymph node metastases were positive for TRAF3IP3...
March 16, 2018: Melanoma Research
https://www.readbyqxmd.com/read/29492756/the-standard-account-of-moral-distress-and-why-we-should-keep-it
#8
Joan McCarthy, Settimio Monteverde
In the last three decades, considerable theoretical and empirical research has been undertaken on the topic of moral distress among health professionals. Understood as a psychological and emotional response to the experience of moral wrongdoing, there is evidence to suggest that-if unaddressed-it contributes to staff demoralization, desensitization and burnout and, ultimately, to lower standards of patient safety and quality of care. However, more recently, the concept of moral distress has been subjected to important criticisms...
February 28, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/29435847/supportive-care-for-the-head-and-neck-cancer-patient
#9
Sorin Buga, Chandana Banerjee, Jaroslava Salman, Marissa Cangin, Finly Zachariah, Bonnie Freeman
Patients with head and neck cancers (HNC) face multiple psychosocial and physical challenges that require multidisciplinary attention and care throughout their disease process. The psychoemotional symptoms may be triggered by cosmetic disfigurement and/or functional deficits related to the cancer itself or cancer-directed treatments. These physical and emotional symptoms can be demoralizing and require acute and long-term professional assistance throughout a patient's lifespan. HNC remains one of the most challenging cancers to treat due to disfigurement, emotional suffering, social isolation, and loss of self-esteem...
2018: Cancer Treatment and Research
https://www.readbyqxmd.com/read/29409563/dignity-in-cancer-patients-with-a-life-expectancy-of-a-few-weeks-implementation-of-the-factor-structure-of-the-patient-dignity-inventory-and-dignity-assessment-for-a-patient-centered-clinical-intervention-a-cross-sectional-study
#10
Andrea Bovero, Nader Alessandro Sedghi, Rossana Botto, Chiara Tosi, Valentina Ieraci, Riccardo Torta
OBJECTIVE: Hospice is a favored setting for dignity care. Studies on dignity dimension in end-of-life patients are growing. The Patient Dignity Inventory (PDI) is a tool that can lead to interesting information on dignity-related aspects of suffering. The study aimed to investigate dignity among end-of-life cancer patients, by examining the Italian version of the PDI factor structure and assessing the relationship between dignity and other patients' psychosocial and spiritual variables to improve a patient-centered clinical practice...
February 7, 2018: Palliative & Supportive Care
https://www.readbyqxmd.com/read/29395886/-drug-administration-to-pediatric-patients-evaluation-of-the-nurses-preparation-habits-in-pediatric-units
#11
S Ménétré, M Weber, M Socha, S Le Tacon, I May, C Schweitzer, B Demoré
In hospitals, the nursing staff is often confronted with the problem of the preparation and administration of drugs for their pediatric patients because of the lack of indication, pediatric dosage, and appropriate galenic form. The goal of this study was to give an overview of the nurses' preparation habits in pediatric units and highlight their daily problems. This single-center prospective study was conducted through an observation of the nursing staff during the drug preparation process in medicine, surgery and intensive care units...
April 2018: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29352540/insight-in-schizophrenia-spectrum-disorders-relationship-with-behavior-mood-and-perceived-quality-of-life-underlying-causes-and-emerging-treatments
#12
Paul H Lysaker, Michelle L Pattison, Bethany L Leonhardt, Scott Phelps, Jenifer L Vohs
Poor insight in schizophrenia is prevalent across cultures and phases of illness. In this review, we examine the recent research on the relationship of insight with behavior, mood and perceived quality of life, on its complex roots, and on the effects of existing and emerging treatments. This research indicates that poor insight predicts poorer treatment adherence and therapeutic alliance, higher symptom severity and more impaired community function, while good insight predicts a higher frequency of depression and demoralization, especially when coupled with stigma and social disadvantage...
February 2018: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/29323522/demoralization-and-embitterment
#13
Maria Giulia Nanni, Rosangela Caruso, Silvana Sabato, Luigi Grassi
OBJECTIVE: Individuals may experience a wide range of psychological reactions in response to negative life events. Even if events that threaten life have been always played a central role in research, recent studies have outlined that experiences, considered exceptional but part of the human existence (e.g., divorce, unemployment, or chronic illness) may also lead individuals to experience enduring emotional states of suffering. Demoralization has been substantially described as an important condition occurring in response to stressful events, while a recent interest is growing on embitterment as a common reaction...
January 2018: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/29312613/dysregulated-connexin-43-in-her2-positive-drug-resistant-breast-cancer-cells-enhances-proliferation-and-migration
#14
Elizabeth S Yeh, Christina J Williams, Carly Bess Williams, Ingrid V Bonilla, Nancy Klauber-DeMore, Stephanie L Phillips
Connexin 43 (Cx43) is a gap junction protein whose function in the development of breast cancer and in breast cancer progression remains unclear. Evidence suggests that Cx43 ( GJA1 ) mRNA and protein expression is altered in breast tumors. However, reports indicate both increased and decreased Cx43 levels in human breast cancer samples. Studies also suggest that loss of Cx43 regulated gap junction intercellular communication is a common feature of breast malignancies that potentially correlates with histological stage...
December 12, 2017: Oncotarget
https://www.readbyqxmd.com/read/29283986/stigma-and-suicide
#15
Sabina Kučukalić, Abdulah Kučukalić
Suicide is one of the major mental health problems in the world. It is estimated that one million suicide are committed per year and that after every suicide six people from the surrounding suffer or develop major life changes. After suicide survivors are at higher risk of developing major psychological changes and suicidal ideations as well. They go through the complicated process of grief which is specifically characterized by the felling of guilt, shame, denial and anger. The griefing process, more often than in other causes of death, doesn't integrate but is complicated with prolonged grief...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29251694/existential-distress-and-meaning-focused-interventions-in-cancer-survivorship
#16
Sigrun Vehling, Rebecca Philipp
PURPOSE OF REVIEW: Cancer can challenge fundamental assumptions about security, controllability and life priorities, which may lead to clinically relevant existential distress. We review recent studies on the prevalence of existential distress in cancer survivors, its distinctness from other distress concepts and interventions to address cancer-specific existential challenges. We further describe psychological mechanisms that may underlie change resulting from such interventions. RECENT FINDINGS: One-third to one-half of cancer survivors experienced existential fears and concerns related to reduced control, identity and uncertainty about the future...
March 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29247405/impact-of-depression-and-demoralization-on-blood-pressure-control-in-african-americans-with-hypertension-findings-from-the-triumph-trial
#17
Emanuela Offidani, Giada Benasi, Mary E Charlson, Joseph E Ravenell, Carla Boutin-Foster
BACKGROUND: African Americans develop hypertension earlier and have worse cardiovascular outcomes than Caucasians. Accumulating evidence suggests that psychological distress may play a role in the observed racial differences in hypertension. Several studies have investigated the relationship between depression and hypertension while little is still known about the role of demoralization. METHODS: Using data from the Trial Using Motivational Interviewing, Positive Affect, and Self-affirmation in African Americans with Hypertension (TRIUMPH), logistic regression models were used to estimate differences in blood pressure control at 12 months among participants with demoralization, depression, and both conditions...
December 15, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/29237326/a-chamber-of-errors-adaptation-to-assess-pharmaceutical-assistants-knowledge-in-chemotherapy-preparation
#18
C Loboda, J Vigneron, C Mulot, I May, B Demore
French preparation guidelines state that pharmacy staff who manipulate cytotoxic drugs have to follow specific training. In order to assess the pharmaceutical assistants' skills and knowledge, we developed a "Cytotoxic Preparation Centralized Unit (CPCU) of errors," derived from the Canadian concept of "Chamber of horrors." A table listing 20 mistakes to track down was created and each pharmaceutical assistant spent 20 min in the "CPCU of errors" with the pharmacist, who wrote down the spotted mistakes in real time...
January 1, 2017: Journal of Oncology Pharmacy Practice
https://www.readbyqxmd.com/read/29237051/pharmacist-participation-in-antimicrobial-stewardship-in-australian-and-french-hospitals-a-cross-sectional-nationwide-survey
#19
Naomi Weier, Gianpiero Tebano, Nathalie Thilly, Béatrice Demoré, Céline Pulcini, Syed Tabish R Zaidi
Background: Hospital pharmacists are an integral part of antimicrobial stewardship (AMS) programmes globally. Currently, little is known as to how hospital pharmacists see their role and involvement within the AMS framework. Objectives: To assess the current level of involvement of Australian and French hospital pharmacists in AMS programmes and identify barriers limiting their involvement in AMS. Methods: Hospital pharmacists throughout Australia and France were invited to participate in a nationwide online survey throughout March-May 2016...
December 8, 2017: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/29202493/health-related-quality-of-life-and-mental-health-in-primary-aldosteronism-a-systematic-review
#20
Marieke S Velema, Aline H de Nooijer, Vivian W G Burgers, Ad R M M Hermus, Henri J L M Timmers, Jacques W M Lenders, Olga Husson, Jaap Deinum
The aim of this review was to determine the impact of primary aldosteronism on health-related quality of life (HRQoL) and mental health. We performed a systematic literature search up to July 2017 in six electronic databases. First, we screened the articles derived from this search based on title and abstract. Second, the selected studies were systematically reviewed and checked for our predefined inclusion criteria. The search yielded 753 articles, of which 15 studies met our inclusion criteria. Untreated patients with primary aldosteronism showed an impaired physical and mental HRQoL as compared to the general population...
December 2017: Hormone and Metabolic Research, Hormon- und Stoffwechselforschung, Hormones et Métabolisme
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