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https://www.readbyqxmd.com/read/28716704/-psychosocial-working-conditions-of-physician-assistants-results-from-a-qualitative-study-on-occupational-stress-resources-possible-approaches-to-prevention-and-intervention-needs
#1
Patricia Vu-Eickmann, Adrian Loerbroks
BACKGROUND: Numerous studies have documented adverse psychosocial working conditions among health care staff. Working conditions may not only impair the health outcomes of this professional group, but can also affect the quality of care they deliver to patients. Previous work stress research has mainly focused on physicians and nurses. Comparable evidence remains limited, however, for physician assistants (Medizinische Fachangestellte, MFAs), who represent the largest professional group in German primary care...
July 14, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28716608/opioidergic-and-dopaminergic-modulation-of-cost-benefit-decision-making-in-long-evans-rats
#2
Ileana Morales, Paul J Currie, Timothy D Hackenberg, Raúl Pastor
Eating disorders are associated with impaired decision-making and dysfunctional reward-related neurochemistry. The present study examined the potential contributions of dopamine and opioid signaling to these processes using two different decision-making tasks. In one task, Long Evans Rats chose between working for a preferred food (high-carbohydrate banana-flavored sucrose pellets) by lever pressing on a progressive-ratio schedule of reinforcement vs. obtaining less preferred laboratory chow that was concurrently available...
July 14, 2017: Physiology & Behavior
https://www.readbyqxmd.com/read/28704217/automatic-affective-evaluations-of-physical-activity
#3
David E Conroy, Tanya R Berry
People do not appear to be willing or able to sustain effortful self-regulation for behaviors, such as physical activity. Affective processes can account for why some behaviors are more intrinsically rewarding than others. In this paper, we hypothesize that automatic affective evaluations are instrumental to the regulation of physical activity in everyday life.
July 12, 2017: Exercise and Sport Sciences Reviews
https://www.readbyqxmd.com/read/28699053/vicarious-effort-based-decision-making-in-autism-spectrum-disorders
#4
Maya G Mosner, Jessica L Kinard, Sean McWeeny, Jasmine S Shah, Nathan D Markiewitz, Cara R Damiano-Goodwin, Margaret R Burchinal, Helena J V Rutherford, Rachel K Greene, Michael T Treadway, Gabriel S Dichter
This study investigated vicarious effort-based decision-making in 50 adolescents with autism spectrum disorders (ASD) compared to 32 controls using the Effort Expenditure for Rewards Task. Participants made choices to win money for themselves or for another person. When choosing for themselves, the ASD group exhibited relatively similar patterns of effort-based decision-making across reward parameters. However, when choosing for another person, the ASD group demonstrated relatively decreased sensitivity to reward magnitude, particularly in the high magnitude condition...
July 11, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/28694275/the-chief-primary-care-medical-officer-restoring-continuity
#5
Noemi Doohan, Jennifer DeVoe
The year 2016 marked the 20th anniversary of the hospitalist profession, with more than 50,000 physicians identifying as hospitalists. The Achilles heel of hospitalist medicine, however, is discontinuity. Despite many current payment and delivery systems rewarding this discontinuity and severing long-term relationships between patient and primary care teams at the hospital door, primary care does not stop being important when a person is admitted to the hospital. The notion of a broken primary care continuum is not an academic construct, it causes real harm to patients...
July 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28686151/individual-contextual-and-network-characteristics-of-blood-donors-and-non-donors-a-systematic-review-of-recent-literature
#6
REVIEW
Tjeerd W Piersma, René Bekkers, Elisabeth F Klinkenberg, Wim L A M De Kort, Eva-Maria Merz
BACKGROUND: The ageing population and recent migration flows may negatively affect the blood supply in the long term, increasing the importance of targeted recruitment and retention strategies to address donors. This review sought to identify individual, network and contextual characteristics related to blood donor status and behaviour, to systematically discuss differences between study results, and to identify possible factors to target in recruitment and retention efforts. METHODS: The systematic review was conducted in accordance with a predefined PROSPERO protocol (CRD42016039591)...
June 13, 2017: Blood Transfusion, Trasfusione del Sangue
https://www.readbyqxmd.com/read/28685274/quantifying-the-psychological-value-of-goal-achievement
#7
Timothy Ballard, Simon Farrell, Andrew Neal
It is often assumed that people put forth the least amount of effort necessary to obtain a reward. This assumption is consistent with so-called "rational" economic models of behavior. Yet these models rarely take into account the motivating effects of goals, which may lead to departures from objective reward maximizing behavior. We present an experiment in which people make a series of prioritization decisions whilst pursuing two approach or avoidance goals. Participants were rewarded $10 if they achieved both goals on a randomly selected trial, and either $0, $2...
July 6, 2017: Psychonomic Bulletin & Review
https://www.readbyqxmd.com/read/28678102/are-you-sure-you-want-to-do-that-fostering-the-responsible-conduct-of-medical-education-research
#8
Lauren A Maggio, Anthony R Artino, Katherine Picho, Erik W Driessen
Engaging in questionable research practices (QRPs) is a noted problem across many disciplines, including medical education. While QRPs are rarely discussed in the context of medical education, that does not mean that medical education researchers are immune. Therefore, the authors seek to raise medical educators' awareness of the responsible conduct of research (RCR) and call the community to action before QRPs negatively affect the field.The authors define QRPs and introduce examples that could easily happen in medical education research because of vulnerabilities particular to the field...
July 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28673753/relationship-between-effortful-motivation-and-neurocognition-in-schizophrenia
#9
Andrew W Bismark, Michael L Thomas, Melissa Tarasenko, Alexandra L Shiluk, Sonia Y Rackelmann, Jared W Young, Gregory A Light
Effortful motivation and reward valuation learning deficits are associated with negative symptoms and impaired cognition in schizophrenia (SZ) patients. Whereas clinical assessments of motivation and reward value typically rely upon clinician ratings or self-report scales, behavioral measures often confound these constructs. Simple reverse-translated behavioral tasks that independently quantify motivation and reward valuation-which could then be linked to cognition-may facilitate the development of pro-cognitive therapeutics by bridging the "preclinical-to-clinical" gap...
June 30, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/28670329/the-effect-of-effort-reward-imbalance-on-the-health-of-childcare-workers-in-hamburg-a-longitudinal-study
#10
Peter Koch, Jan Felix Kersten, Johanna Stranzinger, Albert Nienhaus
BACKGROUND: The prevalence of effort-reward imbalance (ERI) among qualified childcare workers in Germany is currently estimated at around 65%. High rates of burnout and musculoskeletal symptoms (MS) have also been reported for this group. Previous longitudinal studies show inconsistent results with regard to the association between ERI and MS. As yet, no longitudinal studies have been conducted to investigate the association between ERI and burnout or MS in childcare workers. This study aims to investigate the extent to which a relationship between ERI and MS or burnout can be observed in childcare workers in Germany on a longitudinal basis...
2017: Journal of Occupational Medicine and Toxicology
https://www.readbyqxmd.com/read/28660322/associations-between-organizational-injustice-and-work-ability-self-reported-disability-days-and-medical-consultations-cross-sectional-findings-from-employees-with-prior-sickness-absence-payments
#11
Katja Spanier, Elke Peters, Elliot Michel, Friedrich Michael Radoschewski, Matthias Bethge
PURPOSE: The aim of the study was to identify associations between organizational injustice and work ability, disability days, and consultations with general practitioners. METHODS: Cross-sectional data of persons previously receiving sickness absence benefits were used for analyses. Organizational injustice was assessed using a German version of the "organizational justice questionnaire". Dependent variables were the Work Ability Index, self-reported disability days, and consultations with general practitioners...
June 28, 2017: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/28654358/predicting-motivation-computational-models-of-pfc-can-explain-neural-coding-of-motivation-and-effort-based-decision-making-in-health-and-disease
#12
Eliana Vassena, James Deraeve, William H Alexander
Human behavior is strongly driven by the pursuit of rewards. In daily life, however, benefits mostly come at a cost, often requiring that effort be exerted to obtain potential benefits. Medial pFC (MPFC) and dorsolateral pFC (DLPFC) are frequently implicated in the expectation of effortful control, showing increased activity as a function of predicted task difficulty. Such activity partially overlaps with expectation of reward and has been observed both during decision-making and during task preparation. Recently, novel computational frameworks have been developed to explain activity in these regions during cognitive control, based on the principle of prediction and prediction error (predicted response-outcome [PRO] model [Alexander, W...
June 27, 2017: Journal of Cognitive Neuroscience
https://www.readbyqxmd.com/read/28651789/interactions-among-working-memory-reinforcement-learning-and-effort-in-value-based-choice-a-new-paradigm-and-selective-deficits-in-schizophrenia
#13
Anne G E Collins, Matthew A Albrecht, James A Waltz, James M Gold, Michael J Frank
BACKGROUND: When studying learning, researchers directly observe only the participants' choices, which are often assumed to arise from a unitary learning process. However, a number of separable systems, such as working memory (WM) and reinforcement learning (RL), contribute simultaneously to human learning. Identifying each system's contributions is essential for mapping the neural substrates contributing in parallel to behavior; computational modeling can help to design tasks that allow such a separable identification of processes and infer their contributions in individuals...
May 31, 2017: Biological Psychiatry
https://www.readbyqxmd.com/read/28639611/masked-hypertension-and-effort-reward-imbalance-at-work-among-2369-white-collar-workers
#14
P Boucher, M Gilbert-Ouimet, X Trudel, C S Duchaine, A Milot, C Brisson
Hypertension is an important risk factor of cardiovascular diseases, the leading cause of death worldwide. Adverse effects of psychosocial factors at work might increase the risk of masked hypertension, but evidences are still scarce. The objective of this study is then to determine whether adverse psychosocial work factors from the effort-reward imbalance (ERI) model are associated with the prevalence of masked hypertension in a population of white-collar workers. White-collar workers were recruited from three public organizations...
June 22, 2017: Journal of Human Hypertension
https://www.readbyqxmd.com/read/28639382/preferred-intervention-strategies-to-improve-dietary-and-physical-activity-behaviors-among-african-american-mothers-and-daughters
#15
Monique Reed, Wrenetha Julion, Diane McNaughton, JoEllen Wilbur
OBJECTIVE: The objective of this study was to identify cultural- and age-appropriate intervention strategies to improve dietary and physical activity (PA) behaviors in African-American adolescent daughters and their mothers. DESIGN AND SAMPLE: A convergent parallel mixed methods design with interactive quantitative and qualitative measures was used. Twenty-four 9th- and 10th-grade African-American daughters from a large urban high school and their mothers participated...
June 22, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/28614710/anterior-cingulate-cortex-modulation-of-the-ventral-tegmental-area-in-an-effort-task
#16
Thomas W Elston, David K Bilkey
Information gained during goal pursuit motivates adaptive behavior. The anterior cingulate cortex (ACC) supports adaptive behavior, but how ACC signals are translated into motivational signals remains unclear. Rats with implants in the ACC and ventral tegmental area (VTA), a dopaminergic brain area implicated in motivation, were trained to run laps around a rectangular track for a fixed reward, where each lap varied in physical effort (a 30-cm climbable barrier). Partial directed coherence analysis of local field potentials revealed that ACC theta (4-12 Hz) activity increased as rats entered the barrier-containing region of the maze in trials when the barrier was absent and predicted similar changes in VTA theta activity...
June 13, 2017: Cell Reports
https://www.readbyqxmd.com/read/28614441/prevalence-and-factors-associated-with-minor-psychiatric-disorders-in-hospital-housekeeping-workers
#17
Cintia da Silva Marconato, Ana Carolina de Souza Magnago, Tânia Solange Bosi de Souza Magnago, Graziele de Lima Dalmolin, Rafaela Andolhe, Juliana Petri Tavares
OBJECTIVE: Investigating the prevalence and factors associated with minor psychiatric disorders (MPDs) in Hospital housekeeping workers. METHOD: A cross-sectional study carried out in 2013 with workers from the cleaning service of a public university hospital in Rio Grande do Sul, Brazil. Data were collected through a form containing sociodemographic, occupational, habits and health variables. The Self-Reporting Questionnaire-20 was used in order to evaluate MPDs...
June 12, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28607405/neural-basis-of-self-initiative-in-relation-to-apathy-in-a-student-sample
#18
Claire Kos, Nicky G Klaasen, Jan-Bernard C Marsman, Esther M Opmeer, Henderikus Knegtering, André Aleman, Marie-José van Tol
Human behaviour can be externally driven, e.g. catching a falling glass, or self-initiated and goal-directed, e.g. drinking a cup of coffee when one deems it is time for a break. Apathy refers to a reduction of self-initiated goal-directed or motivated behaviour, frequently present in neurological and psychiatric disorders. The amount of undertaken goal-directed behaviour varies considerably in clinical as well as healthy populations. In the present study, we investigated behavioural and neural correlates of self-initiated action in a student sample (N = 39) with minimal to high levels of apathy...
June 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28599820/towards-reinforcing-telemedicine-adoption-amongst-clinicians-in-nigeria
#19
Kayode I Adenuga, Noorminshah A Iahad, Suraya Miskon
Telemedicine systems have been considered as a necessary measure to alleviate the shortfall in skilled medical specialists in developing countries. However, the obvious challenge is whether clinicians are willing to use this technological innovation, which has aided medical practice globally. One factor which has received little academic attention is the provision of suitable encouragement for clinicians to adopt telemedicine, in the form of rewards, motivation or incentives. A further consideration for telemedicine usage in developing countries, especially sub-Saharan Africa and Nigeria in particular, are to the severe shortage of available practising clinicians...
August 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28598929/association-of-job-stressors-with-panic-attack-and-panic-disorder-in-a-working-population-in-japan-a-cross-sectional-study
#20
Yumi Asai, Kotaro Imamura, Norito Kawakami
OBJECTIVE: This study aimed to investigate associations of job stressors with panic attack (PA) and panic disorder (PD) among Japanese workers. METHODS: A cross-sectional online questionnaire survey was conducted of 2060 workers. Job strain, effort/reward imbalance, and workplace social support were measured by the job content questionnaire and effort/reward imbalance questionnaire. These variables were classified into tertiles. PA/PD were measured by self-report based on the mini international neuropsychiatric interview (MINI)...
June 2017: Journal of Occupational and Environmental Medicine
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