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https://www.readbyqxmd.com/read/28635528/clinical-social-and-ethical-issues-associated-with-non-invasive-prenatal-testing-for-aneuploidy
#1
Blanche Griffin, Samantha Edwards, Lyn S Chitty, Celine Lewis
Non-invasive prenatal testing (NIPT), based on analysis of cell-free foetal DNA, is rapidly becoming a preferred method to screen for chromosomal aneuploidy with the technology now available in over 90 countries. This review provides an up-to-date discussion of the key clinical, social and ethical implications associated with this revolutionary technology. Stakeholders are positive about a test that is highly accurate, safe, can be perfomed early in pregnancy, identifies affected pregnancies that might otherwise have been missed and reduces the need for invasive testing...
February 9, 2017: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28634734/exploring-the-digital-technology-preferences-of-teenagers-and-young-adults-tya-with-cancer-and-survivors-a-cross-sectional-service-evaluation-questionnaire
#2
Esha Abrol, Mike Groszmann, Alexandra Pitman, Rachael Hough, Rachel M Taylor, Golnar Aref-Adib
PURPOSE: Digital technology has the potential to support teenagers and young adults (TYAs) with cancer from the onset of their disease into survivorship. We aimed to establish (1) the current pattern of use of TYA digital technologies within our service-user population, and (2) their preferences regarding digital information and support within the service. METHODS: A cross-sectional survey was administered as a paper and online self-completed questionnaire to TYAs aged 13-24 accessing outpatient, inpatient, and day care cancer services at a regional specialist centre over a 4-week period...
June 20, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/28632007/what-do-medical-students-do-for-self-care-a-student-centered-approach-to-well-being
#3
Erin E Ayala, Aisha M Omorodion, Dennis Nmecha, Jeffrey S Winseman, Hyacinth R C Mason
Phenomenon: Despite the promotion of medical student health and wellness through recent program and curricular changes, research continues to show that medical education is associated with decreased well-being in medical students. Although many institutions have sought to more effectively assess and improve self-care in medical students, no self-care initiatives have been designed using the explicit perspectives of students themselves. APPROACH: Using concept mapping methodology, the research team created a student-generated taxonomy of self-care behaviors taken from a national sample of medical students in response to a brainstorming prompt...
February 16, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28626953/translation-and-validation-of-the-insulin-treatment-appraisal-scale-in-hong-kong-primary-care-patients
#4
K P Lee
AIM: Patients with type 2 diabetes mellitus (DM) often delay the initiation or titration of insulin treatment due to psychological factors. This phenomenon is referred to as psychological insulin resistance (PIR). The insulin treatment appraisal scale (ITAS) is a 20-item instrument for assessing PIR. A previous Chinese version of the ITAS (C-ITAS) was found to be subject to problems arising from its translation. The present study aimed to translate and validate this instrument, which will facilitate research and aid in counselling in a clinical setting...
June 19, 2017: Journal of Diabetes Investigation
https://www.readbyqxmd.com/read/28625180/abortion-and-subsequent-depressive-symptoms-an-analysis-of-the-national-longitudinal-study-of-adolescent-health
#5
A M Gomez
BACKGROUND: Twenty states currently require that women seeking abortion be counseled on possible psychological responses, with six states stressing negative responses. The majority of research finds that women whose unwanted pregnancies end in abortion do not subsequently have adverse mental health outcomes; scant research examines this relationship for young women. METHODS: Four waves of data from the National Longitudinal Study of Adolescent Health were analyzed...
June 19, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28625095/fertility-preservation-in-women-with-gynaecologic-cancer-the-impact-on-quality-of-life-and-psychological-well-being
#6
Salvatore Giovanni Vitale, Valentina Lucia La Rosa, Agnese Maria Chiara Rapisarda, Antonio Simone Laganà
The aim of this article is to propose a brief commentary about the impact of gynaecologic cancer treatments on the reproductive capacity of affected women and the importance of the fertility preservation treatments to improve quality of life and psychological well-being. The experience of gynaecologic cancer and treatment affects sexual function and psychological well-being of patients. Therefore, the preservation of reproductive potential is central to quality of life. Despite the importance of fertility preservation for cancer survivors' quality of life and psychological well-being, there is still little information about these treatments...
June 19, 2017: Human Fertility: Journal of the British Fertility Society
https://www.readbyqxmd.com/read/28623442/counseling-interventions-delivered-in-women-with-breast-cancer-to-improve-health-related-quality-of-life-a-systematic-review
#7
REVIEW
V D'Egidio, C Sestili, M Mancino, I Sciarra, R Cocchiara, I Backhaus, A Mannocci, Alessandro De Luca, Federico Frusone, Massimo Monti, G La Torre
BACKGROUND: Higher survival rates for breast cancer patients have led to concerns in dealing with short- and long-term side effects. The most common complications are impairment of shoulder functions, pain, lymphedema, and dysesthesia of the injured arm; psychological consequences concern: emotional distress, anxiety, and depression, thereby, deeply impacting/affecting daily living activity, and health-related quality of life. OBJECTIVE: To perform a systematic review for assessing the efficacy or effectiveness of interventions aiming at improving health-related quality of life, return to daily activity, and correct lifestyles among breast cancer patients...
June 16, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28621012/supporting-people-with-aphasia-to-settle-into-a-new-way-to-be-speech-and-language-therapists-views-on-providing-psychosocial-support
#8
Sarah Northcott, Alan Simpson, Becky Moss, Nafiso Ahmed, Katerina Hilari
BACKGROUND: People with aphasia are at risk of becoming depressed and isolated. Online surveys have found that the majority of speech and language therapists (SLTs) lack confidence in addressing the psychological needs of people with aphasia. AIMS: To explore how SLTs conceptualize the scope of their role; barriers and facilitators to SLTs addressing psychosocial needs; and SLTs' experiences of specialist training and support, and working with mental health professionals (MHPs)...
June 16, 2017: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/28620544/-i-am-anxious-and-desperate-psychological-experiences-of-women-with-infertility-in-the-greater-accra-region-ghana
#9
Ernestina S Donkor, Florence Naab, Deborah Y Kussiwaah
BACKGROUND: Research has shown that infertility affects millions of couples worldwide. Infertility is considered one of the most difficult life experiences and can result in psychological consequences for couples, especially for women. The purpose of this study was to explore the psychological experiences of women with infertility. METHODS: A qualitative exploratory descriptive approach was used to conduct in-depth interviews. The psychological component of the bio-psychosocial model was used as a guiding framework to understand the experiences of women with infertility...
2017: Fertility Research and Practice
https://www.readbyqxmd.com/read/28620497/painful-ovulation-in-a-46-xx-sry-ve-adult-male-with-sox9-duplication
#10
Nandini Shankara Narayana, Anne-Maree Kean, Lisa Ewans, Thomas Ohnesorg, Katie L Ayers, Geoff Watson, Arthur Vasilaras, Andrew H Sinclair, Stephen M Twigg, David J Handelsman
46,XX disorders of sexual development (DSDs) occur rarely and result from disruptions of the genetic pathways underlying gonadal development and differentiation. We present a case of a young phenotypic male with 46,XX SRY-negative ovotesticular DSD resulting from a duplication upstream of SOX9 presenting with a painful testicular mass resulting from ovulation into an ovotestis. We present a literature review of ovulation in phenotypic men and discuss the role of SRY and SOX9 in testicular development, including the role of SOX9 upstream enhancer region duplication in female-to-male sex reversal...
2017: Endocrinology, Diabetes & Metabolism Case Reports
https://www.readbyqxmd.com/read/28610417/effect-of-midwifery-based-counseling-support-program-on-body-image-of-breast-cancer-women-survivors
#11
Zeinab Hamzehgardeshi, Mahmood Moosazadeh, Forouzan Elyasi, Ghasem Janbabai, Maedeh Rezaei, Zeinab Yeganeh, Masoumeh Rashidi Alashti
Background: Treatment for breast cancer can give rise to complications with important psychological impact. One change in patients regards body image. The aim of this research was to study the effect of a midwifery-based counseling support program on the body image of breast cancer survivors. Materials and Methods: In this randomized clinical trial, the study population was constituted by 80 breast cancer patients referred to Tuba Clinic in Sari, north of Iran, randomly assigned to two groups. Inclusion criteria included breast cancer diagnosis, mastectomy experience, age of 30 to 60 years, primary school education or higher, being married, and receiving hormone therapy...
May 1, 2017: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/28609441/workplace-violence-against-medical-staff-of-chinese-children-s-hospitals-a-cross-sectional-study
#12
Zhe Li, Chun-Mei Yan, Lei Shi, Hui-Tong Mu, Xin Li, An-Qi Li, Cheng-Song Zhao, Tao Sun, Lei Gao, Li-Hua Fan, Yi Mu
BACKGROUND: In China, medical staff of children's hospitals are commonly exposed to violence. However, few studies on medical violence are conducted in the settings of children's hospitals. The aim of this study is to assess the incidence, magnitude, consequences, and potential risk factors of workplace violence (WPV) against medical staff of children's hospitals. METHODS: A retrospective cross-sectional design was used. A self-administered questionnaire was utilized to collect data on 12 children's hospitals...
2017: PloS One
https://www.readbyqxmd.com/read/28608402/does-the-severity-of-psychopathology-of-italian-students-receiving-counselling-services-increase-over-time-a-5-year-analysis-and-a-comparison-with-a-clinical-and-non-clinical-sample
#13
Maria Grazia Strepparava, Marco Bani, Federico Zorzi, Umberto Mazza, Francesca Barile, Giorgio Rezzonico
Psychological problems-from the most minor such as exams anxiety to the more severe such as personality disorders-are not rare in young adults. University Counselling Services often present the only opportunity for undergraduates to meet health professionals and to be confronted with their difficulties in a non-clinical setting or-in cases of more severe psychopathology-to be referred to mental health services. Recent research attests to the increasing severity of psychological problems among undergraduate and graduate university students...
June 13, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28599621/the-comparative-effectiveness-and-efficiency-of-cognitive-behaviour-therapy-and-generic-counselling-in-the-treatment-of-depression-evidence-from-the-2-nd-uk-national-audit-of-psychological-therapies
#14
Jo Pybis, David Saxon, Andy Hill, Michael Barkham
BACKGROUND: Cognitive Behaviour Therapy (CBT) is the front-line psychological intervention for step 3 within UK psychological therapy services. Counselling is recommended only when other interventions have failed and its effectiveness has been questioned. METHOD: A secondary data analysis was conducted of data collected from 33,243 patients across 103 Improving Access to Psychological Therapies (IAPT) services as part of the second round of the National Audit of Psychological Therapies (NAPT)...
June 9, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28595437/perceptions-and-types-of-support-coming-from-families-caring-for-patients-suffering-from-advanced-illness-in-kinshasa-democratic-republic-of-congo
#15
Jacques Masumbuku Lofandjola, Ernest Kiswaya Sumaili, Philippe Mairiaux, Jean Petermans
BACKGROUND: Perceptions of families who take care of patients suffering from advanced illness are rarely considered in Kinshasa medical practices; nevertheless, these families are the main actors involved in such care. The objective of this present study was to illustrate, in a Congolese context, the perceptions of families on the care of patients suffering from advanced illness, and to identify the possible aids provided by healthcare facilities. METHODS: A qualitative study was performed among focus groups in six hospitals in Kinshasa...
May 8, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28594412/attitudes-knowledge-and-consequences-of-uncertain-genetic-findings-in-hypertrophic-cardiomyopathy
#16
Charlotte Burns, Laura Yeates, Catherine Spinks, Christopher Semsarian, Jodie Ingles
With the surge of next-generation sequencing (NGS) technologies making almost all genetic tests more affordable and available, cardiac genetic testing now routinely encompasses a large number of genes within a panel setting. The additional sensitivity of this practice is limited and has the potential to inflict a spectrum of uncertainty. We sought to explore attitudes, preferences, recall and psychological consequences of informative and uninformative genetic results amongst probands diagnosed with hypertrophic cardiomyopathy (HCM)...
June 2017: European Journal of Human Genetics: EJHG
https://www.readbyqxmd.com/read/28585073/exploring-the-social-needs-and-challenges-of-chinese-american-immigrant-breast-cancer-survivors-a-qualitative-study-using-an-expressive-writing-approach
#17
Krystal Warmoth, Bernice Cheung, Jin You, Nelson C Y Yeung, Qian Lu
PURPOSE: Little is known about the psychological well-being and social barriers among immigrant Chinese American breast cancer survivors. The aim of the present study was to explore the social needs and challenges of Chinese American immigrant breast cancer survivors. METHOD: This study used the expressive writing approach to explore the experiences among 27 Chinese American breast cancer survivors. The participants were recruited through community-based organizations in Southern California, most of whom were diagnosed at stages I and II (33 and 48%, respectively)...
June 5, 2017: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28580565/-reducing-the-care-related-burdens-of-a-family-caregiver-of-a-person-with-mild-cognitive-impairment-a-home-based-case-management-program
#18
Min-Chia Chen, Yi-Chen Chiu, Pi-Mei Wei, Wen-Chuin Hsu
The long-term care of cognitively impaired patients with concomitant behavioral problems brings great stress and burdens to family caregivers. The present article describes a family caregiver with multiple chronic diseases who concurrently shouldered primary care responsibilities for her husband, a patient with mild cognitive impairment, problematic behaviors, and medication non-adherence issues. The period of care was between September 23rd and December 29th, 2015. Data on physiological, psychological, and social burdens were collected based on a stress process model for family caregiving...
June 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28578327/genetic-predictors-of-%C3%A2-5-weight-loss-by-multidisciplinary-advice-to-severely-obese-subjects
#19
Erik E J G Aller, Edwin C M Mariman, Freek G Bouwman, Marleen A van Baak
BACKGROUND: Weight loss success is determined by genetic factors, which may differ according to treatment strategy. METHODS: From a multidisciplinary obesity treatment program involving dietary advice, psychological counseling, and increased physical activity, 587 subjects (68% female; 46.1 ± 12.4 years; BMI 39.9 ± 6.3) were recruited. At baseline, a blood sample was drawn for DNA isolation. Genotypes were determined for 30 polymorphisms in 25 candidate genes...
June 3, 2017: Journal of Nutrigenetics and Nutrigenomics
https://www.readbyqxmd.com/read/28576289/psychological-counseling-as-an-adjunct-to-stuttering-treatment-clients-experiences-and-perceptions
#20
Alanna Lindsay, Marilyn Langevin
PURPOSE: Stuttering can trigger anxiety and other psychological and emotional reactions, and limit participation in society. It is possible that psychological counseling could enhance stuttering treatment outcomes; however, little is known about how clients view such counseling. The purpose of this study was to gain an understanding of clients' experiences with, and perceptions of, a psychological counseling service that was offered as an optional adjunct to speech therapy for stuttering...
June 2017: Journal of Fluency Disorders
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