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Family Practice

Claudia Leite de Moraes, Paula Florence Sampaio, Michael Eduardo Reichenheim, Gloria Valéria da Veiga
Adolescence is a vulnerable period for mental health problems. Although child abuse and neglect (CAN) are known risk factors for some of them, it is not clear if the negative consequences on mental health also occur in families where CAN and a warm parent-child relationship coexist. The aim of this study is to explore this gap and investigate the effects of different types of CAN according to levels of warmth in the parent-child relationship on common mental disorders (CMD) in adolescence. This is a cross-sectional study encompassing 487 adolescents attending the ninth grade at 2 public and 4 private schools in Rio de Janeiro, Brazil...
July 16, 2018: Child Abuse & Neglect
Maria Marcus, Catherine A Haden, David H Uttal
This study investigated ways to support young children's science, technology, engineering, and mathematics (STEM) learning and transfer of knowledge across informal learning experiences in a museum. Participants were 64 4- to 8-year-old children (Mage  = 6.55 years, SD = 1.44) and their parents. Families were observed working together to solve one engineering problem, and then immediately afterward children worked on their own to solve a second engineering problem. At the outset of the problem-solving activities, families were randomly assigned to receive engineering instructions, transfer instructions, both engineering and transfer instructions, or no instructions...
July 16, 2018: Journal of Experimental Child Psychology
Paul N Uhlig, Joy Doll, Kristy Brandon, Christopher Goodman, Josephine Medado-Ramirez, Michael A Barnes, Mary A Dolansky, Temple A Ratcliffe, Kanapa Kornsawad, W Ellen Raboin, Maggie Hitzeman, Jeffrey Brown, Les Hall
This Invited Commentary is written by co-authors working to implement and study new models of interprofessional practice and education in clinical learning environments. There are many definitions and models of collaborative care, but the essential element is a spirit of collaboration and shared learning among health professionals, patients, and family members. This work is challenging, yet the benefits are striking. Patients and family members feel seen, heard, and understood. Health care professionals are able to contribute and feel appreciated in satisfying ways...
July 17, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Victor H Salinas, Rama Ranganathan
Protein function arises from a poorly understood pattern of energetic interactions between amino acid residues. Sequence-based strategies for deducing this pattern have been proposed, but lack of benchmark data has limited experimental verification. Here, we extend deep-mutation technologies to enable measurement of many thousands of pairwise amino acid couplings in several homologs of a protein family - a deep coupling scan (DCS). The data show that cooperative interactions between residues are loaded in a sparse, evolutionarily conserved, spatially contiguous network of amino acids...
July 19, 2018: ELife
Miya L Barnett, Lauren Brookman-Frazee, Juan Carlos Gonzalez, Chanel Zhan, Adriana Rodriguez, Nicole A Stadnick, Anna S Lau
This study analyzed qualitative therapist reports of adaptations to the delivery of multiple evidence-based practices (EBPs) within the context of a system-driven reform of children's community mental health services to understand how therapists adapt EBPs as well as contexts of these adaptations to identify when these adaptations are made. The study sought to complement and expand upon previous quantitative survey findings of two categories of Augmenting and Reducing/Reordering adaptations to EBPs. Data included interviews from 60 therapists (88...
July 19, 2018: Journal of Clinical Child and Adolescent Psychology
Alaina C Zanin, Cameron W Piercy
Using a lens of structuration theory, this study highlights the ways that specific structures within the current community-based model of mental health care might enable and constrain individuals and families living with mental illness. Through a case study of a volunteer mental illness advocacy group, the authors employed a duality analysis on a variety of data collected from the case (i.e., interviews, organizational documents, and community health care data). Findings indicate that while group members encountered structural barriers to their organizational mission, they also used communicative agency creatively and collectively to (re)create structures within the current community-based model of mental health care...
July 1, 2018: Qualitative Health Research
Angela A Sanchez
Curanderismo is a system of traditional folk practices and beliefs that address health and healing in the Hispanic community. Curanderismo serves a function in the daily lives of Hispanics worldwide, providing them access to culturally appropriate healthcare, and agency over their own, and their family's health. Cultural competency in the area of curanderismo is invaluable, as curanderismo is a folk resource that if acknowledged and embraced by nurses and healthcare practitioners can aid in healthcare delivery and increased healthcare utilization among Hispanic populations...
July 2018: Journal of Community Health Nursing
Colby Chlebowski, Sandy Magaña, Blanche Wright, Lauren Brookman-Frazee
OBJECTIVES: As implementation of evidence-based practices (EBPs) in publicly funded children's mental health services has become increasingly common, concerns have been raised about the appropriateness of specific EBPs to the diverse client populations served in these settings. Exploring stakeholder perspectives can provide direction for refinements of EBPs when delivered with Latinx families. The current study used qualitative methods to examine therapist and Latinx parent perceptions of therapist-parent interactions and the intervention process when therapists are trained to deliver AIM HI ( An Individualized Mental Health Intervention for ASD ), a structured, parent-mediated intervention for autism spectrum disorder (ASD)...
July 19, 2018: Cultural Diversity & Ethnic Minority Psychology
Brad G Kurowski, Terry Stancin, H Gerry Taylor, Kelly A McNally, Michael W Kirkwood, Amy Cassedy, Eileen King, McKenna Sklut, Megan E Narad, Shari L Wade
Introduction: The objective of this manuscript is to describe the methodology that will be used to test the comparative effectiveness, feasibility, and acceptability of three formats of family problem solving therapy (F-PST) for improving functional outcomes of complicated mild to severe adolescent TBI. Methods: Three-arm comparative effectiveness, randomized clinical trial (RCT) design. We describe the protocol of a three-arm RCT comparing the effectiveness of three modalities of F-PST to reduce executive dysfunction and behavior problems following TBI in adolescence...
June 2018: Contemporary Clinical Trials Communications
Abdullah H Baqui, Salahuddin Ahmed, Nazma Begum, Rasheda Khanam, Diwakar Mohan, Meagan Harrison, Ahmed Al Kabir, Catharine McKaig, Neal Brandes, Maureen Norton, Saifuddin Ahmed
Background: Short birth intervals are associated with an increased risk of adverse perinatal outcomes. However, reduction of rates of short birth intervals is challenging in low-resource settings where majority of the women deliver at home with limited access to family planning services immediately after delivery. This study examines the feasibility of integrating a post-partum family planning intervention package within a community-based maternal and newborn health intervention package, and evaluates the impact of integration on reduction of rates of short birth intervals and preterm births...
December 2018: Journal of Global Health
Katia Iskandar, Etwal Bou Raad, Souheil Hallit, Nibal Chamoun, Ulfat Usta, Youssef Akiki, Lamis R Karaoui, Pascale Salameh, Rony M Zeenny
Background: Continuing education (CE) is an international tool that requires lifelong active participation in learning activities allowing the pharmacist to stay a major player among others. In 2014 the CE program was introduced to the pharmacists licensed in Lebanon as a mandatory requirement for re-licensure. In the absence of guidelines regarding the quality and quantity of CE programs, behavioral resistance to precipitate in the CE programs might be encountered among the pharmacists...
April 2018: Pharmacy Practice
Chun Bun Lam, Kevin Kien Hoa Chung, Xiaomin Li
This study examined the longitudinal associations of maternal and paternal warmth and hostility with child executive function problems. Data were collected for two consecutive years from 333 kindergarten children who resided in Hong Kong, China, as well as their mothers, fathers, and class teachers. At Time 1, the average age of children was 57.73 months, and 56% of them were girls. At Time 1, mothers and fathers rated their own parenting practices with their children. At Times 1 and 2, class teachers rated children's problems in three aspects of executive functions, including updating/working memory, inhibition, and shifting/cognitive flexibility...
2018: Frontiers in Psychology
Jan Gärtner, Daniel Büche, Cristian Camartin
Delirium in Palliative Care: Evidence and Practice Abstract. Delirium is a frequent condition in Palliative Care. For patients, their families and the formal caregivers it is associated with substantial burden, fears and challenges. It is also associated with increased morbidity and mortality and often irreversible. Of utmost importance is the identification of patients and threat for delirium and prophylactic measures to avoid delirium whenever possible. For this, risk factors should be identified and eliminated whenever possible...
July 2018: Therapeutische Umschau. Revue Thérapeutique
Brooke Adair, Anna Ullenhag, Peter Rosenbaum, Mats Granlund, Deb Keen, Christine Imms
AIM: We aimed to identify measures used to assess the participation of disabled children and to map the measures' content to the family of participation-related constructs (fPRC) to inform future research and practice. METHOD: Six databases were searched to identify measures used to assess participation in health, psychology, and education research. Included studies involved children aged 0 to 18 years with a permanent impairment or developmental disability and reported use of a quantitative measure of participation...
July 19, 2018: Developmental Medicine and Child Neurology
Zhongyi Fan, Liyan Chen, Limin Meng, Haihua Jiang, Qianqian Zhao, Lili Zhang, Chun-Kai Fang
OBJECTIVES: To study the preferences of cancer patients and their families in way of being informed of their condition and, by comparing their preferences with the medical staff's clinical practices, explore the factors underlying the latter's preferences. METHODS: A survey was conducted with 216 cancer patients, 242 families, and 176 clinical staff members with the Medical Status Communication questionnaire (Simplified Chinese edition). RESULTS: The clinical staff scored lower than the cancer patients and their families in terms of the total score, way of communication, emotional support, and additional information (F = 16...
July 18, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Heribert Schunkert, Moritz von Scheidt, Thorsten Kessler, Barbara Stiller, Lingyao Zeng, Baiba Vilne
As clinicians, we understand the development of atherosclerosis as a consequence of cholesterol deposition and inflammation in the arterial wall, both being triggered by traditional risk factors such as hypertension, hyperlipidaemia or diabetes mellitus. Another risk factor is genetic predisposition, as indicated by the predictive value of a positive family history. However, we had to wait until recently to appreciate the abundant contribution of genetic variation to the manifestation of atherosclerosis. Indeed, by now 164 chromosomal loci have been identified by genome-wide association studies (GWAS) to affect the risk of coronary artery disease...
July 18, 2018: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
Bent Egberg Mikkelsen, Paul Bloch, Helene Christine Reinbach, Tine Buch-Andersen, Lise Lawaetz Winkler, Ulla Toft, Charlotte Glümer, Bjarne Bruun Jensen, Jens Aagaard-Hansen
Project SoL is implemented over a period of four years with the aim to promote healthy eating and physical activity among children aged 3⁻8 years by targeting the families in a Danish municipality based on the multi-component, supersetting strategy. Interventions are implemented in childcare centres, schools and supermarkets in three local communities as well as in local mass media and social media during a 19 months period in the Municipality of Bornholm. The matching Municipality of Odsherred serves as a control site based on its similarity to Bornholm regarding several socio-demographic and health indicators...
July 18, 2018: International Journal of Environmental Research and Public Health
Tanvir M Huda, Ashraful Alam, Tazeen Tahsina, Mohammad Mehedi Hasan, Jasmin Khan, Mohammad Masudur Rahman, Abu Bakkar Siddique, Shams El Arifeen, Michael J Dibley
BACKGROUND: Inappropriate feeding practices, inadequate nutrition knowledge, and insufficient access to food are major risk factors for maternal and child undernutrition. There is evidence to suggest that the combination of cash transfer and nutrition education improves child growth. However, a cost-effective delivery platform is needed to achieve complete, population-wide coverage of these interventions. OBJECTIVE: This study aimed to assess the feasibility, acceptability, and perceived appropriateness of an intervention package consisting of voice messaging, direct counseling, and unconditional cash transfers all on a mobile platform for changing perceptions on nutrition during pregnancy and the first year of a child's life in a poor rural community in Bangladesh...
July 18, 2018: JMIR MHealth and UHealth
Fui Chee Woon, Yit Siew Chin, Intan Hakimah Ismail, Yoke Mun Chan, Marijka Batterham, Amir Hamzah Abdul Latiff, Wan Ying Gan, Geeta Appannah
BACKGROUND: Nutrition and environmental factors are essential for the education of the neonatal immune system. Epidemiological evidence has shown that malnutrition and allergic diseases that occur during early childhood share similar protective and risk factors. This paper describes the protocol of the Mother and Infant Cohort Study (MICOS), which aims to determine the contribution of early nutrition to the development of malnutrition and allergic diseases in infants' first year of life...
July 18, 2018: BMC Pediatrics
Miriam Douma, Linde Scholten, Heleen Maurice-Stam, Martha A Grootenhuis
BACKGROUND: Adolescents with chronic illness (CI) and parents of a child with CI are at risk for psychosocial problems. Psychosocial group interventions may prevent these problems. With the use of cognitive-behavioral therapy, active coping strategies can be learned. Offering an intervention online eliminates logistic barriers (travel time and distance) and improves accessibility for participants. Aim of this study is to examine the effectiveness of two cognitive-behavioral based online group interventions, one for adolescents and one for parents: Op Koers Online...
July 18, 2018: BMC Pediatrics
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