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https://www.readbyqxmd.com/read/28222494/selecting-cases-and-controls-for-dna-sequencing-studies-using-family-histories-of-disease
#1
Wonji Kim, Dandi Qiao, Michael H Cho, Soo Heon Kwak, Kyong Soo Park, Edwin K Silverman, Pak Sham, Sungho Won
Recent improvements in sequencing technology have enabled the investigation of so-called missing heritability, and a large number of affected subjects have been sequenced in order to detect significant associations between human diseases and rare variants. However, the cost of genome sequencing is still high, and a statistically powerful strategy for selecting informative subjects would be useful. Therefore, in this report, we propose a new statistical method for selecting cases and controls for sequencing studies based on family history...
February 21, 2017: Statistics in Medicine
https://www.readbyqxmd.com/read/28222493/mobilising-culture-against-domestic-violence-in-migrant-and-ethnic-communities-practitioner-perspectives-from-aotearoa-new-zealand
#2
Rachel Simon-Kumar, Priya A Kurian, Faith Young-Silcock, Nirmala Narasimhan
Studies on domestic violence in ethnic minority communities highlight that social norms, family structures and cultural practices are among the key triggers of violence against women. Not surprisingly, most anti-violence interventions in these communities aim to redeem women from the oppressive features of these cultures. More recently, however, emergent scholarship advocates mobilising, rather than erasing, culture within existing anti-violence strategies. This paper explores the nature of culturally informed interventions used by front-line workers...
February 21, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28222240/a-computerized-family-planning-counseling-aid-a%C3%A2-pilot%C3%A2-study-evaluation-of-smart-choices
#3
Helen P Koo, Ellen K Wilson, Alexandra M Minnis
CONTEXT: Resource constraints may make it challenging for family planning clinics to provide comprehensive contraceptive counseling; technological tools that help providers follow recommended practices without straining resources merit evaluation. METHODS: A pilot study using a two-group, posttest-only experimental design evaluated Smart Choices, a computer-based tool designed to help providers offer more patient-centered counseling and enable patients to participate proactively in the counseling session...
February 21, 2017: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/28221897/variations-among-physicians-in-hospice-referrals-of-patients-with-advanced-cancer
#4
Xiao Wang, Louise S Knight, Anne Evans, Jiangxia Wang, Thomas J Smith
PURPOSE: The benefits of hospice for patients with end-stage disease are well established. Although hospice use is increasing, a growing number of patients are enrolled for ≤ 7 days, a marker of poor quality of care and patient and family dissatisfaction. In this study, we examined variations in referrals among individuals and groups of physicians to assess a potential source of suboptimal hospice use. METHODS: We conducted a retrospective chart review of 452 patients with advanced cancer referred to hospice from a comprehensive cancer center...
February 21, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28221318/evaluating-and-treating-mammalian-bites
#5
Donna Rasmussen, Alexandra Landon, Jennifer Powell, Gina R Brown
Mammalian bites, typically from dogs, cats, or humans, are a common presentation in EDs and family practice settings, and patients present with varying degrees of complexity. Injuries can range from local to systemic, including aggressive bacterial infections and permanent limb impairment. Using a systematic approach to initial wound assessment, followed by appropriate diagnostic testing and treatment, is critical to improved long-term patient outcomes.
March 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/28220951/varieties-of-social-experience-the-religious-cultural-context-of-diverse-spiritual-exemplars
#6
Pamela Ebstyne King, Mona M Abo-Zena, Jonathan D Weber
From cultural developmental and relational developmental systems perspectives, the current study employed an exemplar research design along with qualitative content analysis to gain deeper understanding of how adolescents perceived the social influences on their religious and spiritual development (RSD) among religiously and culturally diverse youth. The sample included interviews of 28 highly spiritual youth aged 12-21 years (M = 17.73 years) from six countries and eight different religious traditions...
March 2017: British Journal of Developmental Psychology
https://www.readbyqxmd.com/read/28220574/selective-use-of-the-electrocardiogram-in-pediatric-preparticipation-athletic-examinations-among-pediatric-primary-care-providers
#7
Bradley C Clark, Joshua M Hayman, Charles I Berul, Kristin M Burns, Jonathan R Kaltman
OBJECTIVES: Recent literature examining insurance administrative data suggests that a selective approach, with concurrent history and physical exam (H&P), for obtaining an electrocardiogram (ECG) as a part of a preparticipation examination (PPE) for pediatric athletes is commonly used in the primary care setting demonstrating a high rate of disease detection. We sought to understand practice patterns of providers with regard to usage of ECG as a part of PPE. METHODS: Utilizing an online survey, we queried primary care providers regarding their practice patterns, rationale, and concerns regarding use of ECGs as a part of the PPE...
February 21, 2017: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/28220088/it-takes-a-virtual-village-exploring-the-role-of-a-career-community-to-support-sensemaking-as-a-proactive-socialization-practice
#8
Darren Good, Kevin Cavanagh
Scholars have long advocated for individuals to play a more proactive role during organizational entry rather than relying on institutionally led processes. The primary benefit being that the newcomer moves from passive recipient, dependent on the institution to highlight relevant information, to active agent with self-determined sources and methods to aid in adjustment. A virtual career community made up of 12 first year business faculty members was created to provide such a self-determined source of support during the transition from doctoral studies to full-time assistant professorship...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28219401/impact-of-the-rural-pipeline-in-medical-education-practice-locations-of-recently-graduated-family-physicians-in-ontario
#9
Elizabeth F Wenghofer, John C Hogenbirk, Patrick E Timony
BACKGROUND: The "rural pipeline" suggests that students educated in rural, or other underserviced areas, are more likely to establish practices in such locations. It is upon this concept that the Northern Ontario School of Medicine (NOSM) was founded. Our analysis answers the following question: Are physicians who were educated at NOSM more likely to practice in rural and northern Ontario compared with physicians who were educated at other Canadian medical schools? METHODS: We used data from the College of Physicians and Surgeons of Ontario...
February 20, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28219385/language-support-for-linguistic-minority-chronic-hepatitis-b-c-patients-an-exploratory-study-of-availability-and-clinicians-perceptions-of-language-barriers-in-six-european-countries
#10
Abby M Falla, Irene K Veldhuijzen, Amena A Ahmad, Miriam Levi, Jan Hendrik Richardus
BACKGROUND: Language support for linguistic minorities can improve patient safety, clinical outcomes and the quality of health care. Most chronic hepatitis B/C infections in Europe are detected among people born in endemic countries mostly in Africa, Asia and Central/Eastern Europe, groups that may experience language barriers when accessing health care services in their host countries. We investigated availability of interpreters and translated materials for linguistic minority hepatitis B/C patients...
February 20, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28218939/assessment-of-factors-for-recruiting-and-retaining-medical-students-to-rural-communities-using-the-community-apgar-questionnaire
#11
Alex J Reed, David Schmitz, Edward Baker, James Girvan, Theodore McDonald
BACKGROUND: Rural communities throughout the United States are eager to recruit and retain family physicians. This study examined factors that may contribute to a medical student's decision to consider rural family medicine practice using the Community Apgar Questionnaire (CAQ). METHODS: Third- and fourth-year medical students from 10 medical schools responded to a survey of 62 identified factors deemed to be present when assessing the strengths and challenges of recruiting family physicians to rural communities...
February 2017: Family Medicine
https://www.readbyqxmd.com/read/28218938/voices-from-family-medicine-on-becoming-a-family-physician
#12
William B Ventres
In this essay-part memoir, part reflection, and part oral history-I review my early professional development, a several years' long progression after residency training, during which I grew from functioning as a technically competent primary care doctor to being a capable and compassionate family physician. As part of that development, and with my colleague John Frey, MD, I interviewed several of the founders of the modern family medicine movement. Here I review some of their answers to the fundamental question of my early practice years: What does it mean to be a family physician? I cite some of their words of wisdom, those of particular import for me, and discuss how these words both helped me become a family physician and ring true even today as we approach the 50th anniversary of the founding of family medicine...
February 2017: Family Medicine
https://www.readbyqxmd.com/read/28218936/a-national-cera-study-of-the-use-of-laborists-in-family-medicine-residency-training
#13
Robert A Baldor, Christine Chang Pecci, Gerardo Moreno, Virginia Van Duyne, Stacy E Potts
BACKGROUND AND OBJECTIVES: Little is known about the impact of laborists (which we defined as "clinicians dedicated to providing L&D care services in the hospital environment for pregnant patients, regardless of who provided the prenatal care" for this survey) on family medicine residency training. We surveyed family medicine residency directors to assess characteristics about laborist services and their involvement in family medicine residency teaching. METHODS: Questions were included in the 2015 Council of Academic Family Medicine Educational Research Alliance (CERA) survey of family medicine residency directors...
February 2017: Family Medicine
https://www.readbyqxmd.com/read/28218628/childhood-obesity-screening-and-treatment-practices-of-pediatric-healthcare-providers
#14
Amanda Staiano, Arwen Marker, Michelle Liu, Ellery Hayden, Daniel Hsia, Stephanie Broyles
This study evaluated physicians' childhood obesity screening and treatment practices. A 26-question survey was delivered to pediatric providers in-person or via mail, e-mail, or fax throughout Louisiana. Fifty-seven providers completed the survey, the majority in primary care clinics. Five providers met at least four of seven clinical guidelines, but no provider met all of the guidelines. Whereas 88% of providers screened for obesity, 7% met guidelines for referring patients with obesity to weight management services...
January 2017: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/28218568/-how-can-family-doctors-improve-the-participation-rate-in-mammographic-screening-the-role-of-prevention-nurses
#15
Csaba Móczár, Éva Ambrózay, Nyina Lehoczky
INTRODUCTION: In our country the participation rate in screenings, including mammographic screening is very low. Restructuring of primary care system through the development of practice teams is an important task. AIM: The authors examined the effectiveness of prevention nurses' work as a member of the practice team on the organization of mammographic screening. METHOD: Prevention nurses looked up women who did not participate in mammographic screening two years before proceeding the reference period according to a protocol...
February 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28218553/scandcleft-randomised-trials-of-primary-surgery-for-unilateral-cleft-lip-and-palate-9-parental-report-of-social-and-emotional-experiences-related-to-their-5-year-old-child-s-cleft-diagnosis
#16
Kristin Billaud Feragen, Nichola Rumsey, Arja Heliövaara, Betty Marie Boysen, Emma Christine Johannessen, Christina Havstam, Agneta Marcusson, Jill Nyberg, Nina-Helen Pedersen, Joan Bogh-Nielsen, Philip Eyres, Eileen Bradbury, Gunvor Semb
BACKGROUND AND AIM: Parents of children with a cleft lip and palate may be emotionally affected by the child's diagnosis. Their experiences and perceptions are important when evaluating the complexity of satisfactory treatment outcomes. The objective was to examine parents' social and emotional experiences related to their child's cleft diagnosis, and their perceptions of the child's adjustment to living with a visible difference. DESIGN: International multicentre study by 10 cleft teams in five countries: Denmark, Finland, Sweden, Norway, and the UK...
February 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28217869/reasons-for-not-participating-in-scleroderma-patient-support-groups-a-cross-sectional-study
#17
Stephanie T Gumuchian, Vanessa C Delisle, Sandra Peláez, Vanessa L Malcarne, Ghassan El-Baalbaki, Linda Kwakkenbos, Lisa R Jewett, Marie-Eve Carrier, Mia Pépin, Brett D Thombs
OBJECTIVE: Peer-led support groups are an important resource for many people with scleroderma (systemic sclerosis; SSc). Little is known, however, about barriers to participation. The objective of this study was to identify reasons why some people with SSc do not participate in SSc support groups. METHODS: A 21-item survey was used to assess reasons for non-attendance among SSc patients in Canada and the United States. Exploratory factor analysis (EFA) was conducted using the software MPlus 7 to group reasons for non-attendance into themes...
February 19, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28217847/do-financial-incentives-influence-gps-decisions-to-do-after-hours-work-a-discrete-choice-labour-supply-model
#18
Barbara Broadway, Guyonne Kalb, Jinhu Li, Anthony Scott
This paper analyses doctors' supply of after-hours care (AHC), and how it is affected by personal and family circumstances as well as the earnings structure. We use detailed survey data from a large sample of Australian General Practitioners (GPs) to estimate a structural, discrete choice model of labour supply and AHC. This allows us to jointly model GPs' decisions on the number of daytime-weekday working hours and the probability of providing AHC. We simulate GPs' labour supply responses to an increase in hourly earnings, both in a daytime-weekday setting and for AHC...
February 20, 2017: Health Economics
https://www.readbyqxmd.com/read/28217745/the-baltic-sea-virome-diversity-and-transcriptional-activity-of-dna-and-rna-viruses
#19
Lisa Zeigler Allen, John P McCrow, Karolina Ininbergs, Christopher L Dupont, Jonathan H Badger, Jeffery M Hoffman, Martin Ekman, Andrew E Allen, Birgitta Bergman, J Craig Venter
Metagenomic and metatranscriptomic data were generated from size-fractionated samples from 11 sites within the Baltic Sea and adjacent marine waters of Kattegat and freshwater Lake Torneträsk in order to investigate the diversity, distribution, and transcriptional activity of virioplankton. Such a transect, spanning a salinity gradient from freshwater to the open sea, facilitated a broad genome-enabled investigation of natural as well as impacted aspects of Baltic Sea viral communities. Taxonomic signatures representative of phages within the widely distributed order Caudovirales were identified with enrichments in lesser-known families such as Podoviridae and Siphoviridae...
January 2017: MSystems
https://www.readbyqxmd.com/read/28217585/blood-pressure-bp-control-and-perceived-family-support-in-patients-with-essential-hypertension-seen-at-a-primary-care-clinic-in-western-nigeria
#20
Oluwaseun S Ojo, Sunday O Malomo, Peter T Sogunle
CONTEXT: Nonadherence to therapeutic plans has been reported among hypertensive patients. Researchers have also shown that adherence to therapeutic plans improves if motivation in the form of social support is provided. There is a dearth of local studies that explore the influence of family support on treatment outcomes of hypertensive patients. AIMS: The aim of the study was to determine the relationship between BP control and perceived family support in patients with essential hypertension seen at a primary care setting in Western Nigeria...
July 2016: Journal of Family Medicine and Primary Care
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