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https://www.readbyqxmd.com/read/29452052/agency-and-fatalism-in-older-appalachian-women-s-information-seeking-about-gynecological-cancer
#1
Emma C Potter, Katherine R Allen, Karen A Roberto
Researchers consider older women in rural Appalachia to have low levels of agency and high levels of fatalism regarding decision making about cancer treatment. Using the life course perspective, we examined older women's agency with information seeking about gynecological cancer. Semistructured interviews with 20 White women living in central Appalachia revealed four trajectories: Surrendering Control, Accepting Death, Self-Care, and Advocacy, each with its own forms of agency. Some women experienced personal transformation, increased self-efficacy, and a passion for community empowerment...
February 16, 2018: Journal of Women & Aging
https://www.readbyqxmd.com/read/29451025/person-oriented-research-ethics-integrating-relational-and-everyday-ethics-in-research
#2
M Ariel Cascio, Eric Racine
Research ethics is often understood by researchers primarily through the regulatory framework reflected in the research ethics review process. This regulatory understanding does not encompass the range of ethical considerations in research, notably those associated with the relational and everyday aspects of human subject research. In order to support researchers in their effort to adopt a broader lens, this paper presents a "person-oriented research ethics" approach. Five practical guideposts of person-oriented research ethics are identified: (1) respect for holistic personhood; (2) acknowledgement of lived world; (3) individualization; (4) focus on researcher-participant relationships; and (5) empowerment in decision-making...
February 16, 2018: Accountability in Research
https://www.readbyqxmd.com/read/29445346/psychological-shift-in-partners-of-people-with-multiple-sclerosis-who-undertake-lifestyle-modification-an-interpretive-phenomenological-study
#3
Sandra L Neate, Keryn L Taylor, George A Jelinek, Alysha M De Livera, Chelsea R Brown, Tracey J Weiland
Introduction: Being in an intimate relationship with a person with multiple sclerosis (MS) may have a substantial impact on the partner's quality of life. Existing research has largely focused on negative impacts of MS for both people with MS (PwMS) and their partners and has sampled the population of partners of PwMS who have primarily adopted standard medical management only. Modifiable lifestyle factors have become increasingly recognized in the management of MS symptoms and disease progression. For partners of PwMS who have undertaken lifestyle modification as an additional strategy to minimize disease progression, the impacts, both positive and negative remain unexplored...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29444650/designing-a-behavioral-intervention-using-the-com-b-model-and-the-theoretical-domains-framework-to-promote-gas-stove-use-in-rural-guatemala-a-formative-research-study
#4
Lisa M Thompson, Anaité Diaz-Artiga, John R Weinstein, Margaret A Handley
BACKGROUND: Three billion people use solid cooking fuels, and 4 million people die from household air pollution annually. Shifting households to clean fuels, like liquefied petroleum gas (LPG), may protect health only if stoves are consistently used. Few studies have used an implementation science framework to systematically assess "de-implementation" of traditional stoves, and none have done so with pregnant women who are more likely to adopt new behaviors. We evaluated an introduced LPG stove coupled with a phased behavioral intervention to encourage exclusive gas stove use among pregnant women in rural Guatemala...
February 14, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29440937/a-pilot-study-on-the-functional-performance-and-acceptability-of-an-innovative-female-condom-wondaleaf-%C3%A2-in-malaysia
#5
Rachel Sing-Kiat Ting, Ee-Lynn Wong, Jessie Koh-Sing Tnay
Background: Female condom (FC) has been available for over 30 years, but it still lacks wide acceptability. To overcome misdirection and invagination occurring in FC and to provide a wider area of protection, Wondaleaf ® (WL), a new-generation adhesive FC, was recently invented. This pioneering study sought to assess the acceptability and functional performance of WL among Malaysian women. Methods: A mixed method survey was conducted in three cities of Malaysia, recruiting sexually active heterosexual women, aged 18-50, by snowball sampling method...
2018: Open Access Journal of Contraception
https://www.readbyqxmd.com/read/29440936/contraceptive-use-and-preferences-of-young-married-women-in-kerala-india
#6
Jissa Vinoda Thulaseedharan
Background: As in other states of India, female sterilization is the most widely used contraceptive method in Kerala where women have higher levels of education compared to most other states in India. This paper describes the use and preferences of contraceptive methods among young married women in Trivandrum district, Kerala, India. Subjects and methods: A community-based cross-sectional survey was carried out among 203 young married women (18-28 years) during January-March 2015 using multistage cluster sampling method...
2018: Open Access Journal of Contraception
https://www.readbyqxmd.com/read/29440934/prevalence-and-risk-factors-for-maternal-mortality-in-referral-hospitals-in-nigeria-a-multicenter-study
#7
Lorretta F Ntoimo, Friday E Okonofua, Rosemary N Ogu, Hadiza S Galadanci, Mohammed Gana, Ola N Okike, Kingsley N Agholor, Rukiyat A Abdus-Salam, Adetoye Durodola, Eghe Abe, Abdullahi J Randawa
Introduction: While reports from individual hospitals have helped to provide insights into the causes of maternal mortality in low-income countries, they are often limited for policymaking at national and subnational levels. This multisite study was designed to determine maternal mortality ratios (MMRs) and identify the risk factors for maternal deaths in referral health facilities in Nigeria. Methods: A pretested study protocol was used over a 6-month period (January 1-June 30, 2014) to obtain clinical data on pregnancies, births, and maternal deaths in eight referral hospitals across eight states and four geopolitical zones of Nigeria...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29440510/educated-natural-killer-cells-show-dynamic-movement-of-the-activating-receptor-nkp46-and-confinement-of-the-inhibitory-receptor-ly49a
#8
Elina Staaf, Per Niklas Hedde, Sunitha Bagawath Singh, Joachim Piguet, Enrico Gratton, Sofia Johansson
Educated natural killer (NK) cells have inhibitory receptors specific for self major histocompatibility complex (MHC) class I molecules and kill cancer cells more efficiently than do NK cells that do not have such receptors (hyporesponsive NK cells). The mechanism behind this functional empowerment through education has so far not been fully described. In addition, distinctive phenotypic markers of educated NK cells at the single-cell level are lacking. We developed a refined version of the image mean square displacement (iMSD) method (called iMSD carpet analysis) and used it in combination with single-particle tracking to characterize the dynamics of the activating receptor NKp46 and the inhibitory receptor Ly49A on resting educated versus hyporesponsive murine NK cells...
February 13, 2018: Science Signaling
https://www.readbyqxmd.com/read/29433486/information-about-management-of-chronic-drug-therapies-prescribed-at-hospital-discharge-does-it-affect-patients-knowledge-and-self-confidence
#9
Claudia Pileggi, Emilia Caligiuri, Carmelo G A Nobile, Maria Pavia
BACKGROUND: Hospital stay represents the opportunity for a change of therapy, about which patients may not know indications, contraindications, and mode of administration, which may lead to dosing errors, drug interactions, side effects, etc. It is therefore vital to communicate appropriate information to the discharged patient with a new prescription drug. The purpose of the study was to evaluate: 1) how communication about new chronic therapies is managed at hospital discharge and what kind of information is provided to patients; 2) to what extent patients are aware and confident in the management of these medications; 3) whether the way communication is provided affects patients' awareness and self-confidence in the management of these therapies...
February 12, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29433128/-the-new-national-immunization-program-2017-2019-and-the-essential-care-levels-what-is-going-to-change
#10
Chiara De Waure, Leuconoe Grazia Sisti, Andrea Poscia, Walter Ricciardi
Italy is witnessing relevant challenges in the field of prevention and control of vaccine-preventable diseases. The worrying and growing phenomenon of "vaccine-hesitancy" has contributed to the reduction of vaccination coverage, undermining goals reached thanks to vaccines introduction. The new Italian National Immunization Plan (NIP) 2017-2019 and the update of the list of Essential Care Levels (LEA), approved in the current year, extend the vaccination offer based on the latest scientific evidence with the introduction of new vaccines and the enlargement of target population...
September 2017: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29431185/how-high-schools-become-empowering-communities-a-mixed-method-explanatory-inquiry-into-youth-adult-partnership-and-school-engagement
#11
Shepherd Zeldin, Josset Sky Gauley, Alexandra Barringer, Brie Chapa
Educational reform efforts emphasize empowerment and engagement, but these concepts are rarely translated into policy or classroom practice. This inquiry explores how schools can become places where students take ownership over their own learning. Phase 1 of this inquiry, a survey of students from diverse high schools, examines pathways to school engagement. Results indicated that youth voice in decision-making, particularly when the experience is situated within supportive adult relationships and a sense of safety, significantly predicts emotional and cognitive engagement...
February 12, 2018: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29431109/whole-genome-sequencing-in-the-clinic-empowerment-or-too-much-information
#12
Amanda J Berberich, Rosettia Ho, Robert A Hegele
No abstract text is available yet for this article.
February 5, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29427178/the-effectiveness-of-self-management-interventions-for-individuals-with-low-health-literacy-and-or-low-income-a-descriptive-systematic-review
#13
Jamie Schaffler, Katerina Leung, Sarah Tremblay, Laura Merdsoy, Eric Belzile, Angella Lambrou, Sylvie D Lambert
BACKGROUND: With the burden of chronic illness increasing globally, self-management is a crucial strategy in reducing healthcare costs and increasing patient quality of life. Low income and low health literacy are both associated with poorer health outcomes and higher rates of chronic disease. Thus, self-management represents an important healthcare strategy for these populations. The purpose of this study is to review self-management interventions in populations with low income or low health literacy and synthesize the efficacy of these interventions...
February 9, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29423357/reaching-consensus-a-review-on-sexual-health-training-modules-for-professional-capacity-building
#14
Zahra Karimian, Seied Ali Azin, Nasrin Javid, Marzieh Araban, Raziyeh Maasoumi, Shahrokh Aghayan, Effat Merghati Khoie
Background: Professional capacity building (PCB) is the focus point in health-related subjects.The present study was conducted to systematically review the existing sexual health training modules for health care providers. Methods: The following keywords were used to search: training, education, professional capacity, practitioner, sexual health, skill education, module, course, package and curriculum.The term MESH is referred to Medical Subject Headings and the following databases were investigated: MEDLINE, EMBASE, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), The Cochrane Library and Web of Science, Scopus, Google Scholar, SID,Magiran, and Iranmedex...
2018: Health Promotion Perspectives
https://www.readbyqxmd.com/read/29422706/women-s-age-at-first-marriage-and-long-term-economic-empowerment-in-egypt
#15
Kathryn M Yount, AliceAnn Crandall, Yuk Fai Cheong
Sustainable Development Goal (SDG) 5 calls on nations to promote gender equality and to empower women and girls. SDG5 also recognizes the value of women's economic empowerment, entailing equal rights to economic resources and full participation at all levels in economic decisions. Also according to SDG5, eliminating harmful practices-such as child marriage before age 18-is a prerequisite for women's economic empowerment. Using national data for 4,129 married women 15-43 years who took part in the Egypt Labor Market Panel Survey (ELMPS 1998-2012), we performed autoregressive, cross-lagged panel analyses to assess whether women's first marriage in adulthood (at 18 years or older, as reported in 2006), was positively associated with their long-term post-marital economic empowerment, measured as their engagement in market work and latent family economic agency in 2012...
February 2018: World Development
https://www.readbyqxmd.com/read/29422144/the-relation-between-patient-education-patient-empowerment-and-patient-satisfaction-a-cross-sectional-comparison-study
#16
Mei-Yu Yeh, Shu-Chen Wu, Tao-Hsin Tung
PURPOSE: Patient empowerment is a paradigm of clinical practice. The goal of patient empowerment is to lead patients' health and wellbeing. The aim of this study is to evaluate the relation between patient education, patient empowerment and patient satisfaction based on multi-hospital cross-sectional study design in Taiwan. METHODS: In this cross-sectional survey, 609 inpatients in four teaching hospitals in northern Taiwan from August 2009 to July 2010 were recruited...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29422014/development-of-a-tailored-strategy-to-improve-postpartum-hemorrhage-guideline-adherence
#17
Suzan M de Visser, Mallory D Woiski, Richard P Grol, Frank P H A Vandenbussche, Marlies E J L Hulscher, Hubertina C J Scheepers, Rosella P M G Hermens
BACKGROUND: Despite the introduction of evidence based guidelines and practical courses, the incidence of postpartum hemorrhage shows an increasing trend in developed countries. Substandard care is often found, which implies an inadequate implementation in high resource countries. We aimed to reduce the gap between evidence-based guidelines and clinical application, by developing a strategy, tailored to current barriers for implementation. METHODS: The development of the implementation strategy consisted of three phases, supervised by a multidisciplinary expert panel...
February 8, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29418053/preparing-researchers-for-patient-and-public-involvement-in-scientific-research-development-of-a-hands-on-learning-approach-through-action-research
#18
Maarten de Wit, Anna Beurskens, Barbara Piškur, Esther Stoffers, Albine Moser
BACKGROUND: Acquiring the theoretical and practical knowhow of conducting patient and public involvement (PPI) in research is not part of the traditional curriculum of researchers. Zuyd University of Applied Sciences and Huis voor de Zorg, a regional umbrella patient organization, therefore started a 1.5-year coaching programme. OBJECTIVE: To establish a community of practice by developing a PPI coaching programme for senior and junior health services researchers of Zuyd University...
February 8, 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29417713/person-centred-care-in-nurse-led-outpatient-rheumatology-clinics-conceptualization-and-initial-development-of-a-measurement-instrument
#19
Sidona-Valentina Bala, Kristina Forslind, Bengt Fridlund, Karin Samuelson, Björn Svensson, Peter Hagell
BACKGROUND: Person-centred care (PCC) is considered a key component of effective illness management and high-quality care. However, the PCC concept is underdeveloped in outpatient care. In rheumatology, PCC is considered an unmet need and its further development and evaluation is of high priority. The aim of the present study was to conceptualize and operationalize PCC, in order to develop an instrument for measuring patient-perceived PCC in nurse-led outpatient rheumatology clinics. METHODS: A conceptual outpatient PCC framework was developed, based on the experiences of people with rheumatoid arthritis (RA), person-centredness principles and existing PCC frameworks...
February 8, 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29417434/mothers-experiences-of-a-women-s-health-and-empowerment-program-for-mothers-of-a-child-with-a-disability
#20
Helen M Bourke-Taylor, Fiona M Jane
Substantial research identifies mothers of children with a disability as a vulnerable group with compromised health outcomes and restrictions for their own self-care, social, economic and leisure participation. This study investigated perceptions and experiences of mothers following attendance at health education and empowerment workshops (Healthy Mothers Healthy Families). Mixed methods evaluated mothers' experiences. A pragmatic qualitative approach was applied to data analysis of interviews with mothers (N = 19)...
February 7, 2018: Journal of Autism and Developmental Disorders
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