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https://www.readbyqxmd.com/read/29785772/getting-the-picture-visual-interpretation-in-ophthalmology-residency-training
#1
Adam D Baim
OBJECTIVES: Visual interpretation is essential in many fields of health care. Although diagnostic competency can be measured as an educational outcome, few accounts have addressed tacit aspects of visual interpretation in clinical training; these include the disciplining of the trainee's attentions and the trainee's acculturation into expected styles of communicating visual interpretations to others. This paper describes values and dispositions that are taught to ophthalmology trainees as they learn to reason through visual information, and explores how these qualities are evaluated during residency training...
May 21, 2018: Medical Education
https://www.readbyqxmd.com/read/29784144/it-is-important-that-the-process-goes-quickly-isn-t-it-a-qualitative-multi-country-study-of-colorectal-or-lung-cancer-patients-narratives-of-the-timeliness-of-diagnosis-and-quality-of-care
#2
Marlene Malmström, Birgit H Rasmussen, Britt-Marie Bernhardson, Senada Hajdarevic, Lars E Eriksson, Rikke Sand Andersen, John I MacArtney
PURPOSE: The emphasis on early diagnosis to improve cancer survival has been a key factor in the development of cancer pathways across Europe. The aim of this analysis was to explore how the emphasis on early diagnosis and timely treatment is reflected in patient's accounts of care, from the first suspicion of colorectal or lung cancer to their treatment in Denmark, England and Sweden. METHOD: We recruited 155 patients in Denmark, England and Sweden who were within six months of being diagnosed with lung or colorectal cancer...
June 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/29782074/supporting-women-at-the-time-of-abortion-a-mixed-methods-study-of-male-partner-experiences-and-perspectives
#3
Brian T Nguyen, Luciana E Hebert, Sara L Newton, Melissa L Gilliam
CONTEXT: Although men are commonly viewed as unaware, uninvolved and even obstructive regarding their partner's abortion access, those who accompany women to an abortion appointment may be more supportive. A better understanding of men's motivations could inform clinic policies regarding their involvement. METHODS: In 2015-2016, data were collected from male partners of women seeking an abortion at two clinics in a large Midwestern city. Twenty-nine interviews were conducted to explore how men wanted to be involved in the abortion and why they accompanied their partners...
May 21, 2018: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/29781699/conceptualisation-of-african-primal-health-care-within-mental-health-care
#4
Neo E Nare, Abel J Pienaar, Ditaba D Mphuthi
BACKGROUND:  It is believed by western education systems that the first contact should be with the nurse in primary health care. However, it is not the case. Therefore, the researcher attempts to correct this misconception by conceptualising the correct beginning of health seeking behaviour in an indigenous African community, namely African Primal Health Care (APHC). 'Primal' was coined during a colloquium by Dr Mbulawa and Seboka team members; however no formal conceptualisation took place, only operational definition...
March 22, 2018: Curationis
https://www.readbyqxmd.com/read/29781321/metoprolol-in-the-treatment-of-cardiovascular-disease-a-critical-reappraisal
#5
Guido Grassi
Extensive clinical experience on metoprolol has been gained in different cardiovascular conditions. In this paper, we discuss the use of metoprolol, with a focus on the extended-release formulation, in clinical practice in the light of existing evidence and current recommendations. This is a narrative review based on existing evidence and clinical experience of the Author. Evidence on the use of metoprolol in heart failure, ischemic artery disease, arterial hypertension and atrial fibrillation is well-established...
May 21, 2018: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/29779161/empowering-lay-counsellors-with-technology-masivukeni-a-standardized-multimedia-counselling-support-tool-to-deliver-art-counselling
#6
H Gouse, R N Robbins, C A Mellins, A Kingon, J Rowe, M Henry, R H Remien, A Pearson, F Victor, J A Joska
Lay-counsellors in resource-limited settings convey critical HIV- and ART-information, and face challenges including limited training and variable application of counselling. This study explored lay-counsellors and Department of Health (DoH) perspectives on the utility of a multimedia adherence counselling program. Masivukeni, an mHealth application that provides scaffolding for delivering standardized ART counselling was used in a 3-year randomized control trail at two primary health care clinics in Cape Town, South Africa...
May 19, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29775964/time-matters-for-intersex-bodies-between-socio-medical-time-and-somatic-time
#7
Limor Meoded Danon
This article focuses on the dynamic relationships between time and intersex bodies that exist, on the one hand, in medical policy on intersex bodies and, on the other, in intersex people's subjective experiences. Time, from a sociological perspective, is a biosocial agent that establishes diagnostic practices, regulations, and treatment policy regarding intersex bodies. The systematic construction of timeframes by biomedical professionals aims to rapidly diagnose and treat intersex patients and is deeply rooted in the "dimorphic soma-gender order" (DMSGO), the imagined unified relationship of female bodies to femininity and male bodies to masculinity...
May 8, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29771367/effectiveness-of-and-user-experience-with-web-based-interventions-in-increasing-physical-activity-levels-in-people-with-multiple-sclerosis-a-systematic-review
#8
Rachel Dennett, Hilary Gunn, Jennifer A Freeman
Background: Supporting people with multiple sclerosis (MS) to achieve and maintain recommended levels of physical activity is important but challenging. Web-based interventions are increasingly being used to deliver targeted exercise programs and promote physical activity. Purpose: The purpose of this study was to systematically review current evidence regarding the effectiveness and user experience of web-based interventions in increasing physical activity in people with MS...
May 15, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29771162/facilitation-of-intensive-insulin-therapy-in-the-early-primary-school-setting-narratives-of-australian-diabetes-educators
#9
Anne Marks, Nathan J Wilson, Stacy Blythe, Christine Johnston
The number of early primary school (EPS) children (aged 4-8 years) with type 1 diabetes mellitus (T1DM) rises each year. Intensive insulin therapy (IIT) can be challenging for these children, as adult support may not be available in the school setting. Diabetes educators (DEs) working in the health system facilitate school diabetes care, which can be time-consuming given the large numbers of children with diabetes. These factors are potential barriers for IIT use in the EPS setting. To explore the experiences of Australian DEs who facilitate IIT use in the EPS setting, a qualitative, narrative inquiry method was used to conduct semi-structured telephone interviews with Australian DEs (n = 13) between December 2014 and June 2016...
May 17, 2018: Comprehensive Child and Adolescent Nursing
https://www.readbyqxmd.com/read/29770106/perceptions-about-authentic-leadership-development-south-african-occupational-therapy-students-camp-experience
#10
Fatima Hendricks, Susan Toth-Cohen
Background: Twenty-three years into democracy, concern is deepening regarding the slow progress of Occupational Therapy (OT) in South Africa, especially with regard to diversity and inclusion within OT. Methods: This study explores authentic leadership development primarily among Black OT students attending a pilot Occupational Therapy Association of South Africa (OTASA) National Student Leadership Camp. It seeks to ascertain their perceptions on leadership and leadership development...
2018: Occupational Therapy International
https://www.readbyqxmd.com/read/29768982/mentalizing-oneself-detecting-reflective-functioning-in-life-narratives
#11
Christin Köber, Magdalena Maria Kuhn, Isabel Peters, Tilmann Habermas
Reflective functioning (RF) is defined as the ability to infer mental states of others and oneself. While RF has been predominantly studied in attachment research, it might also occur in other autobiographical narratives because of its strong connection to self-organization and self-understanding. Therefore, this study took a first step combining research on RF with developmental narrative research. In a longitudinal lifespan study covering up to three measurements across 8 years and six age groups (N = 172), we aimed to detect RF in entire life narratives to explore its development with age and its contribution to causal-motivational coherence of life narratives...
May 16, 2018: Attachment & Human Development
https://www.readbyqxmd.com/read/29766616/addressing-unwarranted-clinical-variation-a-rapid-review-of-current-evidence
#12
REVIEW
Reema Harrison, Elizabeth Manias, Stephen Mears, David Heslop, Reece Hinchcliff, Liz Hay
INTRODUCTION: Unwarranted clinical variation (UCV) can be described as variation that can only be explained by differences in health system performance. There is a lack of clarity regarding how to define and identify UCV and, once identified, to determine whether it is sufficiently problematic to warrant action. As such, the implementation of systemic approaches to reducing UCV is challenging. A review of approaches to understand, identify, and address UCV was undertaken to determine how conceptual and theoretical frameworks currently attempt to define UCV, the approaches used to identify UCV, and the evidence of their effectiveness...
May 15, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29764305/pregnancy-experiences-of-women-in-rural-romania-understanding-ethnic-and-socioeconomic-disparities
#13
Katherine LeMasters, Anne Baber Wallis, Razvan Chereches, Margaret Gichane, Ciprian Tehei, Andreea Varga, Katherine Tumlinson
Women in rural Romania face significant health disadvantages. This qualitative pilot study describes the structural disadvantage experienced during pregnancy by women in rural Romania, focusing on the lived experiences of Roma women. We explore how women in rural communities experience pregnancy, their interactions with the healthcare system, and the role that ethnic and social factors play in pregnancy and childbearing. We conducted 42 semi-structured interviews with health and other professionals, seven narrative interviews with Roma and non-Roma women and a focus group with Roma women...
May 15, 2018: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/29764296/-medicine-doesn-t-cure-my-worries-understanding-the-drivers-of-mental-distress-in-older-nepalese-women-living-in-the-uk
#14
Lalita Kumari Sah, Rochelle Ann Burgess, Rajeeb Kumar Sah
The mental health of migrant communities is an important public health concern. A growing body of literature suggests that social and cultural determinants of health significantly contribute to the mental health and wellbeing of older migrants in their host countries. Despite the increasing population of older Nepalese migrants in the UK, there is little research exploring the mental health needs of this community. This article explores older Nepalese women's experiences of drivers of mental distress in London...
May 15, 2018: Global Public Health
https://www.readbyqxmd.com/read/29764267/clinical-narratives-in-residency-education-exploration-of-the-learning-process
#15
Jennifer A Furze, Bruce H Greenfield, J B Barr, Kathleen Geist, Judith Gale, Gail M Jensen
BACKGROUND: Post-professional residency educational programs aim to advance the knowledge and skills of therapists in a clinical specialty area, however, little is known about the process, outcomes, or effectiveness of residency education. PURPOSE: The purpose of this study was to use narrative as a teaching and learning tool to gain insight into the progressive development of the residents' learning process. DESIGN: Qualitative methods including a retrospective analysis of residents' narratives were used to explore the professional development and thought process of residents...
May 15, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29761343/role-of-exogenous-progesterone-in-the-treatment-of-men-and-women-with-substance-use-disorders-a-narrative-review
#16
REVIEW
MacKenzie R Peltier, Mehmet Sofuoglu
Substance use disorders (SUDs) remain problematic as many individuals are untreated or do not benefit from the currently available interventions. Thus, there is an urgent need to develop novel pharmacological interventions to treat SUDs. Evidence suggests that the female sex hormone, progesterone, attenuates the craving for and the euphoric effects of drugs of abuse. Research to date has demonstrated that progesterone may modulate responses to drugs of abuse and may have utility as a novel treatment for SUDs...
May 14, 2018: CNS Drugs
https://www.readbyqxmd.com/read/29760675/feigning-amnesia-moderately-impairs-memory-for-a-mock-crime-video
#17
Ivan Mangiulli, Kim van Oorsouw, Antonietta Curci, Harald Merckelbach, Marko Jelicic
Previous studies showed that feigning amnesia for a crime impairs actual memory for the target event. Lack of rehearsal has been proposed as an explanation for this memory-undermining effect of feigning. The aim of the present study was to replicate and extend previous research adopting a mock crime video instead of a narrative story. We showed participants a video of a violent crime. Next, they were requested to imagine that they had committed this offense and to either feign amnesia or confess the crime. A third condition was included: Participants in the delayed test-only control condition did not receive any instruction...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29760671/emotion-in-stories-facial-emg-evidence-for-both-mental-simulation-and-moral-evaluation
#18
Björn 't Hart, Marijn E Struiksma, Anton van Boxtel, Jos J A van Berkum
Facial electromyography research shows that corrugator supercilii ("frowning muscle") activity tracks the emotional valence of linguistic stimuli. Grounded or embodied accounts of language processing take such activity to reflect the simulation or "reenactment" of emotion, as part of the retrieval of word meaning (e.g., of "furious") and/or of building a situation model (e.g., for "Mark is furious"). However, the same muscle also expresses our primary emotional evaluation of things we encounter...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29758426/two-contrasted-future-scenarios-for-the-french-agro-food-system
#19
Gilles Billen, Julia Le Noë, Josette Garnier
Narratives of two prospective scenarios for the future of French agriculture were elaborated by pushing several trends already acting on the dynamics of the current system to their logical end. The first one pursues the opening and specialization characterizing the long-term evolution of the last 50 years of most French agricultural regions, while the second assumes a shift, already perceptible through weak signals, towards more autonomy at the farm and regional scales, a reconnection of crop and livestock farming and a more frugal human diet...
May 11, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29754399/a-mixed-method-systematic-review-of-the-effectiveness-and-acceptability-of-preoperative-psychological-preparation-programmes-to-reduce-paediatric-preoperative-anxiety-in-elective-surgery
#20
REVIEW
Ying Dai, Joan Livesley
AIM: To explore the effectiveness of preoperative psychological preparation programmes aimed to reduce paediatric preoperative anxiety and the potential factors that could have an impact on parent and children's acceptance of such interventions. BACKGROUND: Various preoperative psychological preparation programmes are available to address paediatric preoperative anxiety. No mixed-method review has been conducted to explore the effectiveness and acceptability of these programmes...
May 13, 2018: Journal of Advanced Nursing
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