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Communication residency

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https://www.readbyqxmd.com/read/28813423/health-needs-and-care-seeking-behaviours-of-yazidis-and-other-minority-groups-displaced-by-isis-into-the-kurdistan-region-of-iraq
#1
Valeria Cetorelli, Gilbert Burnham, Nazar Shabila
BACKGROUND: During the summer of 2014, ISIS overran Nineveh governorate in Northern Iraq. Yazidis and other religious minorities were subjected to brutal attacks and forced to seek refuge into the neighbouring Kurdistan Region, where they remain living in local communities or in camps. This survey provides a population-based assessment of the health needs and care seeking behaviours of Yazidis and other groups currently residing in camps. METHODS: The survey covered 13 camps managed by the Kurdish Board of Relief and Humanitarian Affairs...
2017: PloS One
https://www.readbyqxmd.com/read/28810207/intermediate-care-to-intensive-care-triage-a-quality-improvement-project-to-reduce-mortality
#2
David N Hager, Pranav Chandrashekar, Robert W Bradsher, Ali M Abdel-Halim, Souvik Chatterjee, Melinda Sawyer, Roy G Brower, Dale M Needham
PURPOSE: Medical patients whose care needs exceed what is feasible on a general ward, but who do not clearly require critical care, may be admitted to an intermediate care unit (IMCU). Some IMCU patients deteriorate and require medical intensive care unit (MICU) admission. In 2012, staff in the Johns Hopkins IMCU expressed concern that patient acuity and the threshold for MICU admission were too high. Further, shared triage decision-making between residents and supervising physicians did not consistently occur...
August 3, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/28809774/high-prevalence-of-concurrent-male-male-partnerships-in-the-context-of-low-human-immunodeficiency-virus-testing-among-men-who-have-sex-with-men-in-bamako-mali
#3
Avi Hakim, Padmaja Patnaik, Nouhoum Telly, Tako Ballo, Bouyagui Traore, Seydou Doumbia, Maria Lahuerta
BACKGROUND: Concurrent male-male sexual partnerships have been understudied in sub-Saharan Africa and are especially important because human immunodeficiency virus (HIV) prevalence and acquisition probability are higher among men who have sex with men (MSM) than among heterosexual men and women. METHODS: We conducted a respondent-driven sampling survey of 552 men who have sex with men in Bamako, Mali from October 2014 to February 2015. Eligibility criteria included 18 years or older, history of oral or anal sex with another man in the last 6 months, residence in or around Bamako in the last 6 months, ability to communicate in French...
September 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/28807433/influences-on-decision-making-regarding-antipsychotic-prescribing-in-nursing-home-residents-with-dementia-a-systematic-review-and-synthesis-of-qualitative-evidence
#4
REVIEW
Kieran A Walsh, Rebecca Dennehy, Carol Sinnott, John Browne, Stephen Byrne, Jennifer McSharry, Eoin Coughlan, Suzanne Timmons
BACKGROUND: Antipsychotic prescribing is prevalent in nursing homes for the management of behavioral and psychological symptoms of dementia (BPSD), despite the known risks and limited effectiveness. Many studies have attempted to understand this continuing phenomenon, using qualitative research methods, and have generated varied and sometimes conflicting findings. To date, the totality of this qualitative evidence has not been systematically collated and synthesized. AIMS: To synthesize the findings from individual qualitative studies on decision-making and prescribing behaviors for antipsychotics in nursing home residents with dementia, with a view to informing intervention development and quality improvement in this field...
August 11, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28806325/parents-reactions-to-the-diagnosis-of-duchenne-muscular-dystrophy-associations-between-resolution-family-functioning-and-child-behavior-problems
#5
Roberto Baiocco, Paola Castelli Gattinara, Giorgia Cioccetti, Salvatore Ioverno
BACKGROUND: Duchenne muscular dystrophy (DMD) is the most frequent inherited form of muscular dystrophy during childhood. DMD is a severe and progressive disease. Children initially have no symptoms, but the diagnosis is often delayed until the child is about 5 years old. PURPOSE: Although few studies have addressed parent reactions to DMD, parental reactions to other serious childhood conditions have been documented. This study aims to understand the resolution styles that parents use in the context of their children with DMD...
August 12, 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28805100/older-adults-with-a-combination-of-vision-and-hearing-impairment-experience-higher-rates-of-cognitive-impairment-functional-dependence-and-worse-outcomes-across-a-set-of-quality-indicators
#6
Jacob G S Davidson, Dawn M Guthrie
OBJECTIVES: Hearing and vision impairment were examined across several health-related outcomes and across a set of quality indicators (QIs) in home care clients with both vision and hearing loss (or dual sensory impairment [DSI]). METHOD: Data collected using the Resident Assessment Instrument for Home Care (RAI-HC) were analyzed in a sample of older home care clients. The QIs represent the proportion of clients experiencing negative outcomes (e.g., falls, social isolation)...
August 1, 2017: Journal of Aging and Health
https://www.readbyqxmd.com/read/28804995/assessing-the-need-for-arthritis-training-among-paid-carers-in-uk-residential-care-homes-a-focus-group-and-interview-study
#7
Paul Whybrow, Suzanne Moffatt, Lesley Kay, Ben Thompson, Terry Aspray, Rachel Duncan
OBJECTIVE: The aim of the study was to perform an educational and training needs assessment for arthritis care in residential homes. METHODS: Qualitative data were collected from three purposively selected residential homes: one independent, one in a regional chain and one in a national chain. Three researcher-led focus groups were conducted with paid carers (N = 22) using vignette exercises; interviews were undertaken with 12 residents with joint pain (N = 12), five managerial staff and two general practitioners (GPs)...
August 14, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28800333/pain-assessment-in-dementia-evaluation-of-a-point-of-care-technological-solution
#8
Mustafa Atee, Kreshnik Hoti, Richard Parsons, Jeffery D Hughes
Pain is common among people with moderate to severe dementia, but inability of patients to self-report means it often goes undetected and untreated. We developed the electronic Pain Assessment Tool (ePAT) to address this issue. A point-of-care App, it utilizes facial recognition technology to detect facial micro-expressions indicative of pain. ePAT also records the presence of pain-related behaviors under five additional domains (Voice, Movement, Behavior, Activity, and Body). In this observational study, we assessed the psychometric properties of ePAT compared to the Abbey Pain Scale (APS)...
August 9, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28799705/the-process-of-intrapartum-care-among-skilled-birth-attendants-in-the-dominican-republic-and-maternal-perceptions-of-care-during-labor-and-birth-a-case-report
#9
Peter Schindler, Rosa Burgos, Kimberly Vuong, Hilary Aviela Lerner, Elsa Evangelista, Flor Josefina Rodriguez, Lourdes Peralta Polanco, Jennifer Foster
INTRODUCTION: The World Health Organization calls for situation analyses of maternity settings globally to improve maternal-newborn health. This study evaluated the care processes of skilled birth attendants and women's satisfaction with the care in a public hospital in the Dominican Republic. The purpose of the assessment was to establish a baseline to build quality improvements. METHODS: A cross-sectional, mixed-methods, observational study was conducted by an international team...
August 11, 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28797237/validity-of-the-global-physical-activity-questionnaire-gpaq-in-bangladesh
#10
Shirin Jahan Mumu, Liaquat Ali, Anthony Barnett, Dafna Merom
BACKGROUND: Feasible and cost-effective as well as population specific instruments for monitoring physical activity (PA) levels are needed for the management and prevention of non-communicable diseases. The WHO-endorsed Global Physical Activity Questionnaire (GPAQ) has been widely used in developing countries, but the evidence base for its validity, particularly for rural populations, is still limited. The aim of the study was to validate GPAQ among rural and urban residents in Bangladesh...
August 10, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28796574/the-entertainment-education-strategy-in-sexual-assault-prevention-a-comparison-of-theoretical-foundations-and-a-test-of-effectiveness-in-a-college-campus-setting
#11
Stacey J T Hust, Paula M Adams, Jessica Fitts Willoughby, Chunbo Ren, Ming Lei, Weina Ran, Emily Garrigues Marett
Among the existing sexual assault prevention efforts on college campuses, few use mass communication strategies designed to simultaneously entertain and educate. Although many entertainment-education efforts are guided by social cognitive theory, other theories may be useful in entertainment-education design. Previous research has found that social cognitive theory and social norms theory can successfully influence participants' perceived norms and efficacy related to sexual assault reduction; however, whether such results can be replicated in a naturalistic setting and the extent to which the guiding theoretical foundation may influence outcomes remain unknown...
August 10, 2017: Journal of Health Communication
https://www.readbyqxmd.com/read/28794664/initial-construct-validity-evidence-of-a-virtual-human-application-for-competency-assessment-in-breaking-bad-news-to-a-cancer-patient
#12
Timothy C Guetterman, Frederick W Kron, Toby C Campbell, Mark W Scerbo, Amy B Zelenski, James F Cleary, Michael D Fetters
BACKGROUND: Despite interest in using virtual humans (VHs) for assessing health care communication, evidence of validity is limited. We evaluated the validity of a VH application, MPathic-VR, for assessing performance-based competence in breaking bad news (BBN) to a VH patient. METHODS: We used a two-group quasi-experimental design, with residents participating in a 3-hour seminar on BBN. Group A (n=15) completed the VH simulation before and after the seminar, and Group B (n=12) completed the VH simulation only after the BBN seminar to avoid the possibility that testing alone affected performance...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28793792/extracellular-matrix-and-redox-signaling-in-cellular-responses-to-stress
#13
David D Roberts
Cells in multicellular organisms communicate extensively with neighboring cells and distant organs using a variety of secreted proteins and small molecules. Cells also reside in a structural extracellular matrix, and changes in its composition, mechanical properties, and post-translational modifications provide additional layers of communication. This Forum addresses emerging mechanisms by which redox signaling controls and is controlled by changes in the extracellular matrix, focusing on the roles of matricellular proteins...
August 10, 2017: Antioxidants & Redox Signaling
https://www.readbyqxmd.com/read/28793103/falls-in-long-term-care-institutions-for-elderly-people-protocol-validation
#14
Cristina Rosa Soares Lavareda Baixinho, Maria Dos Anjos Coelho Rodrigues Dixe, Maria Adriana Pereira Henriques
Objectives: To validate the content of a fall management risk protocol in long-term institutions for elderly people. Methods: Methodological, quanti-qualitative study using the Delphi technique. The tool, based on the literature, was sent electronically to obtain consensus among the 14 experts that meet the defined inclusion criteria. Results: The 27 indicators of the protocol are organized in three dimensions: prepare for the institutionalization (IRA=...
July 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28792992/-trends-in-alcohol-abuse-in-brazilian-state-capitals-from-2006-to-2013-an-analysis-of-data-from-the-vigitel-survey
#15
Tiago N Munhoz, Iná S Santos, Bruno P Nunes, Christian Loret de Mola, Inácio Crochemore Mohnsam da Silva, Alicia Matijasevich
The aim of this study was to evaluate the trend in alcohol abuse in Brazil from 2006 to 2013 according to demographic, socioeconomic, and regional characteristics. This was an analysis of cross-sectional studies (VIGITEL, the Risk and Protective Factors Surveillance for Chronic Non-Communicable Diseases through Telephone Interview) that evaluated the Brazilian adult population (≥ 18 years) in the country's state capitals. Sampling was two-stage probabilistic (telephone line and adult resident). Alcohol abuse was defined as ≥ 5 drinks for men and ≥ 4 drinks for women on a single occasion, at least once in the 30 days prior to the interview...
August 7, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28783072/stated-preferences-for-dog-characteristics-and-sources-of-acquisition
#16
Courtney Bir, Nicole J Olynk Widmar, Candace C Croney
People's preferences for where they acquire dogs and the characteristics they focus on may provide insight into their perceptions of socially responsible pet ownership, as acquiring a dog is the first step in dog ownership. An online survey of 1523 U.S. residents was used to aid understanding of public perceptions of dog acquisition. Likert-scale questions allowed respondents to assign a level of agreement, within the given scale, to ten statements related to dog acquisition. A significantly higher percentage of women (39...
August 5, 2017: Animals: An Open Access Journal From MDPI
https://www.readbyqxmd.com/read/28778110/breaking-bad-news-training-program-based-on-video-reviews-and-spikes-strategy-what-do-perinatology-residents-think-about-it
#17
Maria Silvia Vellutini Setubal, Andrea Vasconcelos Gonçalves, Sheyla Ribeiro Rocha, Eliana Martorano Amaral
Objective Resident doctors usually face the task to communicate bad news in perinatology without any formal training. The impact on parents can be disastrous. The objective of this paper is to analyze the perception of residents regarding a training program in communicating bad news in perinatology based on video reviews and setting, perception, invitation, knowledge, emotion, and summary (SPIKES) strategy. Methods We performed the analysis of complementary data collected from participants in a randomized controlled intervention study to evaluate the efficacy of a training program on improving residents' skills to communicate bad news...
August 4, 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28777010/information-and-communicative-technology-use-enhances-psychological-well-being-of-older-adults-the-roles-of-age-social-connectedness-and-frailty-status
#18
Yang Fang, Anson K C Chau, Anna Wong, Helene H Fung, Jean Woo
OBJECTIVES: Information and communicative technology (ICT) use is a potential vehicle for improving the psychological well-being (PWB) of older people. We examined the roles of age, frailty, and social connectedness in the relationship between ICT use and PWB. METHOD: Telephone interviews were conducted in mid-2016 with 1201 participants aged 50 and above (55.7% female) residing in Hong Kong, China. The participants reported PWB, ICT use (frequency of using the Internet and smart devices), frailty status, contact with family, friends, and neighbors, self-rated health, subjective financial sufficiency, education level, and employment status...
August 4, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28774652/hospital-discharge-preparedness-for-patients-with-limited-english-proficiency-a-mixed-methods-study-of-bedside-interpreter-phones
#19
Jonathan S Lee, Anna Nápoles, Sunita Mutha, Eliseo J Pérez-Stable, Steven E Gregorich, Jennifer Livaudais-Toman, Leah S Karliner
OBJECTIVE: Assess effects of a bedside interpreter-phone intervention on hospital discharge preparedness among patients with limited English proficiency (LEP). METHODS: Mixed-methods study compared patient-reported discharge preparedness and knowledge of medications and follow-up appointments among 189 Chinese- and Spanish-speakers before (n=94) and after (n=95) bedside interpreter-phone implementation, and examined nurse and resident-physician interpreter-phone utilization through focus groups...
July 24, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28771552/the-pathological-structure-of-the-perivascular-niche-in-different-microvascular-patterns-of-glioblastoma
#20
Jintao Chen, Sifeng Mao, Haifang Li, Mingcheng Zheng, Linglu Yi, Jin-Ming Lin, Zhi-Xiong Lin
The perivascular niche is critical for intercellular communication between resident cell types in glioblastoma (GBM), and it plays a vital role in maintaining the glioma stem cell (GSC) microenvironment. It is shown in abundant research that different microvascular patterns exist in GBM; and it can be implied that different microvascular patterns are associated with different pathological structures in the perivascular niche. However, the pathological structure of the perivascular niche is still not clear. Here, we investigated the distribution and biological characteristics of different microvascular pattern niches (MVPNs) in GBM by detecting the expression of CD34, CD133, Nestin, α-SMA, GFAP and CD14 in the perivascular niche using multiple -fluorescence...
2017: PloS One
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