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https://www.readbyqxmd.com/read/29343237/subtypes-in-clinical-burnout-patients-enrolled-in-an-employee-rehabilitation-program-differences-in-burnout-profiles-depression-and-recovery-resources-stress-balance
#1
Kathrin Bauernhofer, Daniela Bassa, Markus Canazei, Paulino Jiménez, Manuela Paechter, Ilona Papousek, Andreas Fink, Elisabeth M Weiss
BACKGROUND: Burnout is generally perceived a unified disorder with homogeneous symptomatology across people (exhaustion, cynicism, and reduced professional efficacy). However, increasing evidence points to intra-individual patterns of burnout symptoms in non-clinical samples such as students, athletes, healthy, and burned-out employees. Different burnout subtypes might therefore exist. Yet, burnout subtypes based on burnout profiles have hardly been explored in clinical patients, and the samples investigated in previous studies were rather heterogeneous including patients with various physical, psychological, and social limitations, symptoms, and disabilities...
January 17, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29343130/a-community-based-exercise-program-to-increase-participation-in-physical-activities-among-youth-with-disability-a-feasibility-study
#2
Nora Shields, Roos van den Bos, Kirsty Buhlert-Smith, Luke Prendergast, Nicholas Taylor
PURPOSE: To evaluate the feasibility of a student-mentored community-based exercise program for youth with disability. METHOD: Nineteen youth (nine female; mean age 18 years) with disability (seven cerebral palsy, six Down syndrome, three spina bifida, two autism spectrum disorder, one spinal cord injury) were recruited. Each participant was matched with a student mentor and exercised twice a week for 12 weeks at their local gymnasium. Five domains of feasibility were assessed: demand, implementation, practicality, limited efficacy testing, and acceptability...
January 17, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29320409/evaluating-the-impact-of-a-clinician-improvement-program-for-treating-patients-with-intellectual-and-developmental-disabilities-the-challenging-case-of-mississippi
#3
John P Bartkowski, Janelle Kohler, Craig L Escude, Xiaohe Xu, Stephen Bartkowski
In recent years, people with intellectual and developmental disabilities (IDD) have moved from institutionalized settings to local community residences. While deinstitutionalization has yielded quality of life improvements for people with IDD, this transition presents significant health-related challenges. Community clinicians have typically not been trained to provide sound medical care to people with IDD, a subpopulation that exhibits unique medical needs and significant health disparities. This study reports the results of a comprehensive evaluation of an IDD-focused clinician improvement program implemented throughout Mississippi...
January 10, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29319274/evaluating-a-co-facilitation-approach-to-service-user-and-carer-involvement-in-undergraduate-nurse-education
#4
Anne Felton, Joan Cook, Roni Anthony
Partnership working with service users and carers is an integral aspect of healthcare practice and education. Increasingly complex healthcare environments, alongside changes in higher education, have led to the development of innovative learning strategies, resulting in opportunities for service users to participate in nurse education. This article describes the planning, implementation and evaluation of a co-facilitation approach to learning, in which service users and carers worked alongside lecturers to facilitate small seminar group activities with first-year undergraduate nursing students...
January 10, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29317957/prevalence-of-migraine-headache-in-taif-city-saudi-arabia
#5
Ziyad Atiah Almalki, Mohammed Abdullah Ghramah Alzhrani, Asmaa Turki Altowairqi, Yara Abdulaziz Aljawi, Sarah Abdulaziz Fallatah, Luai Mohammed Assaedi, Mohammed Abdulaziz Aljawi, Sadeem Adnan Alqusair
Background: Migraine is a public health problem and it is the third most common cause of disability among individuals below the age of 50. In spite of the multiplicity of the studies concerned with exploring the disease epidemiology and nature worldwide, data from Saudi Arabia are lacking. The aim of this study was to study the prevalence of migraine in Taif city, Saudi Arabia. Methods: This was a cross-sectional study conducted on 354 individuals in Taif city. Data were collected via a self-administered questionnaire including demographic variables, clinical variables, and therapeutic variables...
February 2018: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/29311368/education-research-difficult-conversations-in-neurology-lessons-learned-from-medical-students
#6
Monica E Lemmon, Charlene Gamaldo, Rachel Marie E Salas, Ankita Saxena, Tiana E Cruz, Renee D Boss, Roy E Strowd
OBJECTIVE: To characterize features of medical student exposure to difficult conversations during a neurology core clerkship. METHODS: This was a cross-sectional concurrent nested mixed methods study, and all students rotating through a required neurology clerkship between 2014 and 2015 were enrolled. Data collection included an electronic communication tracker, baseline and end-of-clerkship surveys, and 4 facilitated focus groups. Students were asked to log exposure to patient-clinician conversations about (1) new disability, (2) poor prognosis, (3) prognostic uncertainty (4), terminal diagnosis, and (5) end-of-life care...
January 9, 2018: Neurology
https://www.readbyqxmd.com/read/29299748/association-of-col4a1-rs605143-rs565470-and-cd14-rs2569190-genes-polymorphism-with-coronary-artery-disease
#7
Syed Tasleem Raza, Shania Abbas, Ale Eba, Fazal Karim, Irshad Ahmad Wani, Saliha Rizvi, Alina Zaidi, Farzana Mahdi
Coronary artery disease (CAD) is the leading cause of death worldwide and it is basically caused by atherosclerosis. The atherosclerotic process includes complex events and each one involves a specific biological pathway and different genes. According to World Health Organization report, Cardiovascular diseases will be the largest cause of death and disability by 2020, with an estimated 2.6 million Indians predicted to die due to CAD predominantly with myocardial infarction. Genetic factors are estimated to contribute 30-60% of the CAD risk...
January 3, 2018: Molecular and Cellular Biochemistry
https://www.readbyqxmd.com/read/29298245/emergency-medical-responders-and-adolescents-with-autism-spectrum-disorder
#8
Viola Cheung, Madeline L McCarthy, Mark X Cicero, John M Leventhal, Carol Weitzman
OBJECTIVES: Because of the high prevalence of Autism Spectrum Disorder (ASD) and wandering behavior, emergency medical responders (EMRs) will likely encounter children and adolescents with ASD. The objectives were to describe interactions between EMRs and children and adolescents with ASD, to evaluate EMRs' ability to recognize ASD in a simulated trauma setting, and to determine if EMRs' demographic characteristics affected their interactions with ASD youth. METHODS: A study of 75 videos of a simulated school bus crash was performed...
January 2, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29298185/a-multivariate-validity-analysis-of-the-pain-related-cognitive-processes-questionnaire
#9
Melissa A Day, L Charles Ward, Mark P Jensen
BACKGROUND: The Pain-Related Cognitive Processes Questionnaire (PCPQ) provides a multifaceted assessment of different styles of pain-related attentional processing. The present study examined the construct validity of the 4 PCPQ composite scales. METHODS: Exploratory structural equation modeling (ESEM) was applied to data from two college student samples (N=544) to derive reference variable factors which provided the context for drawing inferences regarding the construct validity of the PCPQ scales...
January 2, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29294765/victimized-for-being-different-young-adults-with-disabilities-and-peer-victimization-in-middle-and-high-school
#10
Caroline I McNicholas, Pamela Orpinas, Katherine Raczynski
Children who are victims of peer aggression can suffer negative emotional, academic and physical consequences that can last into adulthood. Previous research indicates children with disabilities are victimized up to 4 times as often as children without disabilities. However, their unique needs are often not considered in the design and implementation of prevention interventions. The current study examined the perceived effects of family, peer, and school support among children with disabilities to protect them from or help them cope with peer victimization...
May 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29287228/exploring-paraprofessional-and-classroom-factors-affecting-teacher-supervision
#11
Dwight W Irvin, Paul Ingram, Jonathan Huffman, Rose Mason, Howard Wills
BACKGROUND: Paraprofessionals serve a primary role in supporting students with disabilities in the classroom, which necessitates teachers' supervision as a means to improve their practice. Yet, little is known regarding what factors affect teacher supervision. AIMS: We sought to identify how paraprofessional competence and classroom type affected the levels of teacher direction. METHODS AND PROCEDURES: We administered an adapted version of the Paraprofessional Needs, Knowledge & Tasks Survey and the Survey for Teachers Supervising Paraprofessionals to teachers supervising paraprofessionals in elementary schools...
December 26, 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29283674/patient-narratives-as-a-teaching-tool-a-pilot-study-of-first-year-medical-students-and-patient-educators-affected-by-intellectual-developmental-disabilities
#12
Alon Coret, Kerry Boyd, Kevin Hobbs, Joyce Zazulak, Meghan McConnell
PROBLEM: People with intellectual and developmental disabilities (IDD) face complex biopsychosocial challenges and are medically underserved. This is in part due to insufficient resources and supports but can also be attributed to a lack of adequate physician training in addressing the unique needs of this population. INTERVENTION: This study aimed to introduce 1st-year medical students to the IDD population using a blended educational experience that included video narratives of and direct interactions with people affected by IDD...
December 28, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29282783/the-spanish-version-of-the-self-determination-inventory-student-report-application-of-item-response-theory-to-self-determination-measurement
#13
C Mumbardó-Adam, J Guàrdia-Olmos, C Giné, S K Raley, K A Shogren
BACKGROUND: A new measure of self-determination, the Self-Determination Inventory: Student Report (Spanish version), has recently been adapted and empirically validated in Spanish language. As it is the first instrument intended to measure self-determination in youth with and without disabilities, there is a need to further explore and strengthen its psychometric analysis based on item response patterns. METHOD: Through item response theory approach, this study examined item observed distributions across the essential characteristics of self-determination...
December 28, 2017: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/29260013/popular-stroke-knowledge-in-brazil-a-multicenter-survey-during-world-stroke-day
#14
Ana Beatriz Ayroza Galvão Ribeiro Gomes, Mauro Henrique, Vinicius Andreoli Schoeps, Mariana Monteiro Saldanha Altenfelder Santos, Ada Pellegrinelli, Bárbara Pessoa de Matos, Gabriel Taricani Kubota, Haniel Alves Araújo, Letícia Sant' Ana Cardoso da Silva, Fabrício de Paula Leite Battisti, Bruno Yukio Kubota, Areta Cavalcanti Ferreira, Mateus Paquesse Pellegrino, Renata de Andrade Prado, Ronaldo Abrahm, Vivian Dias Baptista Gagliardi, Marcel Simis, Rubens José Gagliardi
Context and objective: Cerebrovascular disease is one of the most important causes of death and disability worldwide. The patient's inability to identify the warning signs of stroke substantially delays the search for emergency services, which is related directly to a worse outcome. Thus, during the 2011 Stroke Campaign in Brazil, a survey was conducted to identify the lay population's knowledge with regard to the recognition, treatment, and prevention of stroke. Design and setting: This retrospective, cross-sectional, multicenter study was held in cities throughout southeastern Brazil...
March 2017: ENeurologicalSci
https://www.readbyqxmd.com/read/29258736/trunk-flexor-and-extensor-muscle-performance-in-chronic-stroke-patients-a-case-control-study
#15
Ludmylla Ferreira Quintino, Juliane Franco, Amanda Ferreira Machado Gusmão, Paula Fernanda De Sousa Silva, Christina Danielli Coelho De Morais Faria
BACKGROUND: Although chronic stroke patients commonly show impairment of trunk muscle performance, this disability has only been analyzed in terms of peak torque. Therefore, other measures are needed for a more adequate description. OBJECTIVE: This study aimed to compare concentric muscle performance of trunk flexor/extensor muscles between chronic stroke patients and matched-healthy subjects. METHODS: 18 chronic stroke patients and 18 healthy subjects were matched according to their age, sex, body mass index and level of physical activity...
December 12, 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/29246082/educators-experiences-identifying-pain-among-students-in-special-education-settings
#16
Brenna L Quinn, Richard W Serna
If special educators cannot identify pain in students with intellectual disability (ID), students cannot be referred to the school nurse for assessment and management. The purpose of this study was to examine how special educators identify pain in the school setting. Twenty-four special educators participated in focus groups aiming to (1) identify educators' observations and perceptions of pain in students with ID and (2) determine the decision-making processes educators use to determine the need for student presentation or referral to the health office...
January 1, 2017: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/29243098/bullying-and-identity-development-insights-from-autistic-and-non-autistic-college-students
#17
Danielle DeNigris, Patricia J Brooks, Rita Obeid, Maria Alarcon, Christina Shane-Simpson, Kristen Gillespie-Lynch
Reduced cognitive empathy may put autistic people at risk for bullying. We compared interpretations of bullying provided by 22 autistic and 15 non-autistic college students. Autistic (and non-autistic) students reported less severe bullying in college relative to earlier in development. Chronic bullying was associated with improvements in self-descriptions and self-acceptance. Autistic students who were chronically bullied were more likely to self-identify as autistic when asked to explain their disability...
December 14, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29241346/individual-characteristics-of-students-with-autism-spectrum-disorders-and-school-refusal-behavior
#18
Ellen Kathrine Munkhaugen, Tonje Torske, Elen Gjevik, Terje Nærland, Are Hugo Pripp, Trond H Diseth
This study compared social, executive, emotional, and behavioral characteristics of students with autism spectrum disorder who did and did not display school refusal behavior. The participants were 62 students with autism spectrum disorder without intellectual disability aged 9-16 years attending inclusive schools. Parents first completed questionnaires assessing social and executive functioning as well as emotional and behavioral problems. They then documented their child's school refusal behavior for a period of 20 days...
December 1, 2017: Autism: the International Journal of Research and Practice
https://www.readbyqxmd.com/read/29226443/lessons-from-analyzing-the-medical-costs-of-civilian-terror-victims-planning-resources-allocation-for-a-new-era-of-confrontations
#19
Eytan Ellenberg, Mark I Taragin, Jay R Hoffman, Osnat Cohen, Daniella Luft-Afik, Zvia Bar-On, Ishay Ostfeld
Policy Points: Across the globe, the threat from terrorist attacks is rising, which requires a careful assessment of long-term medical support. We found 3 major sources of costs: hospital expenditures, mental health services dedicated to acute stress reactions, and ambulatory follow-up. During the first year, most of the costs were related to hospitalization and support for stress relief. During the second year, ambulatory and rehabilitation costs continued to grow. Public health specialists should consider these major components of costs and their evolution over time to properly advise the medical and social authorities on allocating resources for the medical and nonmedical support of civilian casualties resulting from war or terror...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29217214/reducing-physical-violence-toward-primary-school-students-with-disabilities
#20
Karen Devries, Hannah Kuper, Louise Knight, Elizabeth Allen, Nambusi Kyegombe, Lena Morgon Banks, Susan Kelly, Dipak Naker
PURPOSE: We tested whether the Good School Toolkit reduces physical violence from peers and school staff toward students with and without disabilities in Ugandan primary schools. METHODS: We conducted a cluster randomized controlled trial, with data collected via cross-sectional surveys in 2012 and 2014. Forty-two primary schools in Luwero District, Uganda, were randomly assigned to receive the Good School Toolkit for 18 months, or to a waitlisted control group...
December 5, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
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