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https://www.readbyqxmd.com/read/28813638/impact-of-70-gene-signature-use-on-adjuvant-chemotherapy-decisions-in-patients-with-estrogen-receptor-positive-early-breast-cancer-results-of-a-prospective-cohort-study
#1
Anne Kuijer, Marieke Straver, Bianca den Dekker, Annelotte C M van Bommel, Sjoerd G Elias, Carolien H Smorenburg, Jelle Wesseling, Sabine C Linn, Emiel J Th Rutgers, Sabine Siesling, Thijs van Dalen
Purpose Gene-expression profiles increasingly are used in addition to conventional prognostic factors to guide adjuvant chemotherapy (CT) decisions. The Dutch guideline suggests use of validated gene-expression profiles in patients with estrogen receptor (ER) -positive, early-stage breast cancer without overt lymph node metastases. We aimed to assess the impact of a 70-gene signature (70-GS) test on CT decisions in patients with ER-positive, early-stage breast cancer. Patients and Methods In a prospective, observational, multicenter study in patients younger than 70 years old who had undergone surgery for ER-positive, early-stage breast cancer, physicians were asked whether they intended to administer adjuvant CT before deployment of the 70-GS test and after the test result was available...
August 20, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28813282/autonomy-promotion-responsiveness-and-emotion-regulation-promote-effective-social-support-in-times-of-stress
#2
REVIEW
Carolyn E Cutrona, Daniel W Russell
Adult attachment theory provides guidance for providing optimal social support in intimate relationships. According to attachment theory, facilitating autonomy (secure base support) sometimes is more important than providing nurturance (safe haven support). In addition, it is important that couples celebrate one another's triumphs and successes (another form of secure base support). A key construct that explains the development of attachment is responsiveness to the individual's needs. Support that is delivered in a responsive manner (i...
February 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28812457/from-half-dead-to-being-free-resistance-to-hiv-stigma-self-disclosure-and-support-for-pmtct-hiv-care-among-couples-living-with-hiv-in-kenya
#3
Sydney A Spangler, Lisa L Abuogi, Eliud Akama, Elizabeth A Bukusi, Anna Helova, Pamela Musoke, Wafula Z Nalwa, Thomas A Odeny, Maricianah Onono, Iris Wanga, Janet M Turan
In sub-Saharan Africa, self-disclosure of HIV-positive status may be a pivotal action for improving access to prevention of mother-to-child transmission services. However, understanding of HIV stigma and disclosure, and their effects on demand for care remains incomplete - particularly in the current context of new antiretroviral therapy guidelines. The purpose of this study was to explore these issues among self-disclosed couples living in southwest Kenya. We conducted 38 in-depth interviews with HIV-positive pregnant or postpartum women and their male partners...
August 16, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28812447/the-role-of-the-family-in-hiv-status-disclosure-amongst-women-in-vietnam-familial-dependence-and-independence
#4
D T H Dinh, J L White, M Hipwell, T K C Nguyen, A Pharris
Insights into disclosure by PLWHA can inform strategies for treatment and support, yet Vietnamese women's self-disclosure patterns are poorly understood. We conducted interviews with 12 HIV-positive women, identifying three principal factors influencing disclosure to family members: patrilocal residence, desire to protect own family, and the need for financial support. Women's decision-making about disclosure was significantly affected by dependence on or independence of parents-in-law and their own parents...
August 16, 2017: Health Care for Women International
https://www.readbyqxmd.com/read/28812036/incidence-of-sports-related-concussion-among-ncaa-women-s-ice-hockey-athletes
#5
Emily M Brook, Emily Kroshus, Caroline H Hu, Marissa Gedman, Jamie E Collins, Elizabeth G Matzkin
BACKGROUND: There are limited data on the incidence of concussion and concussion symptom nondisclosure among collegiate women's ice hockey athletes. PURPOSE: To determine the incidence of sports-related concussion (SRC) in National Collegiate Athletic Association (NCAA) women's ice hockey athletes. STUDY DESIGN: Descriptive epidemiology study. METHODS: An anonymous online survey was completed by 459 NCAA women's ice hockey athletes...
July 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28810669/hiv-status-disclosure-facility-based-delivery-and-postpartum-retention-of-mothers-in-a-prevention-clinical-trial-in-rural-nigeria
#6
Kidane A Sarko, Meridith Blevins, Aimalohi A Ahonkhai, Carolyn M Audet, Troy D Moon, Usman I Gebi, Ahmed M Gana, C William Wester, Sten H Vermund, Muktar H Aliyu
Background: Within the context of a cluster randomized prevention of mother-to-child HIV transmission (PMTCT) trial, we evaluated the impact of disclosure on selected PMTCT continuum of care measures. Methods: In 12 rural matched-pair clinics randomly assigned to an intervention package versus standard-of-care, we enrolled 372 HIV-infected pregnant women from April 2013 to March 2014. This secondary analysis included 327 (87.9%) women with unknown HIV status or who were treatment naïve at presentation to antenatal care...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28810499/the-relationship-between-negative-responses-to-hiv-status-disclosure-and-psychosocial-outcomes-among-people-living-with-hiv
#7
Elena Cama, Loren Brener, Sean Slavin, John de Wit
This report examines rates of HIV status disclosure and negative responses to disclosure among people living with HIV in Australia. Among 697 people living with HIV, most (>90%) had disclosed their status to friends, sexual partners and health providers. Almost a third had not disclosed to family, and half had not told any work colleagues. Negative responses to disclosure (e.g. blame, rejection) by all groups were associated with increased HIV-related stigma, psychological distress and diminished social support and health satisfaction...
July 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28810462/association-between-socio-demographic-factors-coping-style-illness-perceptions-and-preference-for-disclosure-nondisclosure-of-diagnosis-in-chinese-patients-with-hepatocellular-carcinoma
#8
Bin Jie, Zheng-Zhi Feng, Yan Qiu, Yan-Qi Zhang
We explored the association between socio-demographic factors, coping style, illness perceptions and preferences for disclosure/nondisclosure of cancer diagnosis in 384 Chinese patients with hepatocellular carcinoma. We found that (1) 69.3 percent of the patients preferred disclosure and (2) multivariate analysis showed that four variables were significantly positively associated with preference for disclosure, including active emotional-focused coping style, illness perceptions of personal control, chronic infection of hepatitis B virus, and educational level, whereas perceived emotional impact of illness and objective social support (mainly family support) were significantly associated with preference for nondisclosure...
May 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28810443/disgust-shame-and-the-psychosocial-impact-of-skin-picking-evidence-from-an-online-support-forum
#9
Suzy Anderson, Victoria Clarke
This article examines the accounts of individuals who problematically pick their skin and explores their subjective experiences. In total, 100 problem disclosure statements were taken from posts made to a publicly accessible online skin picking support forum. These posts were systematically analysed using thematic analysis. Themes of disgust, shame and psychosocial avoidance dominated the analysis and appeared central to the experience of skin picking. Skin picking was shown to be a heterogeneous experience with a complex emotional profile...
April 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28810431/-when-it-comes-to-hiv-that-s-when-you-find-out-the-genuinity-of-that-love-the-experience-of-disclosing-a-hiv-status-to-an-intimate-partner
#10
Charlotte Smith, Rachel Cook, Poul Rohleder
Despite a medical discourse of the 'normalisation' of HIV, it remains a highly stigmatising condition and makes the issue of disclosing one's HIV status particularly complex. This article reports on the experience of 18 people living with HIV in the United Kingdom of disclosing their HIV+ status in arguably their most important relationship, their intimate partnership. Five main themes arose: disclosure as the battlefield, preparing psychologically to disclose, disclosure as a test of the partner's love, disclosure as an opportunity for the partner to know them more deeply and the renegotiation of the relationship narrative...
March 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28810416/is-disclosure-a-privilege-race-and-disclosure-patterns-of-hepatitis-c
#11
Alicia E Suarez
Research suggests that decisions to disclose hepatitis C status are affected by individual and interpersonal factors. However, no existing studies have examined the role of race in disclosure, despite the potential implications of being doubly marginalized on the basis of both race and hepatitis C status. Drawing on qualitative research with 53 persons with hepatitis C in the Southeastern United States, findings indicate that participants practiced four patterns of disclosure: activist disclosure, open disclosure, limited disclosure, and reluctant disclosure...
February 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28810397/healthcare-experiences-of-a-black-lesbian-in-the-united-states
#12
Ofa L Ejaife, Ivy K Ho
Little is known about the healthcare experiences of Black lesbian and bisexual women. This exploratory study examined the healthcare experiences of a 24-year-old Black lesbian and the interconnection between race, ethnicity, gender, and sexual identity in her lived experiences. Data were gathered through an in-depth audio-recorded interview. Findings revealed the risks of and barriers to self-disclosure in healthcare settings, factors that influence the quality of the patient-provider relationship, and the positive and negative healthcare experiences of this Black American lesbian...
January 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28810003/incomplete-financial-disclosure
#13
(no author information available yet)
No abstract text is available yet for this article.
August 15, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28807891/a-collaborative-approach-to-identifying-social-media-markers-of-schizophrenia-by-employing-machine-learning-and-clinical-appraisals
#14
Michael L Birnbaum, Sindhu Kiranmai Ernala, Asra F Rizvi, Munmun De Choudhury, John M Kane
BACKGROUND: Linguistic analysis of publicly available Twitter feeds have achieved success in differentiating individuals who self-disclose online as having schizophrenia from healthy controls. To date, limited efforts have included expert input to evaluate the authenticity of diagnostic self-disclosures. OBJECTIVE: This study aims to move from noisy self-reports of schizophrenia on social media to more accurate identification of diagnoses by exploring a human-machine partnered approach, wherein computational linguistic analysis of shared content is combined with clinical appraisals...
August 14, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28806633/provision-of-sudden-unexpected-death-in-epilepsy-sudep-information-among-malaysian-parents-of-children-with-epilepsy
#15
Choong Yi Fong, Wei Kang Lim, Ann Nie Kong, Pei Lin Lua, Lai Choo Ong
Sudden unexpected death in epilepsy (SUDEP) is an important cause of mortality in epilepsy. To date, there is only one published UK study evaluating information provision of SUDEP among parents of children with epilepsy (CWE), and there are no studies published from Asia. Although SUDEP information provision is recommended among parents of CWE, it is uncertain if these recommendations are applicable to Asian countries due to the different cultural attitude towards epilepsy. Our prospective cohort study consisted of multiethnic parents of children with epilepsy (CWE) seen in a tertiary hospital in Malaysia...
August 11, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28806484/tensions-in-perspectives-on-suicide-prevention-between-men-who-have-attempted-suicide-and-their-support-networks-secondary-analysis-of-qualitative-data
#16
Andrea S Fogarty, Michael Spurrier, Michael J Player, Kay Wilhelm, Erin L Whittle, Fiona Shand, Helen Christensen, Judith Proudfoot
BACKGROUND: Men generally have higher rates of suicide, despite fewer overt indicators of risk. Differences in presentation and response suggest a need to better understand why suicide prevention is less effective for men. OBJECTIVE: To explore the views of at-risk men, friends and family about the tensions inherent in suicide prevention and to consider how prevention may be improved. DESIGN: Secondary analysis of qualitative interview and focus group data, using thematic analysis techniques, alongside bracketing, construction and contextualisation...
August 14, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28806370/will-veterans-answer-sexual-orientation-and-gender-identity-questions
#17
Mollie A Ruben, John R Blosnich, Melissa E Dichter, Lorry Luscri, Jillian C Shipherd
BACKGROUND: The Veterans Health Administration does not routinely collect and document sexual orientation and gender identity (SOGI) data, despite existing health disparities among sexual and gender minority Veterans. Because of the legacy of previous Department of Defense (DoD) policies that prohibited disclosure of sexual or gender minority identities among active duty personnel, Veterans may be reluctant to respond to SOGI questions. OBJECTIVES: This population-based study assesses item nonresponse to SOGI questions by Veteran status...
September 2017: Medical Care
https://www.readbyqxmd.com/read/28806125/changing-avatars-changing-selves-the-influence-of-social-and-contextual-expectations-on-digital-rendition-of-identity
#18
Stefano Triberti, Ilaria Durosini, Filippo Aschieri, Daniela Villani, Giuseppe Riva
Avatar creation is an interesting topic for both video game and social network studies. Research has shown that the creation of avatars is influenced by individual, contextual, and cultural features. Avatars are used to represent aspects of users' personality, but multiple avatars are used in different virtual contexts, as self-presentation strategies may vary according to the different "audiences" to be met online (say: friends, or strangers). Moreover, avatar creation is also influenced by cultural variables, such as gender, as avatars embody stereotypical aspects of being a woman or a man...
August 2017: Cyberpsychology, Behavior and Social Networking
https://www.readbyqxmd.com/read/28806121/social-capital-accumulation-in-location-based-mobile-game-playing-a-multiple-process-approach
#19
Hei-Tung Sung, Leif Sigerson, Cecilia Cheng
In the summer of 2016, the widespread popularization of the game Pokémon Go brought the public's attention to the possible socialization benefits associated with location-based mobile games (LBMGs), yet no studies to date have investigated this issue. LBMGs deserve greater research attention because this type of game provides a unique gaming experience that encourages players to leave their homes and navigate around their neighborhood. This distinctive feature may promote more face-to-face interactions among LBMG players...
August 2017: Cyberpsychology, Behavior and Social Networking
https://www.readbyqxmd.com/read/28804960/handle-with-care-rethinking-the-rights-versus-culture-dichotomy-in-cancer-disclosure-in-india
#20
Cecilia Coale Van Hollen
Medical practitioners, bioethicists, psychologists, and anthropologists have debated whether it is ethical to disclose or withhold information from patients about cancer diagnoses. This debate is framed as pitting universal individual human rights against cultural pluralism. The rights-based argument asserts that people have a right to information about their own health to make the best decisions about their treatment. The cultural variation argument suggests that in some cultural contexts there is a perception that information about one's cancer diagnosis may cause more harm than good due to the psychological trauma this may cause...
August 13, 2017: Medical Anthropology Quarterly
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