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https://www.readbyqxmd.com/read/29342259/false-starts-in-test-and-start-a-qualitative-study-of-reasons-for-delayed-antiretroviral-therapy-in-swaziland
#1
Christopher Pell, Eva Vernooij, Nelisiwe Masilela, Njabulo Simelane, Fortunate Shabalala, Ria Reis
Background: Test and start, antiretroviral therapy (ART) for all HIV-positive individuals, is a WHO-recommended treatment guideline. In Swaziland, test and start has been evaluated through the MaxART implementation study. This article examines why, in MaxART, some newly diagnosed HIV-positive clients delayed initiating ART. Methods: Thirteen HIV-positive clients who delayed ART for ≥90 d after testing were identified from the MaxART study database and interviewed...
January 12, 2018: International Health
https://www.readbyqxmd.com/read/29342070/an-evaluation-of-industry-relationships-among-contributors-to-aaos-clinical-practice-guidelines-and-appropriate-use-criteria
#2
Jake X Checketts, Courtney Cook, Matt Vassar
BACKGROUND: A long-standing relationship between orthopaedic surgeons and industry has made financial conflicts of interest a concerning issue. Research supports that financial conflicts of interest can influence both medical research and clinical practice. Financial conflicts of interest may also influence clinical practice guideline recommendations and their corresponding appropriate use criteria. Because of the influential nature of these guidelines, it is imperative that care be taken to minimize bias during guideline development...
January 17, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29341999/unlocking-the-closet-door-recurrent-identity-disclosure-experiences-among-lgbtq-students
#3
Michael A Lourie
No abstract text is available yet for this article.
January 16, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29338708/patterns-of-illness-disclosure-among-indian-slum-dwellers-a-qualitative-study
#4
Moumita Das, Federica Angeli, Anja J S M Krumeich, Onno C P van Schayck
BACKGROUND: Slum dwellers display specific traits when it comes to disclosing their illnesses to professionals. The resulting actions lead to poor health-seeking behaviour and underutilisation of existing formal health facilities. The ways that slum people use to communicate their feelings about illness, the type of confidants that they choose, and the supportive and unsupportive social and cultural interactions to which they are exposed have not yet been studied in the Indian context, which constitutes an important knowledge gap for Indian policymakers and practitioners alike...
January 16, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29338643/high-school-coaches-experiences-with-openly-lesbian-gay-and-bisexual-athletes
#5
Meghan K Halbrook, Jack C Watson, Dana K Voelker
Despite reports that there has been a positive trend in perception and treatment of lesbian, gay, and bisexual (LGB) individuals in recent years (Griffin, 2012; Loftus, 2001), sport, in general, is still an uncertain, and sometimes even hostile, environment for LGB athletes (Anderson, 2005; Beylin, 2006; Waldron & Krane, 2005). To gain more information on coach understanding and perceptions of the team environment, ten high school head coaches in the United States were interviewed to explore their experiences coaching openly LGB athletes...
January 17, 2018: Journal of Homosexuality
https://www.readbyqxmd.com/read/29335841/reconstructing-normality-following-the-diagnosis-of-a-childhood-chronic-disease-does-rare-make-a-difference
#6
Evi Germeni, Isabella Vallini, Mario G Bianchetti, Peter J Schulz
Living with a childhood chronic disease can be challenging, especially if the diagnosis involves a rare condition. This study sought to elucidate how the diagnosis of a rare disease, as compared to a common, chronic condition, may influence maternal experiences of childhood illness. We conducted face-to-face, semi-structured interviews with 26 mothers of children treated in a pediatric hospital in the province of Lecco, Italy. Half of the participants had a child diagnosed with Bartter syndrome (BS), and the rest had a child suffering from celiac disease (CD)...
January 16, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29333804/editors-of-biomedical-journals-and-the-disclosure-of-their-own-conflicts-of-interest
#7
EDITORIAL
Adriana Aguilar
No abstract text is available yet for this article.
February 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29332560/social-reactions-to-sexual-assault-disclosure-a-qualitative-study-of-informal-support-dyads
#8
Katherine Lorenz, Sarah E Ullman, Anne Kirkner, Rupashree Mandala, Amanda L Vasquez, Rannveig Sigurvinsdottir
This interview study examined 45 informal support dyads where sexual assault was disclosed. Analysis showed social reactions and appraisals of reactions varied by relationship type (family, friend, significant other). Themes identified were role reversal or "parentification" of supporters, reactions of anger and aggression toward perpetrators, supporters using their own trauma experiences to respond to survivors, and reactions of betrayal. Results revealed the potential for identifying relational patterns and dynamics occurring in social reactions through dyadic analysis not otherwise captured by a survivor-only perspective...
October 1, 2017: Violence Against Women
https://www.readbyqxmd.com/read/29332013/patterns-and-predictors-of-disclosure-of-hiv-positive-status-among-youth-living-with-hiv-in-ibadan-nigeria
#9
Adesola Olumide, Eme Owoaje
Background Information on disclosure of HIV status among youth is sparse in spite of the fact that they bear a significant burden of the HIV epidemic. Our objective was to determine the predictors of HIV disclosure among youth aged 18-35 years in Ibadan, Nigeria. Methods A cross-sectional study was conducted among youth with HIV attending two HIV support groups and one ARV clinic in Ibadan, Nigeria. Information was obtained with the aid of an interviewer-administered questionnaire. Descriptive and analytic statistics were conducted...
January 15, 2018: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/29331259/public-and-physician-s-expectations-and-ethical-concerns-about-electronic-health-record-benefits-outweigh-risks-except-for-information-security
#10
Eleni Entzeridou, Evgenia Markopoulou, Vasiliki Mollaki
INTRODUCTION: Electronic Health Record systems (EHRs) offer numerous benefits in health care but also pose certain risks. As we progress toward the implementation of EHRs, a more in-depth understanding of attitudes that influence overall levels of EHR support is required. OBJECTIVES: To record public and physicians' awareness, expectations for, and ethical concerns about the use of EHRs. METHODS: A convenience sample was surveyed for both the public and physicians...
February 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29329301/estimated-mortality-on-hiv-treatment-among-active-patients-and-patients-lost-to-follow-up-in-4-provinces-of-zambia-findings-from-a-multistage-sampling-based-survey
#11
Charles B Holmes, Izukanji Sikazwe, Kombatende Sikombe, Ingrid Eshun-Wilson, Nancy Czaicki, Laura K Beres, Njekwa Mukamba, Sandra Simbeza, Carolyn Bolton Moore, Cardinal Hantuba, Peter Mwaba, Caroline Phiri, Nancy Padian, David V Glidden, Elvin Geng
BACKGROUND: Survival represents the single most important indicator of successful HIV treatment. Routine monitoring fails to capture most deaths. As a result, both regional assessments of the impact of HIV services and identification of hotspots for improvement efforts are limited. We sought to assess true mortality on treatment, characterize the extent under-reporting of mortality in routine health information systems in Zambia, and identify drivers of mortality across sites and over time using a multistage, regionally representative sampling approach...
January 2018: PLoS Medicine
https://www.readbyqxmd.com/read/29329116/concussion-symptom-underreporting-among-incoming-national-collegiate-athletic-association-division-i-college-athletes
#12
Fiona N Conway, Marianne Domingues, Robert Monaco, Laura M Lesnewich, Anne E Ray, Brandon L Alderman, Sabrina M Todaro, Jennifer F Buckman
OBJECTIVE: Accurate diagnosis of sport-related concussions relies heavily on truthful self-reporting of symptom severity. Previous studies have emphasized lack of knowledge as a factor in symptom nondisclosure. This study sought to examine concussion knowledge and the relationship of knowledge to reasons for symptom nondisclosure. DESIGN: Cross-sectional study. SETTING: Data were collected during preparticipation athletic evaluations via electronic survey...
January 11, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29325852/quality-and-readability-of-internet-based-information-on-halitosis
#13
Jung Hwan Jo, Eui Joo Kim, Ji Rak Kim, Moon Jong Kim, Jin Woo Chung, Ji Woon Park
OBJECTIVE: To evaluate quality and readability of Internet-based information on halitosis. STUDY DESIGN: An Internet search through 3 engines (Google, Yahoo, and Bing) was done with the terms ("bad breath," "halitosis," "oral malodor," "foul breath," "mouth malodor," "breath malodor," "fetor ex ore," "fetor oris," "ozostomia," and "stomatodysodia"). The first 50 websites from each engine resulting from each search term were screened. Included websites were evaluated using Health on the Net (HON) criteria, Journal of American Medical Association (JAMA) benchmarks, DISCERN, Ensuring Quality Information for Patients (EQIP), Flesch Reading Ease (FRE) score, and Flesch-Kincaid Grade level...
December 8, 2017: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/29325614/ethical-issues-in-neurogenetics
#14
Wendy R Uhlmann, J Scott Roberts
Many neurogenetic conditions are inherited and therefore diagnosis of a patient will have implications for the patient's relatives and can raise ethical issues. Predictive genetic testing offers asymptomatic relatives the opportunity to determine their risk status for a neurogenetic condition, and professional guidelines emphasize patients' autonomy and informed, voluntary decision making. Beneficence and nonmaleficence both need to be considered when making decisions about disclosure and nondisclosure of genetic information and test results...
2018: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/29324749/brand-switching-and-toxic-chemicals-in-cigarette-smoke-a-national-study
#15
Jennifer R Mendel, Sabeeh A Baig, Marissa G Hall, Michelle Jeong, M Justin Byron, Jennifer C Morgan, Seth M Noar, Kurt M Ribisl, Noel T Brewer
INTRODUCTION: US law requires disclosure of quantities of toxic chemicals (constituents) in cigarette smoke by brand and sub-brand. This information may drive smokers to switch to cigarettes with lower chemical quantities, under the misperception that doing so can reduce health risk. We sought to understand past brand-switching behavior and whether learning about specific chemicals in cigarette smoke increases susceptibility to brand switching. METHODS: Participants were US adult smokers surveyed by phone (n = 1,151, probability sample) and online (n = 1,561, convenience sample)...
2018: PloS One
https://www.readbyqxmd.com/read/29324365/how-does-social-support-relieve-depression-among-flood-victims-the-contribution-of-feelings-of-safety-self-disclosure-and-negative-cognition
#16
Rui Zhen, Lijuan Quan, Xiao Zhou
BACKGROUND: Depression is one of the most common post-trauma symptoms that can be alleivated by social support. The purpose of this study was to examine the multiple mediating effects of social support on depression via feelings of safety, disclosure, and negative cognition. METHOD: One hundred and eighty-seven flood victims in Wuhu City, an area affected most severely by a flood during July 2016, were selected to complete a self-report questionnaire package. RESULTS: Social support has four indirect negative effects on depression, including a one-step indirect path to self-disclosure, 2 two-step paths from feelings of safety to self-disclosure, and from self-disclosure to negative cognition about self, and a three-step indirect path from feelings of life safety via self-disclosure to negative self-cognition...
January 3, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29323556/modality-of-primary-hiv-disclosure-and-association-with-mental-health-stigma-and-antiretroviral-therapy-adherence-in-tanzanian-youth-living-with-hiv
#17
Julia V Ramos, Blandina T Mmbaga, Elizabeth L Turner, Leonia L Rugalabamu, Severa Luhanga, Coleen K Cunningham, Dorothy E Dow
Disclosing HIV status to children before adolescence is a major challenge facing families and healthcare providers. This study used a mixed methods approach to explore the youth perspective of how youth living with HIV (YLHIV) found out their status and to quantify the association of disclosure modality with mental health, stigma, adherence, and HIV outcomes in adolescence. Youth 11-24 years of age attending adolescent HIV clinic in Moshi, Tanzania were included. Adolescents answered questions, including when and how they found out they had HIV, mental health surveys (nine-item Patient Health Questionnaire, Strengths and Difficulties Questionnaire, and modified University of California Los Angeles trauma screen), modified Berger's stigma scale, and self-reported adherence...
January 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29322361/homelessness-mental-health-and-suicidality-among-lgbtq-youth-accessing-crisis-services
#18
Harmony Rhoades, Joshua A Rusow, David Bond, Amy Lanteigne, Anthony Fulginiti, Jeremy T Goldbach
LGBTQ youth experience increased risks of homelessness, mental health disorder symptoms, and suicidality. Utilizing data from LGBTQ youth contacting a suicide crisis services organization, this study examined: (a) rates of homelessness among crisis services users, (b) the relationship between disclosure of LGBTQ identity to parents and parental rejection and homelessness, and (c) the relationship between homelessness and mental health disorder outcomes and suicidality. A nationwide sample of LGBTQ youth was recruited for a confidential online survey from an LGBTQ-focused crisis services hotline...
January 10, 2018: Child Psychiatry and Human Development
https://www.readbyqxmd.com/read/29322176/omitted-conflict-of-interest-disclosures
#19
(no author information available yet)
No abstract text is available yet for this article.
January 10, 2018: JAMA Cardiology
https://www.readbyqxmd.com/read/29320574/acceleration-of-small-bowel-motility-after-oral-administration-of-dai-kenchu-to-tj-100-assessed-by-cine-magnetic-resonance-imaging
#20
Akitoshi Inoue, Akira Furukawa, Hiroshi Yamamoto, Shinichi Ohta, Nguyen Dai Hung Linh, Tulyeubai Syerikjan, Sachiko Kaida, Tsuyoshi Yamaguchi, Satoshi Murata, Toru Obata, Masaji Tani, Kiyoshi Murata
Dai-kenchu-to (TJ-100) is an herbal medicine used to shorten the duration of intestinal transit by accelerating intestinal movement. However, intestinal movement in itself has not been evaluated in healthy volunteers using radiography, fluoroscopy, and radioisotopes because of exposure to ionizing radiation. The purpose of this study was to evaluate the effect of TJ-100 on intestinal motility using cinematic magnetic resonance imaging (cine MRI) with a steady-state free precession sequence. Ten healthy male volunteers received 5 g of either TJ-100 or lactose without disclosure of the identity of the substance...
2018: PloS One
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