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https://www.readbyqxmd.com/read/28511729/juicy-conceptualizations-increasing-alliance-through-attending-to-client-metaphoric-language
#1
Fiona Mathieson, Jennifer Jordan, Paul Merrick, Maria Stubbe
BACKGROUND: There is increasing interest in the use of metaphor in cognitive behaviour therapy. Experts advocate bringing client metaphors into case conceptualizations, but there is little empirical research to support this. AIMS: This study evaluated the effect of training 12 therapists to attend to client metaphors and bring them into case conceptualizations. METHOD: Pre- and post-training role-played therapy sessions were conducted and video-recorded...
May 17, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28504334/advances-in-functional-brain-imaging-technology-and-developmental-neuro-psychology-their-applications-in-the-jungian-analytic-domain
#2
Leon Petchkovsky
Analytical psychology shares with many other psychotherapies the important task of repairing the consequences of developmental trauma. The majority of analytic patients come from compromised early developmental backgrounds: they may have experienced neglect, abuse, or failures of empathic resonance from their carers. Functional brain imagery techniques including Quantitative Electroencephalogram (QEEG), and functional Magnetic Resonance Imagery (fMRI), allow us to track mental processes in ways beyond verbal reportage and introspection...
June 2017: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/28504014/the-development-of-a-patient-specific-method-for-physiotherapy-goal-setting-a-user-centered-design
#3
Anita Stevens, Albère Köke, Trudy van der Weijden, Anna Beurskens
PURPOSE: To deliver client-centered care, physiotherapists need to identify the patients' individual treatment goals. However, practical tools for involving patients in goal setting are lacking. The purpose of this study was to improve the frequently used Patient-Specific Complaints instrument in Dutch physiotherapy, and to develop it into a feasible method to improve physiotherapy goal setting. METHODS: An iterative user-centered design was conducted in co-creation with the physiotherapists and patients, in three phases...
May 13, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28498193/the-roles-of-expert-mothers-engaged-in-prevention-of-mother-to-child-transmission-pmtct-programs-a-commentary-on-the-inspire-studies-in-malawi-nigeria-and-zimbabwe
#4
Fabian Cataldo, Nadia A Sam-Agudu, Sam Phiri, Bridget Shumba, Llewellyn J Cornelius, Geoff Foster
INTRODUCTION: Several initiatives aiming to improve retention and adherence in Prevention of Mother-to-Child Transmission of HIV (PMTCT) programs include "expert mothers" (EMs) as a central tenet of their interventions. This article compares the role of EMs in 3 implementation research studies examining approaches for improving retention in care among mothers living with HIV. METHODS: We compared and synthesized qualitative data and lessons learned from 3 studies (MoMent in Nigeria, PURE in Malawi, and EPAZ in Zimbabwe) with respect to the involvement of EMs in supporting PMTCT clients...
June 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28494810/education-and-equipment-for-people-who-smoke-crack-cocaine-in-canada-progress-and-limits
#5
Carol Strike, Tara Marie Watson
BACKGROUND: People who smoke crack cocaine experience a wide variety of health-related issues. However, public health programming designed for this population is limited, particularly in comparison with programming for people who inject drugs. Canadian best practice recommendations encourage needle and syringe programs (NSPs) to provide education about safer crack cocaine smoking practices, distribute safer smoking equipment, and provide options for safer disposal of used equipment. METHODS: We conducted an online survey of NSP managers across Canada to estimate the proportions of NSPs that provide education and distribute safer smoking equipment to people who smoke crack cocaine...
May 12, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28493636/families-perceptions-of-the-contribution-of-intellectual-disability-clinical-nurse-specialists-id-cnss-in-ireland
#6
Owen Doody, Eamonn Slevin, Laurence Taggart
AIM AND OBJECTIVES: To explore families perceptions of the contribution of clinical nurse specialists (CNSs) in intellectual disability nursing in Ireland. BACKGROUND: CNS roles have developed over the years and are seen as complex and multifaceted, causing confusion, frustration and controversy. 2001 saw the formal introduction of CNS roles in Ireland across nursing including intellectual disability. DESIGN: A exploratory qualitative approach utilising semi-structured one-to-one interviews with 10 family members regarding their perceptions of the CNS in intellectual disability...
May 11, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28475110/public-auditing-with-privacy-protection-in-a-multi-user-model-of-cloud-assisted-body-sensor-networks
#7
Song Li, Jie Cui, Hong Zhong, Lu Liu
Wireless Body Sensor Networks (WBSNs) are gaining importance in the era of the Internet of Things (IoT). The modern medical system is a particular area where the WBSN techniques are being increasingly adopted for various fundamental operations. Despite such increasing deployments of WBSNs, issues such as the infancy in the size, capabilities and limited data processing capacities of the sensor devices restrain their adoption in resource-demanding applications. Though providing computing and storage supplements from cloud servers can potentially enrich the capabilities of the WBSNs devices, data security is one of the prevailing issues that affects the reliability of cloud-assisted services...
May 5, 2017: Sensors
https://www.readbyqxmd.com/read/28468612/the-barriers-and-facilitators-that-indigenous-health-workers-experience-in-their-workplace-and-communities-in-providing-self-management-support-a-multiple-case-study
#8
Jessica Conway, George Tsourtos, Sharon Lawn
BACKGROUND: The inequality in health outcomes between Indigenous (Throughout the paper, the term Indigenous will be used to represent both Aboriginal Australians and Torres Strait Islander Australians.) and non-Indigenous Australians continues to be a major public health issue. Chronic conditions are responsible for the majority of the gap in life expectancy for this population. Evidence suggests that chronic condition management models focusing on self-management have led to improved health outcomes in Indigenous populations...
May 3, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28460797/one-health-solutions-to-obesity-in-people-and-their-pets
#9
REVIEW
J Bartges, R F Kushner, K E Michel, R Sallis, M J Day
Despite the high prevalence of overweight and obesity in the human and companion animal populations, and the global trends for increasing numbers of affected people and pets, there are few successful interventions that are proven to combat this complex multifactorial problem. One key strategy involves effective communication between human and veterinary healthcare professionals with patients and clients about obesity. In human healthcare, the focus of communication should be on physical activity as part of overall health and wellbeing, rather than assessment of the body mass index; clinical examination of patients should record levels of physical activity as a key 'vital sign' as part of their assessment...
April 28, 2017: Journal of Comparative Pathology
https://www.readbyqxmd.com/read/28457208/the-choice-project-peer-workers-promoting-shared-decision-making-at-a-youth-mental-health-service
#10
Magenta Bender Simmons, Samantha Batchelor, Tara Dimopoulos-Bick, Deb Howe
OBJECTIVE: In youth mental health services, consumer participation is essential, but few implementation strategies exist to engage young consumers. This project evaluated an intervention implemented in an Australian youth mental health service that utilized peer workers to promote shared decision making via an online tool. METHODS: All new clients ages 16-25 were invited to participate in this nonrandomized comparative study, which used a historical comparison group (N=80)...
May 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28443288/rubisco-activases-aaa-chaperones-adapted-to-enzyme-repair
#11
REVIEW
Javaid Y Bhat, Gabriel Thieulin-Pardo, F Ulrich Hartl, Manajit Hayer-Hartl
Ribulose-1,5-bisphosphate carboxylase/oxygenase (Rubisco), the key enzyme of the Calvin-Benson-Bassham cycle of photosynthesis, requires conformational repair by Rubisco activase for efficient function. Rubisco mediates the fixation of atmospheric CO2 by catalyzing the carboxylation of the five-carbon sugar ribulose-1,5-bisphosphate (RuBP). It is a remarkably inefficient enzyme, and efforts to increase crop yields by bioengineering Rubisco remain unsuccessful. This is due in part to the complex cellular machinery required for Rubisco biogenesis and metabolic maintenance...
2017: Frontiers in Molecular Biosciences
https://www.readbyqxmd.com/read/28407083/distrusting-community-health-workers-with-confidential-health-information-a-convergent-mixed-methods-study-in-swaziland
#12
Pascal Geldsetzer, Maria Vaikath, Jan-Walter De Neve, Thomas J Bossert, Sibusiso Sibandze, Mandla Mkhwanazi, Till Bärnighausen
Background: Patients are unlikely to share the personal information that is critical for effective healthcare, if they do not trust that this information will remain confidential. Trust in confidentiality may be particularly low in interactions with community health workers (CHW) because CHW deliver healthcare outside the clinic setting. This study aims to determine the proportion of Swaziland's population that does not trust the national CHW cadre with confidential medical information, and to identify reasons for distrust...
April 12, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28399000/overcoming-health-system-challenges-for-women-and-children-living-with-hiv-through-the-global-plan
#13
Surbhi Modi, Tegan Callahan, Jessica Rodrigues, Mwikemo D Kajoka, Helen M Dale, Judite O Langa, Marilena Urso, Matsepeli I Nchephe, Helene Bongdene, Sostena Romano, Laura N Broyles
To meet the ambitious targets set by the Global Plan Towards the Elimination of New HIV Infections Among Children by 2015 and Keeping Their Mothers Alive (Global Plan), the initial 22 priority countries quickly developed innovative approaches for overcoming long-standing health systems challenges and providing HIV testing and treatment to pregnant and breastfeeding women and their infants. The Global Plan spurred programs for prevention of mother-to-child HIV transmission to integrate HIV-related care and treatment into broader maternal, newborn, and child health services; expand the effectiveness of the health workforce through task sharing; extend health services into communities; strengthen supply chain and commodity management systems; reduce diagnostic and laboratory hurdles; and strengthen strategic supervision and mentorship...
May 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28394178/a-role-of-metastable-regions-and-their-connectivity-in-the-inactivation-of-a-redox-regulated-chaperone-and-its-inter-chaperone-crosstalk
#14
Oded Rimon, Ohad Suss, Mor Goldenberg, Rosi Fassler, Ohad Yogev, Hadar Amartely, Guy Propper, Assaf Friedler, Dana Reichmann
AIMS: A recently discovered group of conditionally disordered chaperones share a very unique feature; they need to lose structure to become active as chaperones. This activation mechanism makes these chaperones particularly suited to respond to protein-unfolding stress conditions, such as oxidative unfolding. However, the role of this disorder in stress-related activation, chaperone function, and the crosstalk with other chaperone systems is not yet clear. Here, we focus on one of the members of the conditionally disordered chaperones, a thiol-redox switch of the bacterial proteostasis system, Hsp33...
April 10, 2017: Antioxidants & Redox Signaling
https://www.readbyqxmd.com/read/28388954/strategies-to-facilitate-integrated-care-for-people-with-alcohol-and-other-drug-problems-a-systematic-review
#15
REVIEW
Michael Savic, David Best, Victoria Manning, Dan I Lubman
BACKGROUND: There is a growing body of research highlighting the potential benefits of integrated care as a way of addressing the needs of people with alcohol and other drug (AOD) problems, given the broad range of other issues clients often experience. However, there has been little academic attention on the strategies that treatment systems, agencies and clinicians could implement to facilitate integrated care. METHODS: We synthesised the existing evidence on strategies to improve integrated care in an AOD treatment context by conducting a systematic review of the literature...
April 7, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28388331/from-struggles-to-resource-gains-in-interprofessional-service-networks-key-findings-from-a-multiple-case-study
#16
Hanna Toiviainen, Mari Kira
In interprofessional service networks, employees cross professional boundaries to collaborate with colleagues and clients with expertise and values different from their own. It can be a struggle to adopt shared work practices and deal with "multivoicedness." At the same time, networks allow members to engage in meaningful service provision, gain a broader understanding of the service provided, and obtain social support. Intertwined network struggles and resource gains have received limited attention in the interprofessional care literature to date...
April 7, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28384435/birthing-on-country-in-our-community-a-case-study-of-engaging-stakeholders-and-developing-a-best-practice-indigenous-maternity-service-in-an-urban-setting
#17
Sue Kildea, Sophie Hickey, Carmel Nelson, Jody Currie, Adrian Carson, Maree Reynolds, Kay Wilson, Sue Kruske, Megan Passey, Yvette Roe, Roianne West, Anton Clifford, Machellee Kosiak, Shannon Watego, Sally Tracy
Developing high-quality and culturally responsive maternal and infant health services is a critical part of 'closing the gap' in health disparities between Aboriginal and Torres Strait Islander people and other Australians. The National Maternity Services Plan led work that describes and recommends Birthing on Country best-practice maternity care adaptable from urban to very remote settings, yet few examples exist in Australia. This paper demonstrates Birthing on Country principles can be applied in the urban setting, presenting our experience establishing and developing a Birthing on Country partnership service model in Brisbane, Australia...
April 7, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28378300/development-of-a-shared-decision-making-model-in-a-community-mental-health-center
#18
REVIEW
Shreedhar Paudel, Neeta Sharma, Astha Joshi, Melinda Randall
Shared Decision Making (SDM) is an essential component of recovery oriented treatment for clients with severe and persistent mental illnesses. SDM has been found to be effective in improving outcome of treatment of non-psychiatric ailments, and studies of SDM in community mental health settings are limited. We designed and implemented a low tech SDM program in a non-academic community mental health center and evaluated the outcome on decisional certainty and satisfaction with services. The results suggest that SDM can be effectively integrated with evidence based psychiatric rehabilitation practices utilizing already existing resources...
April 4, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28375070/teaching-tip-improving-students-email-communication-through-an-integrated-writing-assignment-in-a-third-year-toxicology-course
#19
April A Kedrowicz, Sarah Hammond, David C Dorman
Client communication is important for success in veterinary practice, with written communication being an important means for veterinarian-client information sharing. Effective communication is adapted to clients' needs and wants, and presents information in a clear, understandable manner while accounting for varying degrees of client health literacy. This teaching tip describes the use of a mock electronic mail assignment as one way to integrate writing into a required veterinary toxicology course. As part of this project, we provide baseline data relating to students' written communication that will guide further development of writing modules in other curricula...
April 4, 2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28361729/the-electronic-health-record-and-patient-portals-in-hiv-medicine
#20
Demetre C Daskalakis
The electronic medical record provides an exciting opportunity to support the coordination of care by medical and social providers. Many of these systems include patient portals that allow providers to share clinical information with patients in real time. These "patient portals" provide a unique opportunity for clients and patients to access and use HIV and sexually transmitted infection information for communication with healthcare providers, with potential or actual sex partners, and for tracking their own clinical course and progress...
April 2017: Cambridge Quarterly of Healthcare Ethics: CQ: the International Journal of Healthcare Ethics Committees
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