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https://www.readbyqxmd.com/read/29124715/the-relationship-between-psychological-distress-and-perception-of-emotional-support-in-medical-students-and-residents-and-implications-for-educational-institutions
#1
Alan McLuckie, Katherine M Matheson, Ashley L Landers, Jeff Landine, Jason Novick, Tessa Barrett, Gina Dimitropoulos
OBJECTIVE: Psychological distress is pervasive among medical students and residents (MSR) and is associated with academic under-performance, decreased empathy, burnout, and suicidal ideation. To date, there has been little examination of how demographic and socioeconomic factors influence trainee's psychological distress levels, despite suggestion that financial concerns are a common source of stress. Recent Canadian studies examining the prevalence of distress, burnout, and resilience in MSR are limited...
November 9, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29120292/survival-and-negotiation-narratives-of-severe-near-miss-neonatal-complications-of-syrian-women-in-lebanon
#2
Livia Wick
The World Health Organization has elaborated a maternal and neonatal near-miss reporting, audit and feedback system designed to improve the quality of care during and after childbirth. As part of a four-hospital comparative study in the Middle East, this article discusses the experiences of mothers whose newborns suffered from severe complications at birth in the Rafik Hariri University Hospital, the only public hospital in Beirut. Based on in-depth home interviews several weeks after childbirth, it aims to explore the experience of neonatal near-miss events through the mothers' birth narratives...
October 2017: Reproductive Health Matters
https://www.readbyqxmd.com/read/29117817/roadmap-for-creating-an-accelerated-three-year-medical-education-program
#3
Shou Ling Leong, Joan Cangiarella, Tonya Fancher, Lisa Dodson, Colleen Grochowski, Vicky Harnik, Carol Hustedde, Betsy Jones, Christina Kelly, Allison Macerollo, Annette C Reboli, Melvin Rosenfeld, Kristen Rundell, Tina Thompson, Robert Whyte, Martin Pusic
Medical education is undergoing significant transformation. Many medical schools are moving away from the concept of seat time to competency-based education and introducing flexibility in the curriculum that allows individualization. In response to rising student debt and the anticipated physician shortage, 35% of US medical schools are considering the development of accelerated pathways. The roadmap described in this paper is grounded in the experiences of the Consortium of Accelerated Medical Pathway Programs (CAMPP) members in the development, implementation, and evaluation of one type of accelerated pathway: the three-year MD program...
2017: Medical Education Online
https://www.readbyqxmd.com/read/29117725/experiencing-financial-hardship-associated-with-medical-bills-and-its-effects-on-health-care-behavior-a-2-year-panel-study
#4
Sunha Choi
Using 2-year panel data, this study examined (1) whether experiencing financial hardship associated with out-of-pocket medical expenditures affected delaying/missing necessary health care in the following year; (2) whether such financial hardship mediated the effects of predisposing, enabling, and need characteristics on timely health care access (i.e., significant indirect effects); and (3)whether such mediating effects are different by chronic health status (i.e., moderated mediation) among U.S. adults. The 2011 National Health Interview Survey was linked to the 2012 Medical Expenditure Panel Survey...
November 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/29109558/associations-between-pharmacy-students-attitudes-toward-debt-stress-and-student-loans
#5
Marie A Chisholm-Burns, Christina A Spivey, Melanie C Jaeger, Jennifer Williams
Objective. To assess graduating pharmacy students' attitudes toward debt and determine associations with stress, student loan debt, financial need, current employment, post-graduation plans, and expected length of time to repay loans. Methods. Survey was conducted using an attitudes-toward-debt scale (sub-scales: tolerant attitudes toward debt; contemplation and knowledge about loans; fear of debt), Perceived Stress Scale, and questions concerning current employment, estimated total student loan debt, post-graduation plans, and expected length of time to repay loans...
September 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/29095705/transitioning-to-a-high-value-health-care-model-academic-accountability
#6
Pamela T Johnson, Matthew D Alvin, Roy C Ziegelstein
Health care spending in the United States has increased to unprecedented levels, and these costs have broken medical providers' promise to do no harm. Medical debt is the leading contributor to U.S. personal bankruptcy, more than 50% of household foreclosures are secondary to medical debt and illness, and patients are choosing to avoid necessary care because of its cost. Evidence that the health care delivery model is contributing to patient hardship is a call for action to the profession to transition to a high value model, one that delivers the highest health care quality and safety at the lowest personal and financial cost to patients...
November 1, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29081123/-risk-factors-for-road-traffic-injury-in-agricultural-vehicle-drivers
#7
M J Cui, Y Chen, Y Li, J Hu, X J Zhang
Objective: To examine the risk factors for road traffic injury in agricultural vehicle drivers. Methods: A total of 103 drivers (who had suffered agricultural vehicle road traffic injury within the past year based on the road traffic injury registrar from the Traffic Management Bureau) who were involved in the annual agricultural vehicle inspection from December 2014 to January 2015 were randomly sampled from the Yixing Agricultural Vehicle Station as the case group for this study. Based on a 1∶2 assignment ratio and matched for sex, age, and education, a total of 206 drivers who had not suffered any agricultural vehicle road traffic injury within the past year were selected as the control group...
August 20, 2017: Chinese Journal of Industrial Hygiene and Occupational Diseases
https://www.readbyqxmd.com/read/29077719/status-and-determinants-of-small-farming-households-food-security-and-role-of-market-access-in-enhancing-food-security-in-rural-pakistan
#8
Umar Ijaz Ahmed, Liu Ying, Muhammad Khalid Bashir, Muhammad Abid, Farhad Zulfiqar
In most of the developing countries, lack of resources and little market accessibility are among the major factors that affect small farming household food security. This study aims to investigate the status of small farming households' food security, and its determinants including the role of market accessibility factors in enhancing food security at household level. In addition, this study also determines the households' perception about different kinds of livelihoods risks. This study is based on a household survey of 576 households conducted through face-to-face interviews using structured interviews in Punjab, Pakistan...
2017: PloS One
https://www.readbyqxmd.com/read/29076354/how-do-online-sports-gambling-disorder-patients-compare-with-land-based-patients
#9
Ana Estévez, Raquel Rodríguez, Noelia Díaz, Roser Granero, Gemma Mestre-Bach, Trevor Steward, Fernando Fernández-Aranda, Neus Aymamí, Mónica Gómez-Peña, Amparo Del Pino-Gutiérrez, Marta Baño, Laura Moragas, Núria Mallorquí-Bagué, Hibai López-González, Paula Jauregui, Jaione Onaindia, Virginia Martín-Romera, José M Menchón, Susana Jiménez-Murcia
Background and aims Recent technological developments have brought about notable changes in the way people gamble. The widespread use of mobile Internet devices and gambling websites has led to a significant leap in the number of people who recreationally gamble. However, for some, gambling can turn into a psychiatric disorder resembling substance addiction. At present, there is a shortage of studies examining differences between adults with gambling disorder (GD) who exclusively make sports bets online, GD patients that are non-sports Internet gamblers, and offline gamblers...
October 27, 2017: Journal of Behavioral Addictions
https://www.readbyqxmd.com/read/29074930/does-student-debt-affect-dental-students-and-dentists-stress-levels
#10
J D Boyles, B Ahmed
Introduction Many studies have shown financial worries and debt to induce stress in individuals, this combined with the existing stress of being a dentist raises the question of how student debt affects students' and dentists' stress levels.Objectives Determine whether student debt has had any noticeable effect on student stress levels; investigate whether student debt has any effect on dentists' career choice; investigate whether the increase in tuition fees has influenced the number of applicants to study dentistry at the University of Birmingham...
October 27, 2017: British Dental Journal
https://www.readbyqxmd.com/read/29070157/academic-pediatric-dentistry-is-a-rewarding-financially-viable-career-path
#11
Janice A Townsend, Donald L Chi
Newly graduated pediatric dentists have unprecedented levels of debt. High levels of student debt may be perceived as an obstacle to pursue an academic career. However, opportunities exist through faculty compensation models and loan repayment programs that make an academic career financially viable. The purpose of this paper is to outline the benefits of a career in academic dentistry and provide examples of young pediatric dentistry faculty members who have been able to manage student debt while pursuing meaningful and rewarding careers...
September 15, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/29070050/potential-barriers-in-healthcare-access-of-the-elderly-population-influenced-by-the-economic-crisis-and-the-troika-agreement-a-qualitative-case-study-in-lisbon-portugal
#12
Julia Doetsch, Eva Pilot, Paula Santana, Thomas Krafft
BACKGROUND: The recent economic and financial crisis in Portugal urged the Portuguese Government in April 2011 to request financial assistance from the troika austerity bail out program to get aid for its government debt. The troika agreement included health reforms and austerity measures of the National Health Service (NHS) in Portugal to save non-essential health care costs. This research aimed to identify potential barriers among the elderly population (aged 65 and above) to healthcare access influenced by the economic crisis and the troika agreement focussing on the Memorandum of Understanding on Specific Economic Policy Conditionality (MoU) in Lisbon metropolitan area, Portugal...
October 25, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29069451/poor-recovery-of-households-from-out-of-pocket-payment-for-assisted-reproductive-technology
#13
Silke J Dyer, Latiefa Vinoos, John E Ataguba
STUDY QUESTION: How do households recover financially from direct out-of-pocket payment for government subsidized ART? SUMMARY ANSWER: After a mean of 3.8 years, there was poor recovery from initiated financial coping strategies with the poorest households being disproportionatley affected. WHAT IS KNOWN ALREADY: Out-of-pocket payment for health services can create financial burdens for households and inequities in access to care. A previous study conducted at a public-academic institution in South Africa documented that patient co-payment for one cycle of ART resulted in catastrophic expenditure for one in five households, and more frequently among the poorest, requiring diverse financial coping strategies to offset costs...
October 21, 2017: Human Reproduction
https://www.readbyqxmd.com/read/29052433/financial-sector-workers-experiences-of-managing-suicidal-clients
#14
Siobhan O'Neill, Edel Ennis, Danielle McFeeters, Lia Gallagher
BACKGROUND: Financial sector workers interface with indebted clients, who may be distressed and have heightened vulnerability to suicidality. AIM(S): This study examined the experiences of 10 Irish financial sector workers who had experiences of encountering distressed clients who discuss suicide. METHOD: Semistructured interviews (open-ended questions) were used. RESULTS: Interpretative phenomenological analysis (IPA) identified four themes, namely: (1) avoidance versus confrontation of reality (management of the debt); (2) role conflict (recovering the debt vs...
October 20, 2017: Crisis
https://www.readbyqxmd.com/read/29051176/impact-of-co-located-welfare-advice-in-healthcare-settings-prospective-quasi-experimental-controlled-study
#15
Charlotte Woodhead, Mizanur Khondoker, Robin Lomas, Rosalind Raine
BackgroundEvaluations of primary healthcare co-located welfare advice services have been methodologically limited.AimsTo examine the impact and cost-consequences of co-located benefits and debt advice on mental health and service use.MethodProspective, controlled quasi-experimental study in eight intervention and nine comparator sites across North Thames. Changes in the proportion meeting criteria for common mental disorder (CMD, 12-item General Health Questionnaire); well-being scores (Shortened Warwick and Edinburgh Mental Well-being Scale), 3-month GP consultation rate and financial strain were measured alongside funding costs and financial gains...
October 19, 2017: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/29043091/hope-help-for-people-with-money-employment-benefit-or-housing-problems-study-protocol-for-a-randomised-controlled-trial
#16
M C Barnes, A M Haase, A M Bard, J L Donovan, R Davies, S Dursley, J Potokar, N Kapur, K Hawton, R C O'Connor, W Hollingworth, C Metcalfe, D Gunnell
BACKGROUND: Self-harm and suicide increase in times of economic recession. Factors including job loss, austerity measures, financial difficulties and house repossession contribute to the risk. Vulnerable individuals commonly experience difficulties in navigating the benefits system and in accessing the available sources of welfare and debt advice, and this contributes to their distress. Our aim is to determine the feasibility and acceptability of a brief psychosocial intervention (the "HOPE" service) for people presenting to hospital emergency departments (ED) following self-harm or in acute distress because of financial, employment, or welfare (benefit) difficulties...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29040469/the-commercialization-of-traditional-medicine-in-modern-cambodia
#17
Bandeth Ros, Gillian Lê, Barbara McPake, Suzanne Fustukian
Globally, traditional medicine has long been used to address relatively common illness, mental ill health and during childbirth and post-natal care. However, traditional medicine is primarily provided by the private sector and it is unclear how far expenditures on traditional medicine contribute to household impoverishment. A life history method was used to understand the health seeking experience of 24 households over the last 60 years in Cambodia, a country with high out-of-pocket expenditures for health...
October 11, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29026832/i-m-a-plastic-surgeon-how-should-i-manage-my-debt
#18
Daniel A Peters, Douglas R McKay
No abstract text is available yet for this article.
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29022102/as-if-the-disease-was-not-enough-coping-with-the-financial-consequences-of-cancer
#19
Barbara Head, Lesley Harris, Karen Kayser, Amy Martin, Lisa Smith
PURPOSE: The goal of this research was to understand how cancer survivors cope with the financial consequences of their disease. METHODS: Twenty-six cancer survivors who self-identified as having experienced financial hardship related to their disease were interviewed. Transcripts of these interviews were analyzed using constructivist grounded theory approach. An analysis of codes related to coping strategies was conducted, and findings were stratified based on established coping theories (Lazarus and Folkman and Moos and Holahan) previously applied to coping with serious/chronic illnesses...
October 11, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28988301/occurrence-ecological-risk-assessment-and-spatio-temporal-variation-of-polychlorinated-biphenyls-pcbs-in-water-and-sediments-along-river-ravi-and-its-northern-tributaries-pakistan
#20
Mujtaba Baqar, Yumna Sadef, Sajid Rashid Ahmad, Adeel Mahmood, Abdul Qadir, Iqra Aslam, Jun Li, Gan Zhang
Ecological risk assessment, spatio-temporal variation, and source apportionment of polychlorinated biphenyls (PCBs) were studied in surface sediments and water from River Ravi and its three northern tributaries (Nullah Deg, Nullah Basantar, and Nullah Bein) in Pakistan. In total, 35 PCB congeners were analyzed along 27 sampling stations in pre-monsoon and post-monsoon seasons. The ∑35PCB concentration ranged from 1.06 to 95.76 ng/g (dw) in sediments and 1.94 to 11.66 ng/L in water samples, with hexa-CBs and tetra-CBs as most dominant homologs in sediments and water matrixes, respectively...
October 7, 2017: Environmental Science and Pollution Research International
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