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https://www.readbyqxmd.com/read/28430568/reflection-based-learning-for-professional-ethical-formation
#1
William T Branch, Maura George
One way practitioners learn ethics is by reflecting on experience. They may reflect in the moment (reflection-in-action) or afterwards (reflection-on-action). We illustrate how a teaching clinician may transform relationships with patients and teach person-centered care through reflective learning. We discuss reflective learning pedagogies and present two case examples of our preferred method, guided group reflection using narratives. This method fosters moral development alongside professional identity formation in students and advanced learners...
April 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28418852/structural-homologies-between-phenformin-lipitor-and-gleevec-aim-the-same-metabolic-oncotarget-in-leukemia-and-melanoma
#2
REVIEW
Gábor Somlyai, T Que Collins, Emmanuelle J Meuillet, Patel Hitendra, Dominic P D'Agostino, László G Boros
Phenformin's recently demonstrated efficacy in melanoma and Gleevec's demonstrated anti-proliferative action in chronic myeloid leukemia may lie within these drugs' significant pharmacokinetics, pharmacodynamics and structural homologies, which are reviewed herein. Gleevec's success in turning a fatal leukemia into a manageable chronic disease has been trumpeted in medical, economic, political and social circles because it is considered the first successful targeted therapy. Investments have been immense in omics analyses and while in some cases they greatly helped the management of patients, in others targeted therapies failed to achieve clinically stable recurrence-free disease course or to substantially extend survival...
March 15, 2017: Oncotarget
https://www.readbyqxmd.com/read/28417688/medical-professionalism-frameworks-across-non-western-cultures-a-narrative-overview
#3
A Al-Rumayyan, W N K A Van Mook, M E Magzoub, M M Al-Eraky, M Ferwana, M A Khan, D Dolmans
BACKGROUND: Medical professionalism is context-specific, but most literature on professionalism stems from Western countries. This study is about benchmarking of different frameworks on professionalism and interpreting the commonalities and discrepancies of understanding professionalism across different cultures. We need to study the cultural underpinning of medical professionalism to graduate future "global" practitioners who are culturally sensitive enough to recognize differences (and also similarities) of expectations of patients in various contexts...
April 2017: Medical Teacher
https://www.readbyqxmd.com/read/28415908/the-association-of-personal-semantic-memory-to-identity-representations-insight-into-higher-order-networks-of-autobiographical-contents
#4
Matthew D Grilli
Identity representations are higher-order knowledge structures that organise autobiographical memories on the basis of personality and role-based themes of one's self-concept. In two experiments, the extent to which different types of personal semantic content are reflected in these higher-order networks of memories was investigated. Healthy, young adult participants generated identity representations that varied in remoteness of formation and verbally reflected on these themes in an open-ended narrative task...
April 17, 2017: Memory
https://www.readbyqxmd.com/read/28414512/adolescents-intergenerational-narratives-across-cultures
#5
Elaine Reese, Robyn Fivush, Natalie Merrill, Qi Wang, Helena McAnally
Adolescents' intergenerational narratives-the stories they tell about their mothers' and fathers' early experiences-are an important component of their identities (Fivush & Merrill, 2016; Merrill & Fivush, 2016). This study explored adolescents' intergenerational narratives across cultures. Adolescents aged 12 to 21 from 3 cultural groups in New Zealand (Chinese: n = 88; Māori: n = 91; European: n = 91) narrated stories about their mothers' and fathers' childhood experiences. In these narratives, New Zealand Chinese and Māori adolescents included more identity connections (statements linking their own identities to their parents' experiences) than did New Zealand European adolescents, and New Zealand Chinese adolescents' intergenerational narratives were more coherent than were New Zealand European and Māori adolescents' narratives...
April 17, 2017: Developmental Psychology
https://www.readbyqxmd.com/read/28406274/barriers-and-facilitators-to-hiv-testing-among-young-men-who-have-sex-with-men-and-transgender-women-in-kingston-jamaica-a-qualitative-study
#6
Carmen H Logie, Ashley Lacombe-Duncan, Natasha Brien, Nicolette Jones, Nakia Lee-Foon, Kandasi Levermore, Annecka Marshall, Laura Nyblade, Peter A Newman
INTRODUCTION: Young men who have sex with men (MSM) in Jamaica have the highest HIV prevalence in the Caribbean. There is little information about HIV among transgender women in Jamaica, who are also overrepresented in the Caribbean epidemic. HIV-related stigma is a barrier to HIV testing among Jamaica's general population, yet little is known of MSM and transgender women's HIV testing experiences in Jamaica. We explored perceived barriers and facilitators to HIV testing among young MSM and transgender women in Kingston, Jamaica...
March 3, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28406112/doctors-of-tomorrow-an-innovative-curriculum-connecting-underrepresented-minority-high-school-students-to-medical-school
#7
Jordan Derck, Kate Zahn, Jonathan F Finks, Simanjit Mand, Gurjit Sandhu
BACKGROUND: Racial minorities continue to be underrepresented in medicine (URiM). Increasing provider diversity is an essential component of addressing disparity in health delivery and outcomes. The pool of students URiM that are competitive applicants to medical school is often limited early on by educational inequalities in primary and secondary schooling. A growing body of evidence recognizing the importance of diversifying health professions advances the need for medical schools to develop outreach collaborations with primary and secondary schools to attract URiMs...
September 2016: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/28398140/ambivalently-post-lesbian-lbq-friendships-in-the-rural-midwest
#8
Clare Forstie
Using data from friendship interviews with lesbian, bisexual, and queer women in a small Midwestern city, I argue that non-urban communities might be characterized as ambivalently post-lesbian, as participants explain that shared identities "don't matter" in their friendships, while continuing to insist on the relevance of lesbian identity in their community. This research highlights three sets of concerns about lesbian communities, identities, and friendships. First, given the theoretical purchase of the concept of "post-gay" communities, there is a parallel need to develop the concept of "post-lesbian" as uniquely ambivalent and distinct from post-gay discourses, as the case of LBQ friendship demonstrates...
April 11, 2017: Journal of Lesbian Studies
https://www.readbyqxmd.com/read/28388222/clinician-guided-assessment-of-personality-using-the-structural-interview-and-the-structured-interview-of-personality-organization-stipo
#9
Susanne Hörz-Sagstetter, Eve Caligor, Emanuele Preti, Barry L Stern, Chiara De Panfilis, John F Clarkin
This article demonstrates the utility of a theory-guided psychodynamic approach to the assessment of personality and personality pathology based on the object relations model developed by Kernberg (1984). We describe a clinical interview, the Structural Interview (SI; Kernberg, 1984), and also a semistructured approach, the Structured Interview of Personality Organization (STIPO; Clarkin, Caligor, Stern, & Kernberg, 2004) based on this theoretical model. Both interviews focus on the assessment of consolidated identity versus identity disturbance, the use of adaptive versus lower level defensive operations, and intact versus loss of reality testing...
April 7, 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/28373248/cute-as-candy-a-qualitative-study-of-perceptions-of-snus-branding-and-package-design-among-youth-in-norway
#10
Janne Scheffels, Ingeborg Lund
OBJECTIVES: Snus use has increased among youth in Norway in recent years and is now more prevalent than smoking. Concurrently, a range of new products and package designs have been introduced to the market. The aim of this study was to explore how youth perceive snus branding and package design, and the role, if any, of snus packaging on perceptions of appeal and harm of snus among youth. PARTICIPANTS: Adolescent tobacco users and non-users (N=35) ages 15-17 years...
April 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28368865/a-bicultural-researcher-s-reflections-on-ethical-research-practices-with-muslim-immigrant-women-merging-boundaries-and-challenging-binaries
#11
Jordana Salma, Linda Ogilvie, Norah Keating, Kathleen F Hunter
Bicultural researchers are well positioned to identify tensions, disrupt binaries of positions, and reconcile differences across cultural contexts to ensure ethical research practices. This article focuses on a bicultural researcher's experiences of ethically important moments in research activities with Muslim immigrant women. Three ethical principles of respect, justice, and concern for welfare are highlighted, revealing the implications of binary constructions of identity, the value of situated knowledge in creating ethical research practices, and the need to recognize agency as a counterforce to oppressive narratives about Muslim women...
March 31, 2017: ANS. Advances in Nursing Science
https://www.readbyqxmd.com/read/28358650/the-self-in-health-and-illness-patients-professionals-and-narrative-identity
#12
Jeremy Mills
No abstract text is available yet for this article.
March 30, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28353499/emotional-learning-and-identity-development-in-medicine-a-cross-cultural-qualitative-study-comparing-taiwanese-and-dutch-medical-undergraduates
#13
Esther Helmich, Huei-Ming Yeh, Chi-Chuan Yeh, Joy de Vries, Daniel Fu-Chang Tsai, Tim Dornan
PURPOSE: Current knowledge about the interplay between emotions and professional identity formation is limited and largely based on research in Western settings. This study aimed to broaden understandings of professional identity formation cross-culturally. METHOD: In fall 2014, the authors purposively sampled 22 clinical students from Taiwan and the Netherlands and asked them to keep audio diaries, narrating emotional experiences during clerkships using three prompts: What happened? What did you feel/think/do? How does this interplay with your development as a doctor? Dutch audio diaries were supplemented with follow-up interviews...
March 28, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28333568/the-nature-of-competition-in-dietetics-education-a-narrative-review
#14
Jillian Ruhl, Daphne Lordly
The impact on student development associated with being part of a competitive program is an emerging finding in dietetics research. As such, a narrative review of relevant literature was conducted pertaining to competition in post-secondary programs and the educational experience of students with respect to developing a career in dietetics. The review was guided by 2 questions: How is competition experienced by students? What strategies can reduce competition among dietetics students within the educational experience? A refined literature screening process justified including 32 articles in the review...
March 23, 2017: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/28331550/experiences-of-mobility-for-people-living-with-rheumatoid-arthritis-who-are-receiving-biologic-drug-therapy-implications-for-podiatry-services
#15
Lucy Sanders, Margaret Donovan-Hall, Alan Borthwick, Catherine J Bowen
BACKGROUND: Despite significant advancements in new treatment modalities for rheumatoid arthritis with biological therapies, foot complications remain a disabling and common feature of the disease. In this study the aim was to explore and describe the personal experiences of people with rheumatoid arthritis in receipt of biologic treatments in a bid to understand the impact of this form of medication on their mobility. METHODS: An interpretative phenomenological analysis (IPA) was undertaken to explore in depth the individual experience of rheumatoid disease through personal accounts of the patient journey spanning both 'before' and 'after' the instigation of biologic therapy...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/28326792/-i-was-just-so-different-the-experiences-of-women-diagnosed-with-an-autism-spectrum-disorder-in-adulthood-in-relation-to-gender-and-social-relationships
#16
Lucie Kanfiszer, Fran Davies, Suzanne Collins
Existing literature exploring autism spectrum disorders within female populations predominantly utilises quantitative methodology. A limited number of small-scale, qualitative studies have explored the experiences of adolescent girls with autism spectrum disorder, but adult women have remained largely unheard. This study aims to broaden the stories told within autobiographical literature and empower those within the wider community of women with autism spectrum disorder. In doing so, it seeks to extend existing conceptualisations of experience to include socially and culturally located factors...
March 1, 2017: Autism: the International Journal of Research and Practice
https://www.readbyqxmd.com/read/28316785/narrative-change-narrative-stability-and-structural-constraint-the-case-of-prisoner-reentry-narratives
#17
David J Harding, Cheyney C Dobson, Jessica J B Wyse, Jeffrey D Morenoff
Cultural sociologists and other social scientists have increasingly used the concept of narrative as a theoretical tool to understand how individuals make sense of the links between their past, present, and future, how individuals construct social identities from cultural building blocks, and how culture shapes social action and individual behavior. Despite its richness, we contend that the narratives literature has yet to grapple with narrative change and stability when structural constraints or barriers challenge personal narratives and narrative identities...
March 2017: American Journal of Cultural Sociology
https://www.readbyqxmd.com/read/28292207/adherence-and-recursive-perception-among-young-adults-with-cystic-fibrosis
#18
D August Oddleifson, Gregory S Sawicki
Adherence to prescribed treatment is a pressing issue for adolescents and young adults with cystic fibrosis (CF). This paper presents two narratives from the thematic analysis of unstructured interviews with 14 adolescents, young adults, and older adults living with CF. Through a new identity-based framework termed recursive perception that draws focus on how an individual perceives how others view them, it explores the social context of adherence and self-care among young adults with CF. It demonstrates that an individual's understanding of self and desire to maintain a certain image for peers can be deeply embedded in adherence and self-care patterns, leading individuals to feel they need to choose between tending to their health needs and living their lives...
April 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28288664/injured-bodies-damaged-lives-experiences-and-narratives-of-kenyan-women-with-obstetric-fistula-and-female-genital-mutilation-cutting
#19
Lillian Mwanri, Glory Joy Gatwiri
BACKGROUND: It is well acknowledged that Female Genital Mutilation/Cutting (FGM/C/C) leads to medical, psychological and sociocultural sequels. Over 200 million cases of FGM/C exist globally, and in Kenya alone, a total of 12,418,000 (28%) of women have undergone FGM/C, making the practice not only a significant national, but also a global health catastrophe. FGM/C is rooted in patriarchal and traditional cultures as a communal experience signifying a transition from girlhood to womanhood...
March 14, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28282083/-first-person-narratives-is-there-anything-new-in-them-for-a-mental-health-professional
#20
Martín Agrest
Recovery narratives and first-person accounts of people living with mental disorders are not really new. Nevertheless, scarce attention has been paid to them by mental health professionals. What is it like to live with a mental disorder, receive a diagnosis, or hide previous experiences of treatment in mental health centers or with psychiatric medication in the context of a job interview or trying to start a relationship with another person? What is it like to learn new coping strategies, to be able to contribute to society and to assume an identity that neither denies the pathology nor is reduced to it? These narratives are analysed in order to stablish both the novelty in their production, and who and how could benefit from them...
July 2016: Vertex: Revista Argentina de Psiquiatriá
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