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https://www.readbyqxmd.com/read/27931842/quality-end-of-life-cancer-care-an-overdue-imperative
#1
REVIEW
Guy B Faguet
This review assesses the current status of end-of-life care based on large-scale, multiyear nationwide surveys of treatment modality, setting, and cost of care during terminal patients' last months of life. It shows that end-of-life care goals often remain suboptimal. Contributing factors include prioritized life preservation, uneven commitment to palliative care, few palliative care specialists, and perverse financial incentives that encourage costly interventions. Although not determinant per se, these factors coupled to doubts about what constitutes end-of-life can lead to overextended disease treatment and a late implementation of palliative care...
December 2016: Critical Reviews in Oncology/hematology
https://www.readbyqxmd.com/read/27917765/safeguarding-maternal-and-child-health-in-south-africa-by-starting-the-child-support-grant-before-birth-design-lessons-from-pregnancy-support-programmes-in-27-countries
#2
M F Chersich, S Luchters, D Blaauw, F Scorgie, E Kern, A Van den Heever, H Rees, E Peach, S Kharadi, S Fonn
BACKGROUND: Deprivation during pregnancy and the neonatal period increases maternal morbidity, reduces birth weight and impairs child development, with lifelong consequences. Many poor countries provide grants to mitigate the impact of poverty during pregnancy. South Africa (SA) offers a post-delivery Child Support Grant (CSG), which could encompass support during pregnancy, informed by lessons learnt from similar grants. OBJECTIVES: To review design and operational features of pregnancy support programmes, highlighting features that promote their effectiveness and efficiency, and implications thereof for SA...
December 1, 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/27893346/the-preoedipal-and-oedipal-structure-of-termination-an-in-depth-case-study
#3
Trevor Lubbe
Much has been written about the Oedipus complex as a central organizing focus for the understanding of early developmental attainments as well as for the structuring of the personality, but nowhere are triangular forces more vitally active, clinically, than in the termination phase. The decision to end, once agreed upon, typically sets in motion a symmetrical process in which two dynamics occur concurrently. First, what drives the termination is a mourning process in which the primary task is to relinquish the analyst as a transference object and to establish the analyst as an internal object...
December 2016: Psychoanalytic Review
https://www.readbyqxmd.com/read/27885750/they-re-nice-and-neat-but-are-they-useful-a-grounded-theory-of-clinical-psychologists-beliefs-about-and-use-of-nice-guidelines
#4
Alex John Court, Anne Cooke, Amanda Scrivener
Guidelines are ubiquitous but inconsistently used in UK mental health services. Clinical psychologists are often influential in guideline development and implementation, but opinion within the profession is divided. This study utilized grounded theory methodology to examine clinical psychologists' beliefs about and use of NICE guidelines. Eleven clinical psychologists working in the NHS were interviewed. The overall emerging theme was; NICE guidelines are considered to have benefits but to be fraught with dangers...
November 25, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27870854/quantity-and-or-quality-the-importance-of-publishing-many-papers
#5
Ulf Sandström, Peter van den Besselaar
Do highly productive researchers have significantly higher probability to produce top cited papers? Or do high productive researchers mainly produce a sea of irrelevant papers-in other words do we find a diminishing marginal result from productivity? The answer on these questions is important, as it may help to answer the question of whether the increased competition and increased use of indicators for research evaluation and accountability focus has perverse effects or not. We use a Swedish author disambiguated dataset consisting of 48...
2016: PloS One
https://www.readbyqxmd.com/read/27861857/mainstream-body-character-breach-films-and-subjectivization
#6
Sandra Meiri, Odeya Kohen-Raz
The authors analyze a unique cinematic corpus - 'body-character breach films' (one character, initially played by a certain actor, occupies the body of another character) - demonstrating Lacan's notion of traversing the fantasy, both on the level of the films' diegesis and that of spectatorship. Breaching the alliance between actors and their characters perturbs the viewer's fantasy of wholeness enabled by this very alliance. Consequently, a change in subject/spectatorial position in relation to the lack in the Other is induced, enhanced through the visualization of various scenarios of unconscious fantasies (mostly incest)...
November 11, 2016: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/27843875/foreign-body-in-the-rectum-a-challenge-for-the-emergency-physician
#7
Ritesh Amrishkumar Gajjar, Pradip B Gupta
Foreign body (FB) within the rectum occurs infrequently and its management is challenging for the emergency physicians due to variation in type of objects, host anatomy, time of insertion, and amount of local contamination. Usually, the presentation is late after multiple unsuccessful attempts for the removal of the FB by patients themselves at home. We report a 50-year-old male patient presented to the emergency department with an FB in the rectum (iron rod) introduced as sexual perversion. The patient was managed conservatively and transanal retrieval of FB was carried out successfully...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27754917/masochism-and-its-rhythm
#8
Giuseppe Civitarese
Over five years, from 1919 to 1924, Freud dealt with masochism in three texts written in close proximity: "A Child Is Being Beaten," Beyond the Pleasure Principle, and "The Economic Problem of Masochism." Initially Freud explains masochism as incestuous fixation on the father and regression to pregenital, sadistic ways of loving. Subsequently he considers it primarily as subservient to the death drive. This paper starts from an idea present in two of the three texts, but not developed by Freud, in which he refers to the role that the "qualitative" element of rhythm could play in the occurrence of pleasure in masochism...
October 17, 2016: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/27752810/a-perverse-quality-incentive-in-surgery-implications-of-reimbursing-surgeons-less-for-doing-laparoscopic-surgery
#9
Amanda N Fader, Tim Xu, Brian J Dunkin, Martin A Makary
BACKGROUND: Surgery is one of the highest priced services in health care, and complications from surgery can be serious and costly. Recently, advances in surgical techniques have allowed surgeons to perform many common operations using minimally invasive methods that result in fewer complications. Despite this, the rates of open surgery remain high across multiple surgical disciplines. METHODS: This is an expert commentary and review of the contemporary literature regarding minimally invasive surgery practices nationwide, the benefits of less invasive approaches, and how minimally invasive compared with open procedures are differentially reimbursed in the United States...
October 17, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27746725/monopolizing-sanctioning-power-under-noise-eliminates-perverse-punishment-but-does-not-increase-cooperation
#10
Sven Fischer, Kristoffel Grechenig, Nicolas Meier
We run several experiments which allow us to compare cooperation under perfect and imperfect information in a centralized and decentralized punishment regime. Under perfect and extremely noisy information, aggregate behavior does not differ between institutions. Under intermediate noise, punishment escalates in the decentralized peer-to-peer punishment regime which badly affects efficiency while sustaining cooperation for longer. Only decentralized punishment is often directed at cooperators (perverse punishment)...
2016: Frontiers in Behavioral Neuroscience
https://www.readbyqxmd.com/read/27740922/listening-to-music-from-the-urinary-bladder-case-report-of-a-headset-in-a-urinary-bladder
#11
Sunirmal Chowdhury, Dilip Kumar Pal
There are many case reports of unusual foreign bodies found in the urinary bladder. Most of these are self-inserted. Mostly these foreign bodies were inserted as a result of sexual curiosity or sexual perversion but there may be other reasons like psychiatric problems. The treatment is individualized and determined by the size, location, shape, nature and mobility of the foreign body. Here we report a peculiar case of a headset in urinary bladder.
October 14, 2016: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/27709119/latina-o-or-mexicana-o-the-relationship-between-socially-assigned-race-and-experiences-with-discrimination
#12
Edward D Vargas, Nadia C Winston, John A Garcia, Gabriel R Sanchez
Discrimination based on one's racial or ethnic background is one of the oldest and most perverse practices in the United States. While much of this research has relied on self-reported racial categories, a growing body of research is attempting to measure race through socially-assigned race. Socially-assigned or ascribed race measures how individuals feel they are classified by other people. This paper draws on the socially assigned race literature and explores the impact of socially assigned race on experiences with discrimination using a 2011 nationally representative sample of Latina/os (n=1,200)...
October 2016: Sociology of Race and Ethnicity (Thousand Oaks, Calif.)
https://www.readbyqxmd.com/read/27635615/-understanding-of-psychopathological-constitutions-and-mental-defect-in-the-concept-of-th-ziehen
#13
N Yu Pyatnitsky
The author analyzed a symptom concept of Th. Ziehen that had competed with the Kraepelin nosological concept of mental disorders. The classification of psychopathological constitutions and defective states in mental diseases used by Th. Ziehen is discussed. The particular significance given by Th. Ziehen to overvalues in the formation of psychopathological phenomena and sexual perversions as major characteristics of the general type of inherited psychopathic constitution is emphasized. The Th. Ziehen's definition of psychopathic constitution is compared to Kraepelin's conception of psychopathic personality...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/27618531/a-review-of-the-pleasure-s-all-mine-a-history-of-perverse-sex-by-julie-peakman-london-uk-reaktion-books-2013-472-pages-29-01-hardcover
#14
Michael Aaron
No abstract text is available yet for this article.
October 2, 2016: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/27611325/spatial-and-temporal-dynamics-and-value-of-nature-based-recreation-estimated-via-social-media
#15
Laura J Sonter, Keri B Watson, Spencer A Wood, Taylor H Ricketts
Conserved lands provide multiple ecosystem services, including opportunities for nature-based recreation. Managing this service requires understanding the landscape attributes underpinning its provision, and how changes in land management affect its contribution to human wellbeing over time. However, evidence from both spatially explicit and temporally dynamic analyses is scarce, often due to data limitations. In this study, we investigated nature-based recreation within conserved lands in Vermont, USA. We used geotagged photographs uploaded to the photo-sharing website Flickr to quantify visits by in-state and out-of-state visitors, and we multiplied visits by mean trip expenditures to show that conserved lands contributed US $1...
2016: PloS One
https://www.readbyqxmd.com/read/27555449/-social-egg-freezing-and-the-uk-s-statutory-storage-time-limits
#16
Emily Jackson
This article argues that the statutory time limits upon the storage of gametes have unintended and perhaps even perverse consequences for women freezing their eggs as insurance against age-related fertility decline. They work against good clinical practice and potentially represent an interference with a woman's right to respect for her family life, which is neither necessary nor proportionate. My claim will be that the statutory time limit, and the options for extension, are no longer fit for purpose.
August 23, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27552116/sixteen-years-of-change-in-the-global-terrestrial-human-footprint-and-implications-for-biodiversity-conservation
#17
Oscar Venter, Eric W Sanderson, Ainhoa Magrach, James R Allan, Jutta Beher, Kendall R Jones, Hugh P Possingham, William F Laurance, Peter Wood, Balázs M Fekete, Marc A Levy, James E M Watson
Human pressures on the environment are changing spatially and temporally, with profound implications for the planet's biodiversity and human economies. Here we use recently available data on infrastructure, land cover and human access into natural areas to construct a globally standardized measure of the cumulative human footprint on the terrestrial environment at 1 km(2) resolution from 1993 to 2009. We note that while the human population has increased by 23% and the world economy has grown 153%, the human footprint has increased by just 9%...
2016: Nature Communications
https://www.readbyqxmd.com/read/27523039/regulating-self-selection-into-private-health-insurance-in-chile-and-the-united-states
#18
Arturo Vargas Bustamante, Claudio A Méndez
In the 1980s, Chile adopted a mixed (public and private) model for health insurance coverage similar to the one recently outlined by the Affordable Care Act in the United States (US). In such a system, a mix of public and private health plans offer nearly universal coverage using a combined approach of managed competition and subsidies for low-income individuals. This paper uses a "most different" case study design to compare policies implemented in Chile and the US to address self-selection into private insurance...
July 2016: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/27510090/martin-erhard-upper-world-and-underworld-order-and-perversion
#19
G Dammann
No abstract text is available yet for this article.
August 11, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27386860/economic-interventions-to-improve-population-health-a-scoping-study-of-systematic-reviews
#20
Mishal S Khan, Bernie Y Guan, Jananie Audimulam, Francisco Cervero Liceras, Richard J Coker, Joanne Yoong
BACKGROUND: Recognizing the close relationship between poverty and health, national program managers, policy-makers and donors are increasingly including economic interventions as part of their core strategies to improve population health. However, there is often confusion among stakeholders about the definitions and operational differences between distinct types of economic interventions and financial instruments, which can lead to important differences in interpretation and expectations...
2016: BMC Public Health
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