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https://www.readbyqxmd.com/read/27909482/the-cost-effectiveness-of-laa-exclusion
#1
REVIEW
Bahij Kreidieh, Moisés Rodríguez-Mañero, Sergio H Ibarra-Cortez, Paul Schurmann, Miguel Valderrábano
Left atrial appendage (LAA) exclusion strategies are increasingly utilized for stroke prevention in lieu of oral anticoagulants. Reductions in bleeding risk and long-term compliance issues bundled with comparable stroke prevention benefits have made these interventions increasingly attractive. Unfortunately, healthcare funding remains limited. Comparative cost economic analyses are therefore critical in optimizing resource allocation. In this review we seek to discourse the cost economics analysis of LAA exclusion over available therapeutic alternatives (warfarin and the new oral anticoagulants (NOACs))...
February 2016: Journal of Atrial Fibrillation
https://www.readbyqxmd.com/read/27896873/identifying-fallacious-arguments-in-a-qualitative-study-of-antipsychotic-prescribing-in-dementia
#2
Parastou Donyai
BACKGROUND: Dementia can result in cognitive, noncognitive and behavioural symptoms which are difficult to manage. Formal guidelines for the care and management of dementia in the UK state that antipsychotics should only be prescribed where fully justified. This is because inappropriate use, particularly problematic in care-home settings, can produce severe side effects including death. The aim of this study was to explore the use of fallacious arguments in professionals' deliberations about antipsychotic prescribing in dementia in care-home settings...
November 29, 2016: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/27888689/negotiating-and-valuing-spaces-the-discourse-of-space-and-home-in-care-homes
#3
Andrea Kenkmann, Fiona Poland, Diane Burns, Paula Hyde, Anne Killett
This paper examines how space in care homes is experienced and negotiated by people who live and work in them. The analysis of qualitative data of five in-depth case studies of care homes in England revealed three key ways in which space is negotiated: a) the way in which values affect interactions inside versus outside the care home environment, b) the negotiation of boundaries and domains within the homes, and c) the sense of being at 'home'. The paper illuminates how the design of the buildings and organisational factors can reinforce or bridge dichotomies between inside and outside spaces...
November 23, 2016: Health & Place
https://www.readbyqxmd.com/read/27885971/-a-magical-little-pill-that-will-relieve-you-of-your-womanly-issues-what-young-women-say-about-menstrual-suppression
#4
Colleen McMillan, Amanda Jenkins
Perceptions of menstruation by media discourses portray this bodily function to be messy, inconvenient, and as an unnecessary phenomenon to be controlled or possibly eliminated. Commercials shown on YouTube targeted toward young women suggest that having a monthly period is not healthy and a lifestyle that is menses free is both pharmacologically available and recommended in order to live a fuller life. We explored the meanings attached to online menstrual suppression commercials with 10 women aged between 18 and 25...
2016: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/27882864/patient-participation-in-palliative-care-decisions-an-ethnographic-discourse-analysis
#5
Emmanuelle Bélanger, Charo Rodríguez, Danielle Groleau, France Légaré, Mary Ellen MacDonald, Robert Marchand
The participation of patients in making decisions about their care is especially important towards the end of life because palliative care decisions involve extensive uncertainty and are heavily influenced by personal values. Yet, there is a scarcity of studies directly observing clinical interactions between palliative patients and their health care providers. In this study, we aimed to understand how patient participation in palliative care decisions is constructed through discourse in a community hospital-based palliative care team...
2016: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/27881038/-enhance-her-pleasure-and-your-grip-strength-men-s-health-magazine-and-pseudo-reciprocal-pleasure
#6
Chelsey Nicole Porter, Nick Douglas, Martine Collumbien
This paper provides a snapshot of the Top Ten free, digital Men's Health magazine articles, accessed on a randomly selected day, that can be viewed as a collection; both a product for readership consumption and a construct of readership priorities. Through close textual analysis, we examine how discourses about masculinity, heterosex and consumerism have intersected to create a model of masculinity based on the discipline of male pleasure, which impacts on men's approach to female pleasure and gender dynamics...
November 24, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27880833/prioritizing-risk-in-preparation-for-a-demonstration-project-a-mixed-methods-feasibility-study-of-oral-pre-exposure-prophylaxis-prep-among-female-sex-workers-in-south-india
#7
Sushena Reza-Paul, Lisa Lazarus, Monika Doshi, Syed Hafeez Ur Rahman, Manjula Ramaiah, Raviprakash Maiya, Venugopal Ms, K T Venukumar, Sundar Sundararaman, Marissa Becker, Stephen Moses, Robert Lorway
BACKGROUND: HIV prevalence among female sex workers (FSWs) in India remains well above the national average. Pre-exposure prophylaxis (PrEP), a new HIV prevention technology, may help to reduce HIV incidence, but there is a dearth of research that can inform the potential scale-up of PrEP in India. In partnership with Ashodaya Samithi, a local sex worker collective, we conducted a feasibility study to assess acceptance of a planned PrEP demonstration project, willingness to use PrEP, and recommendations for project roll-out among FSWs in southern Karnataka...
2016: PloS One
https://www.readbyqxmd.com/read/27878531/beyond-dichotomies-gender-and-intersecting-inequalities-in-climate-change-studies
#8
Houria Djoudi, Bruno Locatelli, Chloe Vaast, Kiran Asher, Maria Brockhaus, Bimbika Basnett Sijapati
Climate change and related adaptation strategies have gender-differentiated impacts. This paper reviews how gender is framed in 41 papers on climate change adaptation through an intersectionality lens. The main findings show that while intersectional analysis has demonstrated many advantages for a comprehensive study of gender, it has not yet entered the field of climate change and gender. In climate change studies, gender is mostly handled in a men-versus-women dichotomy and little or no attention has been paid to power and social and political relations...
December 2016: Ambio
https://www.readbyqxmd.com/read/27865132/a-network-approach-to-policy-framing-a-case-study-of-the-national-aboriginal-and-torres-strait-islander-health-plan
#9
Jennifer Browne, Evelyne de Leeuw, Deborah Gleeson, Karen Adams, Petah Atkinson, Rick Hayes
Aboriginal health policy in Australia represents a unique policy subsystem comprising a diverse network of Aboriginal-specific and "mainstream" organisations, often with competing interests. This paper describes the network structure of organisations attempting to influence national Aboriginal health policy and examines how the different subgroups within the network approached the policy discourse. Public submissions made as part of a policy development process for the National Aboriginal and Torres Strait Islander Health Plan were analysed using a novel combination of network analysis and qualitative framing analysis...
November 9, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27862933/patterns-in-response-to-chronic-terrorism-threats-a-construct-of-emotional-cognitive-and-behavioral-responses-among-israeli-citizens
#10
Keren Cohen-Louck, Yael Saka
Israeli citizens are exposed to unpredictable and chronic terrorism threats that significantly jeopardize their personal sense of safety. The purpose of the present study is to present how Israeli discourse is structured with regard to emotional, cognitive, and behavioral responses to chronic terrorism threats and to understand the range of responses as well as map the risk and protective factors of this existential threat. Semistructured in-depth interviews were conducted with 40 Israeli adults (22 women and 18 men)...
November 10, 2016: Stress and Health: Journal of the International Society for the Investigation of Stress
https://www.readbyqxmd.com/read/27859876/power-and-resistance-within-the-hospital-s-hierarchical-system-the-experiences-of-chronically-ill-patients
#11
Odette Griscti, Megan Aston, Grace Warner, Ruth Martin-Misener, Deborah McLeod
AIMS AND OBJECTIVES: To explore experiences of chronically ill patients and registered nurses when they negotiate patient care in hospital settings. Specifically, we explored how social and institutional discourses shape power relations during the negotiation process. BACKGROUND: The hospital system is embedded in a hierarchical structure where the voice of the healthcare provider as expert is often given more importance than the patient. This system has been criticised as being oppressive to patients who are perceived to be lower in the hierarchy...
May 18, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27859354/public-challenge-and-endorsement-of-sex-category-ambiguity-in-online-debate-the-sooner-people-stop-thinking-that-gender-is-a-matter-of-choice-the-better
#12
Helen Sweeting, Matthew William Maycock, Laura Walker, Kate Hunt
Despite academic feminist debate over several decades, the binary nature of sex as a (perhaps the) primary social classification is often taken for granted, as is the assumption that individuals can be unproblematically assigned a biological sex at birth. This article presents analysis of online debate on the BBC news website in November 2013, comprising 864 readers' responses to an article entitled 'Germany allows 'indeterminate' gender at birth'. It explores how discourse reflecting Western essentialist beliefs about people having one sex or 'the other' is maintained in debates conducted in this online public space...
November 16, 2016: Sociology of Health & Illness
https://www.readbyqxmd.com/read/27855347/constructing-embodied-identity-in-a-new-ageing-population-a-qualitative-study-of-the-pioneer-cohort-of-childhood-liver-transplant-recipients-in-the-uk
#13
Karen Lowton, Chris Hiley, Paul Higgs
Medical innovations have created a future of survivorship for many groups of people with a variety of conditions that were previously untreatable or untreated. This has led not only to an expansion of medical activity in a whole variety of new areas but also to the emergence of new groups of individuals defined or defining themselves through their experiences, diagnosis and treatment. Through analysis of in-depth interviews with 27 of the now-adult survivors of the pioneer cohort of children receiving liver transplants in Britain in the early 1980s and 1990s, this paper presents how this group not only illustrate the capacities of modern medicine and healthcare to transform the survival prospects of a more diversified population, but also create new narratives of embodied identity...
November 11, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27849366/predicting-smartphone-operating-system-from-personality-and-individual-differences
#14
Heather Shaw, David A Ellis, Libby-Rae Kendrick, Fenja Ziegler, Richard Wiseman
Android and iPhone devices account for over 90 percent of all smartphones sold worldwide. Despite being very similar in functionality, current discourse and marketing campaigns suggest that key individual differences exist between users of these two devices; however, this has never been investigated empirically. This is surprising, as smartphones continue to gain momentum across a variety of research disciplines. In this article, we consider if individual differences exist between these two distinct groups...
November 16, 2016: Cyberpsychology, Behavior and Social Networking
https://www.readbyqxmd.com/read/27848942/communicating-microarray-results-of-uncertain-clinical-significance-in-consultation-summary-letters-and-implications-for-practice
#15
Jean Lillian Paul, Rachel Pope-Couston, Samantha Wake, Trent Burgess, Tiong Yang Tan
Letter-writing is an integral practice for genetic health professionals. In Victoria, Australia, patients with a chromosomal variant of uncertain clinical significance (VUS) referred to a clinical geneticist (CG) for evaluation receive consultation summary letters. While communication of uncertainty has been explored in research to some extent, little has focused on how uncertainty is communicated within consultation letters. We aimed to develop a multi-layered understanding of the ways in which CGs communicate diagnostic uncertainty in consultation summary letters...
November 16, 2016: European Journal of Human Genetics: EJHG
https://www.readbyqxmd.com/read/27846406/encourages-and-guides-or-diagnoses-and-monitors-woman-centred-ness-in-the-discourse-of-professional-midwifery-bodies
#16
M P O'Malley-Keighran, G Lohan
OBJECTIVE: the purpose of this study was to conduct a preliminary exploration of the language used by midwifery professional bodies to define the scope of practice of midwives in relation to woman-centred care. DESIGN: this is a qualitative study in which Critical Discourse Analysis and Transitivity Analysis from the Systemic Functional Linguistics tradition were used. Data were sampled from nine international midwifery professional bodies. FINDINGS: three general types of definitions of scope of practice were identified; a formal type which focused on midwifery practice in which the midwife and woman were largely absent as agents, a second, less formal type which focused on the midwife as agent, from which the woman was largely absent as an active participant and one exception to the pattern which featured the woman as agent...
October 28, 2016: Midwifery
https://www.readbyqxmd.com/read/27842599/team-talk-and-team-activity-in-simulated-medical-emergencies-a-discourse-analytical-approach
#17
Stine Gundrosen, Ellen Andenæs, Petter Aadahl, Gøril Thomassen
BACKGROUND: Communication errors can reduce patient safety, especially in emergency situations that require rapid responses by experts in a number of medical specialties. Talking to each other is crucial for utilizing the collective expertise of the team. Here we explored the functions of "team talk" (talking between team members) with an emphasis on the talk-work relationship in interdisciplinary emergency teams. METHODS: Five interdisciplinary medical emergency teams were observed and videotaped during in situ simulations at an emergency department at a university hospital in Norway...
November 14, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27834118/challenging-hiv-vulnerability-discourse-the-case-of-professional-and-entrepreneurial-women-in-dar-es-salaam-tanzania
#18
Neema William Jangu, Ailie Tam, Eleanor Maticka-Tyndale
A poverty-HIV narrative has dominated many HIV prevention strategies in Africa despite epidemiological data showing higher prevalence of infection among educated and wealthier women in several African countries. This paper examines the perspectives of professional and entrepreneurial women on HIV risk and vulnerability based on their knowledge and lived experiences, comparing this to the HIV discourse evident in five strategic documents that shape intervention in Tanzania. The purpose is to uncover the confluence and dissonance between the discourses of government and those of professional women themselves...
November 11, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27827320/stories-of-victimization-self-positioning-and-construction-of-gender-in-narratives-of-abused-women
#19
Karin Jarnkvist, Lotta Brännström
The objective of this article is to analyze how women who have been victims of intimate partner violence (IPV) position themselves in relation to the image of the "ideal victim" and how gender is constructed in that positioning. There is a need for a gender analysis framework to understand how various forms of femininity are constructed and how narratives linked to this can either maintain a woman in an abusive relationship or encourage her to leave. Christie's theory of the "ideal victim" and Connell's gender theory are applied in this study, in which the narratives of 14 female IPV victims in Sweden are analyzed using a narrative method...
November 8, 2016: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/27821302/suffering-and-medicalization-at-the-end-of-life-the-case-of-physician-assisted-dying
#20
Hadi Karsoho, Jennifer R Fishman, David Kenneth Wright, Mary Ellen Macdonald
'Suffering' is a central discursive trope for the right-to-die movement. In this article, we ask how proponents of physician-assisted dying (PAD) articulate suffering with the role of medicine at the end of life within the context of a decriminalization and legalization debate. We draw upon empirical data from our study of Carter v. Canada, the landmark court case that decriminalized PAD in Canada in 2015. We conducted in-depth interviews with 42 key participants of the case and collected over 4000 pages of legal documents generated by the case...
October 12, 2016: Social Science & Medicine
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