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https://www.readbyqxmd.com/read/28804570/value-of-quality-of-life-analysis-in-liver-cancer-a-clinician-s-perspective
#1
REVIEW
Leung Li, Winnie Yeo
Health related quality of life (HRQOL) is increasingly recognized as an important clinical parameter and research endpoint in patients with hepatocellular carcinoma (HCC). HRQOL in HCC patients is multifaceted and affected by medical factor which encompasses HCC and its complications, oncological and palliative treatment for HCC, underlying liver disease, as well as the psychological, social or spiritual reaction to the disease. Many patients presented late with advanced disease and limited survival, plagued with multiple symptoms, rendering QOL a very important aspect in their general well being...
July 18, 2017: World Journal of Hepatology
https://www.readbyqxmd.com/read/28782423/maternal-anaemia-after-delivery-prevalence-and-risk-factors
#2
Carola Medina Garrido, Jaime León, Adriana Romaní Vidal
The purpose of this study was to assess the prevalence of postpartum anaemia and determine the clinical risk factors for this condition to provide a viable alternative to postpartum haemoglobin measurement. In total, 1415 patients at Hospital Universitario del Tajo, Madrid, who underwent postpartum haemoglobin testing were included, and risk factors for having an Hb level <10 g/dl were determined. We found that 29% of the mothers were anaemic, and birth canal lacerations, caesarean delivery, episiotomy and South American origin were identified as the main risk factors for this condition...
August 6, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28775183/examining-the-mediating-effect-of-work-to-family-conflict-on-the-associations-between-job-stressors-and-employee-psychological-distress-a-prospective-cohort-study
#3
Takashi Oshio, Akiomi Inoue, Akizumi Tsutsumi
OBJECTIVES: The mediating effect of work-to-family conflict (WFC) on the associations between eight types of job stressors (measured based on the job demands-control, effort-reward imbalance and organisational justice models) and psychological distress in employees was examined. DESIGN: This study employed a prospective design. SETTING: An occupational cohort study in Japan (Japanese Study of Health, Occupation, and Psychosocial Factors Related Equity; J-HOPE)...
August 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28768678/a-concept-map-of-death-related-anxieties-in-patients-with-advanced-cancer
#4
Sigrun Vehling, Carmine Malfitano, Joanna Shnall, Sarah Watt, Tania Panday, Aubrey Chiu, Anne Rydall, Camilla Zimmermann, Sarah Hales, Gary Rodin, Christopher Lo
OBJECTIVES: Fear of death and dying is common in patients with advanced cancer, but can be difficult to address in clinical conversations. We aimed to show that the experience of death anxiety may be deconstructed into a network of specific concerns and to provide a map of their interconnections to aid clinical exploration. METHODS: We studied a sample of 382 patients with advanced cancer recruited from outpatient clinics at the Princess Margaret Cancer Centre, Toronto, Canada...
August 2, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28765679/placement-instability-among-young-people-removed-from-their-original-family-and-the-likely-mental-health-implications
#5
Simon Rice, Sue Cotton, Kristen Moeller-Saxone, Cathrine Mihalopoulos, Anne Magnus, Carol Harvey, Cathy Humphreys, Stephen Halperin, Angela Scheppokat, Patrick McGorry, Helen Herrman
BACKGROUND: Young people in out-of-home care are more likely to experience poorer mental and physical health outcomes related to their peers. Stable care environments are essential for ameliorating impacts of disruptive early childhood experiences, including exposure to psychological trauma, abuse and neglect. At present there are very few high quality data regarding the placement stability history of young people in out-of-home care in Australia or other countries. OBJECTIVES: To undertake the first systematic census of background, care type and placement stability characteristics of young people living in the out-of-home care sector in Australia...
April 25, 2017: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/28765417/prevention-of-falls-in-hospital
#6
Rob Morris, Shelagh O'Riordan
Falls among inpatients are the most frequently reported safety incident in NHS hospitals. 30-50% of falls result in some physical injury and fractures occur in 1-3%. No fall is harmless, with psychological sequelae leading to lost confidence, delays in functional recovery and prolonged hospitalisation. Yet falls are not true accidents and there is evidence that a coordinated multidisciplinary clinical team approach can reduce their incidence. Identification of multiple underlying risk factors coupled with clear interventions to ameliorate the impact of each has been shown to reduce the incidence of inpatient falls by 20-30%...
July 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/28760685/-leadership-and-management-courses-for-clinicians
#7
Daniel Wichelhaus, Peter Fischer
AIM: The study evaluates the benefit of Leadership and Management Courses for clinicians. We want to examine which specific leadership and management contents are beneficial for a clinicians daily work, and if these contents support their individual career. METHOD: All 543 medical doctors working ant the University Hospital at Hanover, Germany, who had taken part in a leadership and management course between June 2005 and June 2015 were invited via email to participate in this study...
July 28, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28750599/the-influence-of-multiple-trials-and-computer-mediated-communication-on-collaborative-and-individual-semantic-recall
#8
Joanne M Hinds, Stephen J Payne
Collaborative inhibition is a phenomenon where collaborating groups experience a decrement in recall when interacting with others. Despite this, collaboration has been found to improve subsequent individual recall. We explore these effects in semantic recall, which is seldom studied in collaborative retrieval. We also examine "parallel CMC", a synchronous form of computer-mediated communication that has previously been found to improve collaborative recall [Hinds, J. M., & Payne, S. J. ( 2016 ). Collaborative inhibition and semantic recall: Improving collaboration through computer-mediated communication...
July 28, 2017: Memory
https://www.readbyqxmd.com/read/28730890/the-biopsychosocial-model-of-illness-a-model-whose-time-has-come
#9
Derick T Wade, Peter W Halligan
The biopsychosocial model outlined in Engel's classic Science paper four decades ago emerged from dissatisfaction with the biomedical model of illness, which remains the dominant healthcare model. Engel's call to arms for a biopsychosocial model has been taken up in several healthcare fields, but it has not been accepted in the more economically dominant and politically powerful acute medical and surgical domains. It is widely used in research into complex healthcare interventions, it is the basis of the World Health Organisation's International Classification of Functioning (WHO ICF), it is used clinically, and it is used to structure clinical guidelines...
August 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28723916/stakeholders-views-and-experiences-of-care-and-interventions-for-addressing-frailty-and-pre-frailty-a-meta-synthesis-of-qualitative-evidence
#10
Barbara D'Avanzo, Rachel Shaw, Silvia Riva, Joao Apostolo, Elzbieta Bobrowicz-Campos, Donata Kurpas, Maria Bujnowska, Carol Holland
Frailty is a common condition in older age and is a public health concern which requires integrated care and involves different stakeholders. This meta-synthesis focuses on experiences, understanding, and attitudes towards screening, care, intervention and prevention for frailty across frail and healthy older persons, caregivers, health and social care practitioners. Studies published since 2001 were identified through search of electronic databases; 81 eligible papers were identified and read in full, and 45 papers were finally included and synthesized...
2017: PloS One
https://www.readbyqxmd.com/read/28716785/imbuing-medical-professionalism-in-relation-to-safety-a-study-protocol-for-a-mixed-methods-intervention-focused-on-trialling-an-embedded-learning-approach-that-centres-on-the-use-of-a-custom-designed-board-game
#11
Marie Ward, Eilish McAuliffe, Éidín Ní Shé, Ann Duffy, Una Geary, Una Cunningham, Catherine Holland, Nick McDonald, Karen Egan, Christian Korpos
INTRODUCTION: Healthcare organisations have a responsibility for ensuring that the governance of workplace settings creates a culture that supports good professional practice. Encouraging such a culture needs to start from an understanding of the factors that make it difficult for health professionals to raise issues of concern in relation to patient safety. The focus of this study is to determine whether a customised education intervention, developed as part of the study, with interns and senior house officers (SHOs) can imbue a culture of medical professionalism in relation to patient safety and support junior doctors to raise issues of concern, while shaping a culture of responsiveness and learning...
July 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28714833/patients-expectations-and-solutions-for-improving-primary-diabetes-care
#12
Brigitte Vachon, Ai-Thuy Huynh, Mylaine Breton, Louise Quesnel, Michel Camirand, Jeannette Leblanc, Sylvie Tardif
Purpose The purpose of this paper is to document health care needs expressed by people living with diabetes, describe the solutions they envisaged for improving the quality of primary care (PC) services and empower them to make better use of PC services. Design/methodology/approach A participatory research approach was used. Six workshops were organised to provide diabetes patients with knowledge on available services and to engage them in sharing their experience. Group discussions were recorded. Data were analysed using the thematic analysis method...
July 10, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28707741/randomized-clinical-trial-of-psychological-support-and-sleep-adjuvant-measures-for-postoperative-sleep-disturbance-in-patients-undergoing-oesophagectomy
#13
M Scarpa, E Pinto, E Saraceni, F Cavallin, M Parotto, R Alfieri, M T Nardi, M R Marchi, M Cagol, C Castoro
BACKGROUND: Major surgery such as oesophagectomy requires a postoperative stay in intensive care. Painful stimuli lead to sleep disturbance and impairment in quality of life. The aim of this study was to evaluate the effect of psychological counselling and sleep adjuvant measures on postoperative quality of sleep and quality of life. METHODS: This RCT was performed between January 2013 and October 2015. Patients undergoing oesophagectomy for cancer were randomized into one of four groups receiving: psychological counselling plus sleep adjuvant measures during the ICU stay; psychological counselling alone; sleep adjuvant measures alone during the ICU stay; or standard care...
September 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28671050/outcome-instruments-in-moderate-to-severe-adult-traumatic-brain-injury-recommendations-for-use-in-psychosocial-research
#14
Cynthia A Honan, Skye McDonald, Robyn Tate, Tamara Ownsworth, Leanne Togher, Jennifer Fleming, Vicki Anderson, Angela Morgan, Cathy Catroppa, Jacinta Douglas, Heather Francis, Travis Wearne, Linda Sigmundsdottir, Jennie Ponsford
BACKGROUND: Traumatic brain injury (TBI) can reduce psychosocial functioning, causing relationship, family, and employment difficulties. The present study by Moving Ahead: Centre for Research Excellence (CRE) in Brain Recovery aimed to identify a set of adult outcome instruments for moderate-to-severe TBI psychosocial research. PROCEDURE: A review of 115 instruments (identified through nomination, literature search, and international expert opinion) was conducted over a 15-month period...
July 2, 2017: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/28661236/forty-years-of-research-concerning-children-and-youth-in-greenland-a-mapping-review
#15
Mia Glendøs, Peter Berliner
OBJECTIVE: This study undertakes a mapping review of mainly concerning children and youth in Greenland in the period 1976-2016 and reflects on how the research has been conducted and knowledge thereby created about children and youth in Greenland, as well as how the research has been developed over time. DESIGN: 16 online databases; five journals; publication lists originating from seven organisations and ten prominent researchers; and local network and references were used in the search and subsequently screened through the scoping criteria...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28658300/the-association-between-levels-of-alcohol-consumption-and-mental-health-problems-and-academic-performance-among-young-university-students
#16
Chimwemwe Tembo, Sharyn Burns, Fatch Kalembo
PURPOSE: Mental health problems and harmful alcohol consumption have been found to be high among young university students compared to the general population in Australia. This research aimed to investigate the association between levels of drinking and mental health problems and academic performance among university students aged 18 to 24 years. METHODS: This study used a quantitative cross-sectional design using data that were collected in 2014 as part of the Youth Alcohol Project (YAP)...
2017: PloS One
https://www.readbyqxmd.com/read/28648957/teaching-psychology-to-nursing-students-a-discussion-of-the-potential-contribution-of-psychology-towards-building-resilience-to-lapses-in-compassionate-caring
#17
Jan M A de Vries, Fiona Timmins
Psychology is a required element in nursing education in many countries. It is particularly aimed at teaching nursing students to get a better understanding of patients, colleagues, health care organizations and themselves, and moreover to apply what they learn about psychology to optimise their care. A meaningful integration of psychology within nursing education requires an emphasis on its application in understanding aspects of care and skills development. However, its ultimate value is demonstrated when addressing problem areas in nursing and health care...
June 17, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28647721/effects-of-a-peer-support-programme-for-youth-social-services-employees-experiencing-potentially-traumatic-events-a-protocol-for-a-prospective-cohort-study
#18
Stephane Guay, Nicole Tremblay, Jane Goncalves, Henriette Bilodeau, Steve Geoffrion
INTRODUCTION: The use of peer support programmes to help workers experiencing potentially traumatic events (PTE) has increased in high-risk organisations in the last decades. However, the scientific evidence of its effectiveness is still very limited. This paper aims to describe the protocol of a prospective cohort study that assesses the efficacy of a peer support programme among youth social services employees exposed to a PTE at work on psychological well-being, work functioning and needs of support...
June 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28635439/social-and-occupational-factors-associated-with-psychological-wellbeing-among-occupational-groups-affected-by-disaster-a-systematic-review
#19
Samantha K Brooks, Rebecca Dunn, Richard Amlôt, G James Rubin, Neil Greenberg
BACKGROUND: The psychological impact of disasters has been well-documented; less attention has been paid to factors affecting the wellbeing of those exposed to disasters as occupational groups. AIMS: To conduct a systematic literature review identifying social and occupational factors affecting the wellbeing of disaster-exposed employees; to use these factors to identify recommendations for potential interventions. METHOD: Four electronic literature databases were searched; reference lists of relevant papers were hand-searched...
August 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28635044/experience-and-psychological-impact-of-anal-cancer-screening-in-gay-bisexual-and-other-men-who-have-sex-with-men-a-qualitative-study
#20
S Russo, K McCaffery, J Ellard, M Poynten, G Prestage, D J Templeton, R Hillman, C Law, A E Grulich
OBJECTIVE: Human papillomavirus (HPV)-related anal cancer rates are increasing and are particularly high in gay, bisexual and other men who have sex with men (GBM/MSM), especially HIV-positive individuals. Although screening programs for high-risk populations have been advocated, concerns about possible adverse psychological consequences exist. This study aimed to investigate GBM/MSM's experience, understanding and emotional response to screening techniques for anal cancer, to determine how best to minimise psychological distress in future programs...
June 20, 2017: Psycho-oncology
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