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https://www.readbyqxmd.com/read/28432089/preparing-future-doctors-for-palliative-care-views-of-course-organisers
#1
Steven Walker, Jane Gibbins, Paul Paes, Stephen Barclay, Astrid Adams, Madawa Chandratilake, Faye Gishen, Philip Lodge, Bee Wee
BACKGROUND: Effective training at medical school is essential to prepare new doctors to safely manage patients with palliative care (PC) and end of life care (EOLC) needs. The contribution of undergraduate PC course organisers is central but their collective views regarding role are unknown. OBJECTIVE: To survey attitudes of PC course organisers regarding their course, organisation, the adequacy of training provided and level of personal satisfaction. METHODS: An anonymised, multifactorial, web-based questionnaire was devised, tested, modified and then sent to lead PC course organisers at all UK medical schools...
April 21, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28424378/-recognition-care-and-prevention-of-suicidal-behaviour-in-adults
#2
Zoltán Rihmer, Attila Németh, Tamás Kurimay, Dóra Perczel-Forintos, György Purebl, Péter Döme
Suicide is a major public health problem everywhere in the world and in the WHO European Region suicide accounts for over 120,000 deaths per year. 1. Recognition and diagnosis: An underlying psychiatric disorder is present in up to 90% of people who completed suicide. Comorbidity with depression, anxiety, substance abuse and personality disorders is high. In order to achieve successful prevention of suicidality, adequate diagnostic procedures and appropriate treatment for the underlying disorder are essential...
2017: Psychiatria Hungarica: A Magyar Pszichiátriai Társaság Tudományos Folyóirata
https://www.readbyqxmd.com/read/28412942/breast-cancer-screening-practices-of-african-migrant-women-in-australia-a-descriptive-cross-sectional-study
#3
Olayide Oluyemisi Ogunsiji, Cannas Kwok, Lee Chun Fan
BACKGROUND: Breast cancer is the most diagnosed cancer among women and a leading cause of mortality and morbidity, globally. Breast cancer mortality can be improved through routine cancer screening, yet migrant populations have lower participation rates. While African migrants are among the fastest growing migrant population in Australia, their breast cancer screening behaviour is under-studied. The aims of this study were to report breast cancer screening status of African migrant women and factors associated with their breast cancer screening behaviour in Australia...
April 17, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28396386/contradictory-coroners-decision-making-in-death-investigations
#4
Maxwell Mclean
AIM: National coroner data demonstrate differences in the rates at which coroners across England and Wales choose to investigate reported deaths and the frequency by which they record certain conclusions. This study sought to examine how decisions are made by coroners and whether they differed when faced with identical case information. METHODS: Three different clinical scenarios were circulated via a web link to all senior coroners. The case information was contained within a 'Decision Board' displayed on screen...
April 10, 2017: Journal of Clinical Pathology
https://www.readbyqxmd.com/read/28395642/disgust-sensitivity-accounts-for-some-but-not-all-gender-differences-in-death-attitudes
#5
Jonathan F Bassett
The present study investigated whether gender differences in death attitudes could be attributable to social desirability, locus of control, and disgust sensitivity. A total of 238 university students completed the Multidimensional Fear of Death Scale and the Revised Death Attitude Profile in addition to measures of social desirability, locus of control, and disgust sensitivity. Women scored higher than men on many of the fear dimensions and also on approach and escape acceptance. There were no gender differences on locus of control or social desirability, but women reported more disgust sensitivity than did men...
May 2017: Omega
https://www.readbyqxmd.com/read/28393337/-living-with-tolerable-burden-exploring-the-ethical-self-of-nurses-who-provide-end-of-life-care
#6
Ying-Chun Liu, Yu-Lun Tai, Hsien-Hsien Chiang
BACKGROUND: Providing end-of-life (EOL) care elicits complex emotions in nurses in the context of modern medicine. Nurses must not only watch their patients succumb to disease and death but also witness their suffering. PURPOSE: This qualitative study adopted the perspective of "the other", as proposed by Emmanuel Levinas, to understand the experience of nurses who provide EOL care and the possibilities of nurses build up their ethical selves within the context of modern medicine...
April 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28387132/a-comparative-study-of-undergraduates-attitudes-toward-aging-in-taiwan-and-the-united-states-through-student-drawings
#7
Chih-Ling Liou
The purpose of this study is to compare similarities and differences in the attitudes toward aging among college students from Taiwan and the United States; 128 Taiwanese students and 124 U.S. students participated in this study. The findings indicate that the majority of students from both countries viewed aging as consisting primarily of physical changes. The differences are the U.S. students' drawings showing physical decline along with hospitals, nursing homes, or death, whereas Taiwanese students presenting physical decline as getting wrinkles, wearing glasses, or needing aid devices...
January 1, 2017: International Journal of Aging & Human Development
https://www.readbyqxmd.com/read/28387049/training-residents-in-depression-and-grief
#8
Angela Ghesquiere, Johanna Martinez, Cathy Jalali, Jo Anne Sirey, Susana Morales
BACKGROUND: About 20 per cent of Americans will experience depression in their lifetimes, and almost all will experience the death of a loved one. Both depression and grief have been associated with adverse health outcomes, including a decline in quality of life and excess mortality. Primary care physicians (PCPs) are the initial health care contact for most patients with depression and grief, yet often perceive that they lack the skills to adequately address these issues. Previous studies have investigated whether educational efforts improve PCP depression and grief knowledge or perceived skills, but few have focused on medical residents...
April 6, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28386983/investigating-the-factors-that-affect-the-communication-of-death-related-bad-news-to-people-with-intellectual-disabilities-by-staff-in-residential-and-supported-living-services-an-interview-study
#9
I Tuffrey-Wijne, T Rose
BACKGROUND: Most staff working in intellectual disability services will be confronted with people with intellectual disabilities who need support around death, dying and bereavement. Previous studies suggest that intellectual disability staff tend to protect clients from knowing about death and avoid communication about death. The aims of this study were to gain further insight into the individual, organisational and contextual factors that affect the communication of death-related bad news to people with intellectual disabilities by intellectual disability staff and to develop guidelines for services to enable appropriate communication with clients about death and dying...
April 7, 2017: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/28374951/newborn-screening-for-spinal-muscular-atrophy-the-views-of-affected-families-and-adults
#10
Felicity K Boardman, Philip J Young, Frances E Griffiths
Spinal muscular atrophy (SMA) is one of the leading genetic causes of infant death worldwide. However, due to a lack of treatments, SMA has historically fallen short of Wilson-Jungner criteria. While studies have explored the acceptability of expanded newborn screening to the general public, the views of affected families have been largely overlooked. This is in spite of the potential for direct impacts on them and their unique positioning to consider the value of early diagnosis. We have previously reported data on attitudes toward pre-conception and prenatal genetic screening for SMA among affected families (adults with SMA [n = 82] and family members [n = 255])...
April 4, 2017: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/28370837/bringing-it-all-back-home-understanding-the-medical-difficulties-encountered-by-newly-released-prisoners-in-new-orleans-louisiana-a-qualitative-study
#11
William Lee Vail, Anjali Niyogi, Norris Henderson, Ashley Wennerstrom
Formerly incarcerated persons (FIPs) face a disproportionate risk of death and serious illness in the immediate post-release period. Therefore, it is a critical time to initiate community-based care for chronic illnesses and behavioural disorders. Little is known about the unique transitional health and social support needs of FIPs in Louisiana, which has the highest incarceration rate in the world. As the average age of prisoners in the United States rises, the release of older prisoners with chronic conditions will become increasingly common...
March 28, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28367679/initial-perceptions-of-palliative-care-an-exploratory-qualitative-study-of-patients-with-advanced-cancer-and-their-family-caregivers
#12
Anna Collins, Sue-Anne McLachlan, Jennifer Philip
BACKGROUND: Despite evidence for early integration of palliative care for people with advanced cancer and their families, patterns of late engagement continue. Prior research has focused on health professionals' attitudes to palliative care with few studies exploring the views of patients and their carers. AIM: To explore initial perceptions of palliative care when this is first raised with patients with advanced cancer and their families in Australian settings...
March 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28361828/knowledge-attitude-practice-on-human-papillomavirus-vaccination-a-cross-sectional-study-among-healthcare-providers
#13
P Cheena Chawla, Anil Chawla, Seema Chaudhary
BACKGROUND & OBJECTIVES: Cervical cancer is a major health problem and a leading cause of death among women in India. Of all the associated risk factors, high-risk human papillomavirus (HPV) infections being the principal aetiologic agent, two HPV vaccines are in use for the control of cervical cancer. The present study was undertaken to explore the knowledge, attitude and practice (KAP) on HPV vaccination among the healthcare providers in India. METHODS: A cross-sectional study was conducted among 590 healthcare professionals from 232 hospitals and 80 PHCs of nine districts of Delhi-NCR (National Capital Region)...
November 2016: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/28359192/impact-of-individual-clinical-outcomes-on-trial-participants-perspectives-on-enrollment-in-emergency-research-without-consent
#14
Louisa W Whitesides, Jill M Baren, Michelle H Biros, Ross J Fleischman, Prasanthi R Govindarajan, Elizabeth B Jones, Arthur M Pancioli, Rebecca D Pentz, Victoria M Scicluna, David W Wright, Neal W Dickert
BACKGROUND: Evidence suggests that patients are generally accepting of their enrollment in trials for emergency care conducted under exception from informed consent. It is unknown whether individuals with more severe initial injuries or worse clinical outcomes have different perspectives. Determining whether these differences exist may help to structure post-enrollment interactions. METHODS: Primary clinical data from the Progesterone for the Treatment of Traumatic Brain Injury trial were matched to interview data from the Patients' Experiences in Emergency Research-Progesterone for the Treatment of Traumatic Brain Injury study...
April 2017: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/28357782/psychological-characteristics-of-italian-gender-dysphoric-adolescents-a-case-control-study
#15
A D Fisher, J Ristori, G Castellini, C Sensi, E Cassioli, A Prunas, M Mosconi, R Vitelli, D Dèttore, V Ricca, M Maggi
PURPOSE: Gender dysphoria (GD) is associated with clinically significant distress and impairment in social, scholastic, and other important areas of functioning, especially when early onset is reported. The aim of the present study is to assess the psychopathological features associated with GD in adolescence, comparing a group of gender dysphoric adolescents (GDs) with a group of non-referred adolescents (NRs), in terms of body uneasiness, suicide risk, psychological functioning, and intensity of GD...
March 29, 2017: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/28357592/awareness-and-knowledge-of-cardiovascular-disease-risk-factors-among-medical-students
#16
Miloš Ž Maksimović, Jelena M Marinković, Hristina D Vlajinac, Jadranka M Maksimović, Milena S Tomanić, Djordje J Radak
BACKGROUND: The aim of this study was to assess the knowledge and attitude of medical students in relation to cardiovascular disease (CVD) risk factors as well as to assess the impact of medical education on their knowledge and recognition of the importance of implementation of preventive measures. METHODS: This cross-sectional study included 514 students in the second year of studying at the Faculty of Medicine in Belgrade, Serbia (younger students response rate 79...
March 29, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/28353542/promoting-heart-health-among-rural-african-americans
#17
Laurie Abbott, Christine Williams, Elizabeth Slate, Sareen Gropper
BACKGROUND: Cardiovascular disease is a major cause of death for people living in the United States. African Americans bear a disproportionate burden of cardiovascular disease. Interventions designed to target multiple risk factors may facilitate elimination of cardiovascular disease health disparities. OBJECTIVE: The purpose of this study was to evaluate a culturally relevant cardiovascular health promotion intervention that could potentially reduce cardiovascular disease risk among a group of rural African American adults by improving intentions, attitudes, norms, and self-efficacy to increase produce consumption, reduce dietary saturated fat intake, and increase exercise...
March 28, 2017: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28351408/application-of-short-message-service-to-control-blood-cholesterol-a-field-trial
#18
Saeed Sadeghian, Mohsen Shams, Zahra Alipour, Soheil Saadat, Reza Hamidian, Maryam Shahrzad
BACKGROUND: Despite recommendations, many middle-age adults neglect to check their blood cholesterol levels. Short message service (SMS, also known as texting) has been seldom studied for preventive education. We estimated how SMS can be a cost-effective method in encouraging people to check their blood cholesterol levels. METHODS: In a field trial, 3600 cell phone users (age > 30) were randomly assigned to the intervention (N: 1200) and the control groups (N: 2400)...
March 28, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28344712/canadian-medical-education-journal-survey-evaluations-of-university-of-british-columbia-residents-education-and-attitudes-regarding-palliative-care-and-physician-assisted-death
#19
David Spicer, Sonia Paul, Tom Tang, Charlie Chen, Jocelyn Chase
BACKGROUND: Little prior research has been conducted regarding resident physicians' opinions on the subject of Physician Assisted Death (PAD), despite past surveys ascertaining the attitudes of practicing physicians towards PAD in Canada. We solicited British Columbia residents' opinions on the amount of education they receive about palliative care and physician assisted death, and their attitudes towards the implementation of PAD. METHODS: We conducted a cross sectional, anonymous online survey with the resident physicians of British Columbia, Canada...
February 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/28337154/the-reciprocal-relationship-between-suicidality-and-stigma
#20
REVIEW
Bernardo Carpiniello, Federica Pinna
INTRODUCTION: Although suicidality is frequently the cause of stigma, it is conversely true that stigma may be the cause of suicidality. The present paper focuses on the complex relationships that exist between suicidal behavior and stigmatizing attitudes. METHODS: A narrative review of the topic will be presented on the basis of the relevant literature collected from an electronic search of PubMed, ISI Web of Knowledge, and Scopus databases, using stigma, public stigma, structural stigma, perceived stigma, self-stigma, suicide, attempted suicide, and suicidality as key words...
2017: Frontiers in Psychiatry
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