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https://www.readbyqxmd.com/read/27905860/a-scoping-review-on-models-of-integrative-medicine-what-is-known-from-the-existing-literature
#1
Eun Jin Lim, Janette L Vardy, Byeong Sang Oh, Haryana M Dhillon
OBJECTIVES: Integrative medicine (IM) has been recognized and introduced into Western healthcare systems over the past two decades. Limited information on IM models is available to guide development of an optimal healthcare service. A scoping review was carried out to evaluate IM models in the extant literature, including the distinctive features of each model, to gain an understanding of the core requirements needed to develop models of IM that best meet the needs of patients. DESIGN: Directed content analysis was used to classify the IM models into systems based on coding schema developed from theoretical models and to identify the key concepts of each system...
December 1, 2016: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/27885551/condomless-sex-among-homeless-youth-the-role-of-multidimensional-social-norms-and-gender
#2
Anamika Barman-Adhikari, Hsun-Ta Hsu, Stephanie Begun, Andrea Perez Portillo, Eric Rice
Most studies of condomless sex among homeless youth have focused on peer norms, while excluding other potentially pertinent influences. This study explored how different types of relationships contributed to norms about condomless sex and whether such norms were associated with engagement in condomless sex among homeless youth. Additionally, because recent work has noted gender differences in social networks of male and female homeless youth, gender differences in social network norms of condomless sex were also assessed...
November 24, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27875602/practice-facilitation-for-pcmh-implementation-in-residency-practices
#3
Emilie Buscaj, Tristen Hall, Linda Montgomery, Douglas H Fernald, Jaclyn King, Nicole Deaner, W Perry Dickinson
BACKGROUND AND OBJECTIVES: Primary care residency programs continue to adapt and change to become high-performing training sites for advanced primary care. Practice facilitation is a key method to assist practices in implementing organizational changes. This evaluation described the unique nature and essential roles and qualities of practice facilitation for residency program patient-centered medical home (PCMH) transformation. METHODS: Evaluation of the Colorado Residency PCMH Project from 2009 through 2014 included template and immersion-crystallization approaches to qualitative analysis of field notes, key informant interviews, and meeting documentation to identify themes related to external facilitation for practice transformation in 11 Colorado primary care residency practices...
November 2016: Family Medicine
https://www.readbyqxmd.com/read/27871120/tri-focal-model-of-care-implementation-perspectives-of-residents-and-family
#4
Alison Hutchinson, Helen Rawson, Beverly O'Connell, Helen Walker, Tracey Bucknall, Helen Forbes, Joan Ostaszkiewicz, Cherene Ockerby
PURPOSE: To explore residents' and family members' perceptions of partnership-centered long-term care (LTC) associated with implementation of the Tri-focal Model of Care. The Model promotes partnership-centered care, evidence-based practice, and a positive environment. Its implementation is supported by a specifically designed education program. METHODS: The Model was implemented over approximately 12 months in seven LTC facilities in Victoria, Australia. A qualitative exploratory-descriptive approach was used...
November 21, 2016: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/27863724/-which-approach-of-therapeutic-education-te-for-adolescents-and-young-adults-with-cancer-experience-from-the-te-working-group-of-go-aja
#5
Nadège Corradini, Loïc Dagorne, Marielle Retailleau, Françoise Rédini, Hélène Sudour-Bonnange, Leila Gofti-Laroche, Anne Le Rhun, Nathalie Gaspar
INTRODUCTION: Therapeutic education (TE) is a practice developed over 40 years at an international level to give people with chronic illness the skills necessary to help them better manage their disease. The lengthening survival time of cancer patients as well as changes in the patient-caregiver relationship have contributed to the development of TE in oncologic diseases. Every year in France, about 1900 adolescents and young adults (15-25 years old) are diagnosed with cancer which is the second leading cause of death in this age group...
November 15, 2016: Bulletin du Cancer
https://www.readbyqxmd.com/read/27861609/exploring-molecular-mechanisms-of-paradoxical-activation-in-the-braf-kinase-dimers-atomistic-simulations-of-conformational-dynamics-and-modeling-of-allosteric-communication-networks-and-signaling-pathways
#6
Amanda Tse, Gennady M Verkhivker
The recent studies have revealed that most BRAF inhibitors can paradoxically induce kinase activation by promoting dimerization and enzyme transactivation. Despite rapidly growing number of structural and functional studies about the BRAF dimer complexes, the molecular basis of paradoxical activation phenomenon is poorly understood and remains largely hypothetical. In this work, we have explored the relationships between inhibitor binding, protein dynamics and allosteric signaling in the BRAF dimers using a network-centric approach...
2016: PloS One
https://www.readbyqxmd.com/read/27833396/strengthening-the-coordination-of-pediatric-mental-health-and-medical-care-piloting-a-collaborative-model-for-freestanding-practices
#7
Carolyn A Greene, Julian D Ford, Barbara Ward-Zimmerman, Lisa Honigfeld, Anne E Pidano
BACKGROUND: Collaborative pediatric mental health and primary care is increasingly recognized as optimal for meeting the needs of children with mental health problems. This paper describes the challenges faced by freestanding specialty mental health clinics and pediatric health practices to provide such coordinated mind-and-body treatment. It describes critical elements of a proactive approach to achieving collaborative pediatric care under real-world circumstances using the patient-centered medical home neighborhood (PCMH-N) model...
October 2016: Child & Youth Care Forum
https://www.readbyqxmd.com/read/27819204/parental-experiences-with-a-hospital-based-bereavement-program-following-the-loss-of-a-child-to-cancer
#8
Julie Berrett-Abebe, Elyse Levin-Russman, Marie Elena Gioiella, Jeffrey M Adams
OBJECTIVE: The death of a child from cancer is an intense and life-changing loss for a parent. Guided by the principles of patient- and family-centered care, hospital-based caregivers developed a program to provide bereavement support for parents through phone calls and mailings. The aim of the present qualitative phenomenological study was to understand how parents experienced participating in this bereavement program. METHOD: A total of eight parents from six families participated in a focus-group evaluation of the two-year hospital-based bereavement program...
November 7, 2016: Palliative & Supportive Care
https://www.readbyqxmd.com/read/27806468/relationship-between-quality-of-the-referral-chain-of-hospital-services-and-patient-satisfaction
#9
Farzaneh Mahmoudi-Meymand, Aidin Aryankhesal, Pouran Raeissi
INTRODUCTION: The aim of this study was to examine the relationship between quality of the referral chain of hospital services and patient satisfaction in Kerman, Iran. METHODS: The study was quantitative-qualitative and crosses-sectional, conducted during August-October, 2015 in a hospital in Kerman, Iran. Two questionnaires were used in the study. During data collection, 115 patients were referred from a public hospital to an imaging center for imaging services that quality of the referral chain and satisfaction were studied...
June 30, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27805274/an-examination-of-the-relationship-between-consequence-specific-normative-belief-patterns-and-alcohol-related-consequences-among-college-students
#10
Racheal Reavy, Michael J Cleveland, Kimberly A Mallett, Nichole M Scaglione, Nichole M Sell, Rob Turrisi
BACKGROUND: Research has previously identified a high-risk subgroup of college students who experience high levels of multiple and repeated alcohol-related consequences (MRC group). The purpose of this study was to examine the association between consequence-specific normative influences and experiencing multiple and repeated drinking-related consequences using a person-centered approach. Normative subgroups were identified using latent profile analysis (LPA), which were then used to predict MRC group status at 6-month follow-up...
December 2016: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/27793421/prescription-errors-by-emergency-physicians-for-inpatients-are-associated-with-emergency-department-length-of-stay
#11
Pierre-Géraud Claret, Xavier Bobbia, Rhoda Renia, Andrew Stowell, Jacques Crampagne, Jean Flechet, Christian Czeschan, Mustapha Sebbane, Paul Landais, Jean-Emmanuel de La Coussaye
OBJECTIVES: Adverse drug events are the sixth-leading cause of death in Western countries and are also more frequent in emergency departments (EDs). In some hospitals or on some occasions, ED physicians prescribe for patients who they have admitted. These prescriptions are then followed by the wards and can persist for several days. Our objectives were to determine the frequency of prescription errors for patients over 18years old hospitalized from ED to medical or surgical wards, and whether there exists a relationship between those prescription errors and ED LOS...
October 25, 2016: Thérapie
https://www.readbyqxmd.com/read/27780964/use-of-multimedia-technology-in-the-doctor-patient-relationship-for-obtaining-patient-informed-consent
#12
Andrzej Michalski, Marcin Stopa, Bogdan Miśkowiak
Patient informed consent for surgery or for high-risk methods of treatment or diagnosis means that unlawful breach of the patient's personal interests is avoided and the patient accepts the risk of surgery and takes the brunt of it. Patient awareness - their knowledge of the condition and circumstances of continued therapeutic procedure, including offered and available methods of treatment and their possible complications - constitutes a particular aspect of the informed-consent process. The rapid development of technologies and methods of treatment may cause communication problems between the doctor and the patient regarding the scope and method of patient education prior to surgery...
October 26, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27776789/preferences-and-needs-of-patients-with-a-rheumatic-disease-regarding-the-structure-and-content-of-online-self-management-support
#13
Judy W Ammerlaan, Harmieke van Os-Medendorp, Nienke de Boer-Nijhof, Bertha Maat, Lieske Scholtus, Aike A Kruize, Johannes W J Bijlsma, Rinie Geenen
OBJECTIVE: Aim of this study was to investigate preferences and needs regarding the structure and content of a person-centered online self-management support intervention for patients with a rheumatic disease. METHODS: A four step procedure, consisting of online focus group interviews, consensus meetings with patient representatives, card sorting task and hierarchical cluster analysis was used to identify the preferences and needs. RESULTS: Preferences concerning the structure involved 1) suitability to individual needs and questions, 2) fit to the life stage 3) creating the opportunity to share experiences, be in contact with others, 4) have an expert patient as trainer, 5) allow for doing the training at one's own pace and 6) offer a brief intervention...
October 13, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27769762/intimacy-substance-use-and-communication-needs-during-cancer-therapy-a-report-from-the-resilience-in-adolescents-and-young-adults-study
#14
Abby R Rosenberg, Kira Bona, Tyler Ketterl, Claire M Wharton, Joanne Wolfe, K Scott Baker
PURPOSE: The prevalence of intimacy and substance use among adolescents and young adults during cancer therapy has not been well described. METHODS: The "Resilience in Adolescents and Young Adults with Cancer" study was a prospective, multicenter, mixed-methods cohort study. English-speaking patients 14-25 years old with newly diagnosed cancer were invited to complete a comprehensive survey at the time of enrollment (T1) and 3-6 months later (T2). Intimate relationships and health behaviors were assessed with questions adapted from the Guidelines for Adolescent Preventative Services assessment...
October 18, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/27766538/social-media-and-your-practice-navigating-the-surgeon-patient-relationship
#15
REVIEW
Alexander S McLawhorn, Ivan De Martino, Keith A Fehring, Peter K Sculco
Utilization of social media both in the private and professional arenas has grown rapidly in the last decade. The rise of social media use within health care can be viewed as the Internet-based corollary of the patient-centered care movement, in which patient perspectives and values are central to the delivery of quality care. For orthopedic surgeons and their practices, general-purpose online social networks, such as Facebook and Twitter, are convenient platforms for marketing, providing patient education and generating referrals...
December 2016: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/27760524/a-question-prompt-sheet-for-adult-patients-with-chronic-kidney-disease
#16
Swati Lederer, Michael J Fischer, Howard S Gordon, Anuradha Wadhwa, Subhash Popli, Elisa J Gordon
BACKGROUND: Patients with chronic kidney disease (CKD) commonly have unmet information needs. Greater patient participation in healthcare discussions can address these needs and improve health outcomes. We developed a patient-centered question prompt sheet (QPS) to engage CKD patients in healthcare conversations. METHODS: We conducted a two phase, mixed-methods, cross-sectional study involving semi-structured telephone interviews. Patients with an estimated glomerular filtration rate (eGFR) <60 ml/min/1...
October 19, 2016: BMC Nephrology
https://www.readbyqxmd.com/read/27754581/human-papillomavirus-hpv-awareness-and-vaccine-receptivity-among-senegalese-adolescents
#17
Philip M Massey, Ruth K Boansi, Jessica D Gipson, Rachel M Adams, Helene Riess, Thierno Dieng, Michael L Prelip, Deborah C Glik
OBJECTIVE: To examine HPV vaccine awareness and receptivity among adolescents and young adults in Senegal. METHODS: Participants from six high schools and five community centres across five regions of Senegal (n = 2286) completed a self-administered questionnaire in October and November 2014. The study assessed HPV awareness and receptivity towards receiving the HPV vaccine. Multivariable logistic regression explored statistically significant relationships between the predictor variables and both outcomes...
October 18, 2016: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/27746587/personality-profiles-of-effective-leadership-performance-in-assessment-centers
#18
Alissa D Parr, Stephanie T Lanza, Paul Bernthal
Most research examining the relationship between effective leadership and personality has focused on individual personality traits. However, profiles of personality traits more fully describe individuals, and these profiles may be important as they relate to leadership. This study used latent class analysis to examine how personality traits combine and interact to form subpopulations of leaders, and how these subpopulations relate to performance criteria. Using a sample of 2,461 executive-level leaders, six personality profiles were identified: Unpredictable Leaders with Low Diligence (7...
2016: Human Performance
https://www.readbyqxmd.com/read/27743840/teaching-caregivers-of-persons-with-dementia-to-address-pain
#19
Mark E Kunik, A Lynn Snow, Nancy Wilson, Amber B Amspoker, Shubhada Sansgiry, Robert O Morgan, Jun Ying, Gayle Hersch, Melinda A Stanley
OBJECTIVES: To compare the efficacy of Preventing Aggression in Veterans with Dementia (PAVeD) with that of usual care in decreasing incidence of aggression (primary outcome) and pain and improving depression, pleasant events, caregiver burden, and patient-caregiver relationship quality (secondary outcomes). DESIGN: Randomized controlled trial with assessments at baseline and 3, 6, 9, and 12 months SETTING: Houston, TX. PARTICIPANTS: A total of 203 community-dwelling veterans with pain and dementia and their caregivers...
April 27, 2016: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27742127/enhanced-access-and-parents-preferred-contact-for-a-child-s-chronic-condition
#20
Neal A deJong, Elisabeth P Dellon, Emily B Vander Schaaf, Alan D Stiles, Rachael A Carr, Michael J Steiner
OBJECTIVES: To assess whether the perception of enhanced access by parents in their child's primary care and main specialty practices is associated with preference for contacting either practice when problems arise with a child's chronic condition. STUDY DESIGN: In this cross-sectional survey study of parents whose children use both primary and specialty practices, we assessed perceptions of 3 components of enhanced access: (1) appointment availability when needed, (2) electronic communication with practices, and (3) other staff that help manage a child's health care needs...
October 11, 2016: Journal of Pediatrics
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