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https://www.readbyqxmd.com/read/28647549/motivational-interviewing-improves-sustainable-return-to-work-in-injured-workers-after-rehabilitation-a-cluster-randomized-controlled-trial
#1
Douglas P Gross, Joanne Park, Fahreen Rayani, Colleen M Norris, Shaniff Esmail
OBJECTIVE: To examine whether motivational interviewing (MI) leads to more sustainable return-to-work outcomes for injured workers undergoing rehabilitation. MI is a client-centred counselling approach that facilitates behavioural change through identifying and resolving ambivalence. DESIGN: A cluster randomised controlled trial was conducted with analysis at level of claimant (registration ISRCTN45748422). SETTING: The study was conducted at a workers' compensation rehabilitation facility in Edmonton, Canada...
June 21, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28641007/palladium-catalyzed-sn2-cyclization-of-ambivalent-bromoalkadienyl-malonates-preparation-of-medium-to-large-membered-endocyclic-allenes
#2
Hiroaki Ichio, Hidetoshi Murakami, Yen-Chou Chen, Tamotsu Takahashi, Masamichi Ogasawara
A palladium-catalyzed reaction of preparing various endocyclic allenes was developed. The substrates for the reaction were readily available ω-(pronucleophile-tethered)-3-bromo-1,3-alkadienes, and a palladium-catalyst facilitated their unimolecular SN2'-cyclization in the presence of potassium tert-butoxide to give the corresponding 9- to 16-membered endocyclic allenes in fair yields of up to 67% together with the dimeric 16- to 32-membered endocyclic bis-allenes and other oligomeric/polymeric intermolecular reaction products...
June 22, 2017: Journal of Organic Chemistry
https://www.readbyqxmd.com/read/28639344/intensive-care-nurses-experiences-of-caring-for-obese-intensive-care-patients-a-hermeneutic-study
#3
Nastasja Robstad, Ulrika Söderhamn, Liv Fegran
AIM AND OBJECTIVES: To obtain a deeper understanding of qualified intensive care nurses' experiences of caring for obese patients in intensive care. BACKGROUND: Admission of obese patients with complex health care needs to intensive care units is increasing. Caring for obese critically ill patients can be challenging and demanding for the intensive care nurse because of the patients' weight, critical situation, and physical challenges. There is a gap in knowledge at present about qualified intensive care nurses' experiences of caring for obese patients in intensive care units...
June 21, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28631501/ambivalence-in-rehabilitation-thematic-analysis-of-the-experiences-of-lower-limb-amputated-veterans
#4
Jan Christensen, Henning Langberg, Patrick Doherty, Ingrid Egerod
BACKGROUND: Knowledge about the organization and factors of importance to rehabilitation of veterans with lower limb amputation is sparse. The aim of this study was, therefore, to improve understanding of the influences of "military identity" on the organization of rehabilitation services and to investigate those factors influential in achieving successful rehabilitation, including interprofessional collaboration between different sectors involved in the rehabilitation of veterans with lower limb amputations...
June 20, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28629382/community-first-responders-and-responder-schemes-in-the-united-kingdom-systematic-scoping-review
#5
Viet-Hai Phung, Ian Trueman, Fiona Togher, Roderick Orner, A Niroshan Siriwardena
BACKGROUND: Community First Responder (CFR) schemes support lay people to respond to medical emergencies, working closely with ambulance services. They operate widely in the UK. There has been no previous review of UK literature on these schemes. This is the first systematic scoping review of UK literature on CFR schemes, which identifies the reasons for becoming a CFR, requirements for training and feedback and confusion between the CFR role and that of ambulance service staff. This study also reveals gaps in the evidence base for CFR schemes...
June 19, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/28628736/-it-s-definitely-not-alzheimer-s-perceived-benefits-and-drawbacks-of-a-mild-cognitive-impairment-diagnosis
#6
Tim Gomersall, Sarah Kate Smith, Charlotte Blewett, Arlene Astell
OBJECTIVES: To understand the perceived benefits and drawbacks of a mild cognitive impairment (MCI) diagnosis from the perspective of those living with the label. METHODS: Participants were included if they had recently (within 6 months) received a MCI diagnosis. We also recruited close family members to gain their perspectives. Each was interviewed separately with a semi-structured topic guide covering three areas: (1) experience of cognitive impairments and changes in the individual; (2) impact of cognitive impairment(s) on daily activities and social relationships; and (3) experience of the diagnosis process and living with the label...
June 19, 2017: British Journal of Health Psychology
https://www.readbyqxmd.com/read/28622067/opioid-involved-overdose-among-male-afghanistan-iraq-era-u-s-military-veterans-a-multidimensional-perspective
#7
Alex S Bennett, Luther Elliott, Andrew Golub, Brett Wolfson-Stofko, Honoria Guarino
BACKGROUND: Mirroring nationwide trends in a broad range of U.S. populations, an alarming number of Afghanistan/Iraq-era U.S. Military veterans have experienced opioid-related overdoses. A growing body of research has examined the proximal behaviors that can precipitate an overdose; considerably less is known about more distal physiological, psychosocial and structural influences on these risk behaviors. OBJECTIVES: This study adopts a multidimensional approach to better understand opioid-related overdose among U...
June 16, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28610754/power-and-ambivalence-in-intergenerational-communication-deciding-to-institutionalize-in-shanghai
#8
Lin Chen
China's tradition of taking care of one's aging parents continues to evolve, as evidenced by the growth in nursing home residents in Shanghai. However, how these families make the decision to institutionalize remains unclear. To fill this gap, this study draws on power relations to examine communication dynamics when oldest-old and their adult children decide to institutionalize. This study used a phenomenological approach. Twelve dyads of matched elderly residents and their children participated in face-to-face, in-depth interviews (N=24)...
April 2017: Journal of Aging Studies
https://www.readbyqxmd.com/read/28610752/age-ascription-as-a-resource-and-a-source-of-resistance-an-interactional-study-of-health-professionals-castings-of-patients-into-the-category-old
#9
Shirley Näslund
This case study aims to give an understanding of what actions health professionals' castings of patients into the category 'old' perform on a medical and social level as well as what actions patients' interactional management of these castings perform. Particularly, this study aims to bring to the fore the negotiability of health professionals' perspectivating age ascriptions. This is done with the conversation analytic method (CA) according to which altercasting is a mutual construction performed turn by turn and shaped by the reactions of the interlocutor who can approve, resist, or modify the identity in question...
April 2017: Journal of Aging Studies
https://www.readbyqxmd.com/read/28607558/hashimoto-s-encephalopathy-presenting-with-unusual-behavioural-disturbances-in-an-adolescent-girl
#10
Murugan Selvaraj Karthik, Kulothungan Nandhini, Viswanath Subashini, Ramasamy Balakrishnan
Hashimoto's encephalopathy (HE) is a rare autoimmune disorder with neurological and neuropsychiatric manifestations and elevated titres of anti-thyroid antibodies. Here we are reporting a case of HE in a 19-year-old girl who presented with seizure-like episodes, confusion, and behavioural disturbances with catatonic symptoms such as posturing, echopraxia, echolalia, and ambivalence. Patient did not respond to antipsychotics and anticonvulsants. On further investigation, patient was found to have high serum anti-TPO antibodies of about 1261 U/mL with euthyroid status, which supported a suspicion of HE...
2017: Case Reports in Medicine
https://www.readbyqxmd.com/read/28603441/the-care-of-our-hybrid-selves-ethics-in-times-of-technical-mediation
#11
Steven Dorrestijn
What can the art of living after Foucault contribute to ethics in relation to the mediation of human existence by technology? To develop the relation between technical mediation and ethics, firstly the theme of technical mediation is elaborated in line with Foucault's notion of ethical problematization. Every view of what technology does to us at the same time expresses an ethical concern about technology. The contemporary conception of technical mediation tends towards the acknowledgement of ongoing hybridization, not ultimately good or bad but ambivalent, which means for us the challenge of taking care of ourselves as hybrid beings...
2017: Foundations of Science
https://www.readbyqxmd.com/read/28602567/medical-students-reflections-on-emotions-concerning-breaking-bad-news
#12
Asta Kristiina Toivonen, Sari Lindblom-Ylänne, Pekka Louhiala, Eeva Pyörälä
OBJECTIVES: To gain a deeper understanding of fourth year medical students' reflections on emotions in the context of breaking bad news (BBN). METHODS: During the years 2010-2012, students reflected on their emotions concerning BBN in a learning assignment at the end of the communications skills course. The students were asked to write a description of how they felt about a BBN case. The reflections were analysed using qualitative content analysis. RESULTS: 351 students agreed to participate in the study...
June 3, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28597770/pulmonary-arterial-hypertension-specialists-knowledge-practices-and-attitudes-of-genetic-counseling-and-genetic-testing-in-the-usa
#13
Joseph E Jacher, Lisa J Martin, Wendy K Chung, James E Loyd, William C Nichols
Pulmonary arterial hypertension (PAH) is characterized by obstruction of pre-capillary pulmonary arteries, which leads to sustained elevation of pulmonary arterial pressure. Identifying those at risk through early interventions, such as genetic testing, may mitigate disease course. Current practice guidelines recommend genetic counseling and offering genetic testing to individuals with heritable PAH, idiopathic PAH, and their family members. However, it is unclear if PAH specialists follow these recommendations...
April 2017: Pulmonary Circulation
https://www.readbyqxmd.com/read/28597110/acculturation-matters-in-the-relation-between-ambivalence-over-emotional-expressions-and-well-being-among-chinese-american-breast-cancer-survivors
#14
William Tsai, Qian Lu
PURPOSE: Ambivalence over emotional expression (AEE) is the inner conflict of desiring emotion expression and fearing consequence of emotion expression. Few studies to date have examined the effects of AEE within an ethnic group that prioritizes emotional self-control. The present study examined the associations between AEE and well-being (viz., quality of life and depressive symptoms) as a function of acculturation among a sample of Chinese American breast cancer survivors. METHODS: Ninety-six Chinese breast cancer survivors (M age = 54...
June 8, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28590133/hydration-repulsion-difference-between-ordered-and-disordered-membranes-due-to-cancellation-of-membrane-membrane-and-water-mediated-interactions
#15
Bartosz Kowalik, Alexander Schlaich, Matej Kanduč, Emanuel Schneck, Roland R Netz
Hydration repulsion acts between all sufficiently polar surfaces in water at small separations and prevents dry adhesion up to kilobar pressures. Yet it remained unclear whether this ubiquitous force depends on surface structure or is a sole water property. We demonstrate that previous deviations among different experimental measurements of hydration pressures in phospholipid bilayer stacks disappear when plotting data consistently as a function of repeat distance or membrane surface distance. The resulting pressure versus distance curves agree quantitatively with our atomistic simulation results and exhibit different decay lengths in the ordered gel and the disordered fluid states...
June 13, 2017: Journal of Physical Chemistry Letters
https://www.readbyqxmd.com/read/28586392/desire-for-a-child-and-eating-disorders-in-women-seeking-infertility-treatment
#16
Mélanie Bruneau, Agnès Colombel, Sophie Mirallié, Thomas Fréour, Jean-Benoit Hardouin, Paul Barrière, Marie Grall-Bronnec
OBJECTIVES: The purpose of this study was to evaluate the prevalence of EDs in women seeking treatment for infertility, and to better characterize their clinical profile. STUDY DESIGN: Sixty participants completed self-report measures that assessed EDs, desire for a child, body preoccupations, quality of life, anxiety and depression. RESULTS: Ten patients (17%) met criteria for a past or current ED. We showed a significant association between greater body dissatisfaction and a more ambivalent desire for a child...
2017: PloS One
https://www.readbyqxmd.com/read/28584498/understanding-barriers-to-initial-treatment-engagement-among-underserved-families-seeking-mental-health-services
#17
Mirian E Ofonedu, Harolyn M E Belcher, Chakra Budhathoki, Deborah A Gross
This mixed method study examined factors associated with parents not attending their child's mental health treatment after initially seeking help for their 2-5 year old child. It was part of a larger study comparing two evidence-based treatments among low-income racial/ethnic minority families seeking child mental health services. Of 123 parents who initiated mental health treatment (71% African American or multi-racial; 97.6% low-income), 36 (29.3%) never attended their child's first treatment session. Socio-demographic characteristics, parenting stress, depression, severity of child behavior problems, and length of treatment delay from intake to first scheduled treatment session were compared for families who did and did not attend their first treatment session...
March 2017: Journal of Child and Family Studies
https://www.readbyqxmd.com/read/28578985/attention-focus-and-self-touch-in-toddlers-the-moderating-effect-of-attachment-security
#18
Sachiyo Ito-Jäger, Amanda R Howard, Karyn B Purvis, David R Cross
The superior self-regulation and attention-regulation abilities of securely attached children have been repeatedly demonstrated. However, the mechanisms that allow securely attached children to exhibit higher levels of attention focus than insecurely attached (anxious-ambivalent and anxious-avoidant) children need to be explored. One possible mechanism that has been hypothesized to play a role in focusing attention is self-touch. Previous research has shown that 10-year-old children exhibit more bilateral self-touch (i...
August 2017: Infant Behavior & Development
https://www.readbyqxmd.com/read/28577324/soluble-two-dimensional-covalent-organometallic-polymers-by-arene-ruthenium-sulfur-chemistry
#19
Frederic Cherioux, Johann Coraux, Valentin Muller, Laurence Magaud, Nedjma Bendiab, Martien Den Hertog, Olivier Leynaud, Wael Hourani, Simon Lamare, Danial Kamaruddin, Frank Palmino, Roland Salut
A class of two-dimensional (2D) covalent organometallic polymers, with nanometer-scale crosslinking, is obtained by arene(ruthenium) sulfur chemistry. Their ambivalent nature, with positively charged crosslinks and lypophylic branches, is the key to the often sought-for and usually hard-to achieve solubility of 2D polymers in various kinds of solvents. Solubility is here controlled by the planarity of the polymer, which in turn controls Coulomb interactions between the polymer layers. High planarity is achieved for high symmetry crosslinks and short, rigid branches...
June 3, 2017: Chemistry: a European Journal
https://www.readbyqxmd.com/read/28576863/evolving-mistranslating-trnas-through-a-phenotypically-ambivalent-intermediate-in-saccharomyces-cerevisiae
#20
Matthew D Berg, Kyle S Hoffman, Julie Genereaux, Safee Mian, Ryan S Trussler, David B Haniford, Patrick O'Donoghue, Christopher J Brandl
The genetic code converts information from nucleic acid into protein. The genetic code was thought to be immutable, yet many examples in nature indicate that variations to the code provide a selective advantage. We used a sensitive selection system involving suppression of a deleterious allele (tti2-L187P) in Saccharomyces cerevisiae to detect mistranslation and identify mechanisms that allow genetic code evolution. Though tRNA(Ser) containing a proline anticodon (UGG) is toxic, using our selection system, we identified four tRNA(Ser)UGG variants, each with a single mutation, that mistranslate at a tolerable level...
June 2, 2017: Genetics
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