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https://www.readbyqxmd.com/read/28930706/giving-voice-to-the-voiceless-the-colorado-response-to-unrepresented-patients
#1
Deb Bennett-Woods, Jean Abbott, Jacqueline J Glover
Medical decision making on behalf of unrepresented patients is one of the most challenging ethical issues faced in clinical practice. The legal environment surrounding these patients is equally complex. This article describes the efforts of a small coalition of interested healthcare professionals to address the issue in Colorado. A brief history of the effort is presented, along with discussion of the legal, ethical, practical, and political dimensions that arose in Colorado's effort to address decision making for unrepresented patients through an extension of the existing Colorado Medical Treatment Decision Act (CRS 15-18)...
2017: Journal of Clinical Ethics
https://www.readbyqxmd.com/read/28925978/dental-environmental-noise-evaluation-and-health-risk-model-construction-to-dental-professionals
#2
Kuen Wai Ma, Hai Ming Wong, Cheuk Ming Mak
Occupational noise is unavoidably produced from dental equipment, building facilities, and human voices in the dental environment. The purpose of this study was to investigate the effect of occupational noise exposure on the dental professionals' health condition. The psychoacoustics approach noise exposure assessment followed by the health risk assessment was carried on at the paediatric dentistry clinic and the dental laboratory in the Prince Philip Dental Hospital of Hong Kong. The A-weighted equivalent sound level, total loudness, and sharpness values were statistically significantly higher for the noise at the laboratory than that at the clinic...
September 19, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28895154/perceptions-of-pain-of-laryngeal-electromyography
#3
Ashley P O'Connell Ferster, Amanda Hu
OBJECTIVE: To evaluate pain associated with laryngeal electromyography (LEMG). STUDY DESIGN: A prospective case series. METHODS: Adult patients scheduled for LEMG in a tertiary care laryngology practice were recruited between July 20, 2016, and March 1, 2017. Demographic and clinical data were extracted from the charts. Study participants reported their anticipated pain level using a visual analog scale (VAS) prior to the procedure. VAS was administered again within 10 minutes after the procedure, along with the validated McGill Pain Questionnaire, to gauge patient's pain perception after undergoing LEMG...
September 12, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28888666/perceptual-differences-between-novice-and-professional-music-theater-singers
#4
Lynn Maxfield, Brian Manternach
OBJECTIVE: Research examining contemporary commercial music styles of singing has increased significantly over the last 10 years. While acoustic analysis has helped determine which characteristics define various vocal genres, a discrepancy still exists in how those acoustic characteristics are perceived, described, and evaluated. METHODS: The current study recorded seven novice and four professional musical theater singers performing belt, legit, and mix vocal samples...
September 6, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28881934/broadening-participation-in-the-society-for-integrative-and-comparative-biology
#5
Cheryl A D Wilga, Michele Nishiguchi, Brian Tsukimura
The goal of the Society for Integrative and Comparative Biology's Broadening Participation Committee (SICB BPC) is to increase the number of underrepresented group (URG) members within the society and to expand their capabilities as future researchers and leaders within SICB. Our short-term 10-year goal was to increase the recruitment and retention of URG members in the society by 10%. Our long-term 25-year goal is to increase the membership of URG in the society through recruitment and retention until the membership demographic mirrors that of the US Census...
July 1, 2017: Integrative and Comparative Biology
https://www.readbyqxmd.com/read/28881363/-motivational-interviewing-with-alcohol-dependent-patients
#6
Michael Spaeth, Stefan Bleich, Thomas Hillemacher
Motivational interviewing with alcohol-dependent patients Alcohol-dependent patients do not need to be motivated from the outside. They are mostly ambivalent, and the inner voice, which already speaks for change (change talk), is heard through motivational interviewing, carefully strengthened and developed together with the patient. The practitioner has to deal with the human spirit of motivational interviewing and should be able to communicate with empathy, respect, congruence, and openness. The patient's autonomy should always be maintained...
September 2017: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/28870096/major-health-service-transformation-and-the-public-voice-conflict-challenge-or-complicity
#7
Graham P Martin, Pam Carter, Mike Dent
Objectives Calls for major reconfigurations of health services have been accompanied by recommendations that wide ranging stakeholders be involved. In particular, patients and the wider public are seen as critical contributors as both funders and beneficiaries of public health care. But public involvement is fraught with challenges, and little research has focused on involvement in the health service transformation initiatives. This paper examines the design and function of public involvement in reconfiguration of health services within the English NHS...
January 1, 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28857486/educational-priorities-of-students-in-the-entrustable-professional-activity-era
#8
Roy E Strowd, Allison McBride, Jon Goforth, Joseph Cristiano, Nicholas Hartman, Gregory Waters, James Beardsley, James E Johnson, Kim Askew
BACKGROUND: The Association of American Medical Colleges (AAMC) guidelines on the entrustable professional activities (EPAs) expected of graduating medical students were recently published. Although perceptions of educators, residents and programme directors have been described, the voice of senior medical students is lacking. METHODS: A single-institution cross-sectional study of senior medical students was performed. Student perceptions were collected and compared with: (1) national guidelines (i...
August 30, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28857230/bridging-the-gaps-for-health-the-gapfon-report
#9
EDITORIAL
Roger Watson
The first phase of the work of GAPFON - the Global Advisory Panel on the Future of Nursing - is complete and this is marked by an 80-page main report with appendices identifying and confirming global health and professional priorities, the GAPFON model reflecting these, and the strategies designed to meet them. GAPFON was an initiative of Sigma Theta Tau International, led by Hester Klopper, formerly President of Sigma Theta Tau International and Martha Hill, Dean Emeritus of Johns Hopkins School of Nursing...
August 31, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28854128/digital-health-communication-and-global-public-influence-a-study-of-the-ebola-epidemic
#10
Hal Roberts, Brittany Seymour, Sands Alden Fish, Emily Robinson, Ethan Zuckerman
Scientists and health communication professionals expressed frustration over the relationship between misinformation circulating on the Internet and global public perceptions of and responses to the Ebola epidemic originating in West Africa. Using the big data platform Media Cloud, we analyzed all English-language stories about keyword "Ebola" published from 1 July 2014 to 17 November 2014 from the media sets U.S. Mainstream Media, U.S. Regional Media, U.S. Political Blogs, U.S. Popular Blogs, Europe Media Monitor, and Global Voices to understand how social network theory and models of the networked global public may have contributed to health communication efforts...
2017: Journal of Health Communication
https://www.readbyqxmd.com/read/28837230/the-nursing-profession-in-sri-lanka-time-for-policy-changes
#11
D Aluwihare-Samaranayake, L Ogilvie, G G Cummings, Ian R Gellatly
AIM: We address issues and challenges in nursing in Sri Lanka with the aim of identifying where and how policy changes need to be made. BACKGROUND: Increased global interconnectivity calls for professional leadership, research, education, and policy reform in nursing as these are identified as enhancing health workforce performance and professionalization, thereby improving health systems. SOURCES OF EVIDENCE: We draw on first-hand knowledge of health care and nursing in Sri Lanka and a recent survey of nurses at a large urban government hospital in Sri Lanka, followed by discussion and proposed action on themes identified through analysis of published and unpublished literature about the nursing profession...
September 2017: International Nursing Review
https://www.readbyqxmd.com/read/28833334/parents-voices-our-process-of-advocating-for-our-child-with-autism-a-meta-synthesis-of-parents-perspectives
#12
REVIEW
K Boshoff, D Gibbs, R L Phillips, L Wiles, L Porter
BACKGROUND: Advocacy has been described by parents of children with autism as an important coping strategy, enabling them to move forward by redirecting emotions into actions. A key factor in the development of collaborative and constructive partnerships between service providers and parents is having an understanding of how parents engage in advocacy and the support needed to do so. This meta-synthesis was undertaken to consolidate in-depth qualitative data from parents' perspectives of the process that they use to advocate for their children with autism...
August 23, 2017: Child: Care, Health and Development
https://www.readbyqxmd.com/read/28826665/the-carcinologic-handicap-index-chi-a-disability-self-assessment-questionnaire-for-head-and-neck-cancer-patients
#13
M Balaguer, J Percodani, V Woisard
INTRODUCTION: The present prospective study sought to draw up and validate a self-assessment questionnaire for disability following head and neck cancer treatment. MATERIAL AND METHOD: The Carcinologic Handicap Index (CHI) was designed empirically based on the Voice Handicap Index. It comprises 9 dimensions, self-assessed by the patient: pain, swallowing, feeding, respiration, phonation, hearing, vision, olfaction-gustation, and psychosocial. For each dimension, 4 items are scored in terms of frequency, providing dimension and global scores...
August 18, 2017: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/28820951/lactation-consultants-perceived-barriers-to-providing-professional-breastfeeding-support
#14
Erica H Anstey, Martha Coulter, Cecilia M Jevitt, Kay M Perrin, Sharon Dabrow, Lynne B Klasko-Foster, Ellen M Daley
BACKGROUND: Addressing suboptimal breastfeeding initiation and duration rates is a priority in the United States. To address challenges to improving these rates, the voices of the providers who work with breastfeeding mothers should be heard. Research aim: The purpose of this study was to explore lactation consultants' perceived barriers to managing early breastfeeding problems. METHODS: This qualitative study was conducted with a grounded theory methodological approach...
August 1, 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28820002/applicability-of-the-arabic-version-of-vocal-tract-discomfort-scale-vtds-with-student-singers-as-professional-voice-users
#15
Wesam B Darawsheh, Yaser S Natour, Eve G Sada
AIM: This pilot study aimed to evaluate the internal consistency, convergent construct validity and criterion validity of Arabic version of the Vocal Tract Discomfort Scale (VTDS), and to investigate the correlation between the scores of the VTDS, the VHI and the acoustic measures of fundamental frequency (F0), shimmer, jitter and signal-to-noise ratio (SNR). METHODOLOGY: A cross-sectional study where 97 participants participated (47 males and 50 females) (mean age 20...
August 18, 2017: Logopedics, Phoniatrics, Vocology
https://www.readbyqxmd.com/read/28813072/stage-of-readiness-of-patients-with-behavioral-dysphonia-in-pre-and-post-group-voice-therapy-assessments
#16
Bianca Oliveira Ismael da Costa, Priscila Oliveira Costa Silva, Renata Serrano de Andrade Pinheiro, Hêmmylly Farias da Silva, Anna Alice Figueirêdo de Almeida
Purpose: To verify the efficacy of group voice therapy in the stage of readiness and identify which items of the URICA-Voice range are more sensitive to post-therapy change in patients with behavioral dysphonia. Methods: An intervention study was conducted on 49 patients with behavioral dysphonia. An eclectic approach to group therapy was implemented over eight sessions, the first and last sessions consisting of assessments. The URICA-Voice range was used to evaluate the stage of readiness at pre- and post-therapy assessments...
August 10, 2017: CoDAS
https://www.readbyqxmd.com/read/28812965/meeting-the-communication-support-needs-of-children-and-young-people-with-intellectual-disabilities-in-the-bolivian-andes
#17
Susan Buell, Darren Chadwick
Services available for people with disabilities in Bolivia tend to be fragmented and costly. Children and adults with intellectual disabilities are more likely to have a related communication disability and are thus both literally and metaphorically excluded from having a voice. The following research aimed to explore the experiences of accessing services by people with communication disabilities in Bolivia through semi-structured interviews and one focus group carried out with family members, professionals, service providers, educators and policymakers...
September 2017: Journal of Intellectual Disabilities: JOID
https://www.readbyqxmd.com/read/28812512/i-m-heartened-by-the-public-s-support-for-our-summer-of-protest
#18
Janet Davies
Nurses and other health professionals are joining our summer of protest, voicing their anger at the pay cap. The level of support from the public is heartening, with a growing number of people, including members of the government, understanding the need to scrap the cap.
August 16, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28801317/responses-to-assisted-suicide-requests-an-interview-study-with-swiss-palliative-care-physicians
#19
Claudia Gamondi, Gian Domenico Borasio, Pam Oliver, Nancy Preston, Sheila Payne
OBJECTIVES: Assisted suicide in Switzerland is mainly performed by right-to-die societies. Medical involvement is limited to the prescription of the drug and certification of eligibility. Palliative care has traditionally been perceived as generally opposed to assisted suicide, but little is known about palliative care physicians' involvement in assisted suicide practices. This paper aims to describe their perspectives and involvement in assisted suicide practices. METHODS: A qualitative interview study was conducted with 23 palliative care physicians across Switzerland...
August 11, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28797530/factors-affecting-voice-therapy-completion-in-singers
#20
Michelle Adessa, Tara Stadelman-Cohen, Lauryn Zipse, A J Guarino, James T Heaton
OBJECTIVE: The purpose of this study was to determine (a) which factors may affect singers' completing voice therapy, and (b) develop predictive profiles to capture those singers at risk for dropping out of voice therapy. STUDY DESIGN: A case-control study was conducted comparing singers who completed voice therapy to singers who dropped out of voice therapy. METHODS: Six factors, including age, gender, diagnosis, length of time between laryngology referral and commencement of therapy, type of singer, and referral source were investigated in relation to voice therapy completion using the medical records of 409 singers in the Massachusetts General Hospital Voice Center database...
August 7, 2017: Journal of Voice: Official Journal of the Voice Foundation
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