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https://www.readbyqxmd.com/read/28728768/maintaining-integrity-how-nurses-navigate-boundaries-in-pediatric-palliative-care
#1
Alyssa Erikson, Betty Davies
PURPOSE: To explore how nurses manage personal and professional boundaries in caring for seriously ill children and their families. DESIGN AND METHODS: Using a constructivist grounded theory approach, a convenience sample of 18 registered nurses from four practice sites was interviewed using a semi-structured interview guide. RESULTS: Nurses across the sites engaged in a process of maintaining integrity whereby they integrated two competing, yet essential, aspects of their nursing role - behaving professionally and connecting personally...
July 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28726059/professional-ethics-for-digital-age-psychiatry-boundaries-privacy-and-communication
#2
REVIEW
James E Sabin, Jonathan Clark Harland
PURPOSE OF REVIEW: Internet and social media use continue to expand rapidly. Many patients and psychiatrists are bringing digital technologies into the treatment process, but relatively little attention has been paid to the ethical challenges in doing this. This review presents ethical guidelines for psychiatry in the digital age. RECENT FINDINGS: Surveys demonstrate that patients are eager to make digital technologies part of their treatment. Substantial numbers search for professional and personal information about their therapists...
September 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/28710751/ultrasound-imaging-of-dna-damage-effects-in-live-cultured-cells-and-in-brain-tissue
#3
Hadi Tadayyon, Mehrdad J Gangeh, Roxana Vlad, Michael C Kolios, Gregory J Czarnota
High-frequency ultrasound (>20 MHz) spectroscopy can be used to detect noninvasively DNA damage in cell samples in vitro, and in live tissue both ex vivo and in vivo. This chapter focuses on the former two aspects. Experimental evidence suggests that morphological changes that occur in cells undergoing apoptosis result in changes in frequency-dependent ultrasound backscatter. With advances in research, ultrasound spectroscopy is advancing the boundaries of fast, label-free, noninvasive DNA damage detection technology with potential use in personalized medicine and early therapy response monitoring...
2017: Methods in Molecular Biology
https://www.readbyqxmd.com/read/28684213/a-generalisable-methodology-for-stability-assessment-of-walking-aid-users
#4
E Costamagna, S B Thies, L P J Kenney, D Howard, A Liu, D Ogden
To assist balance and mobility, older adults are often prescribed walking aids. Nevertheless, surprisingly their use has been associated with increased falls-risk. To address this finding we first need to characterise a person's stability while using a walking aid. Therefore, we present a generalisable method for the assessment of stability of walking frame (WF) users. Our method, for the first time, considers user and device as a combined system. We define the combined centre of pressure (CoPsystem) of user and WF to be the point through which the resultant ground reaction force for all feet of both the WF and user acts if theresultant moment acts only around an axisperpendicular tothe ground plane...
July 3, 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28669311/description-of-opra-a-danish-database-designed-for-the-analyses-of-risk-factors-associated-with-30-day-hospital-readmission-of-people-aged-65-years
#5
Mona K Pedersen, Gunnar L Nielsen, Lisbeth Uhrenfeldt, Ole S Rasmussen, Søren Lundbye-Christensen
AIMS: To describe the construction of the Older Person at Risk Assessment (OPRA) database, the ability to link this database with existing data sources obtained from Danish nationwide population-based registries and to discuss its research potential for the analyses of risk factors associated with 30-day hospital readmission. METHODS: We reviewed Danish nationwide registries to obtain information on demographic and social determinants as well as information on health and health care use in a population of hospitalised older people...
June 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/28661753/rethinking-the-belmont-report
#6
Phoebe Friesen, Lisa Kearns, Barbara Redman, Arthur L Caplan
This article reflects on the relevance and applicability of the Belmont Report nearly four decades after its original publication. In an exploration of criticisms that have been raised in response to the report and of significant changes that have occurred within the context of biomedical research, five primary themes arise. These themes include the increasingly vague boundary between research and practice, unique harms to communities that are not addressed by the principle of respect for persons, and how growing complexity and commodification in research have shed light on the importance of transparency...
July 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28661167/the-devil-s-in-the-detail-accessibility-of-specific-personal-memories-supports-rose-tinted-self-generalizations-in-mental-health-and-toxic-self-generalizations-in-clinical-depression
#7
Caitlin Hitchcock, Catrin Rees, Tim Dalgleish
Models of memory propose that separate systems underpin the storage and recollection of specific events from our past (e.g., the first day at school), and of the generic structure of our experiences (e.g., how lonely I am), and that interplay between these systems serves to optimize everyday cognition. Specifically, it is proposed that memories of discrete events help define the circumstances (boundary conditions) in which our generalized knowledge applies, thereby enhancing accuracy of memory-dependent cognitive processes...
June 29, 2017: Journal of Experimental Psychology. General
https://www.readbyqxmd.com/read/28660679/do-avoidable-hospitalization-rates-among-older-adults-differ-by-geographic-access-to-primary-care-physicians
#8
Michael R Daly, Jennifer M Mellor, Marco Millones
OBJECTIVE: To investigate the association between older adults' potentially avoidable hospitalization rates and both a geographic measure of primary care physician (PCP) access and a standard bounded-area measure of PCP access. DATA SOURCES: State physician licensure data from the Virginia Board of Medicine. Patient-level hospital discharge data from Virginia Health Information. Area-level data from the American Community Survey and the Area Health Resources Files...
June 28, 2017: Health Services Research
https://www.readbyqxmd.com/read/28635383/rendering-lgbtq-visible-in-nursing-embodying-the-philosophy-of-caring-science
#9
Lisa Goldberg, Neal Rosenburg, Jean Watson
Although health care institutions continue to address the importance of diversity initiatives, the standard(s) for treatment remain historically and institutionally grounded in a sociocultural privileging of heterosexuality. As a result, lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities in health care remain largely invisible. This marked invisibility serves as a call to action, a renaissance of thinking within redefined boundaries and limitations. We must therefore refocus our habits of attention on the wholeness of persons and the diversity of their storied experiences as embodied through contemporary society...
June 1, 2017: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/28633621/heads-up
#10
Jeffrey B Wagman, Alex Dayer, Alen Hajnal
Possibilities for behavior (i.e., affordances) can be perceived with units spanning anatomical components and external objects. For example, affordances for standing on an inclined surface can be perceived with an object held in the hand or attached to the head. We investigated whether these two person-plus-object perceptual systems exhibit the same pattern of nonlinear phase transitions in perception of this affordance. Blindfolded participants explored an inclined surface with a rod held in the hand or attached to the head and reported whether they could stand on that surface...
May 2017: Experimental Psychology
https://www.readbyqxmd.com/read/28630442/ir-sensitivity-enhancement-of-cmos-image-sensor-with-diffractive-light-trapping-pixels
#11
Sozo Yokogawa, Itaru Oshiyama, Harumi Ikeda, Yoshiki Ebiko, Tomoyuki Hirano, Suguru Saito, Takashi Oinoue, Yoshiya Hagimoto, Hayato Iwamoto
We report on the IR sensitivity enhancement of back-illuminated CMOS Image Sensor (BI-CIS) with 2-dimensional diffractive inverted pyramid array structure (IPA) on crystalline silicon (c-Si) and deep trench isolation (DTI). FDTD simulations of semi-infinite thick c-Si having 2D IPAs on its surface whose pitches over 400 nm shows more than 30% improvement of light absorption at λ = 850 nm and the maximum enhancement of 43% with the 540 nm pitch at the wavelength is confirmed. A prototype BI-CIS sample with pixel size of 1...
June 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28628676/a-human-scale-perspective-on-global-warming-zero-emission-year-and-personal-quotas
#12
Alberto de la Fuente, Maisa Rojas, Claudia Mac Lean
This article builds on the premise that human consumption of goods, food and transport are the ultimate drivers of climate change. However, the nature of the climate change problem (well described as a tragedy of the commons) makes it difficult for individuals to recognise their personal duty to implement behavioural changes to reduce greenhouse gas emissions. Consequently, this article aims to analyse the climate change issue from a human-scale perspective, in which each of us has a clearly defined personal quota of CO2 emissions that limits our activity and there is a finite time during which CO2 emissions must be eliminated to achieve the "well below 2°C" warming limit set by the Paris Agreement of 2015 (COP21)...
2017: PloS One
https://www.readbyqxmd.com/read/28615652/development-of-a-computer-aided-design-and-finite-element-analysis-combined-method-for-customized-nuss-bar-in-pectus-excavatum-surgery
#13
Longhan Xie, Siqi Cai, Liang Xie, Gang Chen, Haiyu Zhou
Pectus excavatum (PEX) is the most common chest deformity in children, which is usually corrected by using the minimally invasive Nuss method. The orthopedic effect of the Nuss operation is mainly evaluated by both the Haller index and the appearance of the chest wall configuration, which is dependent on the operator's clinical experience to a great extent. To improve the orthopedic effect, we proposed a novel method to individually design and optimize the shape of the Nuss bar and to advise its location as well as the incisions...
June 14, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28587573/-they-take-care-of-their-own-healthcare-professionals-constructions-of-sami-persons-with-dementia-and-their-families-reluctance-to-seek-and-accept-help-through-attributions-to-multiple-contexts
#14
Bodil Hansen Blix, Torunn Hamran
BACKGROUND: Norwegian government white papers have stated that the Sami population is reluctant to seek help from healthcare services and has traditions of self-help and the use of local networks. OBJECTIVE: In this article we explore healthcare professionals' discursive constructions of Sami persons with dementia and their families' reluctance to seek and accept help from healthcare services. DESIGN: The article is based on an analysis of focus group interviews with healthcare professionals (n = 18) in four municipalities in Northern Norway with multiethnic populations...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28586268/biopolitics-and-boundary-work-in-south-africa-s-sutherlandia-clinical-trial
#15
Christopher Morris
Between 2008 and 2011, South African and American investigators carried out a randomized controlled trial to assess the safety and efficacy of an African traditional medicine in South Africans who were HIV-seropositive but asymptomatic. The medicine was derived from Sutherlandia frutescens, a plant endemic to and widely used to stimulate immune function by people across southern Africa. In this article, I report on the cross-cultural challenges generated by trial investigators' transformation of Sutherlandia into a clinical trial substance and a potential "treatment gap" therapy for persons with HIV...
June 6, 2017: Medical Anthropology
https://www.readbyqxmd.com/read/28585702/consistent-belief-in-a-good-true-self-in-misanthropes-and-three-interdependent-cultures
#16
Julian De Freitas, Hagop Sarkissian, George E Newman, Igor Grossmann, Felipe De Brigard, Andres Luco, Joshua Knobe
People sometimes explain behavior by appealing to an essentialist concept of the self, often referred to as the true self. Existing studies suggest that people tend to believe that the true self is morally virtuous; that is deep inside, every person is motivated to behave in morally good ways. Is this belief particular to individuals with optimistic beliefs or people from Western cultures, or does it reflect a widely held cognitive bias in how people understand the self? To address this question, we tested the good true self theory against two potential boundary conditions that are known to elicit different beliefs about the self as a whole...
June 6, 2017: Cognitive Science
https://www.readbyqxmd.com/read/28581540/self-injury-placement-in-mental-disorders-classifications-risk-factors-and-primary-mechanisms-review-of-the-literature
#17
REVIEW
Kamila Lenkiewicz, Ewa Racicka, Anita Bryńska
Self-injury is a common phenomenon among adolescents and young adults, however its prevalence in clinical population is estimated at 40-80%, especially in regard to patients during puberty. Symptoms usually appear between 12th and 14th year of age, and their average duration is approx. 2 years. According to accepted sociocultural norms self-injury can be regarded as a normal behavior. Nevertheless, the prevalence of body art phenomenon in Western culture including professional tattooing, piercing, scarification, burning tattoos and other body modification typical for tribal cultures, has forced the need to redefine the boundaries for normative behavior...
April 30, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/28555774/post-fordist-reconfigurations-of-gender-work-and-life-theory-and-practice
#18
Breda Gray, Luigina Ciolfi, Aparecido Fabiano Pinatti de Carvalho, Anthony D'Andrea, Lisa Wixted
Based on an in-depth study with 56 informants (25 women and 31 men), across the ICT (information and communication technology), creative and academic sectors in one city/regional hub in Ireland, this article investigates the so-called revolution in work/life practices associated with the post-Fordist labour processes of the Knowledge Economy from the perspectives of workers themselves. Recent theorizations of post-Fordist work patterns emphasize a rearranging of work and life place boundaries; a reconfiguring of work and life time boundaries; and a dissolving of the gendered boundaries of work and life (production and social reproduction) (Adkins and Dever ; Morini and Fumagalli ; Gill and Pratt ; Weeks ; Hardt and Negri )...
May 29, 2017: British Journal of Sociology
https://www.readbyqxmd.com/read/28545341/interidentity-amnesia-in-dissociative-identity-disorder
#19
John Morton
INTRODUCTION: Patients diagnosed with dissociative identity disorder (DID) usually present with alternative personality states (alters) who take separate control of consciousness. Commonly, one alter will claim they have no awareness of events which took place when another alter was in control. However, some kinds of material are transferred across the alter boundary. Huntjens et al. devised an objective method of demonstrating such transfer. METHODS: In the main study, following Huntjens et al...
July 2017: Cognitive Neuropsychiatry
https://www.readbyqxmd.com/read/28544871/signs-of-social-class-the-experience-of-economic-inequality-in-everyday-life
#20
Michael W Kraus, Jun Won Park, Jacinth J X Tan
By some accounts, global economic inequality is at its highest point on record. The pernicious effects of this broad societal trend are striking: Rising inequality is linked to poorer health and well-being across countries, continents, and cultures. The economic and psychological forces that perpetuate inequality continue to be studied, and in this theoretical review, we examine the role of daily experiences of economic inequality-the communication of social class signals between interaction partners-in this process...
May 2017: Perspectives on Psychological Science: a Journal of the Association for Psychological Science
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