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a complementary affair

Anita Strezova, Sheila O'Neill, Cathy O'Callaghan, Astrid Perry, Jinzhu Liu, John Eden
OBJECTIVE: This study explored the attitudes to, and experience of, menopause among Macedonian women living in Australia, including attitudes and responses to hormone therapy (HT) and complementary therapies, as well as related psycho-sexual, relationship and other midlife issues. METHODS: Using qualitative methodology, the study was based on seven unstructured, nondirective group discussions. Natural social groups were recruited, meeting wherever each group felt most at home...
October 10, 2016: Menopause: the Journal of the North American Menopause Society
Mark S Bauer, Christopher J Miller, Mingfei Li, Laura A Bajor, Austin Lee
OBJECTIVES: Numerous antimanic treatments have been introduced over the past two decades, particularly second-generation antipsychotics (SGAs). However, it is not clear whether such newer agents provide any advantage over older treatments. METHODS: A historical cohort design investigated the nationwide population of outpatients with bipolar disorder treated in the Department of Veterans Affairs who were newly initiated on an antimanic agent between 2003 and 2010 (N=27 727)...
September 21, 2016: Bipolar Disorders
Angela D Bryan, Arielle S Gillman, Natasha S Hansen
Starting school later, keeping adolescents busy with structured programming, and making free condoms available, as Steinberg (2015) suggests, are important and necessary steps, but they are simply not sufficient if the goal is reducing sexually transmitted infections and unplanned pregnancy. We agree that the current state of affairs, which in many schools involves sexuality education using programs that are not empirically supported, is unacceptable. However, abandoning sexuality education entirely would leave adolescents ill equipped to protect themselves...
July 2016: Perspectives on Psychological Science: a Journal of the Association for Psychological Science
Elizabeth Czekanski
Nurse leaders in the mental health field are challenged to ensure the mental health environment is safe and therapeutic. They must also continually evaluate whether nurses are effectively engaging therapeutically with patients in their care. Undergraduate nursing students and practicing nurses usually receive little or no training in facilitating nurse-led groups. Nurses who are trained and capable of facilitating groups may enhance therapeutic relationships and engage patients to improve treatment outcomes...
July 2016: Nursing Administration Quarterly
Carol Elizabeth Fletcher, Allison R Mitchinson, Erika L Trumble, Daniel B Hinshaw, Jeffery A Dusek
Veterans are increasingly using complementary and integrative health (CIH) therapies to manage chronic pain and other troubling symptoms that significantly impair health and quality of life. The Department of Veterans Affairs (VA) is exploring ways to meet the demand for access to CIH, but little is known about Veterans' perceptions of the VA's efforts. To address this knowledge gap, we conducted interviews of 15 inpatients, 8 receiving palliative care, and 15 outpatients receiving CIH in the VA. Pain was the precipitating factor in all participants' experience...
2016: Journal of Rehabilitation Research and Development
Ann F Chou, Danielle E Rose, Melissa Farmer, Ismelda Canelo, Elizabeth M Yano
BACKGROUND: Preventive service delivery, including cancer screenings, continues to pose a challenge to quality improvement efforts. Although many studies have focused on person-level characteristics associated with screening, less is known about organizational influences on cancer screening. OBJECTIVES: This study aims to understand the association between organizational factors and adherence to cancer screenings. METHODS: This study employed a cross-sectional design using organizational-level, patient-level, and area-level data...
December 2015: Medical Care
Ryann L Engle, Emily R Lopez, Katelyn E Gormley, Jeffrey A Chan, Martin P Charns, Carol VanDeusen Lukas
BACKGROUND: Middle managers play key roles in hospitals as the bridge between senior leaders and frontline staff. Yet relatively little research has focused on their role in implementing new practices. PURPOSE: The aim of this study was to expand the understanding of middle managers' influence in organizations by looking at their activities through the lens of two complementary conceptual frameworks. METHODOLOGY/APPROACH: We analyzed qualitative data from 17 Veterans Affairs Medical Centers with high and low potential to change organizational practices...
October 20, 2016: Health Care Management Review
Paula Sousa, Virginie Felizardo, Daniel Oliveira, Rafael Couto, Nuno M Garcia
Temperature analysis has been considered as a complementary method in medical evaluation and diagnosis. Several studies demonstrated that monitoring the temperature variations of the feet of diabetic patients can be helpful in the early identification of diabetic foot manifestations, and also in changing behaviors, which may contribute to reducing its incidence. In this review, several and most used techniques for assessing the temperature of the feet are presented, along with original published work on specific applications in diabetic foot complications...
July 2015: Expert Review of Medical Devices
Douglas E Paull, Lisa M Mazzia, Julia Neily, Peter D Mills, James R Turner, William Gunnar, Robin Hemphill
BACKGROUND: The Universal Protocol has been associated with the prevention of wrong surgery procedures; however, such events still occur. This article explores wrong surgery events, defined as those incorrect procedures (wrong site, wrong side, wrong procedure, wrong patient, wrong level, wrong implant) that would have occurred despite the Universal Protocol including the performance of a time-out by the surgical team. Understanding why some of these events are not caught by the steps of the Universal Protocol, culminating in the time-out, can help the field to add upstream and downstream safeguards to help prevent these never events...
July 2015: American Journal of Surgery
Carol E Fletcher, Allison R Mitchinson, Erika L Trumble, Daniel B Hinshaw, Jeffery A Dusek
BACKGROUND: The integration of complementary and alternative medicine (CAM) therapies into a large organization such as the Veterans Health Administration (VHA) requires cultural change and deliberate planning to ensure feasibility and buy-in from staff and patients. At present, there is limited knowledge of VHA patient care providers' and administrators' viewpoints regarding CAM therapies and their implementation. OBJECTIVES: Our purpose was to qualitatively examine knowledge, attitudes, perceived value and perceived barriers, and/or facilitators to CAM program implementation among VHA providers and administrators at a large VHA facility...
December 2014: Medical Care
A Rani Elwy, Jennifer M Johnston, Jill E Bormann, Amanda Hull, Stephanie L Taylor
BACKGROUND: Meditation, imagery, acupuncture, and yoga are the most frequently offered mind and body practices in the Department of Veterans Affairs. Yet, the research on mind and body practices has been critiqued as being too limited in evidence and scope to inform clinical treatment. OBJECTIVES: We conducted a systematic scoping review of mind and body practices used with veterans or active duty military personnel to identify gaps in the literature and make recommendations for future primary research...
December 2014: Medical Care
Lisa M Betthauser, Lisa A Brenner, Jeri E Forster, Trisha A Hostetter, Alexandra L Schneider, Theresa D Hern√°ndez
BACKGROUND: Although Veterans utilize complementary and alternative medicine (CAM) at rates comparable with civilians, little is known about Veterans' attitudes and beliefs toward CAM. Measures to increase such knowledge may help to identify treatment preferences, particularly among those with signature conditions from the recent conflicts [ie, traumatic brain injury (TBI), posttraumatic stress disorder (PTSD)]. OBJECTIVE: This exploratory study aimed to: (1) determine the factors of the Complementary, Alternative, and Conventional Medicine Attitudes Scale (CACMAS); and to utilize the resulting factors to describe (2) attitudes and beliefs toward CAM; (3) their association with TBI, PTSD, and history of self-directed violence...
December 2014: Medical Care
Matthew J Reinhard, Thomas H Nassif, Katharine Bloeser, Erin K Dursa, Shannon K Barth, Bonnie Benetato, Aaron Schneiderman
BACKGROUND: Complementary and alternative medicine (CAM) is increasingly seen as an adjunct to traditional plans of care. This study utilized a representative sample of Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) veterans and OEF/OIF-era veterans to explore the prevalence and characteristics of CAM users. RESEARCH DESIGN: The National Health Study for a New Generation of US Veterans (NewGen) is a longitudinal health study of a population-based cohort of OEF/OIF (deployed) and OEF/OIF-era (nondeployed) veterans...
December 2014: Medical Care
Stephanie Brooks Holliday, Amanda Hull, Courtney Lockwood, Christine Eickhoff, Patrick Sullivan, Matthew Reinhard
BACKGROUND: Gulf War veterans represent a unique subset of the veteran population. It has been challenging to identify interventions that result in improvements in physical and mental health for this population. Recently, there has been recognition of a potential role for complementary and alternative medicine (CAM) interventions. OBJECTIVES: This paper examines the characteristics of Gulf War and non-Gulf War veterans referred to a CAM clinic, and explores the utilization of services by this population...
December 2014: Medical Care
Mark N Rubin, Kevin M Barrett, Thomas G Brott, James F Meschia
Stroke remains an exceedingly incident and prevalent public health burden across the globe, with an estimated 16 million new strokes per annum and prevalence over 60 million, and extracranial internal carotid artery atherosclerotic disease is an important risk factor for stroke. Randomized trials of surgical treatment were conducted (North American Symptomatic Carotid Endarterectomy Trial, European Carotid Surgery Trial) and demonstrated efficacy of carotid endarterectomy for secondary prevention of stroke in patients with cerebrovascular events (e...
January 2014: JRSM Cardiovascular Disease
Theodore Long, Sarah Dann, Marissa Lynn Wolff, Rebecca S Brienza
As the United States faces an impending shortage in the primary care workforce, interprofessional teamwork training to improve clinic efficiency and health outcomes is becoming increasingly important. Currently there is limited integration of interprofessional training in educational models for health professionals. The implementation of Patient Aligned Care Teams at the Department of Veterans Affairs (VA) has provided an opportunity for interprofessional collaboration among trainee and faculty providers within the VA system...
September 2014: Journal of Interprofessional Care
Peter A Lurker, Fred Berman, Richard W Clapp, Jeanne Mager Stellman
BACKGROUND: During the Vietnam War, approximately 20 million gallons of herbicides, including ~10.5 million gallons of dioxin-contaminated Agent Orange, were sprayed by about 34 UC-123 aircraft that were subsequently returned to the United States, without decontamination or testing, to three Air Force reserve units for transport operations (~1971-1982). In 1996, observed dioxin contamination led to withdrawal of these UC-123s from public auction and to their smelting in 2009. Current Air Force and Department of Veterans Affairs policies stipulate that "dried residues" of chemical herbicides and dioxin had not lead to meaningful exposures to flight crew and maintenance personnel, who are thus ineligible for Agent Orange-related benefits or medical examinations and treatment...
April 2014: Environmental Research
Julie A Pavlin, Howard S Burkom, Yevgeniy Elbert, Cynthia Lucero-Obusan, Carla A Winston, Kenneth L Cox, Gina Oda, Joseph S Lombardo, Mark Holodniy
BACKGROUND: The U.S. Department of Veterans Affairs (VA) and Department of Defense (DoD) had more than 18 million healthcare beneficiaries in 2011. Both Departments conduct individual surveillance for disease events and health threats. METHODS: We performed joint and separate analyses of VA and DoD outpatient visit data from October 2006 through September 2010 to demonstrate geographic and demographic coverage, timeliness of influenza epidemic awareness, and impact on spatial cluster detection achieved from a joint VA and DoD biosurveillance platform...
2013: PloS One
Alex A Balekian, Gerard A Silvestri, Suzanne M Simkovich, Peter J Mestaz, Gillian D Sanders, Jamie Daniel, Jackie Porcel, Michael K Gould
RATIONALE: Management of pulmonary nodules depends critically on the probability of malignancy. Models to estimate probability have been developed and validated, but most clinicians rely on judgment. OBJECTIVES: The aim of this study was to compare the accuracy of clinical judgment with that of two prediction models. METHODS: Physician participants reviewed up to five clinical vignettes, selected at random from a larger pool of 35 vignettes, all based on actual patients with lung nodules of known final diagnosis...
December 2013: Annals of the American Thoracic Society
Olajide A Olawale, Abraham N Deih, Raphael Kk Yaadar
BACKGROUND: Psychological stress associated with cerebral palsy (CP) is known to be one of the most depressing conditions of families. In the traditional African society, some peculiar factors may contribute to the stress. AIMS: The aims of this study were to identify and describe, from the African perspective, the psychological impact of CP on families and determine the strategies adopted by families in coping with it. SETTINGS AND DESIGN: The study was a cross-sectional descriptive survey conducted in the Physiotherapy Department of a tertiary hospital...
April 2013: Journal of Neurosciences in Rural Practice
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