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https://www.readbyqxmd.com/read/29141482/obstetric-practice-guidelines-labor-s-love-lost
#1
Wayne R Cohen, Emanuel A Friedman
Implementation of clinical practice guidelines may moderate health care costs, improve care, reduce medicolegal liability, and provide a uniformity in care allowing meaningful investigation of treatments and outcomes. However, new guidelines are often uncritically embraced by clinicians, risk management organizations, insurance companies, and the courts as the standard of care. Adoption of incompletely vetted recommendations can lead to patient harm. Recent recommendations made by the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine for assessment and management of labor provide an example of well-intended guidelines adopted uncritically...
November 15, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29102557/textual-analysis-of-general-surgery-residency-personal-statements-topics-and-gender-differences
#2
Laura Ostapenko, Cheryl Schonhardt-Bailey, Jessica Walling Sublette, Douglas S Smink, Nora Y Osman
PURPOSE: Applicants to US general surgery residency training programs submit standardized applications. Applicants use the personal statement to express their individual rationale for a career in surgery. Our research explores common topics and gender differences within the personal statements of general surgery applicants. METHODS: We analyzed the electronic residency application service personal statements of 578 applicants (containing 3,82,405 words) from Liaison Committee on Medical Education-accredited medical schools to a single ACGME-accredited general surgery program using an automated textual analysis program to identify common topics and gender differences...
October 25, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29072233/effects-of-parental-attitudes-on-the-use-of-addictive-substances-in-high-school-students
#3
C Öztekin, T Şengezer, A Özkara
BACKGROUND: Substance abuse is a major public health problem including social and economic aspects. Although multidimensional data about substance abuse are limited in our country, the fact that Turkey is located at the crossroads of Europe and Asia with a young population creating a promising market brings out the necessity of maintaining high awareness on substance abuse. Smoking, alcohol, and substance use are important health problems of adolescence period and families play a major role on adaptation to the changes in growth and development period...
September 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29072148/patient-family-eol-communication-and-its-predictors-reports-from-caregivers-of-latino-patients-in-the-rural-u-s-mexico-border-region
#4
Eunjeong Ko, Jaehoon Lee, Carlos Ramirez, Denicka Lopez, Stephanie Martinez
OBJECTIVE: Family caregivers play an important role in end-of-life (EoL) decision making when the patient is unable to make his/her own decisions. While communication about EoL care between patients and family is perhaps a first step toward advance care planning (ACP)/EoL decisions, not every culture puts great value on open communication about this topic. The aims of the present study were to explore EoL communication and the aspects of communication among caregivers of Latino patients in the rural United States (U...
October 26, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28976401/-sexual-life-in-elderly-patients-with-cardiovascular-disease
#5
Hakan Karpuz
Sexual activity is an important component of patient and partner quality of life for men and women with cardiovascular disease, including many elderly patients. Older adults desire sexual intimacy when there is a partner and a health status that allows sexual relationships. Older individuals desire to love and enjoy sexual activity in relation to personal circumstances, and when health status allows them to experience close relations, most often within marriage especially in our country. Normal changes occur in the phases of sexual cycle with aging, male erectile dysfunction and female sexual dysfunction increase with age...
September 2017: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/28966794/analysis-of-il-6-il-1%C3%AE-and-tnf-%C3%AE-production-in-monocytes-isolated-from-multiple-sclerosis-patients-treated-with-disease-modifying-drugs
#6
Sarah E Fiedler, Joshua D George, Haley N Love, Edward Kim, Rebecca Spain, Dennis Bourdette, Sonemany Salinthone
OBJECTIVE AND DESIGN: The etiology of multiple sclerosis (MS) is unknown, but blood derived monocytes/macrophages are believed to be involved in the pathogenesis through phagocytosis of myelin and production of inflammatory mediators. The objective of this study is to examine inflammatory cytokines that are present at elevated levels in active MS lesions to determine whether there are differences between classically stimulated monocytes isolated from healthy control (HC) and relapsing-remitting MS (RRMS) subjects taking disease modifying drugs (DMDs), including dimethyl fumarate (DMF)...
May 2017: Journal of Systems and Integrative Neuroscience
https://www.readbyqxmd.com/read/28953810/-a-labour-of-love-a-king-s-college-london-psychiatry-society-event-to-challenge-the-stigma-attached-to-mental-health-problems-in-post-natal-women
#7
Ahmed Hankir, Phillipa Brothwood, Bethany Crocker, Mao Fong Lim, Isabel Lever, Frederick Carrick, Rashid Zaman, Charlotte Wilson Jones
BACKGROUND: On the 9(th) October 2000, Dr Daksha Emson, a London based psychiatrist with bipolar affective disorder, tragically killed herself and her three-month-old baby daughter during a psychotic episode. An independent inquiry into Dr Emson's death concluded that mental health stigma in the National Health Service was a factor that contributed to her death. Despite the morbidity and mortality attributed to the stigma attached to post-natal mental health problems there are very few programmes that have been developed to challenge it...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28916405/love-death-a-retrospective-and-prospective-follow-up-mortality-study-over-45-years
#8
Lena Lange, Barbara Zedler, Marcel A Verhoff, Markus Parzeller
BACKGROUND: Although sexual activity can cause moderate stress, it can cause natural death in individuals with pre-existing illness. The aim of this study was to identify additional pre-existing health problems, sexual practices, and potential circumstances that may trigger fatal events. METHODS: This medicolegal postmortem, retrospective, and prospective study is based on data of autopsies performed at the Institute of Legal Medicine of the University hospital, Goethe-University, Frankfurt/Main, Germany...
October 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28905680/roma-never-die-alone
#9
Tania Garcia-Espinel, Laura Aso, Gisela Redondo-Sama, Ainhoa Flecha
A common characteristic of Roma as a cultural group is that they do not allow their elderly to die alone. Nevertheless, rooted in a mainstream cultural perspective of health provision services, public institutions usually do not allow Roma people to be with their loved ones in their last moments. Following the communicative methodology, we conducted a communicative case study on the death of the most relevant female Roma leader in Catalonia. She was accompanied by more than two hundred family members and friends in her room and corridor at an important hospital in Barcelona...
September 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28885932/screening-for-complicated-grief-in-a-military-mental-health-clinic
#10
Eileen M Delaney, Kathryn J Holloway, Derek M Miletich, Jennifer A Webb-Murphy, Nicole M Lanouette
INTRODUCTION: Bereavement is one of the most common and stressful life experiences one can endure. Typical grief reactions follow a course of recovery in which individuals come to terms with the loss and resume functioning within weeks to months. However, for some, grief remains indefinitely distressing. Complicated Grief (CG) refers to significant chronic impairment that stems from bereavement. Military service members experience myriad factors that likely increase their risk for developing CG...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28760521/time-is-not-on-our-side-how-radiology-practices-should-manage-customer-queues
#11
Vilert A Loving, Richard L Ellis, Robert Rippee, Joseph R Steele, Donald F Schomer, Stowe Shoemaker
As health care shifts toward patient-centered care, wait times have received increasing scrutiny as an important metric for patient satisfaction. Long queues form when radiology practices inefficiently service their customers, leading to customer dissatisfaction and a lower perception of value. This article describes a four-step framework for radiology practices to resolve problematic queues: (1) analyze factors contributing to queue formation; (2) improve processes to reduce service times; (3) reduce variability; (4) address the psychology of queues...
November 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28756166/transformational-changes-in-health-status-a-qualitative-exploration-of-healing-moments
#12
Emmylou Rahtz, Sian Bonnell, Sarah Goldingay, Sara Warber, Paul Dieppe
BACKGROUND AND AIMS: Dramatic self-change is a familiar concept within religious experience and is recognized within psychotherapy and some fields of nursing. However, it has been given limited consideration in wider health research, including healing research. We sought to explore the phenomenon of "healing moments". METHODS: Alternative medicine practitioners attending a continuing professional development course for healers within the UK's Holistic Health Show were shown a 10min video clip showing two of the authors discussing healing moments...
June 30, 2017: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/28742535/-anonymous-meltdown-content-themes-emerging-in-a-nonfacilitated-peer-only-unstructured-asynchronous-online-support-group-for-family-caregivers
#13
Cynthia A Diefenbeck, Paula R Klemm, Evelyn R Hayes
By providing care for loved ones in the home, family caregivers save millions of dollars for our overtaxed healthcare system. Support groups can lighten the psychological burden of caregiving. Nonprofessionally facilitated (or peer) online caregiver support groups can help meet a critical need in healthcare as a low-cost resource for caregivers. Online caregiver peer support groups can promote the health and well-being of family caregivers and, by extension, the patients themselves, resulting in cost-savings for society...
July 25, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28724296/the-influence-of-relationships-on-the-meaning-making-process-patients-perspectives
#14
Danetta Hendricks Sloan, Karlynn BrintzenhofeSzoc, Erin Mistretta, M Jennifer Cheng, Ann Berger
BACKGROUND: The diagnosis of a chronic or life limiting illness followed by treatment often requires an adjustment to life goals and expectations. With added existential concerns, patients' struggle to redefine life meaning while also finding ways to alleviate any distress that may occur. Central to the work of many scholars, meaning making is thought to be a vital component of negotiating traumatic life events while also essential to the positive adjustment in chronic illness and healing...
July 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28699712/-importance-of-play-little-health-promoting-review-for-children-and-their-families
#15
Mario Gehri
Children love to play; play is their favorite occupation. They flourish through this millennial occupation. Play promotes harmonious development while integrating principles of social life. It is a solid barrier against the growing harms of sedentary lifestyle. The evolution of our societies is marked from the earliest age by a breathtaking decrease in the amount of movement and playtime of children. The consequences are known: delayed psychomotor development, psychological disorders, progression of obesity...
July 12, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28694710/modeling-ecodevelopmental-context-of-sexually-transmitted-disease-hiv-risk-and-protective-behaviors-among-african-american-adolescents
#16
Ya-Huei Li, Osaro Mgbere, Susan Abughosh, Hua Chen, Paula Cuccaro, Ekere James Essien
Risk and protective processes are integrated developmental processes that directly or indirectly affect behavioral outcomes. A better understanding of these processes is needed, in order to gauge their contribution to sexual risk behaviors. This retrospective cross-sectional study modeled the ecodevelopmental chain of relationships to examine the social contexts of African-American (AA) adolescents associated with sexually transmitted disease (STD)- and HIV-risk behaviors. We used data from 1,619 AA adolescents with an average age of 16±1...
2017: HIV/AIDS: Research and Palliative Care
https://www.readbyqxmd.com/read/28677123/the-influence-of-chinese-culture-on-family-caregivers-of-stroke-survivors-a-qualitative-study
#17
Xichenhui Qiu, Janet W H Sit, Fung Kuen Koo
AIMS AND OBJECTIVES: To explore and describe the caregiving experiences of Chinese stroke caregivers. BACKGROUND: Previous research has indicated that culture can have a significant impact on the stroke caregiving experience. Moreover, scant research exists on stroke caregivers' experience within the Chinese culture. DESIGN: A qualitative descriptive design was used. METHODS: In-depth, semistructured interviews were conducted with 25 family caregivers of stroke survivors...
July 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28671237/seeing-oneself-in-the-face-of-the-other-the-value-and-challenge-of-human-connectedness-for-older-adults
#18
Christine Sorrell Dinkins
Connection with others is an essential part of our being as humans. Daily interactions provide chances to laugh, argue, empathize, and love. A lack of human connectedness can lead to loneliness, isolation, and deterioration of physical health. Older adults may encounter challenges in maintaining the connections they used to have or in forming new connections. Moreover, human connectedness is sometimes taken for granted and can slip away gradually, unnoticed at first; thus, older adults may find themselves disconnected and experiencing feelings of loneliness without being aware of the steps that brought them to that state...
July 1, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/28625933/experience-for-caregivers-of-dependent-elderly-persons-with-dementia
#19
Alexandre Vallée, Jean-Noël Vallée
Dependent elderly people with dementia require constant attention and significant care most of which are provided by family caregivers. The aim of our study is to highlight the feelings of caregivers of elderly with dementia and dependent. This qualitative study based on grounded theory method with semi-structured interviews with caregivers of dependent elderly. A comparative analysis of interviews to interview was conducted to identify themes, from the codes compared on a semantic level. 39 caregivers were interviewed until data saturation...
June 1, 2017: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/28622407/challenges-and-lessons-learned-in-implementing-a-community-academic-partnership-for-drug-prevention-in-a-native-hawaiian-community
#20
Susana Helm, Kanoelani Davis, Anonymous Youth Participants Haumana
OBJECTIVE: The broad purpose of this project is to improve health in Native Hawaiian communities through the prevention of substance use. Our community-academic partnership (CAP) team developed an intervention called Puni Ke Ola for this purpose. This paper provides a brief overview of the intervention, then describes challenges and lessons learned in piloting Puni Ke Ola. METHODS: A single module of the Puni Ke Ola intervention was implemented, after which the intervention leaders (N=3) convened for a debriefing meeting...
June 2017: Puerto Rico Health Sciences Journal
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