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https://www.readbyqxmd.com/read/29658306/-how-do-they-want-to-know-doctors-perspectives-on-making-and-communicating-a-diagnosis-of-dementia
#1
Cate Bailey, Jemima Dooley, Rose McCabe
Recent drives to facilitate earlier identification of dementia have led to increased memory clinic referrals and diagnoses. This study explored the perspectives of memory clinic doctors on making and delivering diagnoses. Four focus groups were conducted with 13 psychiatrists and two geriatricians in the UK. Transcripts were coded line by line using NVIVO. Thematic analysis identified 39 categories, 18 sub-themes and eight overarching themes. Inter-rater reliability on 31% of the data was 0.89. Increased public awareness of dementia was viewed positively in facilitating access to diagnosis and treatment...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29622282/-the-more-you-know-the-more-you-realise-it-is-really-challenging-to-do-tensions-and-uncertainties-in-person-centred-support-for-people-with-long-term-conditions
#2
Vikki A Entwistle, Alan Cribb, Ian S Watt, Zoë C Skea, John Owens, Heather M Morgan, Simon Christmas
OBJECTIVE: To identify and examine tensions and uncertainties in person-centred approaches to self-management support - approaches that take patients seriously as moral agents and orient support to enable them to live (and die) well on their own terms. METHODS: Interviews with 26 UK clinicians about working with people with diabetes or Parkinson's disease, conducted within a broader interdisciplinary project on self-management support. The analysis reported here was informed by philosophical reasoning and discussions with stakeholders...
March 30, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29615009/striving-for-a-balance-between-leading-and-following-the-patient-and-family-nurses-strategies-to-facilitate-the-transition-from-life-prolonging-care-to-palliative-care-an-interview-study
#3
Ulrika Hilding, Renée Allvin, Karin Blomberg
BACKGROUND: The transition from life-prolonging to palliative care (PC) can be challenging often characterized by psychical, physiological, social and existential changes. Knowledge of how to support the patient and family in this specific care phase is lacking, and this area needs to be further explored. The aim of this study was to investigate strategies that registered nurses (RNs) use to ease the transition from life-prolonging care to PC for patients with incurable disease. METHODS: The study has a descriptive design...
April 3, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29610979/behavioral-modeling-for-mental-health-using-machine-learning-algorithms
#4
M Srividya, S Mohanavalli, N Bhalaji
Mental health is an indicator of emotional, psychological and social well-being of an individual. It determines how an individual thinks, feels and handle situations. Positive mental health helps one to work productively and realize their full potential. Mental health is important at every stage of life, from childhood and adolescence through adulthood. Many factors contribute to mental health problems which lead to mental illness like stress, social anxiety, depression, obsessive compulsive disorder, drug addiction, and personality disorders...
April 3, 2018: Journal of Medical Systems
https://www.readbyqxmd.com/read/29609636/a-perspective-on-cure-for-rett-syndrome
#5
Angus John Clarke, Ana Paula Abdala Sheikh
The reversal of the Rett syndrome disease process in the Mecp2 mouse model of Guy et al. (2007) has motivated families and researchers to work on this condition. The reversibility in adult mice suggests that there is potentially much to be gained from rational treatments applied to patients of any age. However, it may be difficult to strike the right balance between enthusiasm on the one hand and realism on the other. One effect of this has been a fragmentation of the "Rett syndrome community" with some groups giving priority to work aimed at a cure while fewer resources are devoted to medical or therapy-based interventions to enhance the quality of life of affected patients or provide support for their families...
April 2, 2018: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/29608876/work-life-balance-burnout-and-the-electronic-health-record
#6
EDITORIAL
Andrew George Alexander, Kenneth Alan Ballou
No abstract text is available yet for this article.
March 30, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29607717/psychometric-evaluation-of-the-swedish-version-of-rosenberg-s-self-esteem-scale
#7
Mona Eklund, Martin Bäckström, Lars Hansson
BACKGROUND: The widely used Rosenberg's self-esteem scale (RSES) has not been evaluated for psychometric properties in Sweden. AIMS: This study aimed at analyzing its factor structure, internal consistency, criterion, convergent and discriminant validity, sensitivity to change, and whether a four-graded Likert-type response scale increased its reliability and validity compared to a yes/no response scale. METHODS: People with mental illness participating in intervention studies to (1) promote everyday life balance (N = 223) or (2) remedy self-stigma (N = 103) were included...
April 1, 2018: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/29607099/building-a-safety-culture-in-global-health-lessons-from-guatemala
#8
REVIEW
Henry E Rice, Randall Lou-Meda, Anthony T Saxton, Bria E Johnston, Carla C Ramirez, Sindy Mendez, Eli N Rice, Bernardo Aidar, Brad Taicher, Joy Noel Baumgartner, Judy Milne, Allan S Frankel, J Bryan Sexton
Programmes to modify the safety culture have led to lasting improvements in patient safety and quality of care in high-income settings around the world, although their use in low-income and middle-income countries (LMICs) has been limited. This analysis explores (1) how to measure the safety culture using a health culture survey in an LMIC and (2) how to use survey data to develop targeted safety initiatives using a paediatric nephrology unit in Guatemala as a field test case. We used the Safety, Communication, Operational Reliability, and Engagement survey to assess staff views towards 13 health climate and engagement domains...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29606595/-informative-predation-towards-a-new-species-concept
#9
Philippe Lherminier
We distinguish two types of predations: the predation of matter-energy equals the food chain, and the informative predation is the capture of the information brought by the sexual partners. The cell or parent consumes energy and matter to grow, multiply and produce offspring. A fixed amount of resources is divided by the number of organisms, so individual growth and numerical multiplication are limited by depletion resources of the environment. Inversely, fertilization does not destroy information, but instead produces news...
March 29, 2018: Comptes Rendus Biologies
https://www.readbyqxmd.com/read/29602049/dynamic-balance-control-during-stair-negotiation-for-older-adults-and-people-with-parkinson-disease
#10
Zachary J Conway, Tim Blackmore, Peter A Silburn, Michael H Cole
It is well understood that stability during ambulation is reliant upon appropriate control of the trunk segment, but research shows that the rhythmicity of this segment is significantly reduced for people with Parkinson's disease (PD). Given the increased risk associated with stair ambulation, this study investigated whether people with PD demonstrate poorer trunk control during stair ambulation compared with age-matched controls. Trunk accelerations were recorded for twelve PD patients and age-matched controls during stair ascent and descent...
March 27, 2018: Human Movement Science
https://www.readbyqxmd.com/read/29596086/work-life-balance-it-is-just-plain-hard
#11
Anureet K Bajaj
Graduating surgeons are constantly told to be "available, affable, and able." Frequently, the need to put patients first can result in an imbalance between work and life. Ultimately, the consequence of work/life imbalance is burnout, which can manifest itself in atypical behavior toward patients, colleagues, and family. It is imperative that all surgeons learn to take care of themselves and develop a better integration of work and life.
March 29, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29587737/resident-burnout-evaluating-the-role-of-the-learning-environment
#12
Stefan N van Vendeloo, Lode Godderis, Paul L P Brand, Kees C P M Verheyen, Suria A Rowell, Harm Hoekstra
BACKGROUND: Although burnout is viewed as a syndrome rooted in the working environment and organizational culture, the role of the learning environment in the development of resident burnout remains unclear. We aimed to evaluate the association between burnout and the learning environment in a cohort of Belgian residents. METHODS: We conducted a cross-sectional online survey among residents in a large university hospital in Belgium. We used the Dutch version of the Maslach Burnout Inventory (UBOS-C) to assess burnout and the Dutch Residency Educational Climate Test (D-RECT) to assess the learning environment...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29579144/gender-and-ageing-at-work-in-chile-employment-working-conditions-work-life-balance-and-health-of-men-and-women-in-an-ageing-workforce
#13
Alejandra Vives, Nora Gray, Francisca González, Agustín Molina
Objectives: In Chile, working after retirement age has grown substantially over the last years. This, in addition to the country's current discussion about extending retirement age, motivates the need of generating evidence on the occupational health and safety of the working old, with a special focus on women, who are critically disadvantaged in Chile's labour market. The objective of this paper is to describe and compare the ageing workforce of women and men in Chile in terms of labour market participation, employment and working conditions, work-life balance, and health...
March 22, 2018: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/29576607/the-career-intentions-work-life-balance-and-retirement-plans-of-uk-dental-undergraduates
#14
J Puryer, G Sidhu, R Sritharan
No abstract text is available yet for this article.
March 23, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29576244/exploring-the-training-and-scope-of-practice-of-gps-in-england-germany-and-spain
#15
Ketevan Glonti, Verena Struckmann, Alvaro Alconada, Luisa M Pettigrew, Virginia Hernandez-Santiago, Sergio Minue, Isabelle Risso-Gill, Martin McKee, Helena Legido-Quigley
OBJECTIVE: To explore general practitioner (GP) training, continuing professional development, scope of practice, ethical issues and challenges in the working environment in three European countries. METHOD: Qualitative study of 35 GPs from England, Germany and Spain working in urban primary care practices. Participants were recruited using convenience and snowball sampling techniques. Semi-structured interviews were recorded, transcribed and analysed by four independent researchers adopting a thematic approach...
March 22, 2018: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29572425/balancing-media-work-with-clinical-practice-and-family-life-can-be-tough
#16
(no author information available yet)
Scott Miller is a familiar face from the popular TV series Vet on the Hill, but balancing the demands of media work with a veterinary career and family life isn't easy.
March 24, 2018: Veterinary Record
https://www.readbyqxmd.com/read/29561283/wellness-interventions-for-anesthesiologists
#17
Haleh Saadat, Zeev N Kain
PURPOSE OF REVIEW: The review examines the different preventive measures that have been found to be useful to abolish or decrease the negative effects of burnout and increase resilience in anesthesiologists. RECENT FINDINGS: Studies in anesthesiology cite autonomy, control of the work environment, professional relationships, leadership, and organizational justice as the most important factors in job satisfaction. Factors such as difficulty in balancing personal and professional life, poor attention to wellness, work alcoholism, and genetic factors increase an individual's susceptibility to burnout...
March 19, 2018: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/29559131/balancing-knowledge-and-basic-principles-in-veterinary-parasitology-competencies-for-future-danish-veterinary-graduates
#18
Stig Milan Thamsborg, Maria Vang Johansen, Peter Nejsum, Andrew R Williams, Helena Mejer
Veterinary parasitology has always been considered to be relevant and interesting by the Danish veterinary students. Students have to acquaint themselves with many new, small creatures with complicated and varied life cycles and with intricate Latin names that are difficult to pronounce, as only a few parasites have Danish names. In our veterinary curriculum, zoology has disappeared as a discipline, and parasitology has gradually moved from the third year to the beginning of the second year, which implies that, for example, pathology and pharmacology are "unknown fields"...
March 15, 2018: Veterinary Parasitology
https://www.readbyqxmd.com/read/29553956/management-of-pilonidal-disease
#19
Michelle P Kallis, Caroline Maloney, Aaron M Lipskar
PURPOSE OF REVIEW: Pilonidal disease, and the treatment associated with it, can cause significant morbidity and substantial burden to patients' quality of life. Despite the plethora of surgical techniques that have been developed to treat pilonidal disease, discrepancies in technique, recurrence rates, complications, time to return to work/school and patients' aesthetic satisfaction between treatment options have led to controversy over the best approach to this common acquired disease of young adults...
March 16, 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29552549/experiences-of-public-doctors-on-managing-work-difficulties-and-maintaining-professional-enthusiasm-in-acute-general-hospitals-a-qualitative-study
#20
Andrew Leung Luk, Adrian Fai To Yau
Background: Overseas studies suggest that 10-20% of doctors are depressed, 30-45% have burnout, and many report dissatisfaction with work-life balance. A local study on public doctors showed that 31.4% of the respondents satisfied the criteria for high burnout. Young, but moderately experienced doctors who need to work shifts appeared most vulnerable. This study aims to explore the experiences of those public doctors who have managed their work difficulties and maintained professional enthusiasm for references in medical education and continuing professional training...
2018: Frontiers in Public Health
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