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https://www.readbyqxmd.com/read/29341514/opportunity-costs-in-paediatric-training-the-specialist-registrars-experience
#1
M B O'Neill, T Nabialek, N Kandamany
In the training process, there is a tension between the work life and home life of trainees. This study explored both the personal impact and the opportunity costs of training from the Specialist Paediatric Registrar (SPR) perspective. The survey explored 1) career progression, 2) perceived functional effectiveness at work, 3) psychological impact of hospital based training, and 4) the personal and social cost of training. Fifty-three (71%) SPRs responded of whom 47 (89%)were married or in long term relationships...
August 8, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29294693/providing-health-care-in-the-shadow-of-violence-does-emotion-regulation-vary-among-hospital-workers-from-different-professions
#2
Hadass Goldblatt, Anat Freund, Anat Drach-Zahavy, Guy Enosh, Ilana Peterfreund, Neomi Edlis
Research into violence against health care staff by patients and their families within the health care services shows a rising frequency of incidents. The potentially damaging effects on health care staff are extensive, including diverse negative psychological and physical symptoms. The aim of this qualitative study was to examine how hospital workers from different professions reacted to patients' and visitors' violence against them or their colleagues, and how they regulated their emotional reactions during those incidents...
March 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29288475/cancer-pain-management-at-oncology-units-comparing-knowledge-attitudes-and-perceived-barriers-between-physicians-and-nurses
#3
Muhammad Darawad, Malek Khalel Alnajar, Maysoon S Abdalrahim, Aqel Mohammad El-Aqoul
Pain is a major symptom that causes suffering among patients diagnosed with cancer. Identifying physicians' and nurses' knowledge, attitudes, and their perceived barriers of cancer pain management is considered an essential step in improving cancer pain relief. The purposes of this study are to compare physicians' and nurses' knowledge and attitudes toward cancer pain management (CPM) and describe their perceived barriers to CPM at oncology units. A descriptive cross-sectional design was utilized to obtain data through self-report questionnaire...
December 29, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29287660/psychological-well-being-dental-esthetics-and-psychosocial-impacts-in%C3%A2-adolescent-orthodontic-patients-a%C3%A2-prospective-longitudinal-study
#4
Xiao Deng, Yun-Ji Wang, Feng Deng, Pang-Li Liu, Yan Wu
INTRODUCTION: We examined the role of adolescent orthodontic patients' psychological well-being attributes (self-esteem, general body image, and positive and negative affects) and the clinical indicators of dental esthetics (orthodontists' ratings on the Index of Orthodontic Treatment Need-Aesthetic Component [IOTN-AC]), and their changes from pretreatment to posttreatment as predictors of the psychosocial impact of dental esthetics. METHODS: In this prospective longitudinal study, 1090 adolescent orthodontic patients seeking treatment at the Stomatological Hospital of Chongqing Medical University in China (mean age, 14...
January 2018: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/29276254/factors-associated-with-burnout-among-us-hospital-clinical-pharmacy-practitioners-results-of-a-nationwide-pilot-survey
#5
G Morgan Jones, Neil A Roe, Les Louden, Crystal R Tubbs
Background: In health care, burnout has been defined as a psychological process whereby human service professionals attempting to positively impact the lives of others become overwhelmed and frustrated by unforeseen job stressors. Burnout among various physician groups who primarily practice in the hospital setting has been extensively studied; however, no evidence exists regarding burnout among hospital clinical pharmacists. Objective: The aim of this study was to characterize the level of and identify factors independently associated with burnout among clinical pharmacists practicing in an inpatient hospital setting within the United States...
December 2017: Hospital Pharmacy
https://www.readbyqxmd.com/read/29274295/the-role-of-cognitive-bias-in-relation-to-persistent-distress-among-women-diagnosed-with-breast-cancer
#6
Wendy W T Lam, Danielle Ng, Sarah Wong, Tatia M C Lee, Ava Kwong, Richard Fielding
OBJECTIVE: To examine if bias in attention to and interpretation of cancer-related stimuli differentiates women with persistent psychological distress from those with low/transient distress following breast cancer. METHODS: 140 women classified in a prior longitudinal study as having low(n=73) or persistent high(n=67) distress completed two modified dot-probe tasks assessing attention bias and an ambiguous cues task assessing interpretation bias towards cancer-related vs...
December 23, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/29248798/fear-an-unpleasant-experience-among-undergraduate-midwifery-students-a-qualitative-study
#7
Golnoosh Ahmadi, Mohsen Shahriari, Shahnaz Kohan, Mahmood Keyvanara
Fear is a normal emotion that can evoke an appropriate response when facing threat. However, sometimes the consequences of fear can lead to responses that are maladaptive. Fear can have negative effects on learning. Research has focused on the experience of fear and its consequences among midwifery students during their undergraduate program. A qualitative analysis was conducted of interviews with ten midwifery students in different years of an undergraduate program. The data was analyzed through a content analysis approach...
December 11, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/29241454/effects-of-sociodemographic-characteristics-and-patients-health-beliefs-on-tuberculosis-treatment-adherence-in-ethiopia-a-structural-equation-modelling-approach
#8
Habteyes Hailu Tola, Mehrdad Karimi, Mir Saeed Yekaninejad
BACKGROUND: Patients' beliefs are a major factor affecting tuberculosis (TB) treatment adherence. However, there has been little use of Health Belief Model (HBM) in determining the pathway effect of patients' sociodemographic characteristics and beliefs on TB treatment adherence. Therefore, this study was aimed at determining the effect of sociodemographic characteristics and patients' health beliefs on TB treatment adherence based on the HBM concept in Ethiopia. METHODS: A cross-sectional study was conducted in Addis Ababa, Ethiopia among TB patients undertaking treatment...
December 15, 2017: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/29227363/psychosocial-factors-and-surgical-outcomes-in-adult-spinal-deformity-do-dementia-patients-have-more-complications
#9
Courtney S Toombs, Justin C Paul, Baron S Lonner
STUDY DESIGN: Retrospective analysis of a prospectively collected, national inpatient hospital database. OBJECTIVE: We aimed to investigate comorbid psychiatric disorders in the ASD population. We hypothesized that a high incidence of comorbid psychiatric disorders in ASD would negatively impact perioperative outcomes. SUMMARY OF BACKGROUND DATA: Adult spinal fusion (ASF) patients suffer from severe back pain and often depression. Psychiatric comorbidities in the adult spinal deformity (ASD) population are not well understood, despite the apparent psychological effects of spinal deformity-related self-image...
December 8, 2017: Spine
https://www.readbyqxmd.com/read/29223913/prevalence-of-childhood-trauma-and-correlations-between-childhood-trauma-suicidal-ideation-and-social-support-in-patients-with-depression-bipolar-disorder-and-schizophrenia-in-southern-china
#10
Peng Xie, Kai Wu, Yingjun Zheng, Yangbo Guo, Yuling Yang, Jianfei He, Yi Ding, Hongjun Peng
BACKGROUND: Childhood trauma has long-term adverse effects on physical and psychological health. Previous studies demonstrated that suicide and mental disorders were related to childhood trauma. In China, there is insufficient research available on childhood trauma in patients with mental disorders. METHODS: Outpatients were recruited from a psychiatric hospital in southern China, and controls were recruited from local communities. The demographic questionnaire, the Childhood Trauma Questionnaire-Short Form (CTQ-SF), and the Social Support Rating Scale (SSRS) were completed by all participants, and the Self-rating Idea of Suicide Scale (SIOSS) were completed only by patients...
November 6, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29222598/information-needs-of-adolescent-and-young-adult-cancer-patients-and-their-parent-carers
#11
Maria C McCarthy, Robyn McNeil, Sarah Drew, Lisa Orme, Susan M Sawyer
PURPOSE: This study aimed to explore health-related information needs of adolescent and young adults (AYAs) and their parent-carers and to examine demographic and clinical variables associated with unmet information needs, including patient activation. METHODS: In a national cross-sectional study, 196 Australian AYAs diagnosed with cancer between 15 and 25 years and within 24 months of diagnosis and 204 parent-carers reported on total and unmet needs for cancer and health-related information...
December 8, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29205275/antenatal-maternal-education-for-improving-postnatal-perineal-healing-for-women-who-have-birthed-in-a-hospital-setting
#12
REVIEW
Sonia M O'Kelly, Zena Eh Moore
BACKGROUND: The female perineum becomes suffused and stretched during pregnancy, and further strain during vaginal childbirth contributes to approximately 85% of women experiencing some degree of trauma to the perineal region. Multiple factors play a role in the type and severity of trauma experienced, including parity, delivery method, and local practices. There is ongoing debate about best midwifery practice to reduce perineal trauma. Once perineal trauma has occurred, treatment also varies greatly, depending on its degree and severity, local practice and customs, and personal preference...
December 4, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29194280/conization-and-healthcare-use-a-population-based-register-study
#13
Maria E Frederiksen, Miguel Vázquez-Prada Baillet, Pernille T Jensen, Carsten Rygaard, Jesper Hallas, Elsebeth Lynge
The aim of this study was to assess whether negative psychological consequences of conization reported in questionnaire studies translated into increased use of the healthcare services that could relieve such symptoms. This was a population-based register study comparing women undergoing conization with a control group of women with normal cytology results. Data were derived from Danish registers. Using the difference-in-differences method, we measured contacts with general practitioners (GPs), hospitals, psychiatrist/psychologists, and use of anxiolytic and antidepressant prescription drugs over 5 years 'before' and 'after' the conization in the study group, and in comparable periods in the control group...
November 29, 2017: European Journal of Cancer Prevention
https://www.readbyqxmd.com/read/29193381/experiences-of-older-people-following-an-acute-exacerbation-of-copd-a-phenomenological-study
#14
Francesca Rosa, Annamaria Bagnasco, Luca Ghirotto, Gennaro Rocco, Gianluca Catania, Giuseppe Aleo, Milko Zanini, Nicoletta Dasso, Mark Hayter, Loredana Sasso
AIMS AND OBJECTIVES: To explore the experience of patients affected by COPD following hospitalization due to an acute exacerbation event. BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a progressively debilitating disease, often with very burdensome symptoms such as acute and chronic breathlessness and fatigue. Acute exacerbation often creates a life threatening event. Exacerbation can also have substantial psychological effects including anxiety and depression although this aspect is less well researched - especially amongst people with COPD recovering from an acute event and facing a return home...
November 29, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29179137/group-metacognitive-therapy-vs-mindfulness-meditation-therapy-in-a-transdiagnostic-patient-sample-a-randomised-feasibility-trial
#15
Lora Capobianco, David Reeves, Anthony P Morrison, Adrian Wells
Two transdiagnostic therapies for treating psychological disorder are Metacognitive Therapy (MCT) and Mindfulness Based Stress Reduction (MBSR). These two approaches have yet to be compared and therefore the current study aimed to evaluate the feasibility of a study of group MCT and MBSR in treating anxiety and depression. A feasibility trial with 40 participants (aged 19-56) was conducted. Patients were randomly assigned to receive either eight weeks of group MCT or MBSR. The primary outcome was feasibility which included recruitment rates, retention and treatment acceptability...
January 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29170347/50%C3%A2-how-can-informal-support-impact-child-ptsd-symptoms-following-a-psychological-trauma
#16
Sarah Halligan
BACKGROUND: An estimated 20% of children who present to hospital emergency departments following potentially traumatic events (e.g., serious injuries, road traffic accidents, assaults) will develop post-traumatic stress disorder as a consequence. The development of PTSD can have a substantial impact on a child's developmental trajectory, including their emotional, social and educational wellbeing. Despite this, only a small proportion will access mental health services, with the majority relying on informal sources of support...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29163236/poor-illness-perceptions-are-a-risk-factor-for-depressive-and-anxious-symptomatology-in-fibromyalgia-syndrome-a-longitudinal-cohort-study
#17
Eric W de Heer, Johanna E Vriezekolk, Christina M van der Feltz-Cornelis
Background: Patients with widespread pain, such as in fibromyalgia, are vulnerable for depression and anxiety, which composes a relevant public health problem. Identifying risk factors for the onset of depression and anxiety is therefore warranted. Objective of this study was to determine whether severe pain, maladaptive coping, and poor illness perceptions are associated with depressive and anxious symptomatology in fibromyalgia. Method: Consecutive patients referred to an outpatient clinic completed sets of physical and psychological questionnaires at baseline and at 18-month follow-up...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29151566/effects-of-bullying-experience-on-psychological-well-being-mediated-by-conflict-management-styles-and-psychological-empowerment-among-nursing-students-in-clinical-placement-a-structural-equation-modeling-approach
#18
Liping Ren, Hyunli Kim
PURPOSE: This study aimed to test a proposed structural equation model in which bullying experience, conflict management styles and psychological empowerment predict psychological well-being among Chinese nursing students in clinical placement. METHODS: Three hundred and sixty-six nursing students recruited from five hospitals in J city and Y city were assessed with self-report questionnaires on bullying experience, conflict management styles, psychological empowerment and psychological well-being including depression, self-esteem, and academic major satisfaction...
October 2017: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/29125380/breathing-pattern-recordings-using-respiratory-inductive-plethysmography-before-and-after-a-physiotherapy-breathing-retraining-program-for-asthma-a-case-report
#19
Rokhsaneh Tehrany, Ruth DeVos, Anne Bruton
Breathing retraining (BR) improves symptoms, psychological well-being and quality of life in adults with asthma; but there remains uncertainty as to mechanism of effect. One of the intuitively logical theories is that BR works through altering breathing pattern. There is currently no evidence, however, that BR does result in measurable changes in breathing pattern. In this case report we describe the effects of physiotherapy BR on a 57-year-old female with a 10-year history of asthma. Data were collected before and after a physiotherapy BR program comprising three sessions over 18 weeks: breathing pattern (respiratory inductive plethysmography (RIP); physiology (end tidal carbon dioxide (ETCO2), heart rate, oxygen saturations, spirometric lung function); questionnaires (Asthma Control Questionnaire (ACQ), Hospital Anxiety and Depression Score, Nijmegen Questionnaire); and medication usage...
November 10, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29114549/evaluation-of-body-image-in-cancer-patients-and-its-association-with-clinical-variables
#20
Masoud Bahrami, Marjan Mohamadirizi, Shahla Mohamadirizi, Seyyed Abbas Hosseini
BACKGROUND: Cancer and its treatments have been shown to have a negative psychological effect on many cancer patients. One of these effects is often described as body image disturbance. Due to the limited number of studies in this area, this study was performed to assess body image in cancer patients and its association with clinical variables. MATERIALS AND METHODS: This was a descriptive and correlational research that was designed in Sayyed-Al-Shohda Hospital affiliated to Isfahan University of Medical Sciences, Iran in 2013...
2017: Journal of Education and Health Promotion
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