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https://www.readbyqxmd.com/read/29454050/when-travel-is-a-challenge-travel-medicine-and-the-dis-abled-traveller
#1
REVIEW
Irmgard Bauer
Travellers with recognised disabilities or the dis-ability to function as required during a trip have been overlooked in the travel medicine literature. This paper provides a starting point for further discussion and research into this neglected traveller population. In contrast, tourism research has explored travel with a disability for some time in order to understand the travellers' needs and to improve services accordingly. The contemporary bio-psycho-social understanding of disability serves as the framework for exploring motivations to travel as well as barriers, such as inter and intrapersonal, economic, structural and attitudinal obstacles...
February 14, 2018: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/29437270/clinicians-attitudes-and-approaches-to-evaluating-the-potential-living-kidney-donor-recipient-relationship-an-interview-study
#2
Angelique F Ralph, Phyllis Butow, Jonathan C Craig, Jeremy R Chapman, John S Gill, John Kanellis, Allison Tong
AIM: Careful assessment of the potential donor-recipient relationship is recommended by guidelines to prevent undue coercion, and ensure realistic expectations and genuine motivations. However, relationships are complex, nuanced and value-laden, and can be challenging to evaluate in living kidney donation. We aimed to describe the attitudes and approaches of transplant clinicians towards assessing the relationship between potential living kidney donors and their recipients. METHODS: Semi-structured interviews were conducted with 54 transplant clinicians (nephrologists, surgeons, coordinators, social workers, psychiatrists and psychologists) from 32 transplant centres across nine countries including Australia, United States, Canada and New Zealand...
February 13, 2018: Nephrology
https://www.readbyqxmd.com/read/29406299/a-qualitative-study-to-explore-the-impact-of-simulating-extreme-obesity-on-health-care-professionals-attitudes-and-perceptions
#3
Caz Hales, Lesley Gray, Lynne Russell, Carol MacDonald
Extremely obese patients pose significant challenges for those who strive to provide care. The prevalence and consequences of weight bias and stigma in health care have been well documented, but research on how to reduce weight bias and stigma is limited. To assess the impact of simulating obesity on the attitudes and perceptions of health professionals toward extreme obesity, a qualitative study involving 6 registered nurses and 1 registered physiotherapist was conducted between November 2015 and May 2016...
January 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29403417/development-of-a-work-climate-scale-in-emergency-health-services
#4
Susana Sanduvete-Chaves, José A Lozano-Lozano, Salvador Chacón-Moscoso, Francisco P Holgado-Tello
An adequate work climate fosters productivity in organizations and increases employee satisfaction. Workers in emergency health services (EHS) have an extremely high degree of responsibility and consequent stress. Therefore, it is essential to foster a good work climate in this context. Despite this, scales with a full study of their psychometric properties (i.e., validity evidence based on test content, internal structure and relations to other variables, and reliability) are not available to measure work climate in EHS specifically...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29400585/fatal-collision-are-wireless-headsets-a-risk-in-treating-patients
#5
Cindy Sage, Lennart Hardell
Wireless-enabled headsets that connect to the internet can provide remote transcribing of patient examination notes. Audio and video can be captured and transmitted by wireless signals sent from the computer screen in the frame of the glasses. But using wireless glass-type devices can expose the user to a specific absorption rates (SAR) of 1.11-1.46 W/kg of radiofrequency radiation. That RF intensity is as high as or higher than RF emissions of some cell phones. Prolonged use of cell phones used ipsilaterally at the head has been associated with statistically significant increased risk of glioma and acoustic neuroma...
February 5, 2018: Electromagnetic Biology and Medicine
https://www.readbyqxmd.com/read/29397355/the-incidence-of-overconfidence-and-underconfidence-effects-in-medical-student-examinations
#6
Raúl A Borracci, Eduardo B Arribalzaga
BACKGROUND: Overconfidence is the tendency to overestimate the knowledge, capacity, or performance one really possesses. This cognitive bias could be potentially dangerous in medical decision-making, considering the impact it could have on patient health care. The aim of this study was to evaluate the incidence of overconfidence and underconfidence in medical student knowledge on general surgery by using traditional and new statistical approaches. METHODS: During the application of a multiple-choice examination, 251 next-to-graduate medical students were invited to express the accuracy of their responses by choosing their own perceived confidence level for a set of questions...
January 31, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29388944/considerations-in-healthcare-reform-for-patients-and-families-with-genetic-diseases-a-statement-of-the-american-college-of-medical-genetics-and-genomics
#7
(no author information available yet)
Disclaimer: These recommendations are designed primarily as an educational resource for medical geneticists and other health-care providers, to help them provide quality medical genetic services. Adherence to these recommendations does not necessarily assure a successful medical outcome. These recommendations should not be considered inclusive of all proper procedures and tests or exclusive of other procedures and tests that are reasonably directed to obtaining the same results. In determining the propriety of any specific procedure or test, the geneticist should apply his or her own professional judgment to the specific clinical circumstances presented by the individual patient or specimen...
February 1, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/29375075/the-concept-of-futility-recognizing-the-importance-of-context
#8
Robert D Truog
Debate about the concept of medical futility is often polarized around two views. One is that futility is simply an acknowledgment of the limitations of modern medicine, a corollary of the fact of human mortality. The other is that futility is a judgment that is always grounded in a particular set of values, and that medical professionals have no right to impose their value judgments on patients and families who do not share their perspective. This essay argues that these dichotomous views can be reconciled by appreciating the importance of the context in which the dialogue occurs...
2018: Perspectives in Biology and Medicine
https://www.readbyqxmd.com/read/29354280/medical-judgement-analogue-studies-with-applications-to-spaceflight-crew-medical-officer
#9
Michele L McCarroll, Rami A Ahmed, Alan Schwartz, Michael David Gothard, Steven Scott Atkinson, Patrick Hughes, Jose Cepeda Brito, Lori Assad, Jerry Myers, Richard L George
Background: The National Aeronautics and Space Administration (NASA) developed plans for potential emergency conditions from the Exploration Medical Conditions List. In an effort to mitigate conditions on the Exploration Medical Conditions List, NASA implemented a crew medical officer (CMO) designation for eligible astronauts. This pilot study aims to add knowledge that could be used in the Integrated Medical Model. Methods: An analogue population was recruited for two categories: administrative physicians (AP) representing the physician CMOs and technical professionals (TP) representing the non-physician CMOs...
October 2017: BMJ Simul Technol Enhanc Learn
https://www.readbyqxmd.com/read/29345214/deciding-to-adopt-revised-and-new-psychological-and-neuropsychological-tests-an-inter-organizational-position-paper
#10
Shane S Bush, Jerry J Sweet, Kevin J Bianchini, Doug Johnson-Greene, Pamela M Dean, Mike R Schoenberg
OBJECTIVE: Neuropsychological tests undergo periodic revision intended to improve psychometric properties, normative data, relevance of stimuli, and ease of administration. In addition, new tests are developed to evaluate psychological and neuropsychological constructs, often purporting to improve evaluation effectiveness. However, there is limited professional guidance to neuropsychologists concerning the decision to adopt a revised version of a test and/or replace an older test with a new test purporting to measure the same or overlapping constructs...
January 18, 2018: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/29325816/lgbt-cultural-competence-and-interventions-to-help-oncology-nurses-and-other-health-care-providers
#11
REVIEW
Asa Radix, Shail Maingi
OBJECTIVES: To define and give an overview of the importance of lesbian, gay, bisexual, and transgender (LGBT) cultural competency and offer some initial steps on how to improve the quality of care provided by oncology nurses and other health care professionals. DATA SOURCES: A review of the existing literature on cultural competency. CONCLUSION: LGBT patients experience cancer and several other diseases at higher rates than the rest of the population...
January 8, 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29323668/professional-responsibilities-regarding-the-provision-publication-and-dissemination-of-patient-phenotypes-in-the-context-of-clinical-genetic-and-genomic-testing-points-to-consider-a-statement-of-the-american-college-of-medical-genetics-and-genomics-acmg
#12
Lynn W Bush, Anita E Beck, Leslie G Biesecker, James P Evans, Ada Hamosh, Ingrid A Holm, Christa L Martin, C Sue Richards, Heidi L Rehm
Disclaimer: This Points to Consider document is designed as an educational resource to provide best practices for medical genetic clinicians, laboratories, and journals regarding the provision, publication, and dissemination of patient phenotypes in the context of genomic testing, clinical genetic practice, and research. While the goal of the document is the improvement of patient care, the considerations and practices described should not be considered inclusive of all proper considerations and practices or exclusive of others that are reasonably directed to obtaining the same goal...
January 11, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/29319748/cross-cultural-adaptation-and-validation-of-the-condom-self-efficacy-scale-application-to-brazilian-adolescents-and-young-adults
#13
Carla Suellen Pires de Sousa, Régia Christina Moura Barbosa Castro, Ana Karina Bezerra Pinheiro, Escolástica Rejane Ferreira Moura, Paulo César Almeida, Priscila de Souza Aquino
OBJECTIVE: translate and adapt the Condom Self-Efficacy Scale to Portuguese in the Brazilian context. The scale originated in the United States and measures self-efficacy in condom use. METHOD: methodological study in two phases: translation, cross-cultural adaptation and verification of psychometric properties. The translation and adaptation process involved four translators, one mediator of the synthesis and five health professionals. The content validity was verified using the Content Validation Index, based on 22 experts' judgments...
January 8, 2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29314612/current-literature-review-of-registered-nurses-competency-in-the-global-community
#14
Ying Liu, Yupin Aungsuroch
PURPOSE: In order to enhance international standards of nursing service, this article aims to analyze the English full-text peer-reviewed published articles from the past 10 years that describe contemporary registered nurses' (RNs') competency in the global community. DESIGN: An integrative review of literature was conducted between June 2016 and January 2017. METHODS: A systematic search was completed using four databases (Science Direct, Scopus, Web of Science, and the Cumulative Index to Nursing and Allied Health Literature) that covered the years between 2007 and 2017, and used the key words nurs* OR (staff nurs* ) OR (register nurs* ) AND competenc* AND international OR global...
January 4, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29289510/developing-effective-mentor-mentee-relationships-in-radiology
#15
Rachel E Perry, Jay R Parikh
Radiologists seek mentors to facilitate career advancement and to help overcome professional and personal challenges. Characteristics of effective mentors include altruism, honesty, active listening skills, a collaborative approach, and accessibility. Characteristics of effective mentees include being respectful of mentors' input and time, being an active listener, and being open to feedback. Radiology departments should consider establishing structured processes for identifying and preparing mentors. Strategies to support mentor-mentee relationships include effective pairing of mentors with mentees, maintenance of confidentiality, clear definition of expectations, voluntary participation, and allowing mentees to change mentors without judgment or repercussions...
December 27, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29261178/laboratory-diagnosis-of-galactosemia-a-technical-standard-and-guideline-of-the-american-college-of-medical-genetics-and-genomics-acmg
#16
Marzia Pasquali, Chunli Yu, Bradford Coffee
Disclaimer: These ACMG Standards and Guidelines are developed primarily as an educational resource for clinical laboratory geneticists to help them provide quality clinical laboratory genetic services. Adherence to these Standards and Guidelines is voluntary and does not necessarily assure a successful medical outcome. These Standards and Guidelines should not be considered inclusive of all proper procedures and tests or exclusive of other procedures and tests that are reasonably directed to obtaining the same results...
October 26, 2017: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/29235408/balint-work-and-the-creation-of-medical-knowledge
#17
John Muench
Michael Balint's pioneering work in primary care was not simply the application of psychodynamic theory to the complex problems and relationships encountered by clinicians. Rather, Balint's work was part of a wider conversation in Western epistemology that had already begun to break down the enlightenment rationalist agenda. Since the time of Descartes, we sought to find certain truth through decontextualizing and abstracting problems, and through separation of the observer from the thing observed, with a focus on finding universal timeless laws that could be generalized...
January 1, 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29228788/understanding-the-experiences-of-middle-school-girls-who-have-received-help-for-non-suicidal-self-injury
#18
Kathleen S Tillman, Michael Prazak, Megan L Obert
This study aimed to understand the experiences of middle school girls who have engaged in non-suicidal self-injury (NSSI) and have received professional help for these behaviors. Participants described engaging in NSSI in response to uncomfortable feelings and invasive negative thoughts. They reported that engaging in NSSI decreased their uncomfortable feelings. While each participant had at least one person in her life who knew about her NSSI, participants did not feel supported or validated by these people...
December 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/29217958/assessment-of-barriers-to-reproductive-health-service-utilization-among-bench-maji-zone-pastoralist-communities
#19
Andualem Henok, Emwodish Takele
Background: The reproductive health (RH) needs and challenges in pastoralist area are different from elsewhere. People in this area live in very traditional settings and adhere strongly to traditional cultural values and beliefs. Some of these beliefs are known to lead to poor sexual and RH outcomes. Thus, the objective of the study was to identify barriers of RH service utilization among pastoralist communities of Bench Maji zone. Methods: This study was conducted in pastoralist communities of 5 woredas in Bench Maji zone...
September 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/29207217/-clinical-competence-in-nephrology-proposal-of-an-evaluation-pathway-and-definition-of-professional-levels
#20
Marco Formica, Sabrina Chiapello, Federico Marazzi, Daniela Falconi, Marita Marengo, Maurizio Gherzi, Fabio Tattoli, Ilaria Serra, Michela Tamagnone, Chiara Bottaro, Patrizia Garis, Grazia Maria Alberico
The need to assess clinical competencies in a medical environment is an intriguing issue due to progressive involvement of young physicians in clinical practice, as well as for connections tied to evaluation systems to define postgraduate training and career progression. To reach this goal, system must be based upon contributions that are aimed to achieve a clear and homogeneous evaluation pathway and strictly related to the continuing medical education institution (credits). All these presuppositions are instrumental for the proposal of a sheet which could allow a data retrieval useful to depict a career progression by means of: identification of reproducible parameters along with clear standards; advices for indicators; objective judgments that could drive to a score meaningful for reaching higher steps in the performance evaluation...
December 5, 2017: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
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