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https://www.readbyqxmd.com/read/29682633/migrant-mothers-left-behind-fathers-the-negotiation-of-gender-subjectivities-in-indonesia-and-the-philippines
#1
Theodora Lam, Brenda S A Yeoh
The distinct feminization of labour migration in Southeast Asia - particularly in the migration of breadwinning mothers as domestic and care workers in gender-segmented global labour markets - has altered care arrangements, gender roles and practices, as well as family relationships within the household significantly. Such changes were experienced by both the migrating women and other left-behind members of the family, particularly 'substitute' carers such as left-behind husbands. During the women's absence from the home, householding strategies have to be reformulated when migrant women-as-mothers rewrite their roles (but often not their identities) through labour migration as productive workers who contribute to the well-being of their children via financial remittances and 'long-distance mothering', while left-behind fathers and/or other family members step up to assume some of the tasks vacated by the mother...
2018: Gender, Place and Culture: a Journal of Feminist Geography
https://www.readbyqxmd.com/read/29681256/carer-and-clinician-perceptions-of-the-use-of-emergency-medical-services-by-people-with-dementia-a-qualitative-study
#2
Sarah Voss, Janet Brandling, Sarah Black, Rik Cheston, Sarah Cullum, Steve Iliffe, Sarah Purdy, Jonathan Benger
A growing number of older people are accessing emergency medical services (EMS), and many calls to EMS are made by, or on behalf of, people with dementia. Their needs are frequently complex; however, EMS staff are often given minimal guidance on ensuring patient safety, accurate diagnosis, and timely transfer to the most appropriate care. This study aimed to qualitatively explore the EMS experiences of carers for people with dementia and assess the views of EMS staff on the management of dementia, using focus groups and interviews...
April 23, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29680468/experiencing-mental-health-diagnosis-a-systematic-review-of-service-user-clinician-and-carer-perspectives-across-clinical-settings
#3
REVIEW
Amorette Perkins, Joseph Ridler, Daniel Browes, Guy Peryer, Caitlin Notley, Corinna Hackmann
Receiving a mental health diagnosis can be pivotal for service users, and it has been described in both positive and negative terms. What influences service-user experience of the diagnostic process is unclear; consequently, clinicians report uncertainty regarding best practice. This Review aims to understand and inform diagnostic practice through a comprehensive synthesis of qualitative data on views and experiences from key stakeholders (service users, clinicians, carers, and family). We searched five databases and identified 78 papers for inclusion, originating from 13 countries and including 2228 participants...
April 18, 2018: Lancet Psychiatry
https://www.readbyqxmd.com/read/29679930/mixed-culture-polyhydroxyalkanoate-pha-synthesis-from-nutrient-rich-wet-oxidation-liquors
#4
Suren Wijeyekoon, Carlo R Carere, Mark West, Shresta Nath, Daniel Gapes
Organic waste residues can be hydrothermally treated to produce organic acid rich liquors. These hydrothermal liquors are a potential feedstock for polyhydroxyalkanoate (PHA) production. We investigated the effect of dissolved oxygen concentration and substrate feeding regimes on PHA accumulation and yield using two hydrothermal liquors derived from a mixture of primary and secondary municipal wastewater treatment sludge and food waste. The enriched culture accumulated a maximum of 41% PHA of cell dry weight within 7 h; which is among the highest reported for N and P rich hydrothermal liquors...
April 12, 2018: Water Research
https://www.readbyqxmd.com/read/29678075/an-analytical-method-for-multimorbidity-management-using-bayesian-networks
#5
Stéphane Deparis, Alessandra Pascale, Pierpaolo Tommasi, Spyros Kotoulas
This paper describes an application of Bayesian Networks to mo-del persons with multimorbidity using measurements of vital signs and lifestyle assessments. The model was developed as part of a project on the use of wearable and home sensors and tablet applications to help persons with multimorbidity and their carers manage their conditions in daily life. The training data was extracted from TILDA, an open dataset collected from a longitudinal health study of the older Irish population. A categorical BN structure was learnt using a score-based approach, with constraints on the ordering of variables...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677100/from-community-to-meta-community-mental-health-care
#6
REVIEW
Nick Bouras, George Ikkos, Thomas Craig
Since the 1960s, we have witnessed the development and growth of community mental health care that continues to dominate mental health policy and practice. Several high-income countries have implemented community mental health care programmes but for many others, including mostly low- and middle-income countries, it remains an aspiration. Although community mental health care has been positive for many service users, it has also had severe shortcomings. Expectations that it would lead to fuller social integration have not been fulfilled and many service users remain secluded in sheltered or custodial environments with limited social contacts and no prospect of work...
April 20, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29674224/the-young-adult-strengths-and-difficulties-questionnaire-sdq-in-routine-clinical-practice
#7
Peter Brann, Melissa J Lethbridge, Helen Mildred
Expansion of the youth mental health sector has exposed a need for an outcome measure for young adults accessing services. The Strengths and Difficulties Questionnaire (SDQ) is a widely used consumer and carer outcome measure for children and adolescents. The aim of this study was to evaluate the psychometric properties of a young adult SDQ. The young adult SDQ was introduced for routine clinical practice at Eastern Health Child and Youth Mental Health Service (EH-CYMHS), complementing the well-established adolescent and child versions...
March 4, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29672911/the-quality-of-dying-and-death-measurement-instruments-a-systematic-psychometric-review
#8
REVIEW
Daniel Gutiérrez Sánchez, David Pérez Cruzado, Antonio I Cuesta-Vargas
AIMS: To identify instruments that could assess the quality of dying and death and their psychometric properties. Toassess the methodological quality of studies on measurement properties. BACKGROUND: A highquality of deathis regarded as a goal at the endoflife and, therefore, anassessment of the endoflife experience is essential. Many instruments have been developed to evaluate the quality of dying and death. The selection of the most appropriate measure to use in clinical and research settings being crucial...
April 19, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29671334/alzheimer-disease-non-pharmacological-and-pharmacological-management-of-cognition-and-neuropsychiatric-symptoms
#9
Samantha M Loi, Dhamidhu Eratne, Wendy Kelso, Dennis Velakoulis, Jeffrey Cl Looi
OBJECTIVES: This clinical update review focuses on the management of cognition and the neuropsychiatric features of Alzheimer's disease (AD) and highlights current issues regarding pharmacological and non-pharmacological treatment, putative therapeutics and recent relevant research findings in this area. CONCLUSIONS: AD is a neurodegenerative progressive condition characterised by cognitive impairment and functional decline. Most people with AD will demonstrate neuropsychiatric features, better known as behavioural and psychological symptoms of dementia (BPSD)...
March 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29667571/is-it-all-bleak-a-systematic-review-of-factors-contributing-to-relationship-change-in-dementia
#10
Erin R Conway, Brittany Watson, Gemma Tatangelo, Marita McCabe
ABSTRACTBackground:The care of community-dwelling people with dementia often occurs in the context of pre-existing family relationships. The presence of dementia can result in changes to the quality of those relationships. The purpose of this systematic review is to identify factors that enhance or challenge the quality of spousal or offspring relationships in the context of dementia. METHODS: Both qualitative and quantitative studies were included in a systematic review of the literature...
April 18, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29667568/is-there-an-optimal-time-to-move-to-a-care-home-for-a-person-with-dementia-a-systematic-review-of-the-literature
#11
Laura Cole, Kritika Samsi, Jill Manthorpe
ABSTRACTBackground:There is limited evidence regarding how the decision evolves about whether and when it is best for a person with dementia to move to a care home. The factors leading to the timing of the decision remain particularly unclear. This systematic review of existing literature aims to gain an understanding of the decision-making timing and process to distinguish the drivers of these decisions, and to identify if there is an "optimal" or best time (if any) for a person with dementia to move to a care home...
April 18, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29667475/how-family-caregivers-help-older-relatives-navigate-statutory-services-at-the-end-of-life-a-descriptive-qualitative-study
#12
Lisa Ann Williams, Tess Moeke-Maxwell, Janine Wiles, Stella Black, Gabriella Trussardi, Ngaire Kerse, Merryn Gott
BACKGROUND: A key challenge in meeting the palliative care needs of people in advanced age is the multiple healthcare and social service agencies typically involved in their care. The 'patient navigator' model, originally developed in cancer care, is the professional solution most often recommended to address this challenge. However, little attention has been paid, or is known, about the role that family carers play in enabling their dying relatives to negotiate service gaps. AIM: To explore the role family caregivers play in helping people dying in advanced old age navigate health services at the end of life...
April 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29667301/the-feasibility-of-using-the-brighthearts-biofeedback-assisted-relaxation-application-for-the-management-of-pediatric-procedural-pain-a-pilot-study
#13
Karen L O Burton, Angela M Morrow, Brooke V Beswick, George P Khut
OBJECTIVE: The objective of this pilot study was to assess the acceptability and feasibility of using BrightHearts, a biofeedback-assisted relaxation application (app), in children undergoing painful procedures. METHODS: Thirty children 7 to 18 years of age undergoing a medical procedure (peripheral blood collection, botulinum toxin injection, or intravenous cannula insertion) participated. Participants used BrightHearts, a heart rate-controlled biofeedback-assisted relaxation training app delivered via an iPad with heart rate measured through a pulse oximeter worn on the ear or thumb...
April 17, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29666139/last-year-of-life-study-cologne-lyol-c-protocol-for-a-cross-sectional-mixed-methods-study-to-examine-care-trajectories-and-transitions-in-the-last-year-of-life-until-death
#14
Julia Strupp, Gloria Hanke, Nicolas Schippel, Holger Pfaff, Ute Karbach, Christian Rietz, Raymond Voltz
INTRODUCTION: The last year of life constitutes a particularly vulnerable phase for patients, involving nearly all health and social care structures. Yet, little scientific evidence is available that provides insight into the trajectories including the number and types of care setting transitions, transitions into palliative care and the dying phase. Only few studies have focused on difficulties associated with having to move between health and social care settings in the last year of life, although patients face a significant risk of adverse events...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29664326/targeted-alpha-particle-therapy-imaging-dosimetry-and-radiation-protection
#15
M Lassmann, U Eberlein
Systemic or locoregionally administered alpha-particle emitters are highly potent therapeutic agents used in oncology that are fundamentally novel in their mechanism and, most likely, overcome radiation resistance as the alpha particles emitted have a short range and a high linear energy transfer. The use of alpha emitters in a clinic environment requires extra measures with respect to imaging, dosimetry, and radiation protection. This is shown for the example of 223 Ra dichloride therapy. After intravenous injection, 223 Ra leaves the blood and is taken up rapidly in bone and bone metastases; it is mainly excreted via the intestinal tract...
January 1, 2018: Annals of the ICRP
https://www.readbyqxmd.com/read/29663446/dualities-of-dementia-illness-narratives-and-their-role-in-a-narrative-economy
#16
Alexandra Hillman, Ian Rees Jones, Catherine Quinn, Sharon M Nelis, Linda Clare
The concept of 'narrative economies' has recently been proposed as a set of exchange relationships that, through biography and story-telling, facilitate access to resources and act as a source of value. We utilise this concept to inform our analysis of 18 qualitative interviews with five people with dementia and four informal carers. Our participants are members of a pre-existing group of dementia advocates, representing the voices of those living with the condition. There are a growing number of people in the early stages of dementia - like our participants - being called upon to account for their experience, as a means of developing a politicised 'collective illness identity'...
April 16, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29661097/qualitative-evaluation-of-how-a-virtual-dementia-experience-impacts-medical-and-pharmacy-students-self-reported-knowledge-and-attitudes-towards-people-with-dementia
#17
Julia F-M Gilmartin-Thomas, John McNeil, Anne Powell, Daniel T Malone, Ian C Larson, Claire L O'Reilly, Carl M Kirkpatrick, Eva Kipen, Tanya Petrovich, Taliesin E Ryan-Atwood, J Simon Bell
Objectives It is important for healthcare professional students to understand the experience of people with dementia, their family, and their carers. Despite person-centred educational policies, current curriculums may not adequately prepare students to meet the needs of people with dementia. This study qualitatively evaluated the impact of a virtual dementia experience on medical and pharmacy students' self-reported knowledge and attitudes towards people with dementia. Methods Ten focus groups were conducted with 29 medical and 24 pharmacy students in September and October 2016...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29661033/dementia-buddying-as-a-vehicle-for-person-centred-care-the-performance-of-a-volunteer-led-pilot-on-two-hospital-wards
#18
Claire Preston, Sarah Burch
Objectives To understand and explain whether a dementia buddies pilot introduced into two adjacent mental health hospital wards in England was achieving its aim of enhancing person-centred care. Methods The research used a cultural lens to evaluate the dementia buddies pilot. It comprised 20 in-depth semi-structured interviews with staff, volunteers and carers in the two wards where the pilot was introduced. Results The pilot's ability to deliver positive outcomes depended on its compatibility with the culture of the ward and it performed better in the ward where a person-centred culture of care already existed...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29656713/symptom-management-nutrition-and-hydration-at-end-of-life-a-qualitative-exploration-of-patients-carers-and-health-professionals-experiences-and-further-research-questions
#19
Jessica Baillie, Despina Anagnostou, Stephanie Sivell, Jordan Van Godwin, Anthony Byrne, Annmarie Nelson
BACKGROUND: Symptom management is an essential aspect of palliative and end-of-life care, but evidence suggests that patients' symptoms may not always be relieved, causing significant harm to patients and magnifying their relatives' distress. A growing body of evidence focuses on symptom management at the end-of-life, but research funding for palliative care remains disproportionately low. It is therefore crucial that research funding is targeted at areas of importance to patients and relatives...
April 16, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29651830/qualitative-and-quantitative-revaluation-of-specific-learning-disabilities-a-multicentric-study
#20
Francesca F Operto, Roberta Mazza, Maura Buttiglione, Francesco Craig, Alessandro Frolli, Simone Pisano, Lucia Margari, Giangennaro Coppola
BACKGROUND: Specific learning disabilities are disorders that affect the instrumental skills of academic learning, leaving intact the general intellectual functioning. It is possible to distinguish: dyslexia, dysorthography, dysgraphia, and dyscalculia. The diagnosis is made according to DSMV. The aim of this study is to evaluate the implementation of Law N° 170 following a diagnosis of specific learning disabilities in children and their evolution over time. METHODS: The sample under examination consists of 75 children, 56 males and 18 females aged 7,8 to 16 years, with a diagnosis of specific learning disabilities; a revaluation was carried outthrough the use of standardized instruments according to age and school attended...
April 12, 2018: Minerva Pediatrica
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