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https://www.readbyqxmd.com/read/28098721/the-endocannabinoid-system-and-its-role-in-eczematous-dermatoses
#1
Alexandra R Trusler, Ashley K Clark, Raja K Sivamani, Vivian Y Shi
The skin serves as the foremost barrier between the internal body and the external world, providing crucial protection against pathogens and chemical, mechanical, and ultraviolet damages. The skin is a central player in the intricate network of immune, neurologic, and endocrine systems. The endocannabinoid system (ECS) includes an extensive network of bioactive lipid mediators and their receptors, functions to modulate appetite, pain, mood, and memory, and has recently been implicated in skin homeostasis. Disruption of ECS homeostasis is implicated in the pathogenesis of several prevalent skin conditions...
January 2017: Dermatitis
https://www.readbyqxmd.com/read/28098580/an-investigation-of-treatment-engagement-among-returning-veterans-with-problematic-anger
#2
Kirsten H Dillon, Eric F Crawford, Harold Kudler, Kristy A Straits-Troster, Eric B Elbogen, Patrick S Calhoun
Anger is a commonly reported problem among returning veterans, yet little attention has been devoted to studying treatment engagement among veterans who report anger problems but do not have posttraumatic stress disorder (PTSD). This study compares Iraq-Afghanistan veterans with anger/no PTSD (n = 159) to others reporting significant PTSD symptoms (n = 285) and those reporting neither anger nor PTSD (n = 716) on rates of treatment utilization, perceived barriers to treatment, and preferences for care. Relative to the PTSD group, the anger/no-PTSD group was significantly less likely to have received mental health treatment in the last year, despite endorsing barriers to treatment at a lower rate...
January 14, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28098492/insomnia-management-in-the-australian-primary-care-setting
#3
Fatema-Tun-Naher Sake, Keith Wong, Delwyn J Bartlett, Bandana Saini
BACKGROUND AND OBJECTIVE: Insomnia is one of the most prevalent and costly sleep disorders presenting in general practice, and when left untreated, has major health consequences. However, studies are limited on how general practitioners respond to this health issue, especially since the reconceptualization of insomnia in DSM 5. Therefore, the aim of this study was to explore how insomnia is diagnosed and treated in Australian general practices. PARTICIPANTS: Twenty-four (54% male) general practitioners were recruited throughout the greater Sydney metropolitan area in New South Wales using the professional network of research team members and snowballing technique...
January 18, 2017: Behavioral Sleep Medicine
https://www.readbyqxmd.com/read/28098398/depression-and-discrimination-in-the-lives-of-women-transgender-and-gender-liminal-people-in-ontario-canada
#4
Charmaine C Williams, Deone Curling, Leah S Steele, Margaret F Gibson, Andrea Daley, Datejie Cheko Green, Lori E Ross
This article uses an intersectionality lens to explore how experiences of race, gender, sexuality, class and their intersections are associated with depression and unmet need for mental healthcare in a population of 704 women and transgender/gender liminal people from Ontario, Canada. A survey collecting demographic information, information about mental health and use of mental healthcare services, and data for the Everyday Discrimination Scale and the PHQ-9 Questionnaire for Depression was completed by 704 people via Internet or pen-and-paper between June 2011 and June 2012...
January 18, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28097100/hepatitis-c-virus-a-review-of-treatment-guidelines-cost-effectiveness-and-access-to-therapy
#5
REVIEW
Shaina M Lynch, George Y Wu
Hepatitis C virus (HCV) infection remains a significant medical concern in the United States and around the world. It is still one of the leading causes of chronic liver disease, and, for more than 20 years, there has been little progress in the treatment of HCV infection. The advent of direct-acting antivirals (DAAs) initiated the era of high efficacy and well-tolerated medications with high cure rates. The efficacy of these medications has prompted many professional societies around the world to update their treatment guidelines to include DAAs as first-line treatment...
December 28, 2016: Journal of Clinical and Translational Hepatology
https://www.readbyqxmd.com/read/28096749/evidence-based-information-needs-of-public-health-workers-a-systematized-review
#6
REVIEW
Jill Barr-Walker
OBJECTIVE: This study assessed public health workers' evidence-based information needs, based on a review of the literature using a systematic search strategy. This study is based on a thesis project conducted as part of the author's master's in public health coursework and is considered a systematized review. METHODS: Four databases were searched for English-language articles published between 2005 and 2015: PubMed, Web of Science, Library Literature & Information Science Index, and Library, Information Science & Technology Abstracts (LISTA)...
January 2017: Journal of the Medical Library Association: JMLA
https://www.readbyqxmd.com/read/28096740/unanswered-clinical-questions-a-survey-of-specialists-and-primary-care-providers
#7
Ellen Brassil, Bridget Gunn, Anant M Shenoy, Rebecca Blanchard
OBJECTIVE: With the myriad of cases presented to clinicians every day at our integrated academic health system, clinical questions are bound to arise. Clinicians need to recognize these knowledge gaps and act on them. However, for many reasons, clinicians might not seek answers to these questions. Our goal was to investigate the rationale and process behind these unanswered clinical questions. Subsequently, we explored the use of biomedical information resources among specialists and primary care providers and identified ways to promote more informed clinical decision making...
January 2017: Journal of the Medical Library Association: JMLA
https://www.readbyqxmd.com/read/28096687/coaching-and-barriers-to-weight-loss-an-integrative-review
#8
REVIEW
Karen Fernanda Muñoz Obino, Caroline Aguiar Pereira, Rafaela Siviero Caron-Lienert
INTRODUCTION: Coaching is proposed to raise a patient's awareness and responsibility for their health behaviour change by transforming the professional-patient relationship. OBJECTIVE: To review the scientific literature on how coaching can assist in weight loss and improve a patient's state of health. METHODOLOGY: An integrative literature search was performed using PubMed, Latin American and Caribbean Literature in Health Sciences, and Scientific Electronic Library Online...
2017: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
https://www.readbyqxmd.com/read/28096666/barriers-and-facilitators-influencing-self-management-among-copd-patients-a-mixed-methods-exploration-in-primary-and-affiliated-specialist-care
#9
Chantal F Hillebregt, Auke J Vlonk, Marc A Bruijnzeels, Onno Cp van Schayck, Niels H Chavannes
Self-management is becoming increasingly important in COPD health care although it remains difficult to embed self-management into routine clinical care. The implementation of self-management is understood as a complex interaction at the level of patient, health care provider (HCP), and health system. Nonetheless there is still a poor understanding of the barriers and effective facilitators. Comprehension of these determinants can have significant implications in optimizing self-management implementation and give further directions for the development of self-management interventions...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28096051/transitions-of-care-medication-related-barriers-identified-by-low-socioeconomic-patients-of-a-federally-qualified-health-center-following-hospital-discharge
#10
Rebecca Cope, Lauren Jonkman, Karen Quach, John Ahlborg, Sharon Connor
This article describes a qualitative research study using a semi-structured interview process to describe barriers surrounding medication access, use, and adherence for recently discharged patients of a federally qualified health center. Common themes which emerged were: 1) Team assumptions regarding patient plans to access or appropriately use discharge medications negatively impact adherence; 2) Unmet expectation for care coordination between primary care physician (PCP) and hospital; 3) Disconnect between patients and health care workers leads to disengagement; and 4) Lack of personal contact hinders access to services...
January 6, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28096029/nurses-perspectives-of-a-new-individualized-nursing-care-intervention-for-copd-patients-in-primary-care-settings-a-mixed-method-study
#11
Saskia W M Weldam, Jan-Willem J Lammers, Marieke Zwakman, Marieke J Schuurmans
BACKGROUND: The major challenges in Chronic Obstructive Pulmonary Disease (COPD) care are guiding a patient in daily living with the consequences of the disease, reducing the impact of symptoms and improving Health Related Quality of Life (HRQoL). The new nurse-led COPD-Guidance, Research on an Illness Perception (COPD-GRIP) intervention translates the evidence concerning illness perceptions and Health Related Quality of Life (HRQoL) into a practice nurse intervention. The aim is to explore the nurses' experiences with applying the new COPD-GRIP intervention...
February 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/28095911/mistreatment-of-women-during-childbirth-in-abuja-nigeria-a-qualitative-study-on-perceptions-and-experiences-of-women-and-healthcare-providers
#12
Meghan A Bohren, Joshua P Vogel, Özge Tunçalp, Bukola Fawole, Musibau A Titiloye, Akinpelu Olanrewaju Olutayo, Modupe Ogunlade, Agnes A Oyeniran, Olubunmi R Osunsan, Loveth Metiboba, Hadiza A Idris, Francis E Alu, Olufemi T Oladapo, A Metin Gülmezoglu, Michelle J Hindin
BACKGROUND: Global efforts have increased facility-based childbirth, but substantial barriers remain in some settings. In Nigeria, women report that poor provider attitudes influence their use of maternal health services. Evidence also suggests that women in Nigeria may experience mistreatment during childbirth; however, there is limited understanding of how and why mistreatment this occurs. This study uses qualitative methods to explore women and providers' experiences and perceptions of mistreatment during childbirth in two health facilities and catchment areas in Abuja, Nigeria...
January 17, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28095904/evaluation-of-the-tsima-community-mobilization-intervention-to-improve-engagement-in-hiv-testing-and-care-in-south-africa-study-protocol-for-a-cluster-randomized-trial
#13
Sheri A Lippman, Audrey Pettifor, Dumisani Rebombo, Aimée Julien, Ryan G Wagner, Mi-Suk Kang Dufour, Chodziwadziwa Whiteson Kabudula, Torsten B Neilands, Rhian Twine, Ann Gottert, F Xavier Gómez-Olivé, Stephen M Tollman, Ian Sanne, Dean Peacock, Kathleen Kahn
BACKGROUND: HIV transmission can be decreased substantially by reducing the burden of undiagnosed HIV infection and expanding early and consistent use of antiretroviral therapy (ART). Treatment as prevention (TasP) has been proposed as key to ending the HIV epidemic. To activate TasP in high prevalence countries, like South Africa, communities must be motivated to know their status, engage in care, and remain in care. Community mobilization (CM) has the potential to significantly increase uptake testing, linkage to and retention in care by addressing the primary social barriers to engagement with HIV care-including poor understanding of HIV care; fear and stigma associated with infection, clinic attendance and disclosure; lack of social support; and gender norms that deter men from accessing care...
January 17, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28095844/barriers-and-facilitators-of-help-seeking-among-unemployed-persons-with-mental-health-problems-a-qualitative-study
#14
Tobias Staiger, Tamara Waldmann, Nicolas Rüsch, Silvia Krumm
BACKGROUND: Unemployed people with mental health problems often do not use mental health services and therefore do not benefit from available therapies. As unemployed individuals outside the healthcare system are a hard-to-reach group, barriers to and facilitators of mental health service use are poorly understood. The purpose of this study was to identify barriers to and facilitators of help-seeking and service use based on experiences of unemployed people with mental health problems...
January 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28095827/lessons-learned-from-the-london-exercise-and-pregnant-leap-smokers-randomised-controlled-trial-process-evaluation-implications-for-the-design-of-physical-activity-for-smoking-cessation-interventions-during-pregnancy
#15
Nikoletta Giatras, Elisabeth Wanninkhof, Miranda Leontowitsch, Beth Lewis, Adrian Taylor, Sue Cooper, Michael Ussher
BACKGROUND: The challenges of delivering interventions for pregnant smokers have been poorly documented. Also, the process of promoting a physical activity intervention for pregnant smokers has not been previously recorded. This study describes the experiences of researchers conducting a randomised controlled trial of physical activity as an aid to smoking cessation during pregnancy and explores how the effectiveness of future interventions could be improved. METHODS: Two focus groups, with independent facilitators, were conducted with six researchers who had enrolled pregnant smokers in the LEAP trial, provided the interventions, and administered the research measures...
January 17, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28095813/vocational-rehabilitation-for-adults-with-psychotic-disorders-in-a-scandinavian-welfare-society
#16
Erik Falkum, Ole Klungsøyr, June Ullevoldsæter Lystad, Helen Christine Bull, Stig Evensen, Egil W Martinsen, Svein Friis, Torill Ueland
BACKGROUND: This study examined the outcomes of a vocational rehabilitation program (The Job Management Program, JUMP) for persons with psychotic disorders based on close collaboration between health and welfare services. METHODS: Participants (N = 148) with broad schizophrenia spectrum disorders (age 18-65) were recruited from six counties in Norway. Three counties were randomized to vocational rehabilitation augmented with cognitive behaviour therapy (CBT), while the remaining three counties were randomized to vocational rehabilitation augmented with cognitive remediation (CR)...
January 17, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28095727/mentor-mother-support-for-mothers-experiencing-intimate-partner-violence-in-family-practice-a-qualitative-study-of-three-different-perspectives-on-the-facilitators-and-barriers-of-implementation
#17
Maartje J W Loeffen, Jasper Daemen, Fred P J F Wester, Miranda G H Laurant, Sylvie H Lo Fo Wong, Antoine L M Lagro-Janssen
BACKGROUND: Intimate partner violence (IPV) is highly prevalent and associated with physical and mental health problems. Mentor mother support is a low threshold intervention in family practice consisting of support by non-professionals trained to support mothers experiencing IPV. A mentor mother support study showed reduced exposure to IPV and decreased symptoms of depression. OBJECTIVES: Identify factors determining implementation success of mentor mother support in family practice...
January 18, 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28095726/male-professional-footballers-experiences-of-mental-health-difficulties-and-help-seeking
#18
Susan Wood, Lesley K Harrison, Jo Kucharska
OBJECTIVES: Male professional footballers (Soccer) represent an at-risk population of developing mental health difficulties and not accessing professional support. One in four current footballers report mental health difficulties. Higher prevalence is reported after retirement. This qualitative study aimed to provide in-depth insight into male professional footballers' lived experiences of mental health difficulties and help-seeking. METHODS: Seven participants were interviewed...
January 18, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28094601/recruiting-newly-referred-lung-cancer-patients-to-a-patient-navigator-intervention-paco-lessons-learnt-from-a-pilot-study
#19
Trille Kristina Kjær, Anders Mellemgaard, Marianne Stensøe Oksen, Bo Andreassen Rix, Randi Karlsen, Christoffer Johansen, Susanne Oksbjerg Dalton
OBJECTIVES: The incidence of and survival from lung cancer are associated with socioeconomic position, and disparities have been observed in both curative and palliative treatment for lung cancer. 'Patient navigation' is valuable in addressing health disparity, with timely treatment and transition to care. We conducted a pilot study to test the feasibility of a patient navigator program (PAtient COach) for newly diagnosed lung cancer. We present the trial, the findings from the pilot study and discuss factors that might have affected recruitment rates...
January 17, 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28094228/health-promotion-in-practice-district-nurses-experiences-of-working-with-health-promotion-and-lifestyle-interventions-among-patients-at-risk-of-developing-cardiovascular-disease
#20
Kristina Lundberg, Miek C Jong, Lisbeth Kristiansen, Mats Jong
OBJECTIVE: Health Promotion Practice (HPP) has the objective to promote a healthier lifestyle and reduce the risk of disease. The aim of this study was to examine district nurses׳ experiences of working with health preventive actions among patients with risk factors for cardiovascular disease (CVD), and to identify facilitators and obstacles in HPP. DESIGN/SETTING: The study was carried out with a qualitative approach where individual semistructured interviews were performed with a total of 12 district nurses in primary care...
December 16, 2016: Explore: the Journal of Science and Healing
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