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Help-seeking pathways

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https://www.readbyqxmd.com/read/28809921/first-choice-of-treatment-place-in-the-pathways-to-epileptic-care-at-the-outpatient-department-of-university-of-gondar-hospital-northwest-ethiopia-cross-sectional-institutional-based-study
#1
Berhanu Boru Bifftu, Berihun Assefa Dachew, Bewket Tadesse Tiruneh, Wondale Getinet Alemu
BACKGROUND: Epilepsy treatment gap range from 87% to 98%. In spite of this, there is a gross inadequacy of the availability, accessibility and affordability of Anti-Epileptic Drugs. In countries like Ethiopia, where most populations are less aware about mental health problems, most people seek help for their illness from traditional healers. Thus, the main purpose of this study was to assess the pathways to epilepsy care and associated factors. METHODS: Cross-sectional study design utilized among 409 participants selected by systematic random sampling technique...
2017: PloS One
https://www.readbyqxmd.com/read/28797004/-lanthanic-presentation-in-first-episode-psychosis-predicts-long-service-delay-the-challenge-of-detecting-masked-psychosis
#2
Erling Inge Kvig, Beate Brinchmann, Cathrine Moe, Steinar Nilssen, Tor Ketil Larsen, Knut Sørgaard
BACKGROUND/AIMS: Studies of pathways to care in first-episode psychosis have documented a substantial treatment delay occurring after patients enter mental health services. An initial presentation with neurotic rather than psychotic symptoms is common in first-episode psychosis. The term "lanthanic patient" has been used to refer to patients presenting with a reason for help-seeking that is unrelated to the underlying pathology. The aim of this study is to explore whether a lanthanic presentation is related to prolonged service delay...
August 11, 2017: Psychopathology
https://www.readbyqxmd.com/read/28768325/estimating-risk-of-postsurgical-general-and-geriatric-complications-using-the-vespa-preoperative-tool
#3
Lillian Min, Karen Hall, Emily Finlayson, Michael Englesbe, William Palazzolo, Chiao-Li Chan, Hechuan Hou, Ashley Miller, Kathleen M Diehl
Importance: As greater numbers of older patients seek elective surgery, one approach to preventing postoperative complications is enhanced assessment of risks during preoperative evaluation. Objective: To determine whether a geriatric assessment tool can be implemented in a preoperative clinic and can estimate risk of postoperative complications. Design, Setting, and Participants: In this prospective cohort study, patients 70 years of age or older were assessed in a preoperative clinic for elective surgery from July 9, 2008, to January 5, 2011...
August 2, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28756165/pathways-to-care-among-persons-with-dementia-study-from-a-tertiary-care-center
#4
Sk Altaf Hossien, Santosh Loganathan, Meena Kolar Sridara Murthy, Sivakumar Palanimuthu Thangaraju, Srikala Bharath, Mathew Varghese
The prevalence of dementia is increasing rapidly, specifically in low and middle income countries (LAMIC) due to demographic aging. Help seeking is delayed and usually sought at an advanced stage of illness and many are yet to receive a formal diagnosis. We interviewed 35 caregivers of persons with Dementia (as per ICD-10) using a semi-structured questionnaire, the Short Explanatory Model Interview (SEMI). We explored the pathways taken by caregivers of people with dementia en route to a tertiary care centre and the interactions they had with different health care providers...
July 27, 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28726442/ptsd-and-autism-spectrum-disorder-co-morbidity-gaps-in-research-and-potential-shared-mechanisms
#5
Nirit Haruvi-Lamdan, Danny Horesh, Ofer Golan
BACKGROUND: While autism and trauma were often linked in psychoanalytic theory, very few scientific attempts have been made to explore the associations and comorbidity between the two. Instead, each area has grown separately, yielding large bodies of theoretical and clinical knowledge. THEORETICAL FRAMEWORK: In this article, we suggest several possible pathways that may link trauma and autism. First, autism spectrum disorder (ASD) may serve as a vulnerability marker for posttraumatic stress disorder (PTSD), specifically by increasing the risk for exposure to traumatic events...
July 20, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28724423/effectiveness-and-cost-effectiveness-of-telephone-based-cognitive-behavioural-therapy-in-primary-care-study-protocol-of-tide-telephone-intervention-for-depression
#6
Birgit Watzke, Elisa Haller, Maya Steinmann, Daniela Heddaeus, Martin Härter, Hans-Helmut König, Karl Wegscheider, Thomas Rosemann
BACKGROUND: Despite the availability of evidence-based treatments for depression, a large proportion of patients remains untreated or adequate treatment is initiated with delay. This situation is particularly critical in primary care, where not only most individuals first seek help for their mental health problems, but also depressive disorders - particularly mild to moderate levels of severity - are highly prevalent given the high comorbidity of chronic somatic conditions and depression...
July 19, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28721822/opioid-antagonists-for-pharmacological-treatment-of-gambling-disorder-are-they-relevant
#7
Caroline Victorri-Vigneau, Andrew Spiers, Pascal Caillet, Mélanie Bruneau, Gaëlle Challet-Bouju, Marie Grall-Bronnec
Background: To date, no drugs have been approved for gambling disorder. Numerous publications have described the value of opioid antagonists. Indeed, the mesocorticolimbic dopaminergic pathway has been suggested as the underlying cause of reward-seeking behaviour, and it is modulated by the opioid system. Objective: This study aims to evaluate the relevance of opioid antagonists for treating GD. Method A systematic literature review was conducted. A search of the PubMed electronic database, PsycINFO and the Cochrane Systematic Review Database without any limits was performed...
July 18, 2017: Current Neuropharmacology
https://www.readbyqxmd.com/read/28719230/help-seeking-for-mental-health-problems-in-an-adolescent-population-the-effect-of-gender
#8
L Haavik, I Joa, K Hatloy, H J Stain, J Langeveld
BACKGROUND: While the onset of many mental health problems occurs in adolescence, these problems are severely undertreated in this age group. To inform early intervention for adolescents, we investigated the effect of gender and education type on perception of barriers to help seeking, mental health literacy, and the awareness and use of mental health services. METHOD: A web-based survey using vignettes, open-ended and multiple choice items was administered to upper secondary school students in two counties in Norway...
July 18, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28716050/working-for-patient-safety-a-qualitative-study-of-women-s-help-seeking-during-acute-perinatal-events
#9
Nicola Mackintosh, Susanna Rance, Wendy Carter, Jane Sandall
BACKGROUND: Women and their relatives can play an important role in early detection and help seeking for acute perinatal events. Recent UK reports indicate that patient-professional partnership in 'working for safety' can be difficult to achieve in practice, sometimes with catastrophic consequences. This research explored the experiences of women and relatives who had experienced early warning signs about their condition and sought help in escalating care. METHODS: Secondary analysis of case study data which included qualitative interviews with 22 women purposively sampled on account of experiencing a step up in care and 4 of their relatives from two NHS Trusts in England during 2010...
July 17, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28701290/using-new-and-emerging-technologies-to-identify-and-respond-to-suicidality-among-help-seeking-young-people-a-cross-sectional-study
#10
Frank Iorfino, Tracey A Davenport, Laura Ospina-Pinillos, Daniel F Hermens, Shane Cross, Jane Burns, Ian B Hickie
BACKGROUND: Suicidal thoughts are common among young people presenting to face-to-face and online mental health services. The early detection and rapid response to these suicidal thoughts and other suicidal behaviors is a priority for suicide prevention and early intervention efforts internationally. Establishing how best to use new and emerging technologies to facilitate person-centered systematic assessment and early intervention for suicidality is crucial to these efforts. OBJECTIVE: The aim of this study was to examine the use of a suicidality escalation protocol to respond to suicidality among help-seeking young people...
July 12, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28680810/fluoride-resistance-capacity-in-mammalian-cells-involves-complex-global-gene-expression-changes
#11
Shujun Ran, Ning Sun, Yun Liu, Wu Zhang, Yiming Li, Limin Wei, Jia Wang, Bin Liu
Fluorine is a bone-seeking element ubiquitously present in the environment and widely used in many oral hygiene products. In humans, excessive intake of fluoride may cause dental and skeletal fluorosis. However, endemic fluorosis does not appear to develop in a proportion of individuals exposed to the same levels of fluoride. The mechanisms by which mammalian cells resist fluoride are still unclear. In this study, we developed strains of mouse L-929 cells resistant to different levels of fluoride. High-throughput RNA-sequencing analyses of the fluoride-resistant L-929 cells indicated that massive changes in global gene expression occurred, compared with the wild-type L-929 cells...
July 2017: FEBS Open Bio
https://www.readbyqxmd.com/read/28659143/explaining-time-elapsed-prior-to-cancer-diagnosis-patients-perspectives
#12
Astrid Brousselle, Mylaine Breton, Lynda Benhadj, Dominique Tremblay, Sylvie Provost, Danièle Roberge, Raynald Pineault, Pierre Tousignant
BACKGROUND: Cancer is the leading cause of death in Canada. Early cancer diagnosis could improve patients' prognosis and quality of life. This study aimed to analyze the factors influencing elapsed time between the first help-seeking trigger and cancer diagnosis with respect to the three most common and deadliest cancer types: lung, breast, and colorectal. METHODS: This paper presents the qualitative component of a larger project based on a sequential explanatory design...
June 28, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28619027/-health-is-my-capital-a-qualitative-study-of-access-to-healthcare-by-chinese-migrants-in-singapore
#13
Wai Jia Tam, Wei Leong Goh, Jeffrey Chua, Helena Legido-Quigley
BACKGROUND: Since the 1970s, Singapore has turned into one of the major receiving countries of foreign workers in Southeast Asia. Over the years, challenges surrounding access to healthcare by Chinese migrant workers have surfaced globally. This study aims to explore the experiences of Chinese migrants accessing primary and secondary/tertiary healthcare in Singapore, and the opportunities for overcoming these barriers. METHODS: We conducted 25 in-depth interviews of 20 Chinese migrants and five staff from HealthServe, a non-governmental organization serving Chinese migrants in Singapore from October 2015 to January 2016...
June 15, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28615051/the-pathway-to-consultation-for-rheumatoid-arthritis-exploring-anticipated-actions-between-the-onset-of-symptoms-and-face-to-face-encounter-with-a-healthcare-professional
#14
Gwenda Simons, Sophie Lumley, Marie Falahee, Kanta Kumar, Christian D Mallen, Rebecca J Stack, Karim Raza
BACKGROUND: When people first experience symptoms of rheumatoid arthritis (RA) they often delay seeking medical attention resulting in delayed diagnosis and treatment. This research assesses behaviours people might engage in prior to, or instead of, seeking medical attention and compares these with behaviours related to illnesses which are better publicised. METHODS: Thirty-one qualitative interviews with members of the general public explored intended actions in relation to two hypothetical RA vignettes (with and without joint swelling) and two non-RA vignettes (bowel cancer and angina)...
June 14, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28604146/clients-and-carers-perception-of-mental-illness-and-factors-that-influence-help-seeking-where-they-go-first-and-why
#15
Harris K Chilale, Ndumanene Devlin Silungwe, Saulos Gondwe, Charles Masulani-Mwale
OBJECTIVE: In Northern Malawi, the duration of untreated psychosis (DUP) is longer than that in high-income countries. The reasons for the delay in help-seeking are not known, although studies show multiple reasons. This research was conducted to establish health care help-seeking behaviours and identify barriers that exist between service users and health care providers. The study also intended to establish the beliefs that clients and family members have regarding the causes of mental illness which profoundly shape help-seeking, care giving process and outcomes...
June 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28596971/soluble-urokinase-receptor-and-the-kidney-response-in-diabetes-mellitus
#16
REVIEW
Ranadheer R Dande, Vasil Peev, Mehmet M Altintas, Jochen Reiser
Diabetic nephropathy (DN) is the leading cause of end-stage renal disease (ESRD) worldwide. DN typically manifests by glomerular hyperfiltration and microalbuminuria; then, the disease progresses to impaired glomerular filtration rate, which leads to ESRD. Treatment options for DN include the strict control of blood glucose levels and pressure (e.g., intraglomerular hypertension). However, the search for novel therapeutic strategies is ongoing. These include seeking specific molecules that contribute to the development and progression of DN to potentially interfere with these "molecular targets" as well as with the cellular targets within the kidney such as podocytes, which play a major role in the pathogenesis of DN...
2017: Journal of Diabetes Research
https://www.readbyqxmd.com/read/28596146/the-role-of-web-based-health-information-in-help-seeking-behavior-prior-to-a-diagnosis-of-lung-cancer-a-mixed-methods-study
#17
Julia Mueller, Caroline Jay, Simon Harper, Chris Todd
BACKGROUND: Delays to diagnosis in lung cancer can lead to reduced chance of survival, and patients often wait for several months before presenting symptoms. The time between first symptom recognition until diagnosis has been theorized into three intervals: symptom appraisal, help-seeking, and diagnostic interval (here: "pathway to diagnosis"). Interventions are needed to reduce delays to diagnosis in lung cancer. The Web has become an important lay health information source and could potentially play a role in this pathway to diagnosis...
June 8, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28572868/prostate-cancer-patient-perspectives-on-the-use-of-information-in-treatment-decision-making-a-systematic-review-and-qualitative-meta-synthesis
#18
Sujane Kandasamy, Ahmad Firas Khalid, Umair Majid, Meredith Vanstone
BACKGROUND: Men with low- to intermediate-risk prostate cancer are typically asked to choose from a variety of treatment options, including active surveillance, radical prostatectomy, or brachytherapy. The Prolaris cell cycle progression test is intended to provide additional information on personal risk status to assist men with prostate cancer in their choice of treatment. To assist with assessing that new technology, this report synthesizes qualitative research on how men with prostate cancer use information to make decisions about treatment options...
2017: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/28564494/how-people-from-chinese-backgrounds-make-sense-of-and-respond-to-the-experiences-of-mental-distress-thematic-analysis
#19
E Y W Yeung, F Irvine, S M Ng, K M S Tsang
RATIONALE FOR THE STUDY: Many Chinese people do not contact mental health services when they first develop mental health problems. It is therefore important to find out reasons for low uptake of services so that strategies can be identified to promote early intervention. WHAT IS ALREADY KNOWN ABOUT THE TOPIC?: Most Chinese people only come into contact with mental health services during crisis situations. Language difference, lack of knowledge of mainstream services and stigma attached to mental health problems are barriers to access and utilize mental health services...
May 31, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28559365/-trapped-in-the-labyrinth-exploring-mental-illness-through-devised-theatrical-performance
#20
Paul Patterson, Persephone Sextou
Mental health difficulties remain a major source of burden and distress for individuals, families, health and social care providers with stigma a key target for educational campaigns attempting to improve care pathways and access to support. Stigma is a multifaceted concept having a range of drivers including shame and is thought to act as a barrier to successful help seeking and engagement with support services. The current paper explores some of the salient themes that emerged from a British university drama project on the impact of symptoms and behaviours associated with a severe mental health condition on a young couple's relationship and reflects on the opportunities for connection with an audience provided by the medium and experience...
June 2017: Medical Humanities
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