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Help-seeking pathways

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https://www.readbyqxmd.com/read/28512697/utilization-of-genetic-counseling-after-direct-to-consumer-genetic-testing-findings-from-the-impact-of-personal-genomics-pgen-study
#1
Diane R Koeller, Wendy R Uhlmann, Deanna Alexis Carere, Robert C Green, J Scott Roberts
Direct-to-consumer personal genomic testing (DTC-PGT) results lead some individuals to seek genetic counseling (GC), but little is known about these consumers and why they seek GC services. We analyzed survey data pre- and post-PGT from 1026 23andMe and Pathway Genomics customers. Participants were mostly white (91%), female (60%), and of high socioeconomic status (80% college educated, 43% household income of ≥$100,000). After receiving PGT results, 43 participants (4%) made or planned to schedule an appointment with a genetic counselor; 390 (38%) would have used in-person GC had it been available...
May 16, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28482889/internal-medicine-board-certification-and-career-pathways-in-japan
#2
Soichi Koike, Masatoshi Matsumoto, Hiroo Ide, Hideaki Kawaguchi, Masahisa Shimpo, Hideo Yasunaga
BACKGROUND: Establishing and managing a board certification system is a common concern for many countries. In Japan, the board certification system is under revision. The purpose of this study was to describe present status of internal medicine specialist board certification, to identify factors associated with maintenance of board certification and to investigate changes in area of practice when physicians move from hospital to clinic practice. METHODS: We analyzed 2010 and 2012 data from the Survey of Physicians, Dentists and Pharmacists...
May 8, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28482849/quality-of-life-of-depressed-and-suicidal-patients-seeking-services-from-traditional-and-faith-healers-in-rural-kenya
#3
Christine W Musyimi, Victoria N Mutiso, Sameera S Nayak, David M Ndetei, David C Henderson, Joske Bunders
BACKGROUND: In rural Kenya, traditional and faith healers provide an alternative pathway to health care, including mental health care. However, not much is known about the characteristics of the populations they serve. The purpose of this study was to determine the relationship between depression, suicidal ideation, and socio-demographic variables with Quality of Life (QoL) indicators in a sample seeking mental health services from traditional and faith healers in rural Kenya. Understanding QoL in this sample can help develop mental health policy and training to improve the well-being of this population...
May 8, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28481996/drivers-of-health-system-strengthening-learning-from-implementation-of-maternal-and-child-health-programmes-in-mozambique-nepal-and-rwanda
#4
Fiona Samuels, Ana B Amaya, Dina Balabanova
There is a growing understanding that strong health systems are crucial to sustain progress. Health systems, however, are complex and much of their success depends on factors operating at different levels and outside the health system, including broader governance and political commitment to health and social development priorities. Recognizing these complexities, this article offers a pragmatic approach to exploring the drivers of progress in maternal and child health in Mozambique, Nepal and Rwanda. To do this, the article builds on a semi-systematic literature review and case study findings, designed and analysed using a multi-level framework...
May 7, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28446041/supernatural-versus-medical-responses-to-mental-illness-from-undergraduate-university-students-in-trinidad
#5
AnMarie Kamanie Ramkissoon, Casswina Donald, Gerard Hutchinson
Background/Introduction: Perceptions about the aetiology of mental illness are likely to influence help-seeking behaviour. Understanding help-seeking behaviour will improve service provision and access. Therefore, this is likely to improve treatment outcomes. METHODS: We assessed the perceptions and help-seeking behaviours surrounding mental illness in a Trinidadian population of 158 tertiary-level students (136 female, 22 male; mean age 30) by analysing their responses to a questionnaire which asked for responses regarding a case vignette of a 25-year-old young woman exhibiting symptoms suggestive of schizophrenia...
April 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28401660/depression-anxiety-and-compulsive-sexual-behaviour-among-men-in-residential-treatment-for-substance-use-disorders-the-role-of-experiential-avoidance
#6
Meagan J Brem, Ryan C Shorey, Scott Anderson, Gregory L Stuart
Nearly one-third of individuals in treatment for substance use disorders endorse at-risk levels of compulsive sexual behaviours (CSBs). Untreated sexual compulsivity may facilitate relapse for treatment-seeking men. Previous research and theory suggest that CSBs are maintained by efforts to escape or alter negative affect (e.g., depression and anxiety). However, this hypothesis has not been examined within a sample of men in treatment for substance use disorders. In an effort to better understand CSBs within a population of men with substance use disorders, the present study is the first to examine experiential avoidance as one potential mechanism underlying the relation between men's symptoms of depression and anxiety and their use of CSBs...
April 11, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28399284/olfactory-ionotropic-receptors-in-mosquito-aedes-albopictus-diptera-culicidae
#7
Qian Chen, Yahui Man, Jianyong Li, Di Pei, Wenjian Wu
Ionotropic glutamate receptors (iGluRs) are a conserved family of ligand-gated ion channels that primarily function to mediate neuronal communication at synapses. A variant subfamily of iGluRs, the ionotropic receptors (IRs), was recently identified in insects and proved with the function in odorant recognition. Ionotropic receptors participate in a distinct olfactory signaling pathway that is independent of olfactory receptors activity. In the present study, we identify 102 putative IR genes, dubbed as AalbIr genes, in mosquito Aedes albopictus (Skuse) by in silico comparative sequence analysis...
March 28, 2017: Journal of Medical Entomology
https://www.readbyqxmd.com/read/28369377/men-s-health-in-alternative-spaces-exploring-men-s-sheds-in-ireland
#8
Maya Lefkowich, Noel Richardson
Men often struggle to find or gain access to meaningful health services. Despite, or because of this trend, men are increasingly seeking out alternative sources of support for their wellbeing. Global health conversations and policies are calling for a greater awareness of men's heath issues, uptake of gender-sensitive strategies and integration of community and voluntary sectors. Men's Sheds, which are community and volunteer-run spaces for men, are increasing in popularity for men across Ireland. This study aimed to investigate men's experiences as members of Men's Sheds and the relationship between their involvement in the Shed and their wellbeing...
December 26, 2016: Health Promotion International
https://www.readbyqxmd.com/read/28289461/the-adaptation-and-implementation-of-guidelines-for-responsible-media-reporting-on-suicide-in-slovenia
#9
Saška Roškar, Alenka Tančič Grum, Vita Poštuvan, Anja Podlesek, Diego De Leo
INTRODUCTION: The existing literature provides evidence of the link between media reporting and suicide in terms of either preventive or provocative effects. Hence, working with media representatives on responsible reporting on suicide is of great importance. Until recently in Slovenia, there has been an obvious lack of communication between media representatives and suicidologists. The aims of the present study were twofold; firstly, to introduce the adaptation and dissemination of intervention on responsible media reporting, and secondly, to evaluate the effectiveness of the implemented intervention on suicide reporting...
March 1, 2017: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/28283487/from-breathless-to-failure-symptom-onset-and-diagnostic-meaning-in-patients-with-heart-failure-a-qualitative-study
#10
C J Taylor, F D R Hobbs, T Marshall, F Leyva-Leon, N Gale
OBJECTIVES: To explore 2 key points in the heart failure diagnostic pathway-symptom onset and diagnostic meaning-from the patient perspective. DESIGN: Qualitative interview study. SETTING: Participants were recruited from a secondary care clinic in central England following referral from primary care. PARTICIPANTS: Over age 55 years with a recent (<1 year) diagnosis of heart failure confirmed by a cardiologist following initial presentation to primary care...
March 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28196549/mental-health-related-stigma-and-pathways-to-care-for-people-at-risk-of-psychotic-disorders-or-experiencing-first-episode-psychosis-a-systematic-review
#11
P C Gronholm, G Thornicroft, K R Laurens, S Evans-Lacko
BACKGROUND: Stigma associated with mental illness can delay or prevent help-seeking and service contact. Stigma-related influences on pathways to care in the early stages of psychotic disorders have not been systematically examined. METHOD: This review systematically assessed findings from qualitative, quantitative and mixed-methods research studies on the relationship between stigma and pathways to care (i.e. processes associated with help-seeking and health service contact) among people experiencing first-episode psychosis or at clinically defined increased risk of developing psychotic disorder...
February 15, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28159009/pathways-for-best-practice-diffusion-the-structure-of-informal-relationships-in-canada-s-long-term-care-sector
#12
James W Dearing, Amanda M Beacom, Stephanie A Chamberlain, Jingbo Meng, Whitney B Berta, Janice M Keefe, Janet E Squires, Malcolm B Doupe, Deanne Taylor, Robert Colin Reid, Heather Cook, Greta G Cummings, Jennifer L Baumbusch, Jennifer Knopp-Sihota, Peter G Norton, Carole A Estabrooks
BACKGROUND: Initiatives to accelerate the adoption and implementation of evidence-based practices benefit from an association with influential individuals and organizations. When opinion leaders advocate or adopt a best practice, others adopt too, resulting in diffusion. We sought to identify existing influence throughout Canada's long-term care sector and the extent to which informal advice-seeking relationships tie the sector together as a network. METHODS: We conducted a sociometric survey of senior leaders in 958 long-term care facilities operating in 11 of Canada's 13 provinces and territories...
February 3, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28128465/oro-facial-impairment-in-stroke-patients
#13
REVIEW
M Schimmel, T Ono, O L T Lam, F Müller
Stroke is considered one of the leading causes of death and acquired disability with a peak prevalence over the age of 80 years. Stroke may cause debilitating neurological deficiencies that frequently result in sensory deficits, motor impairment, muscular atrophy, cognitive deficits and psychosocial impairment. Oro-facial impairment may occur due to the frequent involvement of the cranial nerves' cortical representation areas, central nervous system pathways or motoneuron pools. The aim of this narrative, non-systematic review was to discuss the implications of stroke on oro-facial functions and oral health-related quality of life (OHRQoL)...
January 27, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/28114321/underexpression-of-specific-interferon-genes-is-associated-with-poor-prognosis-of-melanoma
#14
Aamir Zainulabadeen, Philip Yao, Habil Zare
Because the prognosis of melanoma is challenging and inaccurate when using current clinical approaches, clinicians are seeking more accurate molecular markers to improve risk models. Accordingly, we performed a survival analysis on 404 samples from The Cancer Genome Atlas (TCGA) cohort of skin cutaneous melanoma. Using our recently developed gene network model, we identified biological signatures that confidently predict the prognosis of melanoma (p-value < 10-5). Our model predicted 38 cases as low-risk and 54 cases as high-risk...
2017: PloS One
https://www.readbyqxmd.com/read/28067939/care-strategies-and-therapeutic-pathways-for-chronic-pain-patients-in-abruzzo-region-italy
#15
C Leuter, A Piroli, A Paladini, M Tudini, G Varrassi
BACKGROUND: Chronic pain is considered to be among the most disabling and costly diseases in North America, Europe and Australia. A large survey was conducted on chronic pain in Europe, called Pain in Europe. Italy ranks third in Europe in terms of prevalence, with 26% of the population suffering from chronic pain at some point. In 2010 Italy passed Law 38/2010, to ensure treatment for pain control in patients with oncological diseases as well as in patients with chronic non-cancer pain through a network of care services...
January 2017: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/28048780/tu-ab-204-00-cdrh-fda-regulatory-processes-and-device-science-activities
#16
Anita Nosratieh
The responsibilities of the Food and Drug Administration (FDA) have increased since the inception of the Food and Drugs Act in 1906. Medical devices first came under comprehensive regulation with the passage of the 1938 Food, Drug, and Cosmetic Act. In 1971 FDA also took on the responsibility for consumer protection against unnecessary exposure to radiation-emitting devices for home and occupational use. However it was not until 1976, under the Medical Device Regulation Act, that the FDA was responsible for the safety and effectiveness of medical devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048121/tu-ab-204-01-device-approval-process
#17
J Delfino
The responsibilities of the Food and Drug Administration (FDA) have increased since the inception of the Food and Drugs Act in 1906. Medical devices first came under comprehensive regulation with the passage of the 1938 Food, Drug, and Cosmetic Act. In 1971 FDA also took on the responsibility for consumer protection against unnecessary exposure to radiation-emitting devices for home and occupational use. However it was not until 1976, under the Medical Device Regulation Act, that the FDA was responsible for the safety and effectiveness of medical devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048009/tu-ab-204-03-research-activities-in-medical-physics
#18
A Badano
The responsibilities of the Food and Drug Administration (FDA) have increased since the inception of the Food and Drugs Act in 1906. Medical devices first came under comprehensive regulation with the passage of the 1938 Food, Drug, and Cosmetic Act. In 1971 FDA also took on the responsibility for consumer protection against unnecessary exposure to radiation-emitting devices for home and occupational use. However it was not until 1976, under the Medical Device Regulation Act, that the FDA was responsible for the safety and effectiveness of medical devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047465/tu-ab-204-02-device-adverse-events-and-compliance
#19
S Gonzales
The responsibilities of the Food and Drug Administration (FDA) have increased since the inception of the Food and Drugs Act in 1906. Medical devices first came under comprehensive regulation with the passage of the 1938 Food, Drug, and Cosmetic Act. In 1971 FDA also took on the responsibility for consumer protection against unnecessary exposure to radiation-emitting devices for home and occupational use. However it was not until 1976, under the Medical Device Regulation Act, that the FDA was responsible for the safety and effectiveness of medical devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047346/tu-ab-204-04-partnerships
#20
R Ochs
The responsibilities of the Food and Drug Administration (FDA) have increased since the inception of the Food and Drugs Act in 1906. Medical devices first came under comprehensive regulation with the passage of the 1938 Food, Drug, and Cosmetic Act. In 1971 FDA also took on the responsibility for consumer protection against unnecessary exposure to radiation-emitting devices for home and occupational use. However it was not until 1976, under the Medical Device Regulation Act, that the FDA was responsible for the safety and effectiveness of medical devices...
June 2016: Medical Physics
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