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Moye Jennifer J VA Boston Health Care System, MA, USA; Department of Psychiatry, Harvard Medical School, MA, USA. Electronic address: - - 2014
Most older patients adapt after catastrophic medical diagnoses and treatments, but a significant number may develop posttraumatic stress disorder (PTSD) symptoms. PTSD symptoms create added burden for the individual, family, and health care system for the patient's recovery. Medical-related PTSD may be underdiagnosed by providers who may be unaware that ...
Chan Kit Wa Sherry KW Department of Psychiatry, Queen Mary Hospital, The University of Hong Kong, Room 219, New Clinical Building, Pok Fu Lam Road, Hong Kong, China, - - 2014
Studies have suggested that appraisal of relapse risk and knowledge of medications in relapse prevention may shape one's reactions towards an illness and treatment, and influence the illness outcome. The aim of this study is to explore patients' and caregivers' knowledge of medications, perceived chances of relapse and its predictors, ...
Kates Wendy R WR Department of Psychiatry and Behavioral Sciences, State University of New York at Upstate Medical University, Syracuse, NY, United States. Electronic address: - - 2014
The 22q11.2 deletion syndrome (22q11.2DS) is regarded as an etiologically homogenous model for understanding neuroanatomic disruptions associated with a high risk for schizophrenia. This study utilized diffusion tensor imaging (DTI) to analyze white matter microstructure in individuals with 22q11.2DS. We focused on the cingulum bundle (CB), previously shown to be ...
De Wert G G Department of Health, Ethics & Society, Research Institutes CAPHRI and GROW, Maastricht University, PO Box 616, MD 6200 Maastricht, The Netherlands - - 2014
This Task Force document discusses ethical issues arising with requests for medically assisted reproduction from people in what may be called 'non-standard' situations and relationships. The document stresses that categorically denying access to any of these groups cannot be reconciled with a human rights perspective. If there are concerns about ...
West Lorna Marie LM Faculty of Health and Social Care, School of Pharmacy and Life Sciences, Robert Gordon University, Aberdeen, UK, - - 2014
Introduction Reducing any wastage, including that of medications, is a paramount objective in promoting appropriate utilisation of finite resources. The objective was to systematically review the published literature, the possible causative factors associated with medication wastage and the effectiveness of any interventions to reduce wastage. Method A systematic review of ...
Teut Michael - - 2014
Limited research has been conducted on contemporary spiritual healing in European countries. The aim of this article is to report how German healers and their clients experienced and perceived the outcomes of spiritual healing and which explanations they use to describe the perceived effects. Semistructured interviews and participatory observation was ...
Ayaz Muhammed M 1 Sakarya University Training and Research Hospital Child and Adolescent Psychiatry Clinic , Sakarya, Turkey - - 2014
Abstract Objective: The aim of this study was to investigate medication persistence in Turkish children and adolescents with attention-deficit/hyperactivity disorder (ADHD). The effects of sociodemographic characteristics, symptom severity of ADHD, comorbidity, and treatment-related factors influencing medication persistence in children diagnosed with ADHD were studied. Methods: Medication persistence over a continuous ...
Ottiger Mankaka Cindy - - 2014
Doctors, especially doctors-in-training such as residents, make errors. They have to face the consequences even though today's approach to errors emphasizes systemic factors. Doctors' individual characteristics play a role in how medical errors are experienced and dealt with. The role of gender has previously been examined in a few quantitative ...
Tei Shisei S Department of Psychiatry Graduate School of Medicine, Kyoto University, Kyoto, - - 2014
Medical professionals are highly vulnerable to burnout that may lead to medical errors and even suicide. Burnout may be triggered by excessive empathic distress responses,1 but may be mitigated by an enhanced sense of meaning in work,2 which increases satisfaction and job commitment. However, the effects of sense of meaning ...
Zanardelli Gina G Chatham University, Pittsburgh, PA, USA, - - 2014
This study explored the well-being, attitudes toward counseling, willingness to seek counseling, and coping strategies of first year medical students. Gender differences in attitudes toward and willingness to seek counseling were also explored. One hundred five first year medical students (98 % response rate) were administered a 59-item questionnaire about well-being, ...
O'Mullan Cathy C a Central Queensland University , Bundaberg, Queensland , - - 2014
Abstract A growing body of evidence has highlighted the sexual side effects of selective serotonin reuptake inhibitor (SSRI) medication. Whilst most of the research has focused on the prevalence and treatment of sexual difficulties, little is known about how patients cope with the SSRI related sexual side effects. The objective ...
Stecker Mona M Winthrop University Hospital, Department of Patient Safety, Quality and Innovation, Mineola, New York, - - 2014
This study sought to explore the prevalence of workplace stress, gender differences, and the relationship of workplace incivility to the experience of stress. Effects of stress on performance have been explored for many years. Work stress has been at the root of many physical and psychological problems and has even ...
Glover Gyles G Gyles Glover, MSc, MD, FRCPsych, FPPH, Co-Director, Learning Disabilities Team, Public Health England; Sarah Bernard, MD, FRCPsych, DRCOG, Child and Adolescent Learning Disability Service, South London and Maudsley NHS Foundation Trust; David Branford, PhD, FRPharmS, FCMHP, Chairman, English Pharmacy Board, Royal Pharmaceutical Society; Anthony Holland, MPhil, MRCP, FRCPsych, Diploma in Clinical Genetics, Health Foundation Chair in Learning Disabilities, Academic Department of Psychiatry, University of Cambridge; Andre Strydom, MSc, PhD, MRCPsych, Reader in Intellectual Disabilities, Mental Health Sciences Unit, University College London, - - 2014
Medications, particularly antipsychotics, are commonly used to manage challenging behaviour in people with intellectual disability. When the behaviour does not arise from an underlying mental illness, this is commonly off-licence and evidence of efficacy is lacking. A national audit programme would be one way to address the concerns this raises.
Classen Sherrilene S Sherrilene Classen, PhD, MPH, OTR/L, is Adjunct Professor, Institute for Mobility, Activity and Participation, College of Public Health and Health Professions, University of Florida, Gainesville, and Professor and Chair, School of Occupational Therapy, Western University, Elborn College, 1201 Western Road, London, Ontario, Canada N6G 1H1; - - 2014
OBJECTIVE. To conduct an evidence-based review of intervention studies of older drivers with medical conditions. METHOD. We used the American Occupational Therapy Association's classification criteria (Levels I-V, I = highest level of evidence) to identify driving interventions. We classified studies using letters to represent the strength of recommendations: A = ...
Zweben Allen A School of Social Work, Columbia University, New York, New - - 2014
With few exceptions there has been a dearth of research evaluating the independent and combined effects of a promising medication and an effective behavioral intervention for alcohol problems. Few studies have incorporated both theory and empirical findings to ascertain how the combination of medication and behavioral intervention interact or work ...
Farinde Abimbola A Columbia Southern University, Orange Beach, - - 2014
There are approximately 1.4 million cases of traumatic brain injury (TBI) per year in the United States, with about 23 000 survivors requiring hospitalization. The incidence of TBI has increased in the patient population of the Department of Defense and Veterans Healthcare Administration as a result of injuries suffered during ...
Chandramouleeswaran Susmita S Department of Psychiatry, Christian Medical College, Vellore, Tamil Nadu, - - 2014
It has previously been demonstrated that there is a significant drop in all domains of quality of life among interns during internship. A modified version of the health consultant's job stress and satisfaction questionnaire (HCJSSQ) was used to assess and quantify aspects of internship that were perceived as stressful and ...
Maramaldi Peter P a Simmons College School of Social Work, Harvard School of Dental Medicine , Harvard School of Public Health , Boston , Massachusetts , - - 2014
Findings from a year-long exploratory study aimed at describing universal functions of medical social work with interdisciplinary teams in acute care settings are reported here. A universal taxonomy of interdisciplinary social work skills and competencies was empirically identified through a participatory action research framework. Findings support previous conceptual descriptions of ...
Krousel-Wood Marie M Department of Medicine (MK-W) Tulane University School of Medicine, New Orleans, Louisiana; Department of Epidemiology (MK-W, PKW), Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; the Center for Health Research (MK-W) Research Division, Ochsner Clinic Foundation, New Orleans, Louisiana and Harvard Graduate School of Education (RK, LLL), Cambridge, - - 2014
: New approaches to understanding patient nonadherence to chronic disease medications are urgently needed. To explore whether patient hidden motives and their underlying assumptions contribute to nonadherence, we examined an innovative application to health care of a transformative learning process successfully used in work settings, immunity-to-change. Eligible participants taking at ...
Chang Ching-Wen CW Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, - - 2014
Attitudes towards medication are believed to be important for medication adherence and social factors are believed to have effects on attitudes. Only a limited literature has focused on how attitudes to medication may correlate with social factors relevant to medication adherence among individuals with bipolar disorder (BPD). This secondary analysis ...
Mesters Ilse - - 2014
Present study aimed to identify socio-demographic, medical and social-cognitive correlates of physical activity among Dutch older individuals. A systematic random sample of 2,568 Dutch participants aged 45-70 years filled out the validated modified Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire on physical activity. Socio-demographic and social-cognitive correlates were ...
Krauskopf Katherine K 1Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai , New York, NY , - - 2014
Abstract Almost half of patients with COPD do not adhere to their medications. Illness and medication beliefs are important determinants of adherence in other chronic diseases. Using the framework of the Common Sense Model of Self-Regulation (CSM), we determined associations between potentially modifiable beliefs and adherence to COPD medications in ...
Qualls Sara Honn SH Department of Psychology, University of Colorado at Colorado Springs. - - 2014
Relationships among cognitive and motivational factors in predicting medical help-seeking for Alzheimer's disease (AD) symptoms were tested. Community residents awaiting jury service (N = 280) completed questionnaires, including responses to a vignette depicting prototypical early symptoms of AD in a hypothetical mother. Cognitive responses to the vignette included AD symptom ...
Low Jac Kee JK School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, - - 2014
In kidney transplantation, adherence to immunosuppressive therapy is paramount for long-term graft survival. This systematic review aimed to assess the effectiveness of interventions to improve medication adherence in adult kidney transplantation. Eight electronic databases were searched from inception to November 2013. Only primary intervention studies, which reported measurement of adherence ...
Del Re Ac A Center for Innovation to Implementation, VA Palo Alto Health Care System & Stanford University School of Medicine, California, - - 2014
Pharmacotherapy is an effective adjunct to behavioral interventions to treat obesity; although it is unclear how often medications are integrated into obesity treatment plans and for which patients in the Veterans Health Administration (VHA). A retrospective cohort study was conducted that examined variation in and predictors of antiobesity medication receipt ...
Alexander Cara C Mayo Clinic, Rochester, MN, - - 2014
The authors investigate whether inner relationship focusing increases self-awareness in medical students and, in the process, to give them experience with empathic listening. Thirteen second-year medical students were randomized into experimental and control groups and surveyed pre-course and post-course about their self-awareness and perceived comfort with clinical interpersonal skills. Subjects ...
Nevalainen Maarit M Department of General Practice, University of Helsinki , Helsinki , - - 2014
Objective. To study coping differences between young and experienced GPs in primary care who experience medical errors and uncertainty. Design. Questionnaire-based survey (self-assessment) conducted in 2011. Setting. Finnish primary practice offices in Southern Finland. Subjects. Finnish GPs engaged in primary health care from two different respondent groups: young (working experience ...
Grant Andrew A Swansea University, Swansea, UK, - - 2014
Medical students experience higher prevalence of mental illness than age-matched controls and are less likely to access appropriate help when this happens. The aim of this study was to determine the range of strategies deployed by medical schools to support medical students with mental health concerns and to use this ...
Webair Hana H - - 2014
Globally, about seven million children under the age of five died in 2011. Local illness concepts are thought to be related to inappropriate health-seeking behaviour, and therefore, lead to child mortality. The aim of this study was to contribute to the definition of common local illness concepts with their effects ...
Turner Daniel D University Medical Center Hamburg-Eppendorf, Institute for Sex Research and Forensic Psychiatry, Hamburg, - - 2014
During the 1970s, a growing number of medical schools began to recognize the importance of medical education concerning human sexuality. Currently, most medical schools provide at least some instruction in human sexuality. In light of this development, the present study aimed to compare the interest in and knowledge about human ...
Schofield Margot J MJ School of Public Health and Human Biosciences, La Trobe University, Melbourne, VIC, 3086, Australia, - - 2014
The study examined prevalence of self-reported use of medication recommended or prescribed by a doctor for depression, anxiety, stress, and sleep problems; and modelled baseline factors that predicted use over 3 years for each condition. Analyses were undertaken on the 2001 and 2004 surveys of mid-aged women in the Australian Longitudinal ...
Ighodaro Adesuwa A Yale University School of Medicine, New Haven, CT, USA, - - 2014
The authors surveyed attitudes towards mental illness among Nigerian medical personnel at three different levels of training and experience: medical students who had not completed their psychiatry rotation, medical students who had competed their psychiatry rotation, and graduate physicians. Six questions addressed beliefs about the effectiveness of treatments for four ...
Prakash Varuna V http://orcid.org/0000-0003-1204-6500 Faculty of Medicine, Institute for Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada Healthcare Human Factors, Techna Institute, University Health Network, Toronto, Ontario, - - 2014
Nurses are frequently interrupted during medication verification and administration; however, few interventions exist to mitigate resulting errors, and the impact of these interventions on medication safety is poorly understood. The study objectives were to (A) assess the effects of interruptions on medication verification and administration errors, and (B) design and ...
Aarts Esther E Radboud University Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Electronic address: - - 2014
Dopaminergic medication in Parkinson׳s disease has been proposed to improve cognitive processing by modulating the severely depleted dorsal striatum, while impairing reward processing by modulating the relatively intact ventral striatum. However, there is no direct (neural) evidence for this hypothesis. Here we fill this gap by scanning Parkinson׳s disease patients ...
Karceski Steven - - 2014
This article addresses the occurrence of acute symptomatic seizures in the setting of many medical illnesses. Many medical illnesses can cause seizures. Metabolic derangements, such as disorders of serum glucose metabolism, cause seizures, as well as other neurologic manifestations. Many medicines (such as antibiotics, antivirals, antidepressants, and antipsychotics), whether used ...
Anderson Norman B NB Executive Office, American Psychological - - 2014
Comments on the article "Joint principles: Integrating behavioral health care into the patient-centered medical home" (see record 2014-24217-011), presented by the Working Party Group on Integrated Behavioral Healthcare. The American Psychological Association (APA) shares concerns about the lack of reference to behavioral health care in the original 2007 Joint Principles ...
Mackelprang Jessica L - - 2014
Abstract Objective. Chronically homeless adults with severe alcohol problems are disproportionately burdened with health-care problems and are high utilizers of emergency medical services (EMS). Single-site Housing First (HF), which provides immediate, permanent, low-barrier, nonabstinence-based, supportive housing, has been associated with reduced publicly funded service utilization. The aims of the current ...
Roemmich Ryan T RT Motion Analysis Laboratory, Kennedy Krieger Institute, Baltimore, MD, 21205, USA, - - 2014
The purpose of this study was to investigate the effects of dopaminergic therapy on neuromuscular complexity during gait and on the relationship between neuromuscular complexity and gait speed in persons with Parkinson's disease (PD). Nine persons with PD walked at self-selected speed for 5 min after having withdrawn from dopaminergic medication ...
Martinho Eduardo E Jr From the *McLean Hospital, Belmont, MA; †Department and Institute of Psychiatry, University of Sao Paulo Medical School, Sao Paulo, Brazil; ‡Harvard Medical School; and §School of Medicine, Boston University, Boston, - - 2014
The use of pro re nata (PRN; as needed) psychotropic medication in patients with borderline personality disorder (BPD) has not been well characterized. This study had 3 purposes, which are as follows: (1) to describe the prevalence of PRN psychotropic medication use among patients with BPD and comparison subjects with ...
Park Linda G LG Veterans Affairs Medical Center, University of California, San Francisco, USA - - 2014
Medication adherence is a complex behavior that is influenced by numerous factors. Applying self-efficacy theory, the primary aim of this randomized controlled trial was to compare medication self-efficacy among patients with coronary heart disease who received: (a) text messages (TMs) for medication reminders and education, (b) TMs for education, or ...
Verdonk Petra - - 2014
Medical students report high stress levels and in particular, the clinical phase is a demanding one. The field of medicine is still described as having a patriarchal culture which favors aspects like a physicians' perceived certainty and rationalism. Also, the Effort-Recovery Model explains stress as coming from a discrepancy between ...
Xu Anna A University of Texas Health Science Center at Houston, Houston, TX, - - 2014
Low adherence to prescribed medications leads to serious negative health consequences in older adults. Effective interventions that improve adherence are often labor-intensive and complex. However, most studies do not analyze the separate effects of the components. Persuasive System Design (PSD) is framework that analyzes the motivations that change behavior. In ...
Lee Jennifer L JL Department of Psychology, University of Georgia, Department of Medicine, Division of Population Sciences, Rutgers Cancer Institute of New Jersey, Center for Pain and the Brain, Children's Hospital Boston/Harvard Medical School, and Department of Psychiatry and Behavioral Sciences, Children's Healthcare of Atlanta, Transplant Services/Emory University School of Medicine - - 2014
 Higher levels of barriers are related to lower medication adherence and negative medical outcomes in pediatric transplant recipients. Although total number of barriers appears to be stable over time, it is unclear whether the same is true for specific barriers. This study examined the frequency of endorsement and the stability ...
Al-Hashel Jasem Y - - 2014
Medical students routinely have triggers, notably stress and irregular sleep, which are typically associated with migraine. We hypothesized that they may be at higher risk to manifest migraine. We aimed to determine the prevalence of migraine among medical students in Kuwait University. This is cross-sectional, questionnaire-based study. Participants who had ...
Wang Xiaorong X 1Jinan Research Institute on Aging, Jinan Central Hospital, - - 2014
The purpose of this study was to examine the relationships between care demands and caregivers' medication adherence and health appointment keeping. A cross-sectional correlational design was used to survey a convenience sample of 45 informal caregivers of persons with dementia. Pearson product-moment correlations and hierarchical multiple regressions were used to ...
Rooney Siobhan S Medical Education, Sligo Medical Academy, NUI Galway, Galway, Ireland, - - 2014
Despite the increase in research on delirium, it remains underdiagnosed and difficult to manage, and the outcome is poor especially in older people. To identify the clinically diagnosed rates of delirium, the possible aetiologies, to describe treatment, number and type of psychotropic medication used and to investigate the reasons for ...
Claudius Ilene I Department of Emergency Medicine, Los Angeles County + USC Medical Center, Keck School of Medicine, University of Southern California at Los Angeles, Los Angeles, California; - - 2014
Psychiatric disorders account for an increasing number of pediatric hospitalizations. Due to lack of psychiatric beds, patients on involuntary psychiatric holds may be admitted to medical units. Our objectives were to evaluate the rate of admission of psychiatric patients to a medical unit, psychiatric care provided, and estimated cost of ...
Simon Lauren M LM 1Primary Care Sports Medicine, Family Medicine, Loma Linda University, Loma Linda, CA; and 2Family Medicine, Loma Linda University, Loma Linda, - - 2014
The participation in sports for physically challenged athletes continues to expand in multiple domains from recreational, novice, and competitive to elite competitions such as the Paralympics. Physically challenged athletes have various disabilities such as visual impairments, spinal cord injuries, amputations, cerebral palsy, or other neuromuscular impairments and have different levels ...
Luger T J TJ 1 Department of Anesthesiology and Critical Care Medicine, Innsbruck Medical University , Innsbruck, Austria - - 2014
Abstract Participants on spaceflights and international scientific analog Mars missions can encounter medical incidents (accidents, illnesses) and psychological issues (e.g., stress, group interaction, sleep disturbance, emotions). The aim of this study was to examine these parameters in a field crew living in a desert environment similar to Mars (Group 1) ...
Brenner Sharon L SL Services Effectiveness Research Program, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, DUMC Box 3454, Durham, NC - - 2014
We describe the use of psychotropic medications among youth in treatment foster care (TFC). Data from 240 youth were coded to examine rates of medication use, including polypharmacy and an indicator of "questionable polypharmacy." Fifty-nine percent of youth in TFC had taken a psychotropic medication within the past two months. ...
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