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https://read.qxmd.com/read/30763784/exercise-testing-oversights-underlie-missed-and-delayed-diagnosis-of-catecholaminergic-polymorphic-ventricular-tachycardia-in-young-sudden-cardiac-arrest-survivors
#1
John R Giudicessi, Michael J Ackerman
BACKGROUND: Catecholamingergic polymorphic ventricular tachycardia (CPVT) is characterized by adrenergically-induced VT, syncope, and sudden cardiac arrest (SCA). In the absence of structural disease, exercise-provoked premature ventricular contractions in bigeminy/couplets and non-sustained VT are highly predictive of CPVT. OBJECTIVE: To determine the number of missed/delayed CPVT diagnoses attributable to exercise testing oversights in a cohort of young SCA survivors...
February 11, 2019: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/30761947/the-experiences-and-needs-of-primary-family-caregivers-of-patients-with-multiple-myeloma-a-qualitative-analysis
#2
Carmen Quiñoa-Salanova, Josep Porta-Sales, Cristina Monforte-Royo, Montserrat Edo-Gual
BACKGROUND: Family caregivers play a key role in the lives of patients with multiple myeloma. However, very little is known about the impact that the disease (its diagnosis, course and prognosis) has on the main family caregiver. AIM: To achieve a deeper understanding of the lived experience of individuals who are the primary caregiver of a relative with multiple myeloma and to shed light on their needs. DESIGN: Interpretative phenomenological study...
February 14, 2019: Palliative Medicine
https://read.qxmd.com/read/30761932/scleroderma-patient-perspectives-on-social-support-from-close-social-relationships
#3
Katherine Milette, Brett D Thombs, Sébastien Dewez, Annett Körner, Sandra Peláez
PURPOSE: People with rare diseases must cope with many physical and psychological challenges; an endeavor that can be difficult to carry out without external support. The purpose of this study was to understand how patients with scleroderma perceive the social support they need and receive from close relationships to better manage their disease. METHOD: Four focus groups with patients (N = 19) were conducted. A semi-structured topic guide was used. Discussions were recorded and transcribed, and thematic analysis was performed...
February 14, 2019: Disability and Rehabilitation
https://read.qxmd.com/read/30761049/executive-functions-in-insomnia-disorder-a-systematic-review-and-exploratory-meta-analysis
#4
Andrea Ballesio, Maria Raisa Jessica V Aquino, Simon D Kyle, Fabio Ferlazzo, Caterina Lombardo
Background: Executive functions (EFs) are involved in the control of basic psychological processes such as attention and memory and also contribute to emotion regulation. Research on the presence of EFs impairments in insomnia yielded inconsistent results. Therefore, we performed a systematic review of the literature on three EFs: inhibitory control, working memory, and cognitive flexibility in adults with insomnia in order to investigate the presence and magnitude of insomnia-related EFs impairments. Methods: PubMed, Scopus, Medline, and PsycINFO were searched...
2019: Frontiers in Psychology
https://read.qxmd.com/read/30760111/emotion-regulation-and-motives-for-illicit-drug-use-in-opioid-dependent-patients
#5
Alexandra K Gold, Georgia Stathopoulou, Michael W Otto
Refining the mechanisms behind illicit drug use is an important factor for improving the quality of clinical care. Research in alcohol, marijuana, and nicotine use disorders have linked coping motives (e.g. using substances to ameliorate negative emotional states) to problematic substance use. We evaluated the link between emotion regulation difficulties (as assessed via the difficulties in emotion regulation scale [DERS]) and motives for drug use (as assessed via the Drug Use Motives Questionnaire) among individuals (n = 68) with opioid use disorders who were in methadone maintenance treatment...
February 14, 2019: Cognitive Behaviour Therapy
https://read.qxmd.com/read/30759845/association-of-physicians-self-compassion-with-work-engagement-exhaustion-and-professional-life-satisfaction
#6
Oksana Babenko, Amber D Mosewich, Ann Lee, Sudha Koppula
Self-compassion has shown promise as an adaptive resource for coping with uncertainties and challenges. This study examined the relationship between self-compassion and professional wellbeing (work engagement, exhaustion, and professional life satisfaction) of physicians, who frequently face uncertainties and challenges in their clinical practice. Fifty-seven practicing physicians in Canada participated in the study. Overall, 65% of the participants were female; 47% were in the early-career stage; 49% were family medicine (FM) physicians, with the rest being non-FM specialists...
February 12, 2019: Medical Sciences: Open Access Journal
https://read.qxmd.com/read/30758904/opportunities-for-nurses-to-support-recovery-after-pediatric-injury-relationships-among-posttraumatic-stress-hope-and-quality-of-life
#7
Danielle Weiss, Sarah Ostrowski-Delahanty, Jason Van Allen, Paige Seegan, Meghan L Marsac
PURPOSE: Nurses are at the forefront of children's postinjury recovery; this unique role provides an opportunity for nurses to recognize and screen for symptoms that may interfere with children's quality of life (QOL). As such, aims of the present investigation were to explore selected variables (e.g., posttraumatic stress symptoms [PTSS], hope) that have the potential to impact QOL after pediatric injury, with a larger goal of contributing to recommendations for nursing practice to support children's full (physical and emotional) recovery during the peritrauma period following injury...
February 13, 2019: Journal for Specialists in Pediatric Nursing: JSPN
https://read.qxmd.com/read/30758295/evaluation-of-mothers-perceptions-of-a-technology-based-supportive-educational-parenting-program-part-2-qualitative-study
#8
Shefaly Shorey, Esperanza Debby Ng
BACKGROUND: Transitioning into parenthood can be stressful as parents struggle to cope with new parenting responsibilities. Although perinatal care in hospitals aims to improve parental outcomes, there is a general consensus that it is suboptimal and insufficient. Therefore, many studies have designed intervention methods to supplement support for parents during this stressful period. However, studies often focus on parental outcomes as indicators of their interventions' success and effectiveness...
February 13, 2019: Journal of Medical Internet Research
https://read.qxmd.com/read/30758158/-relationships-between-medicine-and-spirituality
#9
Simonetta Pulciani, Emanuele Nutile
This review aims at analysing the links between medicine and spirituality, two seemingly distant concepts. Medicine at its beginnings was imbued with rituals that invoked the intervention of supernatural powers, as man were unable to treat diseases and struggled to bear the suffering caused by them and the fragility of their own bodies. Today, in the post-genomic era, medicine has gained great benefits from new and extraordinary scientific and technological achievements, permitting sophisticated therapeutic and diagnostic approaches, which assure cures not previously possible...
February 2019: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://read.qxmd.com/read/30757956/sociocultural-perceptions-and-enablers-to-seeking-mental-health-support-among-bhutanese-refugees-in-western-massachusetts
#10
Kalpana Poudel-Tandukar, Cynthia S Jacelon, Genevieve E Chandler, Bhuwan Gautam, Paula H Palmer
This qualitative study aimed to identify cultural influences on seeking mental health support among Bhutanese refugees resettled in Western Massachusetts. Bhutanese refugees aged 18 years or older were recruited for eight focus group discussions, organized by age and gender ( N = 67, 49.3% female, mean age = 38, SD = 15.9). The PEN-3 cultural model was used as the theoretical framework to examine the roles of cultural perceptions that influence mental health-seeking behaviors. Focus group discussions were audio taped to facilitate the thematic-analysis...
February 13, 2019: International Quarterly of Community Health Education
https://read.qxmd.com/read/30753715/emotion-regulation-and-burnout-in-doctors-a-systematic-review
#11
G Jackson-Koku, P Grime
Background: Burnout is a pervasive health condition affecting many doctors at various stages in their careers. Characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment it can result in significant personal and professional consequences putting patient care at risk. Emotion regulation describes a capacity to self-modulate emotions to achieve desirable emotional outcomes. Emotional intelligence theory suggests that emotion regulation skills facilitate the maintenance of appropriate emotions, reducing or adapting undesirable emotions in oneself and others...
February 7, 2019: Occupational Medicine
https://read.qxmd.com/read/30753195/assessment-of-factors-affecting-diabetes-management-in-the-city-changing-diabetes-ccd-study-in-tianjin
#12
Jiageng Chen, Xiyue Jing, Xiaoqian Liu, Anna-Mari Volkmann, Yunfeng Chen, Yuanyuan Liu, Dandan Li, Duolan Han, Yuting Guo, Fei Gao, Na Han, Xuying Wang, Haozuo Zhao, Xinjun Shi, Yanan Dong, Liming Chen, David Napier, Jun Ma
OBJECTIVE: This study aimed to identify the local levels of vulnerability among patients with Type-II diabetes (T2DM) in Tianjin. The study was aimed at curbing the rise of T2DM in cities. METHODS: 229 participants living with T2DM were purposively sampled from hospitals in Tianjin. Collected data were coded and analysed following well-established thematic analysis principles. RESULTS: Twelve themes involving 29 factors were associated with diabetes patients' vulnerability: 1...
2019: PloS One
https://read.qxmd.com/read/30748059/the-impact-of-haemophilia-on-the-social-status-and-the-health-related-quality-of-life-in-adult-lebanese-persons-with-haemophilia
#13
Elie Naous, Philippe de Moerloose, Ghassan Sleilaty, Alessandro Casini, Claudia Djambas Khayat
INTRODUCTION: Health-related quality of life (HRQoL) studies are increasingly needed to prevent and improve the medical care of persons with haemophilia (PWH). AIM: We assessed the impact of haemophilia on HRQoL and social status of adult Lebanese PWH compared to a reference population. METHODS: In this case-control study, 60 severe and moderate PWH were compared to 112 healthy controls. Detailed socio-demographic data and disease characteristics were collected, and HRQoL was assessed using the SF-36 questionnaire...
February 12, 2019: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://read.qxmd.com/read/30747776/nurses-experience-of-body-nursing-care-a-qualitative-study
#14
Anna Marchetti, Michela Piredda, Gabriella Facchinetti, Michele Virgolesi, Lorenza Garrino, Valerio Dimonte, Maria Grazia De Marinis
As a practice, nursing centers on patients' bodies and how they live the experience of illness and disability through their bodies (embodiment). International nursing studies conducted on the topic of body care primarily include theoretical studies, whereas empirical studies remain sparse. The aim of this study was to describe nurses' perceptions of the role of their bodies and the bodies of patients during body care. This study used a descriptive phenomenological study based on Husserl's philosophical perspective...
March 2019: Holistic Nursing Practice
https://read.qxmd.com/read/30747490/psychometric-properties-of-the-spanish-version-of-the-involvement-evaluation-questionnaire-in-caregivers-of-patients-with-borderline-personality-disorders
#15
José H Marco, M Jorquera, Irene Fernandez, R Baños, V Guillén
The Involvement Evaluation Questionnaire (IEQ) was created to evaluate the caregiver's experience of burden and the consequences of providing care to people with psychotic disorders. To date, the IEQ has not been validated with caregivers of people diagnosed with Borderline Personality Disorder (BPD). The main objective of the study was to confirm the psychometric properties and factorial structure of the Spanish version of the IEQ in 151 caregivers of people with BPD, with an average age of 54.52 (SD = 9.91)...
February 12, 2019: Clinical Psychology & Psychotherapy
https://read.qxmd.com/read/30746854/how-can-training-in-care-of-the-dying-be-improved
#16
Sareena Gajebasia, Jessica Pearce, Melody Redman, Miriam Johnson, Gabrielle Finn
BACKGROUND: Care of the dying patient is an intrinsic part of the role of Foundation Year doctors (FYs). This study aimed to explore FYs' experiences of training and their perceived training needs for their role in care of the dying. Care of the dying patient is an intrinsic part of the role of Foundation Year doctors METHODS: All FYs in one Foundation school were invited to take part in semi-structured group or individual interviews. A total of 8 group interviews and 21 individual interviews were conducted with 47 participants...
February 12, 2019: Clinical Teacher
https://read.qxmd.com/read/30746058/psychological-and-psychopathological-sequelae-in-cardiovascular-acute-disease
#17
Pasquale Caponnetto
The burden of mental illness is profound and growing. Each year, almost one in three adults in the non-institutionalized community has a diagnosable mental or addictive disorder, and this figure climbs to approximately 40% among emergency departments patients. We described the principal cardiovascular acute disease and their emotional and behavioral consequences where psychological intervention could improve the care pathway and clinical outcome. Peer-reviewed articles from Medline, Psycinfo, Web of Science, Scopus, and Cochrane library, about psychological and psychopathological sequelae in cardiovascular acute disease were searched...
November 6, 2018: Mental Illness
https://read.qxmd.com/read/30745888/evaluation-of-a-mindfulness-based-intervention-with-and-without-virtual-reality-dialectical-behavior-therapy-%C3%A2-mindfulness-skills-training-for-the-treatment-of-generalized-anxiety-disorder-in-primary-care-a-pilot-study
#18
María V Navarro-Haro, Marta Modrego-Alarcón, Hunter G Hoffman, Alba López-Montoyo, Mayte Navarro-Gil, Jesús Montero-Marin, Azucena García-Palacios, Luis Borao, Javier García-Campayo
Generalized Anxiety Disorder (GAD) is a very prevalent disorder in primary care (PC). Most patients with GAD never seek treatment, and those who do seek treatment often drop out before completing treatment. Although it is an understudied treatment, Mindfulness-Based Interventions (MBIs) indicate preliminary efficacy for the treatment of GAD symptoms, but many patients with GAD present other associated symptoms (e.g., attention deficits) that complicate the treatment. Virtual Reality DBT® Mindfulness Skills learning has recently been developed to make learning mindfulness easier for patients with emotion dysregulation who have trouble concentrating...
2019: Frontiers in Psychology
https://read.qxmd.com/read/30744625/building-health-system-capacity-to-improve-maternal-and-newborn-care-a-pilot-leadership-program-for-frontline-staff-at-a-tertiary-hospital-in-ghana
#19
Erin Pfeiffer, Medge Owen, Christie Pettitt-Schieber, Romeck Van Zeijl, Emmanuel Srofenyoh, Adeyemi Olufolabi, Rohit Ramaswamy
BACKGROUND: Frontline healthcare workers are critical to meeting the maternal, newborn and child health Sustainable Development Goals in low- and middle-income countries. The World Health Organization has identified leadership development as integral to achieving successful health outcomes, but few programs exist for frontline healthcare workers in low-resource settings. METHODS: An 18-month pilot leadership development program was designed and implemented at Greater Accra Regional Hospital, a tertiary care facility in Ghana...
February 11, 2019: BMC Medical Education
https://read.qxmd.com/read/30744391/direct-and-indirect-predictors-of-burden-among-bedouin-caregivers-of-family-members-with-terminal-cancer-in-israel
#20
Y G Bachner, M Morad, C Sroussi, N O'Rourke
OBJECTIVE: The diverse demands of cancer care, which require time, psychological, physical, and material resources, often lead to caregiver burden. Studies with caregivers from ethnic minority groups suggest that they have unique beliefs and may experience different perceptions of role demands and caregiving. The aim of this study was to identify direct and indirect predictors of burden among Bedouin caregivers of family members with terminal cancer in Israel. METHODS: A total of 101 Bedouin family caregivers of terminal cancer patients participated in this study...
February 12, 2019: Aging & Mental Health
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