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https://read.qxmd.com/read/30784384/intersectionality-in-clinical-medicine-the-need-for-a-conceptual-framework
#1
Yolonda Wilson, Amina White, Akilah Jefferson, Marion Danis
Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although the initial work on intersectionality addressed the unique position of black women relative to both black men and white women, the concept has since been expanded to address a range of social identities. Here we consider how to apply some of the theoretical tools provided by intersectionality to the clinical context...
February 2019: American Journal of Bioethics: AJOB
https://read.qxmd.com/read/30778425/-group-work-in-the-context-of-our-time
#2
Magdalena Pfister Oliver, Alejandro Fernández
This work is part of the daily work carried out by the Hospital School of Mental Health of the Province of San Luis, Argentina, and it is our interest to briefly describe how it has been transformed into what it is today, to then understand a possible way of approaching situations of catastrophe and crisis. From this framework of institutional work we want to show that groupness arises as a need to accompany the interdisciplinary teams in decision-making, creating an open space for collective construction: the institution responsible for responding to the problems that the community presents; the institution that previously denied the existence of certain problems now finds new alternatives, deepens in the knowledge of them and passes from descriptive diagnoses to situational diagnoses...
July 2018: Vertex: Revista Argentina de Psiquiatriá
https://read.qxmd.com/read/30777777/-it-feels-like-it-s-in-your-body-how-children-in-the-united-states-think-about-nationality
#3
Larisa J Hussak, Andrei Cimpian
Concepts of national groups (e.g., Americans, Canadians) are an important source of identity and meaning in people's lives. Here, we provide a developmental investigation of these concepts. Across 3 studies involving 5- to 8-year-olds and adults in the United States, we found that (a) compared with older children and adults, young children were more likely to think that national groups have a biological basis, but that (b) other aspects of national group concepts-such as the idea that national group membership is stable and informative about a person-changed less with development...
February 18, 2019: Journal of Experimental Psychology. General
https://read.qxmd.com/read/30776533/innovative-strategies-increased-engagement-and-synthesis-in-online-advanced-practice-nursing-education
#4
Carole Mackavey, Stan Cron
INTRODUCTION: The struggle to maintain quality education in the online environment has brought about the redesign for the family nurse practitioner courses. BACKGROUND: The family nurse practitioner program uses graduate Health Education Systems Incorporated examination as a quality indicator and program benchmark. A downward trend in Health Education Systems Incorporated examination scores stimulated a need for change. Two strategies were implemented to enhance engagement and improve synthesis of clinical information...
January 26, 2019: Nurse Education Today
https://read.qxmd.com/read/30773094/collective-health-and-regional-integration-in-latin-america-an-opportunity-for-building-a-new-international-health-agenda
#5
María Belén Herrero, Jorgelina Loza, Marcela Beatriz Belardo
From its origins, the Latin American Social Medicine and the Collective Health (LASM/CH) movements have focused on thinking about health from and for the region. After the implementation of neoliberal policies, social improvements and the geopolitical strengthening of the region became the roots of new regional integration projects in South America. The objective of this article is twofold. First, we explore the legacy of long-standing efforts in the region that address the social and political dimensions of health, associated with the LASM/CH movements and their influence on the contemporary regional health agenda...
February 17, 2019: Global Public Health
https://read.qxmd.com/read/30772765/my-fitness-pal-usage-in-men-associations-with-eating-disorder-symptoms-and-psychosocial-impairment
#6
Jake Linardon, Mariel Messer
My Fitness Pal (MFP) is a calorie-tracking smartphone application that is gaining popularity worldwide. Although MFP has the potential to be a cheap and efficient weight-loss tool, concerns that MFP could trigger, maintain, or exacerbate eating disorder symptoms have been raised. Preliminary research has documented associations between MFP use and eating disorder symptoms in women with eating disorders and in undergraduate students. However, whether these associations exist additionally in a male-only sample has not been tested...
February 10, 2019: Eating Behaviors
https://read.qxmd.com/read/30772628/enactive-social-cognition-diachronic-constitution-coupled-anticipation
#7
REVIEW
Alan Jurgens, Michael D Kirchhoff
This paper targets the constitutive basis of social cognition. It begins by describing the traditional and still dominant cognitivist view. Cognitivism assumes internalism about the realisers of social cognition; thus, the embodied and embedded elements of intersubjective engagement are ruled out from playing anything but a basic causal role in an account of social cognition. It then goes on to advance and clarify an alternative to the cognitivist view; namely, an enactive account of social cognition. It does so first by articulating a diachronic constitutive account for how embodied engagement can play a constitutive role in social cognition...
February 14, 2019: Consciousness and Cognition
https://read.qxmd.com/read/30768754/accelerated-bio-cognitive-aging-in-down-syndrome-state-of-the-art-and-possible-deceleration-strategies
#8
REVIEW
Claudio Franceschi, Paolo Garagnani, Noémie Gensous, Maria Giulia Bacalini, Maria Conte, Stefano Salvioli
Down syndrome (DS) has been proposed by George Martin as a segmental progeroid syndrome since 1978. In fact, DS persons suffer from several age-associated disorders much earlier than euploid persons. Furthermore, a series of recent studies have found that DS persons display elevated levels of age biomarkers, thus supporting the notion that DS is a progeroid trait. Nowadays, due to the progressive advancements in social inclusion processes and medical assistance, DS persons live much longer than in the past; therefore, the early-onset health problems of these persons are becoming an urgent and largely unmet social and medical burden...
February 15, 2019: Aging Cell
https://read.qxmd.com/read/30767250/a-qualitative-prospective-study-of-children-s-understanding-of-weight-gain
#9
Rachel F Rodgers, Eleanor H Wertheim, Stephanie R Damiano, Karen J Gregg, Susan J Paxton
This study examined 3- to 5-year-old children's understandings of increases in body size via a qualitative prospective approach. A sample of 259 children (55.2% girls) was interviewed at 3, 4, and 5 years old. Participants were shown an average and a larger size figure of a child of their gender and age. Responses to 'Why do you think the boy/girl got bigger here?' were coded using thematic analysis. Diet was cited as a mechanism for increased body size by almost 50% of children referring to this by age 5...
February 14, 2019: British Journal of Developmental Psychology
https://read.qxmd.com/read/30762509/feasibility-and-acceptability-of-suicide-prevention-therapy-on-acute-psychiatric-wards-randomised-controlled-trial
#10
Gillian Haddock, Daniel Pratt, Patricia A Gooding, Sarah Peters, Richard Emsley, Emma Evans, James Kelly, Charlotte Huggett, Ailsa Munro, Kamelia Harris, Linda Davies, Yvonne Awenat
BACKGROUND: Suicidal behaviour is common in acute psychiatric wards resulting in distress, and burden for patients, carers and society. Although psychological therapies for suicidal behaviour are effective in out-patient settings, there is little research on their effectiveness for in-patients who are suicidal.AimsOur primary objective was to determine whether cognitive-behavioural suicide prevention therapy (CBSP) was feasible and acceptable, compared with treatment as usual (TAU) for in-patients who are suicidal...
January 2019: BJPsych Open
https://read.qxmd.com/read/30761817/consumption-of-sexually-explicit-internet-material-and-its-effects-on-minors-health-latest-evidence-from-the-literature
#11
Niccolò Principi, Pietro Magnoni, Ludovico Grimoldi, Davide Carnevali, Laura Cavazzana, Alberto Pellai
BACKGROUND: Nowadays adolescents and children are more and more exposed to sexually explicit internet material (SEIM), but most parents and healthcare professionals neglect this issue. The aim of the present study is to evaluate the impact of online pornography on minors' health with a specific focus on the effects produced on their behavioural, psychophysical and social development. METHODS: A literature search was performed on PubMed and ScienceDirect in March 2018 with the query "(pornography OR sexually explicit internet material) AND (adolescent OR child OR young) AND (impact OR behaviour OR health)"...
February 13, 2019: Minerva Pediatrica
https://read.qxmd.com/read/30747427/role-of-the-gut-microbiome-in-autism-spectrum-disorders
#12
Joby Pulikkan, Agnisrota Mazumder, Tony Grace
Autism spectrum disorder (ASD) is a severe neurodevelopmental or neuropsychiatric disorder with elusive etiology and obscure pathophysiology. Cognitive inabilities, impaired communication, repetitive behavior pattern, and restricted social interaction and communication lead to a debilitating situation in autism. The pattern of co-occurrence of medical comorbidities is most intriguing in autism, compared to any other neurodevelopmental disorders. They have an elevated comorbidity burden among which most frequently are seizures, psychiatric illness, and gastrointestinal disorders...
2019: Advances in Experimental Medicine and Biology
https://read.qxmd.com/read/30747155/bearing-the-cost-of-the-american-dream-reflecting-on-street-homelessness-in-america
#13
Parashar P Ramanuj
This paper is a British psychiatrist's personal reflection of the treatment of homeless people in American societies. Drawing upon theories of social distance, exclusion, discrimination and internalised stigma, this reflective piece suggests that homelessness is one price that certain societies pay to invest in the notion of individualised success and self-sufficiency. In reflecting on his own dissonance, the author argues that these societal processes exert a powerful influence on us as individuals, even if we as psychiatrists might think that our understanding confers on us a certain level of understanding...
February 2019: BJPsych International
https://read.qxmd.com/read/30746154/applying-an-affordances-approach-and-a-developmental-lens-to-approach-adolescent-social-media-use
#14
Megan A Moreno, Yalda T Uhls
Social media use among adolescents is nearly ubiquitous. Researchers, educators and parents may find the ever-shifting landscape of social media challenging to understand. In this Educational Piece, we describe an affordances approach. Applying an affordances approach to social media can advance our understanding of social media as a set of functions rather than brand name platforms. We present an affordances approach alongside the critical developmental tasks of adolescence. Our goal is to advance our thinking and standards in communicating about social media and adolescents to inform better research and program design...
January 2019: Digital Health
https://read.qxmd.com/read/30741154/integrating-care-in-scotland
#15
Cathy Fooks, Jodeme Goldhar, Walter P Wodchis, G Ross Baker, Jane Coutts
This issue of Healthcare Quarterly includes the second of a three-part series developed by Ontario's The Change Foundation featuring international perspectives on health service delivery models that improve system integration and ensure seamless services and better coordination. Part 1 featured Chris Ham, chief executive of the London-based King's Fund think tank. In this issue, Geoff Huggins, director for Health and Social Care Integration in Scotland, discusses Scotland's experience and lessons learned after legislating integrated health and social care in 2015...
October 2018: Healthcare Quarterly
https://read.qxmd.com/read/30740840/supporting-ageing-well-research-findings-from-a-research-priority-setting-exercise
#16
Fiona Doolan-Noble, Poonam Mehta, Debra Waters, George David Baxter
OBJECTIVE: This paper describes a workshop process conducted to guide funding priorities for the Ageing Well National Science Challenge in New Zealand (NZ). METHODS: Based on the Checklist for Health Research Priority Setting, stakeholders networking workshops were conducted in five main cities in NZ (n = 133 attendees). Each workshop involved an introductory presentation; small group work exploring the a priori areas of: mind health, social well-being, health services and age-friendly environments; capturing key ideas on flip charts; feedback; and discussion of documented content...
February 10, 2019: Australasian Journal on Ageing
https://read.qxmd.com/read/30739517/supporting-the-development-of-a-professional-identity-general-principles
#17
Sylvia R Cruess, Richard L Cruess, Yvonne Steinert
While teaching medical professionalism has been an important aspect of medical education over the past two decades, the recent emergence of professional identity formation as an important concept has led to a reexamination of how best to ensure that medical graduates come to "think, act, and feel like a physician." If the recommendation that professional identity formation as an educational objective becomes a reality, curricular change to support this objective is required and the principles that guided programs designed to teach professionalism must be reexamined...
February 11, 2019: Medical Teacher
https://read.qxmd.com/read/30738380/the-efficacy-of-cariprazine-in-negative-symptoms-of-schizophrenia-post-hoc-analyses-of-panss-individual-items-and-panss-derived-factors
#18
Wolfgang Fleischhacker, Silvana Galderisi, István Laszlovszky, Balázs Szatmári, Ágota Barabássy, Károly Acsai, Erzsébet Szalai, Judit Harsányi, Willie Earley, Mehul Patel, György Németh
BACKGROUND: Negative symptoms in schizophrenia are heterogeneous and multidimensional; effective treatments are lacking. Cariprazine, a dopamine D3 -preferring D3 /D2 receptor partial agonist and serotonin 5-HT1A receptor partial agonist, was significantly more effective than risperidone in treating negative symptoms in a prospectively designed trial in patients with schizophrenia and persistent, predominant negative symptoms. METHODS: Using post hoc analyses, we evaluated change from baseline at week 26 in individual items of the Positive and Negative Syndrome Scale (PANSS) and PANSS-derived factor models using a mixed-effects model for repeated measures (MMRM) in the intent-to-treat (ITT) population (cariprazine = 227; risperidone = 227)...
February 6, 2019: European Psychiatry: the Journal of the Association of European Psychiatrists
https://read.qxmd.com/read/30732839/tibetan-buddhist-monastic-debate-psychological-and-neuroscientific-analysis-of-a-reasoning-based-analytical-meditation-practice
#19
Marieke K van Vugt, Amir Moye, Joshua Pollock, Bryce Johnson, Marcel O Bonn-Miller, Kalden Gyatso, Jampa Thakchoe, Lobsang Phuntsok, Ngawang Norbu, Lobsang Tenzin, Thabkhe Lodroe, Jampa Lobsang, Jampa Gyaltsen, Jampa Khechok, Thupten Gyaltsen, David M Fresco
Analytical meditation and monastic debate are contemplative practices engaged in by Tibetan Buddhist monastics that have up to now been largely unexplored in Western contemplative science. The highly physical form of contemplative debating plays an important role in the monastic curriculum. Based on discussions and recorded interviews Tibetan monastic teachers and senior students at Sera Jey Monastic University and preliminary experiments, we outline an initial theory that elucidates the psychological mechanisms underlying this practice...
2019: Progress in Brain Research
https://read.qxmd.com/read/30724699/creating-an-intergenerational-university-hub-engaging-older-and-younger-users-in-the-shaping-of-space-and-place
#20
Brenda Vrkljan, Amanda Whalen, Tara Kajaks, Shaarujaa Nadarajah, P J White, Laura Harrington, Parminder Raina
Intergenerational initiatives in post-secondary settings have demonstrated health and social benefits. However, there is a lack of detail with regard to the process by which such initiatives are conceptualized and the role of older and younger users in their development. Guided by the principles of an Age-Friendly University (AFU) alongside elements from a 'Design Thinking' approach, this project outlines the process undertaken to design a new intergenerational space to promote intergenerational connectivity...
February 6, 2019: Gerontology & Geriatrics Education
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