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Anna-Lena Dávila Izaguirre, Dagmar Schneider, Jost Steinhäuser
BACKGROUND: There is an increasing demand for physicians in Germany. At the same time, there are many licensed doctors who are not actively working as physicians. To win them back to their original field of expertise would be a policy to bring doctors into the health care system in a timely manner. The aims of this study were therefore, on the one hand, to explore individual reasons for leaving the medical profession and for deciding to return to the medical profession. Furthermore, the value of participating in a re-entry seminar was assessed in this process...
March 22, 2019: Das Gesundheitswesen
Oleg Zaslavsky, Hilaire J Thompson, Susan M McCurry, Carol A Landis, Spyros Kitsiou, Teresa M Ward, Margaret M Heitkemper, George Demiris
The feasibility and preliminary efficacy of a mobile health self-management intervention aimed at improving sleep among older adults with osteoarthritis and disturbed sleep were evaluated. This was a one-group pre-/posttest pilot study. Feasibility was measured by the number of participants eligible, enrolled, and retained. Primary efficacy outcomes were Insomnia Severity Index (ISI) score and two sleep actigraphy variables: total sleep time (TST) and sleep efficiency (SE). Overall step count, self-efficacy (SEff), and acceptance of sleep difficulties (ASD) were mechanisms of action variables...
March 22, 2019: Research in Gerontological Nursing
Steeve Ngama, Jerome Bindelle, John R Poulsen, Jean-Luck Hornick, Annick Linden, Lisa Korte, Jean-Louis Doucet, Cédric Vermeulen
Crop damage by forest elephants (Loxodonta africana cyclotis) and the resulting human-elephant conflict are issues of great concern for both the conservation of the species and the protection of rural livelihoods in Central Africa. Addressing these problems requires identifying the factors that facilitate or impede crop-raiding by forest elephants. Yet to date, the environmental or anthropogenic factors that influence the occurrence and intensity of crop-raiding by forest elephants are largely unknown. We used a multivariate approach to investigate conditions under which forest elephants raid some fields and not others in the buffer zone of Monts de Cristal National Park (MCNP), Gabon...
2019: PloS One
Suzanne E Scott, Clarissa Penfold, Smiji Saji, Sarah Curtis, Colin Watts, Willie Hamilton, Alexis J Joannides, Fiona M Walter
BACKGROUND: The patient's interpretation of the events and decisions leading up to consultation with a healthcare professional for symptoms of brain cancer is under researched. The aim of this study was to document responses to noticing the changes preceding a diagnosis of brain cancer and living with them, focusing on appraisal of changes and the decision to seek (and re-seek) help, with attention to the psychological processes underpinning the appraisal and help-seeking intervals. METHOD: In this qualitative study set in Eastern and NW England, in-depth interviews with adult patients recently diagnosed with primary brain cancer and their family members were analysed thematically, using the Model of Pathways to Treatment as a conceptual framework...
2019: PloS One
Masieh Abawi, Lennart van Gils, Pierfrancesco Agostoni, Nicolas M van Mieghem, Nynke H M Kooistra, Charlotte S van Dongen, Romy C van Jaarsveld, Peter P T de Jaegere, Pieter A F M Doevendans, Pieter R Stella
OBJECTIVES: To explore the prevalence of smoking, and its association with clinical and mortality outcome among patients undergoing transcatheter aortic valve replacement (TAVR). BACKGROUND: Less data exist regarding the effect of baseline smoking status on clinical and mortality outcome among patients undergoing TAVR. METHODS: Consecutive patients who underwent TAVR at two high volume Dutch centers were included. Smoking status was prospectively questioned by a structured interview at admission...
March 22, 2019: Catheterization and Cardiovascular Interventions
Anja Steinbach, Katharina Mahne, Daniela Klaus, Karsten Hank
OBJECTIVES: Using high quality data from Germany, this study aims to contribute to the yet little knowledge about possible changes in adult parent-child relationships within countries over time. METHOD: Analyzing 13,106 interviews from four rounds of the German Ageing Survey (DEAS), covering the period 1996-2014, we monitor stability and change in four dimensions of adult parent-child relationships, namely geographic proximity, frequency of contact, emotional closeness, and exchange of support...
March 6, 2019: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
Takahiro A Kato, Ryoko Katsuki, Hiroaki Kubo, Norihiro Shimokawa, Mina Sato-Kasai, Kohei Hayakawa, Nobuki Kuwano, Wakako Umene-Nakano, Masaru Tateno, Daiki Setoyama, Dongchon Kang, Motoki Watabe, Shinji Sakamoto, Alan R Teo, Shigenobu Kanba
AIM: Understanding premorbid personality is important especially when considering treatment selection. Historically, the premorbid personality of Japan's depression is Shuchaku-kishitsu, proposed by Shimoda in the 1930s. Since around 2000, young adults with depression who have premorbid personality differing from the traditional type have increasingly been reported in Japan. In 2005, Tarumi termed this novel condition 'Dysthymic-type Depression', and it is recently called 'Shin-gata/Gendai-gata Utsu-byo; Modern-type Depression (MTD)'...
March 21, 2019: Psychiatry and Clinical Neurosciences
Stéphane Cullati, Naike Bochatay, Fabienne Maître, Thierry Laroche, Virginie Muller-Juge, Katherine S Blondon, Noëlle Junod Perron, Nadia M Bajwa, Nu Viet Vu, Sara Kim, Georges L Savoldelli, Patricia Hudelson, Pierre Chopard, Mathieu R Nendaz
Objectives: To explore professionals' experiences and perceptions of whether, how, and what types of conflicts affected the quality of patient care. Patients and Methods: We conducted 82 semistructured interviews with randomly selected health care professionals in a Swiss teaching hospital (October 2014 and March 2016). Participants related stories of team conflicts (intra-/interprofessional, among protagonists at the same or different hierarchical levels) and the perceived consequences for patient care...
March 2019: Mayo Clinic Proceedings. Innovations, Quality & Outcomes
Rene Hattingh, Pierre M Joubert
Background: Referral of patients from tertiary specialist psychiatric hospitals to primary healthcare settings is a worldwide goal. This is of particular importance in South Africa with its considerable burden of mental disorders and limited resources. However, patients are often reluctant to be referred and studies have shown that patients may prefer a dedicated psychiatric service over an integrated primary healthcare service. Aim: This study explored the opinions of patients receiving care at a tertiary psychiatric hospital's outpatient department (OPD) about referral to a primary healthcare clinic (PHCC)...
2019: South African Journal of Psychiatry: SAJP
Molly J Ryan, Tamara Giles-Vernick, Janice E Graham
Trust is an essential component of successful cooperative endeavours. The global health response to the 2014-2016 West Africa Ebola outbreak confronted historically tenuous regional relationships of trust. Challenging sociopolitical contexts and initially inappropriate communication strategies impeded trustworthy relationships between communities and responders during the epidemic. Social scientists affiliated with the Ebola 100-Institut Pasteur project interviewed approximately 160 local, national and international responders holding a wide variety of roles during the epidemic...
2019: BMJ Global Health
Margie K Olds, Richard Ellis, Priya Parmar, Paula Kersten
Objective: To develop a multivariate tool that would predict recurrent instability after a first-time traumatic anterior shoulder dislocation. Methods: Participants (aged 16-40 years) were recruited across New Zealand into a prospective cohort study. Baseline data were collected during a telephone interview and through examination of radiology records. Variables associated with recurrent instability were selected for the multivariate logistic regression model using backwards selection (p<0...
2019: BMJ Open Sport & Exercise Medicine
Sara Bottiroli, Federica Galli, Michele Viana, Roberto De Icco, Vito Bitetto, Marta Allena, Stefania Pazzi, Grazia Sances, Cristina Tassorelli
Background: Early traumatic experiences and Stressful episodes appear to be associated to the development and perpetuation of chronic pain disorders and to dependence-related behaviors. Objective: The present study evaluated whether these factors can be predictors, together with psychiatric conditions, of the outcome of a detoxification treatment in patients suffering from chronic migraine and medication-overuse headache in a 2-month follow-up. Methods: Consecutive patients undergoing a detoxification program as therapy for treating chronic migraine and medication overuse headache at the Pavia Headache Center were analyzed...
2019: Frontiers in Neurology
Abigail Easter, Louise Michelle Howard, Jane Sandall
OBJECTIVE: Mental illness has persistently been found to be a leading cause of death during pregnancy and the year after birth (the perinatal period). This study aims to explore barriers to detection, response and escalation of mental health-related life-threatening near miss events among women with perinatal mental illness. DESIGN: Qualitative study. PARTICIPANTS: Healthcare professionals (HCP) working in psychiatry, maternity and primary care (n=15) across community and hospital maternity and perinatal services within the UK...
March 20, 2019: BMJ Open
Fanny Chabrol, Dominique Noah Noah, Eric Pascal Tchoumi, Laurent Vidal, Christopher Kuaban, Maria Patrizia Carrieri, Sylvie Boyer
OBJECTIVES: To document patients' and healthcare professionals' (HCP) experiences with hepatitis B virus (HBV) and hepatitis C virus (HCV) diagnosis and care, as well as consequences of these infections on patients' life trajectories in Cameroon, an endemic country in sub-Saharan Africa. DESIGN: Qualitative sociological study combining in-depth interviews and observations of medical consultations. Interviews and observations transcripts were thematically analysed according to the following themes: circumstances and perceptions surrounding hepatitis screening, counselling and disclosure, information provided by HCP on hepatitis prevention and treatment, experience of access to care and treatment, social/economic trajectories after diagnosis...
March 20, 2019: BMJ Open
Fiona Doolan-Noble, Sue Pullon, Tony Dowell, Dane Fuller, Tom Love
INTRODUCTION: More men than women live with overweight and obesity in New Zealand, yet we know little about their everyday lives or their weight management experiences in primary care. This study sought to link the weight management experiences of these men in primary care, with their experiences of life in general as big men. METHODS: Semi-structured interviews with participants selected purposively based on a priori criteria were conducted. Interviews were either face to face or via telephone...
March 18, 2019: Obesity Research & Clinical Practice
Rosemarie Kobau, Sanjeeb Sapkota, Matthew M Zack
Serious psychological distress (SPD) includes mental health problems severe enough to cause moderate-to-serious impairment in daily activities and to require treatment. Serious psychological distress is based on answers to six survey questions from the Kessler-6 scale used internationally in public health surveillance systems to assess recent feelings of sadness, restlessness, hopelessness, nervousness, worthlessness, and the sense that everything is an effort. We combined nationally representative samples in the National Health Interview Survey (NHIS) from 2010 (N = 27,157), 2013 (N = 34,557), 2015 (N = 33,672), and 2017 (N = 26,742)...
March 18, 2019: Epilepsy & Behavior: E&B
Lorraine R Barton, Kathryn A Parke, Carole L White
INTRODUCTION: Screening and providing interventions for adverse social and behavioral determinants of health (SBDOHs) can potentially improve health outcomes. The purpose of this project was to evaluate the feasibility of screening for SBDOHs during an episodic visit at a school-based clinic and to evaluate whether it increased identification of and intervention for adverse SBDOHs. METHODS: Common adverse SBDOHs were identified through stakeholder focus groups, a community assessment report, and interviews...
March 19, 2019: Journal of Pediatric Health Care
Taliye Cakabay, Selin Üstün Bezgin, Mahmut Cem Tarakcioglu, Murat Kocyigit, Bilge Serin Keskinege, Safiye Giran Örtekin, Mustafa Ozdemir
OBJECTIVE: In this study, we aimed to evaluate the diagnoses of the infants who were admitted to our outpatient clinic with the complaint of pulling on the ear and to identify the related factors which may contribute to the diagnosis. METHODS: This prospective study included a total of 102 infants who were admitted to our hospital with the complaint of tugging and pulling on, touching, and rubbing the ears on the shoulder or pillow and shaking the head between July 2016 and July 2017...
March 18, 2019: Auris, Nasus, Larynx
Martin Berwig, Susanne Lessing, Ruth Deck
BACKGROUND: More than one million people in Germany live with dementia. Most of these people are cared for at home in the family setting. Supporting and caring for people with dementia is time-consuming, and family carers often have high stress levels and are at an increased risk of becoming physically and mentally ill. Medical rehabilitation (rehab) helps to relieve family carers and provide them with strategies to cope with stress. The aim of this study is to improve the sustainability of a multimodal rehab program for family carers of people with dementia...
March 21, 2019: BMC Health Services Research
André Løvgren, Jan Ivar Røssberg, Liv Nilsen, Eivind Engebretsen, Randi Ulberg
BACKGROUND: There is emerging evidence for the effectiveness of psychodynamic psychotherapy for depressive disorders. However, we know less of how this relation-focused therapy mode is experienced and what the patients themselves identify as helpful. Hence, the purpose of this study is to explore adolescents' experiences of factors promoting improvement in psychodynamic therapy. METHODS: Eight female patients participating in a Norwegian study on psychodynamic therapy, the First Experimental Study of Transference Work - In Teenagers (FEST-IT), were included...
March 21, 2019: BMC Psychiatry
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