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    The Effects on Children's Anxiety and Quality of Life of a Psychoeducational Program for Families Living With Parental Cancer and Their Network: A Randomized Controlled Trial Study.
    Cancer Nurs 2017 Jul 20. Epub 2017 Jul 20.
    Author Affiliation: Center for Crisis Psychology, Bergen, Norway.
    Background: Families living with parental cancer report lack of social support. The Cancer PEPSONE Program (CPP) was developed to bridge the gap between the families and their network.

    Objective: The aims of this study were to study the effect of the CPP on children's anxiety and quality of life (QOL) and examine the association between the CPP's effect on their well parents' received social support, QOL, and psychological distress and the children's anxiety and QOL. Read More

    Economic and social impact of out-of-pocket expenditure on households of patients attending public hospitals.
    Natl Med J India 2017 Jan-Feb;30(1):15-20
    Department of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
    Background: We aimed to generate evidence on the social and economic impact of out-of-pocket expenses incurred by households on illness.

    Methods: We did a hospital-based cross-sectional study including a convenience sample of 374 inpatients and outpatients.

    Results: The median illness expenditure was the same (₹62 500) for inpatients and outpatients. Read More

    Single-center retrospective analysis of 162 cases with thymoma complicating myasthenia gravis.
    J BUON 2017 May-Jun;22(3):741-745
    Department of Cardiothoracic Surgery, Jiangxi Provincial People's Hospital Nanchang 330006, Jiangxi Province, China.
    Purpose: We conducted this study to retrospectively analyze the clinical effects of surgical resection for patients with myasthenia gravis (MG) complicated with thymoma.

    Methods: 162 patients with myasthenia gravis complicated with thymoma, that were admitted to our hospital and underwent surgical disease resection from Nov. 1993 to Nov. Read More

    Down-regulation of protein kinase C alpha/ezrin signals in light-induced phagocytic crisis of retinal pigment epithelium cells.
    Int J Ophthalmol 2017 18;10(7):1040-1045. Epub 2017 Jul 18.
    Department of Cell Biology, Jinzhou Medical University, Jinzhou 121000, Liaoning Province, China.
    Aim: To investigate the roles of PKC-α/ezrin signals in phagocytosis crisis of retinal pigment epithelium (RPE) cells in light damage model.

    Methods: Light induced mice RPE injury model was established by continuously irradiating cool white light at different exposure time (0, 4, 8h light intensity: 4.18×10(-6) J/cm(2)). Read More

    Refugees: addressing the burden of oral disease through prevention.
    Br Dent J 2017 Jul;223(2):121-123
    King's College London Dental Institute.
    In February 2017 a cohort of dental students travelled to Athens, Greece where they assisted in providing dental care to refugees and conducted oral hygiene workshops in Skaramagas Refugee camp. With respect to patient presentation, caries was found to be extremely prevalent due to patient diet, accessibility to care and oral hygiene practices. Due to the extensive nature of the work, time constraints and resource availability focus was directed on reducing disease burden through prevention. Read More

    Evaluation of Emergency Department Management of Opioid-Tolerant Cancer Patients with Acute Pain.
    J Pain Symptom Manage 2017 Jul 17. Epub 2017 Jul 17.
    Division of Palliative Medicine, The Ohio State University Wexner Medical Center; Department of Pharmacy, The Ohio State University Wexner Medical Center.
    Context: There are no previously published studies examining opioid doses administered to opioid-tolerant cancer patients during Emergency Department (ED) encounters.

    Objective: To determine if opioid-tolerant cancer patients presenting with acute pain exacerbations receive adequate initial doses of PRN opioids during ED encounters based on home Oral Morphine Equivalents (OME) use.

    Methods: We performed a retrospective cohort study of opioid-tolerant cancer patients who received opioids in our ED over a 2-year period. Read More

    Sepsis Reconsidered: Identifying novel metrics for behavioral landscape characterization with a high-performance computing implementation of an agent-based model.
    J Theor Biol 2017 Jul 17. Epub 2017 Jul 17.
    Department of Surgery, University of Chicago Medicine, 5841 South Maryland Ave, MC 5094, Chicago, IL 60637. Electronic address:
    Objectives: Sepsis affects nearly 1 million people in the United States per year, has a mortality rate of 28-50% and requires more than $20 billion a year in hospital costs. Over a quarter century of research has not yielded a single reliable diagnostic test or a directed therapeutic agent for sepsis. Central to this insufficiency is the fact that sepsis remains a clinical/physiological diagnosis representing a multitude of molecularly heterogeneous pathological trajectories. Read More

    Trigeminocardiac reflex during non-surgical root canal treatment of teeth with irreversible pulpitis.
    J Formos Med Assoc 2017 Jul 17. Epub 2017 Jul 17.
    School of Dentistry, College of Oral Medicine, Chung Shan Medical University, Taichung, Taiwan; Department of Oral Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan. Electronic address:
    Background/purpose: Trigeminocardiac reflex (TCR) is a unique clinical incident of acute change in hemodynamic balance, which may lead to hypotension, bradycardia, and even clinical crisis. Up to date, no study so far considers the impact of non-surgical root canal treatment (NSRCT) of irreversible pulpitis teeth under either local infiltration or block anesthesia on hemodynamic change possibly related to TCR.

    Methods: This study enrolled 111 patients with 138 irreversible pulpitis teeth that were treated by two sessions of NSRCT. Read More

    Why is there motor deterioration in Parkinson's disease during systemic infections-a hypothetical view.
    NPJ Parkinsons Dis 2015 27;1:15014. Epub 2015 Aug 27.
    Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College of London, London, UK.
    Clinicians are well aware of the fact that patients with Parkinson's disease may significantly deteriorate following a systemic infection or, in its most severe case, may even develop an akinetic crisis. Although this phenomenon is widely observed and has a major impact on the patients' condition, the knowledge about the underlying mechanisms behind is still sparse. Possible explanations encompass changes in the pharmacodynamics of the dopaminergic drugs, altered dopamine metabolism in the brain, alterations in the dopaminergic transmission in the striatum or an enhancement of neurodegeneration due to remote effects of peripheral inflammatory processes or circulating bacterial toxins. Read More

    Going in Many Right Directions, All at Once.
    Perspect Psychol Sci 2017 Jul;12(4):652-655
    Department of Psychology and Woodrow Wilson School of Public Affairs, Princeton University.
    When asked whether the field is going in the right direction, my answer is "yes, mostly." Policymakers' respect and the public's interest put us in the spotlight for our intrinsic strengths-but they also draw attention to our weaknesses as reflected by the replication crisis, about which reasonable opinions differ. Among other concerns, civility and mutual tolerance have sometimes been an issue in these debates. Read More

    Psychology's Replication Crisis and the Grant Culture: Righting the Ship.
    Perspect Psychol Sci 2017 Jul;12(4):660-664
    Department of Psychology, Emory University.
    The past several years have been a time for soul searching in psychology, as we have gradually come to grips with the reality that some of our cherished findings are less robust than we had assumed. Nevertheless, the replication crisis highlights the operation of psychological science at its best, as it reflects our growing humility. At the same time, institutional variables, especially the growing emphasis on external funding as an expectation or de facto requirement for faculty tenure and promotion, pose largely unappreciated hazards for psychological science, including (a) incentives for engaging in questionable research practices, (b) a single-minded focus on programmatic research, (c) intellectual hyperspecialization, (d) disincentives for conducting direct replications, (e) stifling of creativity and intellectual risk taking, (f) researchers promising more than they can deliver, and (g) diminished time for thinking deeply. Read More

    Structural instability of large-scale functional networks.
    PLoS One 2017 20;12(7):e0181247. Epub 2017 Jul 20.
    Department of Applied Physics, Hokkaido University, Sapporo, Hokkaido, Japan.
    We study how large functional networks can grow stably under possible cascading overload failures and evaluated the maximum stable network size above which even a small-scale failure would cause a fatal breakdown of the network. Employing a model of cascading failures induced by temporally fluctuating loads, the maximum stable size nmax has been calculated as a function of the load reduction parameter r that characterizes how quickly the total load is reduced during the cascade. If we reduce the total load sufficiently fast (r ≥ rc), the network can grow infinitely. Read More

    Zika and Reproductive Rights in Brazil: Challenge to the Right to Health.
    Am J Public Health 2017 Jul 20:e1-e5. Epub 2017 Jul 20.
    At the time of writing, Pablo K. Valente was a graduate student in the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY.
    The Zika virus epidemic rapidly spread across Brazil and Latin America, gaining international attention because of the causal relationship between Zika and birth defects. The high number of cases in Brazil has been attributed to a failure of the state to contain the epidemic and protect the affected people, especially women. Therefore, the public health crisis created by Zika exposed a stark conflict between Brazil's constitutional right to health and the long-standing violation of reproductive rights in the country. Read More

    Ethical Guidance for Disaster Response, Specifically Around Crisis Standards of Care: A Systematic Review.
    Am J Public Health 2017 Jul 20:e1-e9. Epub 2017 Jul 20.
    Jonathon P. Leider is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Debra DeBruin and Nicole Reynolds are with the Center for Bioethics, University of Minnesota, Minneapolis. Angelica Koch and Judy Seaberg are with the Center for Emergency Preparedness and Response, Minnesota Department of Health, St Paul, MN.
    Background: Terrorism, disease outbreaks, and other natural disasters and mass casualty events have pushed health care and public health systems to identify and refine emergency preparedness protocols for disaster response. Ethical guidance, alongside legal and medical frameworks, are increasingly common components of disaster response plans.

    Objectives: To systematically review the prevalence and content of ethical guidance offered for disaster response, specifically around crisis standards of care (CSCs). Read More

    A Method of Managing Severe Traumatic Brain Injury in the Absence of Intracranial Pressure Monitoring: the ICE Protocol.
    J Neurotrauma 2017 Jul 20. Epub 2017 Jul 20.
    Harborview Medical Center, University of Washington, Neurological Surgery, Seattle, Washington, United States ;
    Purpose - The imaging- and clinical-examination (ICE) algorithm used in the BEST TRIP ICP randomized controlled trial is the only prospectively investigated clinical protocol for TBI management without ICP monitoring. As the default literature standard, it warrants careful evaluation. Methods - We present the ICE protocol in detail and analyse the demographics, outcome, treatment intensity, frequency of intervention usage, and related adverse events in the ICE-protocol cohort. Read More

    Dante's 'Two Suns': Reflections on the psychological sources of the Divine Comedy.
    Int J Psychoanal 2017 Jul 20. Epub 2017 Jul 20.
    23 Carson Road, London, SE21 8HT, UK.
    The power of Dante's Divine Comedy is unmistakable, but surprising in view of its theological structure and assumptions that are no longer current among most modern readers. This paper suggests that its power derives from the deep psychological truthfulness with which Dante deals with the painful personal crisis that underlies the poem and is his starting point. It attempts to clarify what may have constituted that crisis, and why the structure of the Comedy, and in particular its use of two guides, Virgil and Beatrice, who might be thought a somewhat incompatible pairing, point significantly to the nature of the solution Dante arrived at. Read More

    Epigallocatechin gallate enhances treatment efficacy of oral nifedipine against pregnancy-induced severe pre-eclampsia: A double-blind, randomized and placebo-controlled clinical study.
    J Clin Pharm Ther 2017 Jul 20. Epub 2017 Jul 20.
    Cangzhou Central Hospital, Cangzhou, Hebei, China.
    What Is Known And Objective: Oral nifedipine is commonly used to treat pre-eclampsia, one of the most severe complications during pregnancy, but its clinical efficacy is less than ideal. Epigallocatechin gallate (EGCG), a natural compound from green tea, could benefit cardiovascular health especially hypertension. We investigated the clinical efficacy of EGCG, when complemented with oral nifedipine, in treating pre-eclampsia. Read More

    Crisis Team Management in a Scarce Resource Setting: Angkor Hospital for Children in Siem Reap, Cambodia.
    Front Public Health 2017 5;5:154. Epub 2017 Jul 5.
    Faculty of Medicine, Department of Anesthesiology, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
    Introduction: A crisis team management (CTM) simulation course was developed by volunteers from Health Volunteers Overseas for physicians and nurses at Angkor Hospital for Children (AHC) in Siem Reap, Cambodia. The framework for the course was adapted from crisis resource management (1, 2), crisis team training (3), and TeamSTEPPs© models (4). The CTM course focused on teaching physicians and nurses on the development of team performance knowledge, skills, and attitudes. Read More

    The Human Resources for Health Effort Index: a tool to assess and inform Strategic Health Workforce Investments.
    Hum Resour Health 2017 Jul 19;15(1):47. Epub 2017 Jul 19.
    IntraHealth International, Chapel Hill, NC, USA.
    Background: Despite its importance, the field of human resources for health (HRH) has lagged in developing methods to measure its status and progress in low- and middle-income countries suffering a workforce crisis. Measures of professional health worker densities and distribution are purely numerical, unreliable, and do not represent the full spectrum of workers providing health services. To provide more information on the multi-dimensional characteristics of human resources for health, in 2013-2014, the global USAID-funded CapacityPlus project, led by IntraHealth International, developed and tested a 79-item HRH Effort Index modeled after the widely used Family Planning Effort Index. Read More

    Human resources for health: global crisis and international cooperation.
    Cien Saude Colet 2017 Jul;22(7):2237-2246
    Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro. R. São Francisco Xavier 524/Bloco E/7º, Maracanã. 20550-013 Rio de Janeiro RJ Brasil.
    From the 1990s onwards, national economies became connected and globalized. Changes in the demographic and epidemiological profile of the population highlighted the need for further discussions and strategies on Human Resources for Health (HRH). The health workforce crisis is a worldwide phenomenon. Read More

    The Alma-Ata Decade: the crisis of development and international health.
    Cien Saude Colet 2017 Jul;22(7):2135-2144
    Departamento de Pesquisa em História das Ciências e da Saúde. Casa de Oswaldo Cruz, Fiocruz. Av. Brasil 4036/405, Manguinhos. 21040-361 Rio de Janeiro RJ Brasil.
    The paper analyzes formulations in the area of international health at the time of the International Conference on Primary Health Care, held in Alma Ata, Kazakhstan, in 1978. It is set within the context of the broader debate on development and international cooperation throughout the 1970s. Three sets of concepts and prescriptive formulations were examined namely: the New International Economic Order (NIEO), the Dag Hammarskjöld Report (DHR) and the Basic Human Needs Approach (BHN). Read More

    Global forest loss disproportionately erodes biodiversity in intact landscapes.
    Nature 2017 Jul 19. Epub 2017 Jul 19.
    Forest Biodiversity Research Network, Department of Forest Ecosystems and Society, Oregon State University, Corvallis, Oregon 97331, USA.
    Global biodiversity loss is a critical environmental crisis, yet the lack of spatial data on biodiversity threats has hindered conservation strategies. Theory predicts that abrupt biodiversity declines are most likely to occur when habitat availability is reduced to very low levels in the landscape (10-30%). Alternatively, recent evidence indicates that biodiversity is best conserved by minimizing human intrusion into intact and relatively unfragmented landscapes. Read More

    Why Use Group Visits for Opioid Use Disorder Treatment in Primary Care? A Patient-Centered Qualitative Study.
    Subst Abus 2017 Jul 19. Epub 2017 Jul 19.
    e Department of Psychiatry , Cambridge Health Alliance, Harvard Medical School , Somerville , MA.
    Background: Primary care providers are well positioned to respond to the opioid crisis by providing buprenorphine/naloxone (B/N) through shared medical appointments (SMA). While quantitative research has been previously conducted on SMAs with B/N, we conducted a qualitative assessment from the patients' point of view, considering whether and how group visits provide value for patients.

    Methods: Twenty-five participants with opioid use disorder (OUD) who were enrolled in a weekly B/N group visit at a family medicine clinic participated in either of two one-hour-long focus groups, which were conducted as actual group visits. Read More

    A text-mining analysis of the public's reactions to the opioid crisis.
    Subst Abus 2017 Jul 19. Epub 2017 Jul 19.
    a Center for Health Communication , Moody College of Communication, University of Texas at Austin , Austin , Texas , USA.
    Background: Opioid abuse has become an epidemic in the United States. On August 25, 2016, the former Surgeon General of the United States sent an open letter to care providers asking for their help with combatting this growing health crisis. Social media forums like Twitter allow for open discussions among the public and up-to-date exchanges of information about timely topics like opioids. Read More

    Assessment of Fecal Exposure Pathways in Low-Income Urban Neighborhoods in Accra, Ghana: Rationale, Design, Methods, and Key Findings of the SaniPath Study.
    Am J Trop Med Hyg 2017 Jul 17. Epub 2017 Jul 17.
    Center for Global Safe Water, Sanitation, and Hygiene, Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia.
    Rapid urbanization has contributed to an urban sanitation crisis in low-income countries. Residents in low-income, urban neighborhoods often have poor sanitation infrastructure and services and may experience frequent exposure to fecal contamination through a range of pathways. There are little data to prioritize strategies to decrease exposure to fecal contamination in these complex and highly contaminated environments, and public health priorities are rarely considered when planning urban sanitation investments. Read More

    The change-makers of West Africa.
    Health Res Policy Syst 2017 Jul 12;15(Suppl 1):52. Epub 2017 Jul 12.
    Independent Consultant, PO Box 91, 00606, Nairobi, Kenya.
    West Africa was the focus of global attention during the Ebola virus disease outbreak, when systemic health system weaknesses compounded a serious emergency and complicated response efforts. Following the crisis, calls were made to strengthen health systems, but investments to date have fallen short of delivering the support needed to build strong health systems able to prevent and manage future outbreaks.In part, this reality serves to highlight the shortcomings of the solutions being repeatedly prioritised by external funders and experts, solutions that often fail to consider the wealth of West African evidence and actors actively working to strengthen the leadership and health systems needed to drive and sustainably improve national health outcomes. Read More

    Countering resistance to protected-area extension.
    Conserv Biol 2017 Jul 19. Epub 2017 Jul 19.
    Florida Institute for Conservation Science, 2205 Sultan Circle, Chuluota, FL, 32766, USA.
    The establishment of protected areas is a critical strategy for conserving biodiversity. Key policy directives like the Aichi targets seek to expand protected areas to 17% of the earth's land surface, with calls by some conservation biologists for much more. However, in places such as the USA, Germany and Australia, attempts to increase protected areas are meeting strong resistance from communities, industry groups, and governments. Read More

    The rise of global health diplomacy: An interdisciplinary concept linking health and international relations.
    Indian J Public Health 2017 Apr-Jun;61(2):134-136
    Lecturer- Public Health, Faculty of Medical Sciences & Visiting Senior Research Fellow, Institute of International Relations, The University of the West Indies, St. Augustine, Caribbean, Trinidad and Tobago.
    Global health diplomacy (GHD) is relatively a very new field that has yet to be clearly defined and developed though there are various definitions given by different experts from foreign policy, global health, diplomacy, international relations, governance, and law. With the intensification of globalization and increasing gaps between countries, new and reemerging health threats such as HIV/AIDS, tuberculosis, influenza, severe acute respiratory syndrome, Ebola, and Zika and a gradual rethinking on security concepts framed a new political context. The health problems addressed diplomatically have also become diverse ranging from neglected tropical diseases, infectious diseases, sale of unsafe, counterfeit drugs to brain drain crisis. Read More

    A model of adaptation for families of elderly patients with dementia: focusing on family resilience.
    Aging Ment Health 2017 Jul 19:1-9. Epub 2017 Jul 19.
    d Department of Nursing , Chung-Ang University , Seoul , Republic of Korea.
    Objectives: We constructed a model explaining families' positive adaptation in chronic crisis situations such as the problematic behavior of elderly patients with dementia and attendant caregiving stress, based on the family resilience model. Our aim was to devise an adaptation model for families of elderly patients with dementia.

    Method: A survey of problematic behavior in elderly patients with dementia, family stress, family resilience, and family adaptation was conducted with 292 consenting individuals. Read More

    Predictors of emergency department use by adolescents and adults with autism spectrum disorder: a prospective cohort study.
    BMJ Open 2017 Jul 18;7(7):e017377. Epub 2017 Jul 18.
    Department of Psychiatry, University of Toronto, Toronto, Canada.
    Objectives: To determine predictors of emergency department (ED) visits in a cohort of adolescents and adults with autism spectrum disorder (ASD).

    Design: Prospective cohort study.

    Setting: Community-based study from Ontario, Canada. Read More

    Strengths and resources used by Australian and Danish adult patients and their family caregivers during treatment for cancer.
    Eur J Oncol Nurs 2017 Aug 30;29:53-59. Epub 2017 May 30.
    Menzies Health Institute Queensland, Griffith University, Australia.
    Purpose: Family plays an essential role in supporting the patient with cancer, however, relatively little attention has been given to understanding the strengths and resources of the family unit across different settings and countries. This study aims to investigate the strengths and resources of patients and family members in Australia and Denmark.

    Methods: Using a descriptive, cross-sectional design, 232 patient and family participants from inpatient and outpatient oncology services in Australia and Denmark completed paper based surveys that included the Family Hardiness Index (FHI) and Family Crisis Orientated Personal Evaluation Scales (F-COPES), together with demographic and health information. Read More

    "We and the nurses are now working with one voice": How community leaders and health committee members describe their role in Sierra Leone's Ebola response.
    BMC Health Serv Res 2017 Jul 18;17(1):495. Epub 2017 Jul 18.
    Department of Community Health and Clinical Studies, School of Community Health Sciences, Njala University; Mercy Hospital Research Laboratory, Bo, Sierra Leone.
    Background: Across low-income settings, community volunteers and health committee members support the formal health system - both routinely and amid emergencies - by engaging in health services such as referrals and health education. During the 2014-2015 Ebola epidemic, emerging reports suggest that community engagement was instrumental in interrupting transmission. Nevertheless, literature regarding community volunteers' roles during emergencies generally, and Ebola specifically, is scarce. Read More

    Increasing Access to Oral Anticancer Medicines in Middle-Income Countries: A Case Study of Private Health Insurance Coverage in Brazil.
    J Glob Oncol 2016 Feb 20;2(1):39-46. Epub 2016 Jan 20.
    , São Paulo Business School, São Paulo; , Institute of Scientific and Technological Communication and Information in Health, Rio de Janeiro, Brazil; and , Oncoclinicas Group, São Paulo, Brazil and Johns Hopkins University, Baltimore, MD.
    The World Health Organization estimates that approximately 60% of the world's new annual cancer cases occur in Asia, Africa, and Central and South America, and that 70% of cancer deaths occur in these regions. Although oral chemotherapy is a promising intervention for cancer treatment, given its high cost, it is usually unavailable in middle-income countries. In 2013, after strong lobbying from civil society, Brazil's Congress passed legislation mandating that all private health insurance companies provide access to oral antineoplastic treatment. Read More

    Desert Beetle-Inspired Superwettable Patterned Surfaces for Water Harvesting.
    Small 2017 Jul 18. Epub 2017 Jul 18.
    Institute for Superconducting and Electronic Materials, Australian Institute for Innovative Materials, University of Wollongong, Wollongong, NSW, 2500, Australia.
    With the impacts of climate change and impending crisis of clean drinking water, designing functional materials for water harvesting from fog with large water capacity has received much attention in recent years. Nature has evolved different strategies for surviving dry, arid, and xeric conditions. Nature is a school for human beings. Read More

    Influence of WHO versus ELN advanced phase chronic myeloid leukemia definitions on overall survival.
    Eur J Haematol 2017 Jul 18. Epub 2017 Jul 18.
    Dep. of Internal Medicine / Hematology, Albert Schweitzer Hospital, Dordrecht, the Netherlands.
    With great interest, we read the recent article by Söderlund et al. in your journal describing the incidence, patient characteristics and outcome of Swedish patients with chronic myeloid leukemia (CML) in accelerated phase (AP) or blast crisis (BC) (1). The authors compared observations in a Swedish population-based cohort to published intervention trials and found similar results in patient outcome. Read More

    [The (Refugee) Crisis in the Psychotherapeutic Treatment Room].
    Psychother Psychosom Med Psychol 2017 Jun 29. Epub 2017 Jun 29.
    Klinik für Psychiatrie und Psychotherapie, Charité - Universitätsmedizin Berlin CCM, Berlin.
    Objective Aim of the study was to examine how discourses of refugees in the media influence the perspective of independent psychotherapists working with refugees. Methods 20 problem-centered interviews were carried out across Germany with independent psychotherapists, and were analyzed using the principles of Grounded Theory. Results 4 portrayals of refugees were identified: 'The problematic Other' (1), 'No Other' (2), 'The advantageous Other' (3) and 'The excluded subject' (4). Read More

    Qualitative Investigation of the Wellness Recovery Action Plan in a UK NHS Crisis Care Setting.
    Issues Ment Health Nurs 2017 Jul;38(7):570-577
    c The Opal Centre , Rotherham Doncaster and South Humber Mental Health NHS Foundation Trust , Doncaster , UK.
    Crisis theory suggests that in addition to presenting a threat to mental well-being, crises are also opportunities where successful interventions can lead to successful outcomes. UK mental health crisis teams aim to reduce hospital admission by treating people at home and by building resilience and supporting learning from crisis, yet data on repeat crisis episodes suggest this could be improved. This qualitative study sought to explore the Wellness Recovery Action Plan (WRAP) as a means of supporting resilience-building and maximising the opportunity potential of crisis. Read More

    Capable and credible? Challenging nutrition science.
    Eur J Nutr 2017 Jul 17. Epub 2017 Jul 17.
    De Vries Nutrition Solutions, Gorssel, The Netherlands.
    Nutrition science has enriched our understanding of how to stay healthy by producing valuable knowledge about the interaction of nutrients, food, and the human body. Nutrition science also has raised societal awareness about the links between food consumption and well-being, and provided the basis for food regulations and dietary guidelines. Its collaborative and interdisciplinary research has accomplished much, scientifically and socially. Read More

    Incidence of anaphylactic reactions after propofol administration in dogs.
    J Vet Med Sci 2017 Jul 14. Epub 2017 Jul 14.
    Rakuno Gakuen University School of Veterinary Medicine.
    Propofol is an anesthetic agent suspended in an emulsion system that includes egg yolk lecithin and soybean oil, because of which, there is concern about the use of propofol in patients allergic to these substances. We examined the association between propofol administration and incidence of adverse events in dogs with allergy to egg yolk lecithin and soybean oil. On the basis of the findings of an allergen-specific immunoglobulin E (IgE) test, 14 dogs with high levels (high-IgE group) and 7 dogs with low levels (normal-IgE group) of IgE were selected. Read More

    Crisis resolution and home treatment: stakeholders' views on critical ingredients and implementation in England.
    BMC Psychiatry 2017 Jul 17;17(1):254. Epub 2017 Jul 17.
    Division of Psychiatry, UCL, 149 Tottenham Court Road, London, W1T 7NF, UK.
    Background: Crisis resolution teams (CRTs) can provide effective home-based treatment for acute mental health crises, although critical ingredients of the model have not been clearly identified, and implementation has been inconsistent. In order to inform development of a more highly specified CRT model that meets service users' needs, this study used qualitative methods to investigate stakeholders' experiences and views of CRTs, and what is important in good quality home-based crisis care.

    Method: Semi-structured interviews and focus groups were conducted with service users (n = 41), carers (n = 20) and practitioners (CRT staff, managers and referrers; n = 147, 26 focus groups, 9 interviews) in 10 mental health catchment areas in England, and with international CRT developers (n = 11). Read More

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